April 30, 2017

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Congress Reaches Deal To Fund Government Through September

Congressional negotiators are reporting an agreement has been reached on a massive $1 trillion-plus spending bill that would fund the day-to-day operations of virtually every federal agency through Oct. 1. The House and Senate have until Friday at midnight to pass the measure to avert a government shutdown.

J. Scott Applewhite/AP

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J. Scott Applewhite/AP

With Friday’s deadline looming, Congressional negotiators have reached a new agreement on a bill to keep the government open through September 30th, NPR’s Susan Davis confirms.

On Sunday night, details of the deal were not yet public.

Last Friday, Congress bought a week’s time to finalize the bipartisan agreement when lawmakers in the House and Senate approved a short-term spending bill that averted a shutdown on Saturday — President Trump’s 100th day in office.

The agreement follows a tense week of dealmaking on Capitol Hill that led the Trump administration to concede on two sticking points.

On Monday, Trump dropped his demand that the spending bill include a down-payment for his wall along the U.S.-Mexico border. Democrats, who flexed their leverage in spending negotiations, refused to support any bill that included wall funding. And Wednesday, the White House said it would not stop paying federal subsidies to health insurers that help cover low-income Americans under the Affordable Care Act.

The agreement includes billions in funding for defense and border security, NPR’s Geoff Bennett reports, but scraps some of Trump’s key budget proposals, including his long-promised border wall with Mexico.

“The spending package also includes a nearly $70 million reimbursement to law enforcement agencies for costs incurred helping to protect President Trump and the first family,” Geoff says.

Meanwhile, House Minority Leader Nancy Pelosi praised Democrats’ wins, which included increased funding for Puerto Rico’s Medicaid program and a $2 billion boost to the National Institutes of Health, which Trump proposed slashing. The spending bill also gives additional funding to combating opioid abuse and for summer school Pell Grants.

Lawmakers have until midnight on Friday to pass the deal to keep the federal government funded.

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ESPN Continues To Struggle As Spectators Cut The Cord On Cable

Bloomberg reporter Max Chafkin talks about the future of ESPN as the network behemoth sees lower profits. This past week the sports media hub let approximately 100 employees go, including big names.

MICHEL MARTIN, HOST:

There’s some news about sports news we want to talk more about. For years, ESPN has been the big name in sports broadcasting showing live events, reporting news, hosting talk shows about sports, airing documentaries about sports. But the network has also been making news itself for losing millions of subscribers in recent years and in the wake of that, losing hundreds of staff.

Last week, there was another layoff – some 100 employees were let go, including well-known names who covered the NFL and college hoops and so on. We were wondering why this is happening and why it matters, so we called Max Chafin. He’s a writer for Bloomberg Businessweek. He’s been writing about all this. We reached him in Vancouver where he’s attending the TED conference. Max, thanks so much for taking time out of the conference to talk with us.

MAX CHAFKIN: Thanks for having me.

MARTIN: So last week’s layoffs are just the latest. There was a massive layoff in 2015 like some 300 staffers were let go. Why is this round of layoffs getting so much attention? And why is all this happening?

CHAFKIN: So the reason this is getting attention is because these are in some cases well-known names. These are people who were on-air talent – combination of people who are on Sports Center which is ESPN’s kind of signature sports highlights show – it’s actually the first show that ever aired on ESPN – and you have some sort of beat reporter.

So these are people that fans know about, and the other reason that this is getting attention is because it’s part of this long-running story that we’ve been seeing playing out over the last few years where ESPN which for a time was probably the most powerful entity in all of sports and maybe arguably the most powerful entity in all of media has now been suddenly laid low by what’s known in the industry as cord-cutting which is to say people who are deciding not to subscribe to cable anymore which cuts directly to their bottom line.

MARTIN: ESPN obviously is kind of pushing back against this idea that the network has been kind of knocked off its lofty perch, for example, you know, Scott Van Pelt, one of their big stars has been very vocal about this. He says that there really is no near competitor. They still are making billions of dollars, and they have like hundreds of thousands of subscribers and still get more per subscriber than any other entity. So what’s the big deal?

CHAFKIN: That’s all true. I mean, ESPN is one of those businesses that is like so good it should be, you know, illegal. They don’t just get more money per subscriber than anybody else, they get, I think, more than double anybody else. So the thing that is a little bit troubling is the trend. And ESPN has been dealing with these subscriber losses in recent months that are historically enormous – losing more than half a million subscribers in a single month.

And the other thing that’s happening to them is that their costs have gone up a lot in recent years, so a single Monday night football game – just the rights to show Monday night football on a single night costs more than, like, an entire season of “Game Of Thrones.” So they’re in this kind of box where on one hand, their costs are going up and their revenues are not going up as much as they’re accustomed to. And so that’s putting them in this position where they have to start cutting.

MARTIN: So, Max, before we let you go, there are some who might be listening to our conversation and say why do I care about that? And what would you say?

CHAFKIN: That’s kind of a good point. But I do think that the thought of ESPN being diminished or sports in our culture being diminished would be unfortunate. I mean, it’s a big part of how a lot of us go through our lives and understand things about the world and things about ourselves and go through these wild, emotional swings. And if that were to all go away, I mean, that would be really sad.

And the other thing is probably worth saying is that ESPN does do some amazing journalism. The O.J. documentary “O.J.: Made In America” won an Academy Award and was obviously about this running back who’d ran a lot of yards, but it also kind of gave you this story of race in Los Angeles. That was new to a lot of people and was important. So I think if they were to go away would be very unfortunate.

MARTIN: That was Bloomberg reporter Max Chafkin He was kind enough to speak to us from Vancouver where he’s attending the TED conference. Max Chafkin, thanks so much for speaking with us.

CHAFKIN: Thanks for having me.

Copyright © 2017 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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The Call-In: Your Stories About Veterans Affairs

This week’s Call-In is about the Department of Veterans Affairs: stories from veterans about getting health care and ideas for reforming the whole agency.

LULU GARCIA-NAVARRO, HOST:

And this is the Call-In. Today we’re talking about veterans’ health care. In recent years, the VA has developed a reputation for red tape, long wait times and lapses in care. So we asked you to share your stories about getting the care you need from the VA.

MATT SIMMONS: Hey there, NPR. My name is Matt Simmons (ph), retired Army Sergeant.

CLAYTON MCARTHUR: This is Clayton McArthur (ph). I’m from Tuscaloosa, Ala.

CHRISTINA VERDAROSA: My name is Christina Verdarosa (ph).

UNIDENTIFIED MAN #1: I’m an Army veteran.

UNIDENTIFIED MAN #2: Marine Corps veteran with PTSD.

UNIDENTIFIED MAN #3: I’m a Vietnam veteran with three different service-connected disabilities.

UNIDENTIFIED WOMAN #1: We have some of the best doctors in the world. We just don’t have enough of them.

UNIDENTIFIED WOMAN #2: My care was so bad that they couldn’t even perform the necessary surgeries to save my life, and they had to outsource it.

UNIDENTIFIED MAN #4: Tell me, you don’t have a wait times when you set up something in the civilian world.

UNIDENTIFIED MAN #5: My experience with VA health care has been pretty good, actually. Thank you.

UNIDENTIFIED MAN #6: Thank you.

UNIDENTIFIED WOMAN #3: Thank you.

UNIDENTIFIED WOMAN #4: Bye.

GARCIA-NAVARRO: NPR’s Quil Lawrence reports on Veterans Affairs, and he joins us now. Hey, Quil.

QUIL LAWRENCE, BYLINE: Hi, Lulu.

GARCIA-NAVARRO: I want to start with a pretty simple question. How many people get their care through the VA, and what determines how people qualify?

LAWRENCE: Sure. There are about 20 million vets in the United States, most of them from earlier eras – World War II, Vietnam – when there was a draft. About 9 million of them are enrolled in VA health care. About 6 million of those are sort of regular yearly users of VA health care.

GARCIA-NAVARRO: That’s a huge system.

LAWRENCE: Yeah it is. It’s the largest single-payer system in the country. Most vets can qualify for it if they have a service-connected injury. If they are five years after having served in the recent wars, they can make it. There’s also an income threshold. So the VA more or less says if you’re a vet, you should apply, and we’ll let you know if you’re eligible, but most – many vets are.

GARCIA-NAVARRO: All right, I want to have you listen to some of the calls that we got. We got a ton of messages like this one from Joyce Davenport (ph) of Ocklawaha, Fla. Let’s listen.

JOYCE DAVENPORT: I have been a patient of the VA since my discharge back in the 70s, and I have had only wonderful experiences with them. They have gotten me through some very rough times. I’ve received 100 percent of my medical care from them, and I cannot tell you how much I appreciate them being there.

GARCIA-NAVARRO: I should say the vast majority of the people who called in were really happy with their VA care. Are vets mostly satisfied?

LAWRENCE: Yeah. And I can hear the surprise in your voice. And that’s, I suppose, partly due to the fact that negative headlines are what really run the media. So…

GARCIA-NAVARRO: No.

LAWRENCE: (Laughter) Yes, it’s true. I’m not surprised by that at all. Even people who are having problems say the bureaucracy of getting their care or getting a disability rating, getting things – sort of getting in the door – they will say, well, but my doc at the VA is wonderful. So VA, in studies, rates as good or better than in the private sector in most areas of health care. Although, the question really is, compared to what? What care would this veteran be getting in the private sector if the VA wasn’t there?

GARCIA-NAVARRO: OK, we’re going to come to that in a minute. But first, you mentioned something, which is that the VA has gotten a lot of negative press – long wait times, shortages of doctors, and we got calls about that, too. Listen.

MARK COYUS: My name is Mark Coyus (ph), and I am a Marine Corps veteran calling from Denver, Colo. I think that the VA is overworked, understaffed and underpaid. With the state of the world and how much our veterans sacrifice for us with so little in return, the status quo is unacceptable for both them and VA caregivers.

GARCIA-NAVARRO: OK, so what have been the biggest problems?

LAWRENCE: The VA is a massive bureaucracy. It’s got 360,000 employees. They literally invented the term red tape at VA, and there were horrible backlogs when a lot of recent vets were coming home from Iraq and Afghanistan. In 2014, a scandal kind of came to a head about senior managers who had been lying about their statistics – about how fast they were seeing veterans. And there were some somewhat misleading headlines about veterans who were dying while they were waiting for care. And that brought about calls for reform, which were quite genuine but also somewhat politically motivated, where VA health care, which is the largest example of government-run health care in the country, became kind of a proxy battle for people in Congress who love the idea of government health care against people who hate the idea of government-run health care.

GARCIA-NAVARRO: There’s been a lot of effort made to improve veterans’ care, and this is a bipartisan issue. Congress passed legislation a few years ago to make it easier for veterans to access that private care. Can you bring us up to speed on this? What does it mean for the VA system?

LAWRENCE: So again, in response to this scandal in 2014, Congress passed a law called the Veterans’ Choice Act. They wanted to get something set up quick but, as a result, it’s been a real mixed bag. It was a system so that veterans, if they had been waiting too long or if they lived too far from a VA, they could just go out to a private doctor get their care, and the VA would pay for it. The result in many cases was just another maddening layer of red tape.

Sometimes it took longer to get an appointment in the private sector than it would have originally at the VA. But the VA’s always done some referrals for private care. This month, President Trump signed an order extending the Veterans’ Choice program just as kind of a stopgap because it was about to expire in August. But we’re expecting Congress and the VA to work on a way to streamline this process. And they say they’re going to pass that sometime in the fall.

GARCIA-NAVARRO: I want to play you this message we got from Anna Smith (ph) who’s worried about the VA’s future.

ANNA SMITH: I fear that some changes that people are proposing, such as privatizing parts of it and that sort of thing, is just going to ruin a good deal for those of us who are lucky enough to be able to use the services of the VA.

GARCIA-NAVARRO: So you’ve talked about this political football of people pro and against sort of socialized medicine, if you will. What kind of support is there for privatization?

LAWRENCE: So no one will say they want privatization. All of the veterans organizations say that they’re against it. The new secretary of the VA, Dr. David Shulkin, says he’s against privatization. Now, that doesn’t stop some people from claiming that there is sort of a Trojan horse here, where this Veterans’ Choice program of allowing vets to go into the private sector is an attempt to bleed resources away from the VA into private care, which is much more expensive, and that would sap the VA’s resources and make the care even worse and lead to this sort of spiral.

The VA is supposed to be this sort of holy vow to take care of veterans. Abraham Lincoln said that it was created for those who have borne the battle and their widow and their orphan. On the other side are people who say, well, the VA can be a lot leaner with strategic use of the private sector in remote places – in places where there’s too much demand on their clinics. This is a battle that we’re going to see continue to play itself out with a lot of people who sincerely studied VA health care and then a lot of people who have a political agenda, as well.

GARCIA-NAVARRO: All right, that’s NPR’s Quil Lawrence. Thanks so much.

LAWRENCE: Thanks, Lulu.

GARCIA-NAVARRO: And next week on the Call-In, we want to hear your stories and questions about airline travel. How has flying been recently? Do you have any tips or tricks for navigating airlines and airports? If you work for an airline, tell us about your job. What questions do you have about the airline industry and where it’s headed? Call in at 202-216-9217. Leave us a voicemail with your full name, where you’re from, and your experience, and we may use it on the air. That number again – 202-216-9217.

Copyright © 2017 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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