The One Big Beautiful Bill Act is projected to cut Medicaid spending by more than $1 trillion. The law changes eligibility rules, and some predictions estimate at least 10.5 million people will be eliminated from the program. On the show today, Rachel Werner, executive director of the Leonard Davis Institute of Health Economics at the University of Pennsylvania, explains how the funding cuts could limit the caregiving options for older Americans who need at-home care and place a larger responsibility on their families. Plus, we discuss how to start planning for long-term care amid all the legislative changes.

Then, we’ll celebrate a listener’s win about her chocolate lab puppy. And, an astrobiologist’s quest to find life on Mars.

Here’s everything we talked about today:

“How Medicaid Cuts Could Force Millions Into Nursing Homes” from The Leonard Davis Institute of Health Economics at the University of Pennsylvania
“Advocates warn that Medicaid cuts in the big budget law put home-based health care at risk” from Marketplace
“New AARP Report: Majority of Adults 50-plus Want to Age in Place, But Policies and Communities Must Catch Up” from AARP
“A Closer Look at the Medicaid Work Requirement Provisions in the “Big Beautiful Bill” from KFF
“Medicaid cuts: The how and why” from the newsletter Your Local Epidemiologist
“As the need for nursing homes grows, nurses are in short supply” from Marketplace

We love hearing from you. Leave us a voicemail at 508-U-B-SMART or email makemesmart@marketplace.org.

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