Hospice in America has become a big business.

The hospice movement came to the U.S. from England in the 1960s, promising comfort and compassion at the end of life. Today, half of all Americans die in hospice care. But what was once a mission-driven sector run by not-for-profit organizations has become a booming industry – one that some experts say too often prioritizes profit over patients.

In a piece for The New Yorker, ProPublica’s Ava Kofman traces how this transformation happened. She points to lax regulations and a Medicare payment system that is easily exploited by companies looking to make a buck. Diane talked to Kofman about her reporting on rampant fraud, harm to patients, and what can be done about it.

How The Drive For Profits Changed Hospice Care In America

Diane Rehm’s weekly podcast features newsmakers, writers, artists and thinkers on the issues she cares about most: what’s going on in Washington, ideas that inform, and the latest on living well as we live longer.

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Three years ago, conservative activists took over the school board in a small suburb in Texas. They ended diversity initiatives, rolled back LGBTQ protections, and banned books they said did not reflect their values. Mike Hixenbaugh, NBC News senior investigative reporter, has been following the story ever since. He says what happened in Southlake inspired a movement that threatens to undermine public education in America. Hixenbaugh’s reporting led to the award-winning podcast, Southlake, and the new book “They Came for the Schools.” He joined Diane to talk about one town's fight over race and identity, and the new war for America’s classrooms

How U.S. Public Schools Became Political Battlegrounds

About half of American voters say, if given the chance, they would replace both Trump and Biden on the ballot. While nearly two-thirds agree with the statement that “a third major party is needed.”

Given the mood of the country, what will the role of third-party candidates be in the 2024 election? Could, say, Robert F. Kennedy, break through? How worried are Trump and Biden about an independent acting as “spoiler” and handing the race to their opponent?

Michael Scherer is a national political reporter for the Washington Post. He joins Diane to discuss the ways independent and third-party candidates are affecting the campaign -- and could affect the election.

The Role Of Third-Party Candidates In The 2024 Election

Will Biden and Trump take the stage?

Last week President Biden said he would be willing to debate Donald Trump ahead of this year’s election in November.

This came after months of back and forth between the candidates. Biden’s answers had been coy regarding a face off, citing the “behavior” of the former president. This was likely referencing Trump’s frequent interruptions and name calling in their 2020 meetings.

Meanwhile the GOP turned this reluctance into a campaign talking point, claiming Biden was afraid to face the former president and the American people.

If their commitments to share the stage fall through, this would be the first presidential campaign since 1976 without a debate. But with so many other methods available for candidates to reach potential voters, do debates even matter anymore?

“Candidates control so much of the campaign process with their ralies, ads and conventions,” says Mitchell McKinney, dean of the Buchtel College of Arts and Sciences at the University of Akron and an expert on political communication. “We the votes deserve a moment when they are not in control, and debates provide that.”

McKinney joins Diane to talk about the past, present, and continued relevance of presidential debates.

Will Trump And Biden Debate This Election? Does It Matter?

Last year was the hottest on record. 2024 is predicted to be another record year. Meanwhile, we are seeing the very real effects of our changing climate in more intense forest fires, and more severe and unpredictable weather. This has pushed the idea of geoengineering -- or deliberately intervening in climate systems -- closer to reality.

Christopher Flavelle is a reporter for the New York Times. His work is part of a new series for the paper called “Buying Time,” a look at the risky ways humans are starting to manipulate nature to fight climate change. He joins Diane to talk about the perils and promise of these technologies.

Can We Engineer Our Way Out Of Catastrophic Climate Change?

Eddie S. Glaude Jr. has a message for Americans: it is time for ordinary people to take charge of our democracy.

An African American Studies professor at Princeton, Glaude argues that we have outsourced our responsibility for creating a just society to the political class for too long -- and it hasn’t worked.

Glaude explores these ideas in a new book titled “We are the Leader We Have Been Looking For.”

He says the roots of this thinking took hold around the time of the election of Barack Obama in 2008. Many Americans celebrated a post-racial era in the country, but Glaude felt uneasy. He worried Obama’s presidency limited Black political engagement as Black Americans – and others -- turned to a “prophet-like figure.”

Since then, Glaude has become increasingly convinced that political leaders are not the answer.

Glaude is the author of two previous books, “Democracy in Black: How Race Still Enslaves the American Soul” and the bestseller “Begin Again: James Baldwin's America and Its Urgent Lessons for Our Own.” He is also a political commentator for MSNBC.

He joins Diane to talk about his new book, the 2024 election, and why he says the concept of “whiteness” is holding back all Americans from moving toward a more democratic future.

How The Drive For Profits Changed Hospice Care In America

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