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An Arm and a Leg
An Arm and a Leg
An Arm and a Leg

A show about why health care costs so freaking much, and what we can (maybe) do about it. Hosted by award-winning reporter... more

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Episodes

New lessons from the fight for charity care

Hey, first: This is a GREAT time to support us — right now, every gift gets matched! Click here to support... more

22 Nov 2024 · 28 minutes
Fight health insurance — with help from AI

Several listeners sent us an article with the headline Make your health insurance cry, about a new AI tool to... more

01 Nov 2024 · 22 minutes
Can racism make you sick?

Something different: We talk with journalist Cara Anthony about topics that don’t always come up in conversations about the cost... more

17 Oct 2024 · 24 minutes
Special Feature: A Beloved Nursing Home, from “To See Each Other”

We're sharing an episode of “To See Each Other,” about a question that’s SUPER-relevant to this show:  How do we... more

01 Oct 2024 · 31 minutes
“Baby steps” in the fight against facility fees

An $88 “observation room” fee for a check-up didn’t sit right with Kari Greene, a listener from Oregon. When the... more

26 Sep 2024 · 23 minutes
Anatomy of a Fall: One rural hospital’s ransomware story (from Click Here)

What happens when a hospital gets hit by a ransomware attack? We’re sharing an episode from a podcast called Click... more

05 Sep 2024 · 27 minutes
Don’t get “bullied” into paying what you don’t owe

Caitlyn Mai expected her share of a recent surgery bill to be about $2,000, with insurance covering the rest. Then she... more

15 Aug 2024 · 24 minutes
We want to see your hospital bills

We’re starting a new investigation and need your help. We’re looking into something we’ve talked about a lot on this... more

25 Jul 2024 · 3 minutes
The woman who beat an $8,000 hospital fee

Georgann Boatright's local hospital told her she'd need to pay an $8,000 "operating room" charge for a test she was... more

11 Jul 2024 · 25 minutes
Coming soon: your stories on facility fees

For months now, you’ve been sharing stories with us about facility fees, those sneaky fees that keep showing up on... more

03 Jul 2024 · 2 minutes
Meet the Middleman’s Middleman

Folks who expected their health insurance to cover some out-of-network care have been getting stuck with enormous bills instead. Like... more

13 Jun 2024 · 24 minutes
Staying on Medicaid seems tougher than it should be

We take our first look at Medicaid— the big, federally-funded health insurance program for folks with lower incomes— for two... more

23 May 2024 · 23 minutes
We’re digging into “facility fees.” We need your help.

We’re launching a brand new project and need your help!We’re zooming in on charges that are becoming more and more... more

02 May 2024 · 10 minutes
The Hack

When a subsidiary of the giant UnitedHealth Group got hit by a cyberattack recently, a big chunk of the country’s... more

11 Apr 2024 · 21 minutes
Son of Medicare: Attack of the Machines

Reporter Bob Herman from STAT News unpacks his blockbuster investigation about the country’s biggest health care company.   Covering the American health... more

21 Mar 2024 · 30 minutes
The Medicare Episode

Health insurance sucks. Which leaves lots of us counting down the days until we turn 65 and can get on... more

29 Feb 2024 · 29 minutes
Wait, is insulin cheaper now?

A listener wrote to us at the beginning of the year with a query, “I was just reading the news... more

08 Feb 2024 · 25 minutes
Self defense 101: Keeping your cool while you fight

Dealing with the American health care system as a patient means lots of tough moments – unexpected bills, meds not... more

18 Jan 2024 · 24 minutes
One last tip before 2024

Real quick: Now's the best time to support this show! Thanks to a few super-star Arm and a Leg listener/donors,... more

28 Dec 2023 · 4 minutes
When hospitals sue patients (part 2)

Hey! The BEST time to support this show with a donation just got even better. Right now, any gift you... more

21 Dec 2023 · 36 minutes
When hospitals sue patients (part 1)

Hey, it’s the BEST time to support this show with a donation. Thanks to NewsMatch, any gift you make, up... more

07 Dec 2023 · 28 minutes
To get health insurance, this couple made a movie

Last fall, actor-writers Ellen Haun and Dru Johnston were hustling to get their health insurance sorted out for 2023. To... more

16 Nov 2023 · 18 minutes
“Your Money or Your Life”: Dr. Luke Messac’s book on the history of medical debt

In 2019, Dr. Luke Messac was a medical resident who found himself spending his day off in a courthouse archive.... more

02 Nov 2023 · 25 minutes
Paging Dr. Glaucomflecken: Presenting “The Nocturnists - Conversations: Will & Kristin Flanary (The Glaucomfleckens)”

First: an update on our recent two-parter with the writer John Green, about the global, decades-long fight to make an... more

19 Oct 2023 · 1 hour, 4 minutes
John Green vs. Johnson & Johnson (part 2)

This is part two of our globe-spanning story about drugs, patents, and YouTube megastar John Green. Quick recap: In our last... more

28 Sep 2023 · 26 minutes
John Green vs. Johnson & Johnson (part 1)

This episode  is special. When we heard that widely-beloved writer John Green was rallying his online community  around a fight... more

07 Sep 2023 · 22 minutes
Something's coming, something good.

Hey there— our next story is gonna take a little more time to cook, but it is going to be... more

17 Aug 2023 · 3 minutes
How to Get a Surprise Bill on Your Way to the Hospital

For a year and a half now, the No Surprises Act has protected patients from some of the most outrageous... more

27 Jul 2023 · 19 minutes
Wait, what’s a PBM (and how do they work)?

If you’ve been told your insurance won’t cover your meds — or that you’re gonna have to pay an arm... more

06 Jul 2023 · 21 minutes
Credit Card, Please

A listener’s doctor wanted her credit card info up front — before her appointment. She wondered: Do I need to... more

15 Jun 2023 · 21 minutes
A ‘payday loan’ from a health care behemoth

When a New York doctor tweeted recently about “payday loans” for doctors from a branch of UnitedHealth Group — which... more

25 May 2023 · 22 minutes
Mental health ‘ghost networks’ — and a ghost-buster

For lots of people, trying to access mental health treatment — like a therapist or a psychiatrist —is nothing short... more

03 May 2023 · 24 minutes
A $229,000 medical bill goes to court

Before her surgery, a hospital told Lisa French she would end up owing them $1,337. After insurance paid them —... more

13 Apr 2023 · 26 minutes
A doctor’s love letter to ‘the People’s Hospital’

What if we had a decent, publicly-funded health system — available to everybody, with or without insurance? We’ve got one,... more

23 Mar 2023 · 28 minutes
Lessons from “wrestling with a giant”

The ER visit was quick and uneventful. The bill was $1,300. Our listener decided to push back. He didn't win,... more

02 Mar 2023 · 19 minutes
The bill looked like BS. So she took it to small claims court.

“I sued a hospital in small claims court and lost — here’s what I learned.” That was the subject line... more

09 Feb 2023 · 25 minutes
Can They Freaking Do That?!? (2023 Edition)

We’re kicking off the year with a throwback. We revisit a 2019 episode that opened up new possibilities for fighting... more

19 Jan 2023 · 21 minutes
2022 in Review

The Arm and a Leg editorial team gathered to talk about the moments from 2022 that we’ll never forget —... more

29 Dec 2022 · 13 minutes
Like pulling teeth.

When a car hit Susan and knocked out a bunch of teeth, her health insurance was supposed to pay for... more

19 Dec 2022 · 25 minutes
The best video about health insurance, ever

A couple months ago, we started getting messages from listeners telling us: you gotta watch this video. It’s a thirty minute... more

01 Dec 2022 · 18 minutes
Health insurance post-Roe, and a grassroots network of abortion funds

Since the Supreme Court overturned Roe v. Wade, abortion has been banned in more than a dozen states. As you... more

17 Nov 2022 · 26 minutes
A listener asks: Could NOT having insurance be a better deal?

It’s open enrollment for 2023 health insurance for lots of folks — a time when you might find yourself asking:... more

03 Nov 2022 · 26 minutes
Quick update from Arm and a Leg HQ

Hey there,You may have noticed, we've been keeping a slower pace for the last few months — publishing every three... more

20 Oct 2022 · 5 minutes
California plans to make its own insulin and sell it super-cheap. Really.

This year, the state of California put up $100 million to produce its own insulin, and sell it for cheap.... more

29 Sep 2022 · 19 minutes
Congress fixed (a piece of) Medicare. It only took a few decades.

Lots of seniors have to pay thousands of dollars for drugs—even tens of thousands—or do without life-saving medicine. That’s finally... more

08 Sep 2022 · 26 minutes
The Medical-bill "Negotiation Lab"

It’s often possible to negotiate medical bills. It sounds hard — and it can be — but what if we... more

18 Aug 2022 · 23 minutes
The Genetic Testing ‘Bait-and-Switch’

Is it possible for a health care company to make enough people mad about their billing practices that it hurts... more

28 Jul 2022 · 18 minutes
One ER Doc’s Journey Through the Pandemic — and the Health Care System

Thomas Fisher is an emergency room doc in Chicago. His book, The Emergency, is an up-close chronicle of the COVID... more

07 Jul 2022 · 21 minutes
These docs are trying to kick private equity out of their ER

About a third of ER doctors now work for companies backed by private equity. A lot of those docs do... more

16 Jun 2022 · 21 minutes
Credit Where It’s Due

Credit reporting bureaus announced in April that they would start taking most medical debt off of people’s credit reports. At... more

26 May 2022 · 17 minutes
“The Golden Age of Older Rectums” (for investors)

A new golden age is dawning, and it starts where the sun don’t shine.A listener got a pricey quote for... more

05 May 2022 · 19 minutes
Sick Note, pt. 2: Dang

Dan’s COVID has hung on there for a while, kept him SUPER tired. Yoinks. Back in a couple weeks!Meanwhile, as... more

21 Apr 2022 ·
Sick Note: Dan has COVID. (He's fine, but ...)

Hey there — I got COVID a little before we were scheduled to tape this week's episode. Whoops! I'm fine... more

07 Apr 2022 · 2 minutes
Fighting for the Right to Help

It’s illegal to advise someone who’s being sued for medical debt, unless you're a lawyer. Yep, really. Even in its... more

24 Mar 2022 · 19 minutes
Swimming with sharks

Pharma and insurance companies play devious, clever games, competing for dollars. They’re sharks! It’d be fun to track, but they’re... more

10 Mar 2022 · 26 minutes
Introducing: Half Vaxxed

Last year we brought you the story — part caper, part tragedy — of how Philadelphia tried to hand off... more

24 Feb 2022 · 24 minutes
Introducing: Last Day

Stephanie Wittels Wachs has made the show about a topic that's actually too enraging, terrifying, and depressing for An Arm... more

10 Feb 2022 · 41 minutes
Meet your new rights under the No Surprises Act

The No Surprises Act — a new law that protects us from some outrageous out-of-network hospital bills — takes effect... more

27 Jan 2022 · 18 minutes
2022 update: How to avoid a big bill for your COVID test (feat. Sarah Kliff)

COVID testing—the kind they send to a lab— is supposed to be free in the U.S. But it’s never been... more

13 Jan 2022 · 23 minutes
Our Year in Review, with members of the Arm and a Leg team

An Arm and a Leg wraps up a big year, and some of the team takes a moment to reflect.... more

30 Dec 2021 · 15 minutes
Why rapid COVID tests are so freaking expensive

Who’s making a buck: rapid test edition. Rapid, at-home COVID tests are pretty much essential if you want to see... more

20 Dec 2021 · 20 minutes
Fighting with health insurance is easy (for Jacqueline Fox)

Health insurance is like some medieval horror, says law professor Jackie Fox. But, funny thing: She also says insurance fights are... more

09 Dec 2021 · 19 minutes
How to avoid the crappiest health insurance.

We kick off with a wild ride: How one journalist almost got roped into a scam.While hunting for a new... more

24 Nov 2021 · 24 minutes
The Insurance Warrior takes on a $61B Company

When Mattew Lientz needed surgery to save his life, his insurance wouldn’t cover it. Enter: Laurie Todd, the Insurance Warrior.... more

11 Nov 2021 · 24 minutes
Meet the Insurance Warrior

In 2005, Laurie Todd needed surgery to save her life. Her insurance company had no intention of paying for it.... more

01 Nov 2021 · 23 minutes
We spend 12 million hours a week on the phone with health insurance

Yup. A Stanford professor measured it. So… we should probably learn how they actually make money, understand their incentives. Here’s... more

14 Oct 2021 · 19 minutes
Wait, that was legal until now?!?

Hospitals in Maryland were suing patients over bills that should’ve been forgiven.It wasn’t illegal. Until now. How a coalition changed... more

30 Sep 2021 · 26 minutes
"We just kept right on pushing"

Manny Lanza died because he didn't have insurance. His parents fought back, with help from New York’s favorite tabloid. After... more

16 Sep 2021 · 25 minutes
The wild backstory of a tiny but crucial Obamacare provision (ft. David Axelrod)

How one Republican senator made sure the ACA required non-profit hospitals to act more like charities—and less like loan sharks—before... more

02 Sep 2021 · 26 minutes
A legendary lawyer sued hospitals for price-gouging their patients. And got his butt handed to him.

The lawyer was Richard “Dickie” Scruggs, the lawyer who beat Big Tobacco in the 1990s. Later, he launched a series... more

19 Aug 2021 · 23 minutes
An Arm and a Leg
Fighting with health insurance is easy (for Jacqueline Fox)
An Arm and a Leg
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Description

Health insurance is like some medieval horror, says law professor Jackie Fox. But, funny thing: She also says insurance fights are easy. For... more