Tradeoffs
Tradeoffs is an award-winning nonprofit news organization on a mission to help America have smarter, more honest health policy conversations.Tradeoffs explores the toughest choices in health care, diving into issues like the cost of care, health equity, insurance, mental health and artificial intelligence. We connect policy to practice, uncovering the data and personal stories that help audiences understand the stakes — and the potential solutions.Learn more about us, find transcripts for each episode and additional reporting at https://tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E317 · Thu, April 10, 2025
How RFK Jr. is Upending Public Health
Two months on the job, Health and Human Services Secretary Robert F. Kennedy Jr. has plowed forward with mass firings, funding cuts and new policies. The most immediate effect is across state and local health agencies, where officials say they see new cracks in safeguards against diseases. Guests: Dr. Phil Huang , director, Dallas County Health and Human Services Ryan Jury, acting senior deputy, North Carolina Department of Health and Human Services Division of Public Health Chrissie Juliano, executive director, Big Cities Health Coalition Emily Broad Leib, faculty director, Harvard Law School Food Law and Policy Clinic Dr. Tom Frieden , president and CEO, Resolve to Save Lives; former director of the Centers for Disease Control and Prevention Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E316 · Thu, April 03, 2025
Making Sense of Sweeping Changes at HHS
Veteran health care reporter Julie Rovner breaks down the massive cuts and reorganization at HHS and answers listeners’ questions about what to expect next. Guest: Julie Rovner , Chief Washington Correspondent, KFF Health News Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E315 · Thu, March 27, 2025
This Budget Cut Would Save Medicare Patients Money. But Can Rural Hospitals Afford It?
Medicare often pays clinics owned by hospitals double the amount it pays independent clinics for the exact same medical care. Ending that practice could save the federal government up to $150 billion over 10 years, but critics say it could push rural hospitals over the brink. Guests: Tim Rye, chief strategic development officer, Peterson Health Carrie Cochran-McClain , chief policy officer, National Rural Health Association Loren Adler, fellow and associate director at the Center on Health Policy, Brookings Institution Dean Clancy , senior health policy fellow, Americans for Prosperity Ali Moghtaderi, assistant professor of health policy and management, Milken Institute School of Public Health at the George Washington University. Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E314 · Thu, March 20, 2025
Medicare and Medicaid Under Dr. Oz: What to Expect
A closer look at the surgeon-turned-TV-star President Trump wants in charge of Medicare, Medicaid and Obamacare. Guests: Tara Bannow , Reporter, STAT News Tom Scully , CMS Administrator (2001-2004) Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E313 · Thu, March 13, 2025
The Cost of Cutting NIH Research: Voices from the Frontlines
A candid conversation between a professor and a Ph.D. candidate about potential NIH funding cuts and their impact on the future of medical research. Guests: Yvonne Commodore-Mensah , Associate Professor, Associate Dean of Research, Johns Hopkins School of Nursing Laura Mata López , PhD Candidate, Johns Hopkins School of Nursing Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E312 · Thu, March 06, 2025
One Doctor’s Quest to Improve Health Care for People with Disabilities
As adults with intellectual and developmental disabilities strive to live more freely and fully than ever before, many of America’s doctors, hospitals and insurers are getting in the way. We get an inside look at one doctor’s quest to improve health care for people with conditions like Down Syndrome, cerebral palsy and autism. Guests: Alison Barkoff , JD, Administration for Community Living, HHS Kevin Carlson Clarissa Kripke , MD, Clinical Professor of Family and Community Medicine and Director of the Office of Developmental Primary Care ; University of California, San Francisco Marjorie Ongpauco, BSN, RN, Nursing Consultant Harold Pollack , PhD, Professor of Social Work, Policy and Practice; University of Chicago Donna Valencia, BSN, RN, MSN, Administrator, Group Home Administrator Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E311 · Thu, February 27, 2025
Lots of Hospitals Are Using AI. Few Are Testing For Bias
New research sheds light on how many hospitals are using artificial intelligence, what they’re using AI for, and what it means for patients and policymakers. Guest: Paige Nong , PhD, Assistant Professor, University of Minnesota School of Public Health Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E310 · Thu, February 20, 2025
Getting Health Care to Undocumented Immigrants in Trump's America
Worrying about deportation can literally make people sick. Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies. Guests: Maria Steph Willding , CEO, CommunityHealth Emily Hendel , Director of Clinical Services, CommunityHealth Samantha Artiga , Vice President and Director for Racial Equity Health Policy Program, KFF Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E309 · Thu, February 13, 2025
As Trump Targets USAID, What’s at Stake for U.S. and Global Health?
The Trump administration’s swift and sweeping efforts to dismantle the U.S. Agency for International Development is creating chaos across global public health efforts. One doctor working to halt an Ebola outbreak in Uganda reflects on consequences, now and long-term, of America’s abrupt change in policy. Guest: Dr. James Lawler, Director of International Programs and Innovation, Global Center for Health Security at the University of Nebraska Medical Center Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E308 · Thu, February 06, 2025
RFK Jr. Wants to Change What Americans Eat. He's Not The First
The fight to improve Americans’ nutrition could get new momentum from Robert F. Kennedy Jr., but he will face practical and political limits to changing U.S. food supply if he’s confirmed to lead the Health and Human Services Department. Guests: Laura Schmidt, professor at the University of California at San Francisco Philip R. Lee Institute for Health Policy Studies; Department of Humanities and Social Sciences; and School of Medicine. Susan Mayne , former director of the Food and Drug Administration Center for Food Safety and Applied Nutrition 2015-2023; Yale University adjunct professor of epidemiology. Christina Roberto , director of the Center for Food and Nutrition Policy at the University of Pennsylvania Learn more and read a full transcript on our NEW website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E307 · Thu, January 30, 2025
The Powerful Vaccine Committee RFK Jr. Could Soon Control
If the Senate confirms Robert F. Kennedy Jr. — a vaccine skeptic — to lead the Department of Health and Human Services, he would control a powerful group of federal vaccine advisors. Guests: Ron Balajadia, Hawaii Department of Health immunization branch chief Dorit Reiss , University of California, San Francisco, professor of public health law Dr. Sarah Long, former member of the Advisory Committee on Immunization Practices and Drexel University, professor of pediatric infectious disease Dr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia. Richard Hughes IV, attorney with Epstein Becker Green Per Fischer, CEO, MinervaX Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E306 · Tue, January 28, 2025
RFK Jr. Is Headed to Capitol Hill. A Former HHS Secretary Lays Out the Stakes
Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings. Read our new story about an obscure but extremely influential vaccine committee that Kennedy, if confirmed. would control. Guest: Kathleen Sebelius, Former U.S. Secretary of Health and Human Services Secretary Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E305 · Thu, January 23, 2025
Why Many Republicans Think Shrinking Medicaid Will Make it Better
Many Republicans have singled out Medicaid as a policy that could see big changes under the new administration and Congress. We take a closer look at why many conservatives think less Medicaid will mean better Medicaid. Guests: Josh Archambault , Senior Fellow, Cicero Institute Brian Blase , President, Paragon Health Institute Michael Cannon , Director of Health Policy Studies, Cato Institute Elizabeth Matney , Iowa Medicaid Director (2021-2024) Barbara Sears Roshon , Ohio Medicaid Director (2016-2019) Tom Scully , CMS Administrator (2001-2004) Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E304 · Thu, January 16, 2025
Biden’s Medicaid Director Reflects on Lessons Learned and Worries for the Future
With Medicaid poised for potential cuts from Republicans in Washington, Dan Tsai reflects on what he's learned running Medicaid for the Biden administration — and his hopes and concerns for the program's future. Guest: Dan Tsai , Deputy Administrator and Director of Center for Medicaid and CHIP Services, CMS Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E303 · Thu, January 09, 2025
The Fifth Branch: The Last Line of Care
Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much can they actually do? We explore how Durham grapples with connecting people to long-term care and support, and where the city draws the line between crisis response and social services. Guests: Ryan Smith , Director, Durham Community Safety Department Sammetta Cutler , Peer Support Specialist, Durham Community Safety Department Sarah Hall, Durham resident David Prater , Peer Support Specialist, Durham Community Safety Department John Warasila , Real estate developer and architect, Alliance Architecture Bo Ferguson , Deputy City Manager, Durham Patrice Andrews , Police Chief, Durham Police Department Christie Thompson , Staff Writer, The Marshall Project Allison Casey , EMT, Durham Community Safety Department EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off wh
S1 E302 · Thu, January 02, 2025
The Fifth Branch: Keeping People Safe
How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police. Guests: David Prater , Peer Support Specialist, Durham Department of Community Safety Ryan Smith , Director, Durham Department of Community Safety Yolanda, Durham resident Sgt. Dan Leeder , Durham Police Department Patrice Andrews , Police Chief, Durham Police Department Christie Thompson , Staff Writer, The Marshall Project EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country. Learn more about this series, which first ran in July, 2024 on our website . Want more Tradeof
S1 E301 · Thu, December 26, 2024
The Fifth Branch: Convincing the Cops
How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls? Guests: Patrice Andrews , Police Chief, Durham Police Department Ryan Smith , Director, Durham Department of Community Safety Sgt. Dan Leeder , Durham Police Department Abena Bediako , Clinical Manager, Durham Department of Community Safety Christie Thompson , Staff Writer, The Marshall Project EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. Learn more about this series, which first ran in July, 2024, on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Suppo
S1 E300 · Thu, December 19, 2024
Trump Forced Hospitals and Insurers to Reveal Their Prices. What Happened?
A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for medical care. Guest: Melanie Evans , Producer, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E299 · Thu, December 12, 2024
Everyone’s Mad at Health Insurers, But 'There’s Plenty of Blame to Go Around'
The murder of UnitedHealthcare's CEO put a violent point on the frustration and rage some Americans feel toward health insurance companies. But insurers are just one piece of America’s broken and expensive health care system. Guest: Aaron Carroll , CEO, Academy Health Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E298 · Thu, December 05, 2024
Presenting: First Opinion: Mark Cuban
Businessman and entertainer Mark Cuban has long had an interest in health care, and a mission to disrupt the pharmaceutical industry. Torie Bosch, host of First Opinion, a podcast from STAT News, speaks with Cuban about one of his latest ventures Cost Plus Drugs - Mark’s efforts to drive down prescription drug prices. Guests: Torie Bosch , Editor, First Opinion, STAT News Matt Herper, Senior Writer, Medicine, STAT News Mark Cuban , Co-Founder Cost Plus Drugs Entrepreneur Learn more and read a full transcript on here . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E297 · Thu, November 28, 2024
Can the U.S. Put an End to Surprise Ambulance Bills?
Congress banned most surprise medical bills back in 2020, with one major exception: ambulance rides. Most people agree that patients should be shielded from these unexpected charges. But who should pick up the tab instead? As state and federal policymakers grapple with that question, we delve into why finding a fair solution is harder than you’d think. Guests: Tara Bannow , Reporter, STAT Precious Mae Clark, patient Dia Gainor , Executive Director, National Association of State EMS Officials Zach Gaumer , Principal, Health Management Associates James Gelfand , JD President and CEO, ERISA Industry Committee Bob Herman , Reporter, STAT Pete Lawrence , Deputy Chief, Oceanside Fire Butch Oberhoff , President, Texas EMS Alliance Leslie Walker , Senior Reporter/Producer, Tradeoffs Matt Zavadsky , At-Large Director, National Association of EMTs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E296 · Thu, November 21, 2024
What Could RFK Jr. Do As Head of HHS? We Asked Someone Who’s Done the Job
Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings. Guest: Kathleen Sebelius, Former U.S. Secretary of Health and Human Services Secretary Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E295 · Thu, November 14, 2024
Health Care for Transgender Youth Goes to the Supreme Court
Twenty-six states have passed bans on gender-affirming care for transgender minors, and the Supreme Court is set to hear arguments in December about Tennessee's ban. We take a closer look at gender-affirming care and the legal arguments that could influence how accessible that care is. Meredithe McNamara , MD, Assistant Professor of Pediatrics, Yale School of Medicine Katie Eyer , JD, Professor of Law, Rutgers Law School James Blumstein , LLB, University Distinguished Professor of Constitutional Law and Health Law & Policy, Vanderbilt University Law School Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E294 · Thu, November 07, 2024
How Did Picking a Medicare Plan Get So Hard?
It’s Medicare open enrollment season, and in this episode first aired in 2021, we explain why shopping for a new plan is often tougher than it seems. Guests: Lilyan Grossman, Medicare beneficiary Tricia Neuman , ScD, Senior Vice President and Executive Director of the Program on Medicare Policy, Kaiser Family Foundation Amal Trivedi , MD, Professor of Medicine and Health Services, Policy, and Practice, Brown University Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E293 · Thu, October 31, 2024
What the Election Could Mean for Obamacare
One of the nation’s leading experts on the Affordable Care Act breaks down its track record and weighs in on the stakes the historic health care law faces in the lead-up to the election. Guest: Larry Levitt , Executive Vice President for Health Policy, KFF Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E292 · Thu, October 24, 2024
3 Health Care Decisions Awaiting the Next President
The next U.S. president will have to make consequential choices about the Affordable Care Act, prescription drug prices and abortion. We compare the positions of candidates Kamala Harris and Donald Trump on these major health policy issues. (NOTE: This episode has been updated to clarify the number of people who would lose health coverage if Affordable Care Act enhanced subsidies expired.) Guests: Michael Cannon , Director of Health Policy Studies, Cato Institute Ederlina Co , JD, Associate Professor of Law, University of the Pacific Cynthia Cox , Vice President and Director of Program on the ACA, KFF Stacie Dusetzina , PhD, Professor of Health Policy, Vanderbilt University Medical Center Benedic Ippolito , PhD, Senior Fellow, American Enterprise Institute Ryan Levi , Reporter/Producer, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E291 · Thu, October 17, 2024
How New York Times Columnist Paula Span Navigates ‘The New Old Age’
Journalist Paula Span, who writes The New Old Age column for the New York Times, shares what she’s learned about how to age well. Guest: Paula Span , reporter and The New Old Age columnist for the New York Times Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E290 · Thu, October 10, 2024
Why Employers Are Turning to Primary Care as Health Care Costs Soar
U.S. companies spend more than $1 trillion annually on health care for their employees. To get this budget-busting figure under control, some companies are experimenting with cutting out insurers, and investing in primary care clinics at the office. Guests: Amy Cooper , NP, Vera Whole Health Bob Galvin, MD, former Chief Medical Officer, General Electric and Board Chairman, Catalyst for Payment Reform Dan Mendelson , CEO, Morgan Health Ann O’Malley, MD, MPH, Senior Fellow, Mathematica Matt Ohrt , Co-founder, Self Fund Health Lee Sagraves, Employee, JPMorganChase Gwen Sagraves Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E289 · Thu, October 03, 2024
The Best Way to Fight Meth Addiction? Gift Cards
For decades, the most effective treatment for addiction to methamphetamine or cocaine has been mired in stigma and mostly limited to small research studies. But with deaths involving meth and cocaine on the rise, policymakers across the country are turning to gift cards to fight drug use. This story has been updated to clarify the research on long-term effects of contingency management and the eligibility requirements to deliver contingency management through CalAIM. Credits: Stephen Higgins , PhD, Professor of Psychology and Psychiatry, University of Vermont Richard Rawson , PhD, Professor Emeritus, UCLA Department of Psychology Andrew Dertien , Contingency Management Coordinator, HealthRIGHT 360 Bernard Groves Ayesha Appa , MD, Assistant Professor of Medicine, UCSF and San Francisco General Hospital Tyler Sadwith , Medicaid Director, California Department of Health Care Services Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E288 · Thu, September 26, 2024
Race to the Bottom: Where's the Cavalry?
Many potent new medicines pose a host of challenges for drug companies trying to copy and sell similar versions on the cheap. Can those companies find a sustainable path forward, or will patients get left stuck paying exorbitant prices? Guests: Christine Baeder , MBA, President, Apotex USA Alfred Engelberg , JD, retired attorney and former counsel to the Generic Pharmaceutical Industry Association Jeremy Greene , MD, PhD, Professor of Medicine and the History of Medicine, Johns Hopkins University Candy Meyer, Patient Bhaven Sampat , PhD, Professor, Arizona State University School for the Future of Innovation in Society Marta Wosińska , PhD, Senior Fellow, Brookings Institution Leslie Walker , Senior Reporter/Producer, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E287 · Thu, September 19, 2024
Race to the Bottom: Hard Bargain
America pays less, on average, than any other major country for our generic drugs. But selling essential drugs at such low prices comes with hidden costs — from quality problems to frequent shortages. This is the second episode of Race to the Bottom , a three-part series by Tradeoffs on the problems plaguing the generic drugs we all rely on — and how we could fix them. Guests: Christine Baeder , MBA, President, Apotex USA Laura Bray , MBA, Founder, Angels for Change Craig Burton , Senior Vice President of Policy and Strategic Alliances, Association for Accessible Medicines Iilun Murphy , MD, Director of the Office of Generic Drugs, FDA Leslie Walker, Senior Reporter/Producer, Tradeoffs Marta Wosińska , PhD, Senior Fellow, Brookings Institution Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E286 · Thu, September 12, 2024
Race to the Bottom: Boom Times
Generic drugs are, in many ways, the unsung hero of America’s health care system, bringing powerful medical innovations within the reach of millions more people. These cheaper copies of brand-name drugs — from pills that stop heart attacks to antibiotics that cure life-threatening infections — save America hundreds of billions of dollars a year. But will affordable, high-quality generic drugs continue to be there when we need them? Some players are abandoning this business while others slash costs by cutting dangerous corners. Shortages of older generic drugs have become the norm, sending doctors scrambling. At the same time, crucial new medicines are proving tougher to copy on the cheap, saddling patients with brand-name prices. Over the course of “Race to the Bottom,” our new three-part podcast series, we’ll explore why this industry that’s so essential to our health is in trouble — and what could change that. In part one, we examine the history of this industry. Forty years ago this month, President Ronald Reagan signed groundbreaking, bipartisan legislation that gave birth to a new drug market. Lawmakers made choices back then that help explain the wild success and also the troubles we see today with generic medicines. Guests: Christine Baeder , MBA, President, Apotex USA Alfred Engelberg , JD, retired attorney and former counsel to the Generic Pharmaceutical Association Leslie Walker, Senior Reporter/Producer, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E285 · Thu, September 05, 2024
How One Company Gamified Health Insurance
One organization turns to a game to get employees to debate and decide together what health care they most value. Guests: Paul Fronstin, Ph.D., Director, Health Benefits Research, Employee Benefits Research Institute Jeanette Janota, Senior Research Associate, American Speech-Language-Hearing Association Tavril Saint Jean, Senior Research Associate, American Speech-Language-Hearing Association Janet McNichol, Chief Human Resources Officer, American Speech-Language-Hearing Association Evan Reid, Senior Director of Analytics, American Speech-Language-Hearing Association Julia Reilly-Edwards, Data Scientist, American Speech-Language-Hearing Association Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E284 · Thu, August 29, 2024
‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’
A handful of states allow terminally ill people to take life-ending medications prescribed by a doctor instead of waiting for death. This week, we talk with journalist Steven Petrow about his sister’s choice to use medical aid in dying. Guest: Steven Petrow , Journalist and author Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E283 · Thu, August 22, 2024
Presenting: Lost Patients: Churn
In The Fifth Branch , Tradeoffs explored new ways to respond to people in a mental health crisis, this week we have look at another area of the mental health crisis the country is grappling with. 'Lost Patients', a new podcast from KUOW and The Seattle Times, dives into why so many people with mental illness live on the streets, and lack long-term care. Heidi Aurand has watched her son Adam spiral from one psychiatric crisis to the next for about eight years, bouncing between emergency rooms, jails, and homelessness. Now, after treatment at the state's largest psychiatric hospital, Adam was just released back onto the streets of downtown Seattle. A mother asks: How could her son pass through so many institutions and none are able to stop his decline? Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E282 · Thu, August 15, 2024
What to Expect When Medicare and Pharma Finally Negotiate Drug Prices
The Inflation Reduction Act gave Medicare historic new power to directly negotiate the prices of some of the costliest prescription drugs. Now the federal agency must grapple with a difficult question: What makes a drug price fair? This week, we revisit our 2023 episode explaining how this negotiation process works and the impact it could have. Guests: Anton Avanceña , PhD, Assistant Professor of Health Outcomes, University of Texas Darius Lakdawalla , PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California Lauren Neves , JD, Deputy Vice President, PhRMA Steve Pearson , MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER) Ben Rome , MD, MPH, physician and researcher, Harvard Medical School Meena Seshamani , MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E281 · Thu, August 08, 2024
Hope, Hype or Harm? What We Know About New Cancer-Screening Tools
Companies claim they can catch cancer sooner with new blood tests and full-body MRI scans. What are the risks and benefits? Guest: Ishani Ganguli , MD, MPH, Assistant Professor of Medicine, Harvard Medical School; primary care physician, Brigham and Women's Hospital Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E280 · Thu, August 01, 2024
The Fifth Branch: The Last Line of Care
Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much can they actually do? We explore how Durham grapples with connecting people to long-term care and support, and where the city draws the line between crisis response and social services. Guests: Ryan Smith , Director, Durham Community Safety Department Sammetta Cutler , Peer Support Specialist, Durham Community Safety Department Sarah Hall, Durham resident David Prater , Peer Support Specialist, Durham Community Safety Department John Warasila , Real estate developer and architect, Alliance Architecture Bo Ferguson , Deputy City Manager, Durham Patrice Andrews , Police Chief, Durham Police Department Christie Thompson , Staff Writer, The Marshall Project Allison Casey , EMT, Durham Community Safety Department EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off wh
S1 E279 · Thu, July 25, 2024
The Fifth Branch: Keeping People Safe
How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police. Guests: David Prater , Peer Support Specialist, Durham Department of Community Safety Ryan Smith , Director, Durham Department of Community Safety Yolanda, Durham resident Sgt. Dan Leeder , Durham Police Department Patrice Andrews , Police Chief, Durham Police Department Christie Thompson , Staff Writer, The Marshall Project EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country. Learn more on our website . Want more Tradeoffs? Sign up for our free <a href="https://tradeof
S1 E278 · Thu, July 18, 2024
The Fifth Branch: Convincing the Cops
How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls? Guests: Patrice Andrews , Police Chief, Durham Police Department Ryan Smith , Director, Durham Department of Community Safety Sgt. Dan Leeder , Durham Police Department Abena Bediako , Clinical Manager, Durham Department of Community Safety Christie Thompson , Staff Writer, The Marshall Project EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, <a href="https:/
Trailer · Thu, July 11, 2024
Tradeoffs Presents: The Fifth Branch
EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country. How did Durham pull off what so many cities have struggled to do? Join Tradeoffs and The Marshall Project for our new series The Fifth Branch as we examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. Episodes drop July 18, July 25 and August 1. Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E276 · Fri, June 28, 2024
BONUS: The Court’s Big Abortion Decisions Are Out. What Now?
In this special bonus episode, we break down the Supreme Court’s recent abortion rulings with help from health reporter Shefali Luthra. Guest: Shefali Luthra , Health Reporter, The 19th Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E275 · Thu, June 27, 2024
Why Supporting Caregivers Could Make A Difference in Dementia Care
Medicare is betting that taking care of the caregiver will help dementia patients stay at home longer. Patients and their caregivers are often left to navigate the confusing world of dementia by themselves, but Medicare is launching a new program to change that. Guests: Malaz Boustani, MD, PhD , Founding Director, Sandra Eskenazi Center for Brain Care Innovation; Professor of Aging Research, Indiana University School of Medicine Rosanne Corcoran, Caregiver Liz Fowler , PhD, JD, Director of CMMI and Deputy Administrator, Centers for Medicare and Medicaid Services Cindi Hart, Caregiver Alex Olgin , Reporter/Producer, Tradeoffs Lauren Sullivan, Care Coordinator, Eskenazi Health Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E274 · Thu, June 20, 2024
More Hospitals Move to Confront Medical Errors Head On
One out of every four Medicare patients in the hospital is the victim of a medical error. Over the past 20 years, a growing number of hospitals have adopted practices that discuss medical mistakes and offer support to the people who must cope with the often tragic consequences. We examine why experts are calling on the Biden Administration to make patient safety a national priority. Guests: Jack Gentry, patient Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice Tom Gallagher, MD , Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E273 · Thu, June 13, 2024
Ozempic Hype Forces Employer Calls on Obesity Coverage
Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens. Guests: Sean Scanlon , Connecticut Comptroller Jeff Levin-Scherz , WTW population health leader Mike Thompson , President of the National Alliance of Healthcare Purchaser Coalitions Olivia Quagliani, Patient Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E272 · Thu, June 06, 2024
A New Kind of Primary Care Comes to America
A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance. Can this idea from abroad take root in the United States? Guests: Dawn Alley , PhD, Head of Scale, IMPaCT Care Asaf Bitton , MD, MPH, Executive Director, Ariadne Labs Regina Hammond, Founder, Rebuild Johnston Square Neighborhood Organization Chris Koller , President, Milbank Memorial Fund Terry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR) Sarah Szanton , PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood Nursing Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E271 · Thu, May 30, 2024
A Telehealth Report Card: What’s Worked and What Hasn’t
As Congress figures out the future of telehealth, we get a reality check from a top researcher about what this care has and has not delivered. Guest: Ateev Mehrotra, MD, MPH, Professor, Brown University School of Public Health Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E270 · Thu, May 23, 2024
How ‘Random Acts of Medicine’ Shape Our Health Care
Just like the rest of us, when clinicians are short on time and overwhelmed by complex decisions, their brains look for corners to cut, numbers to round, patterns to repeat. This week, Dan talks with Harvard physician and economist Bapu Jena about the surprising impact these mental shortcuts can have on our health care. Guest: Bapu Jena , MD, PhD, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E269 · Thu, May 16, 2024
Is Private Equity Ruining Health Care? It's Complicated.
While stories of private equity firms running amok in health care are easy to find, new research paints a more nuanced picture. Guests: Ambar La Forgia , PhD, Professor of Management of Organizations, Berkeley Haas School of Business Rachel Werner , MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania Yashaswini Singh, PhD, Professor of Health Services, Policy and Practice, Brown University School of Public Health Atul Gupta , PhD, Professor Health Care Management, Wharton School, University of Pennsylvania Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E268 · Thu, May 09, 2024
The Hunt for Lasting Fixes to America’s Medical Debt Crisis
A major new study throws cold water on a popular approach to relieving medical debt, but leading experts say the research also reveals a promising path forward. Guests: Henry Harrell , MD, Physician Neale Mahoney , PhD, Professor of Economics, Stanford University Allison Sesso , President and CEO, Undue Medical Debt Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E267 · Thu, May 02, 2024
Patients Push to Shape the Future of AI
One advocate’s vision for the crucial role patients must play in the future of health care AI. Andrea Downing , President and Co-Founder, The Light Collective Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E266 · Thu, April 25, 2024
How Do You Help Patients Who Show Up in the ER 100 Times a Year?
Some patients’ lives are so complicated by trauma, poverty and other social problems that routine conditions like diabetes and asthma regularly turn into $10,000 hospital visits. America’s health care leaders have spent years trying to help this small but costly group of patients. What have they learned? Guests: Jeff Brenner , MD, CEO, The Jewish Board Arthur Brown, Client, Camden Coalition Amy Finkelstein , PhD, Professor of Economics, MIT; Co-Scientific Director, J-PAL North America Allison Hamblin , MSPH, President and CEO, Center for Health Care Strategies Paula Lantz , PhD, Professor of Health Policy, University of Michigan Larry Moore, Client, Camden Coalition Kathleen Noonan , JD, President and CEO, Camden Coalition Dottie Scott , Community Health Worker, Camden Coalition Brian Thompson , Housing Coordinator, Camden Coalition Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E265 · Thu, April 18, 2024
An Insurance Company Bought This Doctor’s Practice. She’s Worried About Her Patients
One doctor debates whether to work for the nation's largest insurance company after it purchased the independent practice she worked for in Oregon. Guest: Gwen O'Keefe, MD, Assistant Professor of Medicine, Department of Anesthesiology & Perioperative Medicine, OHSU Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E264 · Thu, April 11, 2024
92,000 Transgender People Took This Survey. Here’s What We Learned
As lawmakers around the country take aim at transgender rights, we dig into findings from the largest survey ever of trans Americans. Guest: Sandy E. James , JD, PhD, Lead Researcher, 2022 U.S. Transgender Survey Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E263 · Thu, April 04, 2024
Girls Are in a Mental Health Crisis. What Can Schools Do?
Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind? Guests: Monica Bhatt , PhD, Senior Research Director, University of Chicago Education Lab Sheretta Butler-Barnes , PhD, Professor, Washington University Kathleen Ethier , PhD, Director, CDC Division of Adolescent and School Health Ngozi Harris , LCPC , Working on Womanhood Director of Program and Staff Development, Youth Guidance Shekinah Jackson , Working on Womanhood Participant Nora-Lisa Malloy, Working on Womanhood Counselor, Youth Guidance Heidi Sipe , EdS, Superintendent, Umatilla School District (OR) Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E262 · Thu, March 28, 2024
Surprise! Plans To Resolve High Medical Bills Are Still a Mess
Patients are now mostly protected from surprise bills, but doctors and insurers are still fighting about the prices. Guest: Benjamin Chartock, PhD, Assistant Professor of Economics, Bentley University Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E261 · Thu, March 21, 2024
One Doctor’s Quest to Improve Health Care for People with Disabilities
As adults with intellectual and developmental disabilities strive to live more freely and fully than ever before, many of America’s doctors, hospitals and insurers are getting in the way. We get an inside look at one doctor’s quest to improve health care for people with conditions like Down Syndrome, cerebral palsy and autism. Guests: Alison Barkoff , JD, Administration for Community Living, HHS Kevin Carlson Clarissa Kripke , MD, Clinical Professor of Family and Community Medicine and Director of the Office of Developmental Primary Care ; University of California, San Francisco Marjorie Ongpauco, BSN, RN, Nursing Consultant Harold Pollack , PhD, Professor of Social Work, Policy and Practice; University of Chicago Donna Valencia, BSN, RN, MSN, Administrator, Group Home Administrator Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E260 · Thu, March 14, 2024
Can Washington Make Medicare and Medicaid Work Better Together?
A bipartisan bill takes aim at a $500 billion health care problem that few people have ever heard of. Will it make care better for some of the country’s sickest, poorest patients? Guests: U.S. Senator Bill Cassidy (R-LA) Saleema Render-Hornsby, Dually eligible patient Allison Rizer , MBA, Executive Vice President, ATI Advisory Eric Roberts , PhD, Associate Professor, University of Pennsylvania Perelman School of Medicine Casey Schwarz , JD, Senior Counsel, Medicare Rights Center Hong Truong , Caregiver of dually eligible patient Leslie Walker, Senior Reporter, Tradeoffs Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E259 · Thu, March 07, 2024
How Patient Privacy Could Hurt AI
There are a lot of concerns about the dangers artificial intelligence could pose to your health privacy. AI expert Nicholson Price explains why he thinks too much concern over privacy could make health care AI worse. Guest: Nicholson Price , JD, PhD, Professor of Law, University of Michigan Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E258 · Thu, February 29, 2024
How Pushing Hospitals to Give Away More Free Care Could Backfire
With high health bills drowning patients in debt, some lawmakers want nonprofit hospitals to give away more free care. But experts warn that could wind up being worse for patients. Guests: Ge Bai , PhD, CPA, Professor of Accounting at Carey Business School, Professor of Health Policy at Bloomberg School of Public Health at Johns Hopkins University Jill Horwitz, PhD, JD, MPP, David Sanders Professor of Law and Medicine and Founding Faculty Director, Lowell Milken Center for Philanthropy and Nonprofits, UCLA Donna Lynne, DrPH, Denver Health CEO Bruce Siegel , MD, MPH, President and CEO of America’s Essential Hospitals Gary Young , PhD, JD, Director of the Center for Health Policy and Healthcare Research at Northeastern University Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E257 · Thu, February 22, 2024
‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’
A handful of states allow terminally ill people to take life-ending medications prescribed by a doctor instead of waiting for death. This week, we talk with journalist Steven Petrow about his sister’s choice to use medical aid in dying. Guest: Steven Petrow , Journalist and author Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E256 · Thu, February 15, 2024
Hope, Hype or Harm? What We Know About New Cancer-Screening Tools
Companies claim they can catch cancer sooner with new blood tests and full-body MRI scans. What are the risks and benefits? Guest: Ishani Ganguli , MD, MPH, Assistant Professor of Medicine, Harvard Medical School; primary care physician, Brigham and Women's Hospital Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E255 · Thu, February 08, 2024
Tradeoffs LIVE! Rooting Out Racial Bias in Health Care AI
A live conversation between a top federal health official and a health care executive about how they must work together to keep AI from exacerbating racial bias in health care. Guests: Micky Tripathi , PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services James Ellzy , MD, Chief Health Officer, Oracle Health Government Services Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E254 · Thu, February 01, 2024
5 Ways America's Courts Could Change Health Care in 2024
Key court decisions in 2024 about prescription drug prices, abortion bans, gender affirming care and the Affordable Care Act could change the way health care is delivered in America. Guests: Zach Baron , Co-director of Health Policy and the Law Initiative, O’Neill Institute for National and Global Health at Georgetown University Law Center Katie Eyer , Professor at Rutgers Law School Laurie Sobel, Associate Director of Women's Health Policy at KFF Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
S1 E253 · Thu, January 25, 2024
Why Are People Afraid of the Most Popular Opioid Addiction Treatment?
Fentanyl killed 75,000 people in 2022. Now it’s making one of the few treatments for opioid addiction harder to use. Guests: Eric Ezzi , Certified Recovery Specialist, Penn Medicine Ashish Thakrar, MD , Assistant Professor of Medicine, University of Pennsylvania Leslie Suen, MD, Assistant Professor of Medicine, University of California San Francisco Ryan Levi, Reporter/Producer, Tradeoffs Learn more and read a full transcript on our website . Subscribe to our weekly newsletter . Follow us on X , LinkedIn and Youtube . Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
Trailer · Thu, January 18, 2024
Tradeoffs in 2024
We've got a lot to share with you in 2024! We're looking into how fentanyl and other synthetic opioids are upending long established treatments for opioid addiction, and what clinicians and policymakers are doing to adapt. There are a bunch of cases in the courts this year that have the potential to change Americans' access to care, and restrict the power of federal health agencies. And nearly 25 years after a landmark case, declaring that people with intellectual and developmental disabilities have a right to live outside state-run institutions, we examine how doctors, hospitals and insurers are failing many of them … and one woman's work to forge a better path. New episodes start 25 January, 2024! Sign up for our weekly newsletter . Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E252 · Thu, January 11, 2024
What to Expect When Medicare and Pharma Finally Negotiate Drug Prices
Last fall, the federal government named its first 10 targets for historic drug price negotiations with big pharma. Those negotiations are expected to heat up this February when federal officials make their opening price offers. This week, we offer a refresher on how this negotiation process will work and the impact it could have. Guests: Anton Avanceña , PhD, Assistant Professor of Health Outcomes, University of Texas Darius Lakdawalla , PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California Lauren Neves , JD, Deputy Vice President, PhRMA Steve Pearson , MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER) Ben Rome , MD, MPH, physician and researcher, Harvard Medical School Meena Seshamani , MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E251 · Thu, January 04, 2024
Losing a Hospital
More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure. Guest: Sarah Jane Tribble , Senior Correspondent, Kaiser Health News Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hospital/ Hear more of Sarah Jane's reporting about Fort Scott on the first season of Where It Hurts: whereithurts.show Hosted on Acast. See acast.com/privacy for more information.
S1 E250 · Thu, December 28, 2023
Presenting STAT’s First Opinion: How Two Abortion Providers Grapple with Their Post-Roe Reality
From where medical students are choosing to train to how doctors are caring for women in reproductive health crises, the Supreme Court's decision to overturn Roe has had major ripple effects on the field of medicine. In this conversation from our friends at STAT's First Opinion podcast, host Torie Bosch talks with two abortion providers about what it's like to practice medicine in post-Roe America. Learn more and read a full transcript on our website . Support this type of journalism today, with a gift , which for a limited time will be matched! Hosted on Acast. See acast.com/privacy for more information.
S1 E249 · Thu, December 21, 2023
One Economist’s Plan to Blow Up America’s Health Insurance System
Economist Amy Finkelstein has studied America’s patchwork of health insurance policies for more than 20 years. In a forthcoming book she concludes it’s time tear the whole system down. This week, Dan talks with Amy about how she came to that conclusion and what a better system could look like. Guest: Amy Finkelstein , PhD, Professor of Economics, MIT Learn more and read a full transcript on our website . Support this type of journalism today, with a gift , which for a limited time will be matched! Hosted on Acast. See acast.com/privacy for more information.
S1 E248 · Thu, December 14, 2023
Rooting Out Racial Bias in Health Care AI, Part 2
There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system. In Part 2 of our special series on racial bias in health care AI, we dig into what the Biden administration is doing to keep biased algorithms from getting to the bedside. Guests: Emily Sterrett , MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics Mark Sendak , MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation Minerva Tantoco , Chief AI Officer, New York University McSilver Institute for Poverty, Policy and Research Carmel Shachar , JD, MPH, Executive Director, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School Kathryn Marchesini , JD, Chief Privacy Officer, Office of the National Coordinator for Health Information Technology Melanie Fontes Rainer , JD, Director, HHS Office for Civil Rights Learn more and read a full transcript on our website . Dan Gorenstein will moderate three one-on-one discussions featuring industry leaders and top officials from ONC, FDA, and HHS’ Office of Civil Rights over two plenary sessions, you can watch them here . Support this type of journalism today, with a gift , which for a limited time will be matched! Hosted on Acast. See acast.com/privacy for more information.
S1 E147 · Thu, December 07, 2023
Rooting Out Racial Bias in Health Care AI, Part 1
There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system. In the first of two back-to-back episodes on racial bias in health care AI, we explore the challenge of diagnosing bias in AI and what one health system is trying to do about it. Guests: Emily Sterrett , MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics Mark Sendak , MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation Ganga Moorthy , MD, Global Health Fellow, Duke Pediatric Infectious Disease Program Paige Nong , PhD Candidate, University of Michigan School of Public Health Learn more and read a full transcript on our website . Dan Gorenstein will moderate three one-on-one discussions featuring industry leaders and top officials from ONC, FDA, and HHS’ Office of Civil Rights over two plenary sessions, you can watch them here . Support this type of journalism today, with a gift , which for a limited time will be matched! Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.
S1 E246 · Thu, November 30, 2023
The Stories That Made an Impact in 2023
In this special episode we reflect on a few of our favorite stories of 2023 and hear how they’re making a difference for patients and policymakers. Guests: Hannah Neprash , PhD, Assistant Professor, University of Minnesota School of Public Health Jami Snyder, MA, president and chief executive officer of consulting firm JSN Strategies Learn more and read a full transcript on our website . And take a look at our full impact report ! Support this type of journalism today, with a gift , which for a limited time will be matched! We're also excited to share that you can now find Tradeoffs on YouTube . Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.
S1 E245 · Thu, November 16, 2023
More Hospitals Move to Confront Medical Errors Head On
One out of every four Medicare patients in the hospital is the victim of a medical error. Over the past 20 years, a growing number of hospitals have adopted practices that discuss medical mistakes and offer support to the people who must cope with the often tragic consequences. We examine why experts are calling on the Biden Administration to make patient safety a national priority. Guests: Jack Gentry, patient Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice Tom Gallagher, MD , Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety Learn more and read a full transcript on our website . Support this type of journalism today, with a gift , which for a limited time will be matched! We're also excited to share that you can now find Tradeoffs on YouTube ! Hosted on Acast. See acast.com/privacy for more information.
S1 E244 · Thu, November 09, 2023
Can the U.S. Put an End to Surprise Ambulance Bills?
Congress banned most surprise medical bills back in 2020, with one major exception: ambulance rides. Most people agree that patients should be shielded from these unexpected charges. But who should pick up the tab instead? As state and federal policymakers grapple with that question, we delve into why finding a fair solution is harder than you’d think. Guests: Tara Bannow , Reporter, STAT Precious Mae Clark, patient Dia Gainor , Executive Director, National Association of State EMS Officials Zach Gaumer , Principal, Health Management Associates James Gelfand , JD President and CEO, ERISA Industry Committee Bob Herman , Reporter, STAT Pete Lawrence , Deputy Chief, Oceanside Fire Butch Oberhoff , President, Texas EMS Alliance Leslie Walker , Senior Reporter/Producer, Tradeoffs Matt Zavadsky , At-Large Director, National Association of EMTs To learn more, read a full transcript on our website and check out our reporting partner STAT's story , too. Support this type of journalism today, with a gift , which for a limited time will be matched! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.
S1 E243 · Thu, November 02, 2023
What Brings You In Today?
Health care leaders are spending more time and money trying to improve the way doctors and nurses talk with their patients, to build more trust. Are those efforts working? We eavesdrop on some difficult conversations between patients and providers, and meet researchers who are measuring the power of using just the right words. This episode first aired in 2019 and remains as relevant as ever. Guests: Andrea Anderson , MD, Medical Director, Unity Health Care Sumeera Baig , MD, Physician, R-Health Calvin Chou , MD, Professor, University of California, San Francisco Lisa Cooper , MD, MPH, Bloomberg Distinguished Professor, Equity in Health and Healthcare, Johns Hopkins University School of Medicine Hannah Herman , DO, Resident, The Wright Center for Graduate Medical Education Lauren Howe , PhD, Postdoctoral Scholar, Stanford University Natalie Levinson, patient Jeff Milstein , MD, Regional Medical Director, Penn Primary Care Kathy Trow , MSN, APN-C, Nurse Practitioner, Penn Medicine Jessika Welcome, mother of patient Natalie Levinson Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See <a style='color:grey;' target='_blank' rel='
S1 E242 · Thu, October 26, 2023
Growing Pains as California Adds Social Services to Medicaid
California’s Medicaid program is two years into the nation’s most ambitious effort yet to cover non-traditional health care services like housing and food for some of the state’s sickest and most vulnerable residents. Everyone expected this transformation — known as CalAIM — to take some time to hit its stride. We dig into CalAIM’s early challenges and what’s being done to right the ship. Guests: Pooja Bhalla , DNP, RN, CEO, Illumination Foundation Jacey Cooper , Medicaid Director, California Department of Health Care Services Kelly Bruno-Nelson , MSW, Executive Director of Medi-Cal/CalAIM, CalOptima Health Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E241 · Thu, October 19, 2023
Medical or Recreational? States Debate Where Psychedelics Belong
A wave of new research is showing the promise of psychedelics to help with mental health conditions — like depression and post traumatic stress disorder. The federal government continues to say it’s illegal to use these substances for treatment, but states like Oregon and Colorado are attempting to roll out regulated use. We talk with Mason Marks about the latest research, regulation, and legal gray areas on psychedelics. Guests: Mason Marks , JD MD Project Lead on the Project on Psychedelics Law and Regulation at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School. Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E240 · Thu, October 12, 2023
Medicare’s Open Enrollment Mess
Every fall, an avalanche of advertising bombards the phones, televisions and mailboxes of the country’s 65 million Medicare beneficiaries. Private insurance companies and brokers unleash this flurry of marketing in hopes of persuading as many people as possible to switch plans during Medicare’s open enrollment period. This week, we explore how too many choices, too little help and an alarming amount of deception combine to lead many of America’s most vulnerable older adults astray. Guests: Gretchen Jacobson , PhD, Vice President, Commonwealth Fund Lauren Lachs , Volunteer, Medicare Rights Center Leslie Montgomery, Medicare and Medicaid beneficiary Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E239 · Thu, October 05, 2023
Ransomware Attacks: Bad for Hospitals, Deadly for Patients
In 2021, University of Minnesota health economist Hannah Neprash listened to a Tradeoffs story on ransomware in health care and was inspired to study whether cyberattacks actually harm patients. This week, she shares her striking findings, and we revisit the inside story of a ransomware negotiation that sparked her work. Guests: Karen Sprenger , CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security Hannah Neprash , PhD, Assistant Professor, University of Minnesota School of Public Health Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E238 · Thu, September 28, 2023
Ozempic Hype Forces Employer Calls on Obesity Coverage
Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens. Guests: Sean Scanlon , Connecticut Comptroller Jeff Levin-Scherz , WTW population health leader Mike Thompson , President of the National Alliance of Healthcare Purchaser Coalitions Olivia Quagliani, Patient Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E237 · Thu, September 21, 2023
The 12 Million People Lost in a Maze of Medicare and Medicaid
Many of America’s poorest and sickest patients are stuck navigating two separate insurance programs — Medicare and Medicaid — to get the care they need. Guests: Jose Figueroa , MD, MPH, Assistant Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health Jean Minkel , PT, ATP, Senior Vice President of Rehab and Mobility Services, Independence Care System Rochelle Render, advocate and mother of Saleema Render-Hornsby Saleema Render-Hornsby, dually eligible person Allison Rizer , Principal, ATI Advisory Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E236 · Thu, September 14, 2023
Girls Are in a Mental Health Crisis. What Can Schools Do?
Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind? Guests: Monica Bhatt , PhD, Senior Research Director, University of Chicago Education Lab Sheretta Butler-Barnes , PhD, Professor, Washington University Kathleen Ethier , PhD, Director, CDC Division of Adolescent and School Health Ngozi Harris , LCPC , Working on Womanhood Director of Program and Staff Development, Youth Guidance Shekinah Jackson , Working on Womanhood Participant Nora-Lisa Malloy, Working on Womanhood Counselor, Youth Guidance Heidi Sipe , EdS, Superintendent, Umatilla School District (OR) Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E235 · Thu, September 07, 2023
When Research and the Realities of Practicing Medicine Collide
This summer, our research reporter Soleil Shah added a new role to his resume: first-year medical resident. Now he spends his days alternating between making the rounds on hospital patients and reading up on the latest health policy research for the Tradeoffs newsletter. Guest: Soleil Shah, MD, MSc, Research Reporter, Tradeoffs; Resident Physician, Brigham and Women's Hospital Learn more and read a full transcript on our website . We're also excited to share that you can now find Tradeoffs on YouTube ! Still not enough Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E234 · Thu, August 31, 2023
Better Care at Lower Costs: The Quest for Health Care’s Holy Grail
Nearly two decades ago, Dr. Jeff Brenner hypothesized that nurses and social workers could guide the country's most complicated patients toward better health ... and cut expensive hospital admissions along the way. Was he right? Jeff Brenner, Camden Coalition of Health Care Providers Amy Finkelstein, Economist, MIT Kathleen Noonan, Camden Coalition of Health Care Providers Allison Hamblin, Center for Health Care Strategies Jensen Skinner, Nurse, Camden Coalition of Health Care Providers Larry Moore, Patient Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep7 Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E233 · Thu, August 24, 2023
Hospice Care’s Midlife Crisis
About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues. This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die. Guests: Vince Mor , PhD, Professor of Health Services, Policy & Practice, Brown University Bethany Snider , MD, Chief Medical Officer, Hosparus Health David Stevenson , PhD, Professor of Health Policy, Vanderbilt University School of Medicine Leslie Walker , Senior Producer, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for Research Corner, our free weekly newsletter , featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E232 · Thu, August 17, 2023
The Push to Bring Medicaid Behind Bars
People leaving jail and prison are at extremely high risk of hospitalization and death. This week , why policymakers from deep blue California to solidly red Utah think bringing Medicaid behind bars could help. Guests: Lee Reed Shira Shavit , MD, Professor of Family and Community Medicine, University of California San Francisco; Executive Director, Transitions Clinic Network Jacey Cooper , Director, California Medicaid Program Cindy Beane , MSW, LCSW, Commissioner, West Virginia Bureau of Medical Services Amy Katzen , JD, MPP, Director of Policy and Strategy, Rhode Island Executive Office of Health and Human Services Mike Levine , Medicaid Director, MassHealth Dana Flannery , Former Senior Policy Advisor, Arizona Health Care Cost Containment System Khalil Cumberbatch , MSW, Director of Strategic Partnerships, Council on Criminal Justice Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E231 · Thu, August 10, 2023
States’ Uphill Battle to Stop Runaway Health Care Costs
One year of health insurance premiums for a family of four now costs as much as a car. Nine states are trying to lower those costs in an aggressive way - by holding hospitals and insurance companies accountable for high spending. In this episode we look to see if any of those efforts have bent the cost curve. Guests: Leemore Dafny, PhD, Harvard University economist Michael Bailit , MBA President and Founder Bailit Health David Seltz, Executive Director Massachusetts Health Policy Commission Amy Rosenthal , MPH, MPA Executive Director Health Care For All Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E230 · Thu, August 03, 2023
One Doctor’s Crusade to Improve Health Literacy
Black Americans report higher levels of mistrust in the health care system than white Americans and suffer worse outcomes in everything from maternal mortality to life expectancy. What if improving health literacy and demystifying health information could be the part of the solution? This week, one doctor’s crusade to help more people understand their own health care and why insurers are starting to buy in. Guests: Lisa Fitzpatrick , MD, MPH, MPA, Founder and CEO, Grapevine Health Keith Maccannon , Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of Columbia Yvonne Smith, Grapevine Client Karen Dale , RN, MSN, Market President, AmeriHealth Caritas District of Columbia Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E229 · Thu, July 27, 2023
What to Expect When Medicare and Pharma Finally Negotiate Drug Prices
The Inflation Reduction Act gave Medicare historic new power to directly negotiate the prices of some of the costliest prescription drugs. Now the federal agency must grapple with a difficult question: What makes a drug price fair? This week, we explain how this negotiation process will work and the impact it could have. Guests: Anton Avanceña , PhD, Assistant Professor of Health Outcomes, University of Texas Darius Lakdawalla , PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California Lauren Neves , JD, Deputy Vice President, PhRMA Steve Pearson , MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER) Ben Rome , MD, MPH, physician and researcher, Harvard Medical School Meena Seshamani , MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services Leslie Walker , Senior Producer/Reporter, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E228 · Thu, July 20, 2023
What White House COVID Coordinator Ashish Jha Learned on the Job
Ashish Jha shifted from the role of academic theorizing about health policy into a calm, reassuring voice leading the White House’s COVID response. Now, he’s back in the world of studies and scholarship leading Brown University's School of Public Health. This week, what he learned from his time in Washington. Guest: Ashish Jha, Dean of Brown University’s School of Public Health and former White House COVID-19 Response Coordinator Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E227 · Thu, July 13, 2023
Progress and Pain Points in National Crisis Line's First Year
It’s been one year since 988, the country’s new mental health crisis line, went live with hopes of transforming crisis services in America. So far, call volumes are up, wait times are down, and reviews are mixed. This week, we check in on what’s working, what’s not, and what’s next for 988. Content warning: This episode includes mentions of suicide. If you or someone you know is in crisis, please call, text or chat with the Suicide and Crisis Lifeline at 988, or contact the Crisis Text Line by texting TALK to 741741. Guests: Naomi Monica Johnson , Director of the 988 & Behavioral Health Crisis Coordinating Office, SAMHSA Shawn Kinney , 988 Crisis Counselor, First Choice Services Deborah Turner , Director of Crisis and Referral Services, Goodwill of the Finger Lakes Hannah Wesolowski , Chief Advocacy Officer, National Alliance on Mental Illness Tia Dole , PhD, Chief 988 Suicide and Crisis Lifeline Officer, Vibrant Emotional Health Kellan Baker , PhD, Executive Director, Whitman-Walker Institute Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E226 · Thu, July 06, 2023
One Economist’s Plan to Blow Up America’s Health Insurance System
Economist Amy Finkelstein has studied America’s patchwork of health insurance policies for more than 20 years. In a forthcoming book she concludes it’s time tear the whole system down. This week, Dan talks with Amy about how she came to that conclusion and what a better system could look like. Guest: Amy Finkelstein , PhD, Professor of Economics, MIT Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E225 · Thu, June 29, 2023
1.5 Million People Have Lost Medicaid. How Worried Should We Be?
More than 1.5 million people have lost Medicaid coverage since April 1 as states start purging people from the rolls for the first time in three years. This week, we check in on the “Medicaid unwinding” with a leading researcher, and get an up- close look at what it’s like to fall through the unwinding cracks. Guests: Adrianna McIntyre , PhD, MPP, MPH, Assistant Professor of Health Policy and Politics, Harvard T.H. Chan School of Public Health Farah Yousry , Managing Editor, Side Effects Public Media Bobby Summers, Medicaid recipient Kathryn Bamberger , Outreach & Enrollment Coordinator, Southeast Healthcare Services Joel Potts , Executive Director, Ohio Job and Family Services Directors’ Association Cindy Gauder, Caseworker, Greene County Department of Jobs and Family Services Learn more and read a full transcript on our website . We want to hear what you think about our humble podcast, take 5-10 minutes to fill out our listener survey . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E224 · Thu, June 22, 2023
‘No Place Else To Go’: Inside a Former Abortion Clinic
One year after the Supreme Court overturned Roe v. Wade, 15 states have effectively banned abortion. Dozens of clinics in those states have shut their doors or moved to states where abortion is still legal. This week, Politico’s Alice Miranda Ollstein takes us to an Alabama clinic that stayed put. She wanted to learn what happens when an abortion clinic can no longer provide abortions. Guest: Alice Miranda Ollstein , Health Care Reporter, Politico Learn more and read a full transcript on our website . We want to hear what you think about our humble podcast, take 5-10 minutes to fill out our listener survey . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E223 · Thu, June 15, 2023
The Meteoric Rise of Private Medicare Advantage Insurance
Medicare is in the midst of a pretty dramatic transformation. Before long, two out of every three enrollees will likely have a private Medicare Advantage plan. This week, we look at what’s gained and what’s lost when private insurers manage so much of the nation’s Medicare program — and where we go from here. Guests: Carol Berman, Medicare Advantage enrollee Rick Gilfillan , MD, MBA, independent consultant, former hospital and insurance executive and former Medicare official Michael McWilliams , MD, PhD, Professor of Health Care Policy, Harvard Medical School; Professor of Medicine, Brigham and Women's Hospital Learn more and read a full transcript on our website . We want to hear what you think about our humble podcast, take 5-10 minutes to fill out our listener survey . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E222 · Thu, June 08, 2023
What Gas Stoves, Minimum Wage Laws and the Military Teach Us About Health Policy
Next week many of the country’s health economists will gather in St. Louis to share new research at the annual meeting of the American Society of Health Economists. This week health economist Sayeh Nikpay gives us a sneak peek at some of the most exciting papers coming out of this conference. Guest: Sayeh Nikpay, PhD, MPH, Tradeoffs Senior Research Advisor; Associate Professor, University of Minnesota School of Public Health Links to more info on the studies mentioned in today's episode: Thomas Thivillion on gas cooking subsidies Mark Meiselbach and Jean Abraham on minimum wage laws Manasvini Singh and Stephen Schwab on how power shapes patient care in the military care Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E221 · Thu, June 01, 2023
Rooting Out Racial Bias in Health Care AI, Part 2
There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system. In Part 2 of our special series on racial bias in health care AI, we dig into what the Biden administration is doing to keep biased algorithms from getting to the bedside. Guests: Emily Sterrett , MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics Mark Sendak , MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation Minerva Tantoco , Chief AI Officer, New York University McSilver Institute for Poverty, Policy and Research Carmel Shachar , JD, MPH, Executive Director, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School Kathryn Marchesini , JD, Chief Privacy Officer, Office of the National Coordinator for Health Information Technology Melanie Fontes Rainer , JD, Director, HHS Office for Civil Rights Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E220 · Thu, May 25, 2023
Rooting Out Racial Bias in Health Care AI, Part 1
There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system. In the first of two back-to-back episodes on racial bias in health care AI, we explore the challenge of diagnosing bias in AI and what one health system is trying to do about it. Guests: Emily Sterrett , MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics Mark Sendak , MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation Ganga Moorthy , MD, Global Health Fellow, Duke Pediatric Infectious Disease Program Paige Nong , PhD Candidate, University of Michigan School of Public Health Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E219 · Thu, May 18, 2023
The Hurdles Facing Black Families Navigating Serious Illness
Black Americans are at higher risk for many serious illnesses like dementia and kidney failure. But data show they are less likely to have their pain treated and less likely to access services like hospice and palliative care that can reduce suffering, especially at the end of life. This week, we explore what stops seriously ill Black patients and their families from getting the care they want in life and in death. Guests: Deborah Brunson, PhD, Caregiver and Professor Emeritus, University of North Carolina Wilmington Karen Bullock , PhD, LCSW, Professor, Boston College School of Social Work Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E218 · Thu, May 11, 2023
The ‘Reverse Disparity’ in Psychosis Care
Every year, 100,000 Americans — mostly teens and young adults — experience their first psychotic episode. Research shows getting specialized, holistic treatment early can help, but most people don’t get that care. KQED’s April Dembosky shares her reporting on why early treatment for psychosis can be so hard to get. Guest April Dembosky , Health Correspondent, KQED News Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E217 · Thu, May 04, 2023
The Wonky Policy That’s Got Hospitals on High Alert
Medicare could soon pay hospitals much less for common outpatient services like x-rays and checkups. This week , we explain an old policy gathering new steam in Washington, how it could save Medicare and patients billions of dollars a year, and why it has hospitals worried. Guests: Loren Adler , MS, Fellow and Associate Director, USC-Brookings Schaeffer Initiative for Health Policy Joe Antos , PhD, Senior Fellow, American Enterprise Institute Amol Navathe , MD, PhD, Associate Professor of Health Policy and Medicine, University of Pennsylvania Hannah Neprash , PhD, Assistant Professor, University of Minnesota School of Public Health Ashley Thompson , MHA, Senior Vice President, American Hospital Association Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E216 · Thu, April 27, 2023
How ‘Random Acts of Medicine’ Shape Our Health Care
Just like the rest of us, when clinicians are short on time and overwhelmed by complex decisions, their brains look for corners to cut, numbers to round, patterns to repeat. This week, Dan talks with Harvard physician and economist Bapu Jena about the surprising impact these mental shortcuts can have on our health care. Guest: Bapu Jena , MD, PhD, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E215 · Thu, April 20, 2023
The Drugs Changing How We Treat Obesity
A new class of drugs can help people lose up to one-fifth of their body weight and manage serious health conditions associated with obesity. But they’re also raising difficult questions. This week, we talk with STAT reporter Elaine Chen about how these breakthrough treatments are changing how we view and treat obesity. Guest: Elaine Chen , Cardiovascular Disease Reporter, STAT Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E214 · Thu, April 13, 2023
Hospice Care’s Midlife Crisis
About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues. This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die. Guests: Vince Mor , PhD, Professor of Health Services, Policy & Practice, Brown University Bethany Snider , MD, Chief Medical Officer, Hosparus Health David Stevenson , PhD, Professor of Health Policy, Vanderbilt University School of Medicine Leslie Walker , Senior Producer, Tradeoffs Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for Research Corner, our free weekly newsletter , featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E213 · Thu, April 06, 2023
The Latest Threat to the Affordable Care Act
The Affordable Care Act faces yet another in a long string of legal challenges. Last Thursday's ruling, by a conservative federal judge who has targeted the ACA before, jeopardizes a provision in the law that gives 150 million Americans access to free preventive care for conditions like HIV and cancer. Guest: Nicholas Bagley , JD, Professor of Law, University of Michigan Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E212 · Thu, March 30, 2023
The Treacherous Transition Awaiting Millions Losing Their Medicaid
We dig into three research papers to make sense of what will happen to 15 million people set to lose their Medicaid over the next year. Guests: Sayeh Nikpay , PhD, Tradeoffs Senior Research Advisor; Associate Professor of Health Policy and Management, University of Minnesota Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E211 · Thu, March 23, 2023
When Home Becomes a Hospital
The pandemic pushed Medicare to start paying for “hospital-at-home” care for the first time, launching the largest test ever of home-based hospital care. This week, we look at what we’ve learned from the hospital-at-home explosion and questions about home-based care remain unanswered. Guests: Bruce Leff , MD, Director, The Center for Transformative Geriatric Research, Johns Hopkins David and Melanie Mercurio Constantinos “Taki” Michaelidis , MD, Medical Director, Hospital at Home Program, UMass Memorial Health Michelle Mahon , RN, Assistant Director of Nursing Practice, National Nurses United Nathan Starr, DO, Medical Director for Home Services, Castell; Director of Telehospitalist Program, Intermountain Healthcare Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E210 · Thu, March 16, 2023
‘A Shocking Amount of Misery’: Medical Debt in America
Even though more Americans than ever have health insurance, medical debt is a pervasive problem in the United States. Guests: Noam Levey , Senior Correspondent, Kaiser Health News Wesley Yin , PhD, Associate Professor of Economics, UCLA Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E209 · Thu, March 09, 2023
The Conservative Clash Over Abortion Bans
Less than a year after the Supreme Court overturned Roe v. Wade, some states are rethinking their abortion bans. This week, reporter Alice Miranda Ollstein introduces us to a Republican lawmaker pushing to add exceptions to the ban he helped pass, and we consider how well exceptions work - or don't - in practice. Guests: Alice Miranda Ollstein , Health Care Reporter, Politico State Sen. Richard Briggs , MD, Tennessee General Assembly Yarnell Beatty , JD, Senior Vice President and General Counsel, Tennessee Medical Association Will Brewer , JD, Director of Government Relations, Tennessee Right to Life Katrina Kimport , PhD, Associate Professor, ANSIRH, University of California San Francisco Katie May Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
Bonus · Tue, March 07, 2023
BONUS: The Return of Our Research Newsletter
Meet the man behind our revamped research newsletter bringing you the latest health policy studies, original analysis, interviews with leading researchers and more every Tuesday. Subscribe at tradeoffs.org/research Guest: Soleil Shah, Research Reporter, Tradeoffs Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E207 · Thu, March 02, 2023
SCOTUS Weighs Medicaid Recipients' Right to Sue
Later this year the Supreme Court is set to decide whether to close a legal pathway that Medicaid recipients have used for more than 50 years. This week, we talk with Farah Yousry about the potential consequences of this decision. Guests: Farah Yousry, Health Equity Reporter, Side Effects Public Media Susie Talevski, patient Chris Schandevel , Senior Counsel, Alliance Defending Freedom Jane Perkins , Litigation Director, National Health Law Program Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E206 · Thu, February 23, 2023
The Push to Bring Medicaid Behind Bars
People leaving jail and prison are at extremely high risk of hospitalization and death. This week , why policymakers from deep blue California to solidly red Utah think bringing Medicaid behind bars could help. Guests: Lee Reed Shira Shavit , MD, Professor of Family and Community Medicine, University of California San Francisco; Executive Director, Transitions Clinic Network Jacey Cooper , Director, California Medicaid Program Cindy Beane , MSW, LCSW, Commissioner, West Virginia Bureau of Medical Services Amy Katzen , JD, MPP, Director of Policy and Strategy, Rhode Island Executive Office of Health and Human Services Mike Levine , Medicaid Director, MassHealth Dana Flannery , Former Senior Policy Advisor, Arizona Health Care Cost Containment System Khalil Cumberbatch , MSW, Director of Strategic Partnerships, Council on Criminal Justice Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E205 · Thu, February 16, 2023
Medicare Director Meena Seshamani on CMS' New Drug Pricing Powers
Medicare’s historic plan to slow prescription drug spending is taking shape. Last Thursday federal health officials began detailing how one of two major drug price reforms contained in the Inflation Reduction Act will work and who it will affect. This week, we talk with Medicare director Meena Seshamani about the “opportunity of a lifetime” to put these unprecedented policies into action. Guest: Meena Seshamani , MD, PhD, Director of the Center for Medicare and Deputy Administrator, Centers for Medicare and Medicaid Services Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E204 · Thu, February 09, 2023
States’ Uphill Battle to Stop Runaway Health Care Costs
One year of health insurance premiums for a family of four now costs as much as a car. Nine states are trying to lower those costs in an aggressive way - by holding hospitals and insurance companies accountable for high spending. In this episode we look to see if any of those efforts have bent the cost curve. Guests: Leemore Dafny, PhD, Harvard University economist Michael Bailit , MBA President and Founder Bailit Health David Seltz, Executive Director Massachusetts Health Policy Commission Amy Rosenthal , MPH, MPA Executive Director Health Care For All Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E203 · Thu, February 02, 2023
One Doctor’s Crusade to Improve Health Literacy
Black Americans report higher levels of mistrust in the health care system than white Americans and suffer worse outcomes in everything from maternal mortality to life expectancy. What if improving health literacy and demystifying health information could be the part of the solution? This week, one doctor’s crusade to help more people understand their own health care and why insurers are starting to buy in. Guests: Lisa Fitzpatrick , MD, MPH, MPA, Founder and CEO, Grapevine Health Keith Maccannon , Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of Columbia Yvonne Smith, Grapevine Client Karen Dale , RN, MSN, Market President, AmeriHealth Caritas District of Columbia Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
Bonus · Fri, January 27, 2023
BONUS: CMS Approves Medicaid Coverage for Inmates
Popping into the feed with a bit of breaking news on a story we've been reporting on for months: For the first time ever, some people incarcerated in jail or prison will have access to Medicaid. We'll have a full episode on this dramatic policy change in February. Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Support this type of journalism today, with a gift . Follow us on Twitter @tradeoffspod . Hosted on Acast. See acast.com/privacy for more information.
S1 E201 · Thu, January 26, 2023
The End of Humira’s $200 Billion Drug Monopoly
After 20 years, Humira – the best selling drug of all time – is finally facing direct competition. Typically, once generic drugs arrive on a market they dominate sales and deliver big savings. But Humira’s competitors, known as biosimilars, aren’t like most other generics. This week, what makes this prescription drug showdown so unusual – and so important. Guest: Marta Wosińska , PhD, Visiting Fellow, Brookings Institution Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E200 · Thu, January 19, 2023
Three Health Policy Stories to Watch in 2023
A congressional ban on removing anyone from Medicaid will expire early next year. What will happen to people who lose their coverage, and how are states preparing for this unprecedented undertaking? Guests: Elizabeth Nash , Principle Policy Associate, State Issues Cindy Mann , Partner, Manatt Health Rachel Cohrs , Washington Correspondent, STAT Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
Trailer · Thu, January 12, 2023
Tradeoffs in 2023
We've got a lot to share with you in 2023! We're looking into what might happen to the marketplace as Humira, the best selling prescription drug in history, goes generic; and profile a woman pioneering a new strategy to help people better manage their own health, a strategy that has insurance companies whispering. The FDA has approved another controversial Alzheimer’s drug, Medicare is gearing up to negotiate drug prices, millions of Americans could lose their Medicaid…and, of course, abortion. Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape. New episodes start 19 January, 2023! Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Support this type of journalism today, with a gift . Follow us on Twitter @tradeoffspod . Hosted on Acast. See acast.com/privacy for more information.
S1 E198 · Thu, January 05, 2023
Turning Long-Term Care Into a Long-Term Career
There’s a severe shortage of people to care for older Americans in their homes and nursing facilities. And it’s only expected to get worse. Could providing long-term care workers with new career pathways be part of the solution? Guests: Serena Maria , Manager of Care Teams, Homebridge Mark Burns , Executive Director, Homebridge Natasha Bryant , Senior Director of Workforce Research and Strategy, LeadingAge LTSS Center at UMass Boston Jonathan Gruber , PhD, Ford Professor of Economics, MIT Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E197 · Thu, December 29, 2022
California Bets Big on Housing in Medicaid
California is in the early days of one of the most ambitious initiatives ever to address Medicaid patients’ social needs in hopes of improving their health. This week, we trace the origins, early results and challenges of “CalAIM.” Guests: Jacey Cooper , Director, California Medicaid Program Bradley Gilbert , MD, MPP, Former Chief Medical Officer and CEO, Inland Empire Health Plan Lacy McClellan Dale Stout Anthony Wright , Executive Director, Health Access California Paula Lantz , PhD, James B. Hudak Professor of Health Policy, University of Michigan Gerald R. Ford School of Public Policy Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E196 · Thu, December 22, 2022
The Race to Prepare for Medicare’s New Drug Pricing Powers
The Inflation Reduction Act gives Medicare historic new powers to control prescription drug prices. We go inside the government’s race to implement these new powers — and the pharmaceutical industry’s efforts to blunt their impact. Guests: Alice Valder Curran, JD, Partner, Hogan Lovells Sean Dickson, JD, MPH, Director of Health Policy, West Health Policy Center Amber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human Services Mark Newsom, Founder and Principal, Health Evaluations Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E195 · Thu, December 15, 2022
Abortion Funds’ Growing Role Post-Roe
Independent abortion funds have been flooded with donations since Roe v. Wade was overturned. How do these funds work and what role will they play in a post-Roe world? Guests: Brittany Mostiller , Leadership Development Coordinator, National Network of Abortion Funds Gretchen Ely, PhD, MSW , Director of PhD Program, University of Tennessee College of Social Work Kim Floren, Director, Justice Through Empowerment Network Erin Smith , Executive Director, Kentucky Justice Health Network Read a full transcript and dig deeper into our reporting here . Please take a couple of minutes to help us learn more about you by filling out our listener survey . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E194 · Thu, December 08, 2022
What Research Says About a Post-Roe World
The leader of a landmark abortion study shares what research and her own family experience suggest will happen to people who are denied abortions in a post-Roe world. Guests: Diana Foster Green, director of research at Advancing New Standards in Reproductive Health Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E193 · Thu, December 01, 2022
Best Health Care Podcasts of 2022
Our annual look back at some of the best health care podcast episodes of the year with help from a few of our podcast host friends. Guests: Dr. Abdul El-Sayed, Policymaker in Residence, University of Michigan's Gerald R. Ford School of Public Policy and host of America Dissected Keris Myrick, Vice President of Partnerships, Inseparable and host of Unapologetically Black Unicorn Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift , and have your donation tripled if you give before the end of 2022. Hosted on Acast. See acast.com/privacy for more information.
S1 E192 · Thu, November 17, 2022
Local Officials Grapple With How to Spend Opioid Settlement Dollars
More than $50 billion in opioid settlement dollars from drugmakers, distributors and pharmacies is starting to flow to state and local governments and they need to figure out how to spend it. Guests: Dave Baker, Minnesota State Representative and chair of the state’s Opioid Epidemic Response Advisory Council Sara Whaley, Opioid Policy Researcher at Johns Hopkins Bloomberg School of Public Health @saraewhaley Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift , and have your donation tripled if you give before the end of 2022. Hosted on Acast. See acast.com/privacy for more information.
S1 E191 · Thu, November 10, 2022
The Hurdles Facing Black Families Navigating Serious Illness
Black Americans are at higher risk for many serious illnesses like dementia and kidney failure. But data show they are less likely to have their pain treated and less likely to access services like hospice and palliative care that can reduce suffering, especially at the end of life. This week, we explore what stops seriously ill Black patients and their families from getting the care they want in life and in death. Guests: Deborah Brunson, PhD, Caregiver and Professor Emeritus, University of North Carolina Wilmington Karen Bullock , PhD, LCSW, Professor, Boston College School of Social Work Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift , and have your donation tripled if you give before the end of 2022. Hosted on Acast. See acast.com/privacy for more information.
S1 E190 · Thu, November 03, 2022
‘A Shocking Amount of Misery’: Medical Debt in America
Even though more Americans than ever have health insurance, medical debt is a pervasive problem in the United States. Guests: Noam Levey , Senior Correspondent, Kaiser Health News Wesley Yin , PhD, Associate Professor of Economics, UCLA Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E189 · Thu, October 27, 2022
Medicare’s Prescription Drug Plan Makeover
An overhaul of Medicare’s prescription drug benefit will lower costs for seniors while changing incentives for insurers and drugmakers. Guests Therese Humphrey Ball, Multiple sclerosis patient and advocate. Juliette Cubanski , Deputy Director for Program on Medicare Policy at the Kaiser Family Foundation. Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E188 · Thu, October 20, 2022
Turning Long-Term Care Into a Long-Term Career
There’s a severe shortage of people to care for older Americans in their homes and nursing facilities. And it’s only expected to get worse. Could providing long-term care workers with new career pathways be part of the solution? Guests: Serena Maria , Manager of Care Teams, Homebridge Mark Burns , Executive Director, Homebridge Natasha Bryant , Senior Director of Workforce Research and Strategy, LeadingAge LTSS Center at UMass Boston Jonathan Gruber , PhD, Ford Professor of Economics, MIT Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E187 · Thu, October 13, 2022
The ‘Wild West’ of Health Workforce Policy
Early in the pandemic, state officials unleashed a flood of emergency orders relaxing the rules that limit the care each health profession can provide. Now these temporary measures are expiring and health professionals from pharmacists to physician assistants are jockeying to shape the next wave of workforce reforms. Guests: Susanna Storeng , DMSc, PA-C, Physician Assistant, High Plains Community Health Center Bianca Frogner , PhD, Professor and Director of the Center for Health Workforce Studies, University of Washington Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E186 · Thu, October 06, 2022
The Next Chapter in Democratizing America’s Health Data
Starting Oct. 6, providers must begin giving patients electronic access to more of their health care data than ever before. But the federal regulations forcing this change are fraught with implementation challenges and privacy risks. This week we talk with Micky Tripathi, the federal official overseeing this push to democratize America’s health data, about its promise and perils. Guest Micky Tripathi , PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E185 · Thu, September 29, 2022
The Push to End Cancer Screening Purgatory
Initial screenings for breast, lung and cervical cancer are free, but expensive secondary tests can leave patients in screening purgatory. Guests: Mark Fendrick, MD, Professor of Medicine and public health at the University of Michigan, Director of the Center for Value Based Insurance Design. Gloria Coronado , PhD, epidemiologist and health disparities researcher, Kaiser Permanente Center for Health Research Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E184 · Thu, September 22, 2022
California Bets Big on Housing in Medicaid
California is in the early days of one of the most ambitious initiatives ever to address Medicaid patients’ social needs in hopes of improving their health. This week, we trace the origins, early results and challenges of “CalAIM.” Guests: Jacey Cooper , Director, California Medicaid Program Bradley Gilbert , MD, MPP, Former Chief Medical Officer and CEO, Inland Empire Health Plan Lacy McClellan Dale Stout Anthony Wright , Executive Director, Health Access California Paula Lantz , PhD, James B. Hudak Professor of Health Policy, University of Michigan Gerald R. Ford School of Public Policy Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E183 · Thu, September 15, 2022
Presenting The Nocturnists: Hello Shame
This week, we’re sharing the first episode of a new 10-part series from The Nocturnists podcast, called “Shame in Medicine: The Lost Forest.” What is shame? And how does it manifest in medical culture? The Nocturnists teams up with two shame experts to investigate these questions. Read a full transcript of this episode on our website . Learn more about this episode and the Shame in Medicine series at https://www.thenocturnists-shame.org/. Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E182 · Thu, September 08, 2022
The Race to Prepare for Medicare’s New Drug Pricing Powers
The Inflation Reduction Act gives Medicare historic new powers to control prescription drug prices. We go inside the government’s race to implement these new powers — and the pharmaceutical industry’s efforts to blunt their impact. Guests: Alice Valder Curran, JD, Partner, Hogan Lovells Sean Dickson, JD, MPH, Director of Health Policy, West Health Policy Center Amber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human Services Mark Newsom, Founder and Principal, Health Evaluations Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E181 · Thu, September 01, 2022
Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce
The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care. Guests: Liana Wolk, teacher Owen Marshall , musician Katie Keith, JD, MPH ; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center. Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E180 · Thu, August 25, 2022
Too Healthy for the Hospital, Too Sick for the Streets
Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets? Guests: Henry Jones, former medical respite patient Janelle Goetcheus , MD, Founder and Medical Director, Christ House Julia Dobbins , MSW, Director of Medical Respite, National Health Care for the Homeless Council Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home Karyn Wills , MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC Learn more about medical respite and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E179 · Thu, August 18, 2022
Has Medicaid Managed Care Delivered On Its Promise?
Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care. Guests: Sayeh Nikpay , PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota Kathleen Adams , PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory University Allan Baumgarten , JD, Independent Health Policy Analyst Read more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift. If you give before Dec. 31, 2021, your donation will be doubled thanks to a match from the Institute for Nonprofit News: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E178 · Thu, August 11, 2022
Health Care’s Climate Change Contradiction
The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done. Guest: Gary Cohen, co-founder and president of Health Care Without Harm Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E177 · Thu, August 04, 2022
Harm Reduction’s Road From Fringe to Federal Drug Policy
The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis. Guests: Ricky Bluthenthal, PhD , Associate Dean for Social Justice; Keck School of Medicine, University of Southern California Keith Humphreys, PhD , Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford University Beau Kilmer, PhD , Director of the RAND Drug Policy Research Center Kimberly Sue, MD, PhD , Assistant Professor of Medicine, Yale School of Medicine Maia Szalavitz , Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction Read a full transcript and dig deeper into the issues explored in today's episode on our website . Please take a couple of minutes to help us learn more about you by filling out our listener survey . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E176 · Thu, July 28, 2022
A New Era in the Fight Over Medicaid Premiums
We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program. Guests: Katharine Bradley , Principal Researcher, Mathematica Heather O'Loughlin , Co-Director, Montana Budget & Policy Center Ed Buttrey , State Representative, Montana Read a full transcript and dig deeper into the issues explored in today's episode on our website . Please take a couple of minutes to help us learn more about you by filling out our listener survey . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E175 · Thu, July 21, 2022
Abortion Funds’ Growing Role Post-Roe
Independent abortion funds have been flooded with donations since Roe v. Wade was overturned. How do these funds work and what role will they play in a post-Roe world? Guests: Brittany Mostiller , Leadership Development Coordinator, National Network of Abortion Funds Gretchen Ely, PhD, MSW , Director of PhD Program, University of Tennessee College of Social Work Kim Floren, Director, Justice Through Empowerment Network Erin Smith , Executive Director, Kentucky Justice Health Network Read a full transcript and dig deeper into our reporting here . Please take a couple of minutes to help us learn more about you by filling out our listener survey . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E174 · Sat, July 16, 2022
BONUS: Talking 988 with The Takeaway
To mark the launch date of 988, America's new mental health crisis line, we're sharing a segment from The Takeaway, a public radio show and podcast produced by WNYC Studios and PRX, featuring Tradeoffs host Dan Gorenstein talking about our reporting on 988. Read a full transcript and dig deeper into our reporting here . Please take a couple of minutes to help us learn more about you by filling out our listener survey . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E173 · Thu, July 14, 2022
Answering the Call, Part 3: America's New Crisis Line Goes Live
In Part 3 of our special series on 988, we go on the ground to hear from individuals working in their communities to prepare for America’s new mental health crisis line to go live. Guests: Natalie Krebs , Health reporter, Iowa Public Radio Emily Blomme , Chief Executive Officer, Foundation 2 Crisis Services Christine Herman , Managing editor, Side Effects Public Media Mike Sunseri , Deputy Executive Director, Kentucky Office of Homeland Security Carter Barrett , Reporter, Side Effects Public Media Benjamin Kowalczyk, Living Room patient Read a full transcript and dig deeper into our reporting here . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E172 · Wed, July 13, 2022
Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line
In Part 2 of our special series on 988, we explore the scramble to staff the country’s new mental health crisis line and the workforce lessons 988 can learn from 911. Learn more about how 988 came to be, what’s at stake and what it will take to succeed in the first episode in our series. Guests: Rebecca Neusteter , PhD, Executive Director, Health Lab, University of Chicago Rita Salazar , 911 call-taker, Valley Communications Center Michelle Lilly , PhD, Associate Professor of Clinical Psychology, Northern Illinois University Jennifer Battle , MSW, Director of Access, Harris Center for Mental Health and IDD Services Lata Menon , MSW, CEO, First Choice Services Courtney Colwell, 988 Program Manager, Volunteers of America Western Washington Read a full transcript and dig deeper into all our coverage of 988 here . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E171 · Tue, July 12, 2022
Answering the Call, Part 1: America’s New Mental Health Crisis Line
Starting July 16, 2022, anyone in the U.S. experiencing a mental health crisis will be able to dial 988 for help. We explore what it will take for this new nationwide hotline to meet the needs of millions of people struggling with suicide, addiction and mental illness. Guests: Andrea Harrison, Helpline Specialist, First Choice Services Madhuri Jha , LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of Medicine Ben Miller , PsyD, President, Well Being Trust Hannah Wesolowski , MPA, Chief Advocacy Officer, National Alliance on Mental Illness Read a full transcript and dig deeper into all our coverage of 988 here . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E170 · Thu, July 07, 2022
Good Intentions Gone Awry
Why has a little-known program designed to help hospitals and clinics that serve low-income people become one of the most controversial health policies in the country? Guests: Sayeh Nikpay , PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . AS0ak8G9IJpKrgif5e5I Hosted on Acast. See acast.com/privacy for more information.
S1 E169 · Thu, June 30, 2022
What Research Says About a Post-Roe World
The leader of a landmark abortion study shares what research and her own family experience suggest will happen to people who are denied abortions in a post-Roe world. Guests: Diana Foster Green, director of research at Advancing New Standards in Reproductive Health Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E168 · Thu, June 23, 2022
The Personal and Political Fight to Keep Abortion Legal in Michigan
A personal and political fight to keep abortion legal in Michigan is in full swing. Michigan is one of more than 20 states poised to ban abortion if Roe v. Wade falls. Politico’s Alice Miranda Ollstein speaks with one woman who got an illegal abortion in Michigan and outlines the political levers state leaders have to to preserve abortion rights. Guests: Alice Miranda Ollstein , health care reporter, POLITICO Renee Chelian, Executive Director, Northland Family Planning Centers Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E167 · Thu, June 16, 2022
America’s Chronic Drug Shortage Problem
How one hospital is scrambling to deal with a shortage of a critical drug, and what changes are needed to fix chronic problems with the U.S. medical supply chain. Guests: Kierstin Kennedy , Chief Medical Officer, University of Alabama Birmingham Hospital Erin Fox , Senior Pharmacy Director, University of Utah Health Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E166 · Thu, June 09, 2022
Pain, Fear and Waste: The Costs of Unnecessary Care
We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care. Guests: Meredith Niess, MD, MPH , Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant Health Ishani Ganguli, MD, MPH , Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital Cheryl Damberg, PhD, MPH , Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance Scott Weingarten, MD, MPH , Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E165 · Thu, June 02, 2022
Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line
In Part 2 of our special series on 988, we explore the scramble to staff the country’s new mental health crisis line and the workforce lessons 988 can learn from 911. Learn more about how 988 came to be, what’s at stake and what it will take to succeed in the first episode in our series. Guests: Rebecca Neusteter , PhD, Executive Director, Health Lab, University of Chicago Rita Salazar , 911 call-taker, Valley Communications Center Michelle Lilly , PhD, Associate Professor of Clinical Psychology, Northern Illinois University Jennifer Battle , MSW, Director of Access, Harris Center for Mental Health and IDD Services Lata Menon , MSW, CEO, First Choice Services Courtney Colwell, 988 Program Manager, Volunteers of America Western Washington Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E164 · Thu, May 26, 2022
Can More Time on Medicaid Lower Maternal Deaths?
The country’s high rates of pregnancy-related deaths and complications, and the potential impact Biden’s push to expand Medicaid coverage for pregnant people may have. Guests: Stacey Roussel , Deputy Director, Louisiana Budget Project Frankie Robertson, Founder & President, The Amandla Group Usha Ranji , Associate Director for Women’s Health Policy at Kaiser Family Foundation Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information.
S1 E163 · Thu, May 19, 2022
Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce
The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care. Guests: Liana Wolk, teacher Owen Marshall , musician Katie Keith, JD, MPH ; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center. Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E162 · Thu, May 12, 2022
Presenting Color Code: Dismantling Medical Racism Starts in the Classroom
Medical education is in the midst of a revolution. Students and educators want their education ingrained in antiracism and hope that by acknowledging and teaching about bias and systemic discrimination in the medical field, the next generation of doctors will be better equipped to dismantle racism within health care. STAT's “Color Code” takes a look at the groundswell of antiracism work in medicine and medical education, and explores the backlash these endeavors have received, which span from institutional repercussions to protests from hate groups Guests: Jerrel Catlett : An MD/PhD student at the Icahn School of Medicine at Mount Sinai. Rebecca Zhou: A peer in medical school at Mt. Sinai. Jennifer Dias : An MD candidate at the Icahn School of Medicine at Mount Sinai. Michelle Morse : Chief Medical Officer of the NYC Dept. of Health and Mental Hygiene. Aysha Khoury : Assistant Professor at the Morehouse School of Medicine. Read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E161 · Thu, May 05, 2022
How One Doctor Is Prepping for a World Without Roe
We talk with a Michigan OB-GYN determined to make sure her hospital is ready if abortion becomes illegal in her state. Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E160 · Thu, April 28, 2022
Too Healthy for the Hospital, Too Sick for the Streets
Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets? Guests: Henry Jones, former medical respite patient Janelle Goetcheus , MD, Founder and Medical Director, Christ House Julia Dobbins , MSW, Director of Medical Respite, National Health Care for the Homeless Council Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home Karyn Wills , MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC Learn more about medical respite and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E159 · Thu, April 21, 2022
The Sky-High Price of Insulin and What Lawmakers Are Trying to Do About It
We explore the high cost of insulin in the U.S. and Congress’ latest push to address those prices with Kaiser Health News reporter Bram Sable-Smith. Guest: Bram Sable-Smith , Midwest Correspondent, Kaiser Health News Have a look at some additional resources and a full transcript . Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E158 · Thu, April 14, 2022
How One Alzheimer’s Drug Is Changing the U.S. Drug Approval Conversation
After Medicare’s decision to restrict coverage of the controversial new Alzheimer’s drug Aduhelm, we look at how this one drug has forced the nation to reexamine how to balance the needs of desperate patients, incomplete evidence and larger economic realities. Guests: Phil Gutis , Alzheimer’s patient and advocate Holly Fernandez Lynch , JD, MBe, John Russell Dickson, MD Presidential Assistant Professor of Medical Ethics, University of Pennsylvania Have a look at some additional resources and a full transcript . Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E157 · Thu, April 07, 2022
Immunocompromised in a COVID-Weary World
An immunosuppressed physician explains what navigating her life – and her workplace – is like in this COVID-fatigued world. Guest: Lindsay Ryan , MD, San Francisco VA Medical Center Have a look at some additional resources and a full transcript . Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E156 · Thu, March 31, 2022
Inside Big Health Insurers’ Side Hustle
America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong? Join us for a wild, wonky journey into the world of third-party administrators. Guests: Christin Deacon , JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of Treasury Brian Hufford , JD, Partner, Zuckerman Spaeder LLP Ken Janda , JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retiree Have a look at more of Leslie's reporting on TPAs . Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E155 · Thu, March 24, 2022
Health Care’s Climate Change Contradiction
The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done. NOTE: This episode has been updated to clarify Practice Greenhealth's operating model. Guest: Gary Cohen, co-founder and president of Health Care Without Harm Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E154 · Thu, March 17, 2022
A New Era in the Fight Over Medicaid Premiums
We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program. Guests: Katharine Bradley , Principal Researcher, Mathematica Heather O'Loughlin , Co-Director, Montana Budget & Policy Center Ed Buttrey , State Representative, Montana Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E153 · Thu, March 10, 2022
Presenting Sick: Screaming in the Shower
Jails and prisons are one of the few places in the United States where health care is a right. But for many incarcerated people, that care often falls short. This is the story one of those people: Princola Shields. This episode was originally produced for the podcast Sick , a production of Side Effects Public Media . Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E152 · Thu, March 03, 2022
Pain, Fear and Waste: The Costs of Unnecessary Care
We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care. Guests: Meredith Niess, MD, MPH , Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant Health Ishani Ganguli, MD, MPH , Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital Cheryl Damberg, PhD, MPH , Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance Scott Weingarten, MD, MPH , Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E151 · Thu, February 24, 2022
Peter Lee on Obamacare, Covered California and Where We Go Next With Health Care
As Peter Lee prepares to step down after a decade of running California's Obamacare exchange, he reflects on his experience, the strengths and weaknesses of the Affordable Care Act, and what the next frontier for health care should be in the U.S. Guest: Peter Lee , Executive Director, Covered California Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E150 · Thu, February 17, 2022
The FDA Super Bowl
Every 5 years, the FDA has to renegotiate billions of dollars in user fees with the drug and medical device companies it regulates. This is one of those years, and Congress has to pass the latest user fee agreements by the end of September to keep FDA running. We break down this controversial process and what other health policies could pass in its wake. Guest: Sarah Karlin-Smith , Senior Writer, Pink Sheet Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E149 · Thu, February 10, 2022
Off Script: One Pharmacist's COVID Woes and Wins
This week, a pharmacist and co-owner of an independent pharmacy in Iowa shares what life is like nearly two years into the pandemic. Guest: Kelly Kent, RPh, PharmD, pharmacist and chief operating officer, Towncrest Pharmacy. Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E148 · Thu, February 03, 2022
Answering the Call, Part 1: America’s New Mental Health Crisis Line
Starting July 16, 2022, anyone in the U.S. experiencing a mental health crisis will be able to dial 988 for help. We explore what it will take for this new nationwide hotline to meet the needs of millions of people struggling with suicide, addiction and mental illness. Guests: Andrea Harrison, Helpline Specialist, First Choice Services Madhuri Jha , LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of Medicine Ben Miller , PsyD, President, Well Being Trust Hannah Wesolowski , MPA, Chief Advocacy Officer, National Alliance on Mental Illness Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E147 · Thu, January 27, 2022
Harm Reduction’s Road From Fringe to Federal Drug Policy
The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis. Guests: Ricky Bluthenthal, PhD , Associate Dean for Social Justice; Keck School of Medicine, University of Southern California Keith Humphreys, PhD , Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford University Beau Kilmer, PhD , Director of the RAND Drug Policy Research Center Kimberly Sue, MD, PhD , Assistant Professor of Medicine, Yale School of Medicine Maia Szalavitz , Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E146 · Thu, January 20, 2022
Medicare’s Unprecedented Alzheimer’s Drug Decision
Last week, Medicare took an unprecedented step to restrict patients’ access to the first new Alzheimer’s disease treatment in nearly 20 years. We talk with a doctor, a patient and a former federal official about this unusual move and its wide-ranging implications. Guests: Jay Reinstein , Alzheimer’s disease patient and advocate Sharon Sha , MD, MS, Clinical Associate Professor of Neurology and Neurological Sciences, Stanford University Sean Tunis , MD, MSc, Senior Fellow, Tufts Center for Evaluation of Value and Risk in Health, former FDA advisor and former CMS official Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
Trailer · Thu, January 13, 2022
What's Ahead for Tradeoffs
We've got a lot to share with you in 2022! We're looking into new strategies to battle overdose deaths; the unfolding saga of the new Alzheimer's drug; and the rollout of a new national hotline for mental health emergencies. Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape. New episodes start 20 January, 2022! Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Support this type of journalism today, with a gift . Follow us on Twitter, @tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E144 · Thu, January 06, 2022
One Woman’s Year Surviving the Pandemic with a Disability
A young woman living with cerebral palsy shares the struggles, fears and silver linings she’s experienced during the pandemic. Guest: Jeiri Flores , disability rights advocate Read a full transcript and dig deeper into the issues explored in today's episode on our website . Support this type of journalism today by making a donation . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E143 · Thu, December 30, 2021
A New Era of Gun Violence Research
As gun violence surges, researchers are using new federal funding to search for solutions. Emmy Betz , MD, MPH, Associate Professor of Emergency Medicine and Director of the Firearm Injury Prevention Initiative , University of Colorado Jonathan Jay , DrPH, JD, Assistant Professor of Community Health Sciences, Boston University Autumn Parkin, gun owner and advocate If you or someone you know is having suicidal ideation, please call the Suicide Prevention Hotline : 800 273 8255 For more information about gun violence research visit our website . Support this type of journalism today, with a year-end tax deductible gift (plus your gift will be matched!). Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E142 · Thu, December 23, 2021
Health Care's Ransomware Wake-Up Call
Health care has long lagged behind other industries when it comes to cybersecurity. But with ransomware attacks against the industry on the rise, providers are quickly trying to close the gap and protect their systems and patients. Guests: Karen Sprenger , CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security M. Eric Johnson , PhD, Ralph Owen Dean and Bruce D. Henderson Professor of Strategy, Vanderbilt University Owen Graduate School of Management Anahi Santiago , Chief Information Security Officer, ChristianaCare Saad Chaudhry , MPP, Chief Information Officer, Luminis Health Read a full transcript, dig into the numbers, and learn more about ransomware negotiator Karen Sprenger on our website . Support this type of journalism today, with a year-end tax deductible gift (plus your gift will be matched!). Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E141 · Thu, December 16, 2021
Presenting An Arm and A Leg: The Insurance Warrior
Like Tradeoffs, An Arm and a Leg tells stories about our complicated health care system. Host Dan Weissmann tells the story of an engineer, who worked for Boeing for over 30 years. When he was diagnosed with a rare form of cancer, he needed surgery but his insurance denied the claim. That’s when his wife called Laurie Todd, the Insurance Warrior. Check out more of this story . Keep up with all Tradeoffs activity this month . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E140 · Thu, December 09, 2021
The Best Health Care Podcasts of 2021
We look back on some of the best health policy podcast episodes of the year with help from a few of our podcast host friends. Guests: Dr. Bapu Jean , host, Freakonomics, MD Kimberly Seals-Allers , host, Birthright Maiken Scott , host, The Pulse, WHYY Dr. Celine Gounder , host, American Diagnosis and Epidemic For a complete transcript and more recommendations . Support this type of journalism today, with a year-end tax deductible gift (plus your gift will be matched!). Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E139 · Thu, December 02, 2021
Presenting Playbook Deep Dive: Biden's Abortion Clash with the Catholic Church
Produced weekly by Politico, the Playbook Deep Dive podcast tells the stories behind the power, from Congress and the White House to bar stools and back rooms. This episode, considers what it means to be the nation’s second Catholic president. Playbook co-author Ryan Lizza talks with senior staff writer Ruby Cramer about how Joe Biden balances a very public role with the “private matter” of his faith at a time of deep division over abortion, and among the bishops in his own church. Check out all of Politico's podcasts Keep up with all Tradeoffs activity this month . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff. Support this type of journalism today, with a gift . Follow us on Twitter . Hosted on Acast. See acast.com/privacy for more information.
S1 E138 · Thu, November 18, 2021
Rethinking Telehealth's Role in Treating Addiction
COVID opened the door to treating addiction remotely. Now policymakers have to decide whether to keep telehealth around. Guests: Allie Grant, patient Sarah Channell , MSN, APRN, CNP; Clinical Director of Addiction Services; Lower Lights Christian Health Center Allison Lin , MD, Assistant Professor of Psychiatry, University of Michigan Addiction Center; Research Scientist, VA Ann Arbor Healthcare System Read a full transcript and learn more about how telehealth policies have changed and the evidence on treating addiction remotely on our website: https://tradeoffs.org/2021/11/18/telehealth-virtual-care-opioids-addiction/ Support this type of journalism today, with a gift. Donations made through Dec. 31, 2021 will be doubled thanks to a generous match: https://tradeoffs.org/donate Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E137 · Thu, November 11, 2021
Let’s Make a Deal…on Drug Prices
Democrats are on the brink of passing a historic set of drug price reforms as part of the Build Back Better Act. How will they impact patients, insurers and the drug industry? Guest: Rachel Sachs , JD, Treiman Professor of Law, Washington University in St. Louis Find a full transcript of this episode and additional research and reporting on these potential drug price reforms on our website: https://tradeoffs.org/2021/11/11/democrats-drug-price-reconciliation Support this type of journalism today, with a gift: https://tradeoffs.org/donate Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E136 · Thu, November 04, 2021
Has Medicaid Managed Care Delivered On Its Promise?
Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care. Guests: Sayeh Nikpay , PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota Kathleen Adams , PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory University Allan Baumgarten , JD, Independent Health Policy Analyst Read more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift. If you give before Dec. 31, 2021, your donation will be doubled thanks to a match from the Institute for Nonprofit News: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E135 · Thu, October 28, 2021
The Costly, Confusing Medicare Choices Facing 62 Million Americans
It’s Medicare open enrollment — the one chance each year that all 62 million beneficiaries have to shop for better coverage. But choosing a new plan is much harder and riskier than it seems. Guests: Lilyan Grossman, Medicare beneficiary Tricia Neuman , ScD, Senior Vice President and Executive Director of the Program on Medicare Policy, Kaiser Family Foundation Amal Trivedi , MD, Professor of Medicine and Health Services, Policy, and Practice, Brown University Dig deeper into the research and tradeoffs of shopping around for Medicare plans: https://tradeoffs.org/2021/10/28/medicare-open-enrollment Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E134 · Thu, October 21, 2021
Biden's $400 Billion Bet on Caring for Older and Disabled Americans at Home
President Biden wanted to spend $400 billion to help older and disabled Americans get health care at home, but the proposal has been cut by more than half as Democrats work to pare back their $3.5 trillion spending package. [This episode was originally published on April 8, 2021.] Guests: Howard Gleckman , Senior Fellow, Urban Institute Rachel Werner , MD, PhD, Executive Director, Leonard Davis Institute of Health Economics at the University of Pennsylvania Learn more and read a full transcript of the episode: https://tradeoffs.org/2021/04/08/bidens-400-billion-bet-on-caring-for-older-and-disabled-americans-at-home/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E133 · Thu, October 14, 2021
COVID's Push and Pull on the Public Health Workforce
The pandemic has pushed hundreds of public health officials to leave their jobs. It's also inspired thousands to pursue a career in public health. We listen in on a conversation between two women pushed in different directions by the pandemic. Guests: Jen Miller, RN, Former Communicable Disease Nurse Consultant, Montana Department of Public Health and Human Services Nicole Snyder , PhD, Associate Professor of Chemistry, Davidson College; MPH Candidate, Gillings School of Global Public Health, University of North Carolina Find a full transcript and more information about how the pandemic has impacted the public health workforce on our website: https://tradeoffs.org/2021/10/14/public-health-workforce-covid-burnout/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E132 · Thu, October 07, 2021
Can Democrats Reconcile Their Health Policy Differences?
Congressional Democrats’ blockbuster spending bill could include some historic health reforms, but major political hurdles remain. Reporter Alice Miranda Ollstein joins us to discuss the tough health policy compromises facing Democratic lawmakers. Guest: Alice Miranda Ollstein, health care reporter, POLITICO A complete transcript of our conversation with Alice Miranda Ollstein is on our website: https://tradeoffs.org/2021/10/07/house-reconciliation-bill-health Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E131 · Thu, September 30, 2021
How Do We Keep the Nursing Shortage From Getting Worse?
U.S. hospitals are facing a nursing crisis, but experts say it's not as bad as the nationwide shortage of the early 2000s. We talk with two experts about what needs to be done to prevent the current crisis from getting worse. Guests: Peter Buerhaus , PhD, RN, FAAN; Professor, Montana State University College of Nursing; Director, Center for Interdisciplinary Health Workforce Studies Karen Lasater , PhD, RN; Assistant Professor of Nursing, University of Pennsylvania Find more resources on nurse shortages and a full transcript of this episode: https://bit.ly/3ol0ROr Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Hosted on Acast. See acast.com/privacy for more information.
S1 E130 · Thu, September 23, 2021
Inside Big Health Insurers’ Side Hustle
America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong? Join us for a wild, wonky journey into the world of third-party administrators. Guests: Christin Deacon , JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of Treasury Brian Hufford , JD, Partner, Zuckerman Spaeder LLP Ken Janda , JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retiree Have a look at more of Leslie's reporting on TPAs: https://bit.ly/3CEg6pE Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E129 · Thu, September 16, 2021
Employers Grapple With Fear, Uncertainty and Vaccine Mandates
As President Biden ups the pressure on businesses to mandate COVID-19 vaccines for their employees, we talk with a preschool owner wrestling with the decision and a researcher with tips on how to make a mandate work. Guests: Lesia Daniel-Hollingshead , Co-owner, Funtime Clinton Ashley Ritter , APRN, PhD; Director of Clinical Care Research, NewCourtland; Adjunct Assistant Professor, NewCourtland Center for Transitions in Health, University of Pennsylvania School of Nursing; CEO, Dear Pandemic Find additional resources and reporting on vaccine mandates and read a full transcript of this episode on our website: https://tradeoffs.org/2021/09/16/employers-grapple-with-fear-uncertainty-and-vaccine-mandates/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E128 · Thu, September 09, 2021
The Next Big Challenge to Abortion Rights
The Supreme Court just declined to block a controversial abortion ban in Texas. Now an even bigger case looms on their docket, and it could dramatically alter abortion access across the U.S. Guests: Laurie Sobel , JD, Associate Director, Women’s Health Policy, Kaiser Family Foundation Alina Salganicoff , PhD, Senior Vice President and Director of Women’s Health Policy, Kaiser Family Foundation There's more about these two laws and the imminent SCOTUS case on our website: https://tradeoffs.org/2021/09/09/the-next-big-challenge-to-abortion-rights/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E127 · Thu, September 02, 2021
Schools Brace For Pandemic-Fueled Mental Health Needs
Kids are returning to in-person school this fall with increased rates of depression, anxiety and other pandemic-fueled mental health challenges, and schools are leaning on billions in new federal funding to meet the growing need. Guests: Kyron Harvell , Principal, Vivian Riddle Elementary School; Lansing, Michigan Sharon Hoover , PhD, Co-Director, National Center for School Mental Health, University of Maryland School of Medicine Learn more about the research behind youth and school mental health on our website: https://tradeoffs.org/2021/09/02/schools-brace-for-pandemic-fueled-mental-health-needs/ Read a transcript of this episode: https://tradeoffs.org/2021/09/02/schools-brace-for-pandemic-fueled-mental-health-needs-transcript/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E126 · Thu, August 26, 2021
Catching America's Top Cancer Killer
New national guidelines say millions more Americans should get screened for lung cancer. The test can save lives, but it's inaccessible to many and harmful to some. How should we balance the promise and perils of lung cancer screening? Guests: Otis Brawley, MD , Professor of Oncology, Johns Hopkins University School of Medicine Lisa Carter-Harris, PhD, APRN , Behavioral Scientist and Adult Nurse Practitioner, Memorial Sloan Kettering Cancer Center Cherie Erkmen, MD , Professor of Thoracic Surgery and Director, Lung Cancer Screening Program, Temple University Ella Kazerooni, MD , Professor of Radiology, University of Michigan Ida Pittman, lung cancer patient, Temple University Hospital Helena Price, Ida’s cousin and health care advocate Gerard Silvestri, MD , Professor of Pulmonology, Medical University of South Carolina Dig deeper into the research and tradeoffs of lung cancer screening on our website: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer/ Read a transcript of this episode: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer-transcript/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E125 · Thu, August 19, 2021
Calling the Shots: Should Employers Mandate COVID Vaccines?
With more employers requiring their employees to get vaccinated against COVID-19, we dig into the research to help employers weigh the pros and cons. [This episode was originally published on May 20, 2021.] Guests: Sayeh Nikpay , PhD; Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota Corey White , PhD; Assistant Professor of Economics; Cal Poly, San Luis Obispo Brandyn Churchill , PhD Candidate, Vanderbilt University Learn more about Corey and Brandyn's research and the pros and cons of employer mandates on our website: https://tradeoffs.org/2021/05/20/calling-the-shots-should-employers-mandate-covid-vaccines/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E124 · Thu, August 12, 2021
Presenting The Nocturnists: Stories from a Pandemic
One of the hardest things about being healthcare workers going through this pandemic is that we've both experienced and borne witness to moments that nobody should have to go through alone. Who do we need by our side when everything falls apart? And what do we do when they can’t be there? More information about this episode and The Nocturnists project: https://thenocturnists.com/stories-from-a-pandemic-part-2/2021/6/22/episode-3-by-my-side Keep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodes Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E123 · Thu, August 05, 2021
Presenting The Pulse: The Impact of Maternity Ward Closures
Hosted by Maiken Scott and aired weekly on WHYY and other NPR member stations, The Pulse tells stories at the heart of health, science and innovation. This particular Pulse story, reported by Alan Yu and Nina Feldman, looks at a crisis of maternity ward closures that recently hit the city of Philadelphia, and the surprising alliances and unexpected outcomes that it catalyzed. Dig deeper into The Pulse team's research: https://whyy.org/segments/how-philadelphia-escaped-disaster-in-the-face-of-a-dozen-shuttered-maternity-wards/ Keep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodes Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E122 · Thu, July 29, 2021
Health Care's Ransomware Wake-Up Call
Health care has long lagged behind other industries when it comes to cybersecurity. But with ransomware attacks against the industry on the rise, providers are quickly trying to close the gap and protect their systems and patients. Guests: Karen Sprenger , CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security M. Eric Johnson , PhD, Ralph Owen Dean and Bruce D. Henderson Professor of Strategy, Vanderbilt University Owen Graduate School of Management Anahi Santiago , Chief Information Security Officer, ChristianaCare Saad Chaudhry , MPP, Chief Information Officer, Luminis Health Read a full transcript, dig into the numbers, and learn more about ransomware negotiator Karen Sprenger on our website: https://tradeoffs.org/2021/07/29/health-cares-ransomware-wake-up-call Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E121 · Thu, July 22, 2021
Sacrifices and Small Wins: The Fight Against Rising Gun Violence
As gun violence continues to soar in U.S. cities, one violence prevention specialist tries to stem the tide of homicides in his hometown. Guest: J ames "JT" Timpson , Director for Community Partnerships and Safety, Roca Maryland and Roca Impact Institute Read a full transcript and dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/22/sacrifices-and-small-wins-the-fight-against-rising-gun-violence/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E120 · Thu, July 15, 2021
One Woman’s Year Surviving the Pandemic with a Disability
A young woman living with cerebral palsy shares the struggles, fears and silver linings she’s experienced during the pandemic. Guest: Jeiri Flores , disability rights advocate Read a full transcript and dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/15/one-womans-year-surviving-the-pandemic-with-a-disability Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E119 · Thu, July 08, 2021
Why Millions Could Lose Medicaid Next Year
A congressional ban on removing anyone from Medicaid is likely to expire early next year. What will happen to people who lose their coverage, and how are states preparing for this unprecedented undertaking? Guests: Sara Rosenbaum , JD, Harold and Jane Hirsh Professor of Health Law and Policy, Milken Institute School of Public Health, George Washington University Jami Snyder , Director, AHCCCS Dave Richard , Deputy Secretary, North Carolina Medicaid Read a full transcript and see which states are working ahead to prepare for the end of the public health emergency and state-by-state estimates of how many people could lose coverage on our website: Dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/08/why-millions-could-lose-medicaid-next-year/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E118 · Thu, July 01, 2021
One County’s 20-Year Effort to Decriminalize Mental Illness
Many cities across the United States are rethinking the role of police in responding to mental health emergencies. Miami-Dade County has spent the last two decades revamping their policing — along with many other aspects of how their criminal justice system treats people in crisis. What lessons have they learned? Guests: Steve Leifman , JD, Associate Administrative Judge, Eleventh Judicial Circuit Court of Florida; Founder, Miami-Dade County Criminal Mental Health Project Carol Caraballo , MSW, MPA, LCSW, Vice President of Behavioral Health Services, Thriving Mind South Florida Dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/01/one-countys-20-year-effort-to-decriminalize-mental-illness Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E117 · Fri, June 25, 2021
The Aducanumab Aftermath: The Industry
How is the pharmaceutical industry reacting to the FDA’s surprising approval of a controversial Alzheimer’s drug, and what do they make of its $56,000 price tag? This is the last episode in our weeklong series examining the potentially sweeping consequences this drug, known as aducanumab, could have on millions of patients’ lives and billions of dollars in health care spending. Guest: Luke Timmerman , Journalist/Founder, Timmerman Report Explore the full series and additional resources: https://tradeoffs.org/aducanumab Read a transcript of this episode: https://tradeoffs.org/2021/06/25/the-aducanumab-aftermath-the-industry/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E116 · Thu, June 24, 2021
The Aducanumab Aftermath: The Payer
A controversial new $56,000 Alzheimer’s drug could wreak financial havoc on insurers, seniors and taxpayers. This episode is part of a special weeklong series examining the potentially sweeping consequences this drug, known as aducanumab, could have on millions of patients’ lives and billions of dollars in health care spending. Guest: Mark Miller , PhD, Executive Vice President for Health Care, Arnold Ventures Explore the full series and additional resources: https://tradeoffs.org/aducanumab Read a transcript of this episode: https://tradeoffs.org/2021/06/24/the-aducanumab-aftermath-the-payer/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E115 · Wed, June 23, 2021
The Aducanumab Aftermath: The Patient
Desperate to slow her cognitive decline, one patient shares her hopes and concerns about the first new Alzheimer’s drug in nearly 20 years. This episode is part of a special weeklong series examining the potentially sweeping consequences this drug, known as aducanumab, could have on millions of patients’ lives and billions of dollars in health care spending. Guest: Arthena Caston , Alzheimer’s patient and advocate Explore the full series and additional resources: https://tradeoffs.org/aducanumab Read a transcript of this episode: https://tradeoffs.org/2021/06/23/the-aducanumab-aftermath-the-patient/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E114 · Tue, June 22, 2021
The Aducanumab Aftermath: The Doctor
A costly, controversial new Alzheimer’s drug is sending shockwaves through the U.S. health care system. How are doctors grappling with questions about its safety and efficacy? This is the first episode in a special conversation series featuring different people reckoning with the potentially sweeping consequences this drug could have on millions of patients’ lives and billions of dollars in health care spending. Guest: Winston Chiong , MD, PhD, Associate Professor of Neurology, University of California, San Francisco Explore the full series and additional resources: https://tradeoffs.org/aducanumab Read a transcript of this episode: https://tradeoffs.org/2021/06/22/aducanumab-doctor-transcript/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E113 · Thu, June 17, 2021
Babies, Boats & Abstracts: An Insider's Guide to Health Policy Conferences
Health policy experts are kicking off the summer with back-to-back conferences: AcademyHealth's Annual Research Meeting and the 10th Annual Conference of the American Society of Health Economists (ASHEcon). Hop on the Tradeoffs Tours bus for conference tips, stories and exciting research with a conference veteran, Kosali Simon. Guest: Kosali Simon , PhD, Herman B. Wells Endowed Professor, Associate Vice Provost for Health Sciences; Indiana University Find links to the conferences' full agendas and an episode transcript on our website: https://tradeoffs.org/2021/06/17/babies-boats-abstracts-an-insiders-guide-to-health-policy-conferences/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E112 · Thu, June 10, 2021
Drilling Into a Dentist's COVID Roller Coaster Ride
The pandemic forced dentists across the country to shut down last spring. We talk with one dentist about what that meant for her business, her patients, and what it’s been like to open back up. Guest: Stacey Van Scoyoc , DDS, General Dentist, Co-Owner, Bloomington Family Dental Find additional resources and a full transcript of today's episode on our website: https://tradeoffs.org/2021/06/10/drilling-into-a-dentists-covid-roller-coaster-ride/ Take our short listener survey, and you could win a $50 gift card! bit.ly/TradeoffsSurvey Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E111 · Thu, June 03, 2021
The FDA’s Pressure-Packed Alzheimer’s Drug Decision
The U.S. Food and Drug Administration faces a costly and consequential decision over whether to approve a controversial new Alzheimer’s drug. Guest: Caleb Alexander , Professor of Epidemiology and Medicine, Johns Hopkins Bloomberg School of Public Health View the transcript for today's episode: https://tradeoffs.org/2021/06/03/the-fdas-pressure-packed-alzheimers-drug-decision Take our short listener survey, and you could win a $50 gift card! bit.ly/TradeoffsSurvey Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E110 · Thu, May 27, 2021
Catching America’s Top Cancer Killer
New national guidelines say millions more Americans should get screened for lung cancer. The test can save lives, but it's inaccessible to many and harmful to some. How should we balance the promise and perils of lung cancer screening? Guests: Otis Brawley, MD , Professor of Oncology, Johns Hopkins University School of Medicine Lisa Carter-Harris, PhD, APRN , Behavioral Scientist and Adult Nurse Practitioner, Memorial Sloan Kettering Cancer Center Cherie Erkmen, MD , Professor of Thoracic Surgery and Director, Lung Cancer Screening Program, Temple University Ella Kazerooni, MD , Professor of Radiology, University of Michigan Ida Pittman, lung cancer patient, Temple University Hospital Helena Price, Ida’s cousin and health care advocate Gerard Silvestri, MD , Professor of Pulmonology, Medical University of South Carolina Dig deeper into the research and tradeoffs of lung cancer screening on our website: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer/ Take our short listener survey, and you could win a $50 gift card! bit.ly/TradeoffsSurvey Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E109 · Thu, May 20, 2021
Calling the Shots: Should Employers Mandate COVID Vaccines?
With about one-third of Americans still not convinced they need to be vaccinated for COVID-19, many employers are debating whether to require their workers to get vaccinated. We dig into the research to help employers weigh the pros and cons. Guests: Sayeh Nikpay , PhD; Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota Corey White , PhD; Assistant Professor of Economics; Cal Poly, San Luis Obispo Brandyn Churchill , PhD Candidate, Vanderbilt University Learn more about Corey and Brandyn's research and the pros and cons of employer mandates on our website: https://tradeoffs.org/2021/05/20/calling-the-shots-should-employers-mandate-covid-vaccines/ Take our short listener survey, and you could win a $50 gift card! bit.ly/TradeoffsSurvey Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E108 · Thu, May 13, 2021
3 Employers, 2 Wonks and 1 Health Insurance Mess (LIVE!)
In this special live episode, policy experts and employers debate the best way to improve the health insurance that 150 million Americans get through work. This session was part of “The Promise of Health Reform and a Public Option in a Biden Administration,” a virtual conference put on by the Leonard Davis Institute of Health Economics at the University of Pennsylvania and United States of Care. Guests: Brian Blase , PhD, CEO, Blase Policy Strategies; Senior Fellow, Galen Institute; Senior Fellow, Foundation for Government Accountability Suzanne Delbanco , PhD, MPH, Executive Director, Catalyst for Payment Reform Allison Hoffman , JD, Professor of Law and LDI Senior Fellow, University of Pennsylvania Shaundell Newsome , Founder, Sumnu Marketing; Co-Chair, Small Business for America’s Future Sheila Savageau , U.S. Healthcare Leader, General Motors Learn more about shortcomings of employer-based solution and the policies proposed in this episode on our website: https://tradeoffs.org/2021/05/13/3-employers-2-wonks-and-1-health-insurance-mess/ LISTEN BACK to our recent episode on how other employers are managing the cost of health care: https://tradeoffs.org/2021/02/18/the-high-price-of-lowering-health-costs/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E107 · Thu, May 06, 2021
Presenting The Dose: Asian Americans and the Dual Pandemic
Racism against people of Asian descent is not a new problem, but it’s been exacerbated lately by politicians using racist rhetoric to describe the coronavirus. Asians in America are now facing a dual pandemic: a heightened fear of racist abuse, from verbal slurs to physical assault, on top of all the anxiety of living through COVID-19. A conversation from our colleagues at The Dose. Guests: Shanoor Servai , MPP, Researcher, Writer and Lead Podcast Producer; The Commonwealth Fund Vivian Shaw , PhD, College Fellow, Department of Sociology at Harvard University; Lead Researcher, AAPI COVID-19 Project Susanna Park , PhD Candidate in Global Health, Oregon State University Read a full transcript and learn more information about the AAPI COVID-19 project on our website: https://tradeoffs.org/2021/05/06/presenting-the-dose-asian-americans-and-the-dual-pandemic/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E106 · Thu, April 29, 2021
Public Option(al): What Happened to Biden's Big Idea?
Despite President Biden’s campaign promise to create a public option, the policy has been missing from his first 100 days in office. A handful of states, however, are forging ahead with public option legislation. Guests: Heather Howard , Princeton School of Public and International Affairs Sabrina Corlette , JD, Georgetown University Dig deeper into the research and tradeoffs of integrated care on our website: https://tradeoffs.org/2021/04/29/public-option-what-happened-to-bidens-big-idea Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E105 · Thu, April 22, 2021
Preventing HIV Just Got A Lot Cheaper. What Took So Long?
After nearly a decade of sky-high prices, generics have sent the price of the HIV prevention drug PrEP plummeting. What kept it so expensive for so long, and will the price drop help us finally eradicate HIV? Guests: Robin Feldman , Professor of Law, UC Hastings; Director of the Center for Innovation Tahir Amin , Co-Executive Director, I-MAK Oni Blackstock, MD , Primary care and HIV physician Tim Horn , Director of Health Care Access, National Alliance of State and Territorial AIDS Directors Craig Garthwaite , Director of Health Care, Kellogg School of Management, Northwestern Univ. Dig deeper into the research and tradeoffs of prescription drug pricing on our website: https://tradeoffs.org/2021/04/22/preventing-hiv-just-got-a-lot-cheaper-what-took-so-long/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E104 · Thu, April 15, 2021
Losing a Hospital
More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure. Guest: Sarah Jane Tribble , Senior Correspondent, Kaiser Health News Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hospital/ Hear more of Sarah Jane's reporting about Fort Scott on the first season of Where It Hurts: whereithurts.show Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E103 · Thu, April 08, 2021
Biden's $400 Billion Bet on Caring for Older and Disabled Americans at Home
President Biden wants to spend $400 billion to help older and disabled Americans get health care at home as part of his $2 trillion infrastructure proposal, a huge investment in an often neglected part of the health care system. Guests: Howard Gleckman , Senior Fellow, Urban Institute Rachel Werner , MD, PhD, Executive Director, Leonard Davis Institute of Health Economics at the University of Pennsylvania Learn more and read a full transcript of the episode: https://tradeoffs.org/2021/04/08/bidens-400-billion-bet-on-caring-for-older-and-disabled-americans-at-home/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E102 · Thu, April 01, 2021
A New Era of Gun Violence Research
As gun violence surges, researchers are using new federal funding to search for solutions. Emmy Betz , MD, MPH, Associate Professor of Emergency Medicine and Director of the Firearm Injury Prevention Initiative , University of Colorado Jonathan Jay , DrPH, JD, Assistant Professor of Community Health Sciences, Boston University Autumn Parkin, gun owner and advocate If you or someone you know is having suicidal ideation, please call the Suicide Prevention Hotline : 800 273 8255 For more information about gun violence research visit our website: https://tradeoffs.org/2021/04/01/a-new-era-of-gun-violence-research/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E101 · Thu, March 25, 2021
No Simple Answers: A COVID Q&A With NYT's Apoorva Mandavilli
We sit down with one of the top pandemic reporters in the country to answer to answer listener questions. Guest: Apoorva Mandavilli , Science and Global Health Reporter, New York Times NOTE: This episode incorrectly states that more than 125 million people had received vaccinations at the time the episode aired. More than 125 million doses had been administered, but fewer than 90 million people had received at least one dose. Read a full transcript of this episode on our website: https://tradeoffs.org/2021/03/25/no-simple-answers-a-covid-qa-with-nyts-apoorva-mandavilli/ Read more of Apoorva's answers to listener questions, see what research health policy experts are reading right now, and get recommendations from our staff in our free weekly newsletter. Sign up now: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E100 · Thu, March 18, 2021
One Community Health Center’s COVID Recovery
One year ago, a community health center in Boston told us how COVID had wreaked havoc on their budget, staff and patient care. How are they doing now? Guest: Chuck Jones , MBA, President and CEO, Harbor Health For more of this and our previous conversations with Jones: https://tradeoffs.org/2021/03/18/one-community-health-centers-covid-recovery Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E99 · Thu, March 11, 2021
How Will Biden’s Fix for Child Poverty Affect Kids’ Health?
The recently passed $1.9 trillion American Rescue Plan Act includes a sweeping expansion of the child tax credit, a policy change that could protect millions of kids from poverty—and the health risks that come with it. Guests: Deborah Frank , MD, Founding Director of the Grow Clinic at Boston Medical Center (retired); Professor of Child Health and Well-Being (retired), Boston University School of Medicine; and Founder and Principal Investigator, Children’s HealthWatch Juell Frazier , advocate and health services professional Tara Hayes , MPP, Director of Human Welfare Policy, American Action Forum Hilary Hoynes , PhD, Professor of Public Policy and Economics, University of California Berkeley Chuck Marr , MBA, Senior Director of Federal Tax Policy, Center on Budget and Policy Priorities For more information on this topic: https://tradeoffs.org/2021/03/11/how-will-bidens-fix-for-child-poverty-affect-kids-health/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E98 · Thu, March 04, 2021
Data and Door Knocking: One City's Push for Racial Equity in Vaccines
White Americans are getting vaccinated against COVID-19 at higher rates than Black and Latino people, even though communities of color have been hit hardest by the pandemic. We explore how Chicago is tackling this problem and what other city’s can learn from their efforts. Guests: Allison Arwady , MD, MPH, Commissioner, Chicago Department of Public Health James Rudyk , Executive Director, Northwest Side Housing Center Vanessa Valentin, Community Relations Director, 36th Ward Alderman’s Office Adriane Casalotti , Chief of Government and Public Affairs, National Association of County and City Health Officials Learn more about vaccine distribution inequities and read a full transcript of the episode on our website: https://tradeoffs.org/2021/03/04/data-and-door-knocking-one-citys-push-for-racial-equity-in-vaccines/ Sign up for our weekly newsletter to see what other research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E97 · Thu, February 25, 2021
Will the Federal Ban on Surprise Medical Bills Work?
At the end of 2020, Congress finally passed legislation protecting patients from surprise out-of-network medical bills. We dig into the research to understand what we can expect from this long-awaited policy fix. Guests: Sayeh Nikpay , PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota Benjamin Chartock , Associate Fellow, Leonard Davis Institute of Health Economics; PhD Candidate, Wharton School Dig deeper into the research discussed in this episode: https://tradeoffs.org/2021/02/25/will-the-federal-ban-on-surprise-medical-bills-work Sign up for our weekly newsletter to see what other research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E96 · Thu, February 18, 2021
The High Price of Lowering Health Costs for 150 Million Americans
Employers are clashing with hospitals, insurers and even their own workers over high health care prices. We meet some of the businesses, unions and advocates on the frontlines of this battle that could determine the fate of employer-based insurance. Listener warning: This episode does contain sensitive language Guests: Marilyn Bartlett , CPA, CMA, CFM, Senior Policy Fellow, National Academy for State Health Policy, and former administrator of Montana state employee health plan Mike Chernew , PhD, Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School Will Haynes, 32BJ union member Elizabeth Mitchell , CEO, Purchaser Business Group on Health Sara Rothstein , Director, 32BJ Health Fund Gloria Sachdev , PharmD, President and CEO, Employers’ Forum of Indiana Rep. Donna Schaibley , Indiana House of Representatives Candace Shaffer , Senior Director of Benefits, Purdue University Bob Smith , MBA, Executive Director, Colorado Business Group on Health You can find more of our research online: https://tradeoffs.org/2021/02/18/the-high-price-of-lowering-health-costs Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href
S1 E95 · Thu, February 11, 2021
Fixing Health Care's 'Leaky Pipes' Could Save the U.S. $340 Billion
The U.S. health care system is full of wasteful spending. A group of top health economists say a bunch of small changes could save the country big money. Guests: Zack Cooper , PhD, Associate Professor of Public Health and of Economics, Yale University Mario Macis , PhD, Professor of Economics, Johns Hopkins Carey Business School Fiona Scott Morton , PhD, Theodore Nierenberg Professor of Economics, Yale University Neale Mahoney , PhD, Professor of Economics, Stanford University Elizabeth Fowler , JD, PhD, Executive Vice President for Programs, Commonwealth Fund Learn more about the 1% Project and read a full transcript of this episode on our website: https://tradeoffs.org/2021/02/11/fixing-health-cares-leaky-pipes-could-save-340-billion/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E94 · Thu, February 04, 2021
Death, Disease and Denial: Combating COVID in the ER
Doctors and nurses can feel as if they’re living in two worlds. One in which patients are getting sick and dying from the coronavirus, and another in which people deny the virus is real. Emergency room physician Mike Hunihan describes what it’s like to live and work with that dissonance. Guest: Michael Hunihan, M.D. View a full transcript of this episode: https://tradeoffs.org/2021/02/04/death-disease-and-denial-combating-covid-in-the-er/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E93 · Thu, January 28, 2021
Xavier Becerra: Get to Know Biden's Pick to Lead HHS
Who is Xavier Becerra? We explore Becerra's health policy record, what drives his views and what he could do about the country's health care consolidation problem. Guests: Peter Lee , JD, Executive Director, Covered California Richard Scheffler , PhD, Director, Nicholas C. Petris Center Aditi Sen , PhD, Assistant Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health Lanhee Chen , PhD, David and Diane Steffy Fellow in American Public Policy Studies, Hoover Institution Learn more about Xavier Becerra and what HHS can do about consolidation in health care on our website: https://tradeoffs.org/2021/01/28/xavier-becerra-get-to-know-bidens-pick-to-lead-hhs/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E92 · Thu, January 21, 2021
‘The Ten Year War’ Over Obamacare (and the Battles Ahead)
Democrats are returning to the White House and the Senate majority with a long health policy to-do list. Reporter Jonathan Cohn says the battle over Obamacare offers lessons and clues as to where the party’s “unfinished crusade for universal coverage” may head next. Guest: Jonathan Cohn , HuffPost senior national correspondent and author of "The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage" You can find a complete transcript of this conversation on our website: https://tradeoffs.org/2021/01/21/the-ten-year-war-over-obamacare/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E91 · Thu, January 14, 2021
We Need You
Nursing homes have been one of the epicenters of the COVID-19 pandemic. So why are so many nursing home workers hesitant to get vaccinated, and what can be done to turn those numbers around? Guests: Tracey Couliboly, Director of Recreation, Jewish Home at Rockleigh Carol Silver Elliott, CEO, Jewish Home at Rockleigh Jasmine Travers , AGPCNP-BC CCRN, PhD, RN, Assistant Professor of Nursing, NYU Rory Meyers College of Nursing Learn more about vaccine hesitancy in nursing homes and read a transcript of this episode: https://tradeoffs.org/2021/01/14/we-need-you/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Trailer · Thu, January 07, 2021
New Year, New Episodes!
2021 is shaping up to be a big year in health care: a new vaccine, new lawmakers with new policy agendas all over the country. Also on the horizon is a real reckoning with the health effects of racism, and a showdown between some of health care’s biggest players. Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape. Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E89 · Thu, December 31, 2020
The Price of Care
New federal rules requiring hospitals to post their prices are set to go into effect on Jan. 1, 2021. But will price transparency lower the cost of health care? [This episode was originally published on July 7, 2020.] Guest: Margot Sanger-Katz, Health Care Reporter, New York Times For more a complete transcript of Dan’s conversation with Margot: https://tradeoffs.org/2020/07/07/the-price-of-care/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E88 · Thu, December 17, 2020
Meeting the Mental Health Need
Soaring numbers of Americans are feeling anxious, stressed and depressed. Could a reimagined approach to primary care help meet their needs? [This episode was originally published on July 28, 2020.] Eboni Winford , PhD, Director of Research and Health Equity, Cherokee Health Systems Parinda Khatri , PhD, Chief Clinical Officer, Cherokee Health Systems Sandy Blount , EdD, Founding Director, Center for Integrated Primary Care, University of Massachusetts Medical School Richard Frank , PhD, Margaret T. Morris Professor of Health Economics, Harvard Medical School Robert, Patient, Cherokee Health Systems Dig deeper into the research and tradeoffs of integrated care on our website: https://tradeoffs.org/2020/07/28/meeting-the-mental-health-need/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E87 · Tue, December 15, 2020
Surprise! SCOTUS Bucks ERISA
In a surprise unanimous decision, the Supreme Court pushed back against the power of ERISA, a little known federal law that has stifled states’ attempts to regulate health care for decades. [NOTE: Part of this episode originally aired on Oct. 6] Guest: Erin Fuse Brown , Associate Professor of Law; Director, Center for Law, Health & Society, Georgia State University For a complete transcript of this conversation and more information on the case and ERISA: https://tradeoffs.org/2020/12/15/surprise-scotus-bucks-erisa/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter If you value independent nonprofit health care journalism, donate to Tradeoffs. And when you give through the end of 2020, your gift will be doubled: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E86 · Thu, December 10, 2020
On the Job in the ICU
As medical interns step into their new roles as doctors, one resident gives us a window into her experiences in a COVID ICU. [This episode was originally published on July 30, 2020.] Guest: Tamar Pounardjian, MD Resident, Brown Medical School, Internal Medicine Residency Program Read a transcript of this episode: https://tradeoffs.org/2020/07/30/life-in-the-icu/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter If you value independent nonprofit health care journalism, donate to Tradeoffs. And when you give through the end of 2020, your gift will be doubled: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E85 · Thu, December 03, 2020
Core to Who I Am
This summer, the Trump administration tried to roll back some federal protections for transgender patients. We look at the fight to secure health care for trans Americans and explore the extent to which policies designed to expand access have delivered on their promise. [This episode was originally published on July 14, 2020.] Guests: Kellan Baker , PhD, Centennial Scholar, Johns Hopkins Bloomberg School of Public Health Melvin Whitehead , PhD, Assistant Professor of Student Affairs Administration, Binghamton University Katie Keith , Adjunct Professor of Law, Georgetown Law Taylor Brown , Staff Attorney, ACLU LGBT & HIV Project Read a transcript of the episode, see maps of which states offer legal protections to transgender patients, and more on our website: https://tradeoffs.org/2020/07/14/core-to-who-i-am/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter If you value independent nonprofit health care journalism, donate to Tradeoffs. And when you give through the end of 2020, your gift will be doubled: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E84 · Tue, December 01, 2020
Best of 2020
We look back on some of the best health policy podcast episodes of the year with help from a few of our podcast host friends. Guests: Julie Rovner , host, What the Health, Kaiser Health News Dan Diamond , host, Pulse Check, Politico Laura Carlson , host, Prognosis, Bloomberg Max Jordan Nguemeni Tiako , host, Flip the Script Alexandra Olgin , host, Gist Healthcare Daily, Gist Healthcare For a complete transcript of this episode: https://tradeoffs.org/2020/12/01/best-of-2020/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E83 · Thu, November 05, 2020
Oyez! Oyez! ACA!
The Affordable Care Act is back in front of the Supreme Court. We explain the case and outline three ways this latest existential challenge to the law could end. Guest: Katie Keith , JD, Adjunct Professor of Law, Georgetown Law; Author of Health Affairs “Following the ACA” Blog For more on the latest challenge to the ACA and a complete transcript of this episode: https://tradeoffs.org/2020/11/05/oyez-oyez-aca/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Support this type of journalism today, with a gift: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E82 · Tue, November 03, 2020
Straight to the People
From restricting abortion to legalizing marijuana, voters are weighing in on a variety of significant state health policy questions this election. (CORRECTION: An earlier version of this episode said Washington D.C. was considering “decriminalizing” psychoactive plants like mushrooms. They were in fact only considering effectively decriminalizing them by directing police to make enforcing laws related to this issue a low priority.) Guest: Kathleen Hoke, JD , Professor, University of Maryland Carey School of Law For complete a transcript of this conversation: https://tradeoffs.org/2020/11/03/straight-to-the-people Support this type of journalism today, with a gift: https://tradeoffs.org/donate Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E81 · Thu, October 29, 2020
Mission Critical
With COVID-19 again bearing down on U.S. hospitals, a team of military doctors and disaster preparedness experts are racing to build a system to deploy critical care providers anywhere in an instant. Guests: Col. Jeremy Pamplin, MD , Director, U.S. Army Telemedicine & Advanced Technology Research Center (TATRC) Ben Scott, MD , Associate Professor of Anesthesiology, University of Colorado Doug Powell, MD , Assistant Professor of Critical Care Medicine, West Virginia University; and consultant to the Office of the U.S. Army Special Operations Command Surgeon Lt. Col. Chris Colombo, MD , Director of Virtual Health and Telecritical Care, Madigan Army Medical Center Jeremy Kahn, MD , Professor of Critical Care Medicine, University of Pittsburgh Kristina Ieronimakis, RN, ICU Nurse, Madigan Army Medical Center Lisa Lindgren , Vice President of Clinical Operations, Avera Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E80 · Tue, October 27, 2020
Good Intentions
With communities of color disproportionately impacted by COVID-19, drugmakers and public health officials are placing an unprecedented emphasis on diversity in vaccine clinical trials. Guests: Beau Garland , Vice President of Recruitment, Meridian Clinical Research Jonathan Jackson, PhD , Director, CARE Research Center, Massachusetts General Hospital. For complete complete transcript of this conversation: https://tradeoffs.org/2020/10/27/good-intentions/ To stay on top of all our coverage of the coronavirus and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E79 · Thu, October 22, 2020
A Telehealth Checkup
The coronavirus pandemic forced public and private insurers to relax longstanding restrictions on telehealth, leading to a virtual care explosion. But how many of those changes are here to stay? Guest: Chad Ellimoottil , MD, Assistant Professor of Urology and Director of the Telehealth Research Incubator at the University of Michigan Read a transcript of this episode: https://tradeoffs.org/2020/10/22/a-telehealth-checkup/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E78 · Tue, October 20, 2020
The Opioid Crisis Is Still Here
While the coronavirus pandemic has sucked up all the oxygen, the opioid crisis continues to get worse. Guest: Michael Barnett , Assistant Professor of Health Policy Management at Harvard School of Public Health; Primary Care Physician at Brigham and Women’s Hospital Read a transcript of this episode: https://tradeoffs.org/2020/10/20/the-opioid-crisis-is-still-here/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E77 · Thu, October 15, 2020
The Medicare Cliff
One of Medicare's trust funds is set to run out of money within the next four years, but we've heard almost nothing about it the campaign trail. We explore what would happen, how it got this bad, and what can be done to fix it. Guest: Marc Goldwein , Senior Vice President and Senior Policy Director, Committee for a Responsible Federal Budget Learn more about Medicare and read a transcript of this episode: https://tradeoffs.org/2020/10/15/the-medicare-cliff/ Explore more of our coverage of the 2020 election: https://tradeoffs.org/trumpbiden/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E76 · Tue, October 13, 2020
Research Corner: Picking Plans
In the second installment of our Research Corner segment, health economist Sayeh Nikpay discusses two research papers about picking health insurance plans: why we're bad at it and why so many uninsured Americans who are eligible for low cost plans don't sign up. Featuring: Sayeh Nikpay , Associate Professor, School of Public Health, University of Minnesota For complete complete transcript of this conversation: https://tradeoffs.org/2020/10/13/research-corner-picking-health-insurance-plans/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E75 · Thu, October 08, 2020
Losing a Hospital
More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure. Guest: Sarah Jane Tribble , Senior Correspondent, Kaiser Health News Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hospital/ Hear more of Sarah Jane's reporting about Fort Scott on the first season of Where It Hurts: whereithurts.show Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E74 · Tue, October 06, 2020
The Other SCOTUS Health Care Case
As the Supreme Court begins a new term, all eyes are on the ACA. But lurking in the wonky backwaters is another case with big implications for state health innovations and regulations. Guest: Erin Fuse Brown , Associate Professor of Law; Director, Center for Law, Health & Society, Georgia State University For a complete transcript of this conversation: https://tradeoffs.org/2020/10/06/the-other-scotus-health-care-case/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E73 · Thu, October 01, 2020
Debate Do-Over
Although health care consumed nearly one-third of the first presidential debate, the conversation left a lot to be desired. We asked a couple of experts to outline the key health policy questions they wish the candidates had covered. Amitabh Chandra , PhD, Ethel Zimmerman Wiener Professor of Public Policy, Harvard University Preeti Malani , MD, Chief Health Officer, University of Michigan For a complete transcript of this conversation: https://tradeoffs.org/2020/10/01/debate-do-over/ Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E72 · Tue, September 29, 2020
Shifting Concerns
The 2020 election was supposed to be all about health care. Then 2020 happened. We check the latest polling on voters' attitudes on health care this election season. Guest: Ashley Kirzinger , Associate Director of Public Opinion and Survey Research, Kaiser Family Foundation Read a transcript of the episode and see chart's detailing KFF's latest polling on our website: https://tradeoffs.org/2020/09/29/shifting-concerns/ Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E71 · Thu, September 24, 2020
Biden and COVID-19
We ask the experts about Biden's plans to increase COVID-19 testing, shore up PPE and supply chains, and institute a national mask mandate. The seventh and final episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guests: Brooke Nichols , PhD, Assistant Professor of Global Health, Boston University School of Public health Nicolette Louissaint , PhD, Executive Director, Healthcare Ready Leana Wen , MD, Emergency Physician and Public Health Professor, George Washington University Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/24/biden-and-covid-19/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E70 · Tue, September 22, 2020
Biden and the ACA
Joe Biden has big plans to build on the Affordable Care Act. How close will they get us to universal coverage? The sixth episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guest: Christine Eibner , PhD, Senior Economist, RAND Corporation Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/22/biden-and-the-aca/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E69 · Fri, September 18, 2020
Trump and COVID-19
What do experts think of President Trump’s response to COVID-19? And what do they think a second Trump term would mean for health policy? The fifth episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guests: Ryan Levi , Producer, Tradeoffs Lanhee Chen , PhD, David and Diane Steffy Fellow in American Public Policy Studies, Hoover Institution Brian Blase , PhD, Former Special Assistant to President Trump for Health Policy Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/18/trump-and-covid-19 Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E68 · Thu, September 17, 2020
Trump and Reproductive Health
President Trump has pushed to limit access to abortion and contraception coverage. What impacts have those moves had? The fourth episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guest: Maya Manian , JD, Visiting Professor, American University Washington College of Law Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/17/trump-and-reproductive-health Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E67 · Wed, September 16, 2020
Trump and Medicaid
Has President Trump made any lasting changes to the Medicaid program? The third episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guest: Robin Rudowitz , Co-Director, Kaiser Family Foundation Program on Medicaid and the Uninsured Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/16/trump-and-medicaid/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E66 · Tue, September 15, 2020
Trump and Drug Prices
Lowering prescription drug prices continues to be one of President Trump’s top goals. What has he actually accomplished so far? The second episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guest: Ben Ippolito , PhD, Resident Scholar, American Enterprise Institute Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/15/trump-and-drug-prices/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E65 · Mon, September 14, 2020
Trump and the ACA
What impact have Donald Trump’s policies had on the Affordable Care Act and the way health insurance works in the U.S.? The first episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden. Guests: Brian Blase , PhD, Former Special Assistant to President Trump for Health Policy Emily Gee , PhD, Health Economist, Center for American Progress Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/ Read a transcript of this episode: https://tradeoffs.org/2020/09/14/trump-and-the-aca/ Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E64 · Thu, September 10, 2020
Doctors Coping with COVID, Pt. 2
The pandemic is exacerbating longstanding mental health issues among health care providers. In part two of our series, we examine why more doctors don’t seek help, and the costly consequences that distress can have. Guests, Mona Masood, MO, founder, Physician Support Line Lotte Dyrbye , MD, MHPE, Mayo Clinic in Rochester, Minnesota Katherine Gold, MD, Associate Professor, University of Michigan For more information about physican mental health: https://tradeoffs.org/2020/09/10/doctors-coping-with-covid-part-2/ And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E63 · Tue, September 08, 2020
Doctors Coping with COVID, Pt. 1
The pandemic is taking a toll on providers' mental health. Today, the first of a two-part series that begins with an ER doctor on the frontlines in Arizona. Guest, Mara Windsor, DO, Emergency Medicine Physician For complete complete transcript of this episode: https://tradeoffs.org/2020/09/08/doctors-coping-with-covid-part-1/ And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E62 · Thu, September 03, 2020
An Unpleasant Surprise
Surprise medical bills have become a major issue for Americans, but federal legislation to protect consumers continues to stall. Is Congress getting closer to halting this practice? Guest: Nicholas Bagley , Professor of Law at the University of Michigan Law School in Ann Arbor Learn more about how surprise bills work and proposals to curtail them, along with a transcript of the episode on our website: https://tradeoffs.org/2020/09/03/an-unpleasant-surprise Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E61 · Tue, September 01, 2020
Learning As We Go
How are educators and families navigating what we know, and don’t know, about the risks of restarting school during a pandemic? Guest, Emily Oster , Professor of Economics, Brown University For complete complete transcript of this conversation: https://tradeoffs.org/2020/09/01/learning-as-we-go Sign up for our weekly newsletter to get the latest research from experts and recommendations from our staff: bit.ly/tradeoffsnewsletter And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Trailer · Thu, August 27, 2020
Tradeoffs Returns
It's been a busy couple of weeks, and we want to tell you all about it! New episodes are coming September 1st. Subscribe to our weekly newsletter: tradeoffs.org Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E60 · Thu, July 30, 2020
On the Job in the ICU
As medical interns step into their new roles as doctors, one resident gives us a window into her experiences in a COVID ICU. Guest: Tamar Pounardjian, Resident, Brown Medical School, Internal Medicine Residency Program Read a transcript of this episode: https://tradeoffs.org/2020/07/30/life-in-the-icu/ Get Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E59 · Tue, July 28, 2020
Meeting the Mental Health Need
Soaring numbers of Americans are feeling anxious, stressed and depressed. Could a reimagined approach to primary care help meet their needs? Eboni Winford , PhD, Director of Research and Health Equity, Cherokee Health Systems Parinda Khatri , PhD, Chief Clinical Officer, Cherokee Health Systems Sandy Blount , EdD, Founding Director, Center for Integrated Primary Care, University of Massachusetts Medical School Richard Frank , PhD, Margaret T. Morris Professor of Health Economics, Harvard Medical School Robert, Patient, Cherokee Health Systems Dig deeper into the research and tradeoffs of integrated care on our website: https://tradeoffs.org/2020/07/28/meeting-the-mental-health-need/ Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter And to stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E58 · Thu, July 23, 2020
Summer Concerns
Five months into the global pandemic and with just over 100 days before the general election, we check in with the latest polling on how voters are feeling about health care in the U.S. Guest: Ashley Kirzinger , Associate Director of Public Opinion and Survey Research, Kaiser Family Foundation Read the transcript and see charts detailing the latest polling from KFF on our website: https://tradeoffs.org/2020/07/23/summer-concerns/ Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E57 · Tue, July 21, 2020
Listener Mailbag: Your COVID-19 Questions Answered
Will this be the end of fee-for-service? How should we price a COVID-19 vaccine? Bapu Jena and Sayeh Nikpay answer audience questions about the pandemic. Guests: Sayeh Nikpay , PhD, MPH, Assistant Professor, Health Policy, Vanderbilt University Bapu Jena , MD, PhD, Ruth L. Newhouse Associate Professor of Health Care Policy, Harvard Medical School; Associate Professor of Medicine, Massachusetts General Hospital Read a transcript of the episode on our website: https://tradeoffs.org/2020/07/21/listener-mailbag/ Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E56 · Thu, July 16, 2020
Taking the Pulse of Insurers
Insurers have been on strong financial footing during the pandemic while doctors, hospitals and consumers have not been as lucky. Two researchers give us a behind the scenes looks at what insurers have experienced these past four months. Guest, Linda Blumberg , Fellow, Urban Institute Kevin Lucia , Research Professor, McCourt School of Public Policy, Georgetown University For more from Dan’s conversation with Linda and Kevin, https://tradeoffs.org/2020/07/16/taking-the-pulse-of-insurers/ And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E55 · Tue, July 14, 2020
Core to Who I Am
The Trump administration recently rolled back some federal protections for transgender patients. We look at the fight to secure health care for trans Americans and explore the extent to which policies designed to expand access have delivered on their promise. Guests: Kellan Baker , PhD, Centennial Scholar, Johns Hopkins Bloomberg School of Public Health Melvin Whitehead , PhD, Assistant Professor of Student Affairs Administration, Binghamton University Katie Keith , Adjunct Professor of Law, Georgetown Law Taylor Brown , Staff Attorney, ACLU LGBT & HIV Project Read a transcript of the episode, see maps of which states offer legal protections to transgender patients, and more on our website: https://tradeoffs.org/2020/07/14/core-to-who-i-am/ Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E54 · Thu, July 09, 2020
Leaving the WHO
President Trump says the U.S. is leaving the World Health Organization. What it might mean for public health in the U.S. and the world. Guest: Lawrence Gostin , Director of the O’Neill Institute for National and Global Health Law Read a transcript of the episode and learn more about the WHO on our website: https://tradeoffs.org/2020/07/09/leaving-the-who/ Stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E53 · Tue, July 07, 2020
The Price of Care
A recent court decision upheld federal rules requiring hospitals and insurers to post prices. But will price transparency lower the cost of health care? Guest, Margot Sanger-Katz, Health Care Reporter, New York Times For more from Dan’s conversation with Margot, https://tradeoffs.org/2020/07/07/the-price-of-care/ And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter Hosted on Acast. See acast.com/privacy for more information.
S1 E52 · Thu, July 02, 2020
Research Corner: Masks, Flint and Primary Care
Physician and economist Bapu Jena discusses a pair of interesting new health policy research papers with implications for COVID-19, primary care and more. Guest: Bapu Jena , MD, PhD, Harvard economist and physician Read the episode transcript and find links to the research: https://tradeoffs.org/2020/07/02/research-corner-masks-flint Stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E51 · Tue, June 30, 2020
Becoming a Doctor
Medical interns across the nation are starting their first days as doctors. One resident's hopes and fears before her first shift in the COVID ICU. Guest: Tamar Pounardjian, Resident, Brown Medical School, Internal Medicine Residency Program For more of Tamar's story: https://tradeoffs.org/2020/06/30/becoming-a-doctor/ And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E50 · Thu, June 25, 2020
Navigating Risk
With COVID-19 cases surging across the nation, how can Americans fight their coronavirus fatigue while staying safe? Guest, Ashish Jha , Director, Harvard Global Health Institute More about Ashish and some of the research we used for this episode: https://bit.ly/2B9WxLP And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E49 · Tue, June 23, 2020
Leap of Faith
As the opioid crisis continues to ravage the country, some states are turning to controversial laws that force people into treatment. Are they part of the solution or could they make things worse? This episode originally ran on Jan. 2, 2020. Guests: Dr. Abhishek Jain , forensic psychiatrist Rep. Lauren Davis , Washington state Merredith Cunniff , nurse, advocate and former civil commitment patient Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep6 Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E48 · Fri, June 19, 2020
Dealing With DACA and COVID
The Supreme Court says the Trump administration can’t end DACA, for now. What the decision means to one DACA recipient caring for those most vulnerable to COVID-19. Guest: Esmeralda Tovar-Mora; Mental Health Case Manager, Nursing Home Medication Aide, DACA Recipient Read the transcript and see photos of Esmeralda and her family: https://tradeoffs.org/2020/06/19/daca/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E47 · Thu, June 18, 2020
Prognosis: Understanding Silent Spreaders
A top World Health Organization official sparked controversy earlier this month when she said cases of asymptomatic carriers of COVID-19 spreading the virus are “very rare.” Bloomberg senior editor Jason Gale digs into what we know — and don’t know — about asymptomatic carriers of COVID-19, also known as “silent spreaders.” Guests: Jason Gale , Senior Editor, Bloomberg News Dr. Sanjaya Senanayake , Associate Professor, Australia National University Dr. Peter Collignon , Professor, Australia National University Read a transcript of this episode: https://tradeoffs.org/2020/06/18/prognosis-silent-spreaders/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E46 · Tue, June 16, 2020
What Brings You In Today?
The average doctor does more than 200,000 patient interviews in their career, making communication one of the most common procedures in medicine. How are we training providers for this and are those efforts working? This episode originally aired on Nov. 13, 2019. Get more content and resources on our website: https://bit.ly/tradeoffsep3 To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E45 · Thu, June 11, 2020
Hard to Reach
New data suggest undocumented immigrants aren't being tested enough for COVID-19. What's standing in the way, and what's being done to address it? Guests: Ana Matt Notowidigdo , PhD, University of Chicago Poverty Lab Samantha Artiga , Director, Disparities Policy Project, Kaiser Family Foundation Dawn Mautner, MD, MS, Medical Director, Oregon State Medicaid; Senior Health Advisor, Oregon Health Authority Monica Juarez, MPH, Regional Outreach Coordinator, Oregon Health Authority Special thanks to medical anthropologist Whitney Duncan who provided translation services and whose research on immigrant health connected us with Ana. Learn more and read the episode transcript: https://tradeoffs.org/2020/06/11/hard-to-reach/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E44 · Tue, June 09, 2020
California Dreamin'
Early in the pandemic, California was conducting just 2,000 coronavirus tests a day. Now the state is up to 60,000. How did they ramp up testing so quickly? Guests: Bob Kocher , Partner, Venrock Charity Dean, Assistant Director of the California Department of Public Health Paul Markovich , President of Blue Shield of California For more about California’s response to the COVID-19 outbreak: https://tradeoffs.org/2020/06/09/california-dreamin/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E43 · Thu, June 04, 2020
Without Precedent
A new, more conservative Supreme Court is about to rule on its first major cases involving reproductive health and rights. We review the cases and their consequences. Guest: Mary Ziegler , JD, Stearns Weaver Miller Professor of Law, Florida State University For more about these two cases: https://tradeoffs.org/2020/06/04/without-precedent/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E42 · Tue, June 02, 2020
It Takes A Toll
As the nation responds to the police killing of George Floyd, we explore the public health impacts of police violence and what a public health response could look like. Guest: Rhea Boyd , MD, MPH, pediatrician and police violence researcher Read the transcript and learn more on our website: https://tradeoffs.org/2020/06/02/police-violence/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E41 · Thu, May 28, 2020
Home Sweet Hospital
With their business models upended by the coronavirus, hospitals are dusting off a decades-old idea: hospitalize patients in their own homes. Guests: Bruce Leff , MD, Director, The Center for Transformative Geriatric Research, Johns Hopkins Travis Messina , MBA, Cofounder and CEO, Contessa Kavita Patel , MD, MPH, Nonresident Fellow, Brookings Institution Raphael Rakowski , Cofounder and CEO, Medically Home David Zaas , MD, MBA, President, Duke Raleigh Hopsital For more about hospital care at home: https://tradeoffs.org/2020/05/28/home-sweet-hospital/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E40 · Tue, May 26, 2020
Science Under Pressure
Sites known as preprint servers post cutting-edge research in mere days. That speed has advantages during a health crisis, but it also comes with risks. Guest: Richard Sever, Cold Spring Harbor Laboratory Press For more about preprints visit: https://tradeoffs.org/2020/05/26/science-under-pressure/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E39 · Thu, May 21, 2020
Masking Problems
Requiring face masks in public during COVID-19 may be a good public health move but it may also be putting some people's health at risk. Guest: Dr. Gabriel Felix, Psychiatry Resident at Cambridge Health Alliance For more of Gabriel’s story: https://tradeoffs.org/2020/05/21/masking-problems/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E38 · Tue, May 19, 2020
The Home Run Approach
Some scientists argue we should intentionally infect volunteers with the coronavirus to get a vaccine sooner. How would it work? Guests: Lehua Gray, Challenge Trial Volunteer Seema Shah , JD, Associate Director of Research Ethics, Lurie Children’s Hospital Zeb Jamrozik , MD, PhD, Monash Bioethics Centre Anna Durbin , MD, Professor of International Health, Johns Hopkins Bloomberg School of Public Health Learn more about human challenge trials and read the transcript: https://tradeoffs.org/2020/05/19/challenge-trials To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E37 · Thu, May 14, 2020
Bill, Interrupted
The cosponsor of Colorado’s recently withdrawn public option bill shares what it was like to go from being on the eve of major health reform to the brink of an economic and health care catastrophe. Guest: Kerry Donovan , State Senator, Colorado District 5 For more information about Colorado's public option legislation: https://tradeoffs.org/2020/05/14/bill-interrupted/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E36 · Tue, May 12, 2020
What the Fax?
America’s public health agencies are fighting the coronavirus with phones and faxes rather than the real-time data they desperately need. Guests: Janet Hamilton, Executive Director, Council of State and Territorial Epidemiologists Richard Danila, Deputy Epidemiologist for the state of Minnesota Katie O’Donnell, Larimer County Health Department Arien Malec, former federal health IT official Julia Adler-Milstein, Professor of Medicine at UCSF For more information about the state of the data driving testing, tracing and surveillance: https://tradeoffs.org/2020/05/12/what-the-fax To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E35 · Thu, May 07, 2020
Disease Detectives
Inside one county's efforts to use contact tracing to flatten the COVID-19 curve. Guest: Tair Kiphibane, nurse, director of the infectious disease bureau in Salt Lake County, Utah. For more information about contact tracing: https://tradeoffs.org/2020/05/07/disease-detectives/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E34 · Tue, May 05, 2020
The Medicaid Cliff
What happened to Medicaid during the last recession? And what can that teach us going into the next one? Guests: MaryAnne Lindeblad , Washington State Medicaid Director Tom Betlach , Former Arizona Medicaid Director Ben Sommers , MD, PhD, Professor of Health Policy and Economics, Harvard Helen Levy , PhD, Research Professor, University of Michigan School Get more information and read the transcript of this episode: https://tradeoffs.org/2020/05/05/medicaid-recession/ See all of our coronavirus coverage here: https://tradeoffs.org/coronavirus/ Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E33 · Thu, April 30, 2020
Return of the Risk Corridors
The U.S. Supreme Court just ruled that insurers are owed $12 billion for losses they incurred in the early days of the Affordable Care Act. What are the origins and implications of this case? Guests: Larry Levitt, Executive Vice President for Health Policy, Kaiser Family Foundation For more of our conversation with Larry: https://tradeoffs.org/2020/04/30/risk-corridors To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E32 · Tue, April 28, 2020
Primary Care on the Mend
The coronavirus is straining our primary care system. But, for some, the situation is starting to look more robust. Guests: Chuck Jones , President and CEA, Harbor Health For more information about how primary care services are faring in this climate, visit https://tradeoffs.org/2020/04/28/primary-care-on-the-mend/ To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E31 · Thu, April 23, 2020
The COBRA Conundrum
Millions of Americans have recently lost their health insurance along with their jobs. What should be done to help them stay covered during this crisis? Guests: Mayra Jimenez Chris Holt , Director of Health Care Policy, American Action Forum Jon Gruber , Professor of Economics, MIT Jill Berk , Senior Researcher, Mathematica For more information about COBRA v ACA: https://tradeoffs.org/2020/04/23/the-cobra-conundrum To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs . Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E30 · Tue, April 21, 2020
Getting on the Bus
How COVID-19 is threatening one man’s decades-long battle for sobriety and stability. Guest: Antonio Matthews Get more information and read the transcript of this episode: https://tradeoffs.org/2020/04/21/getting-on-the-bus/ See all of our coronavirus coverage here: https://tradeoffs.org/coronavirus/ Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E29 · Thu, April 16, 2020
(Almost) Everyone Is Doing It
What's the best way to convince people to practice social distancing? Guests: Syon Bhanot , PhD, Assistant Professor of Economics, Swarthmore College Susanne Schwarz Katy Milkman , PhD, Professor of Operations, Information and Decisions, Wharton School, University of Pennsylvania Michael Sanders , PhD, Reader in Public Policy, Policy Institute at King’s College London Get more information and read the transcript of this episode: https://tradeoffs.org/2020/04/16/almost-everyone-is-doing-it See all of our coronavirus coverage here: https://tradeoffs.org/coronavirus/ Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E28 · Tue, April 14, 2020
Who Gets Care
In response to the coronavirus, experts are designing plans to ration resources and determine who should get care before someone else. Guests: Douglas White , Professor of Critical Care Medicine at the University of Pittsburgh Samuel Bagenstos , Frank G. Millard Professor of Law at the University of Michigan Marie Baldiserri , Professor of Critical Care Medicine at the University of Pittsburgh Learn more about triage philosophy practicalities, visit https://tradeoffs.org/2020/04/14/who-gets-care/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E27 · Thu, April 09, 2020
What Keeps Me Up at Night
Many older adults were already lonely and isolated before this crisis began. How are they faring now and what’s being done to help them? Read the transcript: https://tradeoffs.org/2020/04/09/what-keeps-me-up-at-night/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Wed, April 08, 2020
Coronavirus Conversations: Bob Wachter, Pt. 3
Is the coronavirus situation in San Francisco calm enough that one of its top hospitals could start sending doctors to help New York City? Guest: Bob Wachter , Chair of the Department of Medicine at the University of California, San Francisco Read the transcript: https://tradeoffs.org/2020/04/08/cc-wachter-3 See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E25 · Fri, April 03, 2020
After the Hospital
Is it a good idea for hospitals to send patients recovering from COVID-19 to nursing homes? Guests: David Grabowski , PhD, Professor of Health Care Policy, Harvard Medical School Rachel Werner , MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania Get more information and read the transcript of this episode: https://tradeoffs.org/2020/04/03/after-the-hospital/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Thu, April 02, 2020
Coronavirus Conversations: Daniela Lamas
A look at the experiences of patients in an ICU, who, due to new hospital policies, are unable to see family. Guest: Daniela Lamas, a pulmonary and critical care doctor at the Brigham & Women's Hospital. Read the transcript: https://tradeoffs.org/2020/04/02/cc-lamas/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Tue, March 31, 2020
Coronavirus Conversations: David Reich
A view from inside a hospital at the epicenter of the U.S. coronavirus outbreak in New York City. Guest: Dr. David Reich, President and Chief Operating Officer, Mount Sinai Hospital Read the transcript: https://tradeoffs.org/2020/03/31/cc-reich See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Sat, March 28, 2020
Coronavirus Conversations: Amy Richardson
A doctor worries about the care her patients won't get because of the coronavirus. Guest: Dr. Amy Richardson, OB-GYN Read the transcript: h https://tradeoffs.org/2020/03/28/cc-richardson/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E21 · Fri, March 27, 2020
Coronavirus Conversations: Mayra Jimenez
After the coronavirus takes her job and her insurance along with it, a woman living with a chronic condition navigates her new reality. Guests: Mayra Jimenez and Linda White Read the transcript: https://tradeoffs.org/2020/03/27/cc-jimenez/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Thu, March 26, 2020
Coronavirus Conversations: Bob Wachter, Pt. 2
We check in again with Bob Wachter and find out how one hospital is dealing with difficult decisions in the wake of the coronavirus. Guest: Bob Wachter , Chair of the Department of Medicine at the University of California, San Francisco Read the transcript: https://tradeoffs.org/2020/03/26/cc-wachter-2 See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E19 · Wed, March 25, 2020
Primary Care in Crisis
The coronavirus pandemic is putting a serious strain on the country's primary care system. Guests: Michaela Keller , Manager, Federal Affairs, National Association of Community Health Centers Chuck Jones , President and CEO, Harbor Health Services Farzad Mostashari , MD, Co-founder and CEO, Aledade Meredith Rosenthal , PhD, Professor of Health Economics and Policy, Harvard T.H. Chan School of Public Health Read the transcript of this episode: https://tradeoffs.org/2020/03/25/primary-care-in-crisis See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E18 · Fri, March 20, 2020
Match Day
Every year on Match Day, thousands of medical students find out where they will continue their medical training as residents. The U.S. spends billions each year on those residencies, so why aren't we getting the doctors we need where we need them? Guests: Candice Chen , MD, MPH, Associate Professor in the Department of Health Policy and Management at George Washington University Ted Epperly , MD, President and CEO of the Family Medicine Residency of Idaho Atul Grover , MD, PhD, Executive Vice President of the Association of American Medical Colleges Learn more about how the U.S. funds residency programs on our website: https://tradeoffs.org/2020/03/20/season-1-ep-12 Read the transcript of this episode: https://tradeoffs.org/episode-12-transcript/ As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Thu, March 19, 2020
Coronavirus Conversations: Chris Chen
How do you take care of "the old, the poor and the sick" during a global pandemic? Guest: Chris Chen , CEO ChenMed Read the transcript: https://tradeoffs.org/2020/03/19/cc-chen/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Wed, March 18, 2020
Coronavirus Conversations: Pam Gueldner
As coronavirus closes down her café, a small business owner reckons with mounting financial challenges. Guest: Pam Gueldner , co-owner of Manndible Cafe Read the transcript: https://tradeoffs.org/2020/03/18/cc-gueldner/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Tue, March 17, 2020
Coronavirus Conversations: Bob Wachter
How one hospital is dealing with difficult decisions in the wake of the coronavirus. Guest: Bob Wachter , Chair of the Department of Medicine at the University of California, San Francisco Read the transcript: https://tradeoffs.org/2020/03/17/cc-wachter/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Mon, March 16, 2020
Coronavirus Conversations: The Social Distance Social
Dan joins a group of neighbors for their “social distance” stoop party and hears how they are experiencing this outbreak so far. Guest: Alison Buttenheim , Associate Professor of Nursing and Health Policy at the University of Pennsylvania See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Thu, March 12, 2020
Coronavirus Conversations: Alison Buttenheim
Even public health experts are struggling to make the right decisions on whether to cancel plans in the midst of the coronavirus. Guests: Alison Buttenheim , Associate Professor of Nursing and Health Policy at the University of Pennsylvania Read the transcript: https://tradeoffs.org/2020/03/12/cc-buttenheim/ See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/ Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E12 · Wed, March 04, 2020
Medicarried Away? (LIVE)
As the country debates the best way to reform our health care system, we explore a blueprint for universal coverage that looks a lot different from the Medicare for All proposals we’ve heard most about. (Recorded in front of a live audience at the University of Pennsylvania on Feb. 21, 2020.) Guests: Kate Baicker , PhD, University of Chicago Harris School of Public Policy Amitabh Chandra , PhD, Harvard Kennedy School of Government and Harvard Business School Julia Lynch , PhD, University of Pennsylvania Learn more about the proposal and see photos from the live taping on our website: http://bit.ly/tradeoffsep11 Read the transcript of this episode: http://bit.ly/ep11-transcript As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E11 · Wed, February 19, 2020
In Short Supply
Shortages of basic medical supplies have become a familiar pattern for hospitals around the U.S. What causes them? And how can we prevent them? Guests: Dr. Eric Haas , Chief of Colorectal Surgery, Houston Methodist Matt Grennan , Assistant Professor of Health Care Management, Wharton School at the University of Pennsylvania Ozlem Ergun , Professor of Mechanical and Industrial Engineering, Northeastern University Learn more about medical device and supplies shortages on our website: http://bit.ly/tradeoffsep10 Read the transcript of this episode: http://bit.ly/ep10-transcript As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E10 · Wed, February 05, 2020
Primary Concerns
The Iowa caucuses were a mess. But one thing is clear: Health care is a top issue for Democratic voters in 2020. We dive into the polls and talk with voters to understand how and why health care is shaping this year's election. Guests: Ashley Kirzinger , Associate Director of Public Opinion and Survey Research, Kaiser Family Foundation Ryan Levi , Producer, Tradeoffs Dig deeper into the Kaiser Family Foundation's 2020 polling and see pictures of the voters on our website: http://bit.ly/tradeoffsep9 Read the transcript of this episode: http://bit.ly/ep9-transcript As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E9 · Wed, January 22, 2020
The Price of Innovation
Every time the U.S. tries to rein in rising drug prices, we hear the same thing from pharma: Stymie our profits, and you’ll get less innovation and fewer breakthrough treatments. Does the evidence back up this constant refrain? Guests: Chaitan Khosla , Director of Stanford ChEM-H Craig Garthwaite , Associate Professor of Strategy, Kellogg School of Management at Northwestern University Stacie Dusetzina , Associate Professor of Health Policy, Vanderbilt University Check out the research for yourself and learn more on our website: http://bit.ly/tradeoffsep8 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Bonus · Tue, January 14, 2020
The Sidebar: A Deeper Dive Into RCTs
In this debut edition of The Sidebar, your home for bonus Tradeoffs content, cohosts Dan and Sayeh take a closer look at the randomized controlled trial (RCT), a popular method for evaluating health interventions. Learn more about the tradeoffs of RCTs on our website: http://bit.ly/the-sidebar1 Listen to our story on the widely discussed new “hot spotting” RCT here: https://apple.co/2t4T1yr And tell us what you think about the episode @tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E7 · Wed, January 08, 2020
'Hot Spotters' on Trial
Nearly two decades ago, Dr. Jeff Brenner hypothesized that nurses and social workers could guide the country's most complicated patients toward better health ... and cut expensive hospital admissions along the way. Was he right? Jeff Brenner, Camden Coalition of Health Care Providers Amy Finkelstein, Economist, MIT Kathleen Noonan, Camden Coalition of Health Care Providers Allison Hamblin, Center for Health Care Strategies Jensen Skinner, Nurse, Camden Coalition of Health Care Providers Larry Moore, Patient Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep7 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E6 · Thu, January 02, 2020
Leap of Faith
As the opioid crisis continues to ravage the country, some states are turning to controversial laws that force people into treatment. Are they part of the solution or could they make things worse? (Note: This episode has been corrected to include the most updated number of states with compelled treatment laws.) Guests: Dr. Abhishek Jain , forensic psychiatrist Rep. Lauren Davis , Washington state Merredith Cunniff , nurse, advocate and former civil commitment patient Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep6 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E5 · Wed, December 11, 2019
The Good Stuff
Two friends have spent 20 years trying to redesign insurance around one simple but elusive goal: make the good stuff more accessible than the bad stuff. Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep5 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E4 · Wed, November 27, 2019
Feeding the Sick
We know good nutrition is tied to good health. But is there evidence that food should be prescribed and paid for like medicine? Guests: Bouba Dieme and Desirée Allen David Waters, CEO of Community Servings Dr. Mandy Cohen, Secretary of North Carolina's Department of Health and Human Services Learn more and check out the evidence for yourself on our website: http://bit.ly/tradeoffsep4 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E3 · Wed, November 13, 2019
What Brings You In Today?
The average doctor does more than 200,000 patient interviews in their career, making communication one of the most common procedures in medicine. How are we training providers in it and are those efforts working? Get more content and resources on our website: https://bit.ly/tradeoffsep3 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E2 · Wed, October 30, 2019
The Train Has Left the Station
Many hospitals have spent the last 30 years buying up their competitors big and small. What have these mergers and acquisitions done to the cost and quality of care, and where do we go from here? Guests: Jaime King, Associate Dean and Professor of Law, UC Hastings College of the Law Bob Town, Professor of Economics, University of Texas See more information and a full list of resources on our website: https://bit.ly/tradeoffsep2 Select Resources: Overview of hospital consolidation and its impacts: https://bit.ly/36hngRp How concentrated is your hospital market? https://bit.ly/36fYLEj Fact sheet on California's lawsuit against Sutter Health: https://bit.ly/2Pwcr86 As they say in health care, there's no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate Follow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
S1 E1 · Wed, October 16, 2019
The Town the Ballpark Is In
A team of economists and coders has built one of the most influential machines in health care—a machine almost no one has ever heard of. Their latest analysis may shake up the Democratic debate. View our web story, photos, and more resources: http://bit.ly/2VOnSsT Select Resources: The full new report from the Urban Institute: https://urbn.is/31jYoEZ Accompanying issue brief from the Commonwealth Fund: http://bit.ly/31iM9Zt Interactive plan comparison tool from the Commonwealth Fund: http://bit.ly/2IVsbgR As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate Follow us @tradeoffspod Hosted on Acast. See acast.com/privacy for more information.
Trailer · Fri, September 20, 2019
Welcome to Tradeoffs
When it comes to fixing America's costly and complicated health care system, the truth is: there are no silver bullets, no cure-alls. There are only Tradeoffs. A new podcast about health care, policy, and people premiering October 16th. Hosted on Acast. See acast.com/privacy for more information.
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