Tradeoffs

Congressional Democrats’ blockbuster spending bill could include some historic health reforms, but major political hurdles remain. Reporter Alice Miranda Ollstein joins us to discuss the tough health policy compromises facing Democratic lawmakers.

Guest:

Alice Miranda Ollstein, health care reporter, POLITICO

A complete transcript of our conversation with Alice Miranda Ollstein is on our website: https://tradeoffs.org/2021/10/07/house-reconciliation-bill-health

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U.S. hospitals are facing a nursing crisis, but experts say it's not as bad as the nationwide shortage of the early 2000s. We talk with two experts about what needs to be done to prevent the current crisis from getting worse.

Guests:

Peter Buerhaus, PhD, RN, FAAN; Professor, Montana State University College of Nursing; Director, Center for Interdisciplinary Health Workforce Studies

Karen Lasater, PhD, RN; Assistant Professor of Nursing, University of Pennsylvania

Find more resources on nurse shortages and a full transcript of this episode: https://bit.ly/3ol0ROr

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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: https://bit.ly/3CEg6pE

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As President Biden ups the pressure on businesses to mandate COVID-19 vaccines for their employees, we talk with a preschool owner wrestling with the decision and a researcher with tips on how to make a mandate work.

Guests:

Lesia Daniel-Hollingshead, Co-owner, Funtime Clinton

Ashley Ritter, APRN, PhD; Director of Clinical Care Research, NewCourtland; Adjunct Assistant Professor, NewCourtland Center for Transitions in Health, University of Pennsylvania School of Nursing; CEO, Dear Pandemic

Find additional resources and reporting on vaccine mandates and read a full transcript of this episode on our website: https://tradeoffs.org/2021/09/16/employers-grapple-with-fear-uncertainty-and-vaccine-mandates/

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The Supreme Court just declined to block a controversial abortion ban in Texas. Now an even bigger case looms on their docket, and it could dramatically alter abortion access across the U.S.

Guests:

• Laurie Sobel, JD, Associate Director, Women’s Health Policy, Kaiser Family Foundation
• Alina Salganicoff, PhD, Senior Vice President and Director of Women’s Health Policy, Kaiser Family Foundation

There's more about these two laws and the imminent SCOTUS case on our website: https://tradeoffs.org/2021/09/09/the-next-big-challenge-to-abortion-rights/

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Kids are returning to in-person school this fall with increased rates of depression, anxiety and other pandemic-fueled mental health challenges, and schools are leaning on billions in new federal funding to meet the growing need.

Guests:

Kyron Harvell, Principal, Vivian Riddle Elementary School; Lansing, Michigan

Sharon Hoover, PhD, Co-Director, National Center for School Mental Health, University of Maryland School of Medicine

Learn more about the research behind youth and school mental health on our website: https://tradeoffs.org/2021/09/02/schools-brace-for-pandemic-fueled-mental-health-needs/

Read a transcript of this episode: https://tradeoffs.org/2021/09/02/schools-brace-for-pandemic-fueled-mental-health-needs-transcript/

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New national guidelines say millions more Americans should get screened for lung cancer. The test can save lives, but it's inaccessible to many and harmful to some. How should we balance the promise and perils of lung cancer screening?

Guests:

Otis Brawley, MD, Professor of Oncology, Johns Hopkins University School of Medicine

Lisa Carter-Harris, PhD, APRN, Behavioral Scientist and Adult Nurse Practitioner, Memorial Sloan Kettering Cancer Center

Cherie Erkmen, MD, Professor of Thoracic Surgery and Director, Lung Cancer Screening Program, Temple University

Ella Kazerooni, MD, Professor of Radiology, University of Michigan

Ida Pittman, lung cancer patient, Temple University Hospital 

Helena Price, Ida’s cousin and health care advocate

Gerard Silvestri, MD, Professor of Pulmonology, Medical University of South Carolina

Dig deeper into the research and tradeoffs of lung cancer screening on our website: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer/

Read a transcript of this episode: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer-transcript/

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With more employers requiring their employees to get vaccinated against COVID-19, we dig into the research to help employers weigh the pros and cons. [This episode was originally published on May 20, 2021.]

Guests:

Sayeh Nikpay, PhD; Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Corey White, PhD; Assistant Professor of Economics; Cal Poly, San Luis Obispo

Brandyn Churchill, PhD Candidate, Vanderbilt University

Learn more about Corey and Brandyn's research and the pros and cons of employer mandates on our website: https://tradeoffs.org/2021/05/20/calling-the-shots-should-employers-mandate-covid-vaccines/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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One of the hardest things about being healthcare workers going through this pandemic is that we've both experienced and borne witness to moments that nobody should have to go through alone. Who do we need by our side when everything falls apart? And what do we do when they can’t be there? 

More information about this episode and The Nocturnists project: https://thenocturnists.com/stories-from-a-pandemic-part-2/2021/6/22/episode-3-by-my-side

Keep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodes

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Hosted by Maiken Scott and aired weekly on WHYY and other NPR member stations, The Pulse tells stories at the heart of health, science and innovation. This particular Pulse story, reported by Alan Yu and Nina Feldman, looks at a crisis of maternity ward closures that recently hit the city of Philadelphia, and the surprising alliances and unexpected outcomes that it catalyzed.

Dig deeper into The Pulse team's research: https://whyy.org/segments/how-philadelphia-escaped-disaster-in-the-face-of-a-dozen-shuttered-maternity-wards/

Keep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodes

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

Support this type of journalism today, with a gift: https://tradeoffs.org/donate

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