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This week, Senate Democrats will hold a vote on extending expiring Affordable Care Act tax credits to try to prevent health insurance premiums from skyrocketing for millions of Americans. That vote is basically guaranteed to fail.

Where did these credits come from, and what’s likely to happen when they (almost) inevitably lapse?

Guest: Julie Rovner, chief Washington correspondent for KFF Health News and host of the podcast “What the Health?”

Want more What Next? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and across all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen.

Podcast production by Elena Schwartz, Paige Osburn, Anna Phillips, Madeline Ducharme, and Rob Gunther.

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