Tradeoffs is an award-winning nonprofit news organization on a mission to help the folks on Main Street, Wall Street and Capitol Hill have smarter, more honest conversations about health policy. Founded in 2019 by former Senior Health Care Reporter at Marketplace, Dan Gorenstein, Tradeoffs’ journalism combines data, evidence and storytelling to help people better understand the complicated, costly and often counterintuitive world of health care. Learn more about us and find transcripts for e ...
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Technology and democracy are at a crossroads. Technology can potentially empower people and make our democracies more responsive. Or technology can be used to manipulate and divide us. Welcome to Impossible Tradeoffs. I’m Katie Harbath. In this weekly podcast, we’ll talk about and analyze the most fascinating headlines. We’ll make predictions about where things are going. And we’ll talk to experts about the challenges we face and how we might look for solutions. anchorchange.substack.com
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Good morning. Due to some scheduling changes, I don’t have a podcast for this week. Thank you for understanding. If you are new to the pod, I recommend you check out the archives. Some of the more popular episodes include: * A conversation with Renee DiResta about her book Invisible Rulers * Dave Willner on the evolution of trust and safety in tech…
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Race to the Bottom: Where's the Cavalry?
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Many potent new medicines pose a host of challenges for drug companies trying to copy and sell similar versions on the cheap. Can those companies find a sustainable path forward, or will patients get left stuck paying exorbitant prices? Guests: Christine Baeder, MBA, President, Apotex USA Alfred Engelberg, JD, retired attorney and former counsel to…
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AI and Human Rights: A Balancing Act
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We’re back! Welcome to season three of Impossible Tradeoffs. This season will focus mainly on the U.S. election, how the campaigns use tech, how tech companies respond, and what people outside the United States are watching. First up is Paolo Carozza, a member of the Meta Oversight Board and law professor at Notre Dame. Earlier this week, the Overs…
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Race to the Bottom: Hard Bargain
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America pays less, on average, than any other major country for our generic drugs. But selling essential drugs at such low prices comes with hidden costs — from quality problems to frequent shortages. This is the second episode of Race to the Bottom, a three-part series by Tradeoffs on the problems plaguing the generic drugs we all rely on — and ho…
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Race to the Bottom: Boom Times
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Generic drugs are, in many ways, the unsung hero of America’s health care system, bringing powerful medical innovations within the reach of millions more people. These cheaper copies of brand-name drugs — from pills that stop heart attacks to antibiotics that cure life-threatening infections — save America hundreds of billions of dollars a year. Bu…
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How One Company Gamified Health Insurance
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One organization turns to a game to get employees to debate and decide together what health care they most value. Guests: Paul Fronstin, Ph.D., Director, Health Benefits Research, Employee Benefits Research Institute Jeanette Janota, Senior Research Associate, American Speech-Language-Hearing Association Tavril Saint Jean, Senior Research Associate…
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‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’
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A handful of states allow terminally ill people to take life-ending medications prescribed by a doctor instead of waiting for death. This week, we talk with journalist Steven Petrow about his sister’s choice to use medical aid in dying. Guest: Steven Petrow, Journalist and author Learn more and read a full transcript on our website. Want more Trade…
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Presenting: Lost Patients: Churn
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In The Fifth Branch, Tradeoffs explored new ways to respond to people in a mental health crisis, this week we have look at another area of the mental health crisis the country is grappling with. 'Lost Patients', a new podcast from KUOW and The Seattle Times, dives into why so many people with mental illness live on the streets, and lack long-term c…
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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices
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The Inflation Reduction Act gave Medicare historic new power to directly negotiate the prices of some of the costliest prescription drugs. Now the federal agency must grapple with a difficult question: What makes a drug price fair? This week, we revisit our 2023 episode explaining how this negotiation process works and the impact it could have. Gue…
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The Importance of Diverse Voices in Tech
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I’ve got another special episode of the Summer Spectacular podcast for you with my good friend Emi Kolawole. Emi has 10 years of experience in communications, design, and tech. In our conversation, she shares her insights from attending the Aspen Ideas Festival and the Socrates program. She highlights the importance of including diverse voices, par…
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Hope, Hype or Harm? What We Know About New Cancer-Screening Tools
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Companies claim they can catch cancer sooner with new blood tests and full-body MRI scans. What are the risks and benefits? Guest: Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School; primary care physician, Brigham and Women's Hospital Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up f…
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The Fifth Branch: The Last Line of Care
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Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much can they actually do? We explore how Durham grapples with connecting people to long-term care and support, and where the city draws the line between crisis response and social services. Guests: Ryan Smith, Director, Durham Communi…
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The Fifth Branch: Keeping People Safe
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How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police. Guests: David Prater, Peer Support Specialist, Durham Department of Community Safety Ryan Smith, Director, Durham Department of Community Safety Yolanda, Durham resident Sgt. Dan Leeder, Durham …
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Perspectives on Trust and Safety Among Investors
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Ahead of TrustCon next week, I wanted to bring you a conversation I’ve been trying to set up since Duco released the Trust and Safety Market Research Report in March. Guests, investors Lauren Wagner and Shu Dar Yao, join me to discuss their involvement in the report and the reasons behind it. They highlight key takeaways from the report, such as th…
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The Fifth Branch: Convincing the Cops
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How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls? Guests: Patrice Andrews, Police Chief, Durham Police Department Ryan Smith, Director, Durham Department of Community Safety Sgt. Dan Leeder, Durham Police Department Abena Bediako, Clinical Manager, Durham Department of Community Safety …
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EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Hou…
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BONUS: The Court’s Big Abortion Decisions Are Out. What Now?
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In this special bonus episode, we break down the Supreme Court’s recent abortion rulings with help from health reporter Shefali Luthra. Guest: Shefali Luthra, Health Reporter, The 19th 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 new…
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Why Supporting Caregivers Could Make A Difference in Dementia Care
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Medicare is betting that taking care of the caregiver will help dementia patients stay at home longer. Patients and their caregivers are often left to navigate the confusing world of dementia by themselves, but Medicare is launching a new program to change that. Guests: Malaz Boustani, MD, PhD, Founding Director, Sandra Eskenazi Center for Brain Ca…
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Debrief on the India and EU Elections Online
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I’ll admit, I wasn’t expecting to do my first Summer Spectacular episode quite this quickly. However, when Saurabh Shukla with NewsMobile pinged me on WhatsApp to offer to talk about what had happened in the Indian election, I jumped at the chance. I then saw former Integrity Institute resident fellow Alexis Crews post about her work in the EU, and…
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More Hospitals Move to Confront Medical Errors Head On
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One out of every four Medicare patients in the hospital is the victim of a medical error. Over the past 20 years, a growing number of hospitals have adopted practices that discuss medical mistakes and offer support to the people who must cope with the often tragic consequences. We examine why experts are calling on the Biden Administration to make …
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Invisible Rulers: The People Who Turn Lies into Reality
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Don’t forget to follow us on YouTube! This is the last episode of season 2! Thank you all for listening. I’ll be taking a break over the summer and returning with season 3 in the Fall. Between now and then, I might be planning a few summer spectacular episodes, so keep your eyes out. I couldn’t have asked for a better person to end the season with.…
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Ozempic Hype Forces Employer Calls on Obesity Coverage
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Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens. Guests: Sean Scanlon, Connecticut Comptroller Jeff Levin-Scherz, WTW populati…
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Building Election Fact Checking Coalitions
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Don’t forget to follow us on YouTube! This week Claire Wardle and Daniel Bramatti discuss their work in creating fact-checking coalitions around elections as a follow up to the guide we published back in April. They highlight the importance of collaboration and trust-building among news organizations and social media platforms. They also discuss th…
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A New Kind of Primary Care Comes to America
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A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance. Can this idea from abroad take root in the United States? Guests: Dawn Alley, PhD, Head of Scale, IMPaCT Care Asaf Bitton, MD, MPH, Executive Director, Ariadne Labs Regina Hammond, Founder, Rebuild Johnston Squa…
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A Telehealth Report Card: What’s Worked and What Hasn’t
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As Congress figures out the future of telehealth, we get a reality check from a top researcher about what this care has and has not delivered. Guest: Ateev Mehrotra, MD, MPH, Professor, Brown University 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…
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Don’t forget to follow us on YouTube! I’m so honored to have my good friend and expert extraordinaire Kat Duffy as my guest this week. I have no words other than you should listen to everything she says. Summary Kat Duffy, a senior fellow for digital and cyberspace policy at the Council on Foreign Relations, discusses her work in the trust and safe…
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Speaking Out Amidst Unjust Attacks
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ACK! I totally forgot to schedule this last night. So sorry for my delay. Don’t forget to follow us on YouTube! This week we welcome Nina Jankowicz to the podcast. She talks about the importance of recognizing Russia's use of disinformation as a geopolitical strategy and the need for more vocal online presence in countering disinformation. Nina als…
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How ‘Random Acts of Medicine’ Shape Our Health Care
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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, P…
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The Reality of Data-Driven Campaigning
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Kate Dommett, a professor of digital politics, discusses her book “Data-Driven Campaigning and Political Parties” and her research on how political parties use data in election campaigns. She explores the prevailing narratives around data-driven campaigning and how they often do not match reality. Dommett also discusses the role of regulation in da…
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Is Private Equity Ruining Health Care? It's Complicated.
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While stories of private equity firms running amok in health care are easy to find, new research paints a more nuanced picture. Guests: Ambar La Forgia, PhD, Professor of Management of Organizations, Berkeley Haas School of Business Rachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania Y…
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Pivot! Navigating Unprecedented Times with Audacity and Humility
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Sorry for the slight delay today. The tech gods were not being kind. Watch this on YouTube! NOTE: A lot of this summary and show notes were generated via a new AI tool by Riverside.fmIn this episode, Brian Fishman, co-founder and chief strategy officer at Cinder, discusses his background in studying terrorism and his work at Facebook. He shares ins…
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The Hunt for Lasting Fixes to America’s Medical Debt Crisis
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A major new study throws cold water on a popular approach to relieving medical debt, but leading experts say the research also reveals a promising path forward. Guests: Henry Harrell, MD, Physician Neale Mahoney, PhD, Professor of Economics, Stanford University Allison Sesso, President and CEO, Undue Medical Debt Learn more and read a full transcri…
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Team Duco on Trends in Tech
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Watch this episode on YouTube. As most of you know, I started working full-time as the Global Affairs Officer of Duco Experts in January. One of the things I like about the job is getting to work across the industry and seeing how companies tackle similar problems differently. Thus, I thought it would be fun to bring the leadership team on the podc…
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Patients Push to Shape the Future of AI
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One advocate’s vision for the crucial role patients must play in the future of health care AI. Andrea Downing, President and Co-Founder, The Light Collective Learn more and read a full transcript on our website. Subscribe to our weekly newsletter. Follow us on X, LinkedIn and Youtube. Email us at info@tradeoffs.org. Hosted on Acast. See acast.com/p…
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Harbath Solo Session: Frequently Asked Questions
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I’m trying something different for this week’s podcast. I originally hoped I would have a webinar to repurpose, but we ended up rescheduling it, so rather than not doing a podcast this week, I thought I would record the answers to questions I get quite often. In this discussion, I go into seven different areas of interest. Topics and time stamps ar…
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How Do You Help Patients Who Show Up in the ER 100 Times a Year?
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Some patients’ lives are so complicated by trauma, poverty and other social problems that routine conditions like diabetes and asthma regularly turn into $10,000 hospital visits. America’s health care leaders have spent years trying to help this small but costly group of patients. What have they learned? Guests: Jeff Brenner, MD, CEO, The Jewish Bo…
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Trust & Safety & Integrity & Governance
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Watch the video of our conversation on YouTube! This week, I welcome Professor Kate Klonick to the podcast. The name of this episode comes from some amazing swag Kate made for a conference she put on last year on the history of the Trust and Safety profession. (You know how much I love swag.) Kate is among the foremost experts on many things, inclu…
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An Insurance Company Bought This Doctor’s Practice. She’s Worried About Her Patients
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One doctor debates whether to work for the nation's largest insurance company after it purchased the independent practice she worked for in Oregon. Guest: Gwen O'Keefe, MD, Assistant Professor of Medicine, Department of Anesthesiology & Perioperative Medicine, OHSU Learn more and read a full transcript on our website. Subscribe to our weekly newsle…
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Lies, Damn Lies and Disinformation
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Don’t forget you can watch all of these on YouTube! This week, we are discussing all things online influence operations with one of the foremost experts - Olga Belogolva. We’re talking about Russians, Chinese, Iranians, and other actors who want to influence the online information environment. The title of this episode comes from one of her classes…
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92,000 Transgender People Took This Survey. Here’s What We Learned
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As lawmakers around the country take aim at transgender rights, we dig into findings from the largest survey ever of trans Americans. Guest: Sandy E. James, JD, PhD, Lead Researcher, 2022 U.S. Transgender Survey Learn more and read a full transcript on our website. Subscribe to our weekly newsletter. Follow us on X, LinkedIn and Youtube. Email us a…
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Michael Bąk on the intersection of tech and civil society
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Don’t forget you can also watch this on YouTube! This week, we are talking to Michael Bąk. Michael brings more than two decades of experience across international development, peacebuilding, diplomacy, and tech policy. Throughout his career, he has sustained a strong commitment to democratic governance, human rights, and information integrity. He i…
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Girls Are in a Mental Health Crisis. What Can Schools Do?
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Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind? Guests: Monica Bhatt, PhD, Senior Research Director, University of Chicago Education Lab Sheretta Butler-Barnes, PhD, Professor, Washington University Kathleen Ethier, PhD, Di…
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Nate Persily on Elections, Social Media and AI
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Don’t forget you can also watch these on YouTube! This week we welcome Stanford Law Professor Nate Persily to the podcast. I’ve known Nate since 2013/2014 when he held a gathering at Stanford with folks in the tech/digital industry and the Federal Elections Commission. Nate has been a thought leader his entire career with experiences across technol…
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Surprise! Plans To Resolve High Medical Bills Are Still a Mess
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Patients are now mostly protected from surprise bills, but doctors and insurers are still fighting about the prices. Guest: Benjamin Chartock, PhD, Assistant Professor of Economics, Bentley University Learn more and read a full transcript on our website. Subscribe to our weekly newsletter. Follow us on X, LinkedIn and Youtube. Email us at info@trad…
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Who Voters Trust for Election Information in 2024
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Don’t forget you can now also watch these conversations on YouTube! This week, we are diving deep into elections and specifically where people go to get information on the election. Rachel Orey is the Bipartisan Policy Center’s Senior Associate Director where they are responsible for the organization’s election administration policy development, st…
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One Doctor’s Quest to Improve Health Care for People with Disabilities
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As adults with intellectual and developmental disabilities strive to live more freely and fully than ever before, many of America’s doctors, hospitals and insurers are getting in the way. We get an inside look at one doctor’s quest to improve health care for people with conditions like Down Syndrome, cerebral palsy and autism. Guests: Alison Barkof…
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Lie Detectives: How Political Campaigns Fight Disinformation
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This week on the podcast, we are taking you to SXSW and discussing a conversation I had with Sasha Issenberg about his new book, Lie Detectives: How Political Campaigns Fight Disinformation. You might remember him from his popular book Victory Lab, which was published after Obama won. Sasha’s book looks at people in the U.S. and Brazil who were at …
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Can Washington Make Medicare and Medicaid Work Better Together?
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A bipartisan bill takes aim at a $500 billion health care problem that few people have ever heard of. Will it make care better for some of the country’s sickest, poorest patients? Guests: U.S. Senator Bill Cassidy (R-LA) Saleema Render-Hornsby, Dually eligible patient Allison Rizer, MBA, Executive Vice President, ATI Advisory Eric Roberts, PhD, Ass…
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Democracy Works: Helping voters navigate the first elections in the generative AI era
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We’re back! I didn’t intend to take two full months off from the podcast, but as many of you know, I started a new job in January as the Chief Global Affairs Officer of Duco Experts - a technology consulting firm. It has been overwhelming, in a good way, but it took me a bit to get started again with the podcast. I’ve got some exciting guests lined…
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How Patient Privacy Could Hurt AI
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There are a lot of concerns about the dangers artificial intelligence could pose to your health privacy. AI expert Nicholson Price explains why he thinks too much concern over privacy could make health care AI worse. Guest: Nicholson Price, JD, PhD, Professor of Law, University of Michigan Learn more and read a full transcript on our website. Subsc…
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