Your free Podsite trial has expired, but you still have time to upgrade!

Claim your custom domain name todayClaim your domain

The wild backstory of a tiny but crucial Obamacare provision (ft. David Axelrod)

27 minutes

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 whole thing. 


The national requirement to offer charity care emerged from the Obama White House’s failed courtship of GOP Senator Chuck Grassley. We hear how that failed courtship almost tanked the ACA— and how the battle over the ACA “broke America”—from former Obama adviser David Axelrod, longtime reporter Julie Rovner and a top Grassley aide. 


This is the second in a four-part series—but you can totally start right here!


The series looks at the (slow, uneven) development of legal protections for consumers (a.k.a. patients, a.k.a. people who just don't want to die and aren't Bill Gates) against outrageous medical bills and draconian collection practices.


You can listen to the first episode any time, before or after this one. It's about how a legendary lawyer—the guy who beat Big Tobacco in the 1990s—tried to sue non-profit hospitals into acting more like charities and less like loan sharks. (He lost, but it wasn't a total dead-end; that's where this episode picks up.) It's totally fun too. It's right here.


Here's a transcript for this episode

Send your stories and questionshttps://armandalegshow.com/contact/ or call 724 ARM-N-LEG

And of course we'd love for you to support this show.Here's a transcript for this episode


See acast.com/privacy for privacy and opt-out information.

More episodes from An Arm and a Leg

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 one clue: A lot …

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 that. This …

"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 years of work by advocates and organizers, laws suddenly …

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 of ill-fated national lawsuits aimed at getting non-profit hospitals to …

We’re back! Starting Aug 19. And we’ve got some doozies for you.

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 …

Badass volunteers help Jared level up, in the fight to crush medical debt

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

How you can listen to this podcast

You can listen to episodes right here on the website, or if you prefer, in a podcast app. Listening in an app makes it easier to keep track of what you’ve already heard, listen without using your data plan and many other conveniences.

Recommended apps
Start listening to Mom vs. Texas
28:53
Start listening to Mom vs. Texas
28:53