On this episode, The Washington Post's Libby Casey, Rhonda Colvin and James Hohmann break down some of the most controversial provisions in Republicans' giant spending and immigration bill: Provisions that would affect Medicare and the Affordable Care Act.

While the bill has already passed the GOP-controlled House, it might have a tougher time getting through the Senate, where some Republican senators have already expressed doubts – like Sen. Josh Hawley (R-Ark.), who has said it is “wrong to cut Medicaid for the working poor.”

Plus, Sen. Joni Ernst (R-Iowa) told a town hall last week that "we all are going to die," then doubled down in an Instagram video on Saturday. Is that a politically risky move – or just what Trump would do?