Despite passing a debt ceiling bill nearly a month ago, House Speaker Kevin McCarthy (R-CA) is still stuck negotiating with Joe Biden on a deal to raise the debt ceiling that the president is willing to sign into law. A central contention of the White House is that McCarthy’s deal — which tacks on $14 trillion onto the national debt in the next year, as opposed to a “clean” debt ceiling increase, which would add $19 trillion — contains unacceptable work requirements for recipients of Medicaid.