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    News & Politics

    POLITICO’s Pulse Check

    POLITICO Pulse Check delivers the latest news in health care with sharp policy analysis and a dose of real-world perspective. Hear what stories POLITICO’s deep bench of Health Care policy reporters are watching and their analysis of the critical issues facing regulators, legislators, and practitioners.

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    Latest Episodes:
    Is this the next big change to Medicaid? Sep 19, 2019
    Show notes

    "Block grants for Medicaid" have been a conservative pipe dream and a progressive bogeyman for decades. Now Tennessee's GOP governor is moving forward with a plan to turn block-grant dreams into reality — if Trump officials and other lawmakers give permission.

    First, Joan Alker of Georgetown's Center for Children and Families reviews how Trump officials and GOP leaders have changed the Medicaid program, why she blames the Trump administration for a recent spike in uninsured kids and why she's so worried about the Tennessee proposal. (Starts at the 1:55 mark.)

    Then POLITICO's Rachana Pradhan joins Dan to review the policy and politics of block grants and how the Trump administration is sending mixed-messages to Republican states. (Starts at the 30:00 mark.)

    MENTIONED ON THE SHOW

    Joan first appeared on "PULSE CHECK" in February 2017, to preview Seema Verma's possible tenure at CMS.

    Children's uninsurance rose in 2018, the first uptick in years and a concerning change that Joan and colleagues predicted.

    Current and former Trump administration officials — like Brian Blase and CMS Administrator Seema Verma — have argued that ineligible Americans are wrongly enrolling in Medicaid.

    The Trump administration has steadily pursued a plan to allow states to seek block grants for Medicaid.

    Tennessee had wanted to be the first state to win approval for a Medicaid block grant. Its GOP leaders rolled out their plan this week.

    Law professor Nick Bagley argues that Tennessee's plan wouldn't be legal.

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    What will (and won't) happen this fall. Plus: inside the launch of POLITICO Pro Cannabis Sep 05, 2019
    Show notes

    Washington is coming back to life after the summer, and POLITICO's Adam Cancryn and Sarah Owermohle join Dan Diamond to give their predictions on suprise billing legislation, new curbs on vaping, drug pricing reforms, the Trump administration's health plan and other hot-button issues and people to watch. (Starts at the 14:30 mark)

    But first, Paul Demko — longtime health reporter and new editor of POLITICO's cannabis team — joins Dan to explain why POLITICO is launching the new team and how he sees the opportunity. (Starts at the 1:20 mark.)

    MENTIONED ON THE SHOW

    POLITICO is launching a free newsletter covering the cannabis industry.

    Senate Majority Leader Mitch McConnell is driving new tobacco legislation.

    President Donald Trump has repeatedly pledged to introduce a health care plan before the elections.

    Ways and Means Chairman Richard Neal is facing a primary challenge amid progressive pressure on his health care positions.

    Activist Ady Barkan has launched a new video series of interviews with presidential candidates.

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    The long shadow of Trump's "public charge" rule Aug 22, 2019
    Show notes

    There are millions of legal immigrants who depend on programs like Medicaid — and now, after the Trump administration revamped a nearly 140-year-old immigration rule, there's growing concern that many will drop out.

    First, Ted Hesson joins POLITICO's Dan Diamond to discuss how the new "public charge" rule would work (starts at the 2:00-minute mark), White House official Stephen Miller's role in driving the plan (8:05) and the broader immigration changes underway (12:00).

    Then, Dr. Omolara Uwemedimo of Northwell Health explains her background as the daughter of immigrants and her work as a pediatrician (starts at the 17:05-minute mark), how she sees immigrant patients being affected by the new rule (20:45) and her broader observations on how immigration and health care collide (26:00).

    MENTIONED ON THE SHOW

    Immigration official Ken Cuccinelli appeared on NPR last week to defend the public charge rule — and twist the inscription on the Statue of Liberty.

    The Urban Institute reviewed how the public charge rule could affect immigrants' use of government programs like Medicaid.

    The Kaiser Family Foundation also prepared a fact sheet on the rule's impact.

    Ted's story about Stephen Miller's close involvement in the public charge rule, complete with Miller's emails.

    Ted also broke news about how the State Department's public charge denials have already skyrocketed, a possible precursor to national implementation of the new rule.

    Dr. Uwemedimo's op-ed in Newsweek about her family's immigration story and why she's worried about the public charge rule's impact.

    Michael Dowling, the CEO of Northwell Health — the largest health care provider in New York — is himself an immigrant from Ireland.

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    Gun violence is more than a "mental health crisis" Aug 08, 2019
    Show notes

    A pair of mass shootings have renewed the spotlight on the nation's high rate of gun deaths. POLITICO's Dan Diamond reviews why health care groups say that gun violence deaths represent a "public health crisis" — and how GOP congressmen and the current Surgeon General avoid using that term.

    Then Dan talks with Amy Barnhorst, a UC Davis psychiatrist who specializes in gun violence research, about her work and legislation intended to reduce deaths (starts at the 3:15 mark), what she makes of recent comments by President Donald Trump and Democratic frontrunner Joe Biden about the role of mental illness and video games (15:45), and how physicians were mobilized by the NRA's "stay in their lane" tweet and what she would advise politicians to do (21:30).

    MENTIONED ON THE SHOW

    Dr. Barnhorst's February 2018 New York Times op-ed on why the mental health system shouldn't be responsible for stopping mass shooters.

    A Sactown Magazine article looks closer at UC Davis' work on gun violence research.

    California's implemented a gun violence restraining order law, devised in part by Dr. Barnhorst.

    The president linked gun violence with mental health in a speech on Monday. Biden also decried violent video games as a possible factor.

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    Dissecting a debate moment: Sanders, Warren and... Delaney? Jul 31, 2019
    Show notes

    "You're wrong" about Medicare-for-all, Sen. Bernie Sanders told former Rep. John Delaney as this week's Democratic debates kicked off — an exchange that set the tone for the first night.

    Pulse Check host Dan Diamond joined Scott Bland, host of POLITICO's Nerdcast, to discuss the exchange (and Sen. Elizabeth Warren's comments too) for a bonus crossover episode.

    MENTIONED ON THE SHOW

    Delaney's "BetterCare" plan, which goes further than some other Democrats' proposals toward ensuring universal coverage.

    Warren's rebuke that Democrats need to stop using Republican talking points on health care.

    POLITICO's Nerdcast, Pulse Check's sister podcast, looks closer at the political landscape every week.

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Neera Tanden on Medicare Extra, the Democratic primary and Trump's legacy Jul 26, 2019
    Show notes

    Neera Tanden is one of the most prominent voices in the Democratic party — and her organization, the Center for American Progress, has been pumping out policy ideas ahead of the 2020 election, helping shape the Democratic primary.

    Neera sits down with POLITICO's Dan Diamond to discuss CAP's signature Medicare Extra proposal and Democrats' debate over Medicare for All (starts at the 1:00 mark), what she makes of the Democratic primary (15:30), President Donald Trump's influence on politics and why Neera blames Trump for the "warfare" gripping America (22:45), and if the Democratic party has a leadership gap (28:30).

    MENTIONED ON THE SHOW

    Neera first appeared on PULSE CHECK in June 2017, as Republicans pushed to repeal the Affordable Care Act.

    CAP commissioned an independent analysis from Avalere on its Medicare Extra plan.

    Vox's Ezra Klein praised many elements of CAP's Medicare Extra proposal.

    Progressives have urged Democrats to commit to Medicare for All, saying that opting for a public option instead would still leave millions at risk.

    A new NPR/PBS NewsHour/Marist poll found that 70 percent of respondents favor "Medicare for All" when they have a choice between a government plan and private insurance, but just 41 percent favor a mandatory Medicare for All plan.

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    The race for AI supremacy Jul 18, 2019
    Show notes

    Artificial intelligence is poised to transform the world, including the world of health care. In this bonus episode of Pulse Check, we present POLITICO's newest show, Global Translations, which features the White House point person on AI, Lynne Parker, reflecting on the promise of AI in the health field.

    Global Translations examines big problems that don't respect political boundaries. The first season of the show is tackling trade, technological disruption, and climate change. If you like the show, subscribe for free wherever you listen to podcasts.

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Understanding Trump's kidney plan, plus an ACA update Jul 11, 2019
    Show notes

    President Donald Trump on Wednesday ordered a series of changes intended to reshape how tens of millions of Americans receive kidney care and boost the number of kidney transplants — a plan, scooped by POLITICO, that's received bipartisan praise.

    Dr. Carmen Peralta, a nationally known kidney expert at UCSF and chief medical officer for Cricket Health, joins Dan Diamond to discuss the historic problems with U.S. kidney care and what Trump's plan could accomplish (starts at the 1:35 mark).

    Then Dan briefly discusses the latest legal threat to Obamacare, following a contentious court hearing this week (starts at the 23:30 mark).

    MENTIONED IN THIS EPISODE

    The Trump administration moved to shake up how kidney care is delivered in the United States.

    A history of Medicare's unusual decision to pay for kidney failure treatment, which critics said has warped the market.

    Federal judges aggressively questioned whether Obamacare can survive in a hearing this week.

    Law professors Nick Bagley and Richard Primus laid out strategies for Congress to protect the ACA against the lawsuit working its way through the courts.

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    Looking outside the Beltway with Bijan Salehizadeh and Sue Desmond-Hellmann Jul 03, 2019
    Show notes

    Washington is quiet this week, ahead of the Fourth of July holiday and with Congress on recess.

    So we're featuring excerpts from two classic conversations: doctor-turned-venture capitalist Bijan Salehizadeh on how he invests in health care and why he passed on Theranos (starts at the 1:35 mark) and Gates Foundation CEO Sue Desmond-Hellmann on how her foundation views public health and what the United States can learn from global efforts (starts at the 15:00 mark).

    MENTIONED ON THE SHOW

    Bijan's full 2016 appearance on "Pulse Check," where he explained how venture capitalists approach the health industry and how he decides where to invest.

    Sue's full 2017 appearance on "Pulse Check," where she explained her foundation's work on problems like polio and why she wishes "prevention" was more of a political priority in U.S. health efforts.

    Learn more about your ad choices. Visit megaphone.fm/adchoices


    Sen. Lamar Alexander on how to build a health care bill Jun 27, 2019
    Show notes

    Lamar Alexander is one of the most powerful senators on health care. The Tennessee Republican leads the HELP Committee, which steers much of the key health legislation, and he's now pushing a wide-ranging bill that he says will lower health care costs.

    Alexander sat down with POLITICO's Dan Diamond to discuss his new health care package, what he's learned from guiding bills through Congress and how he would fix the Senate — if he could.

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