The Gist Healthcare Podcast Friday, November 14, 2025
Nov 14, 2025
The government shutdown wraps up, but the fight over Affordable Care Act tax credits continues. In a concerning turn, Canada loses its measles elimination status due to rising infection rates linked to low vaccination. There's discussion on the potential extension of telehealth regulations that could allow for easier prescription of controlled substances without in-person visits. Additionally, rural hospitals face challenges as maternity units close, signalling a need for urgent solutions in healthcare access.
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Shutdown Ends But ACA Credits Remain Unresolved
- The government shutdown ended after 43 days without resolving the expiration of enhanced ACA tax credits.
- That unresolved deadline sets up the next major health-care fight in Congress with promised votes by mid-December.
Proposal To Send Health Funds Directly To Consumers
- President Trump proposed sending funds directly to consumers rather than insurers to buy health care.
- Senator Rick Scott is reportedly drafting legislation to support that consumer-direct payment approach.
Canada Loses Measles Elimination Status
- Canada lost measles elimination status after a large outbreak tied to lower vaccination rates.
- The Americas region also lost elimination status, and the U.S. risks losing its designation if outbreaks continue into January.