Singer, accused of murder and sexual abuse of teen Celeste Rivas Hernandez, to be represented by LA public defender
Singer D4vd lost his high-profile private lawyers on Monday at a hearing where he entered a new not guilty plea to charges that he killed, sexually abused and dismembered 14-year-old Celeste Rivas Hernandez.
It is not clear why Blair Berk and her colleagues Marilyn Bednarski and Regina Peter parted ways with the singer, whose legal name is David Anthony Burke. They were replaced by a lawyer from the Los Angeles county public defender’s office.
Singer, accused of murder and sexual abuse of teen Celeste Rivas Hernandez, to be represented by LA public defender
Singer D4vd lost his high-profile private lawyers on Monday at a hearing where he entered a new not guilty plea to charges that he killed, sexually abused and dismembered 14-year-old Celeste Rivas Hernandez.
It is not clear why Blair Berk and her colleagues Marilyn Bednarski and Regina Peter parted ways with the singer, whose legal name is David Anthony Burke. They were replaced by a lawyer from the Los Angeles county public defender’s office.
Both thefts occurred on 17 August at a distribution center east of Los Angeles
Thieves made off with tens of thousands of cans of Pabst beer in two separate heists from a southern California warehouse on the same day, police said.
Pabst Blue Ribbon has turned the thefts – valued by police at $70,000 – into a lighthearted social media promotion. But police in Montclair said on Friday that investigators were trying to determine whether they were part of a single operation.
Both thefts occurred on 17 August at a distribution center east of Los Angeles
Thieves made off with tens of thousands of cans of Pabst beer in two separate heists from a southern California warehouse on the same day, police said.
Pabst Blue Ribbon has turned the thefts – valued by police at $70,000 – into a lighthearted social media promotion. But police in Montclair said on Friday that investigators were trying to determine whether they were part of a single operation.
During a 10-season career with the Rams, who drafted him with the 13th overall pick in 2014, Donald was a three-time defensive player of the year and an eight-time first team All-Pro. He won a Super Bowl with the Rams at the end of the 2021 season before announcing his retirement in March 2024 at the age of 32.
During a 10-season career with the Rams, who drafted him with the 13th overall pick in 2014, Donald was a three-time defensive player of the year and an eight-time first team All-Pro. He won a Super Bowl with the Rams at the end of the 2021 season before announcing his retirement in March 2024 at the age of 32.
Sen. Jon Ossoff (D-GA) during a campaign event in Atlanta, Georgia, on May 31, 2026. | Ben Hendren/Bloomberg via Getty Images
Until recently, Natalie Harp was an omnipresent but low-profile aide to President Donald Trump: always there, but rarely part of the story herself. That changed abruptly earlier this month, when Sen. Jon Ossoff (D-GA), who is currently running for reelection, name-dropped her in a speech.
Trump “doesn’t want to do the job. He wants to build his ballroom and travel with Natalie on their apparently defenseless flying palace gifted by the Emir of Qatar,” Ossoff told supporters at a rally.
The line was a reference to reporting on Trump’s catering-cart maneuver as he was flying back from Turkey in July; Harp and other Trump aides joined the president on an alternate plane by way of a catering cart, while Secretary of State Marco Rubio was left behind on Air Force One.
The “Natalie” jab from Ossoff quickly took on a life of its own, spurred by a furious response from the Trump White House and right-wing media. Somewhat lost in the flurry of attention on Harp was Ossoff himself — but Greg Bluestein, chief political reporter for the Atlanta Journal-Constitution and co-host of the Politically Georgia podcast, told Today, Explained that the remark was “by design.”
Bluesteinspoke with Today, Explained co-host Sean Rameswaram about Ossoff’s disciplined, savvy messaging strategy, his political rise, and why his rhetorical jabs at Trump are fueling speculation about an Ossoff 2028 presidential run.
Below is an excerpt of their conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify.
It’s time on this show, Greg, that we remind people who Jon Ossoff is. I’m told that is a job with which you can help.
I go way back with Sen. Ossoff. The first time I met him, or at least I talked to him, was way back in early 2017 where I got a call out of the blue from a name, a number I didn’t recognize, and the voice on the line said, “Hi, I’m Jon Ossoff and I’m running for US House, this special election.” And I said, “Well, welcome to the show. There’s about 17 other candidates already in the race.”
And he goes, “Well, I’ve got something they don’t. I have John Lewis’s endorsement, and I have about $250,000 in cash commitments.” So I was like, “Okay.”
It still was an uphill battle because we’re talking about a deep red Republican seat in the northern suburbs of Atlanta at a time when all those suburban seats were still Republican. So I said, “Okay, good luck, sir.”
But lo and behold, he became a national figure in that loss.
So you’ve been covering Sen. Ossoff just about as long as anybody. At any point over the course of that almost-decade, did you expect “Natalie” from him?
No. I mean, look, you expect him to be really, really careful and calculated about what he says. Even back then, he rarely uttered an imprecise statement. There have been times where folks have caught him off-message, but it’s been very, very rare even at the beginning of his political career, certainly now.
When he uttered the “Natalie” line that sparked a thousand thought pieces and national takes and all that, that was done by design.
Tell us a bit about his backstory for people who have forgotten who Jon Ossoff is.
When I first got that call in early 2017, I had no idea who he was. Little did I know he’d become a national figure that we’d be talking about in the context of a presidential campaign not even a decade later.
He’s a former documentarian, a former intern of the legendary Georgia Congressman John Lewis, whose parents, especially his mom, were involved in Democratic politics in Georgia, but definitely not household names — definitely not a known quantity when he called me all those years ago to say “I’m running.”
Ossoff came within a whisker of an outright win, which would’ve been a huge, monumental upset. But in the process, he showed that Democrats have a path with suburban voters that long voted Republican in the Trump era. He started with the sort of campaign slogan of “Make Trump Furious.”
He was leaning into the Democratic activism, but then within weeks shifted his message toward a more friendly, more mainstream argument about bringing jobs to the district, bringing more tech-savvy investment to the district.
When he announced for US Senate against David Perdue, very few people gave him a shot when he got in the race. But that race ended with this epic double-header runoff because Rev. Raphael Warnock was also in the race against [Sen.] Kelly Loeffler. Democrats hadn’t won in Georgia in decades. So it was an epic election and a real nail-biter to the end.
Ossoff becomes the first Jewish US senator in Georgia history, Warnock becomes the first Black US senator in Georgia history, and together they flip control of the Senate and allow Joe Biden to to actually implement some of his broad-ranging agenda those first two years that they were in office.
It makes a lot of noise when Ossoff helps flip the US Senate along with Warnock. And he’s making a lot of noise now with “Natalie.” But I can’t say that I feel like he’s made a lot of noise in the intervening six years. What’s he been like as a senator?
That’s by design. It’s only been really recently where he’s been very willing to go on the national cable shows, to talk to national reporters more, to do a lot of the things that you see other nationally prominent Democratic figures do much more regularly.
We both know there are folks in Washington who love going to the White House Correspondents’ Dinner and they love going to this or that luncheon or this or that dinner. Sen. Ossoff is much more likely to quietly go home and spend time with his two kids.
I’m not just saying that because that’s the senator I know. He is much more reserved and guarded about his private life and will bend over backwards to figure out ways to get back to Georgia — even when there are important votes, [he’ll] find ways after those votes to get back for events with his kids and that kind of thing.
It feels a little contrary to think about this guy who keeps a low profile, who wants to go back home to Georgia to be with his family, who doesn’t want the limelight, because as you’ve already mentioned, he isn’t just running for reelection in the Senate right now. Everyone seems to believe that he’s running for president.
I’m going to go out on a limb saying that I believe him when he said publicly — and privately too — to folks all over the spectrum, media folks and activists and supporters and you name it, that he is focused on this election and he’s not running for president.
If someone like Sen. Ossoff wins by a huge margin over Mike Collins in an important battleground state that is tilted both ways the last decade, the chatter will not stop. It’ll only get louder.
[He is] someone who is adept at making the arguments that so many core Democratic voters want to hear about President Trump, but at the same time can win over swing voters like he has in 2021. And he’s already seeming like he’s certainly making that outreach to them in 2026.
Do you think that if he does end up there, we’ll look back at Nataliegate as a big moment for him where it was just clear that this guy had the stuff? Or does this feel like, a week and a half out or whatever it is now, that it’s already fading into the background?
The biggest takeaway from that to me was how — and I think Jonathan Martin from Politico was the first to say it — Ossoff was essentially the nation’s assignment editor because it spurred countless stories for the next week and a half about who Natalie Harp is.
It was Ossoff who showed that he has this extraordinary staying power in the media. These rallies — he doesn’t hold them every day or every week. These are like once every month or so rallies.
The stagecraft is impressive. He’s got these multi-camera shots that are immediately farmed out to all these social media accounts who amplify them. It’s very, very impressive how he pulls this off. And they’ve become these sort of national spectacles that have inevitably given rise to more ruminations about whether he’ll run for president or not, but also of course boost his campaign itself.
That to me was one of the takeaways — that he has this impressive grip on not only what the media’s covering, but triggering them to cover even more of it.
Plaskett fire has swept through more than 5,900 acres in Monterey county and remains un-contained, says Cal Fire
A fire in California’s Big Sur region doubled in size overnight, forcing the evacuation of nearby residents, in a coastal region where firefighters have battled another blaze for weeks.
The Plaskett fire, which sparked on Tuesday, had swept through more than 5,900 acres (2,400 hectares) in Monterey county as of Friday, and remained un-contained, according to Cal Fire. Its cause is under investigation.
Plaskett fire has swept through more than 5,900 acres in Monterey county and remains un-contained, says Cal Fire
A fire in California’s Big Sur region doubled in size overnight, forcing the evacuation of nearby residents, in a coastal region where firefighters have battled another blaze for weeks.
The Plaskett fire, which sparked on Tuesday, had swept through more than 5,900 acres (2,400 hectares) in Monterey county as of Friday, and remained un-contained, according to Cal Fire. Its cause is under investigation.
Jose Carlos Hoyoz-Munoz was arrested after a family altercation and restrained for ‘combative’ behavior
A cadre of Los Angeles police officers beat and restrained a handcuffed man in July, minutes before he was found dead in a jail cell, according to newly released body-cam footage.
On 15 July, Jose Carlos Hoyoz-Munoz, 58, was found unconscious in his cell at the Van Nuys regional jail. At the time, the LAPD said two use-of-force incidents had occurred, without specifying the nature. In the video released on Friday, the department said three use-of-force incidents occurred.
Jose Carlos Hoyoz-Munoz was arrested after a family altercation and restrained for ‘combative’ behavior
A cadre of Los Angeles police officers beat and restrained a handcuffed man in July, minutes before he was found dead in a jail cell, according to newly released body-cam footage.
On 15 July, Jose Carlos Hoyoz-Munoz, 58, was found unconscious in his cell at the Van Nuys regional jail. At the time, the LAPD said two use-of-force incidents had occurred, without specifying the nature. In the video released on Friday, the department said three use-of-force incidents occurred.
Ella Langley performs at a country music festival in Nashville, Tennessee, on June 4, 2026. | Jason Kempin/Getty Images
If you haven’t yet heard about how a certain fella is choosin’ a woman from Texas over Ella Langley, it’s only a matter of time.
Langley’s massive hit, “Choosin’ Texas,” began dominating the Billboard Hot 100 charts a few months ago — and never looked back. It’s still sitting at No. 1 after 19 weeks, tied for the longest time spent atop the charts among non-holiday songs. In a few more weeks, Langley could shatter the all-time record and dethrone Mariah Carey’s “All I Want for Christmas Is You.”
Moss talked with Today, Explained co-host Noel King about where Langley’s success came from, what it means for women in country music, and why many fans don’t know what to make of Langley, who has maintained a low profile for a star artist.
Below is an excerpt of the conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify.
Tell me about “Choosin’ Texas.”
“Choosin’ Texas” is a song about a woman who is essentially losing her man in real time. She goes to a bar or a honky-tonk in Texas. She’s from Tennessee. She suddenly realizes that he sees his ex who’s from Texas and drifts away from her to this woman. It’s that feeling of knowing when you see it in someone’s face that they’re going to be leaving you and figuring out whether it’s worth it to hold on or to let go.
How big is this song, exactly?
It is huge. It is up there right now in competition with Mariah Carey’s “All I Want for Christmas Is You,” which owns the record for the most weeks at No. 1 on the Billboard Hot 100 with 22 weeks. Her only [other] competition is from Shaboozey and Lil Nas X, which are country-adjacent songs.
She really could blow by Mariah Carey. Of course you get a boost every time Christmas comes around, but we’re a little ways off from Mariah Carey declaring once and for all that it’s Christmas season. So I think Ella has plenty of time to catch up. And it could be the biggest song of all time, which is crazy.
You’re a music writer and you’re based in Nashville. How big a deal is Ella Langley in a place like Nashville and in the country industry?
She’s a big deal. And it’s exciting because she’s a relatively newish artist in terms of how long she’s been putting out music. She only released her debut album in 2024, called Hungover.
It’s really exciting because as a lot of people know, it can be really hard for a woman to make it in Nashville. Usually under 10 percent of songs on country radio are by women, so having someone like her out there and having so much country radio airplay and presence on the Hot 100 and breaking all these records, you really hope that it’s going to help influence people in Nashville to sign more women, platform more women, do all of those things to try to sort of flip this longstanding sexism that has existed in Nashville.
Not to put all of our hopes and dreams on one woman, because it’s not up to her to do this. It’s up to the industry to respond. But you sure have to hope so.
Was it a surprise that “Choosin’ Texas” became such a big hit?
I would’ve never predicted this. I loved the song when I heard it, but I don’t think I ever thought that something this country could be this popular.
“Despite the lyrical content, which may be a little bit of a bummer, the song does just feel so good. And it’s like a little bit of a brain weed gummy.”
And yes, country music is becoming so much more popular nationwide, worldwide. But it is also country music in a lot of ways that is a little bit more pop-leaning. Morgan Wallen is extremely popular, but he’s not putting out super-twangy tears-in-your-beer kind of country music songs.
“Choosin’ Texas” is kind of sad, but more than sad, I think it’s relatable. It taps into this feeling that a lot of people have, especially in the summer. If you’re thinking about a summer romance, of losing something that you once had, of letting go, of nostalgia, I think that’s something that we really want to feel right now.
And despite the lyrical content, which may be a little bit of a bummer, the song does just feel so good. And it’s like a little bit of a brain weed gummy. The second it comes on and you hear that little guitar lick it relaxes you. It gives you that summer feel of airy and fresh and a lot of people want to feel that way right now.
You’ve said she’s not a person who shares a ton about herself. Probably smart in this day and age. But country music often does get politicized. And I’ve seen that happening a bit around her and around this song. Tell me about the way she is being slotted into certain perspectives in the US, whether she wants to be or not.
One thing I’ve seen is a lot of people from the far right wanting to use her as an example of a return to sort of this anti-girlboss era. They like to take the fact that she speaks about her faith on stage and warp that into that being sort of her overriding agenda and that she wants this return to traditional values.
And then on the left, I’ve seen some people sort of play with the same. I personally think you could just as easily make a case that she’s a feminist who had Miranda Lambert produce her album and writes with women and takes all these women on tour.
So many people want this moment to serve their own narrative and want Ella Langley to stand for something on every side. And if you don’t give people a little, they’re going to go wild. But maybe that’s better than putting your personal views out there and having them ripped apart. I can’t say I really blame her, to be honest.
Weekend mornings are for family – and whoever happens to be over. Forget fussing and focus on just one big lovely thing for the middle of the table. Here’s how
Family life has had a bigger impact on how I cook at home than almost anything else. There’s a lot of pasta on the menu these days, and potato wedges with different sauces. A lot of meatballs. And a great many pancakes – more than I would have ever predicted before I had kids.
My weekend pancakes – which made their way into my book Simple Too – are supposed to be a batch-cooking exercise: lots made on Sunday, then reheated through the week, in the toaster or a dry pan on the stove, so breakfast is more or less solved until Friday. That’s the theory. In practice, all 22 pancakes the recipe makes are gone by Sunday lunch – eaten by the boys, their friends, or whoever happens to be over for breakfast.
Nearly 600 days after the devastating 2025 fires, thousands of Los Angeles residents are still waiting for more than $15bn in federal funds to rebuild their communities
As thousands of residents in Spokane, Washington, begin to grapple with a long recovery after a destructive set of blazes that consumed hundreds of homes in the state’s second most populated city this month, victims of the Los Angeles firestorm broke a grim record – they have faced the longest delay in modern history for federal aid.
Nearly 600 days since a historic firestorm roared into communities across Los Angeles, reducing more than 16,000 structures to ash and toxic debris, the Trump administration has failed to appropriate more than $15bn in long-term recovery funds that are crucial to rebuilding. The delay in supplying the badly needed funds is months longer than the last record set when victims of the Maui fires had to wait 500 days to receive the support, LAist noted this week.
Climber, stuck on 6in ridge, had veered off treacherous path and ‘any fall would almost certainly be fatal’
An ill-fated move left a man stranded on a 6in ledge over 10,000ft off the ground for hours in California’s Sierra Nevada mountain range, before a volunteer rescue team came to his aid.
The climber, who has not been publicly identified, had been scaling the Mendenhall couloir, a gully on the face of Laurel mountain, with a friend on Saturday.
Harry Styles performs on stage during his Together, Together Tour at Johan Cruijff Arena on May 16, 2026, in Amsterdam, Netherlands. | Anthony Pham/Getty Images for HS
On Wednesday, Harry Styles begins his 30-night residency at Madison Square Garden, making him the latest in a wave of celebrities who are turning away from conventional touring and changing the experience of livemusic as a result.
In recent years, Adele, Bad Bunny, and Billy Joel have all had sold-out residencies in Munich, Puerto Rico, and New York, respectively. This means that fans can’t just wait for a visit to their hometown — they have to buy a ticket and book a trip, sometimes a very expensive one.
Residencies have become a high-profile example of how the economics of entertainment are changing how we experience culture, and who can even afford to have that experience.
There are a number of reasons for the trend: residencies are more cost-effective for musicians and crew, and they’re a lot easier in other ways. Burnout, exhaustion, and substance abuse have long been features of touring musicians’ stories from the road, and residencies alleviate some of that physical and mental toll — at least for the superstars who can book them.
The fans, however, especially the ones coming in from out of town, have to pick up that tab now. Today, Explained host Astead Herndon interviewed Billboard writer Robert Levine about this topic back in February. They discussed why this has happened — and how, for many fans, these costs can actually be worth it. Residencies create increased pressure to create a “sense of event,” and ensure every show offers something special — really delivering for the handful of people who can make the trip, and creating FOMO for those who can’t make it, which is kind of the goal of all of it.
There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify.
I’m based in New York, so Harry Styles’s tour really perked my interest. He’ll be here for a 30-night residency and he has no other US shows on his tour. Can you explain to me the business of Harry staying put like this? Why has this become a thing for artists? What do we think this tour represents?
What’s interesting is all the writing and all the talk about the concert business focuses on the money that’s going in. Hardly anyone thinks about the money going out. As always, they have crew, they have musicians, they have expenses. The most expensive part is getting it all around. So imagine if you could minimize that expense and make the same amount of money.
So is that why we’re seeing someone like Harry Styles sit for 30 nights at MSG? It’s to lower travel costs?
Well, look, I mean haven’t talked to Harry Styles, so I’m just making an educated guess, but yes, I think so. And there’s the sort of capital-R residency that he’s doing. He’s declaring this a residency, and he’s making an event of it. But if you look at the concert business in general, you are seeing a trend — and sometimes people don’t notice it — toward playing more shows at fewer venues. The same kinds of economic forces are changing the nature of what we might call regular tours. Now you’re seeing more two-night stands, more three-night stands, more four-night stands.
And there’s also…this isn’t economics, but there’s also lifestyle considerations. All those classic rock songs about the romance of being on the road; “Turn the Page” by Bob Seger where he was talking about how burnt out he is. … There used to be a romance to being miserable and now there’s not.
Rock stars on tour, the crazy bus, all of that stuff.
We’re coming to your town, we’ll help you party down. Now you have to come to them and help them party down. And I think people realize a lot of the performers are getting older. They might not want to move around so much. But also remember when Elvis was in Vegas? This is not Elvis the teen sensation who wouldn’t be filmed below the waist. This is Elvis the middle-class performer, and in Vegas, he could stay in a really nice hotel rather than be in a van.
I’m going to ask about the New York piece. When we think about Harry Styles specifically, I think back to the fame, and I don’t have to go all the way back to Elvis for famous residencies in Vegas. Think about Celine Dion, or more recently, folks like Adele or even Usher.
Vegas had an advantage in that a lot of people were there with expense accounts always. That’s probably less the case today, but it’s still a convention in a conference town. If you’re charging people that amount of money, it doesn’t just need to be a great show. It needs to be part of a great weekend. It has to be a city with a lot to do. It has to have great air connections and a lot of hotel rooms. New York scores on all of those.
It seems as if from what you’re saying, it makes sense for the artist in terms of reducing travel costs. It makes sense because maybe resale markets have made it clear to the entertainment industry that the demand for higher prices is there. But it does, as you mentioned, also raise expectations of what fans expect to experience at the concert. I wonder: in your opinion, are fans getting more for their money at these shows since they’re more expensive now?
I think that’s so much in the eye of the beholder, right? For Adele in Munich, where she had a residency two summers ago, they built the biggest video screen in the world. Bigger than a football field. It was gigantic. I’m not that interested in a big screen. I don’t care if it’s the biggest screen. I’m not counting. She performed with fantastic musicians, and the staging was really creative. I thought it was an incredible show. I took the train four or five hours to go from Berlin. I thought it was fantastic and well worth it. Was I excited about the Ferris wheel? Honestly, not really.
What limits artists outside of the Adeles or Harry Styleses from adopting this residency model?
I think it’s less about the size of the artist and more about the implied specialness of it. It’s about FOMO. These are the biggest concerts, but there’s a lot of great concerts. How do you sell this as a special thing? Well, you play your marquee album, you promise two shows, two nights, no repeats. Metallica did that.
You really have to create a sense of event. You have to have a claim on people’s souls. In the modern concert business…it’s not so much, why do you want to see them? but, why now and not next year or the year after?
How do you see these residencies having an influence on the way the live event industry operates as a whole? Part of what we’ve been looking at are the changes that have occurred in the industry post-pandemic. Where do you see this piece fitting in?
I have to admit that a lot of people in the business and who write about the business have been very cautious about the boom in the industry. Look at the price spike post-Covid. But what happens when that ends? When will that bubble burst? Look at how high prices get, will people still have the money to go to other concerts?
And the truth is…the demand to see shows has proven all of this wrong. There’s always this idea that it’s a winner-take-all business: you’re going to travel to see Harry Styles, you’re not going to see other shows…logically, that money ought to be not spent on other concerts. But you don’t see that. And this is at a time when the economy is very, very good for some people and pretty lousy for most people. So that might be another reason why people are so interested in playing New York and LA because you get more people with disposable income. Other people can fly there, but at some point, I don’t know what the limit is. We don’t seem to get there.
People who might buy a cheaper pair of jeans or a cheaper television don’t seem to look at…concerts are not a competitive good. Who’s your second if you can’t go see Harry Styles? Who’s the artist most like Harry Styles, who’s also playing a concert? Who’s most like Beyonce, who’s not Beyonce? The answer is nobody.
Yeah. If Kelly Rowland was doing concerts, I would be moving in the same way. Right? It’s specific to that artist. And I can kind of see your point…that is what has made this shift be more permanent than folks expect now.
By the way, I bet some of those artists that you would say don’t compare to Beyonce, put on great shows.
X2 ride at Magic Mountain has been closed for a month after one rider experienced brain compression and another remains in coma
An infamous Six Flags Magic Mountain rollercoaster, long favored by intrepid theme park goers, has been closed for more than a month after two people say they experienced brain injuries after riding it, according to a new CNN investigation.
The X2 rollercoaster sends riders plummeting and twisting hundreds of feet, reaching up to 76mph (about 122km/h) as the seats rotate 360 degrees. On the southern California theme park’s website, it’s advertised as a rite of passage for daredevils.
“The big question is: What is going to be put forward as an alternative and how palatable will that be to consumers, lawmakers, the healthcare industry?” KFF Health News senior correspondent Julie Appleby tells Vox’s Today, Explained. | Stefani Reynolds/Bloomberg via Getty Images
Health insurance enrollment through the Affordable Care Act is plummeting.
Nearly 3 million fewer Americans now have insurance through the program, popularly known as Obamacare, compared to last year, according to federal data released in June. After congressional Republicans allowed enhanced subsidies for the program to expire in January, many Americans saw their health insurance premiums spike by an average of about 30 percent.
As a result, many Americans have been forced to drop their coverage entirely.
With affordability among the top concerns on voters’ minds heading into the midterms, healthcare costs have become a central issue for candidates.
“A lot of policy experts say, look, when you raise the price of something, demand goes down. And that’s what’s happening here,” KFF Health News senior correspondent Julie Appleby told Today, Explained. “It’s the prices — people are dropping out.”
Appleby has been reporting on healthcare policy for decades, and she joined Today, Explained co-host Noel King to break down the latest changes to the Affordable Care Act, why enrollment is plummeting, and how the ACA crisis is teeing up healthcare as a central issue in the upcoming midterms.
Below is an excerpt of their conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify.
Sixteen years ago, President Obama signed the Affordable Care Act into law. Julie, what was the situation at the time that made it feel so necessary? What did the Affordable Care Act aim to do?
There was a lot going on. We had a lot of people who were uninsured. We had premiums going up. Many times in the past there had been some effort to do some kind of health reform, but nothing ever really passed. We had Medicare and Medicaid in the ’60s, but no major legislation since then.
People had employer coverage, like they do now, but there were a lot of people who were on their own and buying in what’s called the individual market.
The individual market was really tough. They could tell people, “Hey, you’ve got a health condition, we’re not taking you.” They could you could sign up for an individual plan and later, if you did get some kind of health condition, they could go back through your medical records and see, “Hey, did they tell us about every single thing that had happened to them in the past five or ten years?” And if not, they could retroactively cancel your plan.
What did the Affordable Care Act do exactly?
It allowed young people to stay on their parents’ insurance plan up to age 26, and that was a really big deal and also a very popular provision in the Affordable Care Act.
It created these subsidies to help people purchase coverage on the individual market. It pays for part of your premium. After you pay a certain percentage of your household income, the subsidies kick in and it picks up the rest, up to a certain up to a certain income level.
“They used to be able to charge women more than men. They can’t do that anymore.”
It did some other things, like they can’t tell you, “You have a preexisting condition, so we’re not going to take you.” They’ve got to take you.
It created a benefit package that covers all these essential things like hospitalization and drug costs and maternity care, which might not have been in plans before. They used to be able to charge women more than men. They can’t do that anymore.
What was the conversation around passing the Affordable Care Act? Remind us how and why it got so toxic and pitched.
It was super polarized, kind of like what we have now. There was a lot of discussion around whether this is going to be too much government or if it was just the right amount. A lot of people thought, “No, this is terrible, it’s gonna destroy things.”
And I think polls reflected that for the first four or five years or more of the Affordable Care Act. It was pretty evenly divided, when you looked at opinion polls, between people who thought it was a good thing and people who didn’t think it was a good thing.
In more recent years, that has changed and the favorability ratings have gone up for the Affordable Care Act and now majorities do favor the Affordable Care Act.
If you had told me that 16 years ago, I would not have believed you. Here we are. And how is the Affordable Care Act doing?
To use medical terminology, is it on life support? No, it’s actually doing fairly well. But there are some symptoms that there are problems.
Remember at the end of last year, there was all the discussion about these things called enhanced premium tax credits and whether they were going to be extended or not. The government shut down over this. Those were not extended. As a result, it costs more this year for most people in the plan, and what we’ve seen is during open enrollment last year we had about a million people fewer sign up and that was about a five percent drop.
That was 5 percent just in signups at the end of last year. Since then, the first few months of the year, we’ve seen about 3 million people drop off. Some people are finding that they can’t afford it and they are not paying their bills and they are getting dropped. A 3-million-person drop-off is pretty substantial.
There’s also a group of folks, particularly conservatives and Republicans, who say, “You know what, the numbers were inflated.” There was all this improper enrollment. People were getting these zero-premium plans and so there was fraud, there was improper enrollment, the subsidies were too generous or there were other factors that led to some fraudulent activity. And so these drop-offs just represent people who were fraudulently enrolled dropping out for one reason or another.
There’s this real split right now between what are the reasons for the drop off. But most policy folks, most people who study the situation here say the main reason is people just aren’t able to afford it.
Why is it so expensive? Why are healthcare costs so high?
That’s the $64,000 question, right?
And if you get it right, you win. You’re in charge.
That’s been the question since I’ve been covering this debate. Look, it’s not just Affordable Care Act costs going up. Employer plans are going up. Everything’s going up.
Generally, healthcare costs go up faster than inflation and that’s driven by a lot of things. It’s driven by drug costs, it’s driven by hospital costs, it’s driven by labor costs. So all of those things go into the mix with the Affordable Care Act. But also this year, there’s this additional factor of the subsidies that went away.
Insurers were looking at that saying, “You know what, the subsidies are going down. We expect to have lower enrollments next year. The people most likely to stay enrolled are the ones who have health problems because they don’t want to take the risk of being uninsured.” So insurers were calculating that in when they set their premium rates for this year: We might have sicker people in our pool that we’re gonna have to cover.
That’s part of what we’ve seen with costs in the Affordable Care Act. But everybody is seeing health inflation go up right now and that’s affecting premiums.
Here we are 16 years after the passage of the Affordable Care Act. Has it accomplished what it set out to do?
You have to look at that in a number of ways. It aimed to expand coverage and reduce the uninsured. I think the answer there is yes, the number of uninsured has gone from 13 or 14 percent to as low as just under 8 percent a couple of years ago. It’s ticked up a little bit since then.
Did it control costs? That’s a harder one to answer. And it’s back to that $64,000 question. How do you do that? Costs have continued to go up. Premiums are definitely higher than they were pre-ACA. To be fair, the plans are very different. They cover more, they’re more generous, they’re better coverage, but they are more expensive.
The big question is: What is going to be put forward as an alternative and how palatable will that be to consumers, lawmakers, the healthcare industry? It’s going to be challenging, but I think we’re going to hear a lot more discussion this year. Whether or not we see actual proposals that could pass, I think that’s a little more questionable.
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