The foreshadowed federal shutdown came after Congress failed to pass required spending bills, with Democrats demanding Republicans renew the expiring Affordable Care Act subsidies in exchange for their votes. While a shutdown does not affect Medicare and Medicaid, it could eventually hinder activities from every corner of the Department of Health and Human Services. Meanwhile, as Democrats and Republicans point fingers, HHS Secretary Robert F. Kennedy Jr. pursues policies and personnel that would undermine vaccines. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Rachel Cohrs Zhang of Bloomberg News join 吃瓜不打烊鈥 Julie Rovner to discuss the news. Also this week, Rovner interviews 吃瓜不打烊鈥 Cara Anthony, who wrote a recent 鈥淏ill of the Month鈥 feature about an out-of-network eye surgery that left one kindergartner鈥檚 family with a big bill.