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The hosts of NPR's All Things Considered help you make sense of a major news story and what it means for you, in 15 minutes. New episodes six days a week, Sunday through Friday.

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When John Fetterman won Pennsylvania's senate seat in 2022, Democrats across the country treated him as a hero and an example of a path forward for the party in the populist Trump era. 

Three years later, he often finds himself at odds with his party – most recently, on the government shutdown, Israel, and working class voters.

He delves deeper into his political views and experiences in a new memoir out this week, titled Unfettered. In the book, he’s also deeply honest about his struggles with mental health.

“Honestly, I know millions of Americans suffer,” Fetterman told NPR. “And to really understand what [...] true deep depression is like [...] that's part of the conversation in the book.”

This episode was produced by Tyler Bartlam with audio engineering from Andie Huether. It was edited by Ashley Brown and Nadia Lancy. Our executive producer is Sami Yenigun.

You can also watch the full conversation between NPR’s Scott Detrow and Fetterman here.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. 

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Why Fetterman still thinks his party is wrong on Israel, shutdown & the working class

The FDA is removing the black box warning on estrogen therapy after two decades. Should it?

Women who want to use estrogen to treat menopause symptoms often face a difficult choice.

That’s because those hormone treatments contain a “black-box warning.”

The Food and Drug Administration uses black box warnings to indicate a medication has potentially life threatening side effects.

In the case of estrogen for menopause symptoms, an increased risk of endometrial cancer, cardiovascular disorders, dementia and breast cancer.

Well those warnings are going away. 

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Mia Venkat and Erika Ryan. It was edited by Courtney Dorning and Scott Hensley.

Our executive producer is Sami Yenigun.

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FDA reverses decades of guidance on hormone therapy for menopause

‘Affordability’ was the word that resonated across America during elections last week, reflecting voters’ demand for elected officials to address the rising cost of living. But the wealth gap in America and globally is increasing. Nobel-prize winning economist Professor Joseph Stiglitz talks about the repercussions for democracies worldwide.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Jordan-Marie Smith, with engineering by Peter Ellena.

It was edited by Ahmad Damen. 

Our executive producer is Sami Yenigun.

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'Affordability,' and the repercussions of the increasing global wealth gap

Tuesday’s election was the first time voters registered how they’re feeling since President Trump entered the White House.

And after Democratic candidates won marquee races in Virginia, New Jersey and New York City, the answer was clear: they are not happy with the party in power.

So what are the two major political parties taking away from this week?

NPR correspondents Domenico Montanaro and Tamara Keith break it down.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Michael Levitt, Casey Morell, Connor Donevan and Karen Zamora, with audio engineering by Peter Ellena. It was edited by Kelsey Snell and Patrick Jarenwattananon. Our executive producer is Sami Yenigun.

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What this week’s elections could mean for the midterms

Nancy Pelosi is arguably the most powerful woman in American history. After her election to Congress in 1987, she accumulated more and more power, eventually rising to become Speaker of the House in 2007, the first and only woman to hold that office. 

Now in her 20th term, Pelosi announced Thursday morning that she will not seek reelection. 

Susan Page is Washington Bureau chief for USA Today and author of Madam Speaker: Nancy Pelosi and the Lessons of Power. She joined Consider This host Juana Summers to talk about Pelosi's achievements -- and her legacy.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. 

Email us at considerthis@npr.org.

This episode was produced by Michael Levitt, with audio engineering by Jimmy Keeley. It was edited by Christopher Intagliata, Courtney Dorning and Nadia Lancy. Our executive producer is Sami Yenigun.

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Nancy Pelosi announces end to nearly four decades in Congress

Next year, the Supreme Court will decide whether the President can use a five decade old emergency powers act to shape the U.S. economy.

Trump invoked the International Emergency Economic Powers Act, or AYEEPA, last spring when he imposed sweeping tariffs of at least 10 percent across all countries.

Wednesday, the nine justices heard oral arguments in the case. And however they decide it — the ruling could affect economic policy and presidential power for years to come.

California Attorney General Rob Bonta, a democrat, was at the Court and joined Consider This host Juana Summers to talk about the suit and the steps his state is taking to rein in the Trump administration.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Brianna Scott and Erika Ryan with engineering by David Greenburg.

It was edited by Courtney Dorning. 

Our executive producer is Sami Yenigun.

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Tariffs aren't a presidential power, says California Attorney General

On Wednesday, the Supreme Court will hear arguments in a major case about the administration’s use of tariffs. 

President Trump has long touted the power of tariffs as a tool for trade negotiations and even for ending conflict. 

But now the justices will hear about how that tool may be misused. 

NPR's Scott Horsley and Danielle Kurtzleben discuss President Trump's tariff policy and its economic impact.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.
This episode was produced by Connor Donevan and Karen Zamora. It was edited by Courtney Dorning, Rafael Nam and Dana Farrington. Our executive producer is Sami Yenigun.

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Tariffs are going to the Supreme Court. What's at stake?

Every year the President of the United States determines how many refugees can enter this country. The law says he must consult Congress on this number. 

But last week President Trump announced just 7,500 refugees would be admitted in the coming fiscal year – a 94% cut from the 125,000 cap set by President Joe Biden.

Sharif Aly leads the International Refugee Assistance Project - an organization that helps refugees and other immigrants navigate the legal process of resettlement. The International Refugee Assistance Project is also challenging Trump’s suspension of the U.S. Refugee Admissions Program. 

Aly joined Consider This host Juana Summers to discuss how this historic drop means for the US refugee resettlement system.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Jonaki Mehta, Connor Donevan and Karen Zamora, with audio engineering by Becky Brown and Simon-Laslo Janssen. It was edited by Courtney Dorning. Our executive producer is Sami Yenigun.

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Trump is slashing the number of refugees. What does that mean?

The legal definition of the term 'unlawful combatants' was used to justify detaining people at Guantanamo indefinitely, without ever charging them with a crime. Now, the president is using it to describe the alleged drug smugglers that the military is targeting with boat strikes.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Avery Keatley and Gabriel Sanchez. It was edited by Ahmad Damen. Our executive producer is Sami Yenigun.

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Trump calls alleged smugglers 'unlawful combatants'. That term has a history.

Voters head to the polls next week in California, Virginia and New Jersey among other states. 

Senior national political correspondent Mara Liasson and senior political editor and correspondent Domenico Montanaro explain what they are watching in these elections — and what voters’ choices might say about the political moment.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.

This episode was produced by Kai McNamee and Connor Donevan.

It was edited by Kelsey Snell, Ben Swasey, Jeanette Woods and Courtney Dorning.

Our executive producer is Sami Yenigun.

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Could next week's elections predict the political future?

The massive budget bill that Senate Republicans are debating pays for some of its tax cuts by slashing hundreds of billions of dollars in Medicaid spending. The latest report from the non-partisan Congressional Budget Office estimates nearly 12 million people will lose health insurance if the Senate version of the bill becomes law. 

Trump insists the cuts come from eliminating waste, fraud and abuse. Democrats have said they break Trump's promise not to touch Medicaid — and over the weekend, Republican Senator Thom Tillis of North Carolina agreed. "What do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid because the funding's not there anymore?" 

We asked Sarah Jane Tribble, the chief rural correspondent for KFF Health News, what the cuts will mean for rural residents of states like North Carolina — and the hospitals that serve them.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. 

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Why a GOP senator says the budget bill breaks Trump's promise

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