Up First from NPR

Trump and Minnesota, Venezuela's Opposition, Trump's Healthcare Plan

13 min
Jan 16, 20264 months ago
Listen to Episode
Summary

This episode covers escalating tensions in Minnesota following federal immigration enforcement actions, Venezuela's political crisis and opposition leader's meeting with Trump, and the Trump administration's new healthcare plan that emphasizes cheaper insurance options with fewer benefits.

Insights
  • Trump's threatened use of the Insurrection Act in Minnesota represents a significant escalation in federal power, though legal challenges are expected from state officials
  • The Trump administration is backing Venezuela's interim president over the Nobel Prize-winning opposition leader despite polling showing substantial public support for the opposition
  • Trump's healthcare plan notably excludes extending enhanced ACA subsidies that expire, potentially destabilizing the healthcare.gov marketplace despite record enrollment numbers
  • Community-level resistance to federal immigration enforcement in Minnesota is organizing through non-violent means like school monitoring and mutual aid networks
  • Healthcare enrollment declined for the first time in five years as enhanced subsidies expired, though final payment data may reveal deeper coverage losses
Trends
Escalating use of federal military/law enforcement powers in domestic policy disputesShift toward lower-cost, lower-benefit healthcare plans as alternative to comprehensive coverage modelsDecline in ACA marketplace enrollment following subsidy expiration despite bipartisan legislative effortsCommunity-organized resistance to federal immigration enforcement through non-violent direct actionPolitical realignment in Venezuela with U.S. backing of interim government over democratically-favored oppositionIncreased racial profiling concerns in immigration enforcement operationsBipartisan congressional momentum for healthcare subsidy extension facing executive branch opposition
Topics
Immigration Enforcement Operations in MinnesotaInsurrection Act Invocation ThreatsVenezuela Political Crisis and U.S. Foreign PolicyOpposition Leader Maria Corina MachadoTrump Healthcare Plan DetailsAffordable Care Act Subsidy ExpirationHealthcare.gov Marketplace Enrollment TrendsRacial Profiling in Immigration EnforcementCommunity Resistance and Mutual Aid NetworksDrug Price Negotiation PolicyHealth Savings Accounts ExpansionPolitical Prisoner Releases in VenezuelaBipartisan Healthcare NegotiationsFederal Military Deployment AuthorityPreexisting Condition Coverage Protections
Companies
NPR
News organization producing and distributing this episode covering major political and policy developments
Schmidt Family Foundation
Philanthropic organization sponsoring NPR's coverage, focused on environmental and social resilience
ACLU
Filed lawsuit against Trump administration accusing ICE of racial profiling against Latino and Somali people in Minne...
KFF
Nonpartisan research organization providing analysis on healthcare enrollment trends and ACA marketplace data
Bloomberg
Conducted polling showing substantial public support for Venezuelan opposition leader Maria Corina Machado
The Economist
Co-conducted polling on Venezuelan opposition leader support and 2024 election results
People
Donald Trump
Announced healthcare plan, threatened military action in Minnesota, backing Venezuela's interim president
Maria Corina Machado
Nobel Peace Prize winner meeting Trump, pushing to remain part of Venezuela's political future
Diosdado Cabello
Trump-backed interim leader giving defiant speech while balancing diplomatic relations with U.S.
Keith Ellison
Stated he would challenge any use of Insurrection Act in court, emphasized peaceful Minnesota response
Amy Klobuchar
Criticized administration for escalating situation in Minnesota rather than de-escalating tensions
Lisa Murkowski
Expressed commitment to salvaging bipartisan healthcare subsidy extension despite Trump's competing plan
Meg Anderson
Reported from Minneapolis on federal immigration enforcement operations and community resistance
Keri Khan
Reported from Rio de Janeiro on Venezuela political crisis and opposition leader's Washington visit
Selina Simmons-Duffin
Analyzed Trump's healthcare plan and its implications for ACA marketplace and subsidy negotiations
Cynthia Cox
Provided analysis on healthcare enrollment numbers and expectations for subsidy extension negotiations
Michelle Martin
Hosted Up First episode covering Minnesota, Venezuela, and healthcare policy developments
A Martinez
Co-hosted Up First episode covering Minnesota, Venezuela, and healthcare policy developments
Quotes
"We're calling it the great healthcare plan."
Donald TrumpHealthcare segment
"Maria presented me with her Nobel Peace Prize for the work I have done. Such a wonderful gesture of mutual respect."
Donald TrumpVenezuela segment
"I don't think it's too late to try to salvage something."
Lisa MurkowskiHealthcare segment
"Honestly, the sign of numbers look stronger than I expected. I thought that more people would have dropped off by now."
Cynthia CoxHealthcare segment
"If one day I go to Washington, she says it will be on her terms. I will do so standing tall, not being dragged, never crawling."
Diosdado CabelloVenezuela segment
Full Transcript
Protests are growing in Minnesota after the second shooting by a federal agent in the state. President Trump is threatening to send in the military on top of the thousands of federal agents already there. I mean, Martinez, that is Michelle Martin, and this is up first from NPR News. Venezuela's top opposition leader brought her Nobel Peace Prize to Washington and handed it to President Trump. President Caracas, the country's interim president, struck a defiant tone in her national address. So who does the White House actually back to lead Venezuela? And President Trump says he has a health care plan. We're calling it the great health care plan. It leans on cheaper insurance plans with fewer benefits. What does Trump's plan mean for negotiations over subsidies that kept premiums low under Obamacare? Save with us. We've got the news you need to start your day. Support for NPR comes from NPR member stations and Eric and Wendy Schmidt through the Schmidt Family Foundation, working to restore a balanced relationship between people and planet. The Schmidt Family Foundation is part of the philanthropic organizations and initiatives created and funded by Eric and Wendy Schmidt to work toward a healthy, resilient, secure world for all. On the web at theschmidt.org. President Trump has threatened to take military action against Minnesota to stop the protests in Minneapolis. On Wednesday, immigration officer shot another man, this time in the leg, which sparked unrest on the city's north side. And here is Meg Anderson is in Minneapolis and is with us now to give us a latest. Good morning, Meg. Good morning. You know, looking at this from the outside, things seem pretty volatile, but thankfully you're there. So could you just describe what you're seeing? Yeah, there are now as many as 3,000 federal immigration officers on the ground or arriving soon here in the Twin Cities. That's nearly five times the number of Minneapolis police officers. And you know, the city is sometimes quiet until it is really, really not. And that's because the fierce resistance to this ice surge continues to be noisy as community members are following immigration officers in their car, honking and whistling. Here's how that sounds. And I should note the observers filming and making noise. Those peaceful acts of resistance, even though they're chaotic, are protected by the Constitution. But ice has responded to some confrontations over the last week with a lot of aggression. Over the last five days, NPR reporters, myself included, we've seen ice officers using tear gas, flash bangs and pepper balls to disperse crowds. But the community here, you know, it's responding in quieter ways too. Well say more about that if you would. How so? Yeah, so if you drive around the Twin Cities, you'll see parents and other community members standing guard outside of schools and daycares with whistles around their necks. Residents are collecting food donations and giving rides to people who are afraid to leave the house. And people are afraid to leave their homes. I spoke to one woman, an asylum seeker with two young U.S. citizen children. She has to only be identified by her first initial A because she's afraid she'll be deported if she's identified. She has not left her home in several weeks. She said she feels like she can't see a future, a stable tomorrow for herself or her family. And these fears being afraid to leave the house, they're not unfounded. NPR reporters have witnessed immigration officers stopping and even detaining people of color seemingly at random on the street. I should note that just yesterday, the ACLU filed a lawsuit against the administration, accusing it of racial profiling against Latino and Somali people here. And President Trump also threatened yesterday to use the Insurrection Act against Minnesota. Would you explain exactly what that would mean? Yeah, so first, the president has threatened to use that law many times before and hasn't. Still, in a Post-On-Truth Social, he said he would invoke the act if state officials don't quote, stop the professional agitators and insurrectionists from attacking the Patriots of ICE. That law is more than 200 years old. It's controversial. Basically, it would give the president sweeping powers to deploy the military here without the state's consent. The last time it was invoked was during the 1992 riots in Los Angeles. And how are local leaders responding to this? So Minnesota Attorney General Keith Ellison said he would challenge the use of the law in court. He emphasized in a statement to NPR that Minnesotans are responding peacefully. There's no reason for that law to be invoked. Senator Amy Klobuchar has said the administration is escalating the situation and not the other way around. That is, NPR's Meg Anderson. Meg, thank you. You're welcome. Venezuela's leading opposition figure came to Washington, D.C. to meet with President Trump for the first time and presented him with her Nobel Peace Prize. Maria Corina Machado is making a push to remain part of Venezuela's future after the U.S. military operation that led to the seizure of deposed leader Nicolás Maduro. Trump has sidelined Machado in his backing Venezuela's acting president, who at the same time yesterday was in Caracas giving a defiant and a times-compliant speech before lawmakers. For more, we go to NPR's South America correspondent, Keri Khan, who joins us from Rio de Janeiro. Keri, good morning. Good morning. So, Maria Corina Machado gave her Nobel Peace Prize at least her citation to Trump. Why? She told reporters she presented it to him as, quote, a recognition for his unique commitment with our freedom. Trump did confirm he accepted it on social media. He wrote, Maria presented me with her Nobel Peace Prize for the work I have done. Such a wonderful gesture of mutual respect. Machado has been trying to curry favor with Trump since she received the prize. Trump has long bemoaned not being awarded it. After the U.S. capture of Maduro, Trump shockingly announced he was not backing Machado. He said she didn't have the support or respect within Venezuela. Recent polling by Bloomberg and the Economist shows she still has substantial support, and her party is widely believed to have won the disputed 2024 presidential election by a landslide. So let's turn to the person that President Trump is backing in Venezuela, the interim president, Delcey Rodriguez, who was obviously a part of the previous regime. She was giving a big speech in Venezuela at the same time that Machado was in D.C. It was kind of an interesting split-screen image. So what did Rodriguez say? The timing was extraordinary. Rodriguez gave a scheduled speech, a state-of-the-nation speech. She was stepping in for deposed President Maduro. Rodriguez has been walking this balancing act. She tries to appease hardliners in the government with defiant talk while also making sure not to upset Trump. And yesterday she definitely did just that. She's saying, look, pretty much our country was attacked, invaded by the strongest military in the world and nuclear power, so we have to resume diplomatic relations with the U.S. And we can't be afraid to do that. But then she added, if one day I go to Washington, she says it will be on her terms. I will do so standing tall, not being dragged, never crawling, she said. She says she's also open to foreign investment in the state oil industry. The Trump administration has already announced it's begun selling Venezuela's oil. Did Rodriguez say anything about releasing more political prisoners? She did say there is a massive release underway and it will continue. And what she says is this new era of tolerance, of opposition in Venezuela. Families and prisoners are still holding vigil at prisons and waiting for releases. Here's Aurora Silva. She's at a maximum security prison outside Caracas. She's been waiting for days for her husband, who's a member of Machado's opposition party to be released. He was picked up in the widespread repression following the disputed 2024 presidential elections. She says they need to fulfill their promise of this massive freeing of prisoners. And she says, and finally, and all of our suffering and pain, you know, they've been waiting there for days, overnight in the cold and in terrible conditions waiting for these releases. The government says more than 400 prisoners have been released. Rights groups say that number is in the dozens and there are more than 800 political prisoners still in jails in Venezuela. That is NPRS Kerry Khan, it real engineer. Kerry, thank you. You're welcome. President Trump repeatedly promised a replacement for the Affordable Care Act throughout his first term in the White House. Now a year into his second term, Trump says he finally has a plan. Today, I'm thrilled to announce my plan to lower healthcare prices for all Americans and truly make healthcare affordable again. We're doing things that nobody's ever been able to do. We're calling it the great healthcare plan. NPR Selina Simmons-Duffin covers health policy and is with us now. Good morning, Selina. Good morning, Michelle. So what are the highlights? Well, what came out yesterday was a fact sheet. It's very sparse on details and the policies mentioned there are not really new. It's kind of like a greatest hits of Republican health policy ideas packaged together. You've got the idea of tying drug prices to what people pay in other countries, health savings accounts and better price transparency. But is this the Affordable Care Replacement that President Trump has been alluding to for years? Well, it doesn't mention repealing Obamacare and again, it's short on details, but it seems like they'd like to let people use federal dollars to buy plans that don't offer comprehensive coverage. These are sometimes called skinny plans or junk plans that could seriously weaken healthcare.gov, which has plans that can be expensive, but they offer essential benefits and don't discriminate if you have preexisting conditions. Also, there's one idea that was conspicuously missing from Trump's plan and that is extending the enhanced subsidies for affordable care act plans. And the timing is really telling since this announcement came yesterday on the day that open enrollment ended for healthcare.gov, although it's still open in a few states until the end of the month. You know, there have been a lot of stories about people dropping coverage. You've done a lot of those stories. Do you know yet how open enrollment went? Well, enrollment is down for the first time in five years. Obamacare marketplaces have hit records every year since the enhanced subsidies were passed. Last year total enrollment was 24 million, but now those extra subsidies have expired. And earlier this week, the agency that runs healthcare.gov released data showing 22.8 million people had picked a plan as of January. Cynthia Cox of the nonpartisan research organization KFF says that surprised her. Honestly, the sign of numbers look stronger than I expected. I thought that more people would have dropped off by now. But she says the numbers aren't final. They show how many people auto renewed or selected a plan, which is basically like putting it in a shopping cart online. It doesn't show how many people paid their premium and premiums are sky high compared to last year for a lot of people. Cox also said some people may have signed up hoping Congress would make a deal to revive the enhanced subsidies that make premium costs so affordable. But how likely is that? Well there was a big boost to momentum when the House passed a bipartisan extension earlier this month, but talks in the Senate seem to have slowed down. And Republican senators involved in the talk seem to acknowledge that Trump releasing this plan the day open enrollment ended sort of takes the wind out of those sales. Although Republican Senator Lisa Murkowski of Alaska for one says she is not giving up, she told reporters on Thursday after Trump's plan came out, quote, I don't think it's too late to try to salvage something. That is NPR Selena Simmons. Definitely Selena, thank you. You're welcome. And that's up first for Friday, January 16th. I'm Michelle Martin. And I'm a Martinez. Cognitive disorders are common among criminal defendants. I'd ask them questions and many of them would struggle with a basic explanation and it wouldn't even be on significant questions such as did they do it or not? It would just be like where were you that day? This weekend on a Sunday Story, one pioneering effort to address the needs of those with cognitive disabilities in the criminal justice system. Listen to the Sunday Story right here on NPR's Up First podcast. Today's episode of Up First was edited by Cheryl Corley, Tara Neal, Diane Weber, Muhammad El-Bardisi and Alice Wolfleet. It was produced by Ziad Baj, Nia Dumas and Christopher Thomas. We get engineering support from Nisha Hainas. Our technical director is Carly Strange and our executive producer is Jay Schaler. We hope you'll join us again on Monday.