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The Dose

The Commonwealth Fund

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The Dose is the Commonwealth Fund’s podcast that presents fresh ideas, new perspectives, and compelling conversations about where health care is headed. Join host Joel Bervell this season for conversations with leading and emerging experts in health care and health policy. Get the Dose in your inbox: https://thedose.show/signup
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In this special podcast series for Remembrance Day from the Army Benevolent Fund, Harry Bucknall and guests spotlight incredible tales of gallantry during the two World Wars. The grit and heroism of the British Army and Commonwealth soldiers, and extraordinary moments of courage and self-sacrifice will be forever remembered.
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This month, a 12-year-old boy in Washington, D.C., became the first person in the world to undergo a grueling gene therapy treatment that could cure his sickle cell disease. It is a game-changer for a disease whose history has been plagued by the racism baked into our health care system. On The Dose podcast, host Joel Bervell sits down with Dr. Cec…
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In Dr. Joseph Betancourt’s vision for the future of U.S. health care, “any patient who goes to any health care system around the country should get the highest quality of care, no matter who they are or where they’re from.” As the Commonwealth Fund’s new president, he’s tackling some of the biggest challenges facing the U.S. health system while try…
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As a physician, researcher, and educator, Dr. Cheryl R. Clark wants her students to understand what vision, love, and equity can bring to health care if we prioritize them — and why she believes doing so is critical to advancing health equity. In the latest episode of The Dose podcast, host Joel Bervell talks with Clark about how she brings health …
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In medical school, students learning about illness, pathology, and disease are trained almost exclusively on images of white patients. Even materials on illnesses that predominantly affect Black people, like sickle cell disease, and textbooks used in medical schools in countries where most people are Black, are filled with illustrations of white bo…
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Montgomery, Alabama’s capital, is known as the birthplace of gynecology. It’s a brutal history, as the field’s “founding father,” J. Marion Sims, advanced his work through the experimentation on enslaved women and babies. Artist and health care activist Michelle Browder has forced a reckoning with this legacy with one clear goal — we need to talk a…
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This year in the United States, an estimated 2 million people will receive a new cancer diagnosis, and a growing proportion will be younger adults and people of color. Many of these cases could be prevented — nearly 60 percent of colorectal cancers, for example, could be avoided with early detection. Physician and UCLA researcher Dr. Folasade May i…
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Overtreatment is a big problem in American health care. The proliferation of unnecessary medical tests and procedures not only harms patients but costs the United States billions of dollars every year. Between 2019 and 2021, Medicare spent as much as $2.4 billion on unnecessary coronary stents alone. At some hospitals, it’s estimated that more than…
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Health care is a $4.3 trillion business in the United States, accounting for 18 percent of the nation’s economy. It should come as no surprise then that the industry has become attractive to private investors, who promise cost savings, expanded use of technology, and streamlined operations. But according to Yale University’s Howard Forman, M.D., “m…
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Nearly one in five Americans has medical debt. Black households are disproportionately affected, carrying higher amounts of debt at higher rates. Berneta Haynes, senior attorney with the National Consumer Law Center, describes Black Americans’ medical debt burden as a continual cycle fed by higher rates of chronic illness and lower rates of wealth.…
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Forty-four percent of U.S. women now live with some form of heart disease, a number that’s been climbing steadily over the past decade. And although it’s the leading cause of death among women, just 14 percent of cardiologists are women. This week on The Dose podcast, host Joel Bervell interviews cardiologist Martha Gulati, M.D., associate director…
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Even though the U.S. has the highest maternal mortality rate of any developed country, federal programs that have been proven to improve maternal health outcomes are often the target of budget cuts. This week on The Dose podcast, guest host Rachel Bervell speaks with Dr. Jamila Taylor, president and CEO of the National WIC Association, the nonprofi…
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Research shows that Black women and other women of color experience the worst health outcomes of any group in the United States — regardless of income level. On The Dose podcast this week, host Joel Bervell talks to public health innovator Ashlee Wisdom, founder of a digital platform that connects women of color to culturally competent health care …
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This week on The Dose podcast, host Joel Bervell talks to Michelle Morse, New York City’s first-ever chief medical officer. Starting in her role at the height of the COVID pandemic, Dr. Morse quickly understood the importance of establishing strong connections between the health department and the city’s health care providers to help close gaps in …
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On this week’s episode of The Dose, host Joel Bervell talks with Dr. Fatima Cody Stanford about obesity: its history, including the racist origins of the body mass index (BMI), as well as the flawed science, misperceptions, and stigma that people with obesity encounter. Stanford, who’s based at Massachusetts General Hospital, calls obesity “a reall…
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On this week’s episode of The Dose, host Joel Bervell speaks with Dr. Ziad Obermeyer, from the University of California Berkeley’s School of Public Health, about the potential of AI in informing health outcomes — for better and for worse. Obermeyer is the author of groundbreaking research on algorithms, which are used on a massive scale in health c…
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On this special season of The Dose, guest host Joel Bervell is hosting a series of conversations with experts and leaders in health equity. In examining how we can uproot racism in our healthcare system, we are starting at the beginning of many healthcare careers: medical school. Naomi Nkinsi was one of the few Black students in her cohort at Unive…
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Joel Bervell joins The Dose to host a special season examining equity in health care. Joel has garnered hundreds of thousands of followers on TikTok and Instagram debunking medical myths and dissecting racism in health care. This season, he'll host a series of compelling conversations with emerging and established leaders working to transform the h…
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The maternal mortality rate in the United States is more than double that of our peers – and it’s especially high among Black birthing people. Why? The Commonwealth Fund collaborated with Lemonada Media to create Uncared For, a six-part podcast series, hosted by award-winning journalist SuChin Pak (Add to Cart, MTV News) to take a personal and wide…
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What people eat, where they live, and how much they earn can impact their overall health more than the medical care they receive — sometimes much more. Now, for the first time, federal policymakers are trying to measure and screen for what are known as the drivers of health. On this week’s episode of The Dose, Shanoor Seervai talks with Alice Chen,…
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In post-Roe America, many women seeking abortions are treading on landmines, particularly in states where access is banned or severely restricted. On the latest episode of The Dose, host Shanoor Seervai talks to Raegan McDonald-Mosley, M.D., about a tool that makes it easier for people to determine what the laws are in their state and where they ca…
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The midterm elections are around the corner, and health care is likely to be a major factor in how Americans vote. Abortion and reproductive health access will motivate many people, as will inflation (which impacts the cost of care). On the latest episode of The Dose, host Shanoor Seervai talks about the most pressing health care battles to watch w…
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Bills targeting the rights of LGBTQ+ people are under consideration in state legislatures across the country. Many aim to make it more difficult for transgender people to get health care — something that’s already a challenge for many, particularly trans youth. On the latest episode of The Dose, host Shanoor Seervai interviews Austin Johnson, an as…
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Earlier this week, President Biden declared the pandemic over. This tracks with public opinion: most Americans have long abandoned their masks, and federal funds may soon dry up for testing, treatment, and even vaccines. Of course, this doesn’t mean the virus has disappeared. In fact, hundreds of Americans are still dying each day from COVID-19, an…
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Among other things, the Inflation Reduction Act is being hailed as a potential breakthrough in making health care more affordable. But what does this landmark legislation, enacted last month, really mean for Americans – now and in the future? To open the new season of The Dose, host Shanoor Seervai interviews Stacie Dusetzina, an associate professo…
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Social programs like Medicaid are supposed to help people, but often they reproduce racial inequities — and sometimes actually create them. That’s because even well-intentioned policymakers can’t always see the disproportionate impact their decisions have on people of color. But what if there were a tool to help legislators and government officials…
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Climate change can have a devastating impact on our health. When people are injured or exposed to disease related to floods or fires, it’s up to health systems to pick up the pieces. But health care itself is one of the world’s most carbon-intensive industries, responsible for 4.5 percent of all greenhouse gas emissions. What can health systems do …
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The Dose will be taking a short summer break while our team works on brand-new episodes for the next season. Listen to our season finale, in which we highlight some of the accomplishments of our guests. Join us in the fall, for new conversations with health policy experts as they share ideas about how the U.S. can improve health care for everyone. …
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A well-functioning public health system is vital to keeping individuals, and the population at large, safe and healthy. Except that success is often invisible when it comes to public health—we don’t notice it until the system breaks down. The U.S. public health system has taken a drubbing from COVID-19. But the pandemic has also driven home just ho…
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Racial bias in medical care extends all the way to the prescription pad. Research shows that people of color are less likely to receive the most effective treatments for life-threatening conditions, including cancer and heart disease. One way to address this is by aiming for “pharmacoequity” — where all patients, regardless of race, socioeconomic s…
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Nurses in the United States are experiencing burnout at unprecedented rates. More than two years into the pandemic, they are still processing the trauma of what they witnessed in the early days. Staffing shortages, meanwhile, are creating unmanageable workloads. On the latest episode of The Dose podcast, host Shanoor Seervai interviews Rebecca Love…
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When a federal judge lifted the national mask mandate on airplanes, trains, and other public transportation, some Americans broke out the champagne. Others wrung their hands, dreading the removal of a relatively simple public health tool at a time when COVID-19 cases are rising across the U.S. On the latest The Dose podcast, Celine Gounder, M.D., S…
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Access to health care is a constitutional right for the 2 million Americans in our criminal justice system. For some of those incarcerated – overwhelmingly people with low income and people of color – the first time they receive care is behind bars. But when individuals transition back into their communities, this care often vanishes. On the latest…
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In the face of overwhelming demand for behavioral health services, the unmet needs of one group stands out: Black and brown teenagers. One reason they’re not getting the care they need is the shortage of child and adolescent mental health providers in the U.S. — particularly providers of color. Making matters worse are the racial stereotypes that p…
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Although primary care is the lifeline of a health care system, the United States spends less on it, and more on specialty care, than other high-income countries. This sends a message to our primary care workforce: we don’t value what you do. The result? Burnout, high turnover, physician shortages—all of which were dire crises before the pandemic bu…
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Americans pay more for prescription drugs than people in other countries do. As medicines become increasingly unaffordable — particularly for people with low incomes — policymakers in both parties are feeling the urgency to address the problem. But what could they do? On the latest episode of The Dose podcast, Robin Feldman, a professor at the UC H…
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Social programs like Medicaid are supposed to help people, but often they reproduce racial inequities — and sometimes actually create them. That’s because even well-intentioned policymakers can’t always see the disproportionate impact their decisions have on people of color. But what if there were a tool to help legislators and government officials…
  continue reading
 
Climate change can have a devastating impact on our health. When people are injured or exposed to disease related to floods or fires, it’s up to health systems to pick up the pieces. But health care itself is one of the world’s most carbon-intensive industries, responsible for 4.5 percent of all greenhouse gas emissions. What can health systems do …
  continue reading
 
The Omicron variant is sweeping across the United States and the rest of the world, breaking previous records of COVID-19 cases and hospitalizations. While it may cause milder illness, its transmissibility and ability to evade vaccines make this surge particularly challenging to navigate. On the latest episode of The Dose podcast, host Shanoor Seer…
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A year after adults in the U.S. began getting vaccinated against COVID-19, children ages 5 and up are now eligible for the shot. So far, uptake has been slow – in part because of parents’ concerns over vaccine safety. On the latest episode of The Dose, pediatrician and American Academy of Pediatrics board member Michelle Fiscus, M.D., and the Commo…
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The U.S. maternal health crisis has been well documented. Black Americans are three times as likely as white Americans to die from pregnancy-related causes. Why do these disparities persist? And what would it take to dismantle structural racism in reproductive health care? On the latest episode of The Dose, Rachel Hardeman, tenured associate profes…
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Vaccines have saved thousands of lives and are an incredible tool in the seemingly endless battle against the coronavirus. But even with COVID surging anew in Europe as winter approaches, the rate at which Americans are getting vaccinated has plateaued. On the latest episode of The Dose, Alison Galvani, founding director of the Yale Center for Infe…
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In this special Remembrance Day podcast, Mark Smith and Harry Bucknall spotlight incredible tales of gallantry that deserved the highest recognition possible. From the selfless sacrifice of NHS staff during the pandemic, to the grit and heroism of the people of Malta during World War Two – gallantry and extraordinary moments of self-sacrifice are l…
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The U.S. housing crisis and health care are inextricably linked. Compared to the general population, people experiencing homelessness have higher rates of illness and mortality. These struggles are even more acute for transgender people, who often face discrimination when they seek both housing and health care. On the latest episode of The Dose, Pa…
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When the pandemic hit last March, mental health care, which was typically delivered in face-to-face sessions, rapidly moved online. At a time when the need for support was greater than ever, this was a welcome shift. But as we glance – with cautious optimism – toward a return to “normal,” will telehealth be the dominant mode of delivering mental he…
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While rich countries are doling out booster shots of the COVID-19 vaccine, many poor countries have vaccinated less than five percent of their population. And, while many leaders agree that vaccinating the world is the only way out of the pandemic, vaccines are still not moving around the globe in a rapid and equitable manner. This is because “we l…
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Even as the Delta variant rages through the U.S., many Americans have not received a COVID-19 vaccine. The reasons are complex, but for Black and Latinx communities, a long history of poor access to health care has been a tall barrier. On the first episode of our brand-new season of The Dose podcast, host Shanoor Seervai talks to Rhea Boyd, M.D., a…
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The Dose is the Commonwealth Fund’s podcast that asks, What can the U.S. do differently when it comes to health care? Join host Shanoor Seervai every other Friday for conversations with leading and emerging experts. This season we’re focusing on new ideas that could strengthen and improve health care for everyone. Get the Dose in your inbox: https:…
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Many Americans have started to behave as if the pandemic is over, but large numbers of people remain unvaccinated. At the same time, other parts of the world are experiencing their worst COVID-19 surges yet. On the season finale of The Dose, Sandro Galea, physician, epidemiologist, and dean of the Boston University School of Public Health, talks ab…
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