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Conversations That Matter. This is Radical Nurse Talk, a podcast about nurses’ communication in serious situations and illness as a radical act of care. Join Dr. Patricia Strachan as she talks with nurses and others about nurses’ expertise, experience, courage, joys and frustrations in having conversations that involve serious situations and illness, loss, life-altering and unwanted change, living in uncertainty, declining health and end-of-life.
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This time on Code WACK! What questionable justifications did a major insurance company give to repeatedly deny coverage to treat a baby’s brain tumor? What would have been the financial impact on the family if they had to pay for their baby's treatment out-of-pocket? What specific health policies could we implement to avoid situations like this? To…
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In this episode, we explore the intersection of nursing and the arts—a rare but powerful combination in healthcare. In January 2024, The Telegraph, a renowned UK news outlet, featured an article titled "The Nurse Who Helps Dying Patients Write Poetry." The nurse at the centre of this story is Rekha Vijayshankar, a trailblazer in the field of pallia…
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Imagine learning that your baby girl has a brain tumor that’s causing seizures and disrupting her development, and your health insurance company is denying coverage for treatment her pediatric oncologist says she needs to survive and thrive? What would you do? Where did one mother turn when repeated health insurance denials delayed time-sensitive t…
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This time on Code WACK! What can be done to protect health care for the most vulnerable in the aftermath of Trump's victory? What does another Trump administration mean for single payer both nationally and in the states? How do many union leaders feel about single payer, and why? If we had Medicare for All, what other benefits could unions bargain …
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How can a Chief Nursing Officer influence conversations about serious illness? In this episode, Patricia Strachan explores this question with Dr. Leigh Chapman, a dedicated nurse and leader who is advocating at the highest levels across Canada to improve working conditions for nurses—helping them not only stay in the profession but thrive. And when…
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This time on Code WACK! What could a Trump White House mean for your health care and your family’s? What might it mean for public health at a time when the nation is still reeling from the devastating COVID-19 pandemic? And which populations stand to lose the most? To find out, we spoke to Ada Briceño, chair of Orange County Democrats and co-chair …
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This time on Code WACK! Why have healthcare giants like United Health and Cigna have been purging some of their commercial accounts and pivoting to government-funded programs like Medicare Advantage and Medicaid? How is this affecting patients? And what is the government doing about it? To find out, we spoke with Wendell Potter, a former health ins…
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This time on Code WACK! How do some Australians, who have single-payer health care they call Medicare, view the American healthcare system? What do they think about the many people in America who need to have a job to get health insurance? Who set their wedding day with their health insurance in mind? Or who have health insurance but go bankrupt an…
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This time on Code WACK! How does Australia's healthcare system work and why is it considered one of the best in the world? What are some of the ways the Australian healthcare system, which they call Medicare, and private health insurance differ from ours?An Australian citizen, Anna is founder and CEO of The Circular Water Company in Sydney. Through…
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This time on Code WACK! What is “data justice” and how does it inform and refine health policies for invisibilized communities? What policy solutions are needed to reduce health disparities among people, especially marginalized Latinx and indigenous communities? What role does the Latino Coalition for a Healthy California play in advancing the heal…
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This time on Code WACK! Public health advocacy requires considerable insight into the major issues that affect communities. How best to gain this insight? What role does direct personal experience play? Today Seciah Aquino, DrPH, MS shares how her lived experience as an immigrant has informed her work as Executive Director of a leading health equit…
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This time on Code WACK! Rebate aggregators? Group purchasing? Vertical integration? How exactly do Pharmacy Benefit Managers, or PBMs, operate to maximize profit? And how are everyday Americans suffering from these practices?To find out, we spoke to Dr. Ed Weisbart, national board secretary of Physicians for a National Health Program, a single-paye…
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We’re taking another look at Pharmacy Benefit Managers or PBMs. Why were PBMs started and how did they morph to become one of the most powerful entities in health care? Why have they caught the attention of the Federal Trade Commission? How are they a threat to consumers?To find out, we spoke to Dr. Ed Weisbart, the national board secretary of Phys…
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What’s at stake in health care with the upcoming federal election? Would Donald Trump really try to repeal the Affordable Care Act - again? Would Kamala Harris continue fighting to rein in the skyrocketing cost of medicine? What will be the fate of Biden-era policies like enhanced tax credits limiting the cost of health insurance premiums? Or acces…
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The fight for affordable, accessible health care in the U.S. has gone on for decades. Who’s in the fight to win solutions that improve health care for everyone? What policies are they working on? Today we’re featuring the Washington DC-based Families USA, a leading national nonpartisan voice for healthcare consumers. We welcome their new executive …
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This time on Code WACK!What are lawmakers and the Federal Trade Commission doing about Pharmacy Benefit Managers and their undue influence over drug prices and access? Who is watching out for consumers when the pharmaceutical industry pursues self-serving arrangements? And what’s the impact on independent pharmacies and their patients?To find out, …
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This time on Code WACK!So you might have heard the term pharmacy benefit managers – or PBMs – in the news. But what are they? How did these middlemen get to be so powerful? How are they causing drug prices to skyrocket? And what’s the Federal Trade Commission doing about it? To find out, we recently interviewed Hannah Garden-Monheit, the FTC’s dire…
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This time on Code WACK!As the United States faces an election possibly unlike any other in our history, we wonder about the future of our healthcare system. What changes might we expect under President Trump, or President Harris? What would a new administration mean for single-payer efforts in states like California and Oregon? And what about Medic…
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What’s been happening on the healthcare front since California Senate Bill 770, which paves the way for a single-payer healthcare system, was passed last year? What’s the process and the timeline? What are the necessary next steps to winning single payer in the Golden State and why is it so important to achieving healthcare equity? To find out we s…
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Need out-of-state coverage? Get ready to jump through hoops & pay through the nose.This time on Code WACK!How far did one man have to go to get the health insurance he needed to cover a specialized surgery in another state? Despite jumping through many hoops to even qualify to buy the coverage he needed, why did he still end up paying tens of thous…
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This time on Code WACK!Imagine having to fight with your HMO insurer about compensating your surgeon who doesn't belong to your provider network, but happens to be a specialist in a particular procedure that you want because it has fewer side effects. Could you afford to cough up a few thousand dollars to pay the surgeon while hassling with your HM…
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Why did California’s latest single payer bill fail and what can we do about it? How can the public learn the truth about how much they could save with unified financing when deep-pocketed corporations keep lobbying legislators against it? What will it take to make Medicare for All a reality once and for all? To find out, we asked Jodi Reid, executi…
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This time on Code WACK!Why is long term care, including in-home health care, in crisis? How are skyrocketing costs affecting patients? How come two-thirds of people in California who are getting in-home health care get it from family members who are often unpaid? Would universal long term care - or a single-payer system with unified financing - hel…
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This time on Code WACK!How do insurance companies put up barriers to addiction treatments? How does this affect treatment programs and their clients? And how would it be if we had Medicare for All?To find out, we spoke to Arlene Stanich-Prince, executive director of Ohlhoff Recovery Programs in San Francisco, one of the longest standing treatment p…
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This time on Code WACK!What are some of the most common misconceptions about people who are addicted to substances like opioids? What medicines are revolutionizing the way people are being treated today – and how accessible are they? To find out, we spoke to Arlene Stanich-Prince, executive director of Ohlhoff Recovery Programs in San Francisco, on…
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What is the true cost of the American health insurance system? What toll is it taking on both patients and providers? And what do we need instead?To find out, we recently interviewed Dr. Linda Peeno, a physician, ethicist and health insurance industry whistleblower who testified before Congress and who has spent nearly four decades working to prote…
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How did a single mom in Kentucky, in the 1970s, become a physician, then a health insurance medical reviewer and eventually a whistleblower?To find out, we recently interviewed Dr. Linda Peeno, a physician and ethicist who has spent nearly four decades working to protect patients from harm and death by corporate healthcare systems. Dr. Peeno was pl…
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In honor of PRIDE Month, we’re revisiting a popular episode about the HIV/AIDS crisis of the 1980s and 1990s. What were the health policy failures that spurred so many Americans to militant activism? How did the LGBTQ+ community win the struggle to get government funding to address the deadly virus?Fortunately, today, with appropriate medical inter…
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This time on Code WACK!At least seven states are grappling with budget shortfalls in 2024. What goes on behind the scenes when a state needs to cut costs? Who stands to lose the most as programs are trimmed or eliminated? Today we're looking at California’s multi-billion dollar budget deficit – and what's being done to protect the state’s most vuln…
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This time on Code WACK!How do Managed Care health insurance plans hurt patients? Why is it legal for commercial health insurers to use Denial-of-Care as a business model? And what is one organization doing to call attention to such issues? To find out, we spoke to Kimberly J. Soenen, founder of “SOME PEOPLE,” a Chicago-based not-for-profit organiza…
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This time on Code WACK!What’s the impact of health insurance denial-of-care tactics? Who “wins” when new employees have to wait three months before their health insurance kicks in? What devastating physical, financial and emotional consequences did one young woman face after she was seriously injured during such a waiting period? To find out, we sp…
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This time on Code WACK!Why do lawmakers continue to ignore the toll our broken healthcare system takes on us? And what can we do, ourselves, to bring about change? What inspired single-payer advocate and mother Rebecca Wood to put much of her activism on hold to “sharpen her swords”? To find out, we interviewed Rebecca, a first-year law student and…
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This time on Code WACK!In honor of Mother's Day, we're talking about how our dysfunctional health insurance system affects moms. How far did one mother go to ensure that her daughter – born extremely premature – got the critical care she needed? How did our broken healthcare system push our guest, Rebecca Wood, to delay her own care for the sake of…
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This time on Code WACK! With all its apparent advantages, why hasn’t California passed single payer yet? Is organized labor fully in the Medicare-for-All game? Do managed care providers - like Kaiser Permanente - have outsized influence on healthcare reform in the state? To find out, we spoke to Peter Shapiro, a retired letter carrier and author of…
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This time on Code WACK! How is private equity affecting our healthcare system? What’s being done about it? How does our fragmented healthcare system affect patients, including people who have cancer? And what cues can healthcare reform activists take from California's immigrant community?To find out, we spoke to Peter Shapiro, a retired letter carr…
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This time on Code WACK! How would single-payer, Medicare for All affect the experience of getting care? Would it make it easier to find and see a primary care doctor? And just as importantly, how much money could individuals and families save under a state or national single-payer system?See how much you would save with the new, national Medicare f…
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This time on Code WACK! What the heck is going on with Medicare for All in California? Can single-payer advocates overcome their differences and finally win health care for all in the Golden State? What’s the significance of two recent bills, Senate Bill 770, and Assembly Bill 2200, in achieving Medicare for All in California? To find out, we spoke…
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This time on Code WACK! Will California’s new single payer bill, CalCare, be a tough sell for the state’s legislature, even if most of the state’s residents want Medicare for All? What political hurdles must be cleared before such a bill would pass? And what would it mean for single payer efforts if Donald Trump is re-elected president this year?To…
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How can nurses be involved in decisions that patients make about innovative heart valve interventions for which they may be eligible? In this episode Dr. Sandra Lauck thoughtfully describes her work and that of others in supporting nurses to have opportunities and language that open spaces for patients to question, understand and consider possible …
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This time on Code WACK! Once again, a new single-payer bill, AB 2200 or CalCare, sponsored by the California Nurses Association, has been introduced in the California state legislature. How will it help save lives? Will it break the bank, or will it save us money? What’s different about this version of the bill and what kind of support does it have…
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How can we show up in our relational work with seriously ill patients, and for ourselves as nurses in the moments that are available to us? Grounded in professional and personal experience and yes, even the theoretical, Marie Cooper calls on each of us to stand up, use language and claim the relational work that makes what we do, nursing. Her passi…
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This time on Code WACK! Besides the Alabama IVF decision, how else are reproductive rights being rolled back in America? Why are some states going after emergency contraception known as the morning-after pill? What policy solutions are needed to better protect reproductive rights?To find out, we spoke to Vina Smith-Ramakrishnan, a fellow at The Cen…
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It is well known that despite our best intentions preventable harm continues to happen to patients in healthcare systems. Further harm to patients, their families and to healthcare professionals, including nurses, can be made worse by the ways we then handle and/or talk about this unintentional harm. How can we talk about it in a way that doesn't i…
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This time on Code WACK! Where are we today when it comes to reproductive rights in America? And what does the latest IVF case in Alabama mean for reproductive justice and healthcare equity in America? To find out, we spoke to Vina Smith-Ramakrishnan, a fellow at The Century Foundation, where she works on issues related to maternal health and reprod…
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What do we mean when we talk about a good death? How can we describe the meaningful communicative work that nurses can do with dying patients and their families? In this episode, Patricia Strachan welcomes Dr. David Wright, a registered nurse, educator, and researcher. Dr. Wright is an Associate Professor at the University of Ottawa, and academic l…
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This time on Code WACK! Are regulations meant to protect nursing home residents being enforced? How is understaffing at the California Dept of Public Health affecting nursing home regulation? Are for-profit and nonprofit nursing homes comparable when it comes to the quality of care residents receive? What reforms are in the works to better protect …
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As a practicing Registered Nurse with extensive experience working in acute, critical, and community care settings, Janet Lovegrove has heard many caregivers' stories about feeling alone, overwhelmed, or invisible when providing care to people living with dementia or other progressive life-limiting illnesses. Sensing a real need that what most of t…
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The COVID pandemic devastated nursing homes and other long-term care facilities highlighting the need for major reforms. What are the policies behind the often dismal performance of the nursing home industry? What policy changes have been made so far and why are nursing home residents still so vulnerable? To find out, we spoke to Tony Chicotel, sen…
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Context is very important in healthcare. In this episode, we explore the context created at the intersection of geography, history, language, culture, and healthcare resources when Indigenous people in Canada’s far north require care for serious illness. Our guest, Lianne Mantla-Look, is a Registered Nurse currently living and working in northern C…
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Why is tying a medical provider’s pay to the outcomes of their patients a bad idea? Why else should we be concerned about Accountable Care Organizations and the privatization of traditional Medicare? To find out, we spoke to Dr. Ana Malinow, who spent three decades working as a pediatrician with immigrant, refugee and underserved children before re…
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