{"id":1331,"date":"2025-11-12T09:00:00","date_gmt":"2025-11-12T10:00:00","guid":{"rendered":"http:\/\/www.dangeladvertising.com\/?p=1331"},"modified":"2025-11-14T15:00:31","modified_gmt":"2025-11-14T15:00:31","slug":"an-arm-and-a-leg-a-few-good-things-from-2025-really","status":"publish","type":"post","link":"http:\/\/www.dangeladvertising.com\/index.php\/2025\/11\/12\/an-arm-and-a-leg-a-few-good-things-from-2025-really\/","title":{"rendered":"An Arm and a Leg: A Few Good Things From 2025 (Really)"},"content":{"rendered":"

Massive cuts to medical research and Medicaid. Waves of layoffs across the Department of Health and Human Services. Ongoing uncertainty around federal subsidies to buy health insurance on Affordable Care Act marketplaces. 2025 has been a rough year for federal health programs.<\/p>\n

But meanwhile, in the states, there were some wins for health care access. \u201cAn Arm and a Leg\u201d host Dan Weissmann examines how lawmakers from across the political spectrum accomplished meaningful reforms. This episode takes listeners to Nebraska, which instituted aggressive new restrictions on prior authorization, and Virginia, where lawmakers banned wage garnishment and capped interest rates for certain medical debts.<\/p>\n

\tDan Weissmann<\/p>\n

\t\t\t
\n\t\t\t\t@danweissmann\t\t\t<\/a><\/p>\n

\t\t\tHost and producer of “An Arm and a Leg.” Previously, Dan was a staff reporter for Marketplace and Chicago’s WBEZ. His work also appears on All Things Considered, Marketplace, the BBC, 99 Percent Invisible, and Reveal, from the Center for Investigative Reporting.\t\t<\/p>\n

\n\t\tCredits\t<\/h3>\n

\tEmily Pisacreta
\n\tProducer<\/p>\n

\tClaire Davenport
\n\tProducer<\/p>\n

\tAdam Raymonda
\n\tAudio wizard<\/p>\n

\tEllen Weiss
\n\tEditor<\/p>\n

\t\t\t\t\tClick to open the Transcript\t\t\t\t<\/p>\n

\t\t\t\t\t\tTranscript<\/strong>: A Few Good Things From 2025 (Really)<\/strong>\t\t\t\t<\/p>\n

Note: \u201cAn Arm and a Leg\u201d uses speech-recognition software to generate transcripts, which may contain errors. Please use the transcript as a tool but check the corresponding audio before quoting the podcast.<\/em><\/p>\n

Please note that this transcript may include errors.<\/p>\n

Dan:<\/strong> Hey there, you don\u2019t need me to tell you. 2025 has been a lot.\u00a0<\/p>\n

I mean, just with health care: As I record this, the US government has been shut down for more than a month over whether to extend health insurance subsidies that more than 20 million people rely on.\u00a0<\/p>\n

I mean, if Congress resolves this tomorrow\u2013 and I\u2019m not holding my breath\u2013it\u2019s still gonna be a huge mess.<\/p>\n

And I could definitely go on. But I\u2019m not gonna do that.<\/p>\n

Instead, I\u2019ve been spending my time these last few weeks looking at what\u2019s happened this year that didn\u2019t suck and what we can learn from that.\u00a0<\/p>\n

And it turns out, at the state level, there\u2019s a lot to look at.\u00a0<\/p>\n

All over the country, state governments took action this year to make things suck a little less \u2014 on things like medical debt and health insurance and the price of drugs.<\/p>\n

And it happened dozens of times this year in a lot of states.<\/p>\n

Nebraska Newscaster: New tonight, new Nebraska legislation will make it easier for patients to access healthcare.<\/strong><\/p>\n

Maine Newscaster: We\u2019re on your side tonight as a new law aimed at protecting Maine consumers from the impacts of medical debt goes into effect.<\/strong><\/p>\n

Virginia newscaster: Virginians are only one medical crisis away from bankruptcy according to advocates. That\u2019s why the General Assembly passed a bill to create some protections for people facing medical debt.<\/strong><\/p>\n

Dan:<\/strong> And I\u2019ve been talking with people who helped get new non-sucky laws passed this year.\u00a0 In red states, blue states, purple states.\u00a0<\/p>\n

And I cannot wait to start introducing you to some of these folks and to share what I\u2019ve learned about what they got done \u2014 and maybe most important: how they did it\u2026\u2019cause we need more non-sucky laws passed in as many places as possible.<\/p>\n

This is An Arm and a leg, a show about why health care costs so freaking much, and what we can maybe do about it. I\u2019m Dan Weissmann. I\u2019m a reporter, and I like a challenge. So the job we\u2019ve chosen on this show is to take one of the most enraging, terrifying, depressing parts of American life and bring you a show that\u2019s entertaining, empowering, and useful.<\/p>\n

Here. Let me introduce you to somebody.<\/p>\n

Eliot Bostar: My name is Eliot Bostar and I am a legislator in Nebraska. I represent Legislative District 29, which covers essentially South Lincoln, our capital city.<\/strong><\/p>\n

Dan: I thought Nebraska was interesting. One \u2019cause it\u2019s a state we don\u2019t hear from as often. It\u2019s not a blue coastal state.\u00a0<\/strong><\/p>\n

Eliot Bostar: Whatever the opposite of that is, that\u2019s what we are. Yes.<\/strong><\/p>\n

Dan:<\/strong> And Eliot Bostar sponsored and passed legislation this year imposing new rules on prior authorization.\u00a0<\/p>\n

That\u2019s where your doctor or your provider tells you you need something, a drug, a test, a procedure, and the insurance company comes back and says, yeah, not so fast. Your provider has to show us why that\u2019s necessary.<\/p>\n

And look, just to zoom out:\u00a0<\/p>\n

There\u2019s an argument here that not everything that gets prescribed or ordered is actually necessary or even appropriate. But in practice, prior authorization can result in treatment getting delayed or denied in ways that seem arbitrary and unreasonable and that have big consequences.\u00a0<\/p>\n

In a recent survey from the American Medical Association, almost 30% of doctors said problems with prior authorization had led to a patient getting hospitalized or becoming permanently disabled, or sustaining other permanent damage, or almost dying, or actually dying.\u00a0<\/p>\n

Amy Killelea is a professor with Georgetown University\u2019s Center on Health Insurance Reforms.<\/p>\n

They\u2019re part of a research team tracking prior authorization, and whenever they give a talk to college students, to policy nerds, to groups of patients with conditions like diabetes, they\u2019ll say this.<\/p>\n

Amy Killelea: Raise your hand if you\u2019ve ever had a problem or um, an emotional reaction to prior authorization, and every hand in the room goes up. It\u2019s so ubiquitous. It\u2019s something that everybody can relate to on like a fundamental, visceral level.\u00a0<\/strong><\/p>\n

Dan:<\/strong> Amy Killelea says this kind of anger is starting to show results. The Georgetown Center tracks state laws on prior authorization.<\/p>\n

In 2024 they know of 10 that passed.<\/p>\n

In 2025, so far, they have logged 20.<\/p>\n

And looking over their list, a couple of things stand out. One is these are 20 politically diverse states. Alaska, Rhode Island, Arkansas, California, Montana.<\/p>\n

You get the idea. The other thing that stands out is these things they\u2019re regulating generally make you go, wait. There was no law against that before?\u00a0<\/p>\n

I mean, Nebraska\u2019s new law regulating prior authorizations is about as aggressive as anything I\u2019m seeing on this list. And the results are just, like, common sense.<\/p>\n

Like for one big example: if an insurance company denies your prior authorization request, or an appeal, that denial now has to come from a licensed clinician with relevant experience.<\/p>\n

And when I talked with Eliot Bostar, I was like, wait, like this wasn\u2019t required before?<\/p>\n

Eliot Bostar: You\u2019d be surprised. So, I\u2019ll give you an example. A neurosurgeon was attempting to get approval for fusing of a cervical disc in the spine, right? There was a person that was at risk of honestly paralysis and got an initial denial, appealed, and got another denial. And that denial came from a pediatrician.\u00a0<\/strong><\/p>\n

Dan: Like a general\u2026\u00a0<\/strong><\/p>\n

Eliot Bostar: General practice pediatrician.<\/strong><\/p>\n

Dan: How old was the patient?<\/strong><\/p>\n

Eliot Bostar: An adult.<\/strong><\/p>\n

Dan: Okay. Not, not, not, not a candidate for pediatric care. All right.<\/strong><\/p>\n

Eliot Bostar: Or, a request is put in for a medication by a prescribing physician and a denial comes back from a dentist.<\/strong><\/p>\n

Dan:<\/strong> Yeah. None of that was illegal under Nebraska law, until now.\u00a0<\/p>\n

And not just Nebraska. Four other states passed similar rules just this year\u00a0<\/p>\n

And there are more what I\u2019ll call, \u201cwait, what?\u201d kind of provisions in Nebraska\u2019s new law.<\/p>\n

Like it sets a deadline for how long your insurance can make you wait for a yes or no on prior authorization, or like, they can\u2019t make you wait for prior authorization to approve an ambulance ride to the ER.\u00a0<\/p>\n

And Nebraska\u2019s law also features a technical provision that I don\u2019t think anybody would\u2019ve imagined a few years ago.<\/p>\n

It outlaws the use of AI as the sole basis for denying coverage.\u00a0<\/p>\n

And Eliot Bostar says insurance companies don\u2019t say they\u2019re doing that, but he\u2019s seen examples that look a lot like it.\u00a0<\/p>\n

Eliot Bostar: Physicians putting in a request through a digital platform, um, putting in all the information, hitting submit, and then instantly getting a denial. There\u2019s not a lot of ways that can happen, right? It\u2019s not that there was a human who sat there and read it all and was thoughtful, analyzed the case, and made a determination of denial within half a second. So something else happened in that time, and so that should not happen anymore.<\/strong><\/p>\n

Dan:<\/strong> Two other states, Maryland and Texas restricted the use of AI this year, according to that cheat sheet I got from Georgetown.\u00a0<\/p>\n

So, Elliot Bostar and his colleagues got a big win. He says the state medical society, Nebraska\u2019s chapter of the American Medical Association and the state hospital association were big allies.\u00a0<\/p>\n

But health insurance companies are powerful opponents. Eliot says, in earlier years, he and his allies had tried taking smaller swings at prior authorization\u2013 and gotten swatted away. This time, they went big.<\/p>\n

Eliot Bostar: The decision was made that we were gonna, we were gonna really go after all of it. We\u2019re gonna go after all of it.<\/strong><\/p>\n

Dan:<\/strong> He says a lot of that decision came down to sheer frustration and a little bit of political calculation. A big swing can rally people to you and give the other side good reason to take you seriously.<\/p>\n

Eliot Bostar: I think it\u2019s important to make clear that we\u2019re not going to put up with a system that\u2019s this broken, any longer. You can be really direct. So you can tell the insurance companies, we\u2019re gonna do something. And you can either kind of work with us on how to do that or, or not.<\/strong><\/p>\n

Dan:<\/strong> And then he set out to divide and conquer.<\/p>\n

Eliot Bostar: If insurance companies themselves don\u2019t necessarily agree with each other, or they\u2019re not fully aligned on a bill or on a policy, that can effectively neutralize the industry.<\/strong><\/p>\n

Dan:<\/strong> I asked him:, how\u2019d you figure out who you might be able to pick off?\u00a0<\/p>\n

Eliot Bostar: So Blue Cross Blue Shield in Nebraska is just a Nebraska company, right? They\u2019re part of the larger Blue Cross, you know, network, but they are just a Nebraska company versus United is not.<\/strong><\/p>\n

Dan:<\/strong> He said by the time the bill came up for a hearing, he\u2019d been negotiating with insurance companies for months and he didn\u2019t get everything he wanted. But you know, it passed.<\/p>\n

Eliot Bostar: I don\u2019t think anyone voted against it.\u00a0<\/strong><\/p>\n

Dan:<\/strong> Eliot Bostar says his strategy got a boost from some specifics of Nebraska\u2019s legislative structure.<\/p>\n

Like there\u2019s just one house, a Senate. 49 members smallest in the country, and elections are nonpartisan. So things work differently than they do in most places.<\/p>\n

Eliot Bostar: There\u2019s no majority leader. There\u2019s no whip, there\u2019s no any of that.<\/strong><\/p>\n

Dan:<\/strong> He says that setup allowed him to hand sell this proposal to one colleague at a time.\u00a0<\/p>\n

So some lessons here:\u00a0<\/p>\n

One, go big. Why the heck not?\u00a0<\/p>\n

Two: Figure out who you can pick off in the opposition.\u00a0<\/p>\n

Three: However the political structure works in your state, work it.<\/p>\n

Because, you know, lawmakers in 20 states made new rules on prior authorization this year. They don\u2019t all work like Nebraska.\u00a0<\/p>\n

One caveat here, states don\u2019t have all the power. With health insurance, that\u2019s especially true.\u00a0<\/p>\n

You know, we\u2019ve talked about this before. If you get your health insurance from work\u2013 especially if you work for a good sized company\u2013 your health plan is probably set up in a way where state insurance regulations don\u2019t apply.<\/p>\n

But Eliot Bostar says he gives local employers a two-part pitch to offer their workers similar protections.\u00a0<\/p>\n

One, they can save money because delaying care now can mean more-expensive care later.\u00a0<\/p>\n

Two, because new state protections raise everybody\u2019s expectations.\u00a0<\/p>\n

Eliot Bostar: And how much of a unfortunate shame would be if their employees didn\u2019t receive the same benefits that perhaps their neighbors are.<\/strong><\/p>\n

Dan:<\/strong> In other words, you want to piss off your workers? He says sometimes it works.\u00a0<\/p>\n

Just ahead: In Virginia, a new law bans wage garnishment for medical debts \u2014 and caps interest at just three percent. Democrats passed it. The Republican governor signed it. How\u2019d they pull it off?\u00a0<\/p>\n

That\u2019s next.<\/p>\n

This episode of An Arm and a Leg is produced in partnership with KFF Health News. That\u2019s a nonprofit newsroom covering healthcare in America. These folks are amazing journalists. Their reporting wins all kinds of awards every year. We are honored to work with them.<\/p>\n

Ok, let\u2019s meet a couple folks from Virginia.<\/p>\n

Amanda Gago Silcox: I am Amanda Gago Silcox. I am the education and resource manager here at Virginia Poverty Law Center.<\/strong><\/p>\n

Jay Speer: I\u2019m Jay Speer. I\u2019m the Executive director and consumer rights attorney at the Virginia Poverty Law Center.<\/strong><\/p>\n

Dan:<\/strong> Their organization, VLPC, for short, does a bunch of stuff.\u00a0<\/p>\n

Among other things, they operate toll free helplines for folks struggling to pay utility bills. They coordinate with local legal aid offices across the state and. They lobby in the state capital.\u00a0<\/p>\n

Medical debt is a big issue for them, and this year they helped pass a law that will limit how far Virginians can get chased for medical debt specifically, it caps interest on medical debt at 3%.<\/p>\n

Amanda Gago Silcox:<\/strong> And then the bill also bans garnishing the wages of anyone qualifying for financial assistance.<\/p>\n

Dan:<\/strong> \u2026which seems like common sense.\u00a0 like if you qualify for financial assistance from a hospital, you should be getting your bill reduced or canceled, not getting money grabbed from your paycheck. Or having your home foreclosed on to pay a hospital bill, which has also happened, and which the new law will also ban. Along with \u2026 getting arrested over a hospital bill. Yeah.<\/p>\n

And there\u2019s another provision that VPLC really pushed for in this bill. It\u2019s gonna sound technical, but this is big.<\/p>\n

Amanda Gago Silcox: It prohibits, the sale of medical debt to a debt buyer unless they follow basically the same requirements as are required of medical creditors.<\/strong><\/p>\n

Dan: <\/strong>Here\u2019s why that\u2019s big. There are two kinds of collection agencies. There\u2019s the kind that work for a hospital or whoever and get paid basically on commission and then \u2014 as Jay explains\u2013 there debt buyers. Those are different.\u00a0<\/p>\n

Jay Speer: They\u2019re the ones that pay anywhere from one to 5% of what\u2019s owed and then sue you for the whole amount. Debt buyers deal in volume. They get, they buy thousands and thousands of debts and they sue everybody.<\/strong><\/p>\n

Dan:<\/strong>Yeah, Jay says VPLC has analyzed data from across the whole state court system-\u00a0 and saw just how many lawsuits debt buyers were actually filing.<\/p>\n

Jay Speer: In Virginia last year, they filed 45% of the lawsuits in Virginia. Um, so it\u2019s a huge amount.<\/strong><\/p>\n

Dan: 45% all lawsuits, like..?<\/strong><\/p>\n

Jay Speer: \u2026of all lawsuits were filed by debt buyers.<\/strong><\/p>\n

Dan:<\/strong> The new law aims to put the brakes on that, at least from medical debts.\u00a0<\/p>\n

Jay Speer: It says if you sell the debt to a debt buyer, you have to have an agreement with that debt buyer that they will follow these rules.<\/strong><\/p>\n

Dan:<\/strong> That is, they won\u2019t charge more than 3% interest. No garnishing wages, no foreclosing on homes, no arrests. Jay thinks requiring these kinds of agreements could basically mean providers just won\u2019t be able to sell to debt buyers. \u2018Cause he\u2019s been studying how that whole side of medical debt actually works.<\/p>\n

Jay Speer: I\u2019ll tell you right now, there is no such thing as these agreements between providers and debt buyers.<\/strong><\/p>\n

Dan: Hmm.<\/strong><\/p>\n

Jay Speer: All debt buyers buy is a spreadsheet with names and numbers on it. They\u2019re not gonna enter into these agreements. Maybe I\u2019m wrong. I mean, they could change their whole practice, but I would be surprised.<\/strong><\/p>\n

Dan:<\/strong> That\u2019s the kind of insight VPLC brought to the push for this law. But Amanda admits that push wasn\u2019t part of some master plan.\u00a0<\/p>\n

Amanda Gago Silcox: And you know, I wish that we had planned many, many days and months, to work on this bill, but it kind of fell in our laps.<\/strong><\/p>\n

Dan:<\/strong> She says late last year, she heard from an advocate with a national group called Blood Cancer United\u2013\u00a0 they advocate for cancer patients, not cancer\u2013with a pitch for the idea.<\/p>\n

Amanda Gago Silcox: I\u2019ll be quite honest, I was like, wow, this is really aggressive. I don\u2019t know about this.<\/strong><\/p>\n

Dan:<\/strong> Jay was skeptical too. Getting a bill like this passed would be one thing, even with Democrats holding majorities in both legislative houses, but then Republican Governor Glenn Youngkin would need to sign it.<\/p>\n

Jay Speer: And the governor also has a history of vetoing tons and tons and tons of bills, five times more than any other governor\u2019s ever vetoed. And so that\u2019s hanging over the whole thing.<\/strong><\/p>\n

Dan:<\/strong> But Amanda says The folks at Blood Cancer United were very gung-ho. They promised to bring patients with powerful stories to tell<\/p>\n

\u2026 and they thought VPLC\u2019s technical expertise, including their research on debt buyers, would add a lot.<\/p>\n

And they\u2019d already lined up a sponsor: Delegate Carrie Delaney, who had just succeeded in passing a bill to keep medical debts off of credit reports.<\/p>\n

Jay Speer: So we knew she was serious about it. I mean, that\u2019s always a consideration when you\u2019re thinking about legislation is, who\u2019s your patron? Are they really serious about it?<\/strong><\/p>\n

Dan:<\/strong> VPLC decided to join up. Amanda took point on their lobbying, she says. It wasn\u2019t easy.<\/p>\n

Amanda Gago Silcox: I remember there being a day where it just felt like we were giving up little pieces here and there, and I was like, I just don\u2019t know if what we\u2019re gonna get out of this is worth it. We\u2019ve given up everything. This doesn\u2019t even do anything anymore.\u00a0<\/strong><\/p>\n

Dan:<\/strong> Specifically, she says the cap on interest looked like it was gone.\u00a0<\/p>\n

Amanda Gago Silcox: Yeah. I thought we were gonna have to give that up.<\/strong><\/p>\n

Dan:<\/strong> Somehow the interest cap came back in. Amanda got her faith back.\u00a0<\/p>\n

And she says there were also moments that gave her confidence, like just making the rounds of legislators offices to drop off information and sign up for a time to meet with the lawmakers.<\/p>\n

Amanda Gago Silcox: When we were talking to their administrative assistants and we mentioned that we were there to talk about medical debt and many, many of the administrative assistants mentioned, oh yeah, like my husband had cancer and we had X, Y, Z, Or I had a friend who had breast cancer and she had this happen to her. So it really resonated with, with legislators\u2019 staff, with the folks that they\u2019re surrounded with. So I think that really helped us continue pushing.<\/strong><\/p>\n

Dan:<\/strong> And they won. Both houses. Now It was the governor\u2019s move.\u00a0<\/p>\n

Jay Speer: So Virginia has a weird process. Where they send the bills to the governor. The governor either signs the bills, vetoes the bills, or makes a quote recommendation. In this case, he made a recommendation.<\/strong><\/p>\n

Dan:<\/strong> He wanted to weaken the bill, so that sends it back to the legislature.<\/p>\n

Jay Speer:<\/strong> And they either accept his recommendation, which puts the bill in, into law, or they reject it. Then it goes back to the governor. And the governor then has two choices. He could veto it or sign it. So it\u2019s a risky business to reject his recommendation because you\u2019re almost taunting him to veto it.<\/strong><\/p>\n

Dan: <\/strong>So when legislators DID reject the governor\u2019s recommendation, Jay and Amanda say they were shocked.<\/p>\n

Amanda Gago Silcox: We were shocked when it went back to the governor and he did in fact sign it. I mean, I thought we were, it was gonna be vetoed.\u00a0<\/strong><\/p>\n

Jay Speer: I was sure he was gonna veto it. I mean, like I said, he is vetoed like God five times more bills than any other governor.\u00a0<\/strong><\/p>\n

Jay Speer: I think the only explanation is he\u2019s nervous about this and it makes him look bad to not help people out with medical debt.<\/strong><\/p>\n

Dan:<\/strong> They didn\u2019t get everything they wanted.\u00a0<\/p>\n

The law doesn\u2019t take effect till July, 2026,, and it exempts credit cards, including medical credit products like CareCredit, which issues a plastic card\u2013\u00a0 and charges 33% interest after a promotional period.<\/p>\n

Amanda Gago Silcox: So this is definitely an area where there\u2019s some work to be done.<\/strong><\/p>\n

Dan:<\/strong> Yeah, like me, these folks are never gonna run outta material. Meanwhile, they won a victory this year. They really didn\u2019t think they\u2019d get. And talk about having a lot of material. I reported a whole story about how Maine passed a law to keep medical debts off of credit reports. State Senator Donna Bailey sponsored that bill, which passed unanimously, and a similar bill had failed before, but this time she says:\u00a0<\/p>\n

Donna Bailey: I don\u2019t remember a lot of heavy pushback, which was pleasantly surprising to me, quite honestly.<\/strong><\/p>\n

Dan:<\/strong> We\u2019ll get to that one.<\/p>\n

By the way, five other states did the same thing this year, total of 15 since 2023, and a bunch of states passed new regulations on pharmacy benefit managers. The most aggressive was probably Arkansas. So yeah, there is more news that didn\u2019t suck coming.<\/p>\n

And speaking of things that don\u2019t suck as we bring you this episode, it\u2019s November, which means I get to test something I\u2019ve been saying to my colleagues for a long time. Reaching more people with An Arm and a Leg is both our mission imperative, \u2019cause we wanna be of the most use to the most people. And it\u2019s our business model \u2019cause the way we\u2019ve gotten this far is by asking you listeners, will you help us keep doing this? And a certain fraction of people have always said yes. And I\u2019ve said, if we can reach more people, well that\u2019s more people to say yes. And that will allow us to do more and keep growing. And this year I get to test that because Seattle\u2019s Public Radio Station, KUOW, became our distributor this year, and they\u2019re helping us reach a lot more people than we did a year ago, like twice as many.<\/p>\n

And so I get to test this theory and under really favorable conditions because. November is the beginning of a project called News Match from the Institute for Nonprofit News. Now news match matches individual gifts of up to a thousand dollars. And this month through a special gift from the Jonathan Logan Family Foundation, especially for an arm and a leg news match is double matching your gifts.<\/p>\n

So if you\u2019ve been listening, if you have found this show entertaining and empowering and useful, if you think it\u2019s cool to hear what states are doing to make things suck less and how they\u2019re doing it, if you found it useful when we ran down ways to save money on prescription drugs. If you think it is awesome that Arm and a Leg listeners have been coming together to build tools to help other folks stay out of medical debt, then this is your chance to make a lot more of that happen. \u2019cause every dollar you give us this month is matched two for one. You give us 50 bucks, it turns into $150. You give us a hundred, bam it\u2019s 300.\u00a0<\/p>\n

And you know, we have so much work to do. All you have to do is go to armandaleg show.com\/support.<\/p>\n

That\u2019s armandaleg show.com\/support and News Match will make your gift count for triple Your support becomes super support.\u00a0<\/p>\n

I mean, let\u2019s do this, Armand leg show.com\/support.\u00a0<\/p>\n

Thank you so much. We\u2019ll be back before Thanksgiving with our next episode. Till then. Take care of yourself.<\/p>\n

(Psst: Arm and a leg show dot com, slash, support. Thanks!)<\/p>\n

This episode of An Arm and a Leg was produced by me, Dan Weissmann, with help from Emily Pisacreta \u2014 and edited by Ellen Weiss.\u00a0<\/p>\n

Adam Raymonda is our audio wizard.<\/p>\n

Our music is by Dave Weiner and Blue Dot Sessions.\u00a0<\/p>\n

Claire Davenport is our engagement producer.<\/p>\n

Sarah Ballema is our Operations Manager. Bea Bosco is our consulting director of operations.\u00a0<\/p>\n

An Arm and a Leg is produced in partnership with KFF Health News. That\u2019s a national newsroom producing in-depth journalism about health issues in America and a core program at KFF, an independent source of health policy research, polling, and journalism.<\/p>\n

\u00a0Zach Dyer is senior audio producer at KFF Health News. He\u2019s editorial liaison to this show.<\/p>\n

An Arm and a Leg is distributed by KUOW, Seattle\u2019s NPR news station.<\/p>\n

And thanks to the Institute for Nonprofit News for serving as our fiscal sponsor.<\/p>\n

They allow us to accept tax-exempt donations. You can learn more about INN at INN.org.<\/p>\n

Finally, thank you to everybody who supports this show financially.<\/p>\n

You can join in any time at arm and a leg show, dot com, slash: support.<\/p>\n

\u201cAn Arm and a Leg\u201d is a co-production of KFF Health News and Public Road Productions.<\/em><\/p>\n

For more from the team at \u201cAn Arm and a Leg,\u201d subscribe to its weekly newsletter,\u00a0First Aid Kit<\/a>. You can also follow the show on\u00a0Facebook<\/a>,\u00a0Instagram<\/a>,\u00a0LinkedIn<\/a>, and\u00a0Bluesky<\/a>. And if you\u2019ve got stories to tell about the health care system, the producers would love to\u00a0hear from you<\/a>.<\/em><\/p>\n

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Massive cuts to medical research and Medicaid. Waves of layoffs across the Department of Health…<\/p>\n","protected":false},"author":1,"featured_media":272,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[14],"tags":[],"_links":{"self":[{"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/posts\/1331"}],"collection":[{"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/comments?post=1331"}],"version-history":[{"count":1,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/posts\/1331\/revisions"}],"predecessor-version":[{"id":1332,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/posts\/1331\/revisions\/1332"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/media\/272"}],"wp:attachment":[{"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/media?parent=1331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/categories?post=1331"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.dangeladvertising.com\/index.php\/wp-json\/wp\/v2\/tags?post=1331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}