

Tradeoffs
Tradeoffs
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. Hosted on Acast. See acast.com/privacy for more information.
Episodes
Mentioned books

Oct 30, 2025 • 25min
Should I Trust AI to Diagnose Me?
Join physician and New Yorker writer Dhruv Khullar as he navigates the promising yet perilous world of AI in healthcare. He explores how AI can expedite diagnostics but warns of potential dangers, such as cognitive de-skilling and reliance on faulty chatbot advice. Khullar emphasizes using AI as a tool for guidance rather than a definitive source, while highlighting its ability to enhance communication for non-English speakers. He discusses the balance of human judgment with technology's capabilities, urging caution and accountability in AI integration.

Oct 23, 2025 • 24min
Will Trump’s Prescription Drug Deals Really Lower Prices?
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, TradeoffsWe want to hear from you! Our audience survey takes less than ten minutes, and you’ll be entered to win one of two $50 Bookshop.org gift cards.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.

Oct 16, 2025 • 25min
How New York Times Columnist Paula Span Navigates ‘The New Old Age’
Paula Span, a seasoned journalist and The New Old Age columnist for the New York Times, shares her insights on aging and healthcare choices. She discusses how her column evolved from caregiving to encompass broader topics like policy and relationships. Span highlights a Stanford study on the trade-offs of dialysis, emphasizing quality of life. She also offers advice for older patients to advocate for themselves and questions trends in medical interventions. With a focus on improving aging policies, Paula aims to inform and inspire change for a healthier future.

Oct 9, 2025 • 25min
The Future of Health Care Research: 'Federal Funding Really Is Irreplaceable'
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 ProjectWe want to hear from you! Our audience survey takes less than ten minutes, and you’ll be entered to win one of two $50 Bookshop.org gift cards.Learn 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.

Oct 2, 2025 • 21min
How States Are Reckoning with Republican Health Reforms
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, TradeoffsWe want to hear from you! Our audience survey takes less than ten minutes, and you’ll be entered to win one of two $50 Bookshop.org gift cards.Learn 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.

Sep 29, 2025 • 16min
BONUS: What Happens if Obamacare Subsidies Shrink?
In a lively discussion, Jonathan Gruber, a prominent health economist from MIT, dives into the impact of extended federal support on health insurance accessibility. He highlights how enhanced subsidies have facilitated coverage for millions. The conversation explores potential risks if these subsidies shrink, touching on alarming estimates of uninsured rates. Gruber also discusses the role of state interventions and the consequences of high-deductible plans, while fellow economist Katherine Baicker emphasizes the health benefits of insurance versus its costs.

Sep 25, 2025 • 27min
A Closer Look at a Widely Despised Health Insurance Policy
Prior authorization is a major roadblock for many patients seeking medical care, often delaying crucial treatments like chemotherapy. A caregiver shares her distressing journey through the system's confusion, highlighting the emotional toll. Experts discuss how prior authorization burdens both patients and clinicians, questioning its effectiveness as a cost-control tool. They propose meaningful reforms to streamline the process and reduce administrative burdens, emphasizing that the system should evolve to prioritize patient care.

Sep 18, 2025 • 24min
Why Are People With Mental Illness Starving to Death in Jail?
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.

Sep 11, 2025 • 23min
Obamacare Premiums Are About to Soar. How’d We Get Here?
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.

Sep 4, 2025 • 28min
This Federal Experiment Is Pouring Money into Mental Hospitals. Will It Work?
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.


