With Medicaid poised for potential cuts from Republicans in Washington, Dan Tsai reflects on what he's learned running Medicaid for the Biden administration — and his hopes and concerns for the program's future.

Guest:

Dan Tsai, Deputy Administrator and Director of Center for Medicaid and CHIP Services, CMS

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.

Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much can they actually do? We explore how Durham grapples with connecting people to long-term care and support, and where the city draws the line between crisis response and social services.

Guests:

Ryan Smith, Director, Durham Community Safety Department

Sammetta Cutler, Peer Support Specialist, Durham Community Safety Department

Sarah Hall, Durham resident

David Prater, Peer Support Specialist, Durham Community Safety Department

John Warasila, Real estate developer and architect, Alliance Architecture

Bo Ferguson, Deputy City Manager, Durham

Patrice Andrews, Police Chief, Durham Police Department

Christie Thompson, Staff Writer, The Marshall Project

Allison Casey, EMT, Durham Community Safety Department

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.

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 about this series, which first ran in July, 2024 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.

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 about this series, which first ran in July, 2024, 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.

A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for medical care.

Guest:

Melanie Evans, Producer, Tradeoffs

Learn more and read a full transcript 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.

The murder of UnitedHealthcare's CEO put a violent point on the frustration and rage some Americans feel toward health insurance companies. But insurers are just one piece of America’s broken and expensive health care system.

Guest:

Aaron Carroll, CEO, Academy Health

Learn more and read a full transcript 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.

Businessman and entertainer Mark Cuban has long had an interest in health care, and a mission to disrupt the pharmaceutical industry.

Torie Bosch, host of First Opinion, a podcast from STAT News, speaks with Cuban about one of his latest ventures Cost Plus Drugs - Mark’s efforts to drive down prescription drug prices. 

Guests:

Torie Bosch, Editor, First Opinion, STAT News

Matt Herper, Senior Writer, Medicine, STAT News

Mark Cuban, Co-Founder Cost Plus Drugs Entrepreneur

Learn more and read a full transcript on here.

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.

Congress banned most surprise medical bills back in 2020, with one major exception: ambulance rides. Most people agree that patients should be shielded from these unexpected charges. But who should pick up the tab instead? As state and federal policymakers grapple with that question, we delve into why finding a fair solution is harder than you’d think.

Guests:

Tara Bannow, Reporter, STAT

Precious Mae Clark, patient

Dia Gainor, Executive Director, National Association of State EMS Officials

Zach Gaumer, Principal, Health Management Associates

James Gelfand, JD President and CEO, ERISA Industry Committee

Bob Herman, Reporter, STAT

Pete Lawrence, Deputy Chief, Oceanside Fire

Butch Oberhoff, President, Texas EMS Alliance

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Matt Zavadsky, At-Large Director, National Association of EMTs

Learn more and read a full transcript 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.

Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings.

Guest:

Kathleen Sebelius, Former U.S. Secretary of Health and Human Services Secretary

Learn more and read a full transcript 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.

Twenty-six states have passed bans on gender-affirming care for transgender minors, and the Supreme Court is set to hear arguments in December about Tennessee's ban. We take a closer look at gender-affirming care and the legal arguments that could influence how accessible that care is.

Meredithe McNamara, MD, Assistant Professor of Pediatrics, Yale School of Medicine

Katie Eyer, JD, Professor of Law, Rutgers Law School

James Blumstein, LLB, University Distinguished Professor of Constitutional Law and Health Law & Policy, Vanderbilt University Law School

Learn more and read a full transcript 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.