1A 1A

Health: How Can Congress Combat The Rising Cost Of Healthcare?

Nov 5, 2026 · 33m

Summary

This episode examines the surge in U.S. health care costs, noting that employer-sponsored premiums and ACA rates are rising faster than inflation. Guests Julie Rovner, Reed Abelson, and Dr. Ezekiel Emanuel discuss how these increases, combined with new Medicaid work requirements and reduced subsidies, are straining patients across all insurance types. The panel also explores political responses, including Democratic efforts to restore ACA tax credits and state-level initiatives to cap hospital prices.

Topics discussed

Sponsor: Bombas Intro: Rising health care costs and political response Sponsors: Bombas, Fresh Air, and NPR+ Guest introductions and listener stories on costs Why health insurance premiums are rising 2027 cost projections and ACA subsidy impact Who is most affected by premium hikes and skimpier plans New bureaucracy and reduced help during open enrollment Employer-sponsored insurance: passing costs to employees The impact of high deductibles on access to care Medicare Advantage changes and forced plan switches Listener experiences and the root causes of high costs Discussion on Medicare for All and public options Consequences of 4.6 million dropping ACA coverage Sponsors: Machine Gods, Fresh Air, Cure Duchenne Dr. Emanuel on ACA changes and adverse selection Hospital price inflation and administrative inefficiencies Distinguishing struggling rural hospitals from profitable ones Insurance overreach and the case for value-based payment Medicaid work requirements and administrative friction The $1.5 trillion administrative cost of US health care Political landscape and state-level price cap experiments Societal impact of the uninsured and hospital efficiency What to watch for in the new Congress Outro and Sponsor: Integrative Therapeutics Sponsor: Throughline
Listen ad-free on Castria