Tradeoffs

Medical education is in the midst of a revolution. Students and educators want their education ingrained in antiracism and hope that by acknowledging and teaching about bias and systemic discrimination in the medical field, the next generation of doctors will be better equipped to dismantle racism within health care. STAT's “Color Code” takes a look at the groundswell of antiracism work in medicine and medical education, and explores the backlash these endeavors have received, which span from institutional repercussions to protests from hate groups

Guests:

Jerrel Catlett: An MD/PhD student at the Icahn School of Medicine at Mount Sinai. 

Rebecca Zhou: A peer in medical school at Mt. Sinai.

Jennifer Dias: An MD candidate at the Icahn School of Medicine at Mount Sinai.

Michelle Morse: Chief Medical Officer of the NYC Dept. of Health and Mental Hygiene.

Aysha Khoury: Assistant Professor at the Morehouse School of Medicine.

Read a full transcript on our website.

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We talk with a Michigan OB-GYN determined to make sure her hospital is ready if abortion becomes illegal in her state.

Learn more and read a full transcript on our website.

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Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets?

Guests:

Henry Jones, former medical respite patient

Janelle Goetcheus, MD, Founder and Medical Director, Christ House

Julia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless Council

Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home

Karyn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC

Learn more about medical respite and read a full transcript on our website.

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We explore the high cost of insulin in the U.S. and Congress’ latest push to address those prices with Kaiser Health News reporter Bram Sable-Smith.

Guest:

Bram Sable-Smith, Midwest Correspondent, Kaiser Health News

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After Medicare’s decision to restrict coverage of the controversial new Alzheimer’s drug Aduhelm, we look at how this one drug has forced the nation to reexamine how to balance the needs of desperate patients, incomplete evidence and larger economic realities.

Guests:

Phil Gutis, Alzheimer’s patient and advocate

Holly Fernandez Lynch, JD, MBe, John Russell Dickson, MD Presidential Assistant Professor of Medical Ethics, University of Pennsylvania

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An immunosuppressed physician explains what navigating her life – and her workplace – is like in this COVID-fatigued world.

Guest:

Lindsay Ryan, MD, San Francisco VA Medical Center

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America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?

Join us for a wild, wonky journey into the world of third-party administrators.

Guests:

Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of Treasury

Brian Hufford, JD, Partner, Zuckerman Spaeder LLP

Ken Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine 

Sandy Peters, retiree

Have a look at more of Leslie's reporting on TPAs.

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The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done.

NOTE: This episode has been updated to clarify Practice Greenhealth's operating model.

Guest:

Gary Cohen, co-founder and president of Health Care Without Harm

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We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.

Guests:

Katharine Bradley, Principal Researcher, Mathematica

Heather O'Loughlin, Co-Director, Montana Budget & Policy Center

Ed Buttrey, State Representative, Montana

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Jails and prisons are one of the few places in the United States where health care is a right. But for many incarcerated people, that care often falls short. This is the story one of those people: Princola Shields.

This episode was originally produced for the podcast Sick, a production of Side Effects Public Media.

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