In a return to a classic party policy goal, Republicans want to add “work requirements” to Medicaid to offset costs in Trump’s “one big beautiful bill.” Work requirements for health insurance have been tried before, on the state level, and the end result is a lot of people—including working people—losing their health insurance.

Guest: Leo Cuello, research professor at the Georgetown University McCourt School of Public Policy’s Center for Children and Families and former Health Policy Director of the National Health Law Program.

Want more What Next? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and across all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen.

Podcast production by Ethan Oberman, Elena Schwartz, Paige Osburn, Anna Phillips, Madeline Ducharme, Isabel Angell, and Rob Gunther.

Learn more about your ad choices. Visit megaphone.fm/adchoices

What Next | Here’s How the GOP Cuts Medicaid