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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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347 Episodes
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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.
North Carolina’s former health secretary explains the heavy lift and hard choices ahead of states as they rush to put Republicans' new health reforms in place.Guest:Kody Kinsley, Senior Policy Advisor, Johns Hopkins School of Nursing; former North Carolina secretary of health and human 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.
Health law expert Katie Keith helps us break down what a pair of big court decisions mean for RFK Jr.’s power and for people's access to abortion, cancer screening and many other kinds of care.Guest:Katie Keith, Director, Health Policy and the Law Initiative at the O’Neill Institute for National and Global Health LawLearn 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.
On June 18, Tradeoffs moderated an online event with economists and doctors examining why this legislation could cost so many people their health coverage — or even their lives.Guests:Eric Roberts, Associate Professor, Department of General Internal Medicine, Perelman School of MedicineAditi Vasan, Assistant Professor, Department of Pediatrics, Perelman School of MedicineRachel Werner, Executive Director, Leonard Davis Institute of Health Economics, 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.
The White House is asking Congress to sharply roll back federal spending on HIV prevention, a reversal from President Trump’s first term, when he championed investment to end the epidemic in America within a decade.Guests:Hana Fields, outreach manager, Health Outreach Prevention Education Dr. Patrick Sullivan, professor of epidemiology, Emory University Rollins School of Public HealthBrad Sullivan Jeremiah Johnson, executive director, PrEP4AllDr. John T. Brooks, former chief medical officer for the Centers for Disease Control and Prevention Division of HIV/AIDS PreventionDr. Brett P. Giroir, former assistant secretary for health, U.S. Department of Health and Human 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.
The Health and Human Services chief’s latest action on vaccinations is unprecedented, and quickly drew condemnation from medical groups who said his dismissal of the vaccine advisory committee put public health at risk. Here’s why the members of that committee are so important.Guest:Ron Balajadia, Hawaii Department of Health immunization branch chiefDorit Reiss, University of California, San Francisco, professor of public health law Dr. Sarah Long, former member of the Advisory Committee on Immunization Practices and Drexel University, professor of pediatric infectious diseaseDr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia.Richard Hughes IV, attorney with Epstein Becker Green Per Fischer, CEO, MinervaXLearn 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.
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.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.
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 BoardArthur Brown, Client, Camden CoalitionAmy Finkelstein, PhD, Professor of Economics, MIT; Co-Scientific Director, J-PAL North AmericaAllison Hamblin, MSPH, President and CEO, Center for Health Care StrategiesPaula Lantz, PhD, Professor of Health Policy, University of MichiganLarry Moore, Client, Camden CoalitionKathleen Noonan, JD, President and CEO, Camden CoalitionDottie Scott, Community Health Worker, Camden CoalitionBrian Thompson, Housing Coordinator, Camden CoalitionLeslie Walker, Senior Producer/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.
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