Tradeoffs is an award-winning nonprofit news organization on a mission to help America have smarter, more honest health policy conversations. 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 ...
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Nate Padgett and Chris Rill go hands-on exploring the world of hardware startups. Each month they interview founders, early team members, and industry leaders to uncover the secrets behind building successful products. From the best practices of product design, to the ins and outs of manufacturing, they leave no stone unturned in their mission to help budding entrepreneurs succeed. Join them on their journey and get the inside scoop on all the exciting and innovative developments in the hard ...
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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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As Trump Targets USAID, What’s at Stake for U.S. and Global Health?
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17:44The 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 Interna…
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RFK Jr. Wants to Change What Americans Eat. He's Not The First
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26:04The fight to improve Americans’ nutrition could get new momentum from Robert F. Kennedy Jr., but he will face practical and political limits to changing U.S. food supply if he’s confirmed to lead the Health and Human Services Department. Guests: Laura Schmidt, professor at the University of California at San Francisco Philip R. Lee Institute for He…
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The Powerful Vaccine Committee RFK Jr. Could Soon Control
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19:47If 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 chief Dorit Reiss, University of California, San Francisco, professor of public health law Dr. S…
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RFK Jr. Is Headed to Capitol Hill. A Former HHS Secretary Lays Out the Stakes
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23:07Former 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. Secretar…
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Why Many Republicans Think Shrinking Medicaid Will Make it Better
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25:01Many 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 Institute Brian Blase, President, Paragon Health Institute Michael Cannon, Directo…
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Crucial Conversations About DEI
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1:02:07In this episode of Impossible Trade-Offs, Katie Harbath and Mike Rognlien discuss the evolution of corporate culture at Facebook, particularly focusing on race and gender bias training. They explore the significance of learning and development initiatives, the impact of recent changes at Meta, and the challenges of navigating political perspectives…
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Biden’s Medicaid Director Reflects on Lessons Learned and Worries for the Future
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25:50With 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, CMS Learn more on our website. Want more Trad…
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The Fifth Branch: The Last Line of Care
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42:13Alternative 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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T-25-006 : Yohan Jacob - Consumer Electronics Buyer to Retail Channel Product Launcher
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55:52In this episode of TRADEOFFS we connect with Yohan Jacob, Founder and President at Retail Bound, the largest retail channel management consultancy in North America. Yohan and his team help brands launch and scale their products into the top retailers across the continent. Drawing from over thirty years of experience, Yohan shares his insights about…
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The Fifth Branch: Keeping People Safe
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40:02How 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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The Fifth Branch: Convincing the Cops
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35:27How 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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2024 - A Recap of the Year the World Voted
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42:29For my last podcast of season three and 2024, I’m thrilled to welcome Ravi Agrawal, the Editor-in-Chief of Foreign Policy magazine, to reflect on this historic year of elections. We discussed the significant trends and observations from the 2024 elections globally during our conversation. He highlights the challenges incumbents faced, the role of c…
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Trump Forced Hospitals and Insurers to Reveal Their Prices. What Happened?
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14:24A 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. Guest: Melanie Evans, Producer, Tradeoffs Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up for our fr…
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NPR and C-SPAN on Navigating a Changing Media Landscape
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49:46This week I had the honor of moderating a fireside chat with NPR CEO Katherine Maher and C-SPAN CEO Sam Feist at the National Conference on Citizenship’s annual conference. We were able to record it to bring to you on this podcast. Katherine and Sam both took on these roles this year, and some of the things we discuss include: * Reflections on the …
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Everyone’s Mad at Health Insurers, But 'There’s Plenty of Blame to Go Around'
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22:08The 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. Guest: Aaron Carroll, CEO, Academy Health Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up…
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T-24-005 : Kaleen Canevari - Mechanical Engineer to Connected Fitness CEO
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59:50In this episode of TradeOffs, we sit down with Kaleen Canevari, founder and CEO of Flexia, a Techstars backed connected fitness company building the world's first smart Pilates reformer. With a background in mechanical engineering and Pilates instruction, Kaleen shares her journey of launching a hardware startup during the pandemic, navigating manu…
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Bluesky's Approach to Trust and Safety
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41:03I’m grateful this week that Aaron Rodericks, Vice President of Trust and Safety at Bluesky, made the time to join me for a conversation about how the platform is tackling the surge in users it’s seen in the U.S. since the election. This isn’t the first time they’ve seen such growth spurts—another happened in Brazil when X was briefly banned. These …
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Presenting: First Opinion: Mark Cuban
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34:00Businessman and entertainer Mark Cuban has long had an interest in health care, and a mission to disrupt the pharmaceutical industry. Torie Bosch, host of First Opinion, a podcast from STAT News, speaks with Cuban about one of his latest ventures Cost Plus Drugs - Mark’s efforts to drive down prescription drug prices. Guests: Torie Bosch, Editor, F…
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Happy Thanksgiving! I decided to release an episode today because I figured people would want something to listen to while prepping the turkey or driving to see family and friends. I also know that Thanksgiving and the holidays can be a time when tough conversations arise, especially after an election. That’s why I wanted to talk to Lori Brewer Col…
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Can the U.S. Put an End to Surprise Ambulance Bills?
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32:40Congress banned most surprise medical bills back in 2020, with one major exception: ambulance rides. Most people agree that patients should be shielded from these unexpected charges. But who should pick up the tab instead? As state and federal policymakers grapple with that question, we delve into why finding a fair solution is harder than you’d th…
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Decoding Gen Z's Relationship with Technology
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52:50This week on the podcast, I chatted with Rebekah Park, Vishnupriya Das, Devika Kumar, and Laura Murray, researchers at Gemic, a global growth strategy firm. They worked with Nhu Le, Rachel Xu, and Beth Goldberg from Google’s Jigsaw on a study looking at how young people in India and the US trust online content in the age of generative AI. I wrote a…
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What Could RFK Jr. Do As Head of HHS? We Asked Someone Who’s Done the Job
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23:17Former 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. Guest: Kathleen Sebelius, Former U.S. Secretary of Health and Human Services Secretary Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up…
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Health Care for Transgender Youth Goes to the Supreme Court
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26:11Twenty-six states have passed bans on gender-affirming care for transgender minors, and the Supreme Court is set to hear arguments in December about Tennessee's ban. We take a closer look at gender-affirming care and the legal arguments that could influence how accessible that care is. Meredithe McNamara, MD, Assistant Professor of Pediatrics, Yale…
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T-24-004 : Tom George - Hardware Startup Engineer to Google Product Lead
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48:17In this episode of TradeOffs we connect with Tom George, former Head of Pebble at Sidewalk Labs, and now a Product Team Lead at Google focusing on Sustainable Cities. We’ll hear about Tom’s journey from working on speech compression technology for BlackBerry accessories to developing satellite communication systems for ships, and eventually leading…
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An AI-Generated Podcast Experiment
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17:57Image created by ChatGPT If I’m honest, I’m still processing everything. I’m giving myself and others the space to process everything. But, I still wanted to do a podcast. I have this deep fear that if I don’t stick to a schedule, I’ll fall off the wagon of creating content. It's probably not true, but I like to keep doing things to move forward. S…
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How Did Picking a Medicare Plan Get So Hard?
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24:36It’s Medicare open enrollment season, and in this episode first aired in 2021, we explain why shopping for a new plan is often tougher than it seems. Guests: Lilyan Grossman, Medicare beneficiary Tricia Neuman, ScD, Senior Vice President and Executive Director of the Program on Medicare Policy, Kaiser Family Foundation Amal Trivedi, MD, Professor o…
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Future Trends in Political Campaigning
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34:33In this episode, I welcome Maria Giannopoulos who shares her unique journey at the intersection of politics and technology, particularly her role in the 2024 Republican National Convention. She discusses the extensive planning involved in organizing such a large-scale event, developing a digital strategy to engage both on-site attendees and online …
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How votes in the U.S. are counted and certified (and why you should care)
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46:27In this episode, Nicole Schneidman discusses the critical processes involved in the electoral system, emphasizing the importance of understanding what happens after voting. She outlines key dates in the election cycle, changes in election laws since 2020, and the journey of a ballot from submission to certification. The discussion also highlights t…
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What the Election Could Mean for Obamacare
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17:19One of the nation’s leading experts on the Affordable Care Act breaks down its track record and weighs in on the stakes the historic health care law faces in the lead-up to the election. Guest: Larry Levitt, Executive Vice President for Health Policy, KFF Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up for our fre…
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Twenty years ago, Wired editor Chris Anderson wrote “The Long Tail” - a story about how “the future of entertainment is in the millions of niche markets at the shallow end of the bitstream.” Also, twenty years ago, the term “podcasting” was coined thanks to the introduction of the iPod and RSS feeds that could carry audio files. Today, in these fin…
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Bridging the Atlantic: Tech's True Impact on Elections & the US-EU Regulatory Divide
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40:36We have another bonus podcast episode for you. One perspective I wanted to get for this season of the podcast is what people outside of the United States think about the election and this country’s overall approach to tech. There’s no one better to ask that question of than Mark Scott. Mark has covered tech as a journalist and now works at the Atla…
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AI and the Election - What To Watch
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46:58In this episode, Tim Harper discusses his extensive background in election administration and technology, focusing on the intersection of democracy and technology. He elaborates on his work with the Bipartisan Policy Center's task force aimed at improving election processes, as well as his current role at the Center for Democracy and Technology (CD…
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3 Health Care Decisions Awaiting the Next President
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26:27The next U.S. president will have to make consequential choices about the Affordable Care Act, prescription drug prices and abortion. We compare the positions of candidates Kamala Harris and Donald Trump on these major health policy issues. (NOTE: This episode has been updated to clarify the number of people who would lose health coverage if Afford…
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I’ve been so lucky to have some great conversations for the podcast this Fall, but with Election Day rapidly approaching in the United States, I will do two bonus Monday episodes on top of the usual ones on Thursdays to get all of this content out. First, we have Betsy Hoover and Eric Wilson discuss with me the evolving landscape of campaign techno…
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The Continued Decline of Global Internet Freedom
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43:03I’m excited to welcome Allie Funk, Grant Baker, and Kian Vesteinsson of Freedom House’s technology and democracy team to the podcast, who released their 2024 Freedom on the Net report this week. Our conversation revolves around the latest Freedom on the Net report, highlighting the ongoing decline of global internet freedom for the 14th consecutive…
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How New York Times Columnist Paula Span Navigates ‘The New Old Age’
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23:45Journalist Paula Span, who writes The New Old Age column for the New York Times, shares what she’s learned about how to age well. Guest: Paula Span, reporter and The New Old Age columnist for the New York Times Learn more and read a full transcript on our website. Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest heal…
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Fusion Analysis to Identify Political and Tech Trends
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35:41Welcome to fellow newsletter writer, Bruce Mehlman who has long been a fixture in DC for his smart graphs and quarterly reports on where the trends are going, not just in politics but also in the economy, tech, national security, and more. I highly recommend you sign up for his newsletter, Bruce Mehlman's Age of Disruption. In our conversation, Bru…
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Why Employers Are Turning to Primary Care as Health Care Costs Soar
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20:48U.S. companies spend more than $1 trillion annually on health care for their employees. To get this budget-busting figure under control, some companies are experimenting with cutting out insurers, and investing in primary care clinics at the office. Guests: Amy Cooper, NP, Vera Whole Health Bob Galvin, MD, former Chief Medical Officer, General Elec…
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T-24-003 : Christina Perla - Industrial Designer to On Demand Manufacturing
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58:57In this episode of TradeOffs we connect with Christina Perla, co-founder and CEO of Makelab, an on-demand 3D printing service. Christina discusses her journey from working in corporate design at Converse to co-founding Makelab, emphasizing the challenges and successes of running a hardware startup. She highlights Makelab's growth strategy, includin…
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Digital Campaigning in 2024: Insights from the Frontlines
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39:40We’re back! Thanks again to everyone for your understanding of my gap week. In this episode, Amanda Elliott and Kyle Tharp, both newsletter writers focused on digital politics, discuss their experiences and insights into the evolving landscape of political campaigning. They explore the impact of digital strategies, fundraising, and the role of soci…
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The Best Way to Fight Meth Addiction? Gift Cards
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27:19For decades, the most effective treatment for addiction to methamphetamine or cocaine has been mired in stigma and mostly limited to small research studies. But with deaths involving meth and cocaine on the rise, policymakers across the country are turning to gift cards to fight drug use. This story has been updated to clarify the research on long-…
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T-24-002 : Kevin Lavelle - Performance Fabric to Pediatric Telemedicine
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58:15In this episode of TradeOffs, we sit down with Kevin Lavelle, founder of Mizzen and Main and Harbor, to discuss the challenges of building and scaling two very different companies—one in apparel and the other in pediatric telemedicine. Lavelle shares candid insights on navigating U.S. manufacturing hurdles, the importance of strategic networking, a…
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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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27:38Many 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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46:42We’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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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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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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21:59One 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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23:28A 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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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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