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Podcast: Living in a fragmented democracy

Podcast: Living in a fragmented democracy

At the end of March, millions of Americans lost access to Medicaid as pandemic-era expansions to the program were rolled back. At the same time, North Carolina's legislature voted to expand Medicaid, marking a demonstration of bipartisan agreement in these polarizing times. This backdrop makes it a very interesting time to talk with Jamila Michener, who studies both the specific politics of Medicaid and how the political fights over Medicaid illustrate larger issues in federalism and democracy. This episode explores how receiving government benefits like Medicaid impacts political agency, whether it's possible to square federalism and equality, and more.

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Anti-gerrymandering protest
Anti-gerrymandering protest
Sarah L. Voisin/Getty Images

The Gerrymandering Crisis Escalates: Can Reform Stop the 2026 Power Grab?

The battle over redistricting is intensifying across the country, with bipartisan concern mounting over democratic legitimacy, racial equity, and the urgent need for structural reform. Yet despite years of advocacy from cross-partisan organizations and scholars, the partisan battle over gerrymandering is accelerating, threatening to fracture the very foundation of representative democracy.

The Fulcrum has been watching closely. In our August 8th editorial, we warned of the dilemma now facing the reform movement:

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A close-up of a microphone during a session of government.
Rev. Laurie Manning shares her insights on speaking with political leaders about specific advocacy efforts. "Your senators' offices are waiting to hear from you," writes Manning.
Getty Images, Semen Salivanchuk

How To Rewire a Nation From a Single Seat

In politics, attention is drawn to spectacle. Cable news runs endless loops of red-faced lawmakers clashing in hearings, while pundits dissect every gaffe and polling shift. Every election season becomes a staged drama, parties locked in opposition, candidates maneuvering for advantage. The players may change, but the script stays the same. Those in power know that as long as the public watches the visible fracas, the hidden machinery of control runs quietly, unexamined and untouched.

We are told the drama hinges on which party controls which chamber, which map shapes the advantage, and which scandal sidelines a rising star. These are presented as the key moves in the political game, shifting the balance of power. Every election is declared the most consequential of our time. But these claims are, in reality, crude distractions—very much part of the performance—while the real levers of power turn behind the scenes, where laws and policies shift with the choices of a few hundred individuals, each capable of tipping the balance with a single vote.

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Veterans’ Care at Risk Under Trump As Hundreds of Doctors and Nurses Reject Working at VA Hospitals
Photo illustration by Lisa Larson-Walker/ProPublica

Veterans’ Care at Risk Under Trump As Hundreds of Doctors and Nurses Reject Working at VA Hospitals

Veterans hospitals are struggling to replace hundreds of doctors and nurses who have left the health care system this year as the Trump administration pursues its pledge to simultaneously slash Department of Veterans Affairs staff and improve care.

Many job applicants are turning down offers, worried that the positions are not stable and uneasy with the overall direction of the agency, according to internal documents examined by ProPublica. The records show nearly 4 in 10 of the roughly 2,000 doctors offered jobs from January through March of this year turned them down. That is quadruple the rate of doctors rejecting offers during the same time period last year.

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