In Part 3 of our deep dive into Project 2025, we’re turning our attention to the Center for Medicare and Medicaid Services (CMS)—and what’s at stake as powerful forces push to reshape it. Fresh off the confirmation of CMS’s 17th Administrator, we’re already seeing the outlines of a radical shift: one that proposes over $800 billion in cuts to Medicaid, Medicare, and SNAP over the next decade.

Framed as “fiscal responsibility,” these proposed changes are more than just budget adjustments—they're an ideological attack on the health care safety net that millions rely on. And it doesn’t stop there. The plan outlines sweeping restrictions on access to reproductive health care, slashes funding for Planned Parenthood, and seeks to eliminate support for gender-affirming care for trans people.

In this episode, Dr. B Fran breaks down what these proposed reforms mean for public health. From defunding care to redefining who gets to be healthy, Project 2025 threatens to undo decades of progress in health equity and social justice. Let’s talk about the policies, the politics, and why this moment demands our full attention.

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