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Tradeoffs is an award-winning nonprofit news organization on a mission to help America have smarter, more honest health policy conversations.
Tradeoffs explores the toughest choices in health care, diving into issues like the cost of care, health equity, insurance, mental health and artificial intelligence. We connect policy to practice, uncovering the data and personal stories that help audiences understand the stakes — and the potential solutions.
Learn more about us, find transcripts for each episode and additional reporting at https://tradeoffs.org.
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354 Episodes
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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.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 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.
Pulitzer Prize winning journalist Sarah Stillman explains why so many people with mental illness are starving to death in U.S. jails, who is profiting, and what can be done to prevent it.Guest:Sarah Stillman, Staff Writer, New Yorker; Founder, Yale Investigative Reporting LabLearn 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.
Federal subsidies for Affordable Care Act health plans are scheduled to shrink next year. Many shoppers are expected to be priced out of the market, leaving those who stay with higher premiums. It’s a dynamic that threatens to repeat, leaving markets with fewer and more expensive options as insurers exit, too. How did we get here?Guest(s):Jonathan Kolstad, professor, Haas School of Business, University of California, BerkeleyNance L. Schick, employment attorney, founder of Third Ear Conflict ResolutionLearn 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.
As states struggle to meet the needs of people with serious mental illness, some are signing on to a federal pilot project that’s funneling new funding into institutional care.Guests:Alex Barnard, Assistant Professor of Sociology, New York UniversityDanny Pasquini, patientTeresa Pasquini, AdvocateTyler Sadwith, Medicaid Director, California Department of Health Care ServicesMorgan Shields, Assistant Professor, Washington University in St. LouisRuth Shim, Professor of Clinical Psychiatry, UC DavisLearn 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.
Worrying about deportation can literally make people sick. Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies.Guests:MariaSteph Willding, CEO, CommunityHealthEmily Hendel, Director of Clinical Services, CommunityHealthSamantha Artiga, Vice President and Director for Racial Equity Health Policy Program, KFFLearn 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.
A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for medical care.Guest:Melanie Evans, Producer, TradeoffsLearn more and read a full transcript on our website.Support this type of journalism today, with a gift.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.
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 AssociationTavril Saint Jean, Senior Research Associate, American Speech-Language-Hearing AssociationJanet McNichol, Chief Human Resources Officer, American Speech-Language-Hearing AssociationEvan Reid, Senior Director of Analytics, American Speech-Language-Hearing AssociationJulia Reilly-Edwards, Data Scientist, American Speech-Language-Hearing AssociationLearn 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.
More than half of states — from deep blue California to solidly red Louisiana — want to bring Medicaid behind bars in hopes of saving the lives of people as they leave jail and prison.Guests:Lee ReedShira Shavit, MD, Professor of Family and Community Medicine, University of California San Francisco; Executive Director, Transitions Clinic NetworkJacey Cooper, Director, California Medicaid ProgramCindy Beane, MSW, LCSW, Commissioner, West Virginia Bureau of Medical ServicesAmy Katzen, JD, MPP, Director of Policy and Strategy, Rhode Island Executive Office of Health and Human ServicesMike Levine, Medicaid Director, MassHealthDana Flannery, Former Senior Policy Advisor, Arizona Health Care Cost Containment SystemKhalil Cumberbatch, MSW, Director of Strategic Partnerships, Council on Criminal JusticeLearn more and read a full transcript on our website.Support this type of journalism today, with a gift.Follow us on Twitter. 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.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.
1Harrison Memorial Hospital in Cynthiana, Kentucky is already taking a hard look at its budget in light of Republican cuts to Medicaid. Here’s what that looks like.Guest:David Asher, Chief Strategy Officer at Harrison Memorial Hospital in Cynthiana, KYLearn 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 the federal government has restricted health care access for transgender Americans, and how those shifts in policy and rhetoric are changing life for one Alabama family.Guests:Orion Rummler, LGBTQ+ Reporter, The 19thHarleigh WalkerJeff WalkerLearn more and read a full transcript on our website and see highlights from our conversation with Harleigh and Jeff Walker here.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.
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