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 ...
…
continue reading

1
A longtime expert puts 2025-so-far in perspective
25:30
25:30
Play later
Play later
Lists
Like
Liked
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…
…
continue reading
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…
…
continue reading

1
Winning a two-year fight over a bogus bill
23:40
23:40
Play later
Play later
Lists
Like
Liked
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…
…
continue reading

1
A medical-debt watchdog gets sidelined by the new administration
19:31
19:31
Play later
Play later
Lists
Like
Liked
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…
…
continue reading

1
Big news: Our ‘First Aid Kit’ newsletter is now weekly
4:49
4:49
Play later
Play later
Lists
Like
Liked
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…
…
continue reading
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…
…
continue reading

1
The ‘Shkreli Awards’ — for dysfunction and profiteering in health care
25:26
25:26
Play later
Play later
Lists
Like
Liked
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…
…
continue reading
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
…
continue reading
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…
…
continue reading
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…
…
continue reading

1
New lessons from the fight for charity care
28:06
28:06
Play later
Play later
Lists
Like
Liked
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 …
…
continue reading

1
Fight health insurance — with help from AI
22:29
22:29
Play later
Play later
Lists
Like
Liked
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…
…
continue reading
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…
…
continue reading

1
Special Feature: A Beloved Nursing Home, from “To See Each Other”
31:49
31:49
Play later
Play later
Lists
Like
Liked
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…
…
continue reading

1
“Baby steps” in the fight against facility fees
23:32
23:32
Play later
Play later
Lists
Like
Liked
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…
…
continue reading

1
Anatomy of a Fall: One rural hospital’s ransomware story (from Click Here)
27:10
27:10
Play later
Play later
Lists
Like
Liked
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 …
…
continue reading

1
Don’t get “bullied” into paying what you don’t owe
24:11
24:11
Play later
Play later
Lists
Like
Liked
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 …
…
continue reading
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 …
…
continue reading

1
The woman who beat an $8,000 hospital fee
25:31
25:31
Play later
Play later
Lists
Like
Liked
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…
…
continue reading
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…
…
continue reading
Folks who expected their health insurance to cover some out-of-network care have been getting stuck with enormous bills instead. Like one couple from Kansas City: Their insurance hung them out to dry for thousands of dollars, all while sending statements touting a “discount” the couple was supposedly getting. Turned out: A middleman was cutting the…
…
continue reading

1
Staying on Medicaid seems tougher than it should be
23:06
23:06
Play later
Play later
Lists
Like
Liked
23:06We take our first look at Medicaid— the big, federally-funded health insurance program for folks with lower incomes— for two reasons: First, it’s a huge part of our health-care system. Medicaid covers a quarter of all Americans, and four in ten children. Second, it’s timely: In the last year, more than 20 million people have lost Medicaid — even th…
…
continue reading

1
We’re digging into “facility fees.” We need your help.
10:22
10:22
Play later
Play later
Lists
Like
Liked
10:22We’re launching a brand new project and need your help! We’re zooming in on charges that are becoming more and more common on your medical bills: facility fees. Facility fees are charges tacked onto your bill for visiting a doctor’s office or clinic related to a hospital or larger health care system… or even talking with a doctor who’s in one of th…
…
continue reading
When a subsidiary of the giant UnitedHealth Group got hit by a cyberattack recently, a big chunk of the country’s doctors, pharmacists, hospitals and therapists just stopped getting paid. It’s been a huge disruption, with some providers wondering if they can keep their doors open. But thanks to their huge size and reach, the situation may have had …
…
continue reading
Reporter Bob Herman from STAT News unpacks his blockbuster investigation about the country’s biggest health care company. Covering the American health care system means we tell some scary stories. But this episode is almost like a horror movie. It’s got some of Hollywood’s favorite tropes: Machines taking over. Monsters from separate franchises mee…
…
continue reading
Health insurance sucks. Which leaves lots of us counting down the days until we turn 65 and can get on Medicare – the federal government’s health insurance program for seniors. But Medicare is a lot more complicated – and costs more money – than a lot of us realize. (Also, it involves insurance companies.) And:t There will be huge, complicated deci…
…
continue reading
A listener wrote to us at the beginning of the year with a query, “I was just reading the news about the price of insulin going down to $35! Is that for everyone?” It turns out, there is a lot of good news about the so-called “poster child” for the high cost of prescription drugs. But to say it costs $35 now is an oversimplification – and diabetes …
…
continue reading

1
Self defense 101: Keeping your cool while you fight
24:57
24:57
Play later
Play later
Lists
Like
Liked
24:57Dealing with the American health care system as a patient means lots of tough moments – unexpected bills, meds not covered, insurance and hospitals making you go back and forth without a clear answer, endless hold times and phone trees… the list goes on. So listeners ask us all the time: How do I stay strong and fight for my rights without totally …
…
continue reading
Real quick: Now's the best time to support this show! Thanks to a few super-star Arm and a Leg listener/donors, your donation is matched two for one right now. Here's the link to donate. Ok, now: We’ve got a mini-episode for you today, a four-minute coda to the epic story we brought you in December. It features a last tip for anyone who might want …
…
continue reading
Hey! The BEST time to support this show with a donation just got even better. Right now, any gift you make, up to $1,000, will be matched TWO for ONE, thanks to a few super-generous Arm and a Leg fans who’ve pooled their dough. . It’s a great deal, and it will set us up to kick maximum butt in 2024. Here’s the link, go for it! And… are you ready fo…
…
continue reading
Hey, it’s the BEST time to support this show with a donation. Thanks to NewsMatch, any gift you make, up to $1,000, will be doubled. It’s a great deal, and it will set us up to kick maximum butt in 2024. Here’s the link, go for it! We’ve been working on this investigation all year, with our partners at Scripps News and the Baltimore Banner. For yea…
…
continue reading

1
To get health insurance, this couple made a movie
18:42
18:42
Play later
Play later
Lists
Like
Liked
18:42Last fall, actor-writers Ellen Haun and Dru Johnston were hustling to get their health insurance sorted out for 2023. To qualify for insurance through the actor’s union, SAG-AFTRA, Ellen would have to book a little more work — doable, but not a sure bet. So they came up with a plan: crowdfund a bunch of money to make a short film, starring Ellen … …
…
continue reading

1
“Your Money or Your Life”: Dr. Luke Messac’s book on the history of medical debt
25:49
25:49
Play later
Play later
Lists
Like
Liked
25:49In 2019, Dr. Luke Messac was a medical resident who found himself spending his day off in a courthouse archive. He’d heard about hospitals suing their own patients over unpaid medical bills. He wanted to know if the hospitals he worked in were doing the same. They were. Trained as a historian, Messac then set out to trace the history of this phenom…
…
continue reading

1
Paging Dr. Glaucomflecken: Presenting “The Nocturnists - Conversations: Will & Kristin Flanary (The Glaucomfleckens)”
1:04:13
1:04:13
Play later
Play later
Lists
Like
Liked
1:04:13First: an update on our recent two-parter with the writer John Green, about the global, decades-long fight to make an important tuberculosis drug more widely available. Just two days after we posted part 2, the activists waging that battle scored a major victory. John Green was kvelling on YouTube, of course. We’ll get you up to speed. And for the …
…
continue reading

1
John Green vs. Johnson & Johnson (part 2)
26:29
26:29
Play later
Play later
Lists
Like
Liked
26:29This is part two of our globe-spanning story about drugs, patents, and YouTube megastar John Green. Quick recap: In our last episode, we learned how writer and YouTube star John Green kicked up a fight with Johnson & Johnson over a medicine called bedaquiline. And appeared to score a victory. Here, we dig into the backstory: How everything John Gre…
…
continue reading

1
John Green vs. Johnson & Johnson (part 1)
22:48
22:48
Play later
Play later
Lists
Like
Liked
22:48This episode is special. When we heard that widely-beloved writer John Green was rallying his online community around a fight over drug prices — and apparently making a difference — we were pumped. And this story took us in so many different directions: Literally around the world, and then straight back home. The drug in question is bedaquiline, ma…
…
continue reading
Hey there— our next story is gonna take a little more time to cook, but it is going to be SO worth it. It involves John Green, author of The Fault in Our Stars — and yes, we've got an interview with him — and a global fight against multi-drug resistant tuberculosis. ... which turns out to be directly related to fights over the prices of drugs like …
…
continue reading

1
How to Get a Surprise Bill on Your Way to the Hospital
19:45
19:45
Play later
Play later
Lists
Like
Liked
19:45For a year and a half now, the No Surprises Act has protected patients from some of the most outrageous out-of-network medical bills. But Congress left something pretty crucial out of the law — bills from ground ambulances. We look at just how wild ambulance bills can be, with a story about three siblings who took identical ambulance rides — from t…
…
continue reading

1
Wait, what’s a PBM (and how do they work)?
21:32
21:32
Play later
Play later
Lists
Like
Liked
21:32If you’ve been told your insurance won’t cover your meds — or that you’re gonna have to pay an arm and a leg for them — you’ve met a PBM: a pharmacy benefits manager. And: Experts say they play a big role in jacking up drug prices overall. But how, exactly? We took a deep dive. This episode first went out in 2019. We’re bringing it back because PBM…
…
continue reading
A listener’s doctor wanted her credit card info up front — before her appointment. She wondered: Do I need to give it to them? We did too. After all, who wants the risk of being overcharged — and then having to fight for money back? Experts gave us their best advice, including a couple of tricks to try, and a legal protection you may be able to rel…
…
continue reading

1
A ‘payday loan’ from a health care behemoth
22:52
22:52
Play later
Play later
Lists
Like
Liked
22:52When a New York doctor tweeted recently about “payday loans” for doctors from a branch of UnitedHealth Group — which operates the giant insurance company UnitedHealthcare — we were intrigued. Especially when we saw that the loan product — a “cash flow solution” for health care providers — was real. The doctor’s tweet essentially accused UHG’s insur…
…
continue reading

1
Mental health ‘ghost networks’ — and a ghost-buster
24:41
24:41
Play later
Play later
Lists
Like
Liked
24:41For lots of people, trying to access mental health treatment — like a therapist or a psychiatrist —is nothing short of a horror story. You could even call it a ghost story. A “Ghost network” is what researchers and journalists call it when your insurance plan offers a list of “in-network” providers that turns out to be bogus. Attorney Abigail Burma…
…
continue reading
Before her surgery, a hospital told Lisa French she would end up owing them $1,337. After insurance paid them — more than they’d expected — the hospital billed her $229,000. And sued her for it. Her case went all the way to the Colorado Supreme Court. The questions before the court, and how they ruled, have potentially major implications for our le…
…
continue reading

1
A doctor’s love letter to ‘the People’s Hospital’
28:59
28:59
Play later
Play later
Lists
Like
Liked
28:59What if we had a decent, publicly-funded health system — available to everybody, with or without insurance? We’ve got one, says Dr. Ricardo Nuila. It’s where he works. And it could be a model for the whole country. Yes, really. That’s the pitch he makes in his new book, The People’s Hospital: Hope and Peril in American Medicine. It’s a love letter …
…
continue reading
The ER visit was quick and uneventful. The bill was $1,300. Our listener decided to push back. He didn't win, but he learned a lot — and so did we. We had help, from an expert we met by visiting a Renaissance Fair — which we did in this very fun early episode. Kaelyn Globig, head of advocacy for the Rescu Foundation, is a medical-bill wizard, and n…
…
continue reading

1
The bill looked like BS. So she took it to small claims court.
25:37
25:37
Play later
Play later
Lists
Like
Liked
25:37“I sued a hospital in small claims court and lost — here’s what I learned.” That was the subject line for an email we got from listener Lauren Slemenda. She wrote: “I feel like I won” — and we knew we needed to talk with her. She wants to encourage more people to try taking providers to court over unfair bills. “If everybody that they screw stands …
…
continue reading

1
Can They Freaking Do That?!? (2023 Edition)
21:25
21:25
Play later
Play later
Lists
Like
Liked
21:25We’re kicking off the year with a throwback. We revisit a 2019 episode that opened up new possibilities for fighting back against outrageous medical bills — a theme we’ll spend a lot more time exploring this year A listener named Miriam got a bill from a medical testing lab she’s never heard of, for $35. Then, a follow-up bill said if she didn’t pa…
…
continue reading
The Arm and a Leg editorial team gathered to talk about the moments from 2022 that we’ll never forget — including when work collided with real life. We’re so lucky we get to do this work, and we couldn’t do it without our community. From sending us your stories and questions, to supporting the show financially, our listeners and subscribers are wha…
…
continue reading
When a car hit Susan and knocked out a bunch of teeth, her health insurance was supposed to pay for her oral surgery, and she knew it. So why has she had to chase them for 18 months and counting? Getting insurance to pay for anything dental is usually hard, but this had us asking ourselves… is it usually this hard? We connected Susan with law profe…
…
continue reading

1
The best video about health insurance, ever
18:58
18:58
Play later
Play later
Lists
Like
Liked
18:58A couple months ago, we started getting messages from listeners telling us: you gotta watch this video. It’s a thirty minute YouTube video from a creator named Brian David Gilbert, and it’s probably the best video about health insurance we’ve ever seen. Brian David Gilbert is best known for his highly-detailed, hilarious videos for Polygon, a media…
…
continue reading