Folgen
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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 how we could fix them.
Guests:
Christine Baeder, MBA, President, Apotex USA
Laura Bray, MBA, Founder, Angels for Change
Craig Burton, Senior Vice President of Policy and Strategic Alliances, Association for Accessible Medicines
Iilun Murphy, MD, Director of the Office of Generic Drugs, FDA
Leslie Walker, Senior Reporter/Producer, Tradeoffs
Marta Wosińska, PhD, Senior Fellow, Brookings Institution
Learn more and read a full transcript on our website.
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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. But will affordable, high-quality generic drugs continue to be there when we need them?
Some players are abandoning this business while others slash costs by cutting dangerous corners. Shortages of older generic drugs have become the norm, sending doctors scrambling. At the same time, crucial new medicines are proving tougher to copy on the cheap, saddling patients with brand-name prices.
Over the course of “Race to the Bottom,” our new three-part podcast series, we’ll explore why this industry that’s so essential to our health is in trouble — and what could change that.
In part one, we examine the history of this industry. Forty years ago this month, President Ronald Reagan signed groundbreaking, bipartisan legislation that gave birth to a new drug market. Lawmakers made choices back then that help explain the wild success and also the troubles we see today with generic medicines.
Guests:
Christine Baeder, MBA, President, Apotex USA
Alfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical Association
Leslie Walker, Senior Reporter/Producer, Tradeoffs
Learn more and read a full transcript on our website.
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Fehlende Folgen?
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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, American Speech-Language-Hearing Association
Janet McNichol, Chief Human Resources Officer, American Speech-Language-Hearing Association
Evan Reid, Senior Director of Analytics, American Speech-Language-Hearing Association
Julia Reilly-Edwards, Data Scientist, American Speech-Language-Hearing Association
Learn more and read a full transcript on our website.
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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.
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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 care.
Heidi Aurand has watched her son Adam spiral from one psychiatric crisis to the next for about eight years, bouncing between emergency rooms, jails, and homelessness. Now, after treatment at the state's largest psychiatric hospital, Adam was just released back onto the streets of downtown Seattle. A mother asks: How could her son pass through so many institutions and none are able to stop his decline?
Learn more and read a full transcript on our website.
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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.
Guests:
Anton Avanceña, PhD, Assistant Professor of Health Outcomes, University of Texas
Darius Lakdawalla, PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California
Lauren Neves, JD, Deputy Vice President, PhRMA
Steve Pearson, MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER)
Ben Rome, MD, MPH, physician and researcher, Harvard Medical School
Meena Seshamani, MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services
Leslie Walker, Senior Producer/Reporter, Tradeoffs
Learn more and read a full transcript on our website.
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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.
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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 Community Safety Department
Sammetta Cutler, Peer Support Specialist, Durham Community Safety Department
Sarah Hall, Durham resident
David Prater, Peer Support Specialist, Durham Community Safety Department
John Warasila, Real estate developer and architect, Alliance Architecture
Bo Ferguson, Deputy City Manager, Durham
Patrice Andrews, Police Chief, Durham Police Department
Christie Thompson, Staff Writer, The Marshall Project
Allison Casey, EMT, Durham Community Safety Department
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, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness.
To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.
How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.
Learn more on our website.
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Hosted on Acast. See acast.com/privacy for more information.
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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 Police Department
Patrice Andrews, Police Chief, Durham Police Department
Christie Thompson, Staff Writer, The Marshall Project
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, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness.
To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.
How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.
The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country.
Learn more 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.
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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
Christie Thompson, Staff Writer, The Marshall Project
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, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness.
To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.
How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.
Learn more 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.
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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, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness.
To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.
How did Durham pull off what so many cities have struggled to do? Join Tradeoffs and The Marshall Project for our new series The Fifth Branch as we examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. Episodes drop July 18, July 25 and August 1.
Learn more 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.
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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.
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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 Care Innovation; Professor of Aging Research, Indiana University School of Medicine
Rosanne Corcoran, Caregiver
Liz Fowler, PhD, JD, Director of CMMI and Deputy Administrator, Centers for Medicare and Medicaid Services
Cindi Hart, Caregiver
Alex Olgin, Reporter/Producer, Tradeoffs
Lauren Sullivan, Care Coordinator, Eskenazi Health
Learn more and read a full transcript on our website.
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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 patient safety a national priority.
Guests:
Jack Gentry, patient
Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice
Tom Gallagher, MD, Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety
Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota
Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety
Learn more and read a full transcript on our website.
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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 population health leader
Mike Thompson, President of the National Alliance of Healthcare Purchaser Coalitions
Olivia Quagliani, Patient
Learn more and read a full transcript on our website.
We're also excited to share that you can now find Tradeoffs on YouTube!
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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 Square Neighborhood Organization
Chris Koller, President, Milbank Memorial Fund
Terry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR)
Sarah Szanton, PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood Nursing
Learn more and read a full transcript on our website.
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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.
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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, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital
Learn more and read a full transcript on our website.
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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
Yashaswini Singh, PhD, Professor of Health Services, Policy and Practice, Brown University School of Public Health
Atul Gupta, PhD, Professor Health Care Management, Wharton School, University of Pennsylvania
Learn more and read a full transcript on our website.
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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 transcript on our website.
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