Medical providers grapple with Trump's attempts to end gender-affirming care for minors

A $50 billion pot of money for rural health care made it into last year’s One Big Beautiful Bill Act, President Trump’s hallmark tax and spending law. But the funding comes in tandem with massive cuts to Medicaid spending — an existential risk to many rural hospitals. On today’s show, Kimberly speaks with KFF Health News correspondent Arielle Zionts about the potential benefits of the Rural Health Transformation Program and its potential shortfalls. Plus, Congress never came to an agreement on the Obamacare subsidies at the heart of last year’s government shutdown. What does that mean for rural communities?

In December, the Department of Health and Human Services proposed a new rule that would ban hospitals from receiving any Medicare and Medicaid funding if they offer gender-affirming care for minors. Today, Kimberly checks in with Marketplace’s Samantha Fields to hear about her reporting on how this is affecting health care providers across the country. Plus, we’ll get into how the proposed rule fits into a larger wave of restrictions on transgender health care, years in the making.

Hey Smarties! There won’t be a livestream for “Economics on Tap” today. But don’t worry! “Economics on Tap” will return soon on Feb. 20. For now, we’re sharing a new episode from our friends over at “This Is Uncomfortable.” Enjoy!Author and journalist Aymann Ismail wants his kids to grow up with a real connection to their Egyptian roots, including speaking Arabic. For his family, that means committing to a private Islamic school — and figuring out how to afford tuition.“This Is Uncomfortable” host Reema Khrais sits down with Aymann as he walks through his family budget and the financial trade-offs that decision requires. They talk about what’s at stake for him, financially and culturally, and why holding onto Arabic feels especially urgent right now.If you liked this episode, share it with a friend. And if you want to tell us what you thought about the episode or about a tricky financial decision you’ve made, email us at [email protected] or call 347-RING-TIU. And follow our new social accounts on Instagram and Tiktok @ThisIsUncomfortablePod

With Valentine’s Day around the corner, in this episode we’re taking a look at what it’s like to be looking for love right now — and the technology that’s meant to help us do it. Lots of dating apps are integrating AI features these days, but are they making it easier to find real-life connections? We talk to Jason Parham, senior writer at Wired magazine, to try to find out.

Cliche or not, engaging with art is certainly one of the best ways to take a step back when the news cycle gets extra heavy. On the show today, Kimberly is joined by Maggie Smith, poet and host of “The Slowdown” podcast. They talk about why reading and writing are so good for the soul, and about the importance of practicing creativity when funding for the arts is under attack. Maggie also reads a poem she selected specially for us! Plus, we’ll hear from two listeners about their self-care rituals.

Hey Smarties! There won’t be a livestream for “Economics on Tap” today. But don’t worry! “Economics on Tap” will return soon on Feb. 20. For now, we’re sharing a new episode from our friends over at “This Is Uncomfortable.” Enjoy!“Work Drama” is the “This Is Uncomfortable” advice column, answering your questions about sticky work situations. This week, Reema tackles your questions about workplace tension, co-worker cliques, bosses behaving badly, and some bizarre office policies. And she’s joined by one of our favorite culture writers and podcasters, Sarah Hagi, who hosts “Scamfluencers.”If you have any work drama going on, we want to hear about it! You can send it to us at [email protected], leave a message at 347-RING-TIU, or fill out the form at the bottom of the page.

As the 2026 midterm elections approach, pollsters and strategists from all over the world of politics are trying to get a pulse on American families. Kimberly recently sat down with a panel of experts at the Aspen Forum on Children and Families to discuss what their research is revealing and what it means for the future of policies that affect children and families across the United States. So, we’re sharing some of that conversation today. Spoiler: the economy comes up a lot.Here’s everything we talked about today:VIDEO: "Reality Check: What's Really Going On With Families" from the Aspen Institute"Voters See a Middle-Class Lifestyle as Drifting Out of Reach, Poll Finds" from The New York Times"The good, the bad and the ugly of election polling" from “Make Me Smart” We love hearing from you. Leave us a voicemail at 508-U-B-SMART or email [email protected].

Hey Smarties! We recorded today’s episode before the House passed a spending package that will end the partial government shutdown. We’re monitoring the situation as it develops.President Trump has shown no signs of easing his pressure campaign on Federal Reserve Chair Jerome Powell. But this could spell trouble for Trump’s pick for Powell’s successor, Kevin Warsh. Marketplace’s Nancy Marshall-Genzer joins Kimberly to explain. Plus, we’ll get into what you should know about Warsh’s history at the Fed and more of the latest news from the central bank.Here’s everything we talked about today:"Trump’s Political Drama With Powell Overshadows Fed Rate Decision" from The New York Times "What would Kevin Warsh bring to the Federal Reserve?" from Marketplace"Fed keeps interest rates unchanged, despite pressure from Trump" from Marketplace"Trump Needs an Off-Ramp for Powell Feud to Speed Warsh Into Fed" from Bloomberg"The economic headache that's coming for Kevin Warsh" from PoliticoWe love hearing from you. Leave us a voicemail at 508-U-B-SMART or email [email protected].

The Winter Olympics kick off next week in Milan, Italy. On today’s show, Kimberly is joined by Jackie Wong, self-described skate nerd and host of “The Rocker Skating Podcast” to break down the basics of Olympic figure skating and who to watch at the Milan Cortina Games. Despite the sport’s popularity, figure skaters frequently struggle financially off the ice. We’ll get into it. Plus, you pick: real hockey or “Heated Rivalry”? Here’s everything we talked about today:"Winter Olympics 2026 guide: All you need to know about the Milan Cortina Games" from AP News"Milan Cortina Olympics: Figure skating could have multiple American golds" from Yahoo Sports"What Should I Watch at the 2026 Winter Olympics?" from The Cut"Around 5 billion people - 84 per cent of the potential global audience - followed the Olympic Games Paris 2024" from the International Olympic Committee "To Go for the Gold, These Olympians Went Into the Red" from The Wall Street JournalWe love hearing from you. Leave us a voicemail at 508-U-B-SMART or email [email protected].

In line with President Trump’s broader crackdown on immigration, the administration has moved to end the Temporary Protected Status program for certain countries including Venezuela and Haiti. TPS has allowed immigrants from countries with unsafe environments to temporarily live and work legally in the United States for decades. On today’s show, Marketplace’s Elizabeth Trovall joins Kimberly to share her recent reporting on Haitian care workers in Florida who will soon lose their legal status and the wider impact it could have on the U.S. economy.