What the Shutdown Is Really About

October 8, 2025

Guests: Neera Tanden

Neera Tanden is president of the Center for American Progress; she is a former senior adviser and staff secretary in the Biden White House who worked on the passage of the Affordable Care Act and has spent decades in health care policy.

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About this episode

With the government shut down, Klein asks Center for American Progress president Neera Tanden what the fight is really about. Her answer operates on two levels: the immediate trigger is expiring ACA premium tax credits, which will double premiums for millions, and the deeper cause is Trump's assertion of unilateral spending power — impoundment, rescissions pushed through Congress, and OMB director Russell Vought's threats of mass firings — which she frames as an assault on Congress's Article I power of the purse. They dig into the 'One Big Beautiful Bill Act' as the largest health care rollback in decades via Medicaid work requirements and cuts, debunk the Republican claim that undocumented immigrants receive the subsidies (federal law bars it), and discuss Democratic strategy: don't negotiate against yourselves, fight on health care because it is popular, and name Trump's bullying for what it is.

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