Axios

Vice President JD Vance and second lady Usha Vance are expecting their fourth child this summer.

The big picture: It's the first time in modern U.S. history that a vice president has welcomed a child while in office.

Pennsylvania Gov. Josh Shapiro is opening up for the first time about how growing up in a sometimes "unhappy childhood home" helped shape his approach to life and politics, including a desire for "control."

Why it matters: Shapiro's revelations, described in his new book due Jan. 27, offer insight into the psyche of a top Democrat who's widely seen as a likely contender for the party's presidential nomination in 2028.

About one in five Americans report doing no physical activity or exercise outside their job, per a new report.

Why it matters: Even just moderate exercise can have tremendous benefits for your physical and mental well-being, research has found.

Outbreaks linked to declining vaccination rates are threatening to overwhelm hospital emergency departments — most of which aren't fully prepared to treat sick kids.

Why it matters: More than 35 million children are taken to emergency rooms each year, but most go to local hospitals that see fewer than 10 children a day.

To mark the one-year anniversary of President Trump taking office, we asked Axios subject matter experts a simple question: What's the biggest disruption or change you've seen on your beat over the past year?

1. White House, Marc Caputo: A year in the planning, Trump's ouster of Venezuelan dictator Nicolás Maduro was a defining moment that crystallized the administration's "Trump Corollary" to the Monroe Doctrine.

Congressional negotiators are expected to release a bipartisan health care package as soon as today that revives major parts of a deal that was torpedoed in late 2024 by Elon Musk and then President-elect Trump.

Why it matters: The agreement would include long-stalled priorities like an overhaul of the business practices of pharmacy benefit managers — the "middlemen" between drug manufacturers and insurers — and new controls on how hospitals bill for outpatient services, according to sources familiar.

Actor Matt Damon is in Davos to recruit more corporate partners for his water access nonprofit, pronouncing on stage at Axios House, "We're trying to raise an army."

The big picture: Damon decided about 20 years ago to devote "all my time and energy" to increasing access to clean water after learning about the scale of the challenge and how it compounded so many other issues. That led to co-founding Water.org.