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There are no silver bullets in health care. Economists, physicians and researchers are on the record saying that even the most well-intentioned plans to fix issues like unaffordable insurance, high prescription drug prices and inequitable care for marginalized patients carry risk and unintended consequences.

Tradeoffs examines research, outlines policy pros and cons and chronicles how policy impacts spending and people with the mission of helping folks on Main Street, Wall Street and Capitol Hill have smarter, more honest conversations about health policy.

Hosted by long time public radio reporter Dan Gorenstein (Marketplace, NHPR), Tradeoffs is a weekly podcast that tells intellectually engaging, emotionally resonant stories about the complicated, costly and often counterintuitive world of health care. Dan is available for ME/ATC two-ways about any of the topics we cover.




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There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden ...

  • Added: May 26, 2023
  • Length: 18:27
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Medicare could soon pay hospitals much less for common outpatient services like x-rays and checkups. This week, we explain an old policy gathering...

  • Added: May 05, 2023
  • Length: 17:51
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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 th...

  • Added: Apr 21, 2023
  • Length: 16:32
Caption: Bethany Snider encouraged her nonprofit hospice agency to participate in a federal experiment to revamp Medicare's 40-year-old hospice policy, but she worries about its potential unintended consequences., Credit: Jon Cherry for Tradeoffs.
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, acce...

  • Added: Apr 14, 2023
  • Length: 20:42
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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 tar...

  • Added: Apr 14, 2023
  • Length: 14:07
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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.

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  • Added: Mar 31, 2023
  • Length: 16:55
  • Purchases: 1
Caption: Gabriel Kibuyu (right) receives hospital-at-home care from UMass Memorial Medical Center nurse Danae Stand (center) and Dr. Constantinos Michaelidis (left on tablet) on March 6, 2023., Credit: Photo by Lisa Abitbol for Tradeoffs.
The pandemic pushed Medicare to start paying for “hospital-at-home” care for the first time, launching the largest test ever of home-based hospital...

  • Added: Mar 24, 2023
  • Length: 24:21
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Less than a year after the Supreme Court overturned Roe v. Wade, some states are rethinking their abortion bans. This week, reporter Alice Miranda...

  • Added: Mar 13, 2023
  • Length: 19:26
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Later this year the Supreme Court is set to decide whether to close a legal pathway that Medicaid recipients have used for more than 50 years. This...

  • Added: Mar 03, 2023
  • Length: 11:27
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People leaving jail and prison are at extremely high risk of hospitalization and death. This week, why policymakers from deep blue California to so...

  • Added: Feb 24, 2023
  • Length: 26:10