Tradeoffs

We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care.

Guests:

Meredith Niess, MD, MPH, Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant Health

Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital

Cheryl Damberg, PhD, MPH, Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance

Scott Weingarten, MD, MPH, Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan

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

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As Peter Lee prepares to step down after a decade of running California's Obamacare exchange, he reflects on his experience, the strengths and weaknesses of the Affordable Care Act, and what the next frontier for health care should be in the U.S.

Guest:

Peter Lee, Executive Director, Covered California

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

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Every 5 years, the FDA has to renegotiate billions of dollars in user fees with the drug and medical device companies it regulates. This is one of those years, and Congress has to pass the latest user fee agreements by the end of September to keep FDA running. We break down this controversial process and what other health policies could pass in its wake.

Guest:

Sarah Karlin-Smith, Senior Writer, Pink Sheet

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

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This week, a pharmacist and co-owner of an independent pharmacy in Iowa shares what life is like nearly two years into the pandemic.

Guest:

Kelly Kent, RPh, PharmD, pharmacist and chief operating officer, Towncrest Pharmacy.

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

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Starting July 16, 2022, anyone in the U.S. experiencing a mental health crisis will be able to dial 988 for help. We explore what it will take for this new nationwide hotline to meet the needs of millions of people struggling with suicide, addiction and mental illness.

Guests:

Andrea Harrison, Helpline Specialist, First Choice Services

Madhuri Jha, LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of Medicine

Ben Miller, PsyD, President, Well Being Trust

Hannah Wesolowski, MPA, Chief Advocacy Officer, National Alliance on Mental Illness

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

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The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis.

Guests:

Ricky Bluthenthal, PhD, Associate Dean for Social Justice; Keck School of Medicine, University of Southern California

Keith Humphreys, PhD, Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford University

Beau Kilmer, PhD, Director of the RAND Drug Policy Research Center

Kimberly Sue, MD, PhD, Assistant Professor of Medicine, Yale School of Medicine

Maia Szalavitz, Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction

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

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Last week, Medicare took an unprecedented step to restrict patients’ access to the first new Alzheimer’s disease treatment in nearly 20 years. We talk with a doctor, a patient and a former federal official about this unusual move and its wide-ranging implications.

Guests:

Jay Reinstein, Alzheimer’s disease patient and advocate

Sharon Sha, MD, MS, Clinical Associate Professor of Neurology and Neurological Sciences, Stanford University

Sean Tunis, MD, MSc, Senior Fellow, Tufts Center for Evaluation of Value and Risk in Health, former FDA advisor and former CMS official

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

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We've got a lot to share with you in 2022!

We're looking into new strategies to battle overdose deaths; the unfolding saga of the new Alzheimer's drug; and the rollout of a new national hotline for mental health emergencies.

Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape.

New episodes start 20 January, 2022!

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A young woman living with cerebral palsy shares the struggles, fears and silver linings she’s experienced during the pandemic.

Guest: Jeiri Flores, disability rights advocate

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

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As gun violence surges, researchers are using new federal funding to search for solutions.

Emmy Betz, MD, MPH, Associate Professor of Emergency Medicine and Director of the Firearm Injury Prevention Initiative, University of Colorado

Jonathan Jay, DrPH, JD, Assistant Professor of Community Health Sciences, Boston University

Autumn Parkin, gun owner and advocate

If you or someone you know is having suicidal ideation, please call the Suicide Prevention Hotline: 800 273 8255

For more information about gun violence research visit our website.

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