

Tradeoffs
Tradeoffs
Tradeoffs explores the toughest choices in health care, diving into issues like the cost of care, health equity, insurance, mental health and artificial intelligence. We connect policy to practice, uncovering the data and personal stories that help audiences understand the stakes — and the potential solutions.Learn more about us, find transcripts for each episode and additional reporting at https://tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
Episodes
Mentioned books

Mar 26, 2026 • 24min
Generic Drugs Head to the Supreme Court
Leslie Walker, senior health policy reporter who covers drug pricing, breaks down Hikma v. Amarin and what it could mean for generic competition. She explains skinny labeling, the companies and drug at issue, and how court rulings might raise costs or chill generics. Short takes on litigation costs, business incentives, and possible Supreme Court outcomes.

Mar 19, 2026 • 39min
Inside the Urgent Care Boom
Nicole Curry, health reporter who covered oncology urgent care centers, Alan Yu, health reporter who examined private equity in urgent care, and Liz Tong, reporter who investigated the urgent care workforce. They discuss the urgent care boom, private equity-driven expansion, staffing and training challenges, work-life tradeoffs for clinicians, and the rise of specialty urgent care for cancer patients.

Mar 12, 2026 • 21min
‘It Sucks’: Spiking Health Insurance Costs Hit Small Businesses
An employer in Chicago describes how another year of rising premiums forced her to consider dropping her workers’ insurance.Guest:Rachel Bernier-Green, Founder and CEO, EJ ConsortiumLearn 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

11 snips
Mar 5, 2026 • 26min
'We Can’t Afford All These Humans’: A Doctor's Take on AI in Health Care
Bob Wachter, physician and author who chairs medicine at UCSF, explores how AI could reshape clinical work and health systems. He recounts lessons from electronic health record rollouts. He discusses digital scribes, where AI might save time but not automatically cut costs. He weighs bias risks, data and staffing needs, and a future where routine care is automated while humans handle complex cases.

Feb 26, 2026 • 26min
Immigration Enforcement’s Twin Threats to Health Care
Patients are afraid to show up to medical appointments, while workers are being detained, deported or losing their visa statuses.Guests:Sahida Martinez, promotora, EnlaceJadhira Sanchez, director of community health, EnlaceSteph Willding, CEO, CommunityHealthJordan Herring, Postdoctoral scholar, Emergency medicine, StanfordHannah Janeway, Emergency medicine physician, Los AngelesLaura Messineo, CNO, WorldWide HealthStaff Solutions 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Feb 19, 2026 • 20min
As States and CDC Split on Vaccines, What's Next?
Half of states have rejected federal vaccine guidance on childhood vaccines after controversial changes by the CDC. Public health experts say the split is sowing confusion and increasing the risk of outbreaks. Guests:Michelle Fiscus, physician, chief medical officer, Association of Immunization ManagersJen Kates, senior vice president; director, global and public health policy, KFF Tao Sheng Kwan-Gett, physician, health officer, Washington Department of HealthPhilip Landrigan, physician and director, program for global public health and the common good, Boston College Dorit Reiss, law professor, University of California, San FranciscoLearn 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Feb 12, 2026 • 25min
A Better Way to Care for Older Adults with Opioid Addiction
How one addiction clinic in Baltimore has found success combining addiction care with support for the many other health problems older Americans often face.Guests:Malik Burnett, Medical Director, REACH Health ServicesLisa Clemans-Cope, Senior Research Fellow, Urban InstituteRenee Gray, Patient, REACH Health ServicesPhyllis Lindsay, Peer Recovery Specialist, REACH Health ServicesMaggie Lowenstein, Assistant Professor, Medicine, University of Pennsylvania Perelman School of MedicineVickie Walters, Executive Director, REACH Health ServicesLearn 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Feb 5, 2026 • 24min
Mental Illness Left Their Loved Ones on the Streets. California’s Big Fix Hasn’t Helped
How Gov. Gavin Newsom’s ambitious plan to force more people into treatment left many families still searching for help.Guest(s):June DudasMarisa Kendall, homelessness reporter, CalMattersRead CalMatters full “Courting Disappointment” series here. 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Jan 29, 2026 • 24min
One State's Sprint for its Share of $50 Billion for Rural Health: Part 2
Maryland finds out how much the state will get from a nationwide competition for federal rural health investment.Guest(s):Christina Koontz, paramedic Elizabeth Kromm, assistant secretary for population health and strategic initiatives, Maryland Department of HealthMike Salvadge, chief of emergency medical services, Allegany County, Md. Meena Seshamani, Maryland secretary of healthHemi Tewarson, executive director, National Academy for State Health PolicyLearn 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Jan 22, 2026 • 28min
One State's Sprint for its Share of $50 Billion for Rural Health: Part 1
We follow Maryland's 52-day rush to convince the Trump administration to give the state new funding to transform rural health care.Guests:Bonita Baer, Maryland residentMark Boucot, president and CEO of Garrett Regional Medical Center and Potomac Valley Hospital Elizabeth Kromm, assistant secretary for population health and strategic initiatives, Maryland Department of HealthLevi Lantz, ALL Produce & GreenhouseKen Ulman, former executive, Howard County, Maryland; president of Margrave StrategiesLearn 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 news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.


