Tradeoffs

Tradeoffs Journalism that explores the complicated, costly, and often counterintuitive world of health care. New podcast episodes every Thursday.

Learn more at tradeoffs.org

01/13/2025

For years Larry Moore struggled with addiction, living on the streets of Camden, New Jersey and cycling in and out of the emergency room. Then he was intercepted by the Camden Coalition – he got the care and support he needed to get back on his feet and today he's sober living in his own apartment.

But the Coalition, hospitals and health insurers across the country are all struggling to repeat success stories like Larry's.

Learn more: https://tradeoffs.org/2024/04/25/complex-care-camden-coalition-social-determinants/

America’s older population is booming. Soon, almost one out of every four people will be at least 65 years old.Journalis...
01/12/2025

America’s older population is booming. Soon, almost one out of every four people will be at least 65 years old.

Journalist Paula Span, who writes The New Old Age column for The New York Times, shares what she’s learned about how to age well.

Journalist Paula Span, who writes The New Old Age column for the New York Times, shares what she’s learned about how to age well.

In his first term, one of Trump’s key health policies was a mandate to make healthcare prices available to the public.Bu...
01/11/2025

In his first term, one of Trump’s key health policies was a mandate to make healthcare prices available to the public.

But it hasn’t yet made shopping for medical care easier for patients.

A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for medical care.

Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much ...
01/09/2025

Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much can they actually do?

In the last episode of our three-part series, The Fifth Branch, we explore how the City of Durham, NC Government grapples with connecting people to long-term care and support, and where the city draws the line between crisis response and social services.

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.

Proponents of alternative crisis response say these programs make communities safer. In episode two of The Fifth Branch,...
01/07/2025

Proponents of alternative crisis response say these programs make communities safer. In episode two of The Fifth Branch, our three-part series with The Marshall Project, we dig into personal stories and data to see if Durham’s program is living up to that promise for people in crisis, law enforcement, the community at large and its own unarmed responders.

How do you keep crisis responders and the people they’re helping safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police.

As adults with intellectual and developmental disabilities strive to live more freely and fully than ever before, many o...
01/05/2025

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.

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.

Some patients’ lives are so complicated by trauma, poverty and other social problems that routine conditions like diabet...
01/04/2025

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?

Health care leaders share what they've learned from two decades of trying to keep this group of costly, complicated patients out of the hospital.

As an independent newsroom, Tradeoffs relies on donations to keep the lights on and tomorrow is the last day of our year...
12/30/2024

As an independent newsroom, Tradeoffs relies on donations to keep the lights on and tomorrow is the last day of our year-end fundraising campaign!

We’re so close to hitting our goal of getting 100 new donors and we need your support.

If our work has helped you better understand health policy this year, we hope you’ll donate today.
https://bit.ly/4fA2M9R

The U.S. has relied on cheap, effective generic drugs for 40 years. Now that promise is under threat.Supply chain vulner...
12/29/2024

The U.S. has relied on cheap, effective generic drugs for 40 years. Now that promise is under threat.

Supply chain vulnerabilities, rising costs, and limited competition could disrupt access to essential medicines that millions rely on daily.

The U.S. has relied on cheap, effective generic drugs for 40 years. Now that promise is under threat.

Our special series, The Fifth Branch, in partnership with The Marshall Project, examines what it looks like when one com...
12/28/2024

Our special series, The Fifth Branch, in partnership with The Marshall Project, examines what it looks like when one community dramatically changes how it responds to people in crisis.

In the first episode, we hear from Ryan Smith, Director of Durham’s Department of Community Safety, and Patrice Andrews, Durham’s Chief of Police about how they convinced rank and file police officers that it makes sense to send unarmed mental health workers to some 911 calls.

Listen to “Convincing the Cops” now: https://tradeoffs.org/thefifthbranch/

As the Republican party sweeps back into Washington, they hope to expand price transparency rules for hospitals and insu...
12/23/2024

As the Republican party sweeps back into Washington, they hope to expand price transparency rules for hospitals and insurers.

But research shows that simply making all prices available to patients may have adverse effects.

A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for medical care.

RFK Jr. has been tapped to lead the U.S. Department of Health and Human Services (HHS) and “make America healthy again.”...
12/23/2024

RFK Jr. has been tapped to lead the U.S. Department of Health and Human Services (HHS) and “make America healthy again.”

But what power does the HHS secretary actually wield?

We asked someone who’s done the job.
https://tradeoffs.org/2024/11/21/rfk-nomination-hhs-secretary-sebelius/

Robert F. Kennedy Jr., is making the case with senators that he should lead Health and Human Services. Kathleen Sebelius, who had the job under Obama, explains the power and limits of the role.

A group of nurses in East Baltimore is piloting a bold plan to bring basic primary care to everybody no matter their age...
12/22/2024

A group of nurses in East Baltimore is piloting a bold plan to bring basic primary care to everybody no matter their age, income or insurance.

Can this idea from abroad take root in the United States?

A group of nurses in East Baltimore is piloting a bold plan to bring basic primary care to everybody no matter their age, income or insurance.

Earlier this year, Ryan Levi produced The Fifth Branch—our series exploring what it looks like when one community reimag...
12/21/2024

Earlier this year, Ryan Levi produced The Fifth Branch—our series exploring what it looks like when one community reimagines the way it responds to people in crisis.

It took several trips, 100+ conversations, and 150 hours of interviews to bring you the most complete picture of mental health emergency services in America.

This level of journalism doesn’t happen overnight — and it doesn’t happen without your support.

Donate $5 today to help us continue producing the thoughtful, deeply reported health policy journalism you value: https://donorbox.org/tradeoffs-fundraising

12/19/2024

Five years ago it was nearly impossible in the U.S. to compare prices for medical care as you would in buying a car or TV. But Trump enacted two rules in his first term requiring hospitals and insurance companies to make their prices public.

By one measure they made a vast number of health care prices that were once secret, out in the open. But by other measures, the rules have fallen short. Prices are still sometimes unavailable, inaccurate and indecipherable.

This week, Melanie Evans and Dan Gorenstein talk about what the next Trump administration and Congress could do to strengthen health care price transparency as a tool for businesses and consumers.
https://tradeoffs.org/2024/12/19/trump-price-transparency-rules/

The murder of UnitedHealthcare’s CEO put a violent point on the frustration and rage some Americans feel toward health i...
12/14/2024

The murder of UnitedHealthcare’s CEO put a violent point on the frustration and rage some Americans feel toward health insurance companies.

But insurers are just one piece of America’s broken and expensive health care system.

The murder of UnitedHealthcare's CEO has put health insurance companies in the spotlight. But insurers are just one piece of America’s broken and expensive health care system.

Tradeoffs depends on reader and listener support to produce the health policy journalism you trust. Today only, you can ...
12/12/2024

Tradeoffs depends on reader and listener support to produce the health policy journalism you trust.

Today only, you can double your support: if we raise $500 by midnight, we unlock a $500 match.

Donate today! https://bit.ly/4fA2M9R

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