Tradeoffs

What the Election Could Mean for Obamacare Oct 31, 2024

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

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3 Health Care Decisions Awaiting the Next President Oct 24, 2024

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

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How New York Times Columnist Paula Span Navigates ‘The New Old Age’ Oct 17, 2024

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

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Why Employers Are Turning to Primary Care as Health Care Costs Soar Oct 10, 2024

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

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The Best Way to Fight Meth Addiction? Gift Cards Oct 03, 2024

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

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Race to the Bottom: Where's the Cavalry? Sep 26, 2024

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

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Race to the Bottom: Hard Bargain Sep 19, 2024

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

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Race to the Bottom: Boom Times Sep 12, 2024

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

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How One Company Gamified Health Insurance Sep 05, 2024

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

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‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’ Aug 29, 2024

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

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Presenting: Lost Patients: Churn Aug 22, 2024

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?

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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices Aug 15, 2024

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

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Hope, Hype or Harm? What We Know About New Cancer-Screening Tools Aug 08, 2024

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

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The Fifth Branch: The Last Line of Care Aug 01, 2024

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 ofclinicians, 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.

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The Fifth Branch: Keeping People Safe Jul 25, 2024

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 ofclinicians, 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.

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The Fifth Branch: Convincing the Cops Jul 18, 2024

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 ofclinicians, 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.

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Tradeoffs Presents: The Fifth Branch Jul 11, 2024

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 ofclinicians, 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.

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BONUS: The Court’s Big Abortion Decisions Are Out. What Now? Jun 28, 2024

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

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Why Supporting Caregivers Could Make A Difference in Dementia Care Jun 27, 2024

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

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More Hospitals Move to Confront Medical Errors Head On Jun 20, 2024

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

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Ozempic Hype Forces Employer Calls on Obesity Coverage Jun 13, 2024

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!

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A New Kind of Primary Care Comes to America Jun 06, 2024

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

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A Telehealth Report Card: What’s Worked and What Hasn’t May 30, 2024

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

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How ‘Random Acts of Medicine’ Shape Our Health Care May 23, 2024

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

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Is Private Equity Ruining Health Care? It's Complicated. May 16, 2024

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

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The Hunt for Lasting Fixes to America’s Medical Debt Crisis May 09, 2024

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

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Patients Push to Shape the Future of AI May 02, 2024

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

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How Do You Help Patients Who Show Up in the ER 100 Times a Year? Apr 25, 2024

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

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An Insurance Company Bought This Doctor’s Practice. She’s Worried About Her Patients Apr 18, 2024

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

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92,000 Transgender People Took This Survey. Here’s What We Learned Apr 11, 2024

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

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Girls Are in a Mental Health Crisis. What Can Schools Do? Apr 04, 2024

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)

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Surprise! Plans To Resolve High Medical Bills Are Still a Mess Mar 28, 2024

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

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One Doctor’s Quest to Improve Health Care for People with Disabilities Mar 21, 2024

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

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Can Washington Make Medicare and Medicaid Work Better Together? Mar 14, 2024

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

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How Patient Privacy Could Hurt AI Mar 07, 2024

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

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How Pushing Hospitals to Give Away More Free Care Could Backfire Feb 29, 2024

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

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‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’ Feb 22, 2024

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

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Hope, Hype or Harm? What We Know About New Cancer-Screening Tools Feb 15, 2024

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

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Tradeoffs LIVE! Rooting Out Racial Bias in Health Care AI Feb 08, 2024

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

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5 Ways America's Courts Could Change Health Care in 2024 Feb 01, 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

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Why Are People Afraid of the Most Popular Opioid Addiction Treatment? Jan 25, 2024

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

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Tradeoffs in 2024 Jan 18, 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!

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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices Jan 11, 2024

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

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Losing a Hospital Jan 04, 2024

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

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Presenting STAT’s First Opinion: How Two Abortion Providers Grapple with Their Post-Roe Reality Dec 28, 2023

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.

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One Economist’s Plan to Blow Up America’s Health Insurance System Dec 21, 2023

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

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Rooting Out Racial Bias in Health Care AI, Part 2 Dec 14, 2023

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.

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Rooting Out Racial Bias in Health Care AI, Part 1 Dec 07, 2023

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.

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The Stories That Made an Impact in 2023 Nov 30, 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!

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More Hospitals Move to Confront Medical Errors Head On Nov 16, 2023

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.

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Can the U.S. Put an End to Surprise Ambulance Bills? Nov 09, 2023

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.

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What Brings You In Today? Nov 02, 2023

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.

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Growing Pains as California Adds Social Services to Medicaid Oct 26, 2023

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

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Medical or Recreational? States Debate Where Psychedelics Belong Oct 19, 2023

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.

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Medicare’s Open Enrollment Mess Oct 12, 2023

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.

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Ransomware Attacks: Bad for Hospitals, Deadly for Patients Oct 05, 2023

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

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Ozempic Hype Forces Employer Calls on Obesity Coverage Sep 28, 2023

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

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The 12 Million People Lost in a Maze of Medicare and Medicaid Sep 21, 2023

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

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Girls Are in a Mental Health Crisis. What Can Schools Do? Sep 14, 2023

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.

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When Research and the Realities of Practicing Medicine Collide Sep 07, 2023

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

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Better Care at Lower Costs: The Quest for Health Care’s Holy Grail Aug 31, 2023

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

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Hospice Care’s Midlife Crisis Aug 24, 2023

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.

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The Push to Bring Medicaid Behind Bars Aug 17, 2023

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.

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States’ Uphill Battle to Stop Runaway Health Care Costs Aug 10, 2023

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.

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One Doctor’s Crusade to Improve Health Literacy Aug 03, 2023

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.

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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices Jul 27, 2023

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.

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What White House COVID Coordinator Ashish Jha Learned on the Job Jul 20, 2023

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.

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Progress and Pain Points in National Crisis Line's First Year Jul 13, 2023

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.

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One Economist’s Plan to Blow Up America’s Health Insurance System Jul 06, 2023

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

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1.5 Million People Have Lost Medicaid. How Worried Should We Be? Jun 29, 2023

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

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‘No Place Else To Go’: Inside a Former Abortion Clinic Jun 22, 2023

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

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The Meteoric Rise of Private Medicare Advantage Insurance Jun 15, 2023

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

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What Gas Stoves, Minimum Wage Laws and the Military Teach Us About Health Policy Jun 08, 2023

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:

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Rooting Out Racial Bias in Health Care AI, Part 2 Jun 01, 2023

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

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Rooting Out Racial Bias in Health Care AI, Part 1 May 25, 2023

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

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The Hurdles Facing Black Families Navigating Serious Illness May 18, 2023

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

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The ‘Reverse Disparity’ in Psychosis Care May 11, 2023

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

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The Wonky Policy That’s Got Hospitals on High Alert May 04, 2023

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

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How ‘Random Acts of Medicine’ Shape Our Health Care Apr 27, 2023

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

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The Drugs Changing How We Treat Obesity Apr 20, 2023

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

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Hospice Care’s Midlife Crisis Apr 13, 2023

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

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The Latest Threat to the Affordable Care Act Apr 06, 2023

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

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The Treacherous Transition Awaiting Millions Losing Their Medicaid Mar 30, 2023

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

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When Home Becomes a Hospital Mar 23, 2023

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

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‘A Shocking Amount of Misery’: Medical Debt in America Mar 16, 2023

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

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The Conservative Clash Over Abortion Bans Mar 09, 2023

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

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BONUS: The Return of Our Research Newsletter Mar 07, 2023

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

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SCOTUS Weighs Medicaid Recipients' Right to Sue Mar 02, 2023

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

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The Push to Bring Medicaid Behind Bars Feb 23, 2023

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

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Medicare Director Meena Seshamani on CMS' New Drug Pricing Powers Feb 16, 2023

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

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States’ Uphill Battle to Stop Runaway Health Care Costs Feb 09, 2023

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

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One Doctor’s Crusade to Improve Health Literacy Feb 02, 2023

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

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BONUS: CMS Approves Medicaid Coverage for Inmates Jan 27, 2023

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.

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The End of Humira’s $200 Billion Drug Monopoly Jan 26, 2023

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

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Three Health Policy Stories to Watch in 2023 Jan 19, 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

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Tradeoffs in 2023 Jan 12, 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!

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Turning Long-Term Care Into a Long-Term Career Jan 05, 2023

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

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California Bets Big on Housing in Medicaid Dec 29, 2022

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

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The Race to Prepare for Medicare’s New Drug Pricing Powers Dec 22, 2022

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

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Abortion Funds’ Growing Role Post-Roe Dec 15, 2022

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

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What Research Says About a Post-Roe World Dec 08, 2022

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.

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Best Health Care Podcasts of 2022 Dec 01, 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

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Local Officials Grapple With How to Spend Opioid Settlement Dollars Nov 17, 2022

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

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The Hurdles Facing Black Families Navigating Serious Illness Nov 10, 2022

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.

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‘A Shocking Amount of Misery’: Medical Debt in America Nov 03, 2022

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.

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Medicare’s Prescription Drug Plan Makeover Oct 27, 2022

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.

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Turning Long-Term Care Into a Long-Term Career Oct 20, 2022

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

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The ‘Wild West’ of Health Workforce Policy Oct 13, 2022

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

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The Next Chapter in Democratizing America’s Health Data Oct 06, 2022

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

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The Push to End Cancer Screening Purgatory Sep 29, 2022

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

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California Bets Big on Housing in Medicaid Sep 22, 2022

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

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Presenting The Nocturnists: Hello Shame Sep 15, 2022

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/.

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The Race to Prepare for Medicare’s New Drug Pricing Powers Sep 08, 2022

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

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Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce Sep 01, 2022

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.

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Too Healthy for the Hospital, Too Sick for the Streets Aug 25, 2022

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

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Has Medicaid Managed Care Delivered On Its Promise? Aug 18, 2022

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/

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Health Care’s Climate Change Contradiction Aug 11, 2022

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

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Harm Reduction’s Road From Fringe to Federal Drug Policy Aug 04, 2022

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.

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A New Era in the Fight Over Medicaid Premiums Jul 28, 2022

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.

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Abortion Funds’ Growing Role Post-Roe Jul 21, 2022

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.

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BONUS: Talking 988 with The Takeaway Jul 16, 2022

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.

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Answering the Call, Part 3: America's New Crisis Line Goes Live Jul 14, 2022

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.

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Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line Jul 13, 2022

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.

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Answering the Call, Part 1: America’s New Mental Health Crisis Line Jul 12, 2022

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.

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Good Intentions Gone Awry Jul 07, 2022

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

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What Research Says About a Post-Roe World Jun 30, 2022

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.

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The Personal and Political Fight to Keep Abortion Legal in Michigan Jun 23, 2022

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.

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America’s Chronic Drug Shortage Problem Jun 16, 2022

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

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Pain, Fear and Waste: The Costs of Unnecessary Care Jun 09, 2022

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.

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Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line Jun 02, 2022

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.

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Can More Time on Medicaid Lower Maternal Deaths? May 26, 2022

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.

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Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce May 19, 2022

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.

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Presenting Color Code: Dismantling Medical Racism Starts in the Classroom May 12, 2022

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.

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How One Doctor Is Prepping for a World Without Roe May 05, 2022

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.

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Too Healthy for the Hospital, Too Sick for the Streets Apr 28, 2022

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.

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The Sky-High Price of Insulin and What Lawmakers Are Trying to Do About It Apr 21, 2022

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

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How One Alzheimer’s Drug Is Changing the U.S. Drug Approval Conversation Apr 14, 2022

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

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Immunocompromised in a COVID-Weary World Apr 07, 2022

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

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Inside Big Health Insurers’ Side Hustle Mar 31, 2022

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.

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Health Care’s Climate Change Contradiction Mar 24, 2022

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

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A New Era in the Fight Over Medicaid Premiums Mar 17, 2022

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.

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Presenting Sick: Screaming in the Shower Mar 10, 2022

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.

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Pain, Fear and Waste: The Costs of Unnecessary Care Mar 03, 2022

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.

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Peter Lee on Obamacare, Covered California and Where We Go Next With Health Care Feb 24, 2022

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

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The FDA Super Bowl Feb 17, 2022

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

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Off Script: One Pharmacist's COVID Woes and Wins Feb 10, 2022

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.

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Answering the Call, Part 1: America’s New Mental Health Crisis Line Feb 03, 2022

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.

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Harm Reduction’s Road From Fringe to Federal Drug Policy Jan 27, 2022

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.

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Medicare’s Unprecedented Alzheimer’s Drug Decision Jan 20, 2022

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.

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What's Ahead for Tradeoffs Jan 13, 2022

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!

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One Woman’s Year Surviving the Pandemic with a Disability Jan 06, 2022

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.

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A New Era of Gun Violence Research Dec 30, 2021

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.

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Health Care's Ransomware Wake-Up Call Dec 23, 2021

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.

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Presenting An Arm and A Leg: The Insurance Warrior Dec 16, 2021

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.

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The Best Health Care Podcasts of 2021 Dec 09, 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.

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Presenting Playbook Deep Dive: Biden's Abortion Clash with the Catholic Church Dec 02, 2021

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

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Rethinking Telehealth's Role in Treating Addiction Nov 18, 2021

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

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Let’s Make a Deal…on Drug Prices Nov 11, 2021

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

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Has Medicaid Managed Care Delivered On Its Promise? Nov 04, 2021

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/

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The Costly, Confusing Medicare Choices Facing 62 Million Americans Oct 28, 2021

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

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Biden's $400 Billion Bet on Caring for Older and Disabled Americans at Home Oct 21, 2021

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/

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COVID's Push and Pull on the Public Health Workforce Oct 14, 2021

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/

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Can Democrats Reconcile Their Health Policy Differences? Oct 07, 2021

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

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How Do We Keep the Nursing Shortage From Getting Worse? Sep 30, 2021

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

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Inside Big Health Insurers’ Side Hustle Sep 23, 2021

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

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Employers Grapple With Fear, Uncertainty and Vaccine Mandates Sep 16, 2021

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/

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The Next Big Challenge to Abortion Rights Sep 09, 2021

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/

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Schools Brace For Pandemic-Fueled Mental Health Needs Sep 02, 2021

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/

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Catching America's Top Cancer Killer Aug 26, 2021

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/

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Calling the Shots: Should Employers Mandate COVID Vaccines? Aug 19, 2021

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/

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Presenting The Nocturnists: Stories from a Pandemic Aug 12, 2021

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

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Presenting The Pulse: The Impact of Maternity Ward Closures Aug 05, 2021

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

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Health Care's Ransomware Wake-Up Call Jul 29, 2021

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

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Sacrifices and Small Wins: The Fight Against Rising Gun Violence Jul 22, 2021

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/

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One Woman’s Year Surviving the Pandemic with a Disability Jul 15, 2021

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

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Why Millions Could Lose Medicaid Next Year Jul 08, 2021

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/

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One County’s 20-Year Effort to Decriminalize Mental Illness Jul 01, 2021

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

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The Aducanumab Aftermath: The Industry Jun 25, 2021

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/

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The Aducanumab Aftermath: The Payer Jun 24, 2021

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/

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The Aducanumab Aftermath: The Patient Jun 23, 2021

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/

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The Aducanumab Aftermath: The Doctor Jun 22, 2021

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/

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Babies, Boats & Abstracts: An Insider's Guide to Health Policy Conferences Jun 17, 2021

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/

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Drilling Into a Dentist's COVID Roller Coaster Ride Jun 10, 2021

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/

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The FDA’s Pressure-Packed Alzheimer’s Drug Decision Jun 03, 2021

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

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Catching America’s Top Cancer Killer May 27, 2021

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/

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Calling the Shots: Should Employers Mandate COVID Vaccines? May 20, 2021

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/

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3 Employers, 2 Wonks and 1 Health Insurance Mess (LIVE!) May 13, 2021

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/

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Presenting The Dose: Asian Americans and the Dual Pandemic May 06, 2021

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/

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Public Option(al): What Happened to Biden's Big Idea? Apr 29, 2021

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

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Preventing HIV Just Got A Lot Cheaper. What Took So Long? Apr 22, 2021

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/

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Losing a Hospital Apr 15, 2021

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

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Biden's $400 Billion Bet on Caring for Older and Disabled Americans at Home Apr 08, 2021

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/

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A New Era of Gun Violence Research Apr 01, 2021

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/

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No Simple Answers: A COVID Q&A With NYT's Apoorva Mandavilli Mar 25, 2021

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

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One Community Health Center’s COVID Recovery Mar 18, 2021

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

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How Will Biden’s Fix for Child Poverty Affect Kids’ Health? Mar 11, 2021

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/

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Data and Door Knocking: One City's Push for Racial Equity in Vaccines Mar 04, 2021

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/

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Will the Federal Ban on Surprise Medical Bills Work? Feb 25, 2021

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

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The High Price of Lowering Health Costs for 150 Million Americans Feb 18, 2021

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

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Fixing Health Care's 'Leaky Pipes' Could Save the U.S. $340 Billion Feb 11, 2021

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/

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Death, Disease and Denial: Combating COVID in the ER Feb 04, 2021

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/

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Xavier Becerra: Get to Know Biden's Pick to Lead HHS Jan 28, 2021

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/

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‘The Ten Year War’ Over Obamacare (and the Battles Ahead) Jan 21, 2021

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/

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We Need You Jan 14, 2021

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/

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New Year, New Episodes! Jan 07, 2021

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.

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The Price of Care Dec 31, 2020

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/

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Meeting the Mental Health Need Dec 17, 2020

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

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Surprise! SCOTUS Bucks ERISA Dec 15, 2020

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

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On the Job in the ICU Dec 10, 2020

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

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Core to Who I Am Dec 03, 2020

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

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Best of 2020 Dec 01, 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

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Oyez! Oyez! ACA! Nov 05, 2020

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

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Straight to the People Nov 03, 2020

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

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Mission Critical Oct 29, 2020

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

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Good Intentions Oct 27, 2020

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.

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A Telehealth Checkup Oct 22, 2020

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/

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The Opioid Crisis Is Still Here Oct 20, 2020

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/

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The Medicare Cliff Oct 15, 2020

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/

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Research Corner: Picking Plans Oct 13, 2020

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

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Losing a Hospital Oct 08, 2020

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

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The Other SCOTUS Health Care Case Oct 06, 2020

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

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Debate Do-Over Oct 01, 2020

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/

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Shifting Concerns Sep 29, 2020

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

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Biden and COVID-19 Sep 24, 2020

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

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Biden and the ACA Sep 22, 2020

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

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Trump and COVID-19 Sep 18, 2020

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

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Trump and Reproductive Health Sep 17, 2020

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

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Trump and Medicaid Sep 16, 2020

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

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Trump and Drug Prices Sep 15, 2020

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

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Trump and the ACA Sep 14, 2020

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

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Doctors Coping with COVID, Pt. 2 Sep 10, 2020

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.

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Doctors Coping with COVID, Pt. 1 Sep 08, 2020

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.

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An Unpleasant Surprise Sep 03, 2020

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

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Learning As We Go Sep 01, 2020

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.

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Tradeoffs Returns Aug 27, 2020

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

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On the Job in the ICU Jul 30, 2020

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.

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Meeting the Mental Health Need Jul 28, 2020

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.

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Summer Concerns Jul 23, 2020

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.

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Listener Mailbag: Your COVID-19 Questions Answered Jul 21, 2020

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.

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Taking the Pulse of Insurers Jul 16, 2020

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.

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Core to Who I Am Jul 14, 2020

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

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Leaving the WHO Jul 09, 2020

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.

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The Price of Care Jul 07, 2020

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

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Research Corner: Masks, Flint and Primary Care Jul 02, 2020

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.

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Becoming a Doctor Jun 30, 2020

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.

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Navigating Risk Jun 25, 2020

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.

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Leap of Faith Jun 23, 2020

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

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Dealing With DACA and COVID Jun 19, 2020

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.

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Prognosis: Understanding Silent Spreaders Jun 18, 2020

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.

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What Brings You In Today? Jun 16, 2020

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.

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Hard to Reach Jun 11, 2020

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

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California Dreamin' Jun 09, 2020

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.

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Without Precedent Jun 04, 2020

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.

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It Takes A Toll Jun 02, 2020

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/

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Home Sweet Hospital May 28, 2020

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.

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Science Under Pressure May 26, 2020

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.

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Masking Problems May 21, 2020

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.

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The Home Run Approach May 19, 2020

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/

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Bill, Interrupted May 14, 2020

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.

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What the Fax? May 12, 2020

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

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Disease Detectives May 07, 2020

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.

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The Medicaid Cliff May 05, 2020

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

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Return of the Risk Corridors Apr 30, 2020

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.

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Primary Care on the Mend Apr 28, 2020

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.

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The COBRA Conundrum Apr 23, 2020

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

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Getting on the Bus Apr 21, 2020

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

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(Almost) Everyone Is Doing It Apr 16, 2020

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

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Who Gets Care Apr 14, 2020

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

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What Keeps Me Up at Night Apr 09, 2020

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/

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Coronavirus Conversations: Bob Wachter, Pt. 3 Apr 08, 2020

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/

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After the Hospital Apr 03, 2020

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

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Coronavirus Conversations: Daniela Lamas Apr 02, 2020

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/

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Coronavirus Conversations: David Reich Mar 31, 2020

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/

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Coronavirus Conversations: Amy Richardson Mar 28, 2020

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/

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Coronavirus Conversations: Mayra Jimenez Mar 27, 2020

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/

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Coronavirus Conversations: Bob Wachter, Pt. 2 Mar 26, 2020

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

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Primary Care in Crisis Mar 25, 2020

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

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Match Day Mar 20, 2020

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

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Coronavirus Conversations: Chris Chen Mar 19, 2020

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

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Coronavirus Conversations: Pam Gueldner Mar 18, 2020

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

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Coronavirus Conversations: Bob Wachter Mar 17, 2020

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/

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Coronavirus Conversations: The Social Distance Social Mar 16, 2020

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/

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Coronavirus Conversations: Alison Buttenheim Mar 12, 2020

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/

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Medicarried Away? (LIVE) Mar 04, 2020

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

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In Short Supply Feb 19, 2020

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

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Primary Concerns Feb 05, 2020

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

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The Price of Innovation Jan 22, 2020

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

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The Sidebar: A Deeper Dive Into RCTs Jan 14, 2020

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

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'Hot Spotters' on Trial Jan 08, 2020

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

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Leap of Faith Jan 02, 2020

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

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The Good Stuff Dec 11, 2019

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

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Feeding the Sick Nov 27, 2019

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

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What Brings You In Today? Nov 13, 2019

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

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The Train Has Left the Station Oct 30, 2019

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

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The Town the Ballpark Is In Oct 16, 2019

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

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Welcome to Tradeoffs Sep 20, 2019

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.

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