170 episodes

America's costly and complicated health care system faces an enormous burden: fixing the flaws the pandemic has revealed in our health care system. Addressing these flaws will require us to tackle hard questions with no easy answers. It will require Tradeoffs. Long-time health care reporter Dan Gorenstein hosts an examination of health care, policy, and people; and the weighty decisions we all find ourselves faced with.
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Tradeoffs Tradeoffs

    • News
    • 4.8 • 312 Ratings

America's costly and complicated health care system faces an enormous burden: fixing the flaws the pandemic has revealed in our health care system. Addressing these flaws will require us to tackle hard questions with no easy answers. It will require Tradeoffs. Long-time health care reporter Dan Gorenstein hosts an examination of health care, policy, and people; and the weighty decisions we all find ourselves faced with.
See acast.com/privacy for privacy and opt-out information.

    The Personal and Political Fight to Keep Abortion Legal in Michigan

    The Personal and Political Fight to Keep Abortion Legal in Michigan

    A personal and political fight to keep abortion legal in Michigan is in full swing. Michigan is one of more than 20 states poised to ban abortion if Roe v. Wade falls. Politico’s Alice Miranda Ollstein speaks with one woman who got an illegal abortion in Michigan and outlines the political levers state leaders have to to preserve abortion rights.
    Guests: 
    Alice Miranda Ollstein, health care reporter, POLITICO
    Renee Chelian, Executive Director, Northland Family Planning Centers
    Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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    • 19 min
    America’s Chronic Drug Shortage Problem

    America’s Chronic Drug Shortage Problem

    How one hospital is scrambling to deal with a shortage of a critical drug, and what changes are needed to fix chronic problems with the U.S. medical supply chain.
    Guests:
    Kierstin Kennedy, Chief Medical Officer, University of Alabama Birmingham Hospital
    Erin Fox, Senior Pharmacy Director, University of Utah Health
    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.
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    • 22 min
    Pain, Fear and Waste: The Costs of Unnecessary Care

    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 Health
    Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital
    Cheryl Damberg, PhD, MPH, Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance
    Scott Weingarten, MD, MPH, Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan
    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.
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    Follow us on Twitter.

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    • 20 min
    Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line

    Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line

    In Part 2 of our special series on 988, we explore the scramble to staff the country’s new mental health crisis line and the workforce lessons 988 can learn from 911.
    Learn more about how 988 came to be, what’s at stake and what it will take to succeed in the first episode in our series.
    Guests: 
    Rebecca Neusteter, PhD, Executive Director, Health Lab, University of Chicago
    Rita Salazar, 911 call-taker, Valley Communications Center
    Michelle Lilly, PhD, Associate Professor of Clinical Psychology, Northern Illinois University
    Jennifer Battle, MSW, Director of Access, Harris Center for Mental Health and IDD Services
    Lata Menon, MSW, CEO, First Choice Services
    Courtney Colwell, 988 Program Manager, Volunteers of America Western Washington
    Learn more and read a full transcript on our website.
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    • 29 min
    Can More Time on Medicaid Lower Maternal Deaths?

    Can More Time on Medicaid Lower Maternal Deaths?

    The country’s high rates of pregnancy-related deaths and complications, and the potential impact Biden’s push to expand Medicaid coverage for pregnant people may have.
    Guests:
    Stacey Roussel, Deputy Director, Louisiana Budget Project
    Frankie Robertson, Founder & President, The Amandla Group
    Usha Ranji, Associate Director for Women’s Health Policy at Kaiser Family Foundation
    Learn more and read a full transcript on our website.
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    • 19 min
    Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce

    Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce

    The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care.
    Guests: 
    Liana Wolk, teacher
    Owen Marshall, musician
    Katie Keith, JD, MPH; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center.
    Learn more and read a full transcript on our website.
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    • 21 min

Customer Reviews

4.8 out of 5
312 Ratings

312 Ratings

D'Cell Punk ,

Thank you

I discovered your pod cast during a Health Law and regulations class and the podcast assigned was about VBID. You have been my staple “wake up” pod cast almost every morning ever since. Great information, perfect amount of time, and engaging interviews. Keep up the fabulous reporting!

Dr.JCL ,

Scripted by the pharmaceutical industry

I am a practicing physician. I listened to this podcast hoping to learn more about the waste and inefficiencies in the Medicare system. Instead, this podcast sounded more like the problem than the solution. It was scripted and narrated like a thinly disguised infomercial for the pharmaceutical industry. Alzheimer’s disease is a terrible problem for which we already have several inexpensive drugs that do next to nothing. How can it be argued that we now need Medicare to cover a new extremely expensive drug that so far has not even been proven to produce clinical outcomes any better than what we have already?!

Djekdkslsnsbjwn ,

Why we can’t have nice things

Thanks to Medicare Advantage, elderly patients can save thousands of dollars a year and obtain some of the best coverage in the country across all age groups. But there are many customizations available, and picking one requires spending 1.5 hour on the phone with bad waiting music once every few years. So really, Medicare Advantage is terrible.

This is the angle presented by this podcast. Not a bad podcast, just one that hates patients saving money and having options.

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