
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.
Latest episodes

May 5, 2022 • 14min
How One Doctor Is Prepping for a World Without Roe
We talk with a Michigan OB-GYN determined to make sure her hospital is ready if abortion becomes illegal in her state.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.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Apr 28, 2022 • 21min
Too Healthy for the Hospital, Too Sick for the Streets
Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets?Guests:Henry Jones, former medical respite patientJanelle Goetcheus, MD, Founder and Medical Director, Christ HouseJulia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless CouncilJack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A HomeKaryn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DCLearn more about medical respite 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.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Apr 21, 2022 • 19min
The Sky-High Price of Insulin and What Lawmakers Are Trying to Do About It
We explore the high cost of insulin in the U.S. and Congress’ latest push to address those prices with Kaiser Health News reporter Bram Sable-Smith.Guest:Bram Sable-Smith, Midwest Correspondent, Kaiser Health NewsHave a look at some additional resources and a full transcript.Support this type of journalism today, with a gift.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Apr 14, 2022 • 24min
How One Alzheimer’s Drug Is Changing the U.S. Drug Approval Conversation
After Medicare’s decision to restrict coverage of the controversial new Alzheimer’s drug Aduhelm, we look at how this one drug has forced the nation to reexamine how to balance the needs of desperate patients, incomplete evidence and larger economic realities.Guests:Phil Gutis, Alzheimer’s patient and advocateHolly Fernandez Lynch, JD, MBe, John Russell Dickson, MD Presidential Assistant Professor of Medical Ethics, University of PennsylvaniaHave a look at some additional resources and a full transcript.Support this type of journalism today, with a gift.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Apr 7, 2022 • 17min
Immunocompromised in a COVID-Weary World
An immunosuppressed physician explains what navigating her life – and her workplace – is like in this COVID-fatigued world.Guest:Lindsay Ryan, MD, San Francisco VA Medical CenterHave a look at some additional resources and a full transcript.Support this type of journalism today, with a gift.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Mar 31, 2022 • 31min
Inside Big Health Insurers’ Side Hustle
America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?Join us for a wild, wonky journey into the world of third-party administrators.Guests:Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of TreasuryBrian Hufford, JD, Partner, Zuckerman Spaeder LLPKen Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retireeHave a look at more of Leslie's reporting on TPAs.Support this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.

Mar 24, 2022 • 17min
Health Care’s Climate Change Contradiction
The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done.NOTE: This episode has been updated to clarify Practice Greenhealth's operating model.Guest:Gary Cohen, co-founder and president of Health Care Without HarmRead a full transcript and dig deeper into the issues explored in today's episode on our website.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Mar 17, 2022 • 22min
A New Era in the Fight Over Medicaid Premiums
We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.Guests:Katharine Bradley, Principal Researcher, MathematicaHeather O'Loughlin, Co-Director, Montana Budget & Policy CenterEd Buttrey, State Representative, MontanaRead a full transcript and dig deeper into the issues explored in today's episode on our website.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Mar 10, 2022 • 27min
Presenting Sick: Screaming in the Shower
Jails and prisons are one of the few places in the United States where health care is a right. But for many incarcerated people, that care often falls short. This is the story one of those people: Princola Shields.This episode was originally produced for the podcast Sick, a production of Side Effects Public Media.Read a full transcript and dig deeper into the issues explored in today's episode on our website.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Mar 3, 2022 • 20min
Pain, Fear and Waste: The Costs of Unnecessary Care
We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care.Guests:Meredith Niess, MD, MPH, Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant HealthIshani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s HospitalCheryl Damberg, PhD, MPH, Principal Senior Economist and Director, RAND Center of Excellence on Health System PerformanceScott Weingarten, MD, MPH, Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health PlanRead a full transcript and dig deeper into the issues explored in today's episode on our website.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.