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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

33:00

Dr. Jeni Miller Discusses a Fossil Fuel...

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

2022/10/05

This summer the planet once again experienced record temperatures, droughts, wildfires and extreme weather events. Nevertheless, according to a recent report by the International Energy Agency and OECD, global public subsidies of fossil fuel subsidies nearly doubled from 2020 to $700b in 2021. The US economy still remains significantly dependent on coal use; it generates approx. 20% of the country’s power or almost twice as much as the electricity generated by wind and solar. (To compare in the

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Substack Post #6, "CMS and the Masquerade of...

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

2022/09/26

Is at: https://substack.com/inbox/post/75107864. It opens with: In summarizing Professor Jedediah Purdy’s recent book, Two Cheers for Politics, The New Yorker’s Adam Gopnik recently wrote, “He [Purdy] is angry at the elites who supervise the bureaucratic capitalist state on behalf of their overlords while keeping up an elaborate masquerade of equality of opportunity.” “Keeping up the masquerade of equality” accurately defines CMS’s continuing pretense to value or prioritize health equity. This is

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36:02

Matthew Albright Discusses Hospital and Insurer or...

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

2022/09/14

Over the past few years federal policymakers have instituted healthcare price transparency. Until last year, healthcare prices were largely, if not altogether, unknown to patients. As of this past July 1 most group health plans and issuers of group or individual health insurance are required to publicly disclose pricing information. As of this past January 1, providers were no longer able to surprise or balance bill patients for care they unknowingly received from providers outside their

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37:09

Greg Segal Discusses Organ Procurement and...

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

2022/08/17

During its recent August 3rd hearing titled, “A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network," Senate Finance Committee Chairman, Ron Wyden (D-OR), characterized efforts by the federally-contracted not for profit, UNOS (United Network for Organ Sharing) regarding organ procurement and transplant as grossly mismanaged and incompetent. After a two plus year investigation that included reviewing over a half million pages of

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40:10

NACHC's Jeremy Crandall Discusses Inflation Reduction...

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

2022/08/05

Two weeks ago Senate Majority Leader, Chuck Schumer, announced the $739 billion Inflation Reduction (IRA) Act of 2022, compromise legislation agreed upon by Senator Manchin. The bill includes just a few of the healthcare policy reform provisions House Democrats included in House legislation passed late last year, moreover extending expanded ACA marketplace insurance subsidies and allowing the Medicare program to negotiate drug prices. The IRA also includes, as has been widely reported, $369

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43:34

265th Podcast: Professor Josiah Rector Discusses His...

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

2022/07/13

Toxic Debt, An Environmental History Justice History of Detroit, just published by North Carolina University Press in its Justice, Power and Politics series, is largely a history of failure by federal, state and local government officials to regulate the auto industry’s extremely harmful environmental and consequential human health effects. This failure is substantially explained by the replacement of the, though imperfect, New Deal order with neoliberal policies. (Re: neoliberalism, see, for

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38:29

Prof. Frederica Perera and Dr. Kari Nadeau Discuss...

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

2022/07/09

In mid-June Columbia's Professor Frederica Perera and Stanford's Dr. Kari Nadeau published a review article in The New England Journal of Medicine titled, "Climate Change, Fossil-Fuel Pollution, and Children's Health." The article provides an overview of the numerous health harms inflicted on children around the world resulting from fossil fuel combustion's released of massive amounts of airborne fine respirable particles, additional health harms resulting from an increasingly destabilized climate,

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39:06

Alfred and Blair Sadler Discuss Their Just Published,...

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

2022/06/08

(P)Luck moreover details the nine year collaboration between identical twins, Dr. Alfred Sadler and Blair Sadler, an attorney, via their work at NIH, Yale, the Robert Wood Johnson Foundation and the Hastings Center on Bioethics to advance national organ donation and transplantation policy, create the Physician Assistant profession, advance national emergency medical care and address related bioethical issues. The work also provides insights regarding related challenges these fields face today and

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36:07

Mr. Jim MacMillan Discusses Gun Violence Reporting...

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

2022/06/04

Listeners are certainly aware of never ending US gun violence. For example, since 37, moreover 4th grade children, were shot with 19 killed in Uvalde, Texas on May 24th, there have subsequently been at least 14 subsequent mass shootings killing at least 10 and wounding another 61. Over the past ten years, or since the Sandy Hook , there have been 950 subsequent school shootings. Concerning federal policy, via the so called (Jay) Dickey amendment the Congress effectively banned the CDC from

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35:15

The Nature Conservancy's Dr. Robert McDonald...

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

2022/05/12

Coincident to the United Nations' 1992 creation of the Framework Convention on Climate Change (UNFCCC) agreement that governs international efforts to address the climate crisis/reduce Anthropocene warming, the UN also created the Convention on Biological Diversity (CBD) that attempts to address or maintain biodiversity or mitigate declining biodiversity worldwide. The CBD has been ratified by every UN member state except the US. Tragically, over the past thirty years both the UNFCCC and the CBD

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41:57

260th Podcast Interview: Sherill Mason Discusses...

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

2022/05/05

There are currently approximately 15,500 Skilled Nursing Facilities (SNFs) in the US providing care to approximately 1.5 million Americans at an annual cost of approximately $175 billion. Research has for decades demonstrated SNF care quality lags - made tragically evident by the ongoing COVID pandemic. As MedPAC termed in its recent March report, the pandemic's effects on SNF patients have been “devastating.” Dedicated podcast listeners may recall I’ve discussed SNF care quality, for example the

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32:36

Dr. Lynn Parramore Discusses Neoliberalism's Effects...

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

2022/04/29

This interview relates to numerous previous podcasts, however, to date I have not specifically discussed economic neoliberalism. The effects of economic neoliberal theory (and its related political movement) underlies recent interviews with, for example, Dr. Steven Woolf and Prof. Kathleen Mullan Harris regarding declining US life expectancy, with Prof. Carol Graham regarding diseases and deaths of despair, with Prof. Katz Olson regarding her recently published book, Ethically Challenged, Private

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35:54

Ms. Tina Burbine and Ms. Yolanda Smith Discuss...

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

2022/04/17

Johns Hopkins is generally cited as the first to pilot the Hospital at Home care model over 20 years ago. The model has been subsequently adopted by the VA and overseas in Australia, Canada, Israel and the UK among other countries. CMS first tested the model in 2014 when it awarded Mount Sinai a grant to test the model, however, the model was not expanded having failed to the meet statutory criteria for expansion. In order to better manage hospital capacity and reduce COVID infections, in 2020

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39:34

Prof. Laura Katz Olson Discusses Her Just-Published,...

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

2022/03/31

In her just published Johns Hopkins University Press book, "Ethically Challenged, Private Equity Storms US Health Care," Professor Olson’s describes how and why Private Equity (PE) firms over the past forty years have purchased an ever-increasing number of acute and post-acute providers, physician groups, dental practices and a long list of health care ancillary services and what impacts PE firms have had/are having on the affordability and delivery of health care. In 2020, PE constituted a $5

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39:28

Professor Katheleen Mullan Harris Discusses the NAS...

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

2022/03/25

This discussion intends to bring listeners more up to date regarding declining life expectancy in the US via discussion of the National Academy of Sciences' 2021 consensus report, "High and Rising Mortality Rates Among Working-Age Adults." This interview builds upon previous related discussions including my 2013 interview with Dr. Steven Woolf regarding the IOM’s related report, “Shorter Lives, Poorer Health,” my January 2021 follow up interview with Dr. Woolf, my Brian Alexander interview in June

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32:48

255th Podcast Interview: Dr. Lise van Susteren...

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

2022/03/20

In a survey published late last year in The Lancet Planetary Health, coauthored by Dr. van Susteren, 10,000, 16-25 year olds across 10 countries including the US were surveyed to assess their level of climate anxiety and the beliefs about government responses to the climate crisis. The survey found: 75% thought the climate crisis posed a frightening future; 66% were left afraid, anxious or sad; 60% were very or extremely worried about global warming; and, 56% thought humanity is consequently

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34:32

The Lown Institute's Dr. Vikas Saini and Ms. Judith...

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

2022/03/09

Listeners of this podcast are aware the US suffers from extreme wealth and income inequality. (E.g., see my “The Unrecognized Tragedy of Working Class Immiseration” STAT News essay posted here on December 31st.) Concerning CEO compensation in the health care industry, the highest ten paid CEO’s in 2020 were paid an average of $20 million. By comparison, according to 2020 data from the Bureau of Labor Statistics, the average salary for a BS nurse is $80,000. During this 33 minute conversation

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31:40

Prof. Robert Costanza Discusses Ecological Economics...

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

2022/01/27

Our economy is frequently defined as one of unpaid costs. (Think: Garret Hardin and the tragedy of the commons.) Nature or natural resources are considered either inexhaustible and/or the byproducts of their use, such as polluted air and degraded water quality, are externalized costs borne by society, i.e., no one. Our economic model perfectly well explains the climate crisis. Treating our atmosphere and our oceans as open sewers has resulted in both global warming and helps to explain the

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35:35

Engineering Professor John Abraham Discusses Rapidly...

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

2022/01/19

Over the past several years the earth's oceans, that cover 70% of the planet's surface, have dramatically warmed. In a paper published last week in Advances in Atmospheric Sciences researchers concluded for the sixth consecutive year ocean temperatures in 2021 reached record levels. Compared to 2020, 2021 ocean temperatures were 14 zettajoules (14 followed by 21 zeros) warmer. This amount of energy is 145 times greater than the world's annual electricity generation - equal to a half a

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30:08

Professor Kristie Ebi Discusses The Lancet Series,...

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

2021/11/22

The climate crisis threatens human health in innumerable ways including injury from extreme weather events, respiratory illness, zoonoses, water-borne, vector borne, and non-communicable diseases, malnutrition, behavioral health and psychosocial problems and finally heat related illnesses and death. Climate crisis-related health effects are and will be particularly be hard felt by the elderly and children and within minority communities. For example, The Lancet's most recent “Countdown on Health

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