
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

Feb 24, 2022 • 19min
Peter Lee on Obamacare, Covered California and Where We Go Next With Health Care
As Peter Lee prepares to step down after a decade of running California's Obamacare exchange, he reflects on his experience, the strengths and weaknesses of the Affordable Care Act, and what the next frontier for health care should be in the U.S.Guest:Peter Lee, Executive Director, Covered CaliforniaRead 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.

Feb 17, 2022 • 20min
The FDA Super Bowl
Every 5 years, the FDA has to renegotiate billions of dollars in user fees with the drug and medical device companies it regulates. This is one of those years, and Congress has to pass the latest user fee agreements by the end of September to keep FDA running. We break down this controversial process and what other health policies could pass in its wake.Guest:Sarah Karlin-Smith, Senior Writer, Pink SheetRead 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.

Feb 10, 2022 • 19min
Off Script: One Pharmacist's COVID Woes and Wins
This week, a pharmacist and co-owner of an independent pharmacy in Iowa shares what life is like nearly two years into the pandemic.Guest:Kelly Kent, RPh, PharmD, pharmacist and chief operating officer, Towncrest Pharmacy.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, plus recommendations from our staff.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Feb 3, 2022 • 25min
Answering the Call, Part 1: America’s New Mental Health Crisis Line
Starting July 16, 2022, anyone in the U.S. experiencing a mental health crisis will be able to dial 988 for help. We explore what it will take for this new nationwide hotline to meet the needs of millions of people struggling with suicide, addiction and mental illness.Guests:Andrea Harrison, Helpline Specialist, First Choice ServicesMadhuri Jha, LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of MedicineBen Miller, PsyD, President, Well Being TrustHannah Wesolowski, MPA, Chief Advocacy Officer, National Alliance on Mental IllnessRead 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.

Jan 27, 2022 • 23min
Harm Reduction’s Road From Fringe to Federal Drug Policy
The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis.Guests:Ricky Bluthenthal, PhD, Associate Dean for Social Justice; Keck School of Medicine, University of Southern CaliforniaKeith Humphreys, PhD, Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford UniversityBeau Kilmer, PhD, Director of the RAND Drug Policy Research CenterKimberly Sue, MD, PhD, Assistant Professor of Medicine, Yale School of MedicineMaia Szalavitz, Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of AddictionRead 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.

Jan 20, 2022 • 25min
Medicare’s Unprecedented Alzheimer’s Drug Decision
Last week, Medicare took an unprecedented step to restrict patients’ access to the first new Alzheimer’s disease treatment in nearly 20 years. We talk with a doctor, a patient and a former federal official about this unusual move and its wide-ranging implications.Guests:Jay Reinstein, Alzheimer’s disease patient and advocateSharon Sha, MD, MS, Clinical Associate Professor of Neurology and Neurological Sciences, Stanford UniversitySean Tunis, MD, MSc, Senior Fellow, Tufts Center for Evaluation of Value and Risk in Health, former FDA advisor and former CMS officialRead 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.

Jan 13, 2022 • 2min
What's Ahead for Tradeoffs
We've got a lot to share with you in 2022!We're looking into new strategies to battle overdose deaths; the unfolding saga of the new Alzheimer's drug; and the rollout of a new national hotline for mental health emergencies.Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape.New episodes start 20 January, 2022!Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff.Support this type of journalism today, with a gift.Follow us on Twitter, @tradeoffspod Hosted on Acast. See acast.com/privacy for more information.

Jan 6, 2022 • 19min
One Woman’s Year Surviving the Pandemic with a Disability
A young woman living with cerebral palsy shares the struggles, fears and silver linings she’s experienced during the pandemic.Guest: Jeiri Flores, disability rights advocateRead 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.

Dec 30, 2021 • 26min
A New Era of Gun Violence Research
As gun violence surges, researchers are using new federal funding to search for solutions.Emmy Betz, MD, MPH, Associate Professor of Emergency Medicine and Director of the Firearm Injury Prevention Initiative, University of ColoradoJonathan Jay, DrPH, JD, Assistant Professor of Community Health Sciences, Boston UniversityAutumn Parkin, gun owner and advocateIf you or someone you know is having suicidal ideation, please call the Suicide Prevention Hotline: 800 273 8255For more information about gun violence research visit our website.Support this type of journalism today, with a year-end tax deductible gift (plus your gift will be matched!).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.

Dec 23, 2021 • 23min
Health Care's Ransomware Wake-Up Call
Health care has long lagged behind other industries when it comes to cybersecurity. But with ransomware attacks against the industry on the rise, providers are quickly trying to close the gap and protect their systems and patients.Guests:Karen Sprenger, CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG SecurityM. Eric Johnson, PhD, Ralph Owen Dean and Bruce D. Henderson Professor of Strategy, Vanderbilt University Owen Graduate School of ManagementAnahi Santiago, Chief Information Security Officer, ChristianaCareSaad Chaudhry, MPP, Chief Information Officer, Luminis HealthRead a full transcript, dig into the numbers, and learn more about ransomware negotiator Karen Sprenger on our website.Support this type of journalism today, with a year-end tax deductible gift (plus your gift will be matched!).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.