Twenty-five states sued the Trump administration in June over the new Centers for Medicare and Medicaid Services guidance tied to the 2025 law known as the "One Big Beautiful Bill."

Twenty-five states sued the Trump administration in June over the new Centers for Medicare and Medicaid Services guidance tied to the 2025 law known as the "One Big Beautiful Bill."

The White House has been rocked by turnover and anxiety over the midterms. The president, who is tightening his inner circle, has lashed out at critics, held meandering rallies and feasted on a diet of news clips and “A.I. slop,” as one aide put it.

© Doug Mills/The New York Times

Health care costs are climbing, putting new pressure on millions of Americans and raising questions about the coverage they can afford. The challenges extend to Medicare Advantage. In some parts of the country, insurers are pulling out of markets or eliminating plans that many rely on. We hear from seniors struggling to navigate those changes, and Geoff Bennett discusses more with Dan Weissmann.