Economist Amy Finkelstein has studied America’s patchwork of health insurance policies for more than 20 years. In a forthcoming book she concludes it’s time tear the whole system down.

This week, Dan talks with Amy about how she came to that conclusion and what a better system could look like. 

Guest:

Amy Finkelstein, PhD, Professor of Economics, MIT

Learn more and read a full transcript on our website.

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There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system.

In Part 2 of our special series on racial bias in health care AI, we dig into what the Biden administration is doing to keep biased algorithms from getting to the bedside.

Guests:

Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics

Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation

Minerva Tantoco, Chief AI Officer, New York University McSilver Institute for Poverty, Policy and Research

Carmel Shachar, JD, MPH, Executive Director, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School

Kathryn Marchesini, JD, Chief Privacy Officer, Office of the National Coordinator for Health Information Technology

Melanie Fontes Rainer, JD, Director, HHS Office for Civil Rights

Learn more and read a full transcript on our website.

Dan Gorenstein will moderate three one-on-one discussions featuring industry leaders and top officials from ONC, FDA, and HHS’ Office of Civil Rights over two plenary sessions, you can watch them here.

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There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system.

In the first of two back-to-back episodes on racial bias in health care AI, we explore the challenge of diagnosing bias in AI and what one health system is trying to do about it.

Guests:

Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics

Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation

Ganga Moorthy, MD, Global Health Fellow, Duke Pediatric Infectious Disease Program

Paige Nong, PhD Candidate, University of Michigan School of Public Health

Learn more and read a full transcript on our website.

Dan Gorenstein will moderate three one-on-one discussions featuring industry leaders and top officials from ONC, FDA, and HHS’ Office of Civil Rights over two plenary sessions, you can watch them here.

Support this type of journalism today, with a gift, which for a limited time will be matched!

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In this special episode we reflect on a few of our favorite stories of 2023 and hear how they’re making a difference for patients and policymakers. 

Guests:

Hannah Neprash, PhD, Assistant Professor, University of Minnesota School of Public Health

Jami Snyder, MA, president and chief executive officer of consulting firm JSN Strategies

Learn more and read a full transcript on our website. And take a look at our full impact report!

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One out of every four Medicare patients in the hospital is the victim of a medical error. Over the past 20 years, a growing number of hospitals have adopted practices that discuss medical mistakes and offer support to the people who must cope with the often tragic consequences. We examine why experts are calling on the Biden Administration to make patient safety a national priority.   

Guests:

Jack Gentry, patient 

Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice

Tom Gallagher, MD, Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety

Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota

Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety

Learn more and read a full transcript on our website.

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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

To learn more, read a full transcript on our website and check out our reporting partner STAT's story, too.

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Health care leaders are spending more time and money trying to improve the way doctors and nurses talk with their patients, to build more trust. Are those efforts working? We eavesdrop on some difficult conversations between patients and providers, and meet researchers who are measuring the power of using just the right words. 

This episode first aired in 2019 and remains as relevant as ever.

Guests:

Andrea Anderson, MD, Medical Director,  Unity Health Care

Sumeera Baig, MD, Physician, R-Health

Calvin Chou, MD, Professor, University of California, San Francisco

Lisa Cooper, MD, MPH, Bloomberg Distinguished Professor, Equity in Health and Healthcare, Johns Hopkins University School of Medicine

Hannah Herman, DO, Resident, The Wright Center for Graduate Medical Education

Lauren Howe, PhD, Postdoctoral Scholar, Stanford University

Natalie Levinson, patient

Jeff Milstein, MD, Regional Medical Director, Penn Primary Care

Kathy Trow, MSN, APN-C, Nurse Practitioner, Penn Medicine 

Jessika Welcome, mother of patient Natalie Levinson

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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California’s Medicaid program is two years into the nation’s most ambitious effort yet to cover non-traditional health care services like housing and food for some of the state’s sickest and most vulnerable residents. Everyone expected this transformation — known as CalAIM — to take some time to hit its stride. We dig into CalAIM’s early challenges and what’s being done to right the ship.

Guests:

Pooja Bhalla, DNP, RN, CEO, Illumination Foundation

Jacey Cooper, Medicaid Director, California Department of Health Care Services

Kelly Bruno-Nelson, MSW, Executive Director of Medi-Cal/CalAIM, CalOptima Health

Learn more and read a full transcript on our website.

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A wave of new research is showing the promise of psychedelics to help with mental health conditions — like depression and post traumatic stress disorder. The federal government continues to say it’s illegal to use these substances for treatment, but states like Oregon and Colorado are attempting to roll out regulated use. We talk with Mason Marks about the latest research, regulation, and legal gray areas on psychedelics.     

Guests:

Mason Marks, JD MD Project Lead on the Project on Psychedelics Law and Regulation at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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Every fall, an avalanche of advertising bombards the phones, televisions and mailboxes of the country’s 65 million Medicare beneficiaries.

Private insurance companies and brokers unleash this flurry of marketing in hopes of persuading as many people as possible to switch plans during Medicare’s open enrollment period.

This week, we explore how too many choices, too little help and an alarming amount of deception combine to lead many of America’s most vulnerable older adults astray.

Guests:

Gretchen Jacobson, PhD, Vice President, Commonwealth Fund

Lauren Lachs, Volunteer, Medicare Rights Center

Leslie Montgomery, Medicare and Medicaid beneficiary

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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