WASHINGTON (AP) — President Donald Trump has had one refrain in recent days when asked about the looming government shutdown.
Will there be a shutdown? Yes, Trump says, “because the Democrats are crazed.” Why is the White House pursuing mass firings, not just furloughs, of federal workers? Trump responds, “Well, this is all caused by the Democrats.”
Is he concerned about the impact of a shutdown? “The radical left Democrats want to shut it down,” he retorts.
“If it has to shut down, it’ll have to shut down,” Trump said Friday. “But they’re the ones that are shutting down government.”
In his public rhetoric, the Republican president has been singularly focused on laying pressure on Democrats in hopes they will yield before Wednesday, when the shutdown could begin, or shoulder the political blame if they don’t. That has aligned Trump with House Speaker Mike Johnson, R-La., and Senate Majority Leader John Thune, R-S.D., who have refused to accede to Democrats' calls to include health care provisions on a bill that will keep the government operating for seven more weeks.
Those dynamics could change Monday, when the president has agreed to host Senate Minority Leader Chuck Schumer, D-N.Y., House Minority Leader Hakeem Jeffries, D-N.Y., Johnson and Thune. Democrats believe the high-stakes meeting means the GOP is feeling pressure to compromise with them.
Still, Republicans say they are confident Democrats would be faulted if the closure comes. For Trump, the impact would go far beyond politics. His administration is sketching plans to implement mass layoffs of federal workers rather than simply furloughing them, furthering their goal of building a far smaller government that lines up with Trump's vision and policy priorities.
The GOP's stance — a short-term extension of funding, with no strings attached — is unusual for a political party that has often tried to extract policy demands using the threat of a government shutdown as leverage.
In 2013, Republicans refused to keep the government running unless the Affordable Care Act was defunded, a stand that led to a 16-day shutdown for which the GOP was widely blamed. During his first term, Trump insisted on adding funding for a border wall that Congress would not approve, prompting a shutdown that the president, in an extraordinary Oval Office meeting that played out before cameras, said he would “take the mantle” for.
"I will be the one to shut it down,” Trump declared at the time.
This time, it's the Democrats making the policy demands.
They want an extension of subsidies that help low- and middle-income earners who buy insurance coverage through the Obama-era health care law. They also want to reverse cuts to Medicaid enacted in the GOP's tax and border spending bill this year. Republican leaders say what Democrats are pushing for is too costly and too complicated to negotiate with the threat of a government shutdown hanging over lawmakers.
Watching all this is Trump. He has not ruled out a potential deal on continuing the expiring subsidies, which some Republicans also want to extend.
“My assumption is, he’s going to be willing to sit down and talk about at least one of these issues that they’re interested in and pursuing a solution for after the government stays open,” Thune said in an Associated Press interview last week. “Frankly, I just don’t know what you negotiate at this point.”
At this point, Trump has shown no public indication he plans to compromise with Democrats on a shutdown, even as he acknowledges he needs help from at least a handful of them to keep the government open and is willing to meet with them at the White House.
Last week, Trump appeared to agree to sit down with Schumer and Jeffries and a meeting went on the books for Thursday. Once word got out about that, Johnson and Thune intervened, privately making the case to Trump that it was not the time during the funding fight to negotiate with Democrats over health care, according to a person familiar with the conversation who was not authorized to discuss it publicly and spoke on condition of anonymity.
Not long after hearing from the GOP leaders, Trump took to social media and said he would no longer meet with the two Democrats “after reviewing the details of the unserious and ridiculous demands being made by the Minority Radical Left Democrats.” Republicans privately acknowledge Trump's decision to agree to a meeting was a misstep because it gave Democrats fodder to paint Trump as the one refusing to negotiate.
“Trump is literally boycotting meeting with Democrats to find a solution,” Sen. Chris Murphy, D-Conn., wrote on the social media site X before Trump reversed course again and agreed to meet with the leadership. “There is no one to blame but him. He wants a shut down.”
It was not immediately clear what led Trump over the weekend to take a meeting he had once refused. Schumer spoke privately with Thune on Friday, pushing the majority leader to get a meeting with the president scheduled because of the approaching funding deadline, according to a Schumer aide. A Thune spokesman said in response that Schumer was “clearly getting nervous.”
Another reason why Democrats suspect Trump would be fine with a shutdown is how his budget office would approach a closure should one happen.
The administration's strategy was laid out in an Office of Management and Budget memo last week that said agencies should consider a reduction in force for federal programs whose funding would lapse, are not otherwise funded and are “not consistent" with the president’s priorities. A reduction in force would not only lay off employees but also eliminate their positions, triggering yet another massive upheaval in the federal workforce.
Jeffries argued that Trump and his top aides were using the “smoke screen of a government shutdown caused by them to do more damage."
AP Congressional Correspondent Lisa Mascaro and Associated Press writer Mary Clare Jalonick contributed to this report.
Senate Majority Leader John Thune, R-S.D., speaks during a news conference on Capitol Hill in Washington, Friday, Sept. 19, 2025. (AP Photo/Jose Luis Magana)
The Capitol and Washington Monument on the National Makk are seen in the distance in Washington, Tuesday, Sept. 23, 2025. (AP Photo/J. Scott Applewhite)
President Donald Trump attends the Ryder Cup golf tournament at Bethpage Black Golf Course in Farmingdale, N.Y., Friday, Sept. 26, 2025. (Mandel Ngan/Pool Photo via AP)
NUSEIRAT, Gaza Strip (AP) — Sitting in her wheelchair, Haneen al-Mabhouh dreams of rebuilding her family, of cradling a new baby. She dreams of walking again. But with her leg gone, her life in Gaza is on hold, she says, as she waits to go abroad for further treatment.
An Israeli airstrike in July 2024 smashed her home in central Gaza as she and her family slept. All four of her daughters were killed, including her 5-month-old baby. Her husband was severely burned. Al-Mabhouh’s legs were crushed under the rubble, and doctors had to amputate her right leg above the knee.
“For the past year and a half, I have been unable to move around, to live like others. For the past year and a half, I have been without children,” she said, speaking at her parents’ home.
The 2-month-old ceasefire in Gaza has been slow to bring help for thousands of Palestinians who suffered amputations from Israeli bombardment over the past two years. The World Health Organization estimates there are some 5,000 to 6,000 amputees from the war, 25% of them children.
Those who lost limbs are struggling to adapt, faced with a shortage of prosthetic limbs and long delays in medical evacuations out of Gaza.
The WHO said a shipment of essential prosthetic supplies recently made it into Gaza. That appears to be the first significant shipment for the past two years.
Previously, Israel had let in almost no ready-made prosthetic limbs or material to manufacture limbs since the war began, according to Loay Abu Saif, the head of the disability program at Medical Aid for Palestinians, or MAP, and Nevin Al Ghussein, acting director of the Artificial Limbs and Polio Center in Gaza City.
The Israeli military body in charge of coordinating aid, known as COGAT, did not respond when asked how many prosthetic supplies had entered during the war or about its policies on such supplies.
Al-Mabhouh was asleep with her baby girl in her arms when the strike hit their home in Nuseirat, she said. For several weeks while recovering in the hospital, al-Mabhouh had no idea her children had been killed.
She underwent multiple surgeries. Her hand still has difficulty moving. Her remaining leg remains shattered, held together with rods. She needs a bone graft and other treatments that are only available outside of Gaza.
She was put on the list for medical evacuation 10 months ago but still hasn’t gotten permission to leave Gaza.
Waiting for her chance to go, she lives at her parents’ house. She needs help changing clothes and can’t even hold a pen, and remains crushed by grief over her daughters. “I never got to hear her say ‘mama,’ see her first tooth or watch her take her first steps,” she said of her baby.
She dreams of having a new child but can’t until she gets treatment.
“It’s my right to live, to have another child, to regain what I lost, to walk, just to walk again,” she said. “Now my future is paralyzed. They destroyed my dreams.”
The ceasefire has hardly brought any increase in medical evacuations for the 16,500 Palestinians the U.N. says are waiting to get vital treatment abroad — not just amputees, but patients suffering many kinds of chronic conditions or wounds.
As of Dec. 1, 235 patients have been evacuated since the ceasefire began in October, just under five a day. In the months before that, the average was about three a day.
Israel last week said it was ready to allow patients and other Palestinians to leave Gaza via the Israeli-held Rafah crossing between Gaza and Egypt. But it's unsure that will happen because Egypt, which controls the crossing’s other side, demands Rafah also be opened for Palestinians to enter Gaza as called for under the ceasefire deal.
Dr. Richard Peeperkorn, the WHO's representative in the occupied Palestinian territory, told The Associated Press that the backlog is caused by the lack of countries to host the evacuated patients. He said new medevac routes need to be opened, especially to the Israeli-occupied West Bank and east Jerusalem, where hospitals are ready to receive patients.
Yassin Marouf lies in a tent in central Gaza, his left foot amputated, his right leg barely held together with rods.
The 23-year-old and his brother were hit by Israeli shelling in May as they returned from visiting their home in northern Gaza that their family had been forced to flee. His brother was killed. Marouf lay bleeding on the ground, as a stray dog attacked his mangled left leg.
Doctors say his right leg will also need to be amputated, unless he can travel abroad for operations that might save it. Marouf said he can’t afford painkillers and can’t go to the hospital regularly to have his bandages changed as they’re supposed to.
“If I want to go to the bathroom, I need two or three people to carry me,” he said.
Mohamed al-Naggar had been pursuing an IT degree at the University of Palestine before the war.
Seven months ago, shrapnel pierced his left leg during strikes on the house where his family was sheltering. Doctors amputated his leg above the knee. His right leg was also badly injured and shrapnel remains in parts of his body.
Despite four surgeries and physical therapy, the 21-year-old al-Naggar can’t move around.
“I’d like to travel abroad and put on a prosthetic and graduate from college and be normal like young people outside Gaza,” he said.
Some 42,000 Palestinians have suffered life-changing injuries in the war, including amputations, brain trauma, spinal cord injuries and major burns, the WHO said in an October report.
The situation has “improved slightly” for those with assistance needs but “there is still a huge overall shortage of assistive products,” such as wheelchairs, walkers and crutches. Gaza has only eight prosthetists able to manufacture and fit artificial limbs, the WHO said in a statement to the AP.
The Artificial Limbs and Polio Center in Gaza City, one of two prosthetics centers still operating in the territory, received a shipment of material to manufacture limbs just before the war began in 2023, said its director, Al Ghussein. Another small shipment entered in December 2024, but nothing since.
The center has been able to provide artificial limbs for 250 cases over the course of the war, but supplies are running out, Al Ghussein said.
No pre-made prosthetic legs or arms have entered, according to Abu Saif of MAP, who said Israel does not ban them, but its procedures cause delays and “in the end they ignore it.”
Ibrahim Khalif wants a prosthetic right leg so he can get a job doing manual labor or cleaning houses to support his pregnant wife and children.
In January, he lost his leg when an Israeli airstrike hit Gaza City while he was out getting food.
“I used to be the provider for my kids, but now I’m sitting here," Khalif said. "I think of how I was and what I’ve become.”
Prosthetic limb technician Ahmed Al-Ashqar, 34, prepares a leg amputation splint in the first stage of building an artificial leg at Hamad Hospital in Zawaida, central Gaza Strip, Thursday, Nov. 27, 2025. (AP Photo/Abdel Kareem Hana)
Yassin Marouf, 23, second from right, who lost his left foot and suffered a severe injury to his right leg after Israeli shelling in May, sits on a mattress in a tent surrounded by family and neighbors in Zawaida, central Gaza, Thursday, Nov. 6, 2025. (AP Photo/Abdel Kareem Hana)
Haneen al-Mabhouh, 34, who lost her leg in an Israeli strike on her home that also killed all four of her daughters, including her 5-month-old baby, shows a photo of one of her daughters on a cellphone while sitting in a wheelchair in her family home in Nuseirat, central Gaza Strip, Thursday, Nov. 6, 2025. (AP Photo/Abdel Kareem Hana)
Haneen al-Mabhouh, 34, who lost her leg in an Israeli strike on her home that also killed all four of her daughters, including her 5-month-old baby, sits in a wheelchair in her family home in Nuseirat, central Gaza Strip, Thursday, Nov. 6, 2025. (AP Photo/Abdel Kareem Hana)
Yassin Marouf, 23, who lost his left foot and suffered a severe injury to his right leg after being hit by Israeli shelling in May, lies in a tent surrounded by his family in Zawaida, central Gaza, Thursday, Nov. 6, 2025. (AP Photo/Abdel Kareem Hana)
