Tradeoffs

How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police.

Guests:

David Prater, Peer Support Specialist, Durham Department of Community Safety

Ryan Smith, Director, Durham Department of Community Safety

Yolanda, Durham resident

Sgt. Dan Leeder, Durham Police Department

Patrice Andrews, Police Chief, Durham Police Department

Christie Thompson, Staff Writer, The Marshall Project

EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. 

Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. 

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.

The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country.

Learn more on our website.

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How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls?

Guests:

Patrice Andrews, Police Chief, Durham Police Department

Ryan Smith, Director, Durham Department of Community Safety

Sgt. Dan Leeder, Durham Police Department

Abena Bediako, Clinical Manager, Durham Department of Community Safety

Christie Thompson, Staff Writer, The Marshall Project

EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. 

Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. 

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.

Learn more on our website.

Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.

Support this type of journalism today, with a gift.

Hosted on Acast. See acast.com/privacy for more information.

EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. 

Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. 

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

How did Durham pull off what so many cities have struggled to do? Join Tradeoffs and The Marshall Project for our new series The Fifth Branch as we examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. Episodes drop July 18, July 25 and August 1.

Learn more on our website.

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In this special bonus episode, we break down the Supreme Court’s recent abortion rulings with help from health reporter Shefali Luthra.

Guest:

Shefali Luthra, Health Reporter, The 19th

Learn more and read a full transcript on our website.

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Medicare is betting that taking care of the caregiver will help dementia patients stay at home longer. Patients and their caregivers are often left to navigate the confusing world of dementia by themselves, but Medicare is launching a new program to change that.

Guests:

Malaz Boustani, MD, PhD, Founding Director, Sandra Eskenazi Center for Brain Care Innovation; Professor of Aging Research, Indiana University School of Medicine 

Rosanne Corcoran, Caregiver 

Liz Fowler, PhD, JD, Director of CMMI and Deputy Administrator, Centers for Medicare and Medicaid Services  

Cindi Hart, Caregiver 

Alex Olgin, Reporter/Producer, Tradeoffs 

Lauren Sullivan, Care Coordinator, Eskenazi Health 

Learn more and read a full transcript on our website.

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One out of every four Medicare patients in the hospital is the victim of a medical error. Over the past 20 years, a growing number of hospitals have adopted practices that discuss medical mistakes and offer support to the people who must cope with the often tragic consequences. We examine why experts are calling on the Biden Administration to make patient safety a national priority.   

Guests:

Jack Gentry, patient 

Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice

Tom Gallagher, MD, Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety

Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota

Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety

Learn more and read a full transcript on our website.

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Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens.

Guests:

Sean Scanlon, Connecticut Comptroller

Jeff Levin-Scherz, WTW population health leader

Mike Thompson, President of the National Alliance of Healthcare Purchaser Coalitions

Olivia Quagliani, Patient

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance.

Can this idea from abroad take root in the United States?

Guests:

Dawn Alley, PhD, Head of Scale, IMPaCT Care

Asaf Bitton, MD, MPH, Executive Director, Ariadne Labs

Regina Hammond, Founder, Rebuild Johnston Square Neighborhood Organization

Chris Koller, President, Milbank Memorial Fund

Terry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR)

Sarah Szanton, PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood Nursing

Learn more and read a full transcript on our website.

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As Congress figures out the future of telehealth, we get a reality check from a top researcher about what this care has and has not delivered. 

Guest:

Ateev Mehrotra, MD, MPH, Professor, Brown University School of Public Health

Learn more and read a full transcript on our website.

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Just like the rest of us, when clinicians are short on time and overwhelmed by complex decisions, their brains look for corners to cut, numbers to round, patterns to repeat. This week, Dan talks with Harvard physician and economist Bapu Jena about the surprising impact these mental shortcuts can have on our health care.

Guest:

Bapu Jena, MD, PhD, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital

Learn more and read a full transcript on our website.

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