About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues. 
This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die.
Guests: Vince Mor, PhD, Professor of Health Services, Policy & Practice, Brown University Bethany Snider, MD, Chief Medical Officer, Hosparus Health David Stevenson, PhD, Professor of Health Policy, Vanderbilt University School of Medicine Leslie Walker, Senior Producer, Tradeoffs
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Hospice Care’s Midlife Crisis

Tradeoffs is an award-winning nonprofit news organization on a mission to help the folks on Main Street, Wall Street and Capitol Hill have smarter, more honest conversations about health policy.&nbsp;
Founded in 2019 by former Senior Health Care Reporter at Marketplace, Dan Gorenstein, Tradeoffs’ journalism combines data, evidence and storytelling to help people better understand the complicated, costly and often counterintuitive world of health care.
Learn more about us and find transcripts for each episode at https://tradeoffs.org 
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News

Science

One advocate’s vision for the crucial role patients must play in the future of health care AI.
Andrea Downing, President and Co-Founder, The Light Collective
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Patients Push to Shape the Future of AI

Some patients’ lives are so complicated by trauma, poverty and other social problems that routine conditions like diabetes and asthma regularly turn into $10,000 hospital visits. America’s health care leaders have spent years trying to help this small but costly group of patients. What have they learned?
Guests: Jeff Brenner, MD, CEO, The Jewish Board Arthur Brown, Client, Camden Coalition Amy Finkelstein, PhD, Professor of Economics, MIT; Co-Scientific Director, J-PAL North America Allison Hamblin, MSPH, President and CEO, Center for Health Care Strategies Paula Lantz, PhD, Professor of Health Policy, University of Michigan Larry Moore, Client, Camden Coalition Kathleen Noonan, JD, President and CEO, Camden Coalition Dottie Scott, Community Health Worker, Camden Coalition Brian Thompson, Housing Coordinator, Camden Coalition Leslie Walker, Senior Producer/Reporter, Tradeoffs
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How Do You Help Patients Who Show Up in the ER 100 Times a Year?

One doctor debates whether to work for the nation's largest insurance company after it purchased the independent practice she worked for in Oregon. 
Guest: Gwen O'Keefe, MD, Assistant Professor of Medicine, Department of Anesthesiology & Perioperative Medicine, OHSU
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An Insurance Company Bought This Doctor’s Practice. She’s Worried About Her Patients

As lawmakers around the country take aim at transgender rights, we dig into findings from the largest survey ever of trans Americans.
Guest: Sandy E. James, JD, PhD, Lead Researcher, 2022 U.S. Transgender Survey
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92,000 Transgender People Took This Survey. Here’s What We Learned

Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind?
Guests: Monica Bhatt, PhD, Senior Research Director, University of Chicago Education Lab Sheretta Butler-Barnes, PhD, Professor, Washington University Kathleen Ethier, PhD, Director, CDC Division of Adolescent and School Health Ngozi Harris, LCPC, Working on Womanhood Director of Program and Staff Development, Youth Guidance Shekinah Jackson, Working on Womanhood Participant Nora-Lisa Malloy, Working on Womanhood Counselor, Youth Guidance Heidi Sipe, EdS, Superintendent, Umatilla School District (OR)
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Hospice Care’s Midlife Crisis

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