There’s a serious high-stakes policy fight at the heart of this.

The Democrats didn’t pick a fight over authoritarianism or tariffs or masked immigration agents in the streets. They picked one over health care. And the issue here is very real. Huge health insurance subsidies passed under President Joe Biden are set to expire at the end of this year, threatening to make health care premiums skyrocket and kick millions off their insurance.

Neera Tanden was one of the architects of the Affordable Care Act and has worked in Democratic policymaking for decades. She is the president of the Center for American Progress and was a director of Biden’s Domestic Policy Council. I asked her on the show to lay out the policy stakes of the shutdown and what a deal might look like.

Mentioned:

KFF Health Tracking Poll

The Time Tax by Annie Lowrey

One Big Beautiful Bill Act

Book Recommendations:

Why Nations Fail by Daron Acemoglu and James A. Robinson

The Sirens’ Call by Chris Hayes

End Times by Peter Turchin

Thoughts? Guest suggestions? Email us at [email protected].

You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.

This episode of “The Ezra Klein Show” was produced by Rollin Hu. Fact-checking by Michelle Harris and Kate Sinclair. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Kristin Lin, Jack McCordick, Marina King and Jan Kobal. Original music by Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser.

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