Tradeoffs

New research sheds light on how many hospitals are using artificial intelligence, what they’re using AI for, and what it means for patients and policymakers.

Guest:

Paige Nong, PhD, Assistant Professor, University of Minnesota School of Public Health

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Worrying about deportation can literally make people sick. Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies.

Guests:

Maria

Steph Willding, CEO, CommunityHealth

Emily Hendel, Director of Clinical Services, CommunityHealth

Samantha Artiga, Vice President and Director for Racial Equity Health Policy Program, KFF

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The Trump administration’s swift and sweeping efforts to dismantle the U.S. Agency for International Development is creating chaos across global public health efforts. One doctor working to halt an Ebola outbreak in Uganda reflects on consequences, now and long-term, of America’s abrupt change in policy.

Guest:

Dr. James Lawler, Director of International Programs and Innovation, Global Center for Health Security at the University of Nebraska Medical Center

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The fight to improve Americans’ nutrition could get new momentum from Robert F. Kennedy Jr., but he will face practical and political limits to changing U.S. food supply if he’s confirmed to lead the Health and Human Services Department.

Guests:

Laura Schmidt, professor at the University of California at San Francisco Philip R. Lee Institute for Health Policy Studies; Department of Humanities and Social Sciences; and School of Medicine. 

Susan Mayne, former director of the Food and Drug Administration Center for Food Safety and Applied Nutrition 2015-2023; Yale University adjunct professor of epidemiology.

Christina Roberto, director of the Center for Food and Nutrition Policy at the University of Pennsylvania

Learn more and read a full transcript on our NEW website.

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If the Senate confirms Robert F. Kennedy Jr. — a vaccine skeptic — to lead the Department of Health and Human Services, he would control a powerful group of federal vaccine advisors.

Guests:

Ron Balajadia, Hawaii Department of Health immunization branch chief

Dorit Reiss, University of California, San Francisco, professor of public health law 

Dr. Sarah Long, former member of the Advisory Committee on Immunization Practices and Drexel University, professor of pediatric infectious disease

Dr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia.

Richard Hughes IV, attorney with Epstein Becker Green 

Per Fischer, CEO, MinervaX

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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.

Read our new story about an obscure but extremely influential vaccine committee that Kennedy, if confirmed. would control.

Guest:

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

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Many Republicans have singled out Medicaid as a policy that could see big changes under the new administration and Congress. We take a closer look at why many conservatives think less Medicaid will mean better Medicaid.

Guests:

Josh Archambault, Senior Fellow, Cicero Institute

Brian Blase, President, Paragon Health Institute

Michael Cannon, Director of Health Policy Studies, Cato Institute

Elizabeth Matney, Iowa Medicaid Director (2021-2024)

Barbara Sears Roshon, Ohio Medicaid Director (2016-2019)

Tom Scully, CMS Administrator (2001-2004)

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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

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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.

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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.

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