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.

Last refreshed:
Follow this podcast in the Metacast mobile app to refresh it and see new episodes.
Download Metacast podcast app
Podcasts are better in Metacast mobile app
Don't just listen to podcasts. Learn from them with transcripts, summaries, and chapters for every episode. Skim, search, and bookmark insights. Learn more

Episodes

How to handle debt collectors, with the TikTok Mom and a legal expert

There's a reason Shaunna Burns went viral with her videos about dealing with debt collectors: She used to be one, so she knows a few things. (Also she's smart and funny.) We fact-checked her advice with a legal expert: Jenifer Bosco, an attorney with the National Consumer Law Center . Who said: Yep, most of Shaunna's advice totally checks out. This one's full of useful tips—and it's fun— so please pass it around. Debt collectors are out in force , and as you'll hear in this episode, they can be ...

Oct 15, 202028 minSeason 4Ep. 6

Your TikTok Mom has some medical-bill tips, and a hell of a story

Forty-something mom Shaunna Burns went viral on TikTok, thanks in part to a series of videos dishing out real-talk advice on fighting outrageous medical bills. She's become the virtual mom that thousands of Gen-Z followers love. She's funny, smart, and relatable—and she's got stories that'll make your hair stand on end. (Yep, medical bills figure into some of them.) Oh, and she can swear like a f---ing sailor. So maybe save this one for when the kids aren't around. Send your stories and question...

Oct 01, 202025 minSeason 4Ep. 5

A Blast of Hope and Humanity: Here's what perseverance looks like

Laura Derrick fought and endured for decades. When medical bills threatened to swamp her family, she made huge sacrifices, worked unbelievably hard... and helped change the course of history. In a moment when we're all enduring a LOT, it seemed like a great time for Laura's story. It's one of the first stories we ever told on this show, and it has special resonance right now. Bonus: We catch up with Laura for an update. See omnystudio.com/listener for privacy information....

Sep 17, 202027 minSeason 4Ep. 4

She tangled with health insurance every day for 25 years. And loved it. Here's what she can teach us.

Barbara Faubion got up every day psyched to go to work—which she says puzzled her friends. “They’d go, ‘You love your job?!? You spend your whole day talking to an insurance company. Are you kidding me?’” She wasn’t kidding. Because she loved to win—and she was really, really good at untangling other people’s health-insurance problems. She's here to teach us what she knows. And we'll learn something else too, from a conversation with ProPublica reporter Marshall Allen: Why doesn't EVERY health i...

Sep 03, 202026 minSeason 3Ep. 3

How to fight like a bulldog (against bogus medical bills)

Steve Benasso is an HR director who, his colleagues will tell you, hates insurance companies, and hates seeing people getting taken advantage of. So he fights off weird medical bills and bogus insurance denials for those colleagues. "I am a bulldog on this stuff," he says. "I do it every month." And on this episode, he tells us how he does it. Send your stories and questions: https://armandalegshow.com/contact/ or call 724 ARM-N-LEG Support us: https://www.patreon.com/armandalegshow See omnystud...

Aug 20, 202023 minSeason 4Ep. 1

Financial self-defense school, now in session: Make your own luck.

If you need medical care, it's like you've entered a casino, playing for your financial life, with the deck stacked against you. Lucky for us, we get insight — and tips the dealer WON'T tell you— from ace reporter Celia Llopis-Jepsen . To start with, she got an executive from a health-care company to talk honestly — maybe more honestly than he realized — about how his company and others are playing the game, when they send patients bills for huge amounts. Here's what else she found, when she inv...

Aug 06, 202028 minSeason 4Ep. 1

The hug shortage, the new abnormal, and the $7,000 COVID test. What we've learned in SEASON-19

We wrap up our COVID-19 popup season with stories from three folks with very different takes on what we've learned so far about what the pandemic is costing us: A doctor and advocate in Brooklyn looks back on the wave of black and brown patients that filled her clinic in March. A nurse-practitioner in Texas looks at how new tech is—and isn't—helping the older patients she cares for. And: One of the country's top insurance nerds says her first policy ideas to keep people from getting stuck with h...

May 27, 202022 minSeason 3Ep. 18

How Katelyn survived COVID—without going bankrupt. (Not easy. She has tips.)

In early April, Katelyn was in a financial bind: Home sick with COVID, she hadn't been paid in weeks. And bills were due. "My landlord is kinda beating down my door right now," she said in a voicemail to our hotline. Weeks later, Katelyn got back in touch: She had made it through, thanks to a combination of playing hardball with one company and knowing how to play nice with others. Because of her job, she had an insider's understanding of the playing-nice process: Katelyn works in collections fo...

May 20, 202022 minSeason 3Ep. 17

From inside the health insurance company: Angst, and advice we can use.

A listener, who has worked in health insurance for decades, wrote in. "I have listened to all the episodes in this podcast, and there are times I come away feeling bad working for the insurance company." We talked. Along with angst, she shared insights and advice we all can use. See omnystudio.com/listener for privacy information.

May 13, 202017 minSeason 3Ep. 16

The severe, weird recession... in health care. And what it means for our wallets

You've probably noticed: The U.S. economy is crashing. Something you may not have noticed, that may sound really weird: Almost half of that economic devastation comes from just one sector. And that sector? It's health care. If that sounds completely backwards, it is. Except in the world of how we pay for health care in this country. Because even though we as a society need health care workers like never before, to fight COVID... ... we-as-individuals are avoiding doctors' offices and hospitals f...

May 06, 202018 minSeason 3Ep. 15

COVID tests are free, except... when they're not

Anna's insurance company said it would pay 100 percent for COVID-related testing. And then they left her to pay a giant bill. She got help, thanks to a viral tweet , but... her story exposes big loopholes in consumer protections. We learn how to avoid falling in. And: The way people responded to her tweet was generous, moving, and... complicated. Uncomfortable. Weird. Even with everybody doing their absolute best. (And, we should say, with as happy an ending as any of us get these days.) Anna's ...

Apr 29, 202021 minSeason 3Ep. 14

Like a fire with no one to call: 'We've left no latent capacity in health care.'

Ryan Gamlin spent a decade working on the financial side of health care, before going to medical school. Now, as an anesthesiologist in Los Angeles, he’s on the front lines fighting COVID-19, an experience he describes as “scary, in a way that I never expected to be scared, going to work.” He was scared one day last summer, too, when a California wildfire came within feet of the hospital where he was working. And then a fleet of fire trucks showed up to protect the hospital. “City, county, park ...

Apr 22, 202017 minSeason 3Ep. 13

If I get COVID-19, what good will my insurance do me?

Lots of people have insurance plans that only cover them with certain places —providers, certain hospitals. But: in a COVID pandemic surge, who knows if you'd end up one of those places? And if you end up someplace else... then what ? That’s the question we got from a listener named Becky in Minnesota. She's got a Bronze plan — it only covers a limited "network" of providers— and she's got a $6,000+ deductible. With officials talking about converting sports arenas into makeshift hospitals, Becky...

Apr 15, 202032 minSeason 3Ep. 12

Makers unite: Speeding PPE to a COVID hospital

We kick off SEASON-19, about the cost of COVID, with a dose of hope — a story about an unlikely chain of people coming together to speed PPE to a COVID hospital in Brooklyn. NYC is a couple weeks ahead of the rest of the country, we think, so there are lessons here we can all get ready to use. Especially this: Don't be afraid that what you have to offer isn't enough. Take the step in front of you, even if it's a little one. Here's a couple ways to start You can donate to that effort to get PPE t...

Apr 06, 202021 minSeason 3Ep. 11

Whoa. Welcome to SEASON-19

We were not expecting to bring the next season out for another couple months, but... STUFF has been happening. Is happening. We're here with you. Bring us your stories and your QUESTIONS: We'll ask the smartest people we know to tell us all what they know. go to https://www.armandalegshow.com/contact OR call our **hotline**! Yep: (724) 276-6534 -- which spells 724 ARM N LEG. See omnystudio.com/listener for privacy information.

Mar 30, 20202 minSeason 3Ep. 10

Reporter's Notebook: What we've learned so far, and what's ahead.

This bonus episode turns the tables: Ace reporter Sally Herships interviews Arm and a Leg host Dan Weissmann, about what he's learned so far, and what's ahead for the show. \They dig into the stories listeners are sharing -- the lessons people say they’re learning, and the lessons they’re sharing. And Dan previews the celebrations in store as the show hits a landmark: 500 Patreon supporters! If you haven't signed up already, there's still time to join us -- sign up by March 1 -- and earn some sp...

Feb 14, 202034 minSeason 3Ep. 9

Watch Your Back: Outwitting the Back-Pain Industry

Cathryn Jakobson Ramin, an investigative reporter with a bad back, spent years researching the $100-billion back-pain industry. She found that the most commonly-prescribed treatments, including surgery, frequently do not work — and often leave people a lot worse off. She also learned what does work. Whenever someone I know says their back is killing them, I send them a link to Ramin's 2017 book, Crooked: Outwitting the Back Pain Industry . In this episode, we hit the highlights of Ramin's findin...

Jan 02, 202029 minSeason 3Ep. 8

Christmas in July

How one family's tragedy became, decades later, a $1 million gift to their neighbors. This story has everything: Laughter. Tears. Family. Community. Generosity. Softball. AND: Punk rock. John Oliver. A taco bar. See omnystudio.com/listener for privacy information.

Dec 26, 201926 minSeason 3Ep. 7

This hospital sued thousands of patients — until a reporter called them out.

They say the problem with relying on journalists to embarrass providers into caving on crazy bills is, there aren’t enough journalists to go around. Fair. But sometimes journalists can scale up. In Memphis, reporter Wendi Thomas found that the city’s biggest hospital routinely sued its patients over unpaid bills, despite making tidy profits. The hospital even sued its own badly-paid employees — a fact Thomas said was immediately visible just by visiting the court house. “You saw them, there, in ...

Dec 19, 201923 minSeason 3Ep. 6

Can they freaking DO that?!?

A woman got a bill from a medical testing lab she’s never heard of, for $35. Then, a follow-up bill said if she didn’t pay up right away, that price was going up — WAY up: to $1,287. Which raises a question that comes up a LOT with medical billing: Can they freaking DO that?!? Can some random lab hit you up for money — and then threaten you with a late fee of more than $1,000?? On this episode, we go find out. This was fun. We'll do it again. Next time you want to know, Can They Freaking DO That...

Dec 12, 201928 minSeason 3Ep. 5

Why can't they tell you the price upfront?

Sarah Macsalka has seen the stories about how expensive an emergency room visit can be, even for a minor complaint . So when her seven year-old son Cameron gashed his knee on a weekend morning in June, the ER was NOT where her family headed first. In fact, Macsalka did just about everything she could to avoid paying a big, fat bill to get Cameron’s knee stitched up — and ultimately failed. For instance, she took Cameron first to a local urgent-care clinic, but was told they didn't have anestheti...

Dec 05, 201926 minSeason 3Ep. 4

Health Care: The Musical

It would sound a LOT like Explanation of Benefits , which is a musical revue that actually played in New York City in 2019. ... so it would feature a parody of "Bills, Bills, Bills" — the 1999 Destiny's Child hit —rewritten for the age of GoFundMe. And it would have smart, funny musical numbers tracing the long, sad history of the U.S. health care industry. Welcome to our musical episode! And thank you to the young NYC troupe Heck No Techno for creating Explanation of Benefits . Our episode isn'...

Nov 27, 201922 minSeason 3Ep. 3

My Neighbor the Health-Care Ninja

Meredith Balogh has spent years learning to navigate the financial side of the health-care system. She’s a type-one diabetic, she’s never had a lot of money, and for years she didn’t have health insurance. It hasn’t been easy, but she’s become a master. “There's only three things that you're fighting,” she says. “Problems with competence, problems with greed and problems with maliciousness. And luckily most things are incompetence.” She has saved herself and her family many thousands of dollars,...

Nov 21, 201930 minSeason 3Ep. 2

Mom vs. Texas

Stephanie Wittels Wachs has a daughter born with hearing loss, which is how she found out insurance didn't cover hearing aids for kids. Those start at $6,000 and only last a few years. Stephanie teamed up with a few other moms to change Texas law... and won. Stephanie is a terrific storyteller. She's the author of Everything Is Horrible and Wonderful , a memoir about grieving her brother, Harris Wittels , a writer for TV comedies like Parks and Recreation , who died of a heroin overdose. ... and...

Nov 14, 201929 minSeason 3Ep. 1

Hey there! Season 3 is coming November 14. Here’s a preview.

It’s going to be REALLY fun. Also, maybe useful. Catch you here soon! Also, here’s a little video preview . Bonus news: Did you know we're nominated for an award as a TRUE CRIME show? Almost too perfect. Everything on this show is legal, and that's the true crime. Here's a link — please pass it around! Wanna share it with folks? Be our guest! Here it is on Twitter , Facebook , Instagram , and Vimeo . See omnystudio.com/listener for privacy information....

Oct 31, 20192 min

A place where they do health care more cheaply and effectively. (And yes, it’s in the U.S.)

For our Season 2 finale, time for some inspiration. For 30 years, James Gingerich has run a super-effective clinic in Indiana , delivering great results at low cost — to high-need, low-income patients. James Gingerich stands in front of shelves holding books that Maple City Health Care Center distributes to families with young children. He’s not a modest guy, and two of his brags stand out — as a study in contrasts. One is a quote from a board member that makes him sound like a big dreamer: “Peo...

Jul 31, 201923 minSeason 2Ep. 8

An actor walks into a doctor’s office…

Dr. Saul Weiner is a physician and researcher at Jesse Brown VA Medical Center and the University of Illinois at Chicago. (Photo: Roberta Dupuis-Devlin) Researcher Saul Weiner has been sending fake patients — actors, wired for sound — into real doctors’ offices, to learn about what actually happens, especially: How well doctors really listen to their patients. He’s tallied up what doctors miss (a lot), and how much it costs (ditto). In today’s episode, we hear what actually happened in one of th...

Jul 24, 201918 minSeason 2Ep. 7

Whoa, this medical device is spying on me. In my sleep. So my insurer can deny me coverage.

That’s the rude awakening Eric Umansky got when he called the company that provided his CPAP machine — a device that helps him breathe at night. He got mad. And he got even, in a way: Eric is an editor at the non-profit newsroom ProPublica, and he tipped a colleague —Marshall Allen, who covers health care there. The two of them together, in this episode, are hilarious and enlightening. T he story Marshall wrote opened up bigger issues about how insurance companies are collecting all kinds of dat...

Jul 17, 201917 minSeason 2Ep. 6

The surprising history behind insulin’s absurd price (and some hopeful signs in the wild)

The price of insulin is iconic — doubling , tripling , multiplying like crazy , for medicine Type 1 diabetics can’t live without. To understand it, we went back almost 100 years and dug up a story of sweaty Canadian researchers — swatting away flies and doing business with probable dog-nappers, on the way to a Nobel Prize… and a deal with corporate pharma. Charles Best and Frederick Banting on the roof of the University of Toronto medical building, petting a dog they probably picked up from some...

Jul 10, 201927 minSeason 2Ep. 5
Hosted on Omny Studio
For the best experience, listen in Metacast app for iOS or Android