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The Healthcare Policy Podcast Produced by David Introcaso: Daily Summaries Delivered
by 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 are typically complex, clear, reasoned, dispassionate discussion is required. These podcasts will attempt to fill this void. Among other topics this podcast will address:Implementation of the Affordable Care ActOther federal Medicare and state Medicaid health care issues Federal health care regulatory oversight, moreover CMS and the FDAHealthcare research Private sector healthcare delivery reforms including access, reimbursement and quality issuesPublic health issues including the soci
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- 2 weeks ago34 min
Ms. Elena Mihaly Discusses Vermont's Climate Superfund Legislation
In May 2024, Vermont enacted entirely unprecedented legislation that attempts to mitigate climate-charged disaster events and associated financial fallout inflicted on Vermont residents. Vermont climate superfund legislation, followed seven months later by New York (and presently pursued by at least ten other states), is in response to climate-charged disaster events that over the ten- yr period ending in ’25 cost Vermonters upwards of ~$2 billion. The legislation, premised on a deeply entrenched polluter pay principle, e.g., modeled after the federal toxic waste Superfund program, requires so called carbon majors, here oil and gas companies, to meet their unpaid, externalized costs by making compensatory payments. New York law is targeting a $75 billion fund. These dedicated funds will generally finance climate adaptation and infrastructure resiliency. Not surprisingly, these laws face of aggressive legal challenges by among others the American Petroleum Institute, the U.S. Chamber of Commerce, West Virginia-led state attorneys general and the Trump administration that has filed federal lawsuits against both VT and NY. Among numerous related interviews, listeners will recall I discussed advances in attribution science with Stanford’s Chris Callahan in May 2025.Information re: Vermont’s Climate Superfund Act is at: https://climatechange.vermont.gov/climate-superfund. Information re: Vermont’s Conservation Law Foundation is at: https://www.clf.org/serving-new-england/vermont/. (Apologies to Ms. Mihaly, at one point I call her Emily!?!) This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- 2 weeks ago39 min
HHS's Failure to Decarbonize the US Healthcare Industry (Part 2)
During this podcast I read part two of a draft, yet-to-be-published essay titled, “Institutional Betrayal: HHS and the National Academy of Medicine’s Failure to Decarbonize the US healthcare Industry.” That the window formally closed in January 2025 means healthcare will not approach reducing its greenhouse gas emissions by 50% in 2030. HHS will continue to intentionally fund the industry’s harm-treat-harm business model meaning healthcare is by design traumatic. Iatrogenesis is built-in. Americans will become increasingly consumed by, not consumers of, healthcare.Comments are of course welcomed. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- Jun 29, 202618 min
HHS's Failure to Decarbonize the US Healthcare Industry (350th Podcast)
During this podcast I read part one of a draft, yet-to-be-published essay titled, “Institutional Betrayal: HHS and the National Academy of Medicine’s Failure to Decarbonize the US healthcare Industry.” That the window formally closed in January 2025 means healthcare will not approach reducing its greenhouse gas emissions by 50% in 2030. HHS will continue to intentionally fund the industry’s harm-treat-harm business model meaning healthcare is by design traumatic. Iatrogenesis is built-in. Americans will become increasingly consumed by, not consumers of, healthcare. Comments are of course welcomed. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- Jun 29, 202618 min
HHS's Failure to Decarbonize the Healthcare Industry (350th Podcast)
This is the first of a two-part reading of a yet-to-be-published essay presently titled, “Institutional Failure: HHS and the National Academy of Medicine’s Failure to Decarbonize Healthcare.” Comments are of course welcomed.Thank you. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- Jun 6, 202641 min
Ms. Jessica Forden Discusses Dr. Teresa Ghilarducci's Recently-Published Book, "Work, Retire, Repeat, The Uncertainty of Retirement in the New Economy"
Unlike most rich countries or advanced economies the US does not define healthcare, including long term care, as a universal social risk – despite the fact we all get sick, no one knows their health status tomorrow, approximately 85% of Medicare beneficiaries have at least one chronic condition and life expectancy at birth is approximately 79 years. Medicare does not provide long term care, Social Security replaces just 43% of the average workers’ wages and only approximately 40% of retirees receive income from some form of employer or personal retirement plan. With me to discuss Prof. Ghilarducci’s book is her colleague Ms. Jessica Forden an economics Ph.D. candidate at the New School’s Schwartz Center for Economic Policy Analysis. Information on Prof. Teresa Ghilarducci’s book is at: https://press.uchicago.edu/ucp/books/book/chicago/W/bo212888995.html. The New School’s Schwartz Center for Economic Policy (SCEPA) research publications are at: https://www.economicpolicyresearch.org/research.Jessica Forden’s LinkedIn page is at: https://www.linkedin.com/in/jessica-forden-88b265131/. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- May 12, 202640 min
Tufts Professor William Masters Discusses Food Affordability and Food Production Stability in the Age of Climate Denial
To state the obvious nutrition is considered the cornerstone of public health, a, if not the, primary preventative measure against chronic disease. Nevertheless, the OBBBA cut SNAP funding by an estimated $187 billion; since the start of the pandemic food prices have increased by roughly 30%; and, going forward are at risk due to uncertain trade policy, global shocks including the ongoing war in Iran, water supply/access and widespread drought and other climate-related issues include the looming super El Nino event that is expected to disrupt planting cycles worldwide and breach thermal safety margins - causing most major crops to suffer further yield declines. Add to all this the questionable science behind the MAHA movement. Friedman School of Nutrition Science and Policy information is at: https://nutrition.tufts.edu/Prof Masters’ bio is at: https://as.tufts.edu/economics/people/faculty/william-masters This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- May 7, 202636 min
Mr. Robert Andrews Discusses Self-Insured Employer Health Plan Efforts to Address Healthcare Affordability
Not surprisingly healthcare affordability has risen to the top or #1 mid-term election campaign issue. Largely due to pricing failure, that costs Americans about $250 billion annually, pricing power is the consequence of an increasingly concentrated healthcare market. Think: Herfindahl-Hirschman Index scores. Hospital pricing/prices are particularly noteworthy or moreover surgical procedures and patented drugs that have risen at multiples of the annual inflation. This means those insured pay increasingly higher coverage (premiums, deductibles, copays) and are forced into medical debt or bankruptcy, forced to avoid necessary care and/or make financial trade offs. Insurance plans, here we’re discussing self-insured employee plans, that capture roughly 65% of covered workers, face similarly challenging math. For example, recently reported news found the five largest managed care plans lost $226 billion in market value over the previous 12 months. As for solutions, federal price transparency laws, though well intended, have either gone un-headed and/or lack enforcement. Mr. Robert Andrews is the CEO of the Health Transformation Alliance (HTA), a cooperative of approximately 80 large self-insured employer health plans. HTA was founded in 2016 by four pioneering employers from American Express, Macy’s, Verizon and Caterpillar. HTA member companies are collectively responsible for more than 5 US million lives and 8 million globally spending $450 billion annually in the US market. Mr. Andrews served NJ’s 1st congressional district in the US House of Representatives from 1990 to 2014.Information on the Health Transformation Alliance is at: https://www.htahealth.com/about-us/. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
- Apr 30, 202633 min
Mike Meno Discusses the Recently-Introduced Senate "Stop Climate Shakedowns Act"
Per my May 2025 interview with Stanford’s Chris Callahan regarding his April 2025 “Nature” article titled, “Carbon Majors and the Scientific Case for Climate Liability,” we know that among the 90 companies responsible for 63% of industrial GHG emissions over the past 200 years, 83 are fossil fuel companies.Two weeks ago Senator Cruz (R-TX) and four other Republican senators dropped their “Stop Climate Shakedown’s Act.” In part the legislation would prohibit retroactive liability, mandate dismissal of pending climate liability lawsuits in several states and preempt state authority, e.g., outlaw state climate superfund laws (think: NY and VT). The bill was largely anticipated because the Heritage Foundation’s “Project 2025” report proposed policy recommendations designed to “dismantle legal and regulatory frameworks” in response to what the Foundation terms “woke lawfare.” Mike Meno, The Center for Climate Integrity’s Communication Director, unpacks the who, what, why, how and where. Information on the Center for Climate Integrity is at: https://climateintegrity.org/See also the Center’s “No Immunity for Big Oil” page at: https://www.noimmunityforbigoil.org/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
About The Healthcare Policy Podcast Produced by David Introcaso
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 are typically complex, clear, reasoned, dispassionate discussion is required. These podcasts will attempt to fill this void. Among other topics this podcast will address:Implementation of the Affordable Care ActOther federal Medicare and state Medicaid health care issues Federal health care regulatory oversight, moreover CMS and the FDAHealthcare research Private sector healthcare delivery reforms including access, reimbursement and quality issuesPublic health issues including the soci
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