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.

Go deeper

Updated 3 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 12,220,166 — Total deaths: 553,438 — Total recoveries — 6,696,632Map.
  2. U.S.: Total confirmed cases as of 9 p.m. ET: 3,111,902 — Total deaths: 133,195 — Total recoveries: 969,111 — Total tested: 38,032,966Map.
  3. Public health: More young people are spreading the virus Cases rise in 33 statesFlorida reports highest single-day death toll since pandemic began.
  4. Science: World Health Organization acknowledges airborne transmission of coronavirus.
  5. 1 🐂 thing: How the world could monitor for potential pandemic animal viruses.
5 hours ago - Podcasts

Inside Joe Biden's economic plan

Joe Biden on Thursday returned to his hometown of Scranton, Pennsylvania, to give his first major speech on economic policy since becoming the Democratic Party’s presumptive presidential nominee.

Axios Re:Cap digs into Biden's plans, how they developed and how they may change, with former U.S. Commerce secretary and campaign surrogate Penny Pritzker.

5 hours ago - World

Countries grapple with whether to lock back down as hotspots emerge

Tokyo in the time of coronavirus. Photo: Charly Triballeau/AFP via Getty

Many politicians and public health officials sounded a similar lockdown refrain in the spring: let’s do this right so we only have to do it once.

Reality check: While some countries have thus far managed to keep cases under control after opening up, dozens of countries that had initially turned a corner are now seeing a worrying rebound. They have to decide if and how to return to lockdown — and whether their populations will stand for it.