An Arm and a Leg

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

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. 

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“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’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 …

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. 

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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 …

A 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 …

Since the Supreme Court overturned Roe v. Wade, abortion has been banned in more than a dozen states. As you choose your insurance plan for next year, you might be wondering: How does that …

It’s open enrollment for 2023 health insurance for lots of folks — a time when you might find yourself asking: what good is health insurance anyway? 

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Hey there,

You may have noticed, we've been keeping a slower pace for the last few months — publishing every three weeks instead of every two — since Dan recovered from COVID.

And …

This year, the state of California put up $100 million to produce its own insulin, and sell it for cheap. How’s it going to work? (Is it going to …

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

It’s often possible to negotiate medical bills. It sounds hard — and it can be — but what if we got it down to a science? Mapped out all the moves ahead of time? Jared Walker and his team …

Is it possible for a health care company to make enough people mad about their billing practices that it hurts their business? For one genetic testing company, maybe so. 

An Arm and a Leg …

Thomas Fisher is an emergency room doc in Chicago. His book, The Emergency, is an up-close chronicle of the COVID pandemic’s first year in his South Side ER. 

It also zooms out to tell the …

About a third of ER doctors now work for companies backed by private equity. A lot of those docs do not like the arrangement, which they say puts profits ahead of patients. Now, a group of …

Credit reporting bureaus announced in April that they would start taking most medical debt off of people’s credit reports. At first, we weren’t sure …

A new golden age is dawning, and it starts where the sun don’t shine.

A listener got a pricey quote for her colonoscopy, but the medical practice …

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

I'm fine now, but kinda tired. Just to be on the safe …

It’s illegal to advise someone who’s being sued for medical debt, unless you're a lawyer. Yep, really. Even in its most basic form (like helping people fill out a checklist) it’s considered …

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

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Last year we brought you the story — part caper, part tragedy — of how Philadelphia tried to hand off its COVID vaccination program to a wannabe tech …

Stephanie Wittels Wachs has made the show about a topic that's actually too enraging, terrifying, and depressing for An Arm and a Leg: the opioid crisis. And it's as entertaining, …

The No Surprises Act — a new law that protects us from some outrageous out-of-network hospital bills — takes effect this month. That's great news, but (and there’s always a but) there are …

COVID testing—the kind they send to a lab— is supposed to be free in the U.S. But it’s never been quite that simple. We’re revisiting our sadly-still-relevant interview with Sarah Kliff …

An Arm and a Leg wraps up a big year, and some of the team takes a moment to reflect. Consulting Managing Producer Daisy Rosario, Editor Marian Wang, …

Who’s making a buck: rapid test edition. Rapid, at-home COVID tests are pretty much essential if you want to see friends and family this holiday …

Health insurance is like some medieval horror, says law professor Jackie Fox. But, funny thing: She also says insurance fights are easy. For her. She’s been helping people win them for 30 …

We kick off with a wild ride: How one journalist almost got roped into a scam.

While hunting for a new insurance plan, Mitra Kaboli got an offer that …

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

In 2005, Laurie Todd needed surgery to save her life. Her insurance company had no intention of paying for it. She went to war, and won. She's been helping other do the same ever since. …

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

Hospitals in Maryland were suing patients over bills that should’ve been forgiven.

It wasn’t illegal. Until now. How a coalition changed that. This …

Manny Lanza died because he didn't have insurance. His parents fought back, with help from New York’s favorite tabloid. After years of work by advocates and organizers, laws suddenly …

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

The lawyer was Richard “Dickie” Scruggs, the lawyer who beat Big Tobacco in the 1990s. Later, he launched a series of ill-fated national lawsuits aimed at getting non-profit hospitals to …

We’ve been on a hiatus for a minute, and we are SO excited about what we’re coming back with.

These are stories we’ve been collecting for months—some …

An update on Jared Walker, whose viral TikTok described a little-known (and effective) method to “crush” many hospital bills, and offered to help …

For years, at ProPublica, Marshall Allen has been exposing health care grifters. (He’s our kind of guy.) 

Now, he's written a book … about how to fight back. It’s called “Never Pay the First …

Health care insiders get stupid medical bills too. One of them taught us how to write an insurance appeal—like the one that saved her son $14,000. You can read that letter—and her notes to …

When Adam Woodrum's insurance denied a claim for an ER bill, he sent his story to NPR... because he happened to KNOW how to deal with it. And he …

How hard is it to pick the best health insurance? ECONOMISTS find it hard. Including one who has studied the question, "How hard can it be to pick a decent insurance plan?"

Lots of people …

... and it's gonna take us a little while to get it ready for you— maybe a couple months. Meanwhile, we'll have little updates for you here and there.

... and it's a great time to sign up …

With COVID vaccinations ramping up, it's time to check in: Who's been trying to make a buck? And who's been doing their best to serve the folks who …

We're re-releasing and updating a story we first reported in 2019, about how insulin got to be so horribly expensive—the scientists who discovered it …

Jeff is a lawyer who used to represent medical-bill collectors in court. ("I was a bad guy, for sure," he says.)

But he switched sides, and he's here …

Keeping the plan we've got means paying $200 a month more. But... would a "cheaper" plan cost us more in the long run? It depends! And COVID makes it …

Andy Slavitt, who ran a big chunk of health care for the Obama administration, has spent 2020 talking with almost everybody who knows anything about the COVID pandemic— and sharing what he …

They're supposed to be free. And usually they are. But sometimes... things happen. Here's how to keep them from happening to YOU.

New York Times reporter Sarah Kliff has been asking readers …

Possibly our most-useful episode ever. A listener asked: How do I remain cool when calling insurance companies?

We called a veteran self-defense …

In a classic—and hilarious—David vs. Goliath story, Jeffrey Fox takes on a huge hospital over an outrageous bill, and wins.

He's a bit of an expert in …

There's a reason Shaunna Burns went viral with her videos about dealing with debt collectors: She used to be one, so she knows a few things. (Also …

Forty-something mom Shaunna Burns went viral on TikTok, thanks in part to a series of videos dishing out real-talk advice on fighting outrageous medical bills. She's become the virtual mom …

Laura Derrick fought and endured for decades. When medical bills threatened to swamp her family, she made huge sacrifices, worked unbelievably hard... and helped change the course of …

Barbara Faubion got up every day psyched to go to work—which she says puzzled her friends. “They’d go, ‘You love your job?!? You spend your whole day …

Steve Benasso is an HR director who, his colleagues will tell you, hates insurance companies, and hates seeing people getting taken advantage of. So …

If you need medical care, it's like you've entered a casino, playing for your financial life, with the deck stacked against you. Lucky for us, we get insight — and tips the dealer WON'T …

There's no time like a pandemic to (a) learn to fight back against the awful cost of health care. And (b) have a good time doing it. Yep. Let’s go.

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We wrap up our COVID-19 popup season with stories from three folks with very different takes on what we've learned so far about what the pandemic is …

In early April, Katelyn was in a financial bind: Home sick with COVID, she hadn't been paid in weeks. And bills were due. "My landlord is kinda beating down my door right now," she said in …

A listener, who has worked in health insurance for decades, wrote in. "I have listened to all the episodes in this podcast, and there are times I come away feeling bad working for the …

You've probably noticed: The U.S. economy is crashing.

Something you may not have noticed, that may sound really weird: Almost half of that economic devastation comes from just one sector.

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Ryan Gamlin spent a decade working on the financial side of health care, before going to medical school. Now, as an anesthesiologist in Los Angeles, …

Lots of people have insurance plans that only cover them with certain places —providers, certain hospitals.

But: in a COVID pandemic surge, who knows if you'd end up one of those places? And …

We kick off SEASON-19, about the cost of COVID, with a dose of hope — a story about an unlikely chain of people coming together to speed PPE to a COVID hospital in Brooklyn. NYC is a couple …

We were not expecting to bring the next season out for another couple months, but... STUFF has been happening. Is happening. We're here with you. Bring us your stories and your QUESTIONS: …

This bonus episode turns the tables: Ace reporter Sally Herships interviews Arm and a Leg host Dan Weissmann, about what he's learned so far, and what's ahead for the show. \They dig into …

Cathryn Jakobson Ramin, an investigative reporter with a bad back, spent years researching the $100-billion back-pain industry. She found that the most commonly-prescribed treatments, …

How one family's tragedy became, decades later, a $1 million gift to their neighbors. This story has everything: Laughter. Tears. Family. Community. Generosity. Softball. AND: Punk rock. …

A woman 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 pay up right away, that price …

It would sound a LOT like Explanation of Benefits, which is a musical revue that actually played in New York City in 2019.

... so it would feature a …

Meredith Balogh has spent years learning to navigate the financial side of the health-care system. She’s a type-one diabetic, she’s never had a lot of money, and for years she didn’t have …

Stephanie Wittels Wachs has a daughter born with hearing loss, which is how she found out insurance didn't cover hearing aids for kids. Those start at $6,000 and only last a few years. …

Dr. Saul Weiner is a physician and researcher at Jesse Brown VA Medical Center and the University of Illinois at Chicago. (Photo: Roberta …

That’s the rude awakening Eric Umansky got when he called the company that provided his CPAP machine — a device that helps him breathe at night.

He got mad. And he got even, in a way: Eric …

As we started working on season two of this podcast, there was one topic that seemed like we just had to look at: insulin.

… and I wondered: There are …

I filled a prescription recently, and the drugstore said they wanted more than 700 bucks… for an old-line generic drug. My insurance ended up …

This week, we look at three MRIs with four different price tags, and an enormous range. 

Liz Salmi and a view of her brain. (Photo: Kaiser Health News)

The first two price tags come from …

Hospital bills are too high, and insurance doesn’t cover enough. Turns out, that’s a crisis for hospitals too: more and more of us aren’t paying those bills, because we can’t. So, they’re …

Caitlin and Corey Gaffer got a surprise letter from their insurance company — saying they were being dumped for non-payment. Except, as far as they knew, they were paid up.

As it turned out, …

Emergency rooms often bill you a “cover charge” just for walking in the door, and it can be thousands of dollars.

That’s in addition to the huge …

Turns out, insurance companies allow — even encourage — crazy price-gouging by hospitals. For example, the leg brace Blake needed was available for $150 on Amazon. But thanks to his …

The health-care system — especially the financial side — can feel like a Medieval torture device. So maybe it fits that workers from Renaissance fairs have come up with a work-around.

In …

The answer involves a suburban housewife, a 1970s TV star, and a Las Vegas maker of popcorn and nacho cheese sauce. Also: Wall Street.

Produced with …

Laura Derrick takes a drug that costs more than $500,000 a year.

So when her family was going to lose their insurance, she made crazy sacrifices… and changed the course of history.

Find Us …

When I first started talking about doing a show about the cost of health care… everybody had a story. Including me.

It’s like that famous speech by …

The spiraling cost of medical care shapes people’s lives: The jobs we’re afraid to leave because of insurance, the risk that a trip to the doc could …