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Tradeoffs

Tradeoffswww.tradeoffs.org

Tradeoffs is an award-winning nonprofit news organization on a mission to help America have smarter, more honest health policy conversations.


Tradeoffs explores the toughest choices in health care, diving into issues like the cost of care, health equity, insurance, mental health and artificial intelligence. We connect policy to practice, uncovering the data and personal stories that help audiences understand the stakes — and the potential solutions.


Learn more about us, find transcripts for each episode and additional reporting at https://tradeoffs.org.

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Episodes

How Two Supreme Court Rulings Affect the ACA, Planned Parenthood and the Future of Preventive Care

Health law expert Katie Keith helps us break down what a pair of big court decisions mean for RFK Jr.’s power and for people's access to abortion, cancer screening and many other kinds of care. Guest: Katie Keith , Director, Health Policy and the Law Initiative at the O’Neill Institute for National and Global Health Law Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support t...

Jul 03, 202519 minSeason 1Ep. 330

Unpacking the Health Impacts of Republicans' 'Big Beautiful Bill'

On June 18, Tradeoffs moderated an online event with economists and doctors examining why this legislation could cost so many people their health coverage — or even their lives. Guests: Eric Roberts , Associate Professor, Department of General Internal Medicine, Perelman School of Medicine Aditi Vasan , Assistant Professor, Department of Pediatrics, Perelman School of Medicine Rachel Werner , Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania Learn more a...

Jun 26, 202545 minSeason 1Ep. 329

Trump’s Policies Could Undermine the Fight to End America’s HIV Epidemic

The White House is asking Congress to sharply roll back federal spending on HIV prevention, a reversal from President Trump’s first term, when he championed investment to end the epidemic in America within a decade. Guests: Hana Fields , outreach manager, Health Outreach Prevention Education Dr. Patrick Sullivan , professor of epidemiology, Emory University Rollins School of Public Health Brad Sullivan Jeremiah Johnson , executive director, PrEP4All Dr. John T. Brooks , former chief medical offi...

Jun 19, 202527 minSeason 1Ep. 328

RFK Jr. Just Replaced the Experts Guiding U.S. Vaccines. Now What?

The Health and Human Services chief’s latest action on vaccinations is unprecedented, and quickly drew condemnation from medical groups who said his dismissal of the vaccine advisory committee put public health at risk. Here’s why the members of that committee are so important. Guest: 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 ...

Jun 12, 202528 minSeason 1Ep. 327

How Treating Teens’ Trauma Is Stopping Violence in Chicago

A Chicago violence prevention program is pairing cognitive behavioral therapy with intensive mentoring and wraparound support to help high-risk teens avoid incarceration. Guests: Nour Abdul-Razzak , Research Associate, University of Chicago Harris School of Public Policy; Research Director, University of Chicago Inclusive Economy Lab Charles Branas , Professor and Chair, Department of Epidemiology, Columbia University Mailman School of Public Health Toni Copeland , Director of Student Supports a...

Jun 05, 202526 minSeason 1Ep. 326

Helping Some of America’s Costliest Patients Could Get A Lot Harder

Some patients’ lives are so complicated by trauma, poverty and other social problems that routine conditions like diabetes and asthma regularly turn into $10,000 hospital visits. America’s health care leaders have spent years trying to help this small but costly group of patients. What have they learned? Guests: Jeff Brenner , MD, CEO, The Jewish Board Arthur Brown, Client, Camden Coalition Amy Finkelstein , PhD, Professor of Economics, MIT; Co-Scientific Director, J-PAL North America Allison Ha...

May 29, 202530 minSeason 1Ep. 325

What Cuts to Medicaid and Obamacare Could Mean for Hospitals, Insurers and You

As Republicans consider major changes to Medicaid and Obamacare, we asked a leading economist about the shockwaves these sharp policy shifts could send throughout the entire health care system. Guests: Jonathan Gruber , Ford Professor of Economics, MIT Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acas...

May 22, 202526 minSeason 1Ep. 324

What Happens When Cops Refuse to Respond to Mental Health Calls?

Why are a handful of sheriff’s departments in California refusing to respond to some 911 calls that involve a person with mental illness? Guest: Lee Romney , Journalist and co-host of November In My Soul Learn more and read a full transcript on our website . Check out Lee's full coverage for CalMatters. Be sure to listen to Tradeoffs special series The Fifth Branch that examines what it looks like when one community dramatically changes how it responds to people in crisis. Want more Tradeoffs? S...

May 15, 202521 minSeason 1Ep. 323

Presenting: First Opinion: The Invisibility of Good Public Health Work

Guests: Torie Bosch , Editor, First Opinion, STAT News Michelle Taylor , Shelby County Division Director for Health Services, Shelby County, Tennessee Raynard Washington , director of Mecklenburg County Public Health, Mecklenburg County, North Carolina Learn more here . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information....

May 13, 202533 minSeason 1Ep. 322

Fighting Measles and Anti-Vax Views in West Texas

Katherine Wells, the public health director in Lubbock, Texas, describes her fight to stop a multi-state measles outbreak despite a chaotic reorganization of federal health agencies. Guest: Katherine Wells, Director, Lubbock Public Health Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information....

May 08, 202520 minSeason 1Ep. 321

What Republican Health Cuts Could Mean for People with Disabilities

We talk with Harvard researcher Ari Ne’eman about why the sharp policy shifts underway in Washington pose a unique threat to people with disabilities. Guest: Ari Ne’eman , Assistant Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on A...

May 01, 202525 minSeason 1Ep. 320

Medicaid Work Requirements Are Back. What You Need To Know

Work requirements led to thousands in Arkansas losing their Medicaid during the first Trump administration. Policymakers say they’ve learned lessons to avoid mistakes this time. Guests: Trevor Hawkins , former Staff Attorney at Legal Aid of Arkansas Angela Rachidi , Senior Fellow, American Enterprise Institute Ray Hanley , former CEO of the Arkansas Foundation for Medical Care Barbara Sears Roshon , Ohio Medicaid Director (2016-2019) Ben Sommers , Huntley Quelch Professor of Health Care Economic...

Apr 24, 202529 minSeason 1Ep. 319

Obamacare Heads to the Supreme Court … Again

The latest threat to the Affordable Care Act could strike down a popular provision that gives 180 million Americans access to free preventive care for conditions including HIV and cancer. Guest: Nicholas Bagley , JD, Professor of Law, University of Michigan Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See...

Apr 17, 202517 minSeason 1Ep. 318

How RFK Jr. is Upending Public Health

Two months on the job, Health and Human Services Secretary Robert F. Kennedy Jr. has plowed forward with mass firings, funding cuts and new policies. The most immediate effect is across state and local health agencies, where officials say they see new cracks in safeguards against diseases. Guests: Dr. Phil Huang , director, Dallas County Health and Human Services Ryan Jury, acting senior deputy, North Carolina Department of Health and Human Services Division of Public Health Chrissie Juliano, ex...

Apr 10, 202520 minSeason 1Ep. 317

Making Sense of Sweeping Changes at HHS

Veteran health care reporter Julie Rovner breaks down the massive cuts and reorganization at HHS and answers listeners’ questions about what to expect next. Guest: Julie Rovner , Chief Washington Correspondent, KFF Health News Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more inf...

Apr 03, 202520 minSeason 1Ep. 316

This Budget Cut Would Save Medicare Patients Money. But Can Rural Hospitals Afford It?

Medicare often pays clinics owned by hospitals double the amount it pays independent clinics for the exact same medical care. Ending that practice could save the federal government up to $150 billion over 10 years, but critics say it could push rural hospitals over the brink. Guests: Tim Rye, chief strategic development officer, Peterson Health Carrie Cochran-McClain , chief policy officer, National Rural Health Association Loren Adler, fellow and associate director at the Center on Health Polic...

Mar 27, 202529 minSeason 1Ep. 315

Medicare and Medicaid Under Dr. Oz: What to Expect

A closer look at the surgeon-turned-TV-star President Trump wants in charge of Medicare, Medicaid and Obamacare. Guests: Tara Bannow , Reporter, STAT News Tom Scully , CMS Administrator (2001-2004) Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast.com/privacy for more information....

Mar 20, 202530 minSeason 1Ep. 314

The Cost of Cutting NIH Research: Voices from the Frontlines

A candid conversation between a professor and a Ph.D. candidate about potential NIH funding cuts and their impact on the future of medical research. Guests: Yvonne Commodore-Mensah , Associate Professor, Associate Dean of Research, Johns Hopkins School of Nursing Laura Mata López , PhD Candidate, Johns Hopkins School of Nursing Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. S...

Mar 13, 202521 minSeason 1Ep. 313

One Doctor’s Quest to Improve Health Care for People with Disabilities

As adults with intellectual and developmental disabilities strive to live more freely and fully than ever before, many of America’s doctors, hospitals and insurers are getting in the way. We get an inside look at one doctor’s quest to improve health care for people with conditions like Down Syndrome, cerebral palsy and autism. Guests: Alison Barkoff , JD, Administration for Community Living, HHS Kevin Carlson Clarissa Kripke , MD, Clinical Professor of Family and Community Medicine and Director ...

Mar 06, 202532 minSeason 1Ep. 312

Lots of Hospitals Are Using AI. Few Are Testing For Bias

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 Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gift . Hosted on Acast. See acast...

Feb 27, 202525 minSeason 1Ep. 311

Getting Health Care to Undocumented Immigrants in Trump's America

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 Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring t...

Feb 20, 202522 minSeason 1Ep. 310

As Trump Targets USAID, What’s at Stake for U.S. and Global Health?

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 Learn more and read a full transcript o...

Feb 13, 202518 minSeason 1Ep. 309

RFK Jr. Wants to Change What Americans Eat. He's Not The First

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 Administ...

Feb 06, 202526 minSeason 1Ep. 308

The Powerful Vaccine Committee RFK Jr. Could Soon Control

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. Pau...

Jan 30, 202520 minSeason 1Ep. 307

RFK Jr. Is Headed to Capitol Hill. A Former HHS Secretary Lays Out the Stakes

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 Learn more and read a full transcript on our website . Want more Tradeoffs? Sign up for our free weekly newsl...

Jan 28, 202523 minSeason 1Ep. 306

Why Many Republicans Think Shrinking Medicaid Will Make it Better

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 (201...

Jan 23, 202525 minSeason 1Ep. 305

Biden’s Medicaid Director Reflects on Lessons Learned and Worries for the Future

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 Learn more on our website . Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Support this type of journalism today, with a gi...

Jan 16, 202526 minSeason 1Ep. 304

The Fifth Branch: The Last Line of Care

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 Su...

Jan 09, 202542 minSeason 1Ep. 303

The Fifth Branch: Keeping People Safe

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...

Jan 02, 202540 minSeason 1Ep. 302

The Fifth Branch: Convincing the Cops

How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls? Guests: Patrice Andrews , Police Chief, Durham Police Department Ryan Smith , Director, Durham Department of Community Safety Sgt. Dan Leeder , Durham Police Department Abena Bediako , Clinical Manager, Durham Department of Community Safety Christie Thompson , Staff Writer, The Marshall Project EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public ...

Dec 26, 202435 minSeason 1Ep. 301
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