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Tradeoffs

America's costly and complicated health care system faces an enormous burden: fixing the flaws the pandemic has revealed in our health care system. Addressing these flaws will require us to tackle hard questions with no easy answers. It will require Tradeoffs. Long-time health care reporter Dan Gorenstein hosts an examination of health care, policy, and people; and the weighty decisions we all find ourselves faced with. See acast.com/privacy for privacy and opt-out information.

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What Brings You In Today?

The average doctor does more than 200,000 patient interviews in their career, making communication one of the most common procedures in medicine. How are we training providers in it and are those efforts working? Get more content and resources on our website: https://bit.ly/tradeoffsep3 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

31mins

13 Nov 2019

Rank #1

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'Hot Spotters' on Trial

Nearly two decades ago, Dr. Jeff Brenner hypothesized that nurses and social workers could guide the country's most complicated patients toward better health ... and cut expensive hospital admissions along the way. Was he right?Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep7 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

29mins

8 Jan 2020

Rank #2

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The Good Stuff

Two friends have spent 20 years trying to redesign insurance around one simple but elusive goal: make the good stuff more accessible than the bad stuff. Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep5 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

26mins

11 Dec 2019

Rank #3

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Feeding the Sick

We know good nutrition is tied to good health. But is there evidence that food should be prescribed and paid for like medicine?Guests: Bouba Dieme and Desirée AllenDavid Waters, CEO of Community ServingsDr. Mandy Cohen, Secretary of North Carolina's Department of Health and Human ServicesLearn more and check out the evidence for yourself on our website: http://bit.ly/tradeoffsep4As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

20mins

27 Nov 2019

Rank #4

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Primary Care in Crisis

The coronavirus pandemic is putting a serious strain on the country's primary care system.Guests: Michaela Keller, Manager, Federal Affairs, National Association of Community Health CentersChuck Jones, President and CEO, Harbor Health ServicesFarzad Mostashari, MD, Co-founder and CEO, AledadeMeredith Rosenthal, PhD, Professor of Health Economics and Policy, Harvard T.H. Chan School of Public HealthRead the transcript of this episode: https://tradeoffs.org/2020/03/25/primary-care-in-crisisSee all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

15mins

25 Mar 2020

Rank #5

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The Price of Innovation

Every time the U.S. tries to rein in rising drug prices, we hear the same thing from pharma: Stymie our profits, and you’ll get less innovation and fewer breakthrough treatments. Does the evidence back up this constant refrain?Guests:Chaitan Khosla, Director of Stanford ChEM-HCraig Garthwaite, Associate Professor of Strategy, Kellogg School of Management at Northwestern UniversityStacie Dusetzina, Associate Professor of Health Policy, Vanderbilt UniversityCheck out the research for yourself and learn more on our website: http://bit.ly/tradeoffsep8 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

19mins

22 Jan 2020

Rank #6

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Leap of Faith

As the opioid crisis continues to ravage the country, some states are turning to controversial laws that force people into treatment. Are they part of the solution or could they make things worse? (Note: This episode has been corrected to include the most updated number of states with compelled treatment laws.)Guests:Dr. Abhishek Jain, forensic psychiatristRep. Lauren Davis, Washington stateMerredith Cunniff, nurse, advocate and former civil commitment patientCheck out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep6 As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

18mins

2 Jan 2020

Rank #7

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Coronavirus Conversations: Mayra Jimenez

After the coronavirus takes her job and her insurance along with it, a woman living with a chronic condition navigates her new reality.Guests: Mayra Jimenez and Linda WhiteRead the transcript: https://tradeoffs.org/2020/03/27/cc-jimenez/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

10mins

27 Mar 2020

Rank #8

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After the Hospital

Is it a good idea for hospitals to send patients recovering from COVID-19 to nursing homes?Guests:David Grabowski, PhD, Professor of Health Care Policy, Harvard Medical SchoolRachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of PennsylvaniaGet more information and read the transcript of this episode: https://tradeoffs.org/2020/04/03/after-the-hospital/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Support our show: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

11mins

3 Apr 2020

Rank #9

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Match Day

Every year on Match Day, thousands of medical students find out where they will continue their medical training as residents. The U.S. spends billions each year on those residencies, so why aren't we getting the doctors we need where we need them?Guests: Candice Chen, MD, MPH, Associate Professor in the Department of Health Policy and Management at George Washington UniversityTed Epperly, MD, President and CEO of the Family Medicine Residency of IdahoAtul Grover, MD, PhD, Executive Vice President of the Association of American Medical CollegesLearn more about how the U.S. funds residency programs on our website: https://tradeoffs.org/2020/03/20/season-1-ep-12Read the transcript of this episode: https://tradeoffs.org/episode-12-transcript/As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

16mins

20 Mar 2020

Rank #10

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Coronavirus Conversations: Amy Richardson

A doctor worries about the care her patients won't get because of the coronavirus.Guest: Dr. Amy Richardson, OB-GYNRead the transcript: hhttps://tradeoffs.org/2020/03/28/cc-richardson/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

5mins

28 Mar 2020

Rank #11

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Coronavirus Conversations: David Reich

A view from inside a hospital at the epicenter of the U.S. coronavirus outbreak in New York City.Guest: Dr. David Reich, President and Chief Operating Officer, Mount Sinai HospitalRead the transcript: https://tradeoffs.org/2020/03/31/cc-reichSee all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

10mins

31 Mar 2020

Rank #12

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Coronavirus Conversations: Chris Chen

How do you take care of "the old, the poor and the sick" during a global pandemic?Guest: Chris Chen, CEO ChenMedRead the transcript: https://tradeoffs.org/2020/03/19/cc-chen/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

9mins

19 Mar 2020

Rank #13

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The Sidebar: A Deeper Dive Into RCTs

In this debut edition of The Sidebar, your home for bonus Tradeoffs content, cohosts Dan and Sayeh take a closer look at the randomized controlled trial (RCT), a popular method for evaluating health interventions. Learn more about the tradeoffs of RCTs on our website: http://bit.ly/the-sidebar1 Listen to our story on the widely discussed new “hot spotting” RCT here: https://apple.co/2t4T1yrAnd tell us what you think about the episode @tradeoffspod See acast.com/privacy for privacy and opt-out information.

8mins

14 Jan 2020

Rank #14

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Coronavirus Conversations: Daniela Lamas

A look at the experiences of patients in an ICU, who, due to new hospital policies, are unable to see family.Guest: Daniela Lamas, a pulmonary and critical care doctor at the Brigham & Women's Hospital.Read the transcript: https://tradeoffs.org/2020/04/02/cc-lamas/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

11mins

2 Apr 2020

Rank #15

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Who Gets Care

In response to the coronavirus, experts are designing plans to ration resources and determine who should get care before someone else. Guests: Douglas White, Professor of Critical Care Medicine at the University of PittsburghSamuel Bagenstos, Frank G. Millard Professor of Law at the University of MichiganMarie Baldiserri, Professor of Critical Care Medicine at the University of PittsburghLearn more about triage philosophy practicalities, visit https://tradeoffs.org/2020/04/14/who-gets-care/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

18mins

14 Apr 2020

Rank #16

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Primary Concerns

The Iowa caucuses were a mess. But one thing is clear: Health care is a top issue for Democratic voters in 2020. We dive into the polls and talk with voters to understand how and why health care is shaping this year's election.Guests:Ashley Kirzinger, Associate Director of Public Opinion and Survey Research, Kaiser Family FoundationRyan Levi, Producer, TradeoffsDig deeper into the Kaiser Family Foundation's 2020 polling and see pictures of the voters on our website: http://bit.ly/tradeoffsep9Read the transcript of this episode: http://bit.ly/ep9-transcript As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

22mins

5 Feb 2020

Rank #17

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Primary Care on the Mend

The coronavirus is straining our primary care system. But, for some, the situation is starting to look more robust.Guests: Chuck Jones, President and CEA, Harbor HealthFor more information about how primary care services are faring in this climate, visit https://tradeoffs.org/2020/04/28/primary-care-on-the-mend/To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs.Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

9mins

28 Apr 2020

Rank #18

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Coronavirus Conversations: Bob Wachter

How one hospital is dealing with difficult decisions in the wake of the coronavirus.Guest: Bob Wachter, Chair of the Department of Medicine at the University of California, San FranciscoRead the transcript: https://tradeoffs.org/2020/03/17/cc-wachter/See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

8mins

17 Mar 2020

Rank #19

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In Short Supply

Shortages of basic medical supplies have become a familiar pattern for hospitals around the U.S. What causes them? And how can we prevent them?Guests: Dr. Eric Haas, Chief of Colorectal Surgery, Houston MethodistMatt Grennan, Assistant Professor of Health Care Management, Wharton School at the University of PennsylvaniaOzlem Ergun, Professor of Mechanical and Industrial Engineering, Northeastern UniversityLearn more about medical device and supplies shortages on our website: http://bit.ly/tradeoffsep10Read the transcript of this episode: http://bit.ly/ep10-transcriptAs they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate Follow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

23mins

19 Feb 2020

Rank #20