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Health insurance is at the center of the government shutdown battle The NPR Politics Podcast breaks down the central policy issue behind the government shutdown: enhanced subsidies for Affordable Care Act health insurance plans. Health insurance is at the center of the government shutdown battle October 22, 20254:14 PM ET Heard on All Things Considered Selena Simmons-Duffin Deepa Shivaram Barbara Sprunt Health insurance is at the center of the government shutdown battle Audio will be available later today. The NPR Politics Podcast breaks down the central policy issue behind the government shutdown: enhanced subsidies for Affordable Care Act health insurance plans.