Insuring America's Poor

Insuring America's Poor

January 13, 2026 · 31 min · Season 2 · Episode 13

About this episode

Sara Rosenbaum discusses her career and the implications of Medicaid and the Affordable Care Act on American healthcare.

Two pivotal moments shaped American healthcare: the creation of Medicaid in 1965 and the signing of the Affordable Care Act in 2010. While the ACA slashed the uninsured rate by nearly half, the system remains fragile. In this episode “Insuring America’s Poor”, George Washington University Professor Sara Rosenbaum—a key architect of Medicaid expansion, CHIP, and the Vaccines for Children program—reflects on her career and issues a stark warning. She joins me to discuss the catastrophic implica...

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