Billionaires who dream of extending human life, including Elon Musk, believe they will have very supportive partners in the incoming Trump administration. They’re excited that President Trump has nominated Jim O’Neill for the number two spot at the U.S. Dept. of Health and Human Services because of his history in the anti-aging movement.

David Gobel, the co-founder and CEO of the Methuselah Fund, says, “Jim O’Neill really understands the value of avoiding the suffering…of diseases that don’t actually have to happen if aging is held back. Robert F. Kennedy, Jr., and other nominees are very much in line with the idea of holding aging back by whatever means.” President Trump has nominated Kennedy to serve as HHS secretary.

But “Conversations on Health Care” recently spoke with S. Jay Olshansky, Ph.D., a professor at the University of Illinois at Chicago, who questioned private and public dollars going to such efforts. “We’ll be lucky if 5% of the age cohort makes it to 100,” he said. Olshansky and his colleagues have presented data that humans are approaching a biologically-based limit to life.

Join hosts Mark Masselli and Margaret Flinter for this look into the world of life extension and how Trump administration officials could push the country to embrace these unconventional practices. In addition, learn more about the first longevity patient protocol from Danielle Ruiz, MSN, APRN, AGNP-C, CEO and Medical Director, Everest Health.

Nurse practitioners, at 385,000 strong in the U.S., are increasingly seen as a key part of the solution to the primary care provider shortage. What are the challenges and opportunities to ensure everyone can get the care they need when they need it? Our guest is the president of the American Association of Nurse Practitioners, Stephen Ferrara, DNP. He also serves as the inaugural associate dean of artificial intelligence and a professor of nursing at the Columbia University School of Nursing.

Hosts Mark Masselli and Margaret Flinter (who has been a family nurse practitioner for many years) discuss the opportunities for Ferrara and his members as they seek to expand what’s called “scope of practice.” In fact, the percentage of medical visits handled by health care providers other than physicians nearly doubled between 2013 and 2019, with many of those patients seen by nurse practitioners.

HIV/AIDS experts are cautiously watching as President Trump and his administration near inauguration day. On one hand, they remember how President Trump announced in 2019 his initiative called Ending the HIV Epidemic: A Plan for America. It included Ready, Set, PrEP, a U.S. Department of Health and Human Services initiative that provides free access to the HIV prevention medication PrEP for thousands of qualifying individuals.

But there are worries “about the next four years because we’re hearing about a potential decrease in funding,” that will be detrimental to programs, according to Dr. Marwan Haddad, Medical Director of the Center for Key Populations, Community Health Center, Inc., and a former chair of the HIV Medicine Association.

Vincent Guilamo-Ramos, Ph.D., MPH, Executive Director, Institute for Policy Solutions at the Johns Hopkins School of Nursing, highlighted these issues as communities recognized World AIDS Day on Dec. 1. For instance, the CDC reports new HIV infections fell by 19% from 2018 to 2022 but there’s been a 12% increase in infections among Latino people.

Our guests join hosts Mark Masselli and Margaret Flinter to discuss progress and the hurdles that still exist in the fight to end AIDS.

TV ads focused on health care issues — including transgender care, abortion and costs — ricocheted across the airwaves in the months leading up to election day. Erika Franklin Fowler, Ph.D., is a co-director of the Wesleyan Media Project, which tracks political ads. She joins “Conversations on Health Care” to discuss a controversial anti-transgender surgery ad from the Republicans that also benefited from free media attention, as well as House and Senate candidates picking up on similar themes in their advertising.

Preliminary numbers show $4.5 billion was spent on political TV and radio ads this year. These ads and their messages reflect the goals of President Trump and his new administration as they plan a return to power in the nation’s capital. Hosts Mark Masselli and Margaret Flinter discuss the TV ad wars and their implications for health care policy with Dr. Franklin Fowler. 

There are 27 million Americans who have medical debt on their credit reports right now—a drag on their pocketbooks and our health care system. Urban Institute researchers say they’ve found an interesting fact about those with medical debt: They live in communities with less healthcare competition because of common ownership. The data show that communities of color and people living in the South are disproportionately affected.

Fredric Blavin, Ph.D. and Breno Braga, Ph.D. say medical debt can intensify financial challenges, affect health care access and potentially worsen health outcomes. They report prices at monopoly hospitals are 12% higher than those in more competitive markets.

They share with hosts Mark Masselli and Margaret Flinter a variety of ways policymakers can explore unraveling the market concentration-medical debt link and we share the perspective of the American Hospital Association. 

The current life expectancy at birth is 74.8 years for males and for females it’s 80.2 years in the U.S. Does it catch your eye when you hear about predictions we’ll be able to live to 100 and beyond? Some researchers are throwing cold water on those notions. “We’ll be lucky if 5% of the age cohort makes it to 100,” says S. Jay Olshansky, Ph.D., Professor, University of Illinois at Chicago.

He and his colleagues made headlines when they presented data that humans are approaching a biologically-based limit to life. Hosts Mark Masselli and Margaret Flinter ask Olshansky about the implications of this research — for each of us personally and for policymakers — after decades of hearing predictions that life expectancy would continue to go up. Olshanky explains why we should celebrate longer life that has resulted from healthier diets and medical advances but now focus on improving quality of life in later years.

Early voting is underway in most of the U.S. right now (with few exceptions) and health care is on the ballot. There are increasing signs that former President Trump, if re-elected, will try to proceed with “massive changes” to the Affordable Care Act. Meanwhile, Vice President Kamala Harris is vowing to protect the law and continue federal drug price negotiations. Both candidates say they’ll seek to expand support for in-home health care.

Our guests are the reporters covering these issues. Shannon Firth, MedPage Today’s correspondent in Washington, shares an update from a contentious U.S. House race in Minnesota that’s focused on abortion. Sarah Owermohle, who reports on federal issues for STAT News, explains the situation in Montana following her recent visit to the state.

Join Mark Masselli and Margaret Flinter for our Reporters’ Roundtable as we countdown to election day and discuss what the results will mean for the nation’s health.        

Dr. Louis Sullivan’s leadership and advocacy for equity in the health professions have taken him from the classroom to the seats of power in Washington. He reflects on his own journey and the challenges that still exist in training people of color to become doctors and for other medical roles.

Dr. Sullivan believes, “It’s a combination of a lack of adequate preparation, lack of financial resources, and also a lack of role models.” He shares his inspiring story from the then-segregated South and the influences that helped him.

Dr. Sullivan served as Secretary of the U.S. Department of Health and Human Services and is the co-author of the new book “We’ll Fight it Out Here: A History of the Ongoing Struggle for Health Equity.”

We’re honored to have him join hosts Mark Masselli and Margaret Flinter to discuss these topics, the gaps COVID has exposed, and the current political battles over equity.

The health care public policy debates that swirled in 2022 will continue to make news in 2023. These issues ranged from the Dobbs abortion decision to the outcome of the midterm elections.

Many of the nation’s leading experts joined “Conversations on Health Care” during the past 12 months to share their perspectives.

Join hosts Mark Masselli and Margaret Flinter as we look back at the year that was in health care policy.

Roughly 112 million Americans voted in the recent mid-term elections and the candidates and issues they voted on will have profound implications for health care policy in the states, at the national level and ultimately in all of our lives. We’re following up on our series called “Health Care on the Ballot” with this discussion focused on the results and what they mean.

Join hosts Mark Masselli and Margaret Flinter in conversation with Dr. Donald Berwick, former CMS Administrator in the Obama administration, and James Capretta, a former Bush administration budget official. Perhaps surprisingly, we found areas they agree on, including the value of telehealth.

It’s a joyous time, as families begin to gather for Thanksgiving. But experts also say the holidays see a rise in mental health and addiction issues. This week we present an encore interview with Patrick Kennedy, a former member of Congress and a nationally acclaimed mental health and addiction advocate. He’s the founder of The Kennedy Forum, which seeks to revolutionize health care.

Kennedy discusses with hosts Mark Masselli and Margaret Flinter his insights about how families are key for interventions and the role policymakers can play in creating mental health parity.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and chief medical advisor to President Biden, tells “Conversations on Health Care” that he’s thinking about what occurs after he leaves his position at the end of the year.

Fauci says he’s strictly adhering to ethical rules and not negotiating for any position until after he leaves the government but he broadly wants to utilize his 54 years of experience at the National Institutes of Health for writing, lecturing and serving in an advisory capacity to inspire the younger generation to pursue their interests in medicine, science and public health.

Hosts Mark Masselli and Margaret Flinter note that this is Fauci’s fifth interview with them since the pandemic began and they again use the opportunity to ask him about the latest COVID details.

Early voting has already started in some parts of the United States as Americans make important decisions about who they want to represent them. The polls show that health-related issues are some of the most important ones to voters this year.

We discuss health care on the ballot with policy experts from two prominent Washington D.C. think tanks.

Joseph Antos, Ph.D., with the American Enterprise Institute and Emily Gee, Ph.D., with the Center for American Progress join hosts Mark Masselli and Margaret Flinter to discuss health care on the ballot.

In less than five weeks Americans should know the outcome of the midterm elections. Will overturning Roe v. Wade propel Democrats to surprise wins? Will Republicans seize the moment with their vision of how to fix health care? Sheryl Gay Stolberg with The New York Times and Victoria Knight with Axios examine how the November results will likely impact health care policy in the next two years and beyond. They’re guests this week on “Conversations on Health Care” with hosts Mark Masselli and Margaret Flinter.

Wednesday, Sept. 28, the Biden-Harris Administration will host the White House Conference on Hunger, Nutrition, and Health, the first one in over 50 years. What will the experts and community leaders discuss? How will we reach the goal of ending U.S. hunger and reducing diet-related diseases in a majority of Americans by 2030?

“Conversations on Health Care” hosts Mark Masselli and Margaret Flinter get answers from Dan Glickman, the former Secretary of Agriculture, and Dr. Dariush Mozaffarian, a renowned expert on food systems. They’re co-chairs of an independent effort to inform America’s leaders as the attendees prepare for this important day.

Majority Whip James Clyburn, the third-most powerful Democrat in the U.S. House, makes a passionate case for community health centers. His goal is to get a center within commuting distance of each American. “Every time legislation comes forward on health care I’m always trying to figure out how we can get community health centers to benefit from this legislation…not satisfied with where we are because we are not where we need to be yet,” he says.

Clyburn also confirms to hosts Mark Masselli and Margaret Flinter that President Biden’s cancer moonshot will have the “rocket fuel” it needs to succeed and he responds to critics of the Inflation Reduction Act. Join us as we kick off our 14th season with this important conversation.

Parkland, Florida, teacher Sarah Lerner shares her poignant thoughts as the nation reacts to the latest deadly school shooting. Lerner was teaching the day a former student killed 17 at her high school; she has gone on to help lead Teachers Unify to End Gun Violence.

Lerner discusses with hosts Mark Masselli and Margaret Flinter how public health must continue its focus on stopping gun violence and what lawmakers can do.

Jane Pauley has been a familiar face on America’s TV screens since she started on NBC’s “Today” and continues as anchor of CBS “Sunday Morning.” Her interest in mental health has grown through the years as she faced her own challenges and as she became connected to behavioral health leaders in her home state of Indiana. Now her name graces the front doors of the Jane Pauley Community Health Center and she’s a powerful advocate for the services they, and all community health centers, provide.

Conversations on Health Care hosts Mark Masselli and Margaret Flinter talk exclusively to Jane about this work and with Marc Hackett, CEO of the Jane Pauley Community Health Center.

CMS Administrator Chiquita Brooks-LaSure discusses President Biden’s increased health budget proposal for the US Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), which is focused on health equity, mental health parity, and nursing home safety as key goals in the coming year. 

The Administrator says more resources are being allocated to address the nation’s mental health crisis, especially for the nation’s children still being impacted by the pandemic. Administrator Brooks-LaSure, the first African American woman to hold that office, says nursing home vaccine requirements and safety regulations should continue to inform that health sector. She says that all US government health agencies have been tasked with making health equity the centerpiece of their policies and programs moving forward. She says supports for insurance subsidies provided by the American Rescue Plan is vital to maintaining health coverage for millions of vulnerable Americans. 

This week hosts Mark Masselli and Margaret Flinter speak with Congresswoman Rosa DeLauro (D-CT), Chair of the House Appropriations Committee, on her expectations for building consensus on revised Build Back Better legislation, as well as the possibility for more relief money for hospitals and other entities in the wake of the ongoing pandemic. She says the expanded Child Tax Credit has lifted millions of American children out of poverty, significantly easing economic pressures on working families, and that it should be restored. Representative DeLauro also discusses the President’s infrastructure law, which she says will have a dramatic impact on the nation’s aging transportation and clean water delivery systems, as well as create new jobs.