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    Government

    The Dose

    The Dose is the Commonwealth Fund’s podcast that presents fresh ideas, new perspectives, and compelling conversations about where health care is headed. Join host Joel Bervell this season for conversations with leading and emerging experts in health care and health policy.

    Get the Dose in your inbox: https://thedose.show/signup

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    Copyright: © 2018 The Commonwealth Fund. All Rights Reserved.

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    Latest Episodes:
    Beyond Vaccines: How Can We Prevent the Next Pandemic? Jun 18, 2021
    Show notes

    Many Americans have started to behave as if the pandemic is over, but large numbers of people remain unvaccinated. At the same time, other parts of the world are experiencing their worst COVID-19 surges yet.

    On the season finale of The Dose, Sandro Galea, physician, epidemiologist, and dean of the Boston University School of Public Health, talks about what it will take to vaccinate the entire world and how we can protect ourselves from future pandemics.

    He explains that while vaccines may mitigate the crisis in the short run, they cannot be a substitute for long-term investments in the social services that keep people healthy.

    Please take a minute to fill out our survey and tell us what you think about the podcast: https://www.surveymonkey.com/r/themicrodose.


    "It's Really, Truly Everywhere": How the Opioid Crisis Worsened with COVID-19 Jun 04, 2021
    Show notes

    When the pandemic hit last March, the U.S. was still facing another major public health crisis —the opioid epidemic. Between COVID-19 lockdowns and economic devastation, overdose deaths soared. Experts estimate that around 90,000 people died of a drug overdose in 2020. That's the highest number of overdose deaths ever, and it represents the largest one-year increase.

    On the latest episode of The Dose, we explore why drug deaths are rising and how policymakers can help fix the problem with guests Brendan Saloner, professor of health policy at the Johns Hopkins School of Public Health, and Jesse Baumgartner, a research associate at the Commonwealth Fund.


    "They're Not Going to Say They're Hungry": Designing Health Care for Trauma Survivors May 21, 2021
    Show notes

    Many of us can recall a time we felt nervous about seeing a doctor. Maybe it was because we were wary about how much the visit would cost, or what a diagnosis would mean for our health. Now, imagine how much more stress you would feel if you had experienced trauma — from domestic violence or human trafficking, for example.

    Trauma survivors are the people family medicine physician Anita Ravi, M.D., cares for. On the latest episode of The Dose, Ravi and Keisha Walcott, one of her former patients, talk about how to design health systems for women and girls who have experienced gender-based violence. Ravi and Walcott explain how health, poverty, and trauma are interlinked and why providers must address all three.


    Sick in the Shadows: Why Immigrants Should Have Health Care May 07, 2021
    Show notes

    Migrants are crossing the southern border in record numbers this year, many of them unaccompanied children. What happens to them once they make it into the U.S., or if they've been here for a long time, when they need health care?

    On the latest episode of The Dose podcast, Carrie Byington, executive vice president of University of California Health explains, drawing on her expertise as a pediatrician and infectious disease specialist, and personal experience treating immigrants and their families.

    Byington, a member of the Commonwealth Fund's Board of Directors, describes how the pandemic has illustrated the urgent public health need for immigrants to have health care, because "people may choose to forgo testing, or choose to postpone vaccination if they're afraid to sign up for a vaccine."


    What Will the Biden Administration Do for Women's Health? Apr 23, 2021
    Show notes

    The Biden-Harris administration has taken several measures in its first three months to strengthen the nation's social safety net. Many of these policies will have an outsized impact on women — particularly women of color, who often struggle to access health care and now are bearing the brunt of the COVID-induced economic crisis.

    From mandating paid sick leave and shoring up childcare to addressing the maternal health crisis, the new administration clearly recognizes the ways health and economic security are intertwined and how this impacts women.

    On the latest episode of The Dose, Debra Ness, president of the National Partnership for Women and Families, makes the case that the pandemic has exposed inequities too difficult to ignore. And she believes women will emerge "smarter and stronger" from this crisis.


    For Asian Americans, a Dual Pandemic of COVID-19 and Racism Apr 09, 2021
    Show notes

    Hate crimes against Asians in the United States more than doubled from 2019 to 2020. Last month, in one of the most conspicuous acts of violence against Asians in recent history, six Asian American women were shot dead in Georgia.

    Racism against people of Asian descent is not a new problem, but it has been exacerbated of late 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.

    In this episode, Vivian Shaw and Susanna Park of the AAPI COVID-19 project talk about the deep roots of anti-Asian bias, as well as their research into how the pandemic is affecting the lives of Asians in the U.S.


    A Marathon, Not a Sprint: The Race Between COVID-19 Vaccines and Variants Mar 26, 2021
    Show notes

    If you're an optimist, then every piece of good news about vaccine approvals and shots in arms has put the end of the pandemic in sight. If you're a pessimist, then all the new variants with names sounding like computer-generated passwords signal the apocalypse. Will hope win, or will dread?

    On the latest episode of The Dose podcast, Eric Schneider, M.D., talks about the high-stakes race between the quick-spreading variants of COVID-19 and the effective vaccines that more Americans receive each day.

    Schneider brings us up to speed on the state of the pandemic and the challenges ahead. Drawing on his expertise in public health, he explains how we can "break the back of the virus" and ultimately win the race.

    Share your stories of pandemic optimism or pessimism—send an email to thedose@commonwealthfund.org.


    "All Hands On Deck": The COVID-19 Pandemic Through Nurses' Eyes Mar 12, 2021
    Show notes

    Health care workers are among the heroes of the pandemic. One year in, many of us are experiencing stress, fatigue, and grief. But this can pale in comparison to the toll faced by those caring for the sick and dying on a daily basis. On this episode of The Dose, we listen to the stories of one group of frontline health workers: nurses. Often dealing with inadequate PPE and staff shortages, nurses are putting their own lives at risk — and many are experiencing burnout and exhaustion.

    Our guest, Mary Wakefield, takes us on a journey from rural hospitals to clinics in underserved areas, all through the eyes of nurses. Mary, a nurse with a long career in health care and public service, says the pandemic has revealed that America's public health infrastructure is "incredibly anemic."


    Violence, Interrupted: Breaking Cycles of Violence in the Hospital and on the Street Feb 26, 2021
    Show notes

    Violence kills thousands of Americans each year and sends many more to the hospital with life-threatening injuries. Even though many people recover physically, the issues that cause violence often go unchecked.

    On today's episode of The Dose, we talk about how interventions, both in hospitals and in communities, that can help break the cycle of violence that traumatizes people over time.

    Our guest, Fatimah Loren Dreier, is the executive director of the Health Alliance for Violence Intervention, and a Pozen-Commonwealth Fund fellow in Health Equity Leadership. She talks about how trained violence interruption specialists can help people navigate conflict, and how the national protests around police violence towards Black Americans has created an opportunity for communities to rethink the role of the police.


    "Not Just a Black Body": How COVID-19 Hit Home for One Doctor Feb 12, 2021
    Show notes

    Living with the COVID-19 pandemic for a year, it's hard to process the numbers. What we know is that nearly 500,000 Americans have lost their lives, and that Black, Latino, and Indigenous people are worst impacted.

    But behind the statistics are stories, and on the latest episode of The Dose, we listen to one of those stories. Our guest, Dr. Magdala Chery, is a primary care physician and Commonwealth Fund Fellow in Minority Health Policy.

    Magdala is also a daughter, and she experienced firsthand the racial inequities of our health care system when she lost both her parents to COVID-19 last spring. Magdala speaks of her personal tragedy without rancor: she believes that sharing stories like hers will help us see the people of color affected by COVID-19 not as case numbers and fatalities, but as lives.


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