Tradeoffs is an award-winning nonprofit news organization on a mission to help the folks on Main Street, Wall Street and Capitol Hill have smarter, more honest conversations about health policy. Founded in 2019 by former Senior Health Care Reporter at Marketplace, Dan Gorenstein, Tradeoffs’ journalism combines data, evidence and storytelling to help people better understand the complicated, costly and often counterintuitive world of health care. Learn more about us and find transcripts for e ...
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Hugh Thomas, Deputy Editor at The Lancet Gastroenterology & Hepatology, in conversation with the journal’s authors, explores their latest research and its impact on people’s health, healthcare, and health policy. A monthly audio companion to the journal, this podcast covers a broad range of topics, from predicting clinical outcomes in NAFLD to immunosuppressant withdrawal in patients with Crohn’s disease, the primary antibiotic resistance of Helicobacter pylori to surgical versus non-surgica ...
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Editors at The Lancet Child & Adolescent Health, in conversation with the journal’s authors, explore their latest research and its impact on people’s health, healthcare, and health policy. A monthly audio companion to the journal, this podcast covers a broad range of topics, from the effects of climate change to gender equity in young people’s sexual and reproductive health rights, violence against children to allergies, and more.
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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 …
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EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Hou…
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Nancy Baxter on the duration of colorectal cancer risk reduction with a complete colonoscopy
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Nancy Baxter (University of Melbourne) discusses a population-based study on the duration of risk reduction in colorectal cancer incidence and mortality after a complete colonoscopy. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(24)00084-0?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversatio…
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BONUS: The Court’s Big Abortion Decisions Are Out. What Now?
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In this special bonus episode, we break down the Supreme Court’s recent abortion rulings with help from health reporter Shefali Luthra. Guest: Shefali Luthra, Health Reporter, The 19th 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 new…
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Why Supporting Caregivers Could Make A Difference in Dementia Care
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Medicare is betting that taking care of the caregiver will help dementia patients stay at home longer. Patients and their caregivers are often left to navigate the confusing world of dementia by themselves, but Medicare is launching a new program to change that. Guests: Malaz Boustani, MD, PhD, Founding Director, Sandra Eskenazi Center for Brain Ca…
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More Hospitals Move to Confront Medical Errors Head On
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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 …
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Ozempic Hype Forces Employer Calls on Obesity Coverage
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Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens. Guests: Sean Scanlon, Connecticut Comptroller Jeff Levin-Scherz, WTW populati…
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A New Kind of Primary Care Comes to America
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A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance. Can this idea from abroad take root in the United States? Guests: Dawn Alley, PhD, Head of Scale, IMPaCT Care Asaf Bitton, MD, MPH, Executive Director, Ariadne Labs Regina Hammond, Founder, Rebuild Johnston Squa…
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A Telehealth Report Card: What’s Worked and What Hasn’t
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As Congress figures out the future of telehealth, we get a reality check from a top researcher about what this care has and has not delivered. Guest: Ateev Mehrotra, MD, MPH, Professor, Brown University 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…
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How ‘Random Acts of Medicine’ Shape Our Health Care
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Just like the rest of us, when clinicians are short on time and overwhelmed by complex decisions, their brains look for corners to cut, numbers to round, patterns to repeat. This week, Dan talks with Harvard physician and economist Bapu Jena about the surprising impact these mental shortcuts can have on our health care. Guest: Bapu Jena, MD, PhD, P…
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Sanna Nybacka and Magnus Simrén on a trial of low FODMAP diets versus low carbohydrate diets in IBS
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Sanna Nybacka and Magnus Simrén (University of Gothenburg) discuss the CARIBS randomised controlled trial of a low FODMAP diet versus a low-carbohydrate diet versus pharmacological treatment in IBS. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(24)00045-1/fulltext?dgcid=buzzsprout_tlv_podcast_generic_langas …
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Is Private Equity Ruining Health Care? It's Complicated.
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While stories of private equity firms running amok in health care are easy to find, new research paints a more nuanced picture. Guests: Ambar La Forgia, PhD, Professor of Management of Organizations, Berkeley Haas School of Business Rachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania Y…
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The Hunt for Lasting Fixes to America’s Medical Debt Crisis
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A major new study throws cold water on a popular approach to relieving medical debt, but leading experts say the research also reveals a promising path forward. Guests: Henry Harrell, MD, Physician Neale Mahoney, PhD, Professor of Economics, Stanford University Allison Sesso, President and CEO, Undue Medical Debt Learn more and read a full transcri…
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Nuru Noor on the PROFILE trial of biomarker-stratified treatment in newly diagnosed Crohn's disease
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Nuru Noor (University of Cambridge) discusses the PROFILE trial of biomarker-stratified treatment strategies in people with newly diagnosed Crohn's disease. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(24)00034-7/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversation on social! Foll…
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One advocate’s vision for the crucial role patients must play in the future of health care AI. Andrea Downing, President and Co-Founder, The Light Collective Learn more and read a full transcript on our website. Subscribe to our weekly newsletter. Follow us on X, LinkedIn and Youtube. Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/p…
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How Do You Help Patients Who Show Up in the ER 100 Times a Year?
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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 Bo…
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Yusuke Shimakawa on a simple score for hepatitis B treatment eligibility in Africa
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Yusuke Shimakawa (Institut Pasteur) discusses the development and evaluation of a simple score for hepatitis B treatment eligibility in Africa. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00449-1?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversation on social! Follow us today at... http…
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An Insurance Company Bought This Doctor’s Practice. She’s Worried About Her Patients
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One doctor debates whether to work for the nation's largest insurance company after it purchased the independent practice she worked for in Oregon. Guest: Gwen O'Keefe, MD, Assistant Professor of Medicine, Department of Anesthesiology & Perioperative Medicine, OHSU Learn more and read a full transcript on our website. Subscribe to our weekly newsle…
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92,000 Transgender People Took This Survey. Here’s What We Learned
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As lawmakers around the country take aim at transgender rights, we dig into findings from the largest survey ever of trans Americans. Guest: Sandy E. James, JD, PhD, Lead Researcher, 2022 U.S. Transgender Survey Learn more and read a full transcript on our website. Subscribe to our weekly newsletter. Follow us on X, LinkedIn and Youtube. Email us a…
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Girls Are in a Mental Health Crisis. What Can Schools Do?
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Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind? Guests: Monica Bhatt, PhD, Senior Research Director, University of Chicago Education Lab Sheretta Butler-Barnes, PhD, Professor, Washington University Kathleen Ethier, PhD, Di…
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Surprise! Plans To Resolve High Medical Bills Are Still a Mess
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Patients are now mostly protected from surprise bills, but doctors and insurers are still fighting about the prices. Guest: Benjamin Chartock, PhD, Assistant Professor of Economics, Bentley University Learn more and read a full transcript on our website. Subscribe to our weekly newsletter. Follow us on X, LinkedIn and Youtube. Email us at info@trad…
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One Doctor’s Quest to Improve Health Care for People with Disabilities
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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 Barkof…
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Can Washington Make Medicare and Medicaid Work Better Together?
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A bipartisan bill takes aim at a $500 billion health care problem that few people have ever heard of. Will it make care better for some of the country’s sickest, poorest patients? Guests: U.S. Senator Bill Cassidy (R-LA) Saleema Render-Hornsby, Dually eligible patient Allison Rizer, MBA, Executive Vice President, ATI Advisory Eric Roberts, PhD, Ass…
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Mads Israelsen on validating the new steatotic liver disease nomenclature in people with excessive alcohol intake
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Mads Israelsen (Odense University Hospital) discusses a study to validate the new nomenclature of steatotic liver disease in patients with a history of excessive alcohol intake. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00443-0/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue this convers…
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There are a lot of concerns about the dangers artificial intelligence could pose to your health privacy. AI expert Nicholson Price explains why he thinks too much concern over privacy could make health care AI worse. Guest: Nicholson Price, JD, PhD, Professor of Law, University of Michigan Learn more and read a full transcript on our website. Subsc…
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Louise Dye on the role of expectancy and gluten in non-coeliac gluten sensitivity
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Louise Dye (University of Leeds) discusses a trial exploring the role of expectancy and gluten ingestion on symptoms in people with non-coeliac gluten sensitivity. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00317-5/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversation on socia…
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How Pushing Hospitals to Give Away More Free Care Could Backfire
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With high health bills drowning patients in debt, some lawmakers want nonprofit hospitals to give away more free care. But experts warn that could wind up being worse for patients. Guests: Ge Bai, PhD, CPA, Professor of Accounting at Carey Business School, Professor of Health Policy at Bloomberg School of Public Health at Johns Hopkins University J…
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‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’
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A handful of states allow terminally ill people to take life-ending medications prescribed by a doctor instead of waiting for death. This week, we talk with journalist Steven Petrow about his sister’s choice to use medical aid in dying. Guest: Steven Petrow, Journalist and author Learn more and read a full transcript on our website. Subscribe to ou…
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Hope, Hype or Harm? What We Know About New Cancer-Screening Tools
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Companies claim they can catch cancer sooner with new blood tests and full-body MRI scans. What are the risks and benefits? Guest: Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School; primary care physician, Brigham and Women's Hospital Learn more and read a full transcript on our website. Subscribe to our weekly newsle…
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Tradeoffs LIVE! Rooting Out Racial Bias in Health Care AI
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A live conversation between a top federal health official and a health care executive about how they must work together to keep AI from exacerbating racial bias in health care. Guests: Micky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services James Ellzy, MD, Chief Health Officer,…
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5 Ways America's Courts Could Change Health Care in 2024
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Key court decisions in 2024 about prescription drug prices, abortion bans, gender affirming care and the Affordable Care Act could change the way health care is delivered in America. Guests: Zach Baron, Co-director of Health Policy and the Law Initiative, O’Neill Institute for National and Global Health at Georgetown University Law Center Katie Eye…
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Why Are People Afraid of the Most Popular Opioid Addiction Treatment?
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Fentanyl killed 75,000 people in 2022. Now it’s making one of the few treatments for opioid addiction harder to use. Guests: Eric Ezzi, Certified Recovery Specialist, Penn Medicine Ashish Thakrar, MD, Assistant Professor of Medicine, University of Pennsylvania Leslie Suen, MD, Assistant Professor of Medicine, University of California San Francisco …
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We've got a lot to share with you in 2024! We're looking into how fentanyl and other synthetic opioids are upending long established treatments for opioid addiction, and what clinicians and policymakers are doing to adapt. There are a bunch of cases in the courts this year that have the potential to change Americans' access to care, and restrict th…
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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices
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Last fall, the federal government named its first 10 targets for historic drug price negotiations with big pharma. Those negotiations are expected to heat up this February when federal officials make their opening price offers. This week, we offer a refresher on how this negotiation process will work and the impact it could have. Guests: Anton Avan…
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More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure. Guest: Sarah Jane Tribble, Senior Correspondent, Kaiser Health News Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hos…
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Presenting STAT’s First Opinion: How Two Abortion Providers Grapple with Their Post-Roe Reality
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From where medical students are choosing to train to how doctors are caring for women in reproductive health crises, the Supreme Court's decision to overturn Roe has had major ripple effects on the field of medicine. In this conversation from our friends at STAT's First Opinion podcast, host Torie Bosch talks with two abortion providers about what …
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One Economist’s Plan to Blow Up America’s Health Insurance System
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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, MI…
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Tzu-Chan Hong on the primary antibiotic resistance of Helicobacter pylori in the Asia-Pacific region
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Tzu-Chan Hong (National Taiwan University Cancer Centre) discusses a systematic review and meta-analysis on primary antibiotic resistance of Helicobacter pylori between 1990 and 2022 in the Asia-Pacific region. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00281-9/fulltext?dgcid=buzzsprout_icw_podcast_gen…
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Rooting Out Racial Bias in Health Care AI, Part 2
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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 racia…
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Marisa Stahl and Edwin Liu on coeliac disease in children
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Marisa Stahl and Edwin Liu join Amy Slogrove in conversation about their Review in The Lancet Child and Adolescent Health on coeliac disease, the commonest autoimmune disease in children, and what we can learn from prospective longitudinal studies. Read the full Review: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(23)00232-8/full…
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Rooting Out Racial Bias in Health Care AI, Part 1
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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 episode…
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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 …
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Sarah Moen on metachronous colorectal cancer risk according to Lynch syndrome pathogenic variant after colectomy
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Sarah Moen (Erasmus University Medical Center) discusses a retrospective cohort study examining the risk of metachronous colorectal cancer after partial or extensive colectomy in carriers of different pathogenic Lynch syndrome variants. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00228-5/fulltext?dgcid=…
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Marie Claire van Hout on children living in prison with a primary caregiver
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Prof Marie Claire van Hout joins Dr Josefine Gibson to discuss the rights to health of children living in prison with their primary caregiver. Read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(23)00190-6/fulltext?dgcid=buzzsprout_icw_podcast_generic_lanchi Continue this conversation on social! Follow us today at…
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More Hospitals Move to Confront Medical Errors Head On
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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 …
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Can the U.S. Put an End to Surprise Ambulance Bills?
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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 th…
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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 ai…
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Growing Pains as California Adds Social Services to Medicaid
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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…
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Medical or Recreational? States Debate Where Psychedelics Belong
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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 a…
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Anna Emilie Kann on the causes of mortality in patients with alcohol-related liver disease
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Anna Emilie Kann (Zealand University Hospital, Denmark) discusses a population-based study done in Denmark exploring the causes of mortality in patients with alcohol-related liver disease. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00192-9/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue t…
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