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.
Tradeoffs

Tradeoffs

From WFYI Public Radio

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.

Most Recent Episodes

Rooting Out Racial Bias in Health Care AI, Part 2

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 racial bias in health care AI, we dig into what the Biden administration is doing to keep biased algorithms from getting to the bedside. Guests: Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation Minerva Tantoco, Chief AI Officer, New York University McSilver Institute for Poverty, Policy and Research Carmel Shachar, JD, MPH, Executive Director, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School Kathryn Marchesini, JD, Chief Privacy Officer, Office of the National Coordinator for Health Information Technology Melanie Fontes Rainer, JD, Director, HHS Office for Civil Rights 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. Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Rooting Out Racial Bias in Health Care AI, Part 1

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 episodes on racial bias in health care AI, we explore the challenge of diagnosing bias in AI and what one health system is trying to do about it. Guests: Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation Ganga Moorthy, MD, Global Health Fellow, Duke Pediatric Infectious Disease Program Paige Nong, PhD Candidate, University of Michigan 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 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.

The Hurdles Facing Black Families Navigating Serious Illness

Black Americans are at higher risk for many serious illnesses like dementia and kidney failure. But data show they are less likely to have their pain treated and less likely to access services like hospice and palliative care that can reduce suffering, especially at the end of life. This week, we explore what stops seriously ill Black patients and their families from getting the care they want in life and in death. Guests: Deborah Brunson, PhD, Caregiver and Professor Emeritus, University of North Carolina Wilmington Karen Bullock, PhD, LCSW, Professor, Boston College School of Social Work 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.

The 'Reverse Disparity' in Psychosis Care

Every year, 100,000 Americans — mostly teens and young adults — experience their first psychotic episode. Research shows getting specialized, holistic treatment early can help, but most people don't get that care. KQED's April Dembosky shares her reporting on why early treatment for psychosis can be so hard to get. Guest April Dembosky, Health Correspondent, KQED News 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. Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

The Wonky Policy That's Got Hospitals on High Alert

Medicare could soon pay hospitals much less for common outpatient services like x-rays and checkups. This week, we explain an old policy gathering new steam in Washington, how it could save Medicare and patients billions of dollars a year, and why it has hospitals worried. Guests: Loren Adler, MS, Fellow and Associate Director, USC-Brookings Schaeffer Initiative for Health Policy Joe Antos, PhD, Senior Fellow, American Enterprise Institute Amol Navathe, MD, PhD, Associate Professor of Health Policy and Medicine, University of Pennsylvania Hannah Neprash, PhD, Assistant Professor, University of Minnesota School of Public Health Ashley Thompson, MHA, Senior Vice President, American Hospital Association 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.

How 'Random Acts of Medicine' Shape Our Health Care

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, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital 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. Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

The Drugs Changing How We Treat Obesity

A new class of drugs can help people lose up to one-fifth of their body weight and manage serious health conditions associated with obesity. But they're also raising difficult questions. This week, we talk with STAT reporter Elaine Chen about how these breakthrough treatments are changing how we view and treat obesity. Guest: Elaine Chen, Cardiovascular Disease Reporter, STAT 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. Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Hospice Care's Midlife Crisis

About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues. This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die. Guests: Vince Mor, PhD, Professor of Health Services, Policy & Practice, Brown University Bethany Snider, MD, Chief Medical Officer, Hosparus Health David Stevenson, PhD, Professor of Health Policy, Vanderbilt University School of Medicine Leslie Walker, Senior Producer, Tradeoffs Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up for Research Corner, our free weekly newsletter, featuring the latest health policy research and news. Support this type of journalism today, with a gift. Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

The Latest Threat to the Affordable Care Act

The Affordable Care Act faces yet another in a long string of legal challenges. Last Thursday's ruling, by a conservative federal judge who has targeted the ACA before, jeopardizes a provision in the law that gives 150 million Americans access to free preventive care for conditions like HIV and cancer. Guest: Nicholas Bagley, JD, Professor of Law, University of Michigan 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.

The Treacherous Transition Awaiting Millions Losing Their Medicaid

We dig into three research papers to make sense of what will happen to 15 million people set to lose their Medicaid over the next year. Guests: Sayeh Nikpay, PhD, Tradeoffs Senior Research Advisor; Associate Professor of Health Policy and Management, University of Minnesota 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.