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The Impact episodes

  • How Taiwan got Medicare-for-All

    In the early 1990s, the government of Taiwan decided to try an experiment. In just nine months, they completely revolutionized their health care system, covering every Taiwanese citizen through a single-payer program. It’s a system that looks very similar to the Medicare-for-all proposals from presidential candidates like Sens. Bernie Sanders and Elizabeth Warren. 

    Vox health care reporter Dylan Scott went to Taiwan to investigate how its single-payer system is working and what the United States can learn from it. He interviewed patients, doctors, government officials, and a researcher with a charming love story. Dylan learned that while the people of Taiwan love their version of Medicare-for-all — a program that has significantly improved Taiwan’s health outcomes — the entire system could go bankrupt, soon. 

    We always want to hear from you! Please send comments and questions to [email protected].

    Further listening and reading: 

    • Dylan's deep dive on Taiwan's health care system
    • Uwe Reinhardt’s last book, Priced Out: The Economic and Ethical Costs of American Healthcare
    • Tsung-Mei (May) Cheng wrote a Wall Street Journal opinion piece making the case for a public option
    • Dylan’s piece on the three kinds of health care plan floated by the Democratic candidates
    • Vox’s guide to where 2020 candidates stand on policy 
    •  

      Subscribe to The Impact on Apple Podcasts, Spotify, or your favorite podcast app to automatically get new episodes of the latest season each week.

      Host:

      Jillian Weinberger, @jbweinz

      About Vox:

      Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines.



      Learn more about your ad choices. Visit megaphone.fm/adchoices

      31 min
    • Green New Germany

      Two decades ago, Hans-Josef Fell quietly started a revolution in his home country, with a law that looks a lot like part of the Green New Deal endorsed by many Democratic candidates. That law transformed Germany, and that has the potential to change the world.  

      Fell found a way to make renewable energy technology — like solar panels and wind turbines — cheap. His law allowed Germans to sell the renewable energy they create to the grid at a really high fixed price. Germany paid that fixed price through a surcharge on every electricity consumer’s bill.

      Demand for renewables grew so much in Germany that China started to mass produce solar panels and wind turbines, which drove the price down. Now, people all over the world can afford this technology. But the law has also had some unintended consequences. Due to some amendments and market forces, the surcharge on Germany’s electric bills have skyrocketed. Electricity has become a burdensome expense for Germans living on welfare, and the high cost has even left a few spending a lot of time in the dark. 

      Further listening and reading:

      • Vox’s David Roberts on how government policy helped make solar technology affordable
      • Vox’s Umair Irfan and Tara Golshan on Sen. Bernie Sanders’s Green New Deal
      • Vox’s guide to where all the 2020 candidates stand on policy, including climate change issues

      • Subscribe to The Impact on Apple Podcasts, Spotify, or your favorite podcast app to automatically get new episodes of the latest season each week.

        Host:

        Jillian Weinberger, @jbweinz

        About Vox:

        Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines.

        Learn more about your ad choices. Visit megaphone.fm/adchoices

        24 min
      • After conviction, a second chance

        President Gerald Ford took office during one of the most difficult times in the country’s history. In August 1974, the US had just lived through Watergate, President Richard Nixon’s resignation, and more than a decade of divisive fighting over its involvement in Vietnam. While millions of Americans fought in Southeast Asia, many others protested the war at home — or dodged the draft.

        Ford wanted to find a way to bring the country together. Just a few weeks after assuming the presidency, he created a Clemency Review Board, a bipartisan group that would decide the fate of the young Americans who were convicted of refusing induction, or going AWOL (absent without leave), from Vietnam. Those young men could fill out an application, and the board would decide whether they deserved a pardon — which would erase a felony conviction from their record.

        Many of the Democratic candidates for president want to do the same thing today. They’re proposing a Clemency Review Board to review applications from federal inmates, many of whom are serving long sentences because of harsh penalties enacted during the War on Drugs. 

        In this episode: forgiveness and redress after two long conflicts, the Vietnam War, and the War on Drugs. The Impact looks back at how Ford tried to heal the nation — and how he transformed the lives of two men as a result. We’ll also find out how Ford’s idea might work today, for a new generation of young people behind bars.

        Further listening and reading: 

        • The Uncertain Hour’s third season explores the War on Drugs and its aftermath
        • Vox’s German Lopez on incarceration in America
        • Vox’s guide to where 2020 candidates stand on policy, including criminal justice reform 
        • Professor Mark Osler’s law review article on Ford’s Clemency Review Board

        • Subscribe to The Impact on Apple Podcasts, Spotify, or your favorite podcast app to automatically get new episodes of the latest season each week.

          Host:

          Jillian Weinberger, @jbweinz

          About Vox:

          Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines.

          Learn more about your ad choices. Visit megaphone.fm/adchoices

          29 min
        • How to stop an epidemic

          Sen. Elizabeth Warren is running for president with a plan to fight the opioid epidemic. Her legislation would dramatically expand access to addiction treatment and overdose prevention, and it would cost $100 billion over 10 years. Addiction experts agree that this is the kind of money the United States needs to fight the opioid crisis. But it’s a really expensive idea, to help a deeply stigmatized population. How would a President Warren get this through Congress? 

          It’s been done before, with the legislation Warren is using as a blueprint for her proposal. In 1990, Congress passed the Ryan White Care Act, the first national coordinated response to the AIDS crisis. In the decades since, the federal government has dedicated billions of dollars to the fight against AIDS, and it’s revolutionized care for people with this once-deadly disease. 

          But by the time President George H.W. Bush signed the bill into law, hundreds of thousands of people in the US already had HIV/AIDS, and tens of thousands had died. 

          In this episode: how an epidemic begins, and how it ends. We look at what it took to get the federal government to finally act on AIDS, and what that means for Warren’s plan to fight the opioid crisis, today. 

          We always want to hear from you! Please send comments and questions to [email protected].

          Further listening and reading: 

          • When We Rise: My Life in the Movement, Cleve Jones’s book about his work for LGBTQ rights and against AIDS
          • And the Band Played On: Politics, People, and the AIDS Epidemic, by Randy Shilts
          • Vox’s German Lopez on Elizabeth Warren’s plan to fight the opioid epidemic
          • Vox’s guide to where 2020 candidates stand on policy 

          • Subscribe to The Impact on Apple Podcasts, Spotify, or your favorite podcast app to automatically get new episodes of the latest season each week.

            Host:

            Jillian Weinberger, @jbweinz

            About Vox:

            Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines.

            Follow Us:

            Vox.com 

            Newsletter: Vox Sentences

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            31 min
          • The Impact of 2020

            In this season preview, Vox’s Jillian Weinberger calls a fellow native Ohioan to discuss the perils of Swing State pride during presidential elections, and their frustration with the way election coverage casts their home state.

            Facing yet another presidential election, The Impact is taking a different tack. We're not running around Ohio, asking patrons in diners to name their preferred candidate. We're exploring what all these contenders actually want to do if they're elected.

            The 2020 candidates have some bold ideas to tackle some of our country's biggest problems, like climate change, the opioid crisis, and unaffordable health care. A lot of their proposals have been tried before, so, in a sense, the results are in.

            This season, the Impact has those stories: how the big ideas from 2020 candidates succeeded — or failed — in other places, or at other times. What can Sen. Elizabeth Warren's proposal to fight the opioid crisis learn from what the US did to fight the AIDS epidemic? How did Germany — an industrial powerhouse that invented the automobile — manage to implement a Green New Deal? How did public health insurance change Taiwan? 

            If you haven’t already, subscribe to The Impact on Apple Podcasts, Spotify, or your favorite podcast app to automatically get new episodes of the latest season each week.

            We always want to hear from you! Please send comments and questions to [email protected].

            Host:

            Jillian Weinberger, @jbweinz

            About Vox:

            Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines.

            Follow Us:

            Vox.com 

            Newsletter: Vox Sentences

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            4 min
          • New season, new host

            Sarah Kliff returns for a farewell and a handoff to The Impact's new host, Jillian Weinberger, who has a preview of what's to come in our next season. 

            If you're not already, subscribe to The Impact on Apple Podcasts, Spotify, or your favorite podcast app to automatically get new episodes of the latest season each week.

            Featuring:

            Sarah Kliff, @sarahkliff

            Host:

            Jillian Weinberger, @jbweinz

            About Vox:

            Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines.

            Follow Us:

            Vox.com 

            Newsletter: Vox Sentences

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            4 min
          • Denmark’s paternity leave problem

            Denmark gives new parents nearly a year off work after they have a baby. Most of that time can be taken by either parent — but dads take barely any time at all.  That has consequences for Danish men and women at work and at home. For the final episode of season two, the Impact travels to Denmark to find out why Danish dads are thumbing their nose at paid leave. We also discover a solution in another country, where more dads are enjoying time off with their new babies. We always want to hear from you. Send us your thoughts and questions at [email protected]. 

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            35 min
          • The incredible shrinking city

            For decades, Memphis grew by bringing its suburbs into the city limits. City officials thought this suburb-gobbling policy would be an economic boon-- that it would bring in tax revenue. Instead, the policy was an economic disaster, especially for the majority black neighborhoods in the city's core. In this episode, we’ll tell you about the consequences of Memphis’ sprawl, and the city’s plan to fix its past mistakes. We always want to hear from you. Send us your thoughts and questions at [email protected] Thanks to LaTonia Blankenship, Preston Hurt, and Ruby Estelle Smith. 

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            32 min
          • Leaving Baltimore behind

            Baltimore is running a unique housing experiment that gives longtime residents vouchers to leave the city’s poorest, most violent neighborhoods for new homes in more affluent suburbs nearby. In this episode, we follow a mom named Alethea through this policy experiment. You’ll hear how Baltimore’s segregationist history planted the problems this program is trying to solve, why some participants are really frustrated with the initiative, and how Alethea decides whether to stay — or go. We always want to hear from you. Send us your thoughts and questions at [email protected]. 

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            45 min
          • What schools look like when we fund them fairly

            All across the country, it seems like a given: places with more expensive houses have nicer schools because they can pay higher taxes. That’s just how education seems to work. Except in Vermont. Two decades ago, the state passed a radical law to equalize education funding. On this episode of the Impact.... we’ll tell you how that law came about. It’s the story of one woman, Carol Brigham, her young daughter, Amanda, and their fight to save the tiny school that is the heart of their small Vermont town. 

            Learn more about your ad choices. Visit megaphone.fm/adchoices

            34 min

          About The Impact

          From the publisher's feed

          In Washington, DC, the story often ends when Congress passes a law. For us, that’s where the story begins. We examine the consequences of what happens when powerful people act — or fail to act. This…

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