22 episodes

What's your life worth? Healthcare in the United States can bankrupt you, demoralize you—or actually kill you. Healthcare economist David Smith grew up in a Mormon community in Utah, and lost his father, sister, and brother to the same deadly epidemic. He’s spent his career exploring whether their deaths were preventable and how we can make health a priority for everyone. On The Cost of Care, David and his guests – patients, medical experts, and policy makers – reveal how the wealthiest nation on earth ended up with one of the most expensive, worst-performing health care systems in the world and provide solutions to fix it, together.

The Cost of Care Lemonada

    • Health & Fitness
    • 4.1 • 376 Ratings

Listen on Apple Podcasts
Requires subscription and macOS 11.4 or higher

What's your life worth? Healthcare in the United States can bankrupt you, demoralize you—or actually kill you. Healthcare economist David Smith grew up in a Mormon community in Utah, and lost his father, sister, and brother to the same deadly epidemic. He’s spent his career exploring whether their deaths were preventable and how we can make health a priority for everyone. On The Cost of Care, David and his guests – patients, medical experts, and policy makers – reveal how the wealthiest nation on earth ended up with one of the most expensive, worst-performing health care systems in the world and provide solutions to fix it, together.

Listen on Apple Podcasts
Requires subscription and macOS 11.4 or higher

    When Your Insurance Company Laughs At You

    When Your Insurance Company Laughs At You

    In this episode we examine two cases of irritable bowel disease (IBD). Where both individuals have symptoms that can be addressed through life changing medicines, but yet have outcomes that are wildly different. You'll hear audio from inside United, the country's largest health insurance company, capturing its employees doing everything possible to deny life changing care.

    Special thanks to our season two sponsor Thorne. Thorne believes personalized, scientific wellness can extend the duration of one's health span, create happier and healthier lives, and feel one’s best at every age and life stage. Visit the Lemonada Media Thorne Storefront at www.thorne.com/u/care for 10% off your first order.
    See omnystudio.com/listener for privacy information.

    • 51 min
    The U.S. Healthcare System and Surviving Pediatric Cancer

    The U.S. Healthcare System and Surviving Pediatric Cancer

    Nothing pulls at our heartstrings more than a sick kiddo. Remarkably, our system does quite well for children with serious illnesses. But luck plays way too big a part in which kids live or die.

    Special thanks to our season two sponsor Thorne. Thorne believes personalized, scientific wellness can extend the duration of one's health span, create happier and healthier lives, and feel one’s best at every age and life stage. Visit the Lemonada Media Thorne Storefront at www.thorne.com/u/care for 10% off your first order.
    See omnystudio.com/listener for privacy information.

    • 49 min
    COVID-19: A Stress Test for the American Healthcare System

    COVID-19: A Stress Test for the American Healthcare System

    The breathtaking pace at which the Covid-19 pandemic upended American society and commerce with lingering effects has scores of lessons that will teach future generations how society should grapple with a debilitating public health crisis while preserving economic vitality, political function, and social cohesion.

    In this episode of The Cost of Care, David Smith dives deep into how Covid-19 was a stress test for the American healthcare system, the wins, the losses, and where we go from here.

    Read the full paper from Third Horizon Strategies here: https://thirdhorizonstrategies.com/wp-content/uploads/COVID-as-a-stress-test-v2.pdf
    See omnystudio.com/listener for privacy information.

    • 36 min
    The Cost of Care LIVE at the Health Plan Alliance Leadership Summit

    The Cost of Care LIVE at the Health Plan Alliance Leadership Summit

    It’s The Cost of Care Live from the Health Plan Alliance Fall Leadership Summit! Join our host David Smith and an exciting panel of healthcare policy leaders to examine critical questions such as: What is it that you wish you could do for your members to improve their health but can’t? If there were no constraints on what you could invest in, what would you do?

    Thank you, Health Plan Alliance, for helping make this episode possible. Health Plan Alliance is a nationwide network of regional health plans, hospitals and physicians working together to improve performance, deliver exceptional service, transform care, and champion health and well-being in their local markets. To learn more visit healthplanalliance.org.

    Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows go to lemonadamedia.com/sponsors.

    Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. 

    Joining Lemonada Premium is a great way to support our show and get bonus content. Subscribe today at bit.ly/lemonadapremium.
    See omnystudio.com/listener for privacy information.

    • 1 hr
    The Cost of Care: Voices from the Frontlines

    The Cost of Care: Voices from the Frontlines

    Recorded and produced by StoryCorps Studios, Voices From the Frontlines is a project created by #FirstRespondersFirst, an initiative of Harvard T.H. Chan School of Public Health, Thrive Global, and Creative Artists Agency Foundation that takes a whole human approach to healthcare worker well-being. Additional support is provided by the Dr. Lorna Breen Heroes’ Foundation.  In this conversation, colleagues and friends Soren Glassing and Fran Heller talk about their experience working together in a hospital palliative care unit throughout the COVID-19 pandemic and the therapeutic power of art.

     

    To listen to more stories and access resources, visit allinforhealthcare.org 
    See omnystudio.com/listener for privacy information.

    • 4 min
    The Cost of Care: Voices from the Frontlines

    The Cost of Care: Voices from the Frontlines

    Recorded and produced by StoryCorps Studios, Voices From the Frontlines is a project created by #FirstRespondersFirst, an initiative of Harvard T.H. Chan School of Public Health, Thrive Global, and Creative Artists Agency Foundation that takes a whole human approach to healthcare worker well-being. Additional support is provided by the Dr. Lorna Breen Heroes’ Foundation.  In this conversation, Filipina and nurse practitioner Riza Mauricio talks to her three adult children Rina Mauricio and Rica Buchanan — both doctors — and Regie Mauricio, an economist, about her experiences with racism and sexism in the medical profession, and the importance of advocating for yourself and your community.

    To listen to more stories and access resources, visit allinforhealthcare.org 
    See omnystudio.com/listener for privacy information.

    • 4 min

Customer Reviews

4.1 out of 5
376 Ratings

376 Ratings

WhyBabyJesusWhy ,

Pandering to what is

Having experienced UK (NHS) and decades of for profit American health care for my chronic issues this is my take on this podcast.

Focus on anecdotal experiences and graphic tragic outcomes doesn’t illustrate the everyday mindset and relationship with health care of most Americans.

To illustrate:

There’s a billion dollar industrial complex of over the counter treatments, alternative care and health and wellness that Americans routinely access in lieu of standard western medical care because the health care system is problematic.

Everyday people self diagnose and practice frontier medicine on themselves because of the cost and well known inefficacy of the medical establishment in America.

My own chronic condition routinely gets prescribed a cocktail of drugs that are peer review researched to have about the same effect as a placebo and a slew of cumulative nasty side effects that include suicidal ideation. I opted out of those standard treatments. Go figure.

And mine is an average experience here in America. In general we don’t trust our health system. And the ramifications of millions of people who no longer use the established medical system (unless they absolutely have to) is the unnecessary death toll (Covid for example)and general unmitigated medical maiming of the population that’s not seen in other countries.

When I was living in the UK I was straight up told first day I arrived (apropos of nothing) and like I was a slow child that health care was a human right.

And in practice, observing my UK friends/colleagues receive health care and my own personal experiences with NHS made me realize that my experience with the monetization of American health care impacts me in every aspect in a negative way because humans are not disease widgets that need just in time attentions of a mechanized system of delivery that weaponized profit making over good health outcomes.

Moreover I learned that on all levels my ideas about health care and how I accessed it were grounded and lensed in the for profit model.

And so too is this podcast’s framework and lens intrinsically tied to the for profit model in its unexamined bias and editorial choices that rely on anecdotal evidence of “the cost of human suffering” to drive the narrative.

Until we as Americans examine “what is”... that we see basically everything as a marketplace to our own detriment- we’re gonna just have more of the same. And no matter how groundbreaking the discussion is- it will be rendered moot.

Health care is a commodity in America not a human right. Yes, medical care has a “price” and billions of other humans planet wide have figured out how to provide for each other because they do not see the overarching need to make profit from medicine.

fpn79 ,

Physician

Working in healthcare, I totally get how dysfunctional our healthcare system is.
This podcast brings so many great discussions that we need to engage so we can provide high value care (quality care at low cost).

mayomike1 ,

Looks good

Looking forward to this hopefully y’all keep this going

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