EPISODE · May 15, 2026 · 42 MIN
Health Reform, Affordability, and the Future of Coverage with Professor Jonathan Gruber
from Turn on the Lights Podcast
Health insurance policy is complicated, but the consequences are deeply human. In this episode of Turn on the Lights, Professor Jonathan Gruber, Ford Professor of Economics and Chair of the Economics Department at MIT, joins Don Berwick and Kedar Mate to explore the history, structure, and future of health reform in the United States. Drawing on his work shaping Massachusetts health reform and the Affordable Care Act, Gruber explains the three-legged stool of reform: ending insurance discrimination, requiring broad participation, and making coverage affordable through subsidies. He also reflects on the political battles behind the ACA, the importance of Medicaid expansion, and the growing risks to health care coverage today. The conversation concludes with cautious optimism about biomedical innovation alongside serious concerns about affordability, rising costs, and the need for a more seamless health care system. Tune in to hear why health reform is not just about policy design, but about whether people can get care when they need it. Resources Follow MIT on LinkedIn and explore the website. Learn more about Professor Jonathan Gruber:https://economics.mit.edu/people/faculty/jonathan-gruber Learn more about your ad choices. Visit megaphone.fm/adchoices
What this episode covers
Health insurance policy is complicated, but the consequences are deeply human. In this episode of Turn on the Lights, Professor Jonathan Gruber, Ford Professor of Economics and Chair of the Economics Department at MIT, joins Don Berwick and Kedar Mate to explore the history, structure, and future of health reform in the United States. Drawing on his work shaping Massachusetts health reform and the Affordable Care Act, Gruber explains the three-legged stool of reform: ending insurance discrimination, requiring broad participation, and making coverage affordable through subsidies. He also reflects on the political battles behind the ACA, the importance of Medicaid expansion, and the growing risks to health care coverage today. The conversation concludes with cautious optimism about biomedical innovation alongside serious concerns about affordability, rising costs, and the need for a more seamless health care system. Tune in to hear why health reform is not just about policy design, but about whether people can get care when they need it. Resources Follow MIT on LinkedIn and explore the website. Learn more about Professor Jonathan Gruber:https://economics.mit.edu/people/faculty/jonathan-gruber Learn more about your ad choices. Visit megaphone.fm/adchoices
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Health Reform, Affordability, and the Future of Coverage with Professor Jonathan Gruber
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