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Up First from NPR

Trump's Defense Pick, United Healthcare CEO Killed, Mass Deportations And Jobs

Thu, 05 Dec 2024

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President-elect Donald Trump's embattled nominee for secretary of defense, Pete Hegseth, faces a tough path to confirmation in the Senate. New York City police are searching for the person who killed the head of America's largest health insurer. And, the conclusions of an economist who studied the impact of mass deportations on the job market.Want more comprehensive analysis of the most important news of the day, plus a little fun? Subscribe to the Up First newsletter.Today's episode of Up First was edited by Roberta Rampton, Russell Lewis, Alfredo Carbajal, Lisa Thomson and HJ Mai. It was produced by Ziad Buchh, Nia Dumas and Kaity Kline. We get engineering support from Neisha Heinis. And our technical director is Carleigh Strange. Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Audio
Transcription

Chapter 1: What challenges does Trump's Defense Pick face?

2.455 - 6.999 Roberta Rampton

The embattled nominee for Secretary of Defense quotes President-elect Trump as offering support.

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7.279 - 10.181 Pete Hegseth

It's a fight. They're coming after you. Get after it.

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10.601 - 14.464 Michelle Martin

So how is Pete Hexeth answering claims about his conduct over the years?

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14.644 - 30.968 Roberta Rampton

I'm Michelle Martin, that's Steve Inskeep, and this is Up First from NPR News. New York City police are searching for the person who killed the head of America's largest health insurer. This was a premeditated, preplanned, targeted attack.

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31.308 - 37.715 Michelle Martin

What do we know so far about the shooting? Also, we look at some of the side effects of mass deportations.

38.14 - 47.424 Jasmine Garst

When there is an increase in deportations in a county, that does not lead to more job opportunities or higher wages for U.S.-born workers.

47.804 - 50.645 Michelle Martin

Stay with us. We've got the news you need to start your day.

60.028 - 78.973 Maria Aspin

Shortwave thinks of science as an invisible force showing up in your everyday life. Powering the food you eat, the medicine you use, the tech in your pocket. Science is approachable because it's already part of your life. Come explore these connections on the Shortwave podcast from NPR.

81.038 - 103.92 John Ruich

Look, we get it. When it comes to new music, there is a lot of it, and it all comes really fast. But on All Songs Considered, NPR's music recommendation podcast, we'll handpick what we think is the greatest music happening right now and give you your next great listen. So kick back, settle in, get those eardrums wide open, and get your dose of new music from All Songs Considered, only from NPR.

Chapter 2: What happened to United Healthcare's CEO?

431.337 - 442.02 Michelle Martin

Thanks for the detail about the silencer. I looked at that weapon on the video and thought, wow, that's a long barrel and wondered if that's what that was. So thank you for that. Now, as far as the victim, who was Thompson?

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442.938 - 464.932 Steve Inskeep

So he was 50 years old. He lived outside Minneapolis with his wife and two kids, and he was a longtime executive at United Health Group. He joined that company two decades ago and worked his way up as the company grew bigger and more powerful. Three years ago, Thompson took over the unit called United Health Care, which is the largest health insurer in the United States.

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Chapter 3: How do mass deportations affect the job market?

465.533 - 483.265 Steve Inskeep

It has tens of millions of customers, and it made almost $300 billion in revenue last year. But it's important to point out that as big as this insurance business is, it's just part of the larger UnitedHealth parent company, which isn't a household name necessarily, but it's one of the largest companies in the United States.

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483.425 - 494.414 Michelle Martin

Yeah. And of course, we're asking these questions because we don't know who the gunman was. We don't know what the motive was. But of course, you look into the affairs of this person who was shot. So what else does UnitedHealth own? Yeah.

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495.194 - 518.798 Steve Inskeep

It touches pretty much every part of the U.S. healthcare experience, Steve. Another big business it owns is Optum, which manages pharmacy benefits, or you might remember the Change Healthcare hack earlier this year. That's also owned by UnitedHealth. United is also the largest employer of doctors in the entire country. It said last year that it employs or is affiliated with 90,000 physicians.

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518.938 - 540.336 Steve Inskeep

That's one out of every 10 doctors in the country. So with this size and scale, UnitedHealth has drawn a lot of criticism and scrutiny from consumers and regulators and lawmakers, sometimes over how it wields its power. Just last month, we saw the Justice Department file an antitrust lawsuit trying to block UnitedHealth from buying yet another business for $3 billion.

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540.416 - 547.303 Michelle Martin

Health insurance companies make a lot of people angry. They reject claims. They do a lot of things that enrage people. Don't they get a lot of threats?

548.126 - 566.21 Steve Inskeep

Yes, health care executives receive a ton of threats. And part of that, Steve, as you said, is the general anger and frustration so many feel over health care in the United States. The country has the most expensive health care in the developed world and some of the worst health outcomes. And since UnitedHealth is the biggest health care company, it's a key part of that system.

566.47 - 569.05 Steve Inskeep

So it gets blamed by a lot of people when the system doesn't work.

569.93 - 586.867 Michelle Martin

NPR's Maria Aspin in New York City, thanks so much. Thank you. Okay, if President-elect Trump succeeds in deporting millions of people from the United States, his administration will not be the first.

587.167 - 600.145 Roberta Rampton

Yes, in fact, the U.S. has deported millions of people in the past. And that gives us a chance to answer a question. When you deport a lot of workers who are not citizens, does that improve the job market for people who are and other people in the U.S. legally?

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