The U.S. is facing a steep healthcare worker shortage. A 2025 federal analysis projected that by 2038, 30 out of 35 physician specialties will be hurting for practitioners, with over 140,000 roles left unfilled. And for nurses, that shortage is projected to be over 108,000.And last week, 25 states plus the District of Columbia filed a lawsuit against the Department of Education over new federal student loan limits on graduate degrees. Those caps apply to programs that could graduate workers into these threatened health care fields.But Education Secretary Linda McMahon says these worries are overblown and that these new rules aim to force colleges to lower tuition rates.So, what do these changes really mean for the future of our healthcare workforce in the U.S.?Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

What does it mean to matter — to loved ones, to your community, at your job?Feeling like we have value and purpose in life is something humans inherently crave. But recent work on the topic takes this a step further – arguing that it is critical to our very existence. As critical as our need for sleep, food, and air.Why does it matter if we matter? We sit down with two experts to try and answer that question.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Kentucky Rep. Thomas Massie lost his state’s GOP primary to a Trump-backed candidate this week. The seven-term congressman became a target for the president over the former’s desire to release the files related to late financier and convicted sex offender Jeffrey Epstein. Thomas Massie and Bill Cassidy are now lame-duck Republicans after losing their primaries to Trump-backed challengers. Where does that leave razor-thin margins in Congress?President Donald Trump’s seemingly doomed lawsuit against the IRS has resolved itself in an unprecedented way this week. A settlement in the case includes a clause that precludes the agency from investigating the president, his family, and his businesses ever again.And Trump allies get a $1.8 billion boost in the form of a new so-called Anti-Weaponization Fund paid for by taxpayers. That money could be giving pardoned January 6 insurrectionists payouts – and is drawing bipartisan ire.And, in global news, Iranian officials are accusing the U.S. of getting ready to start a new war as the American military makes moves in the Middle East. Both parties mull a new proposal, and familiar messaging from the White House. Also this week, Iran formalizes a plan to make money on ships passing through the Strait of Hormuz.Israeli Prime Minister Benjamin Netanyahu finds himself in a precarious political situation this week as Knesset, votes to dissolve itself ahead of another election. Now, Netanyahu must find a way to keep his right-wing coalition from collapsing amid pressure from his nation’s ultra-orthodox parties.And Russian President Vladimir Putin traveled to China to meet with its president, Xi Jinping, a week after President Donald Trump made the same trip.We cover the most important stories from around the world in the News Roundup.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

A war the president promised would last weeks is now in its third month. And the ripple effects are rocking the global economy.The Strait of Hormuz is still closed to most ships. Iran, the U.S., and Israel don’t look ready for a peace deal. Iran’s air force and navy are severely damaged. But recent intelligence reports say the regime has control of more missiles and weapons systems than the Trump administration has acknowledged, and that it’s taking advantage of the ceasefire to rearm.Meanwhile, Iranians are living under a blockade. Gulf states are absorbing the shock of Iranian missiles and of economic uncertainty.What does the Middle East look like now? Who wins, who loses, and what happens to American influence in a region it just turned upside down? Luckily, we know just the man to ask.Gregg Carlstrom’s is a name that might be familiar to listeners of the News Roundup. He’s been The Economist’s Middle East correspondent since 2010. He’s also the author of the book, “How long will Israel survive? The threat from within.” We sit down with him to talk through the latest in the region.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

This week, thousands of Americans attended a day-long conservative prayer gathering. The event was billed as a rededication of the U.S. as “One Nation Under God” for our nation’s 250th birthday.The gathering was a private-public partnership backed by the White House. Non-Christian voices of faith were notably absent, apart from one Jewish rabbi. Almost all the speakers featured were Christians and most were Evangelicals. Some were Trump cabinet members and lawmakers.With the separation of church and state and the freedom of religion baked into the founding of our country, what does our nation’s relationship with faith look like today? Does the America of 2026 represent what our founding fathers intended?In this special broadcast of 1A in partnership with Religion News Service, we leave our studio and head to American University in Washington D.C. where we sit down with a panel of experts in front of a live audience.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

It’s been more than two weeks since the Supreme Court made the decision to weaken a key provision of the Voting Rights Act of 1965. That piece of the legislation protected minority voters from discrimination in elections. Now, that ruling has invoked a new wave of calls to reform the court.In the last installment of our “If You Can Keep It” series, we discussed what those reforms might look like, from expanding the size of the bench, to restricting the shadow docket.Our listeners had so many thoughts on whether and how to reform the court that we decided to return to that conversation to talk more about what’s possible and answer more questions.So, what happens when the Supreme Court loses credibility among a large swath of the country? And how can the court get it back when partisanship on the bench has become the expectation.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Despite assertions by President Donald Trump to the contrary, reporting from The New York Times indicates that Iran’s military is still in fighting shape, regaining access to 30 of its 33 missile sites near the Strait of Hormuz.The Supreme Court’s decision to strike down a key provision of the Voting Rights Act has paved the way for Alabama to use a controversial GOP-drawn electoral map in the upcoming midterms.And FBI Director Kash Patel appeared on Capitol Hill this week to give testimony before Congress. He clashed with Democrats over reporting from The Atlantic that indicated that the Trump official’s alcohol use was impeding him from completing his duties.We cover the most important stories from around the country in the domestic hour of the News Roundup.And, in global news, President Donald Trump traveled to China this week to meet with Chinese President Xi Jinping. Taiwan, the war in Iran, and trade are all up for discussion between the two leaders of the world’s largest economies.The price tag of the war with Iran has now topped $29 billion.Russian President Vladimir Putin said this week that he believes his country’s invasion of Ukraine is “coming to an end.”We cover the most important stories from around the world in the News Roundup.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Mayors are uniquely aware of what’s needed to make their cities run more efficiently. And when it comes to improving city life — from housing, to public safety, to city services — a lack of resources can be a major obstacle.In February, Bloomberg Philanthropies announced the winners of this year’s mayors’ challenge. A $1 million prize was awarded to 24 winners from 20 countries selected from 630 entries.1A spoke to some of those winners at Bloomberg’s Citylab conference in Madrid, Spain. The summit was held in April and convened mayors from across the globe to talk about the latest in city planning.We sit down with Vico Sotto, mayor of Pasig in the Philippines; Lauren McLean, the Democratic mayor of Boise, Idaho; and Geordin Hill-Lewis, the Mayor of Cape Town, South Africa, to talk about how they’re navigating the challenges facing them and their neighbors.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

In August 2024, 26-year-old Conor Hylton checked into Bridgeport Hospital in Connecticut. Overnight, he was transferred to critical care, where he died.It was only after his passing that his family found out that Conor was treated at what’s known as a “tele-ICU.” His story shines a light on a practice that’s been around for decades despite a lack of substantial research about its outcomes.A tele-ICU is a hospital unit where patient care is handled off-site by remote doctors, nurses, or specialists. Up to a third of ICU beds in the U.S. are in tele-ICUs. That’s according to a study from the American Hospital Association.In Wisconsin, as of May 1, critical care physicians are no longer physically present in the ICUs of a few Ascension satellite hospitals. They remain available via video call to help bedside nurses and on-site hospital medicine doctors, known as hospitalists, who do not specialize in critical care.These facilities do present an opportunity to expand and improve the health care people receive. But what are the risks of replacing in-person care in the most critical, life or death moments?Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Last year, when Columbia University found itself embroiled by anti-war protests and fighting with the Trump administration, journalist Jodi Kantor was invited to speak at the school’s commencement.“My friends actually tried to stop me. Like, ‘Don’t do it. Call in sick,'” remembers Kantor.The Pulitzer prize-winner did wind up giving that speech. And that experience led her to write a new book about how young people can find their life’s work. We sit down with Kantor to talk about ‘How to Start.’Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy