It’s the Trump administration vs. the federal courts, as the Department of Government Efficiency continues to try to cancel federal contracts and programs and fire workers. But in the haste to cut things, jobs and programs are being eliminated even if they align with the new administration’s goal to “Make America Healthy Again.” Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more.
President Donald Trump ordered a halt to gender-affirming medical care for transgender prisoners in federal custody, and to housing trans women in female prisons. The new policies raise alarms for a formerly incarcerated trans woman. She said the order denies lifesaving medical care and creates a road map for rape.
The Trump administration’s efforts to downsize the federal government continue, with both personnel and programs being cut at the Department of Health and Human Services, the Department of Veterans Affairs, and the Social Security Administration. Meanwhile, the fight over cuts to the Medicaid program for those with low incomes heats up, as Republicans worry that more of their voters than ever before are Medicaid beneficiaries. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Jeff Grant, who recently retired from the Centers for Medicare and Medicaid Services after 41 years in government service.
Many patients ready to leave the hospital end up lingering for days or weeks — occupying beds that others need and driving up costs — because of a lack of open spots at nursing homes and rehabilitation facilities. A few health systems are addressing this problem by moving post-acute rehab into the home.