972 - Inside Rising Health Insurance Costs

About this episode: Despite sizable decreases in tobacco use in high-income countries, 7 million people around the world die every year from tobacco-related causes. In this episode: an approach that seeks not to manage the $880 billion tobacco industry but to end it. Guest: Eline Goethals is a communications specialist and a fellow at the School of Moral Ambition. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Making Tobacco Industry Elimination Inevitable—Action on Smoking and Health What does a tobacco "endgame" mean?—Truth Initiative Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: A neurodegenerative disease that can only be diagnosed after death, CTE has made headlines for its prevalence in professional football players. But where does it stand as a public health issue? In this episode: Jesse Mez of the Boston University CTE Center gives an overview of what we know and don't yet know about CTE, as well as tips for parents of children who play contact sports. Guest: Jesse Mez, MD, MS, is the co-director of clinical research at the Boston University CTE Center and associate professor of neurology at the Boston University Chobanian & Avedisian School of Medicine. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content: Clinicopathological Evaluation of Chronic Traumatic Encephalopathy in Players of American Football—JAMA Researchers Are One Step Closer to Diagnosing CTE During Life, Rather Than After Death—The Brink Brain scans of former NFL players show lasting impact of collision sports—The Hub Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: As policy has shifted at the federal level, state legislatures are considering a broad range of vaccine-related bills. In this episode: Jennifer Herricks and Northe Saunders of American Families for Vaccines talk about the landscape of vaccine policy, from "medical freedom" bills to those seeking shore up vaccine access. Guests: Jennifer Herricks, PhD, is the founder of Louisiana Families for Vaccines and the advocacy director of American Families for Vaccines. Northe Saunders is a grassroots organizer and the president of American Families for Vaccines. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Vaccine Policy Atlas—American Families for Vaccines Assessing the Impact of Changes to Federal Vaccine Recommendations on State Immunization Policies—International Vaccine Access Center States Weigh Their Options Amid Fed Changes to Vaccine Policy—National Conference of State Legislatures Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: In late 2025, the EPA approved two pesticides for agricultural use that opponents argue contain PFAS—"forever chemicals" that pose hazards to human health. In this episode: the debate around what constitutes PFAS and the EPA's role in regulating these harmful chemicals. Guest: Rachel Frazin covers energy and environmental policy for The Hill and is the co-author of the book "Poisoning the Well: How Forever Chemicals Contaminated America". Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: E.P.A. Moves to Weaken Limits on a Cancer-Causing Gas—New York Times EPA just approved new 'forever chemical' pesticides for use on food—Washington Post Trump EPA will defend Biden rule forcing polluters to pay for 'forever chemical' cleanup—The Hill Uncovering America's Decades-Long PFAS Contamination—Public Health On Call (June 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: Adults with intellectual and developmental disabilities experience higher rates of anxiety and depression than those without IDDs. Barriers like cost, a lack of trained providers, and societal biases keep many from accessing the care they need. In this episode: what's fueling this crisis hidden in plain sight and what needs to change in order to fix it. Guests: Kayte Barton is a former Special Olympics Minnesota athlete, a founding member of the Athlete Leadership Program, and an Athlete Advisory Board member. Dr. Dimitri Christakis, MPH, is the Chief Health Director for the Special Olympics and the George Adkins Professor of Pediatrics at the University of Washington. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content: Anxiety, Depression, and Care Barriers in Adults With Intellectual and Developmental Disabilities—JAMA Network Open Strong Minds (Mental Health)—Special Olympics Young adults with intellectual and developmental disabilities who participate in Special Olympics are less likely to be diagnosed with depression—Social Psychiatry and Psychiatric Epidemiology The Implicit and Explicit Exclusion of People with Disabilities in Clinical Trials—National Council on Disability Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: Schistosomiasis is a parasitic disease transmitted to human hosts via freshwater snails. It can cause serious and debilitating chronic conditions, but the Pan American Health Organization is leading a charge to end transmission in the Americas. In this episode: PAHO Parasitologist Ronaldo Scholte details how locations like Puerto Rico are successfully working to eliminate schistosomiasis. Guest: Ronaldo Scholte, PhD, MS, is a technical officer at the Pan American Health Organization where he oversees efforts to treat and eliminate neglected tropical diseases. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Schistosomiasis—WHO Tracking the last signs of Schistosomiasis in Puerto Rico—PAHO Ending Neglect of Tropical Diseases—Public Health On Call (March 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: From working in immigrant health care under the Reagan administration to tackling today's measles outbreak in Florida, George Rust has decades of experience caring for the disadvantaged. In this episode: Dr. Rust discusses the state of public health in Florida, the need to return to a community-focused model, and his new book "Healing in a Changing America: Doctoring in a Nation of Needless Suffering." Guest: Dr. George Rust, PhD, is a family physician, a preventative public health specialist, and a professor at the Florida State University School of Medicine. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Healing in a Changing America: Doctoring in a Nation of Needless Suffering—Johns Hopkins University Press (book) Concerning outbreak of measles reported in SW Florida—FOX 35 Orlando Florida Removes Over Quarter of People From Health Care Plan—Newsweek Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: Once a useful tool for sharing critical information during the pandemic, social media has evolved into an oversaturated and underregulated marketplace for health disinformation. In this episode: Infectious disease epidemiologist and science communicator Jessica Malaty Rivera analyzes the online landscape and advises listeners on how to approach alarmist and misleading health content. Guest: Jessica Malaty Rivera, MS, is a DrPH student at the Johns Hopkins Bloomberg School of Public Health and a researcher at the Center of Health Security. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: CDC Urges 'Shared Decision-Making' on Some Childhood Vaccines; Many Unclear About What That Means—Annenberg Public Policy Center Facts About VISs—CDC How Americans' changing views on health paved the way for RFK Jr.—ABC News How Public Health Found Its Voice—Hopkins Bloomberg Public Health Magazine "Information Sick"—Public Health On Call (December 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: Getting your license as a teenager is an exciting time but it's also a dangerous one. In this episode: Johns Hopkins researcher Johnathon Ehsani discusses why teens are more vulnerable to serious crashes, how driving tests and licensing laws can improve safety, and how parents can best support their new drivers. Please send this podcast to a new driver or their parents—today. Guest: Johnathon Ehsani, PhD, MPH, is an internationally recognized road safety researcher and an associate professor in Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Learner Driver Experience and Teenagers' Crash Risk During the First Year of Independent Driving—JAMA Pediatrics What Helps a New Driver? More Driving—New York Times Keeping Teen Drivers Safe—Hopkins Bloomberg Public Health Magazine Carrying Passengers as a Risk Factor for Crashes Fatal to 16- and 17-Year-Old Drivers—JAMA Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

About this episode: Dentists prescribe about 10% of all antibiotics in the U.S., but research shows that a large share may be unnecessary. In this episode: the grave public health risks of inappropriate antibiotic use, how this can be curbed, and the questions you should ask next time you're in the dentist's chair. Guest: Liz Szabo, MA, is an investigative health reporter with CIDRAP News. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Antibiotic Aftershocks—CIDRAP News Evidence-based clinical practice guideline on antibiotic use for the urgent management of pulpal- and periapical-related dental pain and intraoral swelling—JADA Assessment of the Appropriateness of Antibiotic Prescriptions for Infection Prophylaxis Before Dental Procedures, 2011 to 2015—JAMA A Second, Silent Pandemic: Antibiotic Resistance—Global Health Now Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.