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Phil Galewitz, KFF Health News

Nearly two-thirds of adults oppose President Donald Trump’s “One Big Beautiful Bill” approved in May by the House of Representatives, according to a KFF poll released Tuesday.

And even Trump’s most ardent supporters like the legislation a lot less when they learn how it would cut federal spending on health programs, the poll shows.

The KFF poll found that about 61% of Republicans and Republican-leaning independents — and 72% of the subset who identify with Trump’s “Make American Great Again” movement — support the bill, which would extend many of Trump’s 2017 tax cuts while reducing spending on domestic programs, including cutting billions from Medicaid.

But when pollsters told survey respondents about the bill’s consequences for health care, opposition grew, including among MAGA supporters.

For example, after being told that the bill would decrease funding for local hospitals and increase the number of people without health insurance, support among those who back MAGA dropped more than 20 percentage points — resulting in less than half the group still backing the bill.

Ashley Kirzinger, KFF’s director of survey methodology and associate director of its Public Opinion and Survey Research program, said it’s no surprise polling shows that party affiliation affects how most of the public views the bill.

“But the poll shows that support, even among MAGA supporters, drops drastically once the public hears more about how the bill could impact local hospitals and reduce Medicaid coverage,” she said.

“This shows how the partisan lens wears slightly when the public learns more about how the legislation could affect them and their families.”

KFF is a health policy research, polling, and news organization that includes KFF Health News.

House Speaker Mike Johnson, a Louisiana Republican who won passage of the legislation in the chamber he controls by a single vote on May 22, has insisted the bill would not “cut Medicaid.” The nonpartisan Congressional Budget Office, which calculates the effects of legislation on the nation’s deficits and debt, says the measure would reduce federal spending on Medicaid by $793 billion over 10 years, resulting in nearly 8 million more people becoming uninsured.

The bill is encountering strident opposition from the health industry, most notably hospitals that expect to see large cuts in funding as a result of millions of people losing Medicaid coverage. The House-passed legislation would increase the frequency of eligibility checks and require that most nondisabled adults regularly prove they are working, studying, or volunteering at least 80 hours a month to keep their coverage.

“This is common sense,” Johnson said May 25 on the CBS News program “Face the Nation.” “And when the American people understand what we are doing here, they applaud it.”

Critics say the bill marks the latest attempt by Republicans to roll back the Affordable Care Act.

As the Senate moves toward a possible vote on its version of the legislation before Independence Day, the KFF poll shows Medicaid and the ACA are more popular than ever.

About 83% of adults support Medicaid, including large majorities of Democrats (93%), independents (83%), and Republicans (74%). That’s up from 77% in January, with the poll finding the biggest jump in favorability among Republicans.

Medicaid and the related Children’s Health Insurance Program cover about 78 million people who are disabled or have low incomes.

About two-thirds of adults hold favorable views of the ACA, the most since the law’s enactment in 2010, as recorded in KFF polls. The law has only been consistently popular with a majority of adults since about 2021.

Views of the ACA remain split along partisan lines, with most Republicans (63%) holding unfavorable views and most Democrats (94%) and independents (71%) viewing it favorably.

The poll found other indications that the public may not understand key provisions of the GOP bill, including its work requirements.

The poll finds two-thirds of the public — including the vast majority of Republicans (88%) and MAGA supporters (93%) and half (51%) of Democrats — initially support requiring nearly all adults on Medicaid to prove they are working or looking for work, in school, or doing community service, with exceptions such as for caregivers and people with disabilities.

However, attitudes toward this provision shifted dramatically when respondents were presented with more information.

For example, when told most adults with Medicaid are already working or unable to work, and that those individuals could lose coverage due to the challenge of documenting it, about half of supporters changed their view, resulting in nearly two-thirds of adults opposing Medicaid work requirements and about a third supporting them.

The poll of 1,321 adults was conducted online and by telephone June 4-8 and has a margin of error of plus or minus 3 percentage points.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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The activity of the human brain is known to be closely connected to other physiological signals, such as heart rate and breathing. A study by researchers at the University of California Los Angeles (UCLA) and other institutes reveals that a global spatiotemporal pattern in the brain (i.e. a pattern in brain activity that repeats itself across the brain and over time) is a central component of these brain-body interactions.

The same research team has now set out to further investigate this global signal, in the hope of identifying its underlying physiological and neural origins. Their findings, published in Nature Neuroscience, show that this unified pattern of brain-body activity is in great part driven by the autonomic nervous system, the part of the nervous system regulating arousal and other involuntary bodily functions.

“The inspiration for this project came from our previously published paper in Nature Neuroscience where we described prominent spatiotemporal patterns in brain functional magnetic resonance imaging (fMRI) signals,” Taylor Bolt, first author of the paper, told Medical Xpress.

“Of these patterns there was one that dominates: the pattern known as the ‘global signal.’ It’s easy to see when viewing an fMRI scan: suddenly the brain’s fMRI signal ‘lights up’ with strong activity that seems to cover the entire brain—thus, the reason it’s called the ‘global signal.’”

The primary objective of this recent study by Bolt and his colleagues was to pin-point the underlying physiological and neural sources of the dominant pattern in fMRI signals observed in their earlier work.

To do this, they analyzed human fMRI data collected in previous studies and compiled them into readily available datasets, which are widely used to conduct neuroscience research.

“Most existing datasets are limited—pulse oximeter (PPG) on the finger and respiration belts—while others may collect more comprehensive recordings,” explained Bolt.

“Catie Chang had gathered a comprehensive fMRI dataset with a wealth of physiological recordings that allowed us to track a range of bodily states and tie these back to what’s going on in the brain, particularly the brain’s ‘global signal.’ We also supplemented these analyses with several other fMRI datasets (with associated physiological recordings) to ensure the robustness of our findings.”

The methods employed by the researchers were carefully designed to determine the extent to which the human body’s physiological systems (e.g. heart, lungs, exocrine, etc.) track fluctuations in global fMRI signals. Moreover, if these systems are tightly connected, Bolt and his colleagues wished to determine which of them is responsible for the global fMRI fluctuations they observed.

“We found a robust association between the global fMRI signal and a host of autonomic-driven changes in the body that spanned cardiovascular, pulmonary, exocrine and smooth muscle systems under resting conditions,” said Bolt.

“We also found that these co-fluctuations of brain and body observed at rest are induced by experimental manipulation of arousal, including a cued deep breath and intermittent auditory stimulation. Further, the same brain and body co-fluctuations were observed with spontaneous arousals during sleep (as measured by brief, aperiodic EEG activation).”

Overall, the findings gathered by Bolt and his colleagues suggest that the autonomic nervous system, which plays a central role in the regulation of arousal and wakefulness, is an important source of the global fMRI signal. Similarly, they also indicate that the global signal in the brain is a key component of the autonomic nervous system’s arousal response.

“We would now like to dive into the functional significance of the global fMRI signal in the arousal response—what is it ‘doing’ for us, and what downstream mechanisms (or behaviors) are affected by this phenomena,” added Bolt.

Written for you by our author Ingrid Fadelli, edited by Sadie Harley, and fact-checked and reviewed by Robert Egan—this article is the result of careful human work. We rely on readers like you to keep independent science journalism alive. If this reporting matters to you, please consider a donation (especially monthly). You’ll get an ad-free account as a thank-you.

© 2025 Science X Network

All 50 states as well as the District of Columbia and U.S. territories have approved a $7.4 billion settlement with Purdue Pharma, maker of Oxycontin, over the company’s improper marketing of opioids.

The deal was filed with a federal bankruptcy court by Purdue Pharma officials in March after negotiations with state attorneys general and other stakeholders. If this plan is finalized, payouts will occur over the next 15 years.

In a statement, New York’s Attorney General Letitia James said the plan will “hold the Sackler family accountable” for what she described as their “leading role in fueling the epidemic of opioid addiction and overdoses.”

Under the outlines of the deal, members of the Sackler family who currently own Purdue Pharma are expected to contribute roughly $6.5 billion.

According to the company, a major change from past settlement deals will mean people who wish to sue the Sacklers in civil court for alleged wrong-doing will not be forced to give up those lawsuits.

“Creditors can preserve their right to take legal action against the Sacklers if they do not opt in to the Sackler releases contained in the Plan,” Purdue Pharma said in a statement.

The firm sent a statement to NPR on Monday describing approval of the reorganization plan by states and territories as a “critical milestone” in finalizing a deal to “provide billions of dollars to compensate victims, abate the opioid crisis, and deliver opioid use disorder and overdose rescue medicines that will save American lives.”

The Sacklers have said repeatedly they did nothing wrong and committed no crimes. 

NPR has reached out to members of the Sackler family for comment, but have yet to receive a response. 

In a joint statement sent to NPR, attorneys suing Purdue Pharma and the Sacklers praised the deal.

“After five years of litigation and three years in bankruptcy, we are pleased that all 55 eligible states and territories have unanimously agreed to accept,” said members of the National Prescription Opiate Litigation Plaintiffs’ Executive Committee.

They said the deal would add “more than $7 billion in much-needed funds to help communities across the country” recovering from the opioid crisis.

Not everyone is satisfied with the deal. Ryan Hampton, an addiction recovery advocate who was addicted to Oxycontin and other opioids for more than a decade, said the deal only sets aside roughly $850 million to compensate direct victims of Purdue Pharma.

“I’d still give it an F at this point because it still falls short of anything meaningful that victims will receive,” Hampton said. He estimated that his own direct payout would be roughly $3,500.

“Compared to how long and drawn out this process has been … it is very little money,” Hampton said, adding, “I’m ready to put it behind me and move on with my life.”

This settlement will have to be approved by a federal bankruptcy court. Experts tell NPR, this version of the deal is likely to be accepted by the courts and by the U.S. Justice Department.

The DOJ’s bankruptcy watchdog agency challenged earlier settlement attempts, leading to the U.S. Supreme Court’s decision to overturn a previous bankruptcy deal with Purdue Pharma and Sacklers in July of 2024.

If finalized, this settlement will add to more than $50 billion in opioid pay-outs by corporations that profited from manufacture, distribution and retail of opioid painkillers at a time when overdoses and drug deaths were skyrocketing in the U.S.

Worldwide, physical inactivity accounts for more than 10 million years of healthy life lost, but what we eat accounts for nearly 20 times that. As I discuss in my video Fewer Than 1 in 5,000 Meet Sodium and Potassium Recommended Intakes, unhealthy diets shave hundreds of millions of disability-free years off people’s lives every year. What are the worst aspects of our diets? Four out of the five of the deadliest dietary traps involve not eating enough of certain foods—not eating enough whole grains, fruits, nuts, seeds, and vegetables—but our most fatal flaw is getting too much salt. To put things into perspective, our overconsumption of salt is on the order of 15 times deadlier than diets too high in soda.

Our bodies are meant to have a certain balance of sodium and potassium intake, yet many people, including the majority in the United States, get vastly more sodium and far less potassium than the recommended amounts. Indeed, sodium and potassium goals are currently met by less than 0.015 percent of the U.S. population—close to 99.99 percent noncompliance, with only 1 in 6,000 Americans hitting the recommended guidelines.

 

What’s So Bad About Salt?

Of all the terrible things about our diets, high dietary sodium intake—that is, high salt intake—is the leading risk, estimated to be causing millions of deaths every year mainly through adverse effects on blood pressure and increased risks of stroke, heart attack, and kidney damage. Hypertension, known commonly as high blood pressure, is called the “silent and invisible killer” because it rarely causes symptoms but is one of the most powerful independent predictors of some of our leading causes of death. I discuss this in my video Are Potassium Chloride Salt Substitutes Effective?.

 

How Much Sodium Is Healthy in a Day?

Our bodies evolved to handle only about 750 milligrams of sodium a day. Nevertheless, the American Heart Association calls for us to stay under 1,500 milligrams, twice that amount. However, we’re consuming more than four times what’s natural, and it’s only getting worse, having increased over the last couple of decades. An eye-opening 98.8 percent of Americans exceed even that elevated 1,500 milligrams threshold.

 

Daily Potassium Intake

While many of us are consuming too much sodium, we may also be getting too little potassium, a mineral that lowers blood pressure. Less than 2 percent of U.S. adults, for instance, consume the recommended daily minimum intake of potassium based on chronic disease prevention. So, more than 98 percent of Americans may eat potassium-deficient diets. 

This deficiency is even more striking when comparing our current intake with that of our ancestors, who consumed large amounts of dietary potassium. We evolved probably getting more than 10,000 milligrams of potassium a day. The recommendation was to get about half that amount, yet most of us don’t come anywhere close.

 

Why Are So Many of Us Lacking in Potassium?

We evolved consuming a diet very rich in potassium and low in sodium, but, today, this pattern has been reversed. The flip reflects a shift away from traditional plant-based diets high in potassium and low in sodium towards the standard American diet. I’m talking about a shift away from fruits, greens, roots, and tubers to an eating pattern filled with salty, processed foods stripped of potassium.

 

Why Do We Need Potassium?

Low potassium intake has been implicated in high blood pressure and cardiovascular disease, and several meta-analyses have confirmed that high potassium intake appears to reduce the risk of stroke. It follows that potassium is now considered a “nutrient of public health concern” because most Americans don’t reach the recommended minimum daily intake.

 

What Is the Best Substitute for Salt?

Potassium chloride, which is often found in zero-sodium salt substitutes. We know from randomized controlled trials that sodium reduction leads to blood pressure reduction and increasing potassium intake can also lower blood pressure. So should we be “salting” our food with potassium chloride instead of sodium chloride?

 

What Is Potassium Chloride? Is It a Viable (and Tasty) Salt Substitute?

Potassium chloride is a naturally occurring mineral salt, which is obtained the same way we get regular sodium salt. Since we get too much sodium and not enough potassium, this would seem to make potassium chloride a win-win solution. Consider these examples:

• In a randomized controlled trial, households had just 25 percent of the sodium chloride salt replaced with potassium chloride. At that level, most people either can’t tell the difference or even prefer the salt with the potassium mixed in. The findings? The use of the salt substitute with one-quarter potassium chloride was associated with cutting the risk of developing hypertension in half.
• In another study, five kitchens in a veterans’ retirement home were randomized into two groups for about two and a half years. They either salted their meals with regular salt or, unbeknownst to the cooks and the diners alike, a 50/50 blend of potassium chloride. Those in the half-potassium group cut their risk of dying from cardiovascular disease by about 40 percent and lived up to nearly one year longer. The life expectancy difference at age 70 was equivalent to that which would have naturally occurred in 14 years––meaning that just switching to half potassium salt appeared to effectively make people more than a decade younger when it came to risk of death.

 

Side Effects of Potassium Chloride?

As I discuss in my video Potassium Chloride Salt Substitute Side Effects, potassium chloride is “generally regarded as safe” by the U.S. Food and Drug Administration. Healthy individuals don’t have to worry about getting too much potassium because their kidneys excrete any excess in urine, but that’s with potassium in food. What about supplements? No adverse effects have been shown for long-term intakes of potassium supplements as high as 3,000 milligrams a day, and blood levels of potassium are maintained in the normal range by healthy kidneys, even when potassium intake is increased to approximately 15,000 milligrams a day. This isn’t surprising, given that we evolved eating so many healthy plant foods, so many fruits and vegetables, rich in potassium.

The normal range for potassium levels in the blood is between 3.5 and 5.0. There are a small number of individuals who may run into problems, primarily those with severely impaired kidney function. That’s why there’s been such a reluctance to push potassium‐based salt substitutes on a population level. Serious issues may arise if your kidneys can’t regulate your potassium. There may be concern if you have known kidney disease, diabetes (diabetes can lead to kidney damage), severe heart failure, or adrenal insufficiency, or if you’re an older adult or on medications that impair potassium excretion. If you aren’t sure if you’re at risk, ask your doctor about getting your kidney function tested.

 

Conclusion

National and international health organizations have called for warning labels on salt packets and salt shakers, with messages like “too much sodium in the diet causes high blood pressure and increases risk of stomach cancer, stroke, heart disease, and kidney disease. Limit your use.” So, pass (on) the salt shaker and try some potassium chloride instead.

If you like pickleball, get ready to up the ante with padel. We know what you’re thinking: first, how do you pronounce it? And second, is padel the same as pickleball? For starters, it’s pronounced PAD-el, not to be confused with its homophone paddle, which is a different sport. And no, padel isn’t the same as pickleball — but it’s just as fun.

Padel is the fastest-growing racket sport in the world, while pickleball is “only” the fastest-growing sport in the United States, says Julian Wortelboer, executive VP and chief padel officer of Ultra Club Miami, the largest padel club in the world, and co-host of the Padel Smash Academy podcast with Cesar Caceres. Wortelboer’s Ultra Club Miami has 28 courts, and Wortelboer says the club is at capacity for its full operating hours – 7 a.m. to 11 p.m.– more days than not. Padel will be an invitational sport in the Paris Olympics, and a full Olympic sport for the 2028 Olympics held in Los Angeles.

In other words, padel is a big deal, and it’s only getting bigger. Want to get in on the fun? In addition to Wortelboer, PS tapped padel pros Scott Colebourne, former board member of the United States Padel Association and Victor Perez, one of the top ten padel coaches worldwide, for a padel primer, including how to play padel, tips for beginners, and a break down of padel vs. pickleball.

Experts Featured in This Article:

Julien Wortelboer, is the executive VP and chief padel officer of Ultra Club Miami.

Scott Colebourne, is a former board member for the United States Padel Association.

Victor Perez is one of the top ten padel coaches worldwide.

What Is Padel, Exactly?

“Padel is a form of tennis that is easy to play, fun and extremely sociable,” says Perez. Colebourne describes padel as a blend of tennis and squash that involve lots of strategic, fast-paced play. “Padel is typically played in doubles on an enclosed court that’s roughly 25 percent smaller than a tennis court,” he says, and balls can be played off the court’s walls in a similar way to squash.

Where Did Padel Begin?

Padel has a fascinating origin story. The sport began in Mexico in 1969, says Colebourne, when Enrique Corcuera set up the first court in the backyard of his summer house. According to Wortelboer, Corcuera had limited backyard space, so he created a smaller-sized tennis court, enclosed on either side by the walls of his neighbor’s houses, and started playing a version of tennis that allowed playing the ball off the walls.

When he shared the game with two of his high-society friends from Spain and Argentina, they loved it, and quickly brought it home to their respective countries, says Wortelboer. The sport exploded in Argentina and Spain in the early 1980s, and spread to global popularity from there. According to Wortelboer, major growth happened in 2018 and 2019, and now there are 30 million padel players worldwide. Spain is currently hosting the Seniors World Padel Championships, with over 35 countries participating.

How to Play Padel

Padel is played on a court with enclosed walls 20 meters (about 66 feet) long and 10 meters (about 33 feet) wide, which is larger than a squash court, but smaller than a tennis court. The court is completely enclosed by walls, typically made of concrete, glass, or wire mesh, and a net similar to a tennis net divides the court in half, says Perez. Court surfaces vary, but common materials include artificial grass, carpet, or concrete.

Padel is always played in doubles, and uses the same scoring system as tennis, says Wortelboer. Games are typically played to six points and need to be won by two points, says Perez. Like tennis, players serve into the opposite box, with the ball required to bounce once on the floor and a key rule is that the serve must be underhand, says Colebourne. The ball can only bounce on the ground once, says Perez, but it can bounce on the walls more than once. Once the ball is in play, you can play it off the ground or wall.

What Gear Do You Need to Play Padel?

Like tennis, you’ll need the basics: balls and rackets. Padel balls are slightly smaller than tennis balls, and less pressurized, which results in a slower bounce, says Perez. Padel rackets are like tennis rackets but smaller, with a perforated face instead of strings, and a shorter handle for better two-handled play.

Perez also recommends padel shoes, which offer the best traction on the specific court surface, but says that tennis shoes can work in a pinch. And of course, comfortable athletic clothing that you can break a sweat in.

Benefits of Padel

According to Wortelboer, padel can give you more exercise per minute than other racket sports. “When you play 60 minutes of tennis with two intermediate players, you’re only actually exercising and hitting the ball for about 15-17 minutes, because the rallies are so short,” he says. “In contrast, playing the same amount of padel with the same level of players gives you 43 to 48 minutes of that concentrated exercise.” Padel gives you more exercise in the same amount of time, in part because you’re enclosed in a box, so you aren’t wasting your workout time picking up the ball. Depending on the intensity, says Perez, playing an hour of padel can burn up to 700 calories.

According to Colebourne, padel is also easier to learn than tennis, and offers a great cardiovascular workout, improving agility, reflexes, and muscle tone. One study demonstrated that it can improve fitness and body composition in middle-aged women, and a systematic review has shown its benefits for improving physical fitness and overall health. And since padel is played in doubles, Perez adds that it’s also a great way to socialize with friends and meet new people.

Is Padel the Same as Pickleball?

From a structural standpoint, pickleball uses a perforated plastic ball, similar to a wiffle ball, and composite or wooden paddles without strings, says Colebourne. It’s played on a badminton-size court, with a net that’s slightly lower than a tennis net, and the court is not enclosed by walls that you can play off of. In contrast, padel uses a solid racket, rubber ball, and playing the ball off the walls is a key part of the game, he says. Pickleball can also be played as a singles game, adds Perez, whereas padel must be played with a partner.

In addition to the rules, there are differences in gameplay, too. “Padel requires a lot of focus on the force used and knowing how to control the bounce of the ball off the walls to keep the game dynamic,” says Perez.

Wortelboer puts it succinctly (despite the warning that he might piss off diehard pickleball fans!): “Pickleball is a game; padel is a sport.” For pickleball, you have between six and eight easy shots you need to learn, he says. “In padel there are 39 different shots to master, so it’s a little more complex.”

Wortelboer adds that as padel is traditionally played on texturized fake grass, like turf, it can also be lower-impact and safer on your joints.

Padel Tips for Beginners

“Just get onto the court, start hitting a few balls, and you will fall in love with it,” says Wortelboer. In terms of strategy, Colebourne recommends focusing on control, rather than raw power; learning to play the ball off the wall effectively; working on your footwork; and playing with different partners to improve your all-around game.

Perez echoes the above, and also highly recommends practicing volleys as well as communication with your partner. Most importantly, he says, padel is a social sport, so remember to have fun!

Kaley Rohlinger is a freelance writer for POPSUGAR who focuses on health, fitness, food, and lifestyle content. She has a background in the marketing and communications industry and has written for POPSUGAR for over four years.