Tradeoffs

President Trump has nominated former health care executive Chris Klomp to help RFK Jr. get his health agenda back on track.Guest:Dan Diamond, White House Reporter, Washington PostThis episode was produced by Ryan Levi, edited by Dan Gorenstein and Leslie Walker, and mixed by Andrew Parrella and Cedric Wilson.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Learn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

A conversation with an 18-year-old and her dad about how anti-trans policies have impacted their lives during the second Trump administration.Guests:Harleigh WalkerJeff WalkerLearn more: Read the full reporting and explore additional resources on our website.This episode was produced by Ryan Levi, edited by Dan Gorenstein and mixed by Cedric Wilson and Andrew Parrella.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

Physician and New Yorker writer Dhruv Khullar says artificial intelligence is a powerful tool to get quicker and more accurate diagnoses. But it can also be dangerous.Guest:Dhruv Khullar, Physician, Weill Cornell Medical College; Contributing Writer, The New YorkerLearn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

Nebraska Medicaid Director Drew Gonshorowski says the state’s data capabilities put it in a strong position to quickly implement the historic changes. Advocates and researchers warn that eligible people may still fall through the cracks.Guest(s):Drew Gonshorowski, Director of Medicaid and Long Term Care, Nebraska Department of Health and Human ServicesBenjamin Sommers, Huntley Quelch Professor of Health Care Economics, Harvard T.H. Chan School of Public Health Amy Behnke, CEO, Health Center Association of NebraskaLearn more: Read the full reporting and explore additional resources on our website.This episode was produced by Julie Wernau, edited by Dan Gorenstein and Ryan Levi, and mixed by Andrew Parrella.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Special thanks to Adrianna McIntyre, Rebecca Myerson, Kinda Serafi and Andrea Skolkin.Tradeoffs reporting for this story was supported, in part, by Arnold Ventures.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

Four years after the Supreme Court overturned Roe v. Wade, the fight over abortion access continues to rage. In Wyoming, where abortion is still legal but under constant legal challenge, OB-GYN and abortion provider Giovannina Anthony is helping lead the fight to keep it that way.In this episode of Tradeoffs, Dr. Anthony shares what it's like to provide abortion care in a time of so much legal uncertainty, and how the ongoing battles over abortion laws, reproductive health and medication abortion are affecting physicians and patients in one of the nation's most conservative states.Guest:Giovannina Anthony, OB-GYN, GMA HealthLearn more: Read the full reporting and explore additional resources on our website.This episode was produced by Christine Herman, edited by Ryan Levi and Dan Gorenstein, and mixed by Cedric Wilson and Andrew Parrella.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

A deep dive on the unique mental health challenges faced by immigrants in America, produced by Call to Mind from American Public Media.Learn more and read a full transcript on our website.This episode was produced by Call to Mind, American Public Media's initiative to foster new conversations about mental health. The program was produced and written by senior producer Jessica Bari, edited by Stephen Smith and hosted by Angela Davis. It featured reporting by Jessica Bari, Cari Spencer and Kristi Marohn. The technical director is Josh Savageau, and Hans Buetow scored the show. Additional thanks to Mohammad Ebrahim for his translation. This episode was produced and mixed for Tradeoffs by Ryan Levi. The Tradeoffs theme song was composed by Ty Citerman.Find more reporting on mental health from Call to Mind on their website, on your local public radio station, or by subscribing to the Call to Mind podcast.Want more Tradeoffs? Sign up for our free weekly newsletter featuring our latest reporting on health care's toughest choices.Donate to support our work. Tradeoffs is a nonprofit, powered by listeners. Hosted on Acast. See acast.com/privacy for more information.

We talk with STAT News reporter Lizzy Lawrence about the agency’s recent turmoil and its hunt for a new leader. Guest:Lizzy Lawrence, FDA Reporter, STAT NewsLearn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today.This episode was produced by Leslie Walker, edited by Ryan Levi and Dan Gorenstein, and mixed by Cedric Wilson.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Special thanks to Alex Hogan.Tradeoffs reporting for this story was supported, in part, by Arnold Ventures. Hosted on Acast. See acast.com/privacy for more information.

Two physicians and an ethicist discuss how to make the best decisions in areas like artificial intelligence and gender-affirming care when there is limited evidence in a live conversation recorded at Aspen Ideas: Health.Guests:Ishani Ganguli, Primary Care Physician, Associate Professor of Medicine; Harvard Medical School and Brigham and Women’s HospitalChristine Yu Moutier, Chief Medical Officer, American Foundation for Suicide Prevention Vardit Ravitsky, President, Hastings Center for BioethicsWatch a video of this conversation at Aspen Ideas: Health, along with another conversation about health care costs moderated by our host Dan Gorenstein.Learn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today.This episode was produced by Ryan Levi and mixed by Andrew Parrella.The Tradeoffs theme song was composed by Ty Citerman.Special thanks to Ifrah Asmat, Eric Baker, Tonya Bauer, Katie Taylor and Ryan Zynger [zinger]. Hosted on Acast. See acast.com/privacy for more information.

As millions of Americans are expected to lose health insurance coverage following federal cuts to Medicaid and the Affordable Care Act, states are searching for new ways to prevent medical debt before it starts. In this episode of Tradeoffs, economist Neale Mahoney explains the research into strategies for relief from high healthcare costs and evaluates policy fixes to protect consumers. Guest(s):Neale Mahoney, professor of economics, Trione Director of Stanford Institute for Economic Policy Research, Stanford University.Learn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today.This episode was produced by Melanie Evans, edited by Ryan Levi and Dan Gorenstein, and mixed by Andrew Parrella.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Tradeoffs reporting for this story was supported, in part, by Arnold Ventures. Hosted on Acast. See acast.com/privacy for more information.

Washington is one of 19 states that have received federal approval to enroll people in Medicaid before they leave jail or prison — a radical change in Medicaid policy that health care and law enforcement leaders believe will save lives. But this experiment in bringing Medicaid behind bars is now colliding with H.R. 1, the sweeping federal law that is forcing states to make major changes to Medicaid.Guest(s):Autumn Boylan, Deputy director, California Department of Health Care ServicesLauren Brinkley-Rubinstein, Professor, Population Health Sciences, Duke University School of MedicineCody CoughenourPete Croughan, Deputy secretary, Louisiana Department of HealthBruce Greenstein, Secretary, Louisiana Department of Health Tyron Nixon, Medicaid Reentry Transformation Implementation Manager, Washington State Health Care AuthorityEmma Sandoe, Medicaid director, OregonPenelope Sapp, Chief of corrections, Kitsap County Sheriff’s OfficeMarc Stern, Former assistant secretary for health care at the Washington Department of CorrectionsTamara Vanover, Mental health specialist, Clallam County Sheriff’s OfficeLearn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today.This episode was reported by Julie Wernau, edited by Dan Gorenstein and Ryan Levi, and mixed by Andrew Parrella and Cedric Wilson.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Special thanks to Gabrielle de la Gueronniere, Jody Rich and Kinda Serafi. Tradeoffs reporting for this story was supported, in part, by Arnold Ventures. Hosted on Acast. See acast.com/privacy for more information.

The No Surprises Act was designed to protect patients from unexpected medical bills, but nearly four years after the law took effect, many experts say parts of its implementation aren't working as intended. Insurers, hospitals, physician groups and federal regulators continue to battle over the law's payment dispute process, raising questions about whether one of the nation's most significant health care consumer protection laws is achieving its goals.In this special live episode of Tradeoffs, host Dan Gorenstein moderates a conversation with three leading experts on surprise medical billing, health insurance regulation and federal health policy. They explain how the No Surprises Act was implemented, how litigation has shaped the arbitration process, why providers have won a disproportionate share of payment disputes and what policymakers could do to improve the law.Guests:Zack Cooper, Associate Professor of Public Health and of Economics, Yale University; Director of Health Policy, Tobin Center for Economic Policy; Director, Health Care Affordability Lab at YaleBenjamin Chartock, Assistant Professor of Economics, Bentley UniversityLindsey Murtagh, Senior Fellow in Health Services, Policy and Practice, Brown University School of Public HealthRachel Werner, Executive Director, Leonard Davis Institute of Health Economics; Professor of Medicine, Perelman School of Medicine, University of PennsylvaniaLearn more: Read the full reporting and explore additional resources on our website.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.

Hundreds of U.S. courts offer treatment over prison for some defendants with mental illness. But critics say mental health courts have outpaced research on their effectiveness.Guest(s):Grace Hauck, Investigative reporter, Illinois Answers Project Debra Pinals, Adjunct Clinical Professor of Psychiatry, University of Michigan Medical School and Law SchoolLearn more on our website.Check out our 2025 Impact Report: https://tradeoffs.org/2025-impact-report/.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Every year, millions of people’s medical care runs into the roadblock known as prior authorization, which requires an insurer to sign off before chemotherapy, surgery or countless other services can proceed. Who does this often onerous process help, who does it hurt and how could it work better for everyone?Guests:Tom Roberts, Oncologist, Mass General Cancer CenterAaron Schwartz, Assistant Professor, Department of Medical Ethics and Health Policy and Department of Medicine, University of PennsylvaniaKathleen, CaregiverLearn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

President Trump and other leading conservatives are pushing policies they hope will empower patients to shop more wisely for the health care they need.Guests:Brian Blase, President, Paragon Health InstituteSherry Glied, Professor of Public Service, New York UniversityAdam Leive, Assistant Professor of Public Policy, UC BerkeleyJason Levitis, Senior Fellow, Urban InstituteTony Lo Sasso, Professor of Public Affairs, University of Wisconsin–MadisonAvik Roy , Co-founder and Chairman, Foundation for Research on Equal OpportunityLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

New research from leading health economist David Cutler explores what’s behind a historic slowdown in health spending, even as millions of Americans struggle to afford their care.Guest:David M. Cutler, Dean of Social Science, Professor of Economics, Harvard UniversityLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring our latest reporting on health care's toughest choices.Donate to support our work. Tradeoffs is a nonprofit, powered by listeners. Hosted on Acast. See acast.com/privacy for more information.

A collaboration with American Public Media’s Call to Mind, highlighting how Durham, North Carolina, has reimagined its mental health crisis response system — and what it has learned.Find more reporting on mental health from Call to Mind on their website, on your local public radio station, or by subscribing to the Call to Mind podcast.Guests:Patrice Andrews, Police Chief, Durham Police DepartmentRyan Smith, Director, Durham Community Safety DepartmentSgt. Dan Leeder, Durham Police DepartmentAbena Bediako, Clinical Manager, Durham Community Safety DepartmentDavid Prater, Peer Support Specialist, Durham Community Safety DepartmentYolanda, Durham residentJohn Warasila, Real estate developer and architect, Alliance ArchitectureBo Ferguson, City Manager, DurhamLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring our latest reporting on health care's toughest choices. Donate to support our work. Tradeoffs is a nonprofit, powered by listeners. Hosted on Acast. See acast.com/privacy for more information.

Doctors are flocking to arbitration under the 2020 consumer protection law to settle pricing disputes with insurers. They’re winning, often securing high prices. Guest:Margot Sanger-Katz, reporter, The New York TimesLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

The state’s Medicaid director Amir Bassiri shares his plans for blunting the effects of Republican health reforms — starting with work requirements. Guest:Amir Bassiri, Medicaid Director, New York State Department of HealthLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

As demand for new weight loss drugs soars, some employers are making workers track their diet and exercise in hopes of limiting use and keeping costs down.Guests:Nick MillerAnn Lewandowski, founder, Healthcare Rebel AllianceSean Scanlon, Connecticut ComptrollerDr. Katherine Saunders, executive vice president and cofounder, Flyte HealthChristopher Whaley, associate director of the Center for Advancing Health Policy through Research, Brown UniversityLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

The White House wants states to drop certificate of need laws in hopes of lowering health care costs. Researchers and state leaders are split.Guests:Nate Adler, founder, GertieMatthew Mitchell, senior fellow, Fraser Institute; senior affiliated scholar, Mercatus Center at George Mason UniversityJill Horwitz, professor, Northwestern University Pritzker School of Law and Feinberg School of MedicineBo Watson, Tennessee state senatorAlyssa Black, Vermont state representativeAmy Cooper, founder, board president Green Mountain Surgery CenterLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

The administration is looking to former health care executive Chris Klomp to help RFK Jr. get Trump’s health agenda back on track.Guest:Dan Diamond, White House Reporter, Washington PostLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court is set to hear Hikma v. Amarin, a battle over drug patents that could raise costs for patients and change the way generic companies do business. Guests:Hans Sauer, adjunct professor, Georgetown Law; former vice president of intellectual property, Biotechnology Innovation OrganizationSean Tu, professor of law, University of AlabamaDennies Varughese, partner; Sterne, Kessler, Goldstein and FoxLeslie Walker, senior reporter, TradeoffsLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Our friends at The Pulse from WHYY explore the economics behind the rise of urgent care and how it’s changing American medicine.Learn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

An employer in Chicago describes how another year of rising premiums forced her to consider dropping her workers’ insurance.Guest:Rachel Bernier-Green, Founder and CEO, EJ ConsortiumLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

We talk with physician and writer Bob Wachter about why he’s cautiously optimistic that artificial intelligence will usher in a ‘golden age’ of medicine — and the questions he still has about these powerful new tools.Guest:Bob Wachter, Chair, Department of Medicine, UC San Francisco; Author, A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our FutureLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Patients are afraid to show up to medical appointments, while workers are being detained, deported or losing their visa statuses.Guests:Sahida Martinez, promotora, EnlaceJadhira Sanchez, director of community health, EnlaceSteph Willding, CEO, CommunityHealthJordan Herring, Postdoctoral scholar, Emergency medicine, StanfordHannah Janeway, Emergency medicine physician, Los AngelesLaura Messineo, CNO, WorldWide HealthStaff Solutions Learn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Half of states have rejected federal vaccine guidance on childhood vaccines after controversial changes by the CDC. Public health experts say the split is sowing confusion and increasing the risk of outbreaks. Guests:Michelle Fiscus, physician, chief medical officer, Association of Immunization ManagersJen Kates, senior vice president; director, global and public health policy, KFF Tao Sheng Kwan-Gett, physician, health officer, Washington Department of HealthPhilip Landrigan, physician and director, program for global public health and the common good, Boston College Dorit Reiss, law professor, University of California, San FranciscoLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

How one addiction clinic in Baltimore has found success combining addiction care with support for the many other health problems older Americans often face.Guests:Malik Burnett, Medical Director, REACH Health ServicesLisa Clemans-Cope, Senior Research Fellow, Urban InstituteRenee Gray, Patient, REACH Health ServicesPhyllis Lindsay, Peer Recovery Specialist, REACH Health ServicesMaggie Lowenstein, Assistant Professor, Medicine, University of Pennsylvania Perelman School of MedicineVickie Walters, Executive Director, REACH Health ServicesLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

How Gov. Gavin Newsom’s ambitious plan to force more people into treatment left many families still searching for help.Guest(s):June DudasMarisa Kendall, homelessness reporter, CalMattersRead CalMatters full “Courting Disappointment” series here. Learn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Maryland finds out how much the state will get from a nationwide competition for federal rural health investment.Guest(s):Christina Koontz, paramedic Elizabeth Kromm, assistant secretary for population health and strategic initiatives, Maryland Department of HealthMike Salvadge, chief of emergency medical services, Allegany County, Md. Meena Seshamani, Maryland secretary of healthHemi Tewarson, executive director, National Academy for State Health PolicyLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

We follow Maryland's 52-day rush to convince the Trump administration to give the state new funding to transform rural health care.Guests:Bonita Baer, Maryland residentMark Boucot, president and CEO of Garrett Regional Medical Center and Potomac Valley Hospital Elizabeth Kromm, assistant secretary for population health and strategic initiatives, Maryland Department of HealthLevi Lantz, ALL Produce & GreenhouseKen Ulman, former executive, Howard County, Maryland; president of Margrave StrategiesLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

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 USAAlfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical Industry AssociationJeremy Greene, MD, PhD, Professor of Medicine and the History of Medicine, Johns Hopkins UniversityCandy Meyer, PatientBhaven Sampat, PhD, Professor, Arizona State University School for the Future of Innovation in SocietyMarta Wosińska, PhD, Senior Fellow, Brookings InstitutionLeslie Walker, Senior Reporter/Producer, TradeoffsLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Rural health experts dig into the Trump administration’s effort to transform rural health care.Guests:Kevin Bennett, Director Center for Rural & Primary Healthcare; Professor, Family and Preventative Medicine, School of Medicine Columbia, University of South CarolinaPaula Chatterjee, Director of Health Equity Research, Penn LDI; Assistant Professor, Medicine, Perelman School of MedicineSarah Jane Tribble, Chief Rural Correspondent, KFF Health NewsRachel Werner, Executive Director, Leonard Davis Institute of Health Economics; Professor of Medicine, Perelman School of Medicine, University of PennsylvaniaLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

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 USALaura Bray, MBA, Founder, Angels for ChangeCraig Burton, Senior Vice President of Policy and Strategic Alliances, Association for Accessible MedicinesIilun Murphy, MD, Director of the Office of Generic Drugs, FDALeslie Walker, Senior Reporter/Producer, TradeoffsMarta Wosińska, PhD, Senior Fellow, Brookings InstitutionLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

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 USAAlfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical AssociationLeslie Walker, Senior Reporter/Producer, TradeoffsLearn more and read a full transcript on our website.Al Engelberg’s recently published memoir, “Breaking the Medicine Monopolies”, digs into the history of generic drugs. Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

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 HealthKeith Maccannon, Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of ColumbiaYvonne Smith, Grapevine ClientKaren Dale, RN, MSN, Market President, AmeriHealth Caritas District of ColumbiaLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

A Chicago violence prevention program is pairing cognitive behavioral therapy with intensive mentoring and wraparound support to help high-risk teens avoid incarceration.Guests:Nour Abdul-Razzak, Research Associate, University of Chicago Harris School of Public Policy; Research Director, University of Chicago Inclusive Economy LabCharles Branas, Professor and Chair, Department of Epidemiology, Columbia University Mailman School of Public HealthToni Copeland, Director of Student Supports and Violence Prevention Programs, Chicago Public SchoolsJennifer Doleac, Executive Vice President of Criminal Justice, Arnold VenturesJasper Guilbault, Therapist, BrightpointGary Ivory, President and CEO, Youth Advocate ProgramsJulie Noobler, Director of Mental Health and Wellness, BrightpointT-ManLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

A leading addiction expert explains how he’s driven by the memory of a friend who died, and why he believes giving data on the drug supply to people on the street is more important than using it to inform national drug policy.Guest:Nabarun Dasgupta, Epidemiologist, University of North Carolina Street Drug Analysis Lab and Opioid Data LabLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

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 CareAsaf Bitton, MD, MPH, Executive Director, Ariadne LabsRegina Hammond, Founder, Rebuild Johnston Square Neighborhood OrganizationChris Koller, President, Milbank Memorial FundTerry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR)Sarah Szanton, PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood NursingLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

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, MITLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

Several cities and counties are addressing street homelessness with a new approach, which experts say can clear encampments while protecting the health of people who are forced to move.Guests:Josh Barocas, Associate Professor, University of Colorado Anschutz School of MedicineMarc Dones, Policy Director, Benioff Homelessness and Housing Initiative, University of California San FranciscoRyan Levi, Managing Editor, TradeoffsMatt Mahan, Mayor, City of San JoseJazmine MapesPeter Radu, Neighborhood Services Manager, City of BerkeleyLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

Facing mounting financial pressures, insurance companies are changing the prescription drug coverage available to many consumers in Medicare Part D.Guests:Stacie Dusetzina, Professor of Health Policy, Vanderbilt UniversitySteven Hadfield, Medicare beneficiaryMark Newsom, Managing Director, Avalere HealthErin Trish, Co-Director, USC Schaeffer CenterCindy Trish, Medicare beneficiaryLeslie Walker, Senior Reporter, TradeoffsLearn more and read a full transcript on our website. If you know someone on Medicare, please encourage them to give their coverage a closer look before open enrollment ends on Dec. 7! People can find unbiased enrollment counseling through the federal SHIP program or review their options on Medicare.gov.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Higher premiums and penalties have made shopping for Obamacare plans more confusing this year. Federal funding cuts have left consumers in many states with fewer guides to help them navigate their options. “I don’t want people to just feel ghosted,” a West Virginia navigator told Tradeoffs.Guest:Jeremy Smith, director, West Virginia navigator program, First Choice Services.Learn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Physician and New Yorker writer Dhruv Khullar says artificial intelligence is a powerful tool to get quicker and more accurate diagnoses. But it can also be dangerous.Guest:Dhruv Khullar, Physician, Weill Cornell Medical College; Contributing Writer, The New YorkerLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Facing unprecedented pressure from the Trump administration, some of the world’s top drugmakers promise to cut prices. But experts say the savings might not be what they seem.Guests:Michael Cannon, Director of Health Policy Studies, Cato InstituteStacie Dusetzina, Professor of Health Policy, Vanderbilt UniversityDarius Lakdawalla, Chief Scientific Officer, USC Schaeffer CenterPete Loftus, Reporter, Wall Street JournalBen Rome, Assistant Professor of Medicine, Harvard Medical SchoolLeslie Walker, Senior Reporter, TradeoffsLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

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 TimesLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

What happens if President Trump cuts billions from research on how to make our health care system work better?Guest(s):Aaron Carroll, President and CEO, Academy HealthStuart Buck, Executive Director, Good Science ProjectLearn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

It's been 90 days since Congress passed Trump’s megabill slashing health care spending and reshaping the Medicaid program. States are already knee-deep in dealing with the fallout.Guests:Hemi Tewarson, Executive Director, National Academy for State Health PolicyLeslie Walker, Senior Producer, TradeoffsLearn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Excerpts of a live conversation with two top health economists about how extra federal support has helped millions of Americans access health insurance, and what would happen if that aid went away.Guests:Katherine Baicker, Provost and Emmett Dedmon Distinguished Service Professor, University of ChicagoJonathan Gruber, Ford Professor of Economics, MIT Learn more on our website, and watch the full conversation on Penn LDI's YouTube page.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Every year, millions of people’s medical care runs into the roadblock known as prior authorization, which requires an insurer to sign off before chemotherapy, surgery or countless other services can proceed. Who does this often onerous process help, who does it hurt and how could it work better for everyone?Guests:Tom Roberts, Oncologist, Mass General Cancer CenterAaron Schwartz, Assistant Professor, Department of Medical Ethics and Health Policy and Department of Medicine, University of PennsylvaniaKathleen, CaregiverLearn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.