

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

5 snips
Mar 6, 2025 • 32min
One Doctor’s Quest to Improve Health Care for People with Disabilities
Clarissa Kripke, a Clinical Professor and advocate for healthcare improvements for individuals with disabilities, joins Senior Producer Leslie Walker to discuss critical healthcare reform. They delve into the systemic challenges faced by adults with intellectual disabilities, emphasizing the need for personalized care and innovative solutions. The conversation highlights the inspiring CART model, which integrates clinical services and advocacy, fostering independence for individuals like Kevin Carlson. Together, they address disparities in service access and the urgent call for change in the healthcare landscape.

12 snips
Feb 27, 2025 • 25min
Lots of Hospitals Are Using AI. Few Are Testing For Bias
In this discussion, Paige Nong, an Assistant Professor at the University of Minnesota specializing in AI's influence on healthcare, reveals the current landscape of AI use in hospitals. She highlights the concerning lack of bias testing in predictive algorithms, particularly those affecting marginalized patients. The conversation emphasizes the urgent need for consistent governance to ensure equitable treatment. Nong also addresses challenges faced by safety net hospitals and calls for robust evaluations of AI tools to enhance patient experiences and support health equity.

Feb 20, 2025 • 22min
Getting Health Care to Undocumented Immigrants in Trump's America
Worrying about deportation can literally make people sick. Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies.Guests:MariaSteph Willding, CEO, CommunityHealthEmily Hendel, Director of Clinical Services, CommunityHealthSamantha Artiga, Vice President and Director for Racial Equity Health Policy Program, KFFLearn more 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 13, 2025 • 18min
As Trump Targets USAID, What’s at Stake for U.S. and Global Health?
The Trump administration’s swift and sweeping efforts to dismantle the U.S. Agency for International Development is creating chaos across global public health efforts. One doctor working to halt an Ebola outbreak in Uganda reflects on consequences, now and long-term, of America’s abrupt change in policy.Guest:Dr. James Lawler, Director of International Programs and Innovation, Global Center for Health Security at the University of Nebraska Medical CenterLearn 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.

10 snips
Feb 6, 2025 • 26min
RFK Jr. Wants to Change What Americans Eat. He's Not The First
Laura Schmidt, a renowned professor at UC San Francisco focusing on chronic disease prevention, discusses the potential impact of Robert F. Kennedy Jr. as Secretary of Health and Human Services. The conversation delves into the complexities of implementing effective food policies in the U.S., highlighting successful soda tax initiatives in Berkeley and the challenges from lobbying forces. They also explore the need for updated national dietary guidelines and the potential reforms in American nutrition amidst political hurdles. Schmidt emphasizes the importance of transparency in shaping a healthier food landscape.

Jan 30, 2025 • 20min
The Powerful Vaccine Committee RFK Jr. Could Soon Control
If the Senate confirms Robert F. Kennedy Jr. — a vaccine skeptic — to lead the Department of Health and Human Services, he would control a powerful group of federal vaccine advisors.Guests:Ron Balajadia, Hawaii Department of Health immunization branch chiefDorit Reiss, University of California, San Francisco, professor of public health law Dr. Sarah Long, former member of the Advisory Committee on Immunization Practices and Drexel University, professor of pediatric infectious diseaseDr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia.Richard Hughes IV, attorney with Epstein Becker Green Per Fischer, CEO, MinervaXLearn 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 28, 2025 • 23min
RFK Jr. Is Headed to Capitol Hill. A Former HHS Secretary Lays Out the Stakes
Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings.Read our new story about an obscure but extremely influential vaccine committee that Kennedy, if confirmed. would control.Guest:Kathleen Sebelius, Former U.S. Secretary of Health and Human Services SecretaryLearn 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
Jan 23, 2025 • 25min
Why Many Republicans Think Shrinking Medicaid Will Make it Better
Many Republicans have singled out Medicaid as a policy that could see big changes under the new administration and Congress. We take a closer look at why many conservatives think less Medicaid will mean better Medicaid.Guests:Josh Archambault, Senior Fellow, Cicero InstituteBrian Blase, President, Paragon Health InstituteMichael Cannon, Director of Health Policy Studies, Cato InstituteElizabeth Matney, Iowa Medicaid Director (2021-2024)Barbara Sears Roshon, Ohio Medicaid Director (2016-2019)Tom Scully, CMS Administrator (2001-2004)Learn more 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.

15 snips
Jan 16, 2025 • 26min
Biden’s Medicaid Director Reflects on Lessons Learned and Worries for the Future
With Medicaid poised for potential cuts from Republicans in Washington, Dan Tsai reflects on what he's learned running Medicaid for the Biden administration — and his hopes and concerns for the program's future.Guest:Dan Tsai, Deputy Administrator and Director of Center for Medicaid and CHIP Services, CMSLearn more 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 9, 2025 • 42min
The Fifth Branch: The Last Line of Care
Ryan Smith, Director of the Durham Community Safety Department, and Sammetta Cutler, a Peer Support Specialist, dive into the innovative HART program. They discuss the urgent need for alternative response teams to tackle crises involving mental illness, homelessness, and addiction. Smith and Cutler reflect on the challenges of linking individuals in distress to long-term care. They emphasize the importance of compassionate intervention and advocate for integrating personal stories into policy discussions to effect change in community safety and support systems.


