It’s pretty clear from this NPR profile of Seema Verma, Trump’s pick to head the Centers for Medicare and Medicaid Services, how she sees the future of Medicaid. She wants low-income people to pay at least something for their health care. That’s how she designed the Indiana program that revised and expanded Medicaid under Mike Pence. Key quote from Cindy Mann, former Medicaid official under President Obama: Verma was “very committed to extending coverage to low-income families,” and also “very committed to a particular ideology” — personal responsibility.

What it means: Not every state is going to do what Indiana did, but there are other Republican governors who would like to make poor people contribute to their health care — and Verma will have the power to grant waivers to let them do it. The story shows how the idea can cause problems for people who are barely getting by, but it never really grapples with the debate that lies ahead: Is it fair or unfair to expect them to make monthly payments like people with private health insurance? That’s where this story is headed, especially during Verma’s confirmation hearings.

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Updated 41 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9:30 p.m. ET: 33,867,247 — Total deaths: 1,012,341 — Total recoveries: 23,537,059Map.
  2. U.S.: Total confirmed cases as of 8 p.m. ET: 7,229,319 — Total deaths: 206,887 — Total recoveries: 2,840,688 — Total tests: 103,939,667Map.
  3. Education: School-aged children now make up 10% of all U.S COVID-19 cases.
  4. Health: The coronavirus' alarming impact on the body.
  5. Business: Real-time data show economy's rebound slowing but still going.
  6. Sports: Steelers-Titans NFL game delayed after coronavirus outbreak.
Ina Fried, author of Login
1 hour ago - Technology

Facebook removes Trump ads tying refugees to COVID-19

Photo Illustration: Aïda Amer/Axios. Photo: Saul Loeb/AFP via Getty Images

Facebook said Wednesday that it was removing a series of ads from President Trump's campaign that linked American acceptance of refugees with increased coronavirus risk, a connection Facebook says is without merit.

Why it matters: The ads were pulled after they received thousands of impressions and are a sign that the Trump campaign continues to test the limits of social media rules on false information.

Over 73 million people watched the first debate on TV

Data: Nielsen; Chart: Andrew Witherspoon/Axios

More than 73.1 million people watched the first presidential debate on television on Tuesday night, according to Nielsen ratings.

Why it matters: While that's a sizable audience for any American TV program, it's down more than 13% from the record number of TV viewers who tuned in for the first debate of the 2016 election. The chaotic nature of the debate and the overall uncertainty around this year's election may have pushed some viewers away.