Tradeoffs
Tradeoffs
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.
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Épisodes
As Drama at Trump's FDA Subsides, Doubts and Damage Linger 09.07.2026 22:23
We talk with STAT News reporter Lizzy Lawrence about the agency’s recent turmoil and its hunt for a new leader. Guest: Lizzy Lawrence , FDA Reporter, STAT News Learn more: Read the full reporting and explore additional resources on our website . Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsl...
Making Medical Decisions with Uncertain Science 02.07.2026 52:41
Two physicians and an ethicist discuss how to make the best decisions in areas like artificial intelligence and gender-affirming care when there is limited evidence in a live conversation recorded at Aspen Ideas: Health. Guests: Ishani Ganguli , Primary Care Physician, Associate Professor of Medicine; Harvard Medical School and Brigham and Women’s Hospital Christine Yu Moutier , Chief Medical Offi...
With Millions Expected to Lose Coverage, States Look for New Ways to Prevent Medical Debt 25.06.2026 22:58
As millions of Americans are expected to lose health insurance coverage following federal cuts to Medicaid and the Affordable Care Act, states are searching for new ways to prevent medical debt before it starts. In this episode of Tradeoffs, economist Neale Mahoney explains the research into strategies for relief from high healthcare costs and evaluates policy fixes to protect consumers. Gue...
Medicaid Overhaul Complicates States’ Plans to Bring Care Into Jails and Prisons 18.06.2026 28:33
Washington is one of 19 states that have received federal approval to enroll people in Medicaid before they leave jail or prison — a radical change in Medicaid policy that health care and law enforcement leaders believe will save lives. But this experiment in bringing Medicaid behind bars is now colliding with H.R. 1, the sweeping federal law that is forcing states to make major changes to M...
Where Did the No Surprises Act Go Wrong? And Can It Be Fixed? 11.06.2026 52:26
The No Surprises Act was designed to protect patients from unexpected medical bills, but nearly four years after the law took effect, many experts say parts of its implementation aren't working as intended. Insurers, hospitals, physician groups and federal regulators continue to battle over the law's payment dispute process, raising questions about whether one of the nation's most significant heal...
Mental Health Courts Offer People Facing Prison an Imperfect Alternative 04.06.2026 26:02
Hundreds of U.S. courts offer treatment over prison for some defendants with mental illness. But critics say mental health courts have outpaced research on their effectiveness. Guest(s): Grace Hauck , Investigative reporter, Illinois Answers Project Debra Pinals , Adjunct Clinical Professor of Psychiatry, University of Michigan Medical School and Law School Learn more on our website . Check...
A Closer Look at a Widely Despised Health Insurance Policy 28.05.2026 28:37
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 Center Aaron Schwartz , Assistant Pr...
Republicans Want to Change How You Buy Health Care 21.05.2026 26:51
President Trump and other leading conservatives are pushing policies they hope will empower patients to shop more wisely for the health care they need. Guests: Brian Blase , President, Paragon Health Institute Sherry Glied , Professor of Public Service, New York University Adam Leive , Assistant Professor of Public Policy, UC Berkeley Jason Levitis , Senior Fellow, Urban Institute Tony Lo Sasso ,...
The U.S. Saved $1 Trillion on Health Care. Why Doesn't It Feel Like It? 14.05.2026 19:52
New research from leading health economist David Cutler explores what’s behind a historic slowdown in health spending, even as millions of Americans struggle to afford their care. Guest: David M. Cutler , Dean of Social Science, Professor of Economics, Harvard University Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring our...
Call to Mind: The Fifth Branch 07.05.2026 54:51
A collaboration with American Public Media’s Call to Mind, highlighting how Durham, North Carolina, has reimagined its mental health crisis response system — and what it has learned. Find more reporting on mental health from Call to Mind on their website , on your local public radio station, or by subscribing to the Call to Mind podcast . Guests: Patrice Andrews , Police Chief, Durham Police Depar...
Doctors Hated the No Surprises Act. Now Some Are Getting Rich Off of It. 30.04.2026 23:36
Doctors are flocking to arbitration under the 2020 consumer protection law to settle pricing disputes with insurers. They’re winning, often securing high prices. Guest: Margot Sanger-Katz, reporter, The New York Times 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...
New York Braces for Trump's Big Medicaid Shakeup 23.04.2026 24:02
The state’s Medicaid director Amir Bassiri shares his plans for blunting the effects of Republican health reforms — starting with work requirements. Guest: Amir Bassiri , Medicaid Director, New York State Department of Health 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. Suppo...
Should People Who Want GLP-1s Have to Work for Them? 16.04.2026 30:19
As demand for new weight loss drugs soars, some employers are making workers track their diet and exercise in hopes of limiting use and keeping costs down. Guests: Nick Miller Ann Lewandowski , founder, Healthcare Rebel Alliance Sean Scanlon , Connecticut Comptroller Dr. Katherine Saunders , executive vice president and cofounder, Flyte Health Christopher Whaley , associate director of the Center...
High Health Care Costs Are Fueling a New Fight Over Old Laws 09.04.2026 25:00
The White House wants states to drop certificate of need laws in hopes of lowering health care costs. Researchers and state leaders are split. Guests: Nate Adler , founder, Gertie Matthew Mitchell , senior fellow, Fraser Institute; senior affiliated scholar, Mercatus Center at George Mason University Jill Horwitz , professor, Northwestern University Pritzker School of Law and Feinberg School of Me...
Trump's Pick to Quiet the Chaos at HHS 02.04.2026 20:52
The administration is looking to former health care executive Chris Klomp to help RFK Jr. get Trump’s health agenda back on track. Guest: Dan Diamond , White House Reporter, Washington Post 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, wi...
Generic Drugs Head to the Supreme Court 26.03.2026 24:26
The Supreme Court is set to hear Hikma v. Amarin, a battle over drug patents that could raise costs for patients and change the way generic companies do business. Guests: Hans Sauer , adjunct professor, Georgetown Law; former vice president of intellectual property, Biotechnology Innovation Organization Sean Tu , professor of law, University of Alabama Dennies Varughese , partner; Sterne, Kessler,...
Inside the Urgent Care Boom 19.03.2026 39:15
Our friends at The Pulse from WHYY explore the economics behind the rise of urgent care and how it’s changing American medicine. 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 i...
‘It Sucks’: Spiking Health Insurance Costs Hit Small Businesses 12.03.2026 21:05
An employer in Chicago describes how another year of rising premiums forced her to consider dropping her workers’ insurance. Guest: Rachel Bernier-Green , Founder and CEO, EJ Consortium 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...
'We Can’t Afford All These Humans’: A Doctor's Take on AI in Health Care 05.03.2026 25:51
We talk with physician and writer Bob Wachter about why he’s cautiously optimistic that artificial intelligence will usher in a ‘golden age’ of medicine — and the questions he still has about these powerful new tools. Guest: Bob Wachter , Chair, Department of Medicine, UC San Francisco; Author, A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future Learn more and read a...
Immigration Enforcement’s Twin Threats to Health Care 26.02.2026 26:15
Patients are afraid to show up to medical appointments, while workers are being detained, deported or losing their visa statuses. Guests: Sahida Martinez , promotora, Enlace Jadhira Sanchez, director of community health, Enlace Steph Willding , CEO, CommunityHealth Jordan Herring , Postdoctoral scholar, Emergency medicine, Stanford Hannah Janeway, Emergency medicine physician, Los Angeles Laura Me...
As States and CDC Split on Vaccines, What's Next? 19.02.2026 19:58
Half of states have rejected federal vaccine guidance on childhood vaccines after controversial changes by the CDC. Public health experts say the split is sowing confusion and increasing the risk of outbreaks. Guests: Michelle Fiscus , physician, chief medical officer, Association of Immunization Managers Jen Kates , senior vice president; director, global and public health policy, KFF Tao S...
A Better Way to Care for Older Adults with Opioid Addiction 12.02.2026 24:59
How one addiction clinic in Baltimore has found success combining addiction care with support for the many other health problems older Americans often face. Guests: Malik Burnett , Medical Director, REACH Health Services Lisa Clemans-Cope , Senior Research Fellow, Urban Institute Renee Gray, Patient, REACH Health Services Phyllis Lindsay, Peer Recovery Specialist, REACH Health Services Maggie Lowe...
Mental Illness Left Their Loved Ones on the Streets. California’s Big Fix Hasn’t Helped 05.02.2026 24:10
How Gov. Gavin Newsom’s ambitious plan to force more people into treatment left many families still searching for help. Guest(s): June Dudas Marisa Kendall , homelessness reporter, CalMatters Read CalMatters full “Courting Disappointment” series here. Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health polic...
One State's Sprint for its Share of $50 Billion for Rural Health: Part 2 29.01.2026 24:27
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 Health Mike Salvadge, chief of emergency medical services, Allegany County, Md. Meena Seshamani, Maryland secretary of health...
One State's Sprint for its Share of $50 Billion for Rural Health: Part 1 22.01.2026 27:35
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 resident Mark 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 Health Levi Lantz,...
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