An Arm and a Leg - podcast cover

An Arm and a Leg

An Arm and a Legarmandalegshow.com

An Arm and a Leg is a podcast about why health care costs so freaking much and what we can (maybe) do about it.

If you’ve ever been surprised by a medical bill, you’re in good company. But as our team of seasoned journalists has learned from years of reporting — you’re not always helpless. We don’t have all the answers, but we’ll offer you tools and big picture insights with plenty of humor and heart. 

An Arm and a Leg is co-produced with KFF Health News and distributed in partnership with KUOW.

You can support An Arm and a Leg by donating at armandalegshow.com/support/

Show Credits: Created, hosted, and produced by Dan Weissmann with senior producer Emily Pisacreta and engagement producer Claire Davenport, edited by Ellen Weiss. Audio wizard: Adam Raymonda. Music is by Dave Weiner and Blue Dot Sessions. Bea Bosco is our consulting director of operations. Lynne Johnson is our operations manager.

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Episodes

Coming next week: The price of insulin

As we started working on season two of this podcast, there was one topic that seemed like we just had to look at: insulin. … and I wondered: There are stories about insulin prices everywhere. Would we really have something to add? Something that wasn’t just more of the same? (Enraging, terrifying, depressing.) Turns out: OH YES WE DO. And some of it is… hopeful. We are holding it back a week, so you can take a break for the holiday, come back fresh, and be ready for something epic. See you then....

Jul 03, 20192 min

Why are drug prices so random? Meet Mr. PBM

I filled a prescription recently, and the drugstore said they wanted more than 700 bucks… for an old-line generic drug. My insurance ended up knocking that down, but it was WEIRD. And it meant a big homework assignment for me. Luckily, I got help. Both from some experts, and from the classic Christmas movie It’s a Wonderful Life (source of the pictures above and below, of course). I mean, what I actually learned was not a hundred percent cheerful. We get these unpredictable prices thanks to comp...

Jun 26, 201918 minSeason 2Ep. 4

How much for an MRI? Well, that depends…

This week, we look at three MRIs with four different price tags, and an enormous range. Liz Salmi and a view of her brain. (Photo: Kaiser Health News) The first two price tags come from listener Liz Salmi, who has been living with brain cancer for more than a decade. Liz gets MRI scans twice a year, to make sure the cancer isn’t growing. A couple years ago, Liz changed insurance, changed providers… and got serious sticker-shock when she saw the bill for a scan: $1,600 — AFTER insurance. So when ...

Jun 19, 201922 minSeason 2Ep. 3

To get paid, hospitals get creative

Hospital bills are too high, and insurance doesn’t cover enough. Turns out, that’s a crisis for hospitals too: more and more of us aren’t paying those bills, because we can’t. So, they’re getting creative about collecting — and offering discounts. Which raises questions about why the bills are so high to begin with. Photo courtesy James Crannell We start with Chicago woodworker James Crannell, who — and there’s no non-scary way to say this — stuck his finger in a table saw. Even more scary: He d...

Jun 12, 201916 minSeason 2Ep. 2

We thought we had adulted properly

Caitlin and Corey Gaffer got a surprise letter from their insurance company — saying they were being dumped for non-payment. Except, as far as they knew, they were paid up. As it turned out, they’d made a couple of small mistakes, which they were eager to fix. But their insurer was definitely not interested. Caitlin and Corey spent fruitless weeks on the phone. And then, Caitlin’s pregnancy — more than six months along — ran into complications. They scrambled for months to get covered, while rac...

Jun 04, 201924 minSeason 2Ep. 1

A “deal” on health insurance comes with troubling strings

Bari Tessler is a little famous as a “financial therapist,” but even she gets rattled by the price of health care. Her story is complicated. And very relatable. Bari chose to use a Christian "health share" instead of regular insurance. It's cheaper, but it comes with strings: Things the group doesn’t cover, limits on their obligations to you… and a religious vision that not everybody is comfortable with. Including Bari. She sees it, for now, as the least terrible of a bunch of terrible options —...

Dec 19, 201822 minSeason 1Ep. 8

Why are ER bills so horrible? Sarah Kliff spent a year finding out. (Season One, episode 7)

Emergency rooms often bill you a “cover charge” just for walking in the door, and it can be thousands of dollars. That’s in addition to the huge markup on everything that happens there: seven bucks for a band-aid. Twenty dollars for a couple of pills. Reporter Sarah Kliff has collected more than a thousand ER bills from her readers at Vox. She was an expert on health care before starting this project — she covered it for years at the Washington Post before moving to Vox — but even she found plen...

Dec 12, 201819 minSeason 1Ep. 7

Why Health Insurance Actually Sucks (Season One, episode 6)

Turns out, insurance companies allow — even encourage — crazy price-gouging by hospitals. For example, the leg brace Blake needed was available for $150 on Amazon. But thanks to his insurance, he paid more than $500. Investigative reporter Jenny Gold ’s work helps us understand how that kind of thing happens. She compares health care to shopping for a gallon of milk. “We can look at the cost of a gallon of milk at lots of different stores and decide which one is the best,” she says.At the store,...

Dec 05, 201817 minSeason 1Ep. 6

So, Robin Hood’s got an approach to medical bills. (Season One, episode 5)

The health-care system — especially the financial side — can feel like a Medieval torture device. So maybe it fits that workers from Renaissance fairs have come up with a work-around. In this episode I meet Robin Hood and a woman who has made more than $2 million in medical bills… disappear. Also, you’ve started sending us stories as voice memos. And they are awesome . Send more! stories@armandalegshow.com. Regular emails are nice too. You’ve sent some powerful stories that way. We are listening...

Nov 27, 201816 minSeason 1Ep. 5

Why you (and I) will likely pick the wrong health-insurance plan (Season One, episode 4)

Because as smart economists recently proved ) it is super-confusing, and most of us can’t do the math. But! We found glimmers of hope. So don’t be scared. We’d like to hear how you’re choosing your health insurance for next year — or are you going to do without? — and what you’ve learned from past mistakes. You can scroll down and just start typing, or hit us up at insurance [[at]] arm and a leg show [[dot]] [[com]] EXTRA CREDIT: We’d love it if you send us a voice memo! Finally, we’ve got some ...

Nov 21, 201819 min

How one drug got its $500,000 price tag. (With 99 Percent Invisible– Season One, episode 3)

The answer involves a suburban housewife, a 1970s TV star, and a Las Vegas maker of popcorn and nacho cheese sauce. Also: Wall Street. Produced with our friends at 99 Percent Invisible . Many thanks to Abbey Meyers, Joshua Schein, and Nora Guthrie. Find Us Online Website: http://armandalegshow.com Twitter: http://twitter.com/armandalegshow Instagram: http://instagram.com/armandalegshow Facebook: http://facebook.com/armandalegshow About Us Host: Dan Weissman ( www.danweissmann.com ) Editor: Whitn...

Nov 14, 201825 minSeason 1Ep. 3

All the Marbles: One woman’s epic quest for health insurance (Season One, episode 2)

Laura Derrick takes a drug that costs more than $500,000 a year. So when her family was going to lose their insurance, she made crazy sacrifices… and changed the course of history. Find Us Online Website: http://armandalegshow.com Twitter: http://twitter.com/armandalegshow Instagram: http://instagram.com/armandalegshow Facebook: http://facebook.com/armandalegshow About Us Host: Dan Weissman ( www.danweissmann.com ) Editor: Whitney Henry-Lester ( thedarlingkiller.com ) Consulting Producer: Daisy ...

Nov 14, 201819 min

This is Water, and it sucks. Let’s talk. (Season One, episode 1)

When I first started talking about doing a show about the cost of health care… everybody had a story. Including me. It’s like that famous speech by the writer David Foster Wallace called This is Water . It starts with a joke about two young fish swimming along. An older fish passes by and says, “Morning boys. How’s the water?” He goes, then one young fish turns to the other and says, “What the hell is water?” Sound familiar? The cost of health care is like water. We’re all surrounded by it. We d...

Nov 14, 201820 minSeason 1Ep. 1

A podcast about the cost of health care, coming November 2018

The spiraling cost of medical care shapes people’s lives: The jobs we’re afraid to leave because of insurance, the risk that a trip to the doc could end in bankruptcy. It’s not healthy. This is my story too, and that’s why I’m making this podcast. Here’s what I’ve got in mind. An Arm and a Leg will be entertaining, empowering— even useful. As a reporter , I’ll bring my skill at finding and telling revealing, surprising stories. But the project’s big focus— since I’m in this mess too—is connectin...

Oct 11, 20184 min
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