PODCAST

The Cost of Care

Lemonada Media

What's your life worth? Healthcare in the United States can bankrupt you, demoralize you—or actually kill you. Healthcare economist David Smith grew up in a Mormon community in Utah, and lost his father, sister, and brother to the same deadly epidemic. He’s spent his career exploring whether their deaths were preventable and how we can make health a priority for everyone. On The Cost of Care, David and his guests – patients, medical experts, and policy makers – reveal how the wealthiest nation on earth ended up with one of the most expensive, worst-performing health care systems in the world and provide solutions to fix it, together.

David Smith Revisits Last Day S1 Ep 3: And Now, We Rewind the Tape
Aug 30 2021
David Smith Revisits Last Day S1 Ep 3: And Now, We Rewind the Tape
Opioids are killing more people than ever. In 2020, overdose deaths in the U.S. spiked nearly 30% to a record high -- the sharpest annual increase in 30 years. Fentanyl sold on the street and the ongoing toll of the pandemic are the primary drivers. With so many of us affected, there’s a dire need for solutions. That’s why we’re re-releasing episodes 2-12 from season one with new updates from previous guests and fans of the show. Last Day Revisited: The Opioid Crisis is a binge listen that offers essential knowledge, support, and answers for people directly impacted by addiction. PLUS, we reveal what topic we’ll be covering in Last Day Season 3, dropping early 2022. Together, we can reduce stigma and save lives.  On Last Day, we talk about what’s killing us, the stuff that’s hard to comprehend and getting worse every day. Join host Stephanie Wittels Wachs, as she confronts massive epidemics with humanity, wit, and a quest for progress. While Season 1 chronicled the opioid crisis in the US, Season 2 delves into the growing suicide rate, telling real stories, talking to experts, and asking everyone along the way, "How did we get here, and what could we have done differently?"   On this episode, Stefano Cordova Jr.’s family tries to make sense of Stefano’s overdose death and how they all got here. Then, Dr. Sam Snodgrass, a behavioral pharmacologist with a doctorate in biopsychology, explains how his own addiction to opioids is a disease and why understanding that is key to helping people with substance use disorders.   To hear more of Last Day, search for Last Day wherever you are listening right now. See omnystudio.com/listener for privacy information.
10. Pro Tips on Fighting the System
Jun 10 2021
10. Pro Tips on Fighting the System
In the final episode of the season, David highlights pro tips from the experts themselves: patient advocates Linda Michelson and AnnMarie McIlwain. Dr. David Blumenthal of The Commonwealth Fund joins to shine the light on tangible solutions on how to restructure our national health care system.   Resources from the episode: Check out Marshall Allen's book, Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win:   Contact Linda Michelson:   Contact AnnMarie McIlwain and her team:    Keep up with the Commonwealth Fund:   AdvoConnection’s patient advocates directory:   AdvoConnection’s comprehensive overview of patient advocacy:   National Patient Advocate Foundation’s resources on choosing the best health care plan for you:   CoPatient’s resources for making sure your bills are fair and accurate:     Keep up with David on twitter @CHIDavidSmith.    Share your feedback!  Email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.   Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information.
9. We Asked, You Replied: Listener Submissions Special
Jun 3 2021
9. We Asked, You Replied: Listener Submissions Special
From the start of our show, we’ve asked listeners to share stories about navigating the American health care system. Today, David talks with those of you who have had to fight for health care in order to manage chronic illnesses, secure gender-affirming surgeries, and help children receive developmental therapies for Down Syndrome.   Resources from the episode: Planned Parenthood transgender identity terms and labels:   GLAAD transgender glossary of terms:   JAMA article on the association between gender-affirming surgery and mental health:   National Down Syndrome Society resources for finding support:   National Down Syndrome Congress local and national support networks:   American College of Obstetricians and Gynecologists endometriosis resources:   Johns Hopkins Crohn’s resources:   Cancer Care breast cancer resources:     Keep up with David on twitter @CHIDavidSmith.    Share your feedback!  Email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.   Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information.
8. Medical Jargon is Killing Us
May 27 2021
8. Medical Jargon is Killing Us
Medical jargon is a thing of the past and health literacy is now en vogue – and can actually save patients’ lives according to our guest, Dr. Lisa Fitzpatrick. We're also joined by Dr. Venice Haynes and Natalie Davis who talk to us about the anxiety, confusion, and fears people across the country have about asking those life-saving health care questions and booking a doctor’s appointment in the first place.   Resources from the episode: Dr. Lisa’s interview with The Atlantic on the upside of health care plainspeak:   Dr. Lisa on the Street YouTube series:   Dr. Lisa’s Washington Post op-ed on how zip codes can determine health outcomes:   US of Care Voices of Real Life storytelling project:   US of Care Voices of Real Life YouTube series:   US of Care listening project 2020 findings:   Keep up with US of Care on twitter:   Follow Grapevine Health on twitter:     Keep up with David on twitter @CHIDavidSmith.    Share your feedback!  Email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.   Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information.
7. Why Kidney Failure Pays
May 20 2021
7. Why Kidney Failure Pays
America’s relationship with Dialysis is out of control. Roughly 1% of the entire federal budget is spent treating people with kidney failure. That’s billions of dollars devoted to treating one preventable illness. How did we end up with so many people on dialysis? And who’s getting rich from it? This week, we connect the dots from Richard Nixon to Dr. Evil and talk with disruptors who have some new ideas for how to fix the system. Bobby Sepucha, Will Stokes and nephrologist Dr. Natasha Dave join us to talk about how these kidney care disruptors are prioritizing patients and their overall health. Resources from the episode: Learn more about Strive Health’s Kidney Heros:   Read up on Cricket Health’s kidney care model: to Dr. Dave’s podcast on life as a nephrologist:     Keep up with David on twitter @CHIDavidSmith.    Share your feedback!  Email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.   Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information.
6. What’s Missing in Maternal Health?
May 13 2021
6. What’s Missing in Maternal Health?
The complications started around week 18 of Marquisse Watson’s pregnancy. Six weeks later, her baby girl Alana was born premature. Marquisse and her husband Antwon had bought the baby clothes, gotten the nursery ready… but Alana passed away 36 hours after she was born. This week, we talk to Marquisse about working through her grief seven years later. We’re joined by Venice Haynes and Meredith Shockley-Smith to talk broadly about social determinants and why black babies are twice as likely to die than white babies.     Resources from the episode: Learn more about Cradle Cincinnati: and Queens Village:   Check out Marquisse and Antwon’s Alana Marie Project: the US of Care on twitter:   Read about the US of Care findings on Americans’ health care needs during COVID-19:   Watch the US of Care Voices of Real Life YouTube series:   Keep up with David on twitter @CHIDavidSmith.    Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.   Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information.
5. Burnout: The Vicious Cycle
May 6 2021
5. Burnout: The Vicious Cycle
The healthcare system is basically a lucrative game of tug-of-war among players – and the winner reaps a trillion dollar pot of gold. But is it a fair game? David explores the monstrous “fee-for service system” with Dr. Vivian Lee. Then, Dr. Jill Gross joins David to explore how the results can lead to a total system breakdown.     Resources from the episode: Pick up your own copy of Dr. Lee’s book, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone –   Read more about the “fee-for-service monster” in Dr. Lee’s STAT article –   Learn more about Dr. Jill Gross at   Keep up with David on twitter @CHIDavidSmith.    Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.   Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia.   See omnystudio.com/listener for privacy information.
4.  The Million Dollar Baby
Apr 29 2021
4. The Million Dollar Baby
Lauren Bard’s little girl, Sadie, had a 50/50 chance of survival when she was born 14 weeks premature. Luckily, Lauren is a nurse at Dignity Health, a Catholic hospital, so she had good insurance and knew how to protect herself...or so she thought. Instead, she ended up with a $1.7 million dollar bill. Dr. Ashish Jha also joins David this week to help us figure out how the heck this happened.   Resources from the episode: ProPublica article on Lauren’s journey, by journalist Marshall Allen from Ep. 3:   Keep up with David on twitter @CHIDavidSmith.    Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia.  See omnystudio.com/listener for privacy information.
3. Upcoded: You’re Never Done Paying
Apr 22 2021
3. Upcoded: You’re Never Done Paying
This week, we’re talking about upcoding, and how it can lead to $11,000 COVID tests, $629 bandaids, and mothers waiting within sprinting distance to the hospital. America has some of the best doctors and hospitals in the world, but many patients are too afraid to walk through the doors for fear of going into unnecessary debt.  Dr. Zachary Sussman, New York Times journalist Sarah Kliff and ProPublica journalist Marshall Allen, who investigate medical billing for a living, join David to shed some light on surprise bills. Keep up with David on twitter @CHIDavidSmith.  Resources from the episode: Share your coronavirus medical bills with Sarah Kliff & the New York Times:   Learn more about the $629 band-aid on The Impact, a podcast created and formerly hosted by Sarah: Marshall’s article about Dr. Zachary Sussman’s $10,984 COVID test: Marshall’s book, Never Pay The First Bill: out Marshall’s Top Doctor award: a better health care consumer with the help of ProPublica’s voices of patient harm: and Sarah’s reporting for Vox:   Learn more about your surgeon before an operation with ProPublica’s Surgeon Scorecard:   Keep up with David on twitter @CHIDavidSmith.  Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.  Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.  Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone. You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows. To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date. Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information.
2. Sickness = Profit
Apr 15 2021
2. Sickness = Profit
Unpredictable chaos adds up to something over time. That’s David Smith’s story, and it’s also the origin story behind our broken health care system. This week, we explore why sickness pays and health doesn’t, and how we got here in the first place. Our guests this episode are economic historian Melissa Thomasson, health care journalist Elisabeth Rosenthal and futurist Ian Morrison.    Keep up with David on twitter @CHIDavidSmith.    Resources from the episode: Learn more about the history of our health care system from Melissa Thomasson on Planet Money  Elisabeth Rosenthal’s book, An American Sickness Bill of the Month series, a Kaiser Health News + NPR collaboration   Keep up with David on twitter @CHIDavidSmith.    Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information. See omnystudio.com/listener for privacy information.
1. The Doomsday Clock
Apr 15 2021
1. The Doomsday Clock
David Smith watched as chronic pain and addiction transformed his loving father into a vengeful man who was unrecognizable. David has spent a lifetime trying to outrun his father’s fate - but now he’s looking for answers. How can we build a better healthcare system and stop the cycle of sickness, trauma and loss? In episode one, we explore his family’s story, covering everything from childhood tragedy and generational trauma to opioid abuse and Mormon excommunication.    Keep up with David on twitter @CHIDavidSmith.    Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662.    Support for this episode of The Cost of Care comes from Healthline.com, America’s leading digital health brand. Visit healthline.com/costofcare now, and stay connected by following @healthline on Instagram, Facebook and Twitter. Healthline: Powering healthy actions and supporting you on your journey to well-being.    Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone.   You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows.   To follow along with a transcript and/or take notes for friends and family, go to shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. See omnystudio.com/listener for privacy information. See omnystudio.com/listener for privacy information.