A vote to swiftly end the government shutdown failed Wednesday, as Democrats in the Senate held firm to the party’s demands to fund health care subsidies that President Donald Trump and Republicans refuse to provide. Democrats are demanding funding for health care subsidies that are expiring for millions of people under the Affordable Care Act, causing the insurance premiums to spike nationwide. What’s staying open and shutting downThe Medicare and Medicaid health care programs are expected to continue, though staffing shortages could mean delays for some services. The standoff is a political test for Schumer, who has drawn scorn from a restive base of left-flank voters pushing the party to hold firm in its demands for health care funding. Trump, during his meeting with the congressional leaders, expressed surprise at the scope of the rising costs of health care, but Democrats left with no path toward talks.