Breadcrumbs Podcast is a series of performed stories, poems, audio dramas, and other media that was originally published on BreadcrumbsMag.com. If you're interested in contributing your own piece of audio for the podcast, please visit our site and follow the trail!
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An Arm and a Leg is a podcast about why health care costs so freaking much and what we can (maybe) do about it. If you’ve ever been surprised by a medical bill, you’re in good company. But as our team of seasoned journalists has learned from years of reporting — you’re not always helpless. We don’t have all the answers, but we’ll offer you tools and big picture insights with plenty of humor and heart. An Arm and a Leg is co-produced with KFF Health News and distributed in partnership with KU ...
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The great American drug shortage isn't an accident, it's artificial (from Organized Money)
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39:06As a follow-up to our series The Prescription Drug Playbook — all about how you can get the meds you need at a price you can (maybe) afford — we’re stepping back to look at the big picture. From the start of this podcast, we’ve been trying to answer a major question: Why do my meds cost so freaking much? And we’ve highlighted the profit-seeking gam…
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In February, we asked you, our listeners, to share the tips, tricks, and tactics you’ve learned for getting the medicine you need at prices you can manage. And of course some of you work in health care and have insider knowledge. Which we’re passing along in this second episode of The Prescription Drug Playbook. We’ll hear from a listener who works…
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Too many of us get sticker shock when we go to pick up our meds. We asked our listeners how they get by in this situation, and we learned dozens of tips. And in this two-part series, we’re sharing those strategies — including some advice from experts. The next episode drops June 30. See omnystudio.com/listener for privacy information.…
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In surveys, one in four Americans report having to skip their medications due to cost. We asked our listeners: what strategies have you used when you’ve been hit with pharmacy sticker shock? We heard from a ton of you – with stories, strategies and workarounds that surprised and encouraged us. None of them will work for everybody. This is a set of …
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Could this mathematician’s formula fix US hospitals?
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32:11What do the KGB and the former CEO of Cincinnati Children's Hospital have in common? At different times, they’ve each looked to a guy named Eugene Litvak for help. He only said yes to Cincinnati — but he saved that hospital more than a hundred million dollars a year. For the last few decades, Litvak – a Soviet émigré with a PhD in math – has been o…
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A longtime expert puts 2025-so-far in perspective
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25:30With news blasting from Washington like a firehose, it feels impossible to take it all in — to stay on top of all the changes the Trump administration has been trying to make. But for health care, one person is probably closer to anyone than to understanding the full picture: KFF Heath News Chief Washington Correspondent Julie Rover. In this episod…
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People who work in real-life emergency rooms have raved about how accurately the new drama The Pitt (Max) captures the dynamics and the medical details of their workplaces. Here at An Arm and a Leg, we’ve been nerding out about how the show depicts the financial forces that shape the ER’s day-to-day problems like crowding, eternal wait times, and s…
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Winning a two-year fight over a bogus bill
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23:40A few months ago, we got a note from a listener named Meagan, who wanted to thank us. She said the stories she heard on this show had given her the advice and encouragement she needed to finally win a fight against a medical bill she didn’t owe — a battle she’d been waging for more than two years. As Meagan tells us, those two years were filled wit…
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A medical-debt watchdog gets sidelined by the new administration
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19:31A federal agency called the Consumer Financial Protection Bureau — CFPB for short — has taken big steps to help people with medical debt. In early February, the Trump administration moved to effectively shutter the agency. We talked with credit counselor Lara Ceccarelli about how the CFPB has helped clients at the nonprofit where she works, and how…
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Big news: Our ‘First Aid Kit’ newsletter is now weekly
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4:49Hey – real quick: some big news from the team at An Arm and a Leg. Our First Aid Kit newsletter is going weekly! First Aid Kit brings you advice from our show and more on how to survive and navigate America’s health care system. And allow us to introduce First Aid Kit’s new writer, Claire Davenport. When she was our intern last summer, she reviewed…
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We’re kicking off a new reporting project about how much we pay for our medicine — and what we can maybe do about it — and we want to hear your stories. Because: Getting a case of sticker shock with a prescription happens all the time. So we’re asking: What have you done — or tried to do — to get the medicines you need at prices you can afford? And…
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The ‘Shkreli Awards’ — for dysfunction and profiteering in health care
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25:26You remember a guy named Martin Shkreli? If his name rings a bell, it’s probably because back in 2015, he jacked up the price of an old drug — from around $13 a pill to $750. The media dubbed him “the pharma bro,” and he became a symbol of brazen pharmaceutical greed. Now, he’s the namesake for the Shkreli Awards — a kind of Oscars for the most out…
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An Arm and a Leg is a show about why health care costs so freaking much, and what we can (maybe) do about it. New episodes every three weeks. See omnystudio.com/listener for privacy information.By An Arm and a Leg
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A few weeks ago, a listener sent us a note with a link to a news article about a new resolution that had recently been adopted by the American Medical Association – the largest group representing doctors in the US. The resolution said: hospitals need to do more to guarantee charity care to patients who qualify. Legislators and regulators should mak…
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Today we’re revisiting one of our favorite episodes from the archive – a story about giving – and bringing you an update. In 1980, a young father named Denny Buehler was battling leukemia and needed to travel from Cincinnati to Seattle for treatment. To raise the money, his friends and family threw a softball tournament. Denny passed away a few mon…
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New lessons from the fight for charity care
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28:06
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28:06Longtime listeners to this show know we’ve been talking about something called “charity care” for years. Federal law requires that all nonprofit hospitals have charity care policies – that is, financial assistance policies — to reduce or remove people’s medical bills. The problem: people don’t know about it, and hospitals don’t always make it easy …
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Fight health insurance — with help from AI
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22:29Several listeners sent us an article with the headline Make your health insurance cry, about a new AI tool to fight health insurance. We had to learn more. Meet Holden Karau: a Bay Area software engineer who says she’s “trying to make health insurance suck a little bit less.” So she’s created an AI tool to appeal insurance denials. Her project, Fig…
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Something different: We talk with journalist Cara Anthony about topics that don’t always come up in conversations about the cost of health care. For the last four years, she’s been reporting on the public health effects of racism, violence, and intergenerational trauma in a small Missouri town.. The result: A new documentary and podcast series call…
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Special Feature: A Beloved Nursing Home, from “To See Each Other”
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31:49We're sharing an episode of “To See Each Other,” about a question that’s SUPER-relevant to this show: How do we pay for long-term care, like nursing homes? To See Each Other aims to complicate the narrative about small-town Americans. In this new season, host George Goehl heads to Lincoln County, Wisconsin — population, 28,000-and-some. And home to…
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“Baby steps” in the fight against facility fees
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23:32An $88 “observation room” fee for a check-up didn’t sit right with Kari Greene, a listener from Oregon. When the price went up to $99 the next year, Kari complained to her benefits rep; they thought it was weird, too — but couldn’t do anything about it. In states like Connecticut and Indiana, legislators are trying to do something about fees like t…
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Anatomy of a Fall: One rural hospital’s ransomware story (from Click Here)
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27:10What happens when a hospital gets hit by a ransomware attack? We’re sharing an episode from a podcast called Click Here that takes us inside the aftermath of a cyber attack on a rural hospital in Oregon. The story starts the minute the hospital’s IT director finds out they’ve been hacked, and follows him and his colleagues as they scramble to keep …
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Don’t get “bullied” into paying what you don’t owe
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24:11Caitlyn Mai expected her share of a recent surgery bill to be about $2,000, with insurance covering the rest. Then she started getting alerts on her phone from the hospital that she owed $139,000 — the full cost of her surgery. But Caitlyn, a legal assistant in Oklahoma, instinctively knew a cardinal rule of the American healthcare system — “never …
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We’re starting a new investigation and need your help. We’re looking into something we’ve talked about a lot on this show: hospital financial assistance – also known as “charity care” — which most hospitals are legally required to offer. Something like 60 percent of people might qualify to have their hospital bills reduced or even forgiven through …
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The woman who beat an $8,000 hospital fee
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25:31Georgann Boatright's local hospital told her she'd need to pay an $8,000 "operating room" charge for a test she was pretty darn sure wouldn't involve an operating room. So she went elsewhere, even though it meant driving to another state. Avoiding that charge required more than just a willingness to go — literally — way out of her way. Georgann Boa…
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For months now, you’ve been sharing stories with us about facility fees, those sneaky fees that keep showing up on your medical bills. Facility fees are kind of like a cover charge for visiting a health care facility, usually one owned by a hospital. And many of you have been blindsided by them. Some of you have been going to the same place for yea…
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