Tradeoffs

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.

The discussion dives into the significant mistrust Black Americans have towards the health care system and its consequences. One doctor makes a bold move to enhance health literacy, aiming to bridge knowledge gaps. Grapevine Health is spotlighted for simplifying medical info and fostering trust within communities. Real-life success stories reveal how relatable advice transforms health outcomes. Insurers are starting to recognize the value of this approach, seeking better engagement with vulnerable populations.

Julie Noobler, Director of Mental Health and Wellness at Brightpoint, explains cognitive behavioral therapy for youth exposed to violence. She describes how CBT slows reactive thinking and pairs with intensive mentoring and wraparound support. The conversation covers program design, real-world practice after detention, and why mentorship helps CBT skills stick.

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.