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PODCAST

The Healthcare Policy Podcast ® Produced by David Introcaso

David Introcaso, Ph.D.

Podcast interviews with health policy experts on timely subjects. The Healthcare Policy Podcast website features audio interviews with healthcare policy experts on timely topics. An online public forum routinely presenting expert healthcare policy analysis and comment is lacking. While other healthcare policy website programming exists, these typically present vested interest viewpoints or do not combine informed policy analysis with political insight or acumen. Since healthcare policy issues

government & organizations national

All Episodes

37:38

Prof. Tad Delay Discusses His Recent Work, "Future of...

The Healthcare Policy Podcast ® Produced by David... ·

2024/08/09

Climate denial remains rife in the US. For example, in Washington, D.C., nearly 25% of the current members of Congress are, via their public statements, climate denialists. As for Health and Human Services (HHS), the department has steadfastly refused to promulgate any regulations to mitigate the healthcare industry’s massive carbon footprint that, for example, amounts to well over four times the annual cumulative greenhouse gas emissions of Exxon, Marathon Petroleum, Phillips 66, Chevron and BP.

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33:31

Ms. Alyson Rosenthal Discusses Food As Medicine

The Healthcare Policy Podcast ® Produced by David... ·

2024/08/01

In the recent past, hunger, food insecurity and malnutrition have (re)gained policymakers’ interest largely due to the COVID pandemic and accelerating climate breakdown – that has among other things reduced the growth of global agricultural production by 30-35%. As a result, last year 2.8 billion of the world’s population could not afford a healthy diet. In the US, over 40 million Americans receive food assistance via the federal Supplemental Nutrition and Assistance Program (SNAP) in large part

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38:22

Nathan Martinez Discusses the Government’s Attempt to...

The Healthcare Policy Podcast ® Produced by David... ·

2024/07/05

In late 2020 the Congress passed the No Surprises Act largely intended to address patient “surprise,” or out of network bills, typically the result of ER visits. Should settlement between the healthcare provider, e.g., hospital, and insurance company fail, the bill created an arbitration, termed Independent Dispute Resolution (IDR), process. To date the number of disputes going to arbitration have vastly outnumber those expected, the vast majority of provider-initiated disputes have been curiously

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33:33

Stephanie Wang Discusses the Health Disparities Think...

The Healthcare Policy Podcast ® Produced by David... ·

2024/06/22

Over the past four decades the US has, per a 2019 JAMA-published study, made a “clear lack of progress on health equity.” Health equity or disparities have almost certainly worsened over the past five years due to COVID and accelerating climate breakdown. For example, air pollution in 2021 killed over 8 million globally including 2,000 children under age five daily. Foul air, nearly entirely the result of fossil fuel combustion, is 2nd only to malnutrition and hypertension as a risk factor for

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36:01

Columbia's Sabin Center's Executive Director, Michael...

The Healthcare Policy Podcast ® Produced by David... ·

2024/06/13

Mr. Burger joins me to discuss climate crisis-related litigation here and abroad and its effectiveness in curbing greenhouse gas emissions. Dedicated listeners may recall I interviewed Mr. Burger in May 2020 regarding the Trump administration’s unwinding of numerous environmental regulations. Michael Burger is the Executive Director of the Sabin Center for Climate Change Law at Columbia University. Prior to, he was an associate professor at Roger Williams University School of Law and served as an

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44:35

Clayton Page Aldern Discusses His Recently Published,...

The Healthcare Policy Podcast ® Produced by David... ·

2024/05/08

Climate-related health effects are typically defined or limited to those resulting from extreme weather events, exacerbations of chronic disease and increases in vector borne diseases. Unfortunately, very little attention or even recognition is afforded the effects the climate crisis has on brain health largely via climate-fueled neurotoxin exposure. Mr. Aldern’s valuable if not indispensable work attempts to explain how the climate crisis infuses our air and water with neurotoxins that increase

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35:39

300th Podcast Interview: Merle Hoffman Discusses Her...

The Healthcare Policy Podcast ® Produced by David... ·

2024/03/22

In Dobbs v. Jackson Women’s Health Organization, the Supreme Court in June 2022 reversed the court’s previous 1973 Roe v Wade decision, and 20 related cases, wiping out a half century of constitutional protections for women’s reproductive rights. In Dobbs, the court found the Constitution now excludes a woman’s control over her body as well as the possible continuation of her life. Compelled pregnancy, involuntary childbirth and forced parenthood is not, the court ruled, an essential part of the

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44:56

Dr. Mitchell Li Discusses Reforming Corporate...

The Healthcare Policy Podcast ® Produced by David... ·

2024/02/21

Over the past 12 years this podcast has discussed increasing corporate dominance of healthcare delivery, made evident in part by the fact the healthcare market is highly concentrated and highly leveraged, e.g., over the past decade private equity has spent roughly $1 trillion to acquire physician practices. The corporate practice of medicine (CPOM) is problematic because allowing for corporate medicine can compromise a physicians’ independence and/or creates a conflict between physicians’ ethical

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36:48

Professor John Abraham Discusses Rising Ocean Heat...

The Healthcare Policy Podcast ® Produced by David... ·

2024/02/15

Research published last month in Advances in Atmospheric Sciences by Prof. Abraham and his colleagues once again show ocean temperatures, more specifically ocean heat content (OHC), once again dramatically increased in 2023. (As I noted last year, many believe OHC is the best way of measuring anthropocentric warming because it is comparatively less variable on a year-to-year basis.) Oceans, that cover over 70% of the earth’s surface, absorb roughly 90% of the sun’s heat trapped by an increasing

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43:23

Dr. Ajay Chaudhary Discusses "The Exhausted of the...

The Healthcare Policy Podcast ® Produced by David... ·

2024/02/03

In his soon-to-be-published book, Dr. Chaudhary argues the climate crisis or the Anthropocene era is the political product of rightwing climate realism - what he terms the “Rex Tillerson Position.” Listeners should be aware politics, not technology or economics, explains why the US continues to emit an enormous amount of CO2e pollution. (The US healthcare industry contributes approximately 550 MT CO2e annually or roughly 9% of the nation’s total.) The politics of functional climate denialism, or

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23:49

Dr. Robert Scoggins Discusses Medicare's Recent...

The Healthcare Policy Podcast ® Produced by David... ·

2023/12/19

Sepsis presents an enormous public health threat. There are for approximately 1.7 million hospital cases and 270,000 deaths per year. Sepsis is consistently in the top five for hospital case volumes and is the most expensive and resource intensive medical inpatient condition, representing approximately 15% of total hospital costs despite accounting for less than 4% of hospital stays. Various studies estimate sepsis is present in 30% to 50% of hospitalizations that culminate in death. Because

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48:17

David Ropeik Discusses His Just-Published Book,...

The Healthcare Policy Podcast ® Produced by David... ·

2023/12/01

In part because there are over 10,000 known human diseases and symptoms thereof may have numerous possible explanations, frequently diagnostic tests can be in-determinative or less informative than observing (termed: watchful waiting) a suspected disease’s clinical course over time. Because of diagnostic complexities population level diagnostic errors represent a significant public health problem. Nevertheless, despite the progress made in treating cancer - as Ropeik writes in his introduction

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38:04

UCLA Law Professor Joanna Schwartz Discusses Her...

The Healthcare Policy Podcast ® Produced by David... ·

2023/10/26

According to the non-profit Mapping Police Violence, since 2013 when experts first starting tracking police shootings, last year was the deadliest year on record with 1,176 law enforcement gun deaths, or more than three people per day and nearly 100 per month. In 2022 Blacks were three three times more likely to be killed by police than Whites. However in, for example, MPLS and Chicago, Black shooting deaths were respectively 28 and 25 times more likely than White. In her recently published book

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33:57

Columbia University's Ms. Cynthia Hanawalt Discusses...

The Healthcare Policy Podcast ® Produced by David... ·

2023/10/22

US healthcare emits a massive amount of carbon pollution at approximately 600 million tons annually or roughly 9% of total US greenhouse gasses. Because of the rapid increase in climate crisis-related harms projected economic losses worldwide over the next few years are estimated in the trillions. Consequently, the US is beginning to follow Brazil, Canada, France, Japan, Switzerland and the UK in mandating GHG emission and climate-risk disclosures. Most noteworthy, in April 2022 the Security

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37:14

Dr. Robert Moffit Discusses "Modernizing Medicare:...

The Healthcare Policy Podcast ® Produced by David... ·

2023/10/18

US healthcare spending is extreme currently at approximately $4.3 trillion. The single largest payer of healthcare services is Medicare at roughly $900 billion annually or 21% of total healthcare spending. In this edited volume, recently published by Johns Hopkins University Press, Dr. Moffit along with eleven other contributors including Joe Antos, Douglas Holtz-Eakin, Brian Miller, Mark Pauly and Gail Wilensky, lay out the conservative version of Medicare reform. In sum, the authors argue

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37:09

Prof. Nancy Tomes Discusses Patients as Consumers and...

The Healthcare Policy Podcast ® Produced by David... ·

2023/09/27

Over the past several decades healthcare has increasingly defined patients as medical consumers. For example, healthcare advertising is today a $22 billion annual business; federal policymakers have over the past few years instituted regulations requiring both hospitals and commercial health plans to make pricing information public; and, provider quality performance information is increasingly publicly reported. The question begged is to what extent have efforts to define patients as medical care

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37:25

Professors Fredrik Albritton Jonsson and Carl...

The Healthcare Policy Podcast ® Produced by David... ·

2023/08/25

Professors Albritton Jonsson and Wennerlind’s recently published book, “Scarcity” by Harvard University Press, offers interpretations of a key concept in economic theory: scarcity, or the belief we live in a world of limited resources and therefore must master the natural world to meet desired needs. The authors state, “the book does not offer a critique of the usefulness of the neoclassical concept of scarcity, instead, the problem we highlight is that it has been far too successful,” that is “by

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34:57

Dr. Richard Young Discusses His Dystopian Healthcare...

The Healthcare Policy Podcast ® Produced by David... ·

2023/08/02

Dr. Young’s novel, “2060” tells the story of Willis Smith, a data analyst employed by IntegraHealth Pharmaceuticals. Mr. Smith is assigned to identify a surviving meta-quad, a patient that has survived four naturally occurring cancers. In his search Willis meets the owners of Mekong Gardens Senior Care Center who offer a distinctly different healthcare formula. The story arc peaks when the owners of Mekong Gardens’ care model is exposed and its owners are required to explain their alternative

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34:33

Sonia Roschnik Discusses the International Hospital...

The Healthcare Policy Podcast ® Produced by David... ·

2023/07/07

On background, listeners are aware that the US healthcare industry emits an enormous amount of GHG pollution, that hospitals are the largest contributor to industry emissions, that they are substantially energy in-efficient and that the industry’s emissions alone cause innumerable and unrelenting health harm - disproportionately impacting are Medicare seniors and Medicaid children. Despite these facts the healthcare industry on balance remains solidly uncommitted to decarbonizing. Finally,

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31:24

Professor Larry Churchill Discusses "Bioethics...

The Healthcare Policy Podcast ® Produced by David... ·

2023/06/14

Professor Larry R. Churchill, Emeritus Professor of Medical Ethics at Vanderbilt, discusses “Biotethics Reenvisioned,” a just-published book he co-authored with Wake Forest Professor Nancy M. P. King and UNC Professor Gail E. Henderson. The authors, appropriately, argue “bioethics needs an expanded vision” or beyond one that has predominately focused on patient autonomy, beneficence and nonmaleficence. The field needs to take “a more robust role” they write and begin to address upstream issues

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319 results

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