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Radical Nurse Talk

Radical Nurse Talk

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Conversations That Matter. This is Radical Nurse Talk, a podcast about nurses’ communication in serious situations and illness as a radical act of care. Join Dr. Patricia Strachan as she talks with nurses and others about nurses’ expertise, experience, courage, joys and frustrations in having conversations that involve serious situations and illness, loss, life-altering and unwanted change, living in uncertainty, declining health and end-of-life.
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What is the true cost of the American health insurance system? What toll is it taking on both patients and providers? And what do we need instead?To find out, we recently interviewed Dr. Linda Peeno, a physician, ethicist and health insurance industry whistleblower who testified before Congress and who has spent nearly four decades working to prote…
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How did a single mom in Kentucky, in the 1970s, become a physician, then a health insurance medical reviewer and eventually a whistleblower?To find out, we recently interviewed Dr. Linda Peeno, a physician and ethicist who has spent nearly four decades working to protect patients from harm and death by corporate healthcare systems. Dr. Peeno was pl…
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In honor of PRIDE Month, we’re revisiting a popular episode about the HIV/AIDS crisis of the 1980s and 1990s. What were the health policy failures that spurred so many Americans to militant activism? How did the LGBTQ+ community win the struggle to get government funding to address the deadly virus?Fortunately, today, with appropriate medical inter…
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This time on Code WACK!At least seven states are grappling with budget shortfalls in 2024. What goes on behind the scenes when a state needs to cut costs? Who stands to lose the most as programs are trimmed or eliminated? Today we're looking at California’s multi-billion dollar budget deficit – and what's being done to protect the state’s most vuln…
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This time on Code WACK!How do Managed Care health insurance plans hurt patients? Why is it legal for commercial health insurers to use Denial-of-Care as a business model? And what is one organization doing to call attention to such issues? To find out, we spoke to Kimberly J. Soenen, founder of “SOME PEOPLE,” a Chicago-based not-for-profit organiza…
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This time on Code WACK!What’s the impact of health insurance denial-of-care tactics? Who “wins” when new employees have to wait three months before their health insurance kicks in? What devastating physical, financial and emotional consequences did one young woman face after she was seriously injured during such a waiting period? To find out, we sp…
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This time on Code WACK!Why do lawmakers continue to ignore the toll our broken healthcare system takes on us? And what can we do, ourselves, to bring about change? What inspired single-payer advocate and mother Rebecca Wood to put much of her activism on hold to “sharpen her swords”? To find out, we interviewed Rebecca, a first-year law student and…
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This time on Code WACK!In honor of Mother's Day, we're talking about how our dysfunctional health insurance system affects moms. How far did one mother go to ensure that her daughter – born extremely premature – got the critical care she needed? How did our broken healthcare system push our guest, Rebecca Wood, to delay her own care for the sake of…
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This time on Code WACK! With all its apparent advantages, why hasn’t California passed single payer yet? Is organized labor fully in the Medicare-for-All game? Do managed care providers - like Kaiser Permanente - have outsized influence on healthcare reform in the state? To find out, we spoke to Peter Shapiro, a retired letter carrier and author of…
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This time on Code WACK! How is private equity affecting our healthcare system? What’s being done about it? How does our fragmented healthcare system affect patients, including people who have cancer? And what cues can healthcare reform activists take from California's immigrant community?To find out, we spoke to Peter Shapiro, a retired letter carr…
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This time on Code WACK! How would single-payer, Medicare for All affect the experience of getting care? Would it make it easier to find and see a primary care doctor? And just as importantly, how much money could individuals and families save under a state or national single-payer system?See how much you would save with the new, national Medicare f…
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This time on Code WACK! What the heck is going on with Medicare for All in California? Can single-payer advocates overcome their differences and finally win health care for all in the Golden State? What’s the significance of two recent bills, Senate Bill 770, and Assembly Bill 2200, in achieving Medicare for All in California? To find out, we spoke…
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This time on Code WACK! Will California’s new single payer bill, CalCare, be a tough sell for the state’s legislature, even if most of the state’s residents want Medicare for All? What political hurdles must be cleared before such a bill would pass? And what would it mean for single payer efforts if Donald Trump is re-elected president this year?To…
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How can nurses be involved in decisions that patients make about innovative heart valve interventions for which they may be eligible? In this episode Dr. Sandra Lauck thoughtfully describes her work and that of others in supporting nurses to have opportunities and language that open spaces for patients to question, understand and consider possible …
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This time on Code WACK! Once again, a new single-payer bill, AB 2200 or CalCare, sponsored by the California Nurses Association, has been introduced in the California state legislature. How will it help save lives? Will it break the bank, or will it save us money? What’s different about this version of the bill and what kind of support does it have…
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How can we show up in our relational work with seriously ill patients, and for ourselves as nurses in the moments that are available to us? Grounded in professional and personal experience and yes, even the theoretical, Marie Cooper calls on each of us to stand up, use language and claim the relational work that makes what we do, nursing. Her passi…
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This time on Code WACK! Besides the Alabama IVF decision, how else are reproductive rights being rolled back in America? Why are some states going after emergency contraception known as the morning-after pill? What policy solutions are needed to better protect reproductive rights?To find out, we spoke to Vina Smith-Ramakrishnan, a fellow at The Cen…
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It is well known that despite our best intentions preventable harm continues to happen to patients in healthcare systems. Further harm to patients, their families and to healthcare professionals, including nurses, can be made worse by the ways we then handle and/or talk about this unintentional harm. How can we talk about it in a way that doesn't i…
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This time on Code WACK! Where are we today when it comes to reproductive rights in America? And what does the latest IVF case in Alabama mean for reproductive justice and healthcare equity in America? To find out, we spoke to Vina Smith-Ramakrishnan, a fellow at The Century Foundation, where she works on issues related to maternal health and reprod…
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What do we mean when we talk about a good death? How can we describe the meaningful communicative work that nurses can do with dying patients and their families? In this episode, Patricia Strachan welcomes Dr. David Wright, a registered nurse, educator, and researcher. Dr. Wright is an Associate Professor at the University of Ottawa, and academic l…
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This time on Code WACK! Are regulations meant to protect nursing home residents being enforced? How is understaffing at the California Dept of Public Health affecting nursing home regulation? Are for-profit and nonprofit nursing homes comparable when it comes to the quality of care residents receive? What reforms are in the works to better protect …
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As a practicing Registered Nurse with extensive experience working in acute, critical, and community care settings, Janet Lovegrove has heard many caregivers' stories about feeling alone, overwhelmed, or invisible when providing care to people living with dementia or other progressive life-limiting illnesses. Sensing a real need that what most of t…
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The COVID pandemic devastated nursing homes and other long-term care facilities highlighting the need for major reforms. What are the policies behind the often dismal performance of the nursing home industry? What policy changes have been made so far and why are nursing home residents still so vulnerable? To find out, we spoke to Tony Chicotel, sen…
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Context is very important in healthcare. In this episode, we explore the context created at the intersection of geography, history, language, culture, and healthcare resources when Indigenous people in Canada’s far north require care for serious illness. Our guest, Lianne Mantla-Look, is a Registered Nurse currently living and working in northern C…
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Why is tying a medical provider’s pay to the outcomes of their patients a bad idea? Why else should we be concerned about Accountable Care Organizations and the privatization of traditional Medicare? To find out, we spoke to Dr. Ana Malinow, who spent three decades working as a pediatrician with immigrant, refugee and underserved children before re…
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Have you ever thought of communication as a vital sign for patients in the intensive care unit? In this episode, you will hear Kali Dayton, DNP AGACNP and critical care outcomes consultant, share her passion for using evidence that promotes what she terms "Awake and Walking ICUs." Communication is key to the ABCDEF bundle – a group of interventions…
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This time on Code WACK! You've probably heard about the dangers of Medicare Advantage, but did you know that traditional Medicare is being privatized too? How is this corrupting our healthcare system even more and what does this mean for patients?To find out, we spoke to Dr. Ana Malinow, who spent three decades working as a pediatrician with immigr…
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This time on Code WACK! Some states are making it easier for trans and non-binary individuals to get gender-affirming care but in other states, a record number of laws have been passed to outlaw – or limit – such care. What kind of toll does this take on people in the trans community, their doctors and their advocates? What policy solutions are nee…
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Communicating with people living with advancing dementia and who require care can be challenging and frustrating for everyone. Despite our best intentions, dementia is a serious progressive life limiting illness that has major consequences for the person diagnosed with dementia, their families and family caregivers. In this episode Mary Buck, an ex…
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Having a baby is supposed to be a very happy event, but when a baby is diagnosed with a potentially life-threatening condition in the perinatal period, families are faced with new realities and require special support and understanding. Jennifer Callen is a Nurse Practitioner with 20 years of experience in neonatal intensive care. She currently wor…
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This time on Code WACK! What unique challenges do transgender individuals face when it comes to accessing health care - especially in rural America? Why is gender affirming care considered potentially life saving for trans and nonbinary individuals? How do inaccessible health care, employment discrimination and medical mistreatment intersect for tr…
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Everyone needs access to an inclusive, equitable palliative approach to care. Palliative and end of life care is regarded in the western world as a necessary service to which everyone is entitled, and yet if we look closely, significant inequities exist in people living on the margins of societal norms, such as those who are homeless and without su…
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What can be done about the fentanyl crisis on Los Angeles’ Skid Row that disproportionately affects Black residents? What policy solutions are needed? In light of the historical evidence of racial disparities in the criminal justice and healthcare systems, should reparations be considered?To find out, we spoke to Nyabingi Kuti, director of the LA H…
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More than 3,000 people died of drug overdoses in Los Angeles County alone in 2022 and last October, Hollywood actor Matthew Perry, of “Friends” fame, became one of the latest overdose victims when he accidentally died of acute effects of ketamine at his Los Angeles home. Perry's story reminds us that no one is immune to drug overdoses, but who are …
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This time on Code WACK! Can California’s new Office of Health Care Affordability stem the rising tide of healthcare inflation? Are similar efforts to rein in healthcare costs happening in other states? And what does the creation of the Office mean about the chance for single-payer, Medicare for All in the Golden State?To find out we spoke to Ian Le…
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The New Year is ringing in higher health care premiums while U.S. life expectancy continues to fall. Despite spending more on health care than any other country, we don’t seem to be getting much bang for our bucks! For instance, in 2023 American men can expect to live only 73 years while Frenchmen can expect to live to age 80 - nearly 10% longer! W…
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In honor of more than 200 podcast episodes and the New Year, we’re running one of our oldies but goodies about the medical tourism phenomenon - Need surgery but your $7,000 deductible is in the way? How about major dental care that your insurance doesn't even begin to adequately cover? Could you save by going to another country for treatment?The sk…
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Patients aren’t the only people who are frustrated with our current healthcare system. So are doctors! Why? And why doesn’t free market capitalism work with health care?To find out, we spoke to award-winning filmmaker Maddy Purves, who is editor of the documentary Healing US narrated by Susan Sarandon, and Laura Fielding, founder of Red Berets for …
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How did the new documentary Healing US, about the drawbacks of America’s for-profit healthcare system, get made? Which harrowing stories did they highlight? When Americans need health care, why do so many worry whether they can afford to be treated?For answers to these questions and more, we spoke to award-winning documentary filmmaker Maddy Purves…
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How can we, as a society, better support Black expectant parents and their babies in light of how vulnerable they are to dying in America? And what root causes must be addressed to do this most effectively? To find out, we spoke to Melissa Franklin, the first Black director of Maternal Child and Adolescent Health for LA County’s Department of Publi…
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What do you think of when you hear the word “palliative”? In this final episode of season one of Radical Nurse Talk, Kath Murray discusses the importance of words in serious illness. Words such as "palliative" that we use – or avoid using - can invoke fear, "giving up" and also, hope, support and quality of life. Listen while Kath, an exemplary nur…
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Why are Black people so vulnerable to maternal and infant mortality - and what’s being done about it? What will the closing of a maternity ward in South Los Angeles County – a trend happening around the country – mean for local residents there?To find out, we spoke to Melissa Franklin, EdD, MBA, the first Black director of Maternal Child and Adoles…
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In this episode, Matthieu Payette, Clinical Nurse Specialist at St. Joseph's Healthcare Hamilton and Adjunct Lecturer/Clinical Instructor McMaster University School of Nursing, describes his experiences in various contexts in which people require help in a mental health crisis. He shares some possibilities for others who must respond to people in c…
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In this episode, Dr. Erin Ziegler, champion and advocate for inclusive and dignified care of people who identify as LGBTQ2SA describes how words, and the assumptions that are behind them, can build or destroy the trust that is so integral to building therapeutic relationships especially in serious illness. To learn more and access resources visit: …
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What kind of a healthcare system could actually promote equity? How does a new bill recently signed by Governor Gavin Newsom get California closer to universal, single-payer health care? And how is it different from previous Medicare-for-All bills? To find out, we spoke to Irene Kao, executive director of Courage California, a progressive grassroot…
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Has a patient or family member ever asked you about medical assistance in dying (MAiD)? If someone did ask you, what would you say in this conversation? In this episode, I explore that situation with Jane Slemon, a director of care at a hospice in British Columbia. We discuss her work with individuals who are navigating the end of life and who some…
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What can be done in light of Medicare Advantage overcharging taxpayers to the tune of around $140 billion a year? What’s the Medigap Trap and why should you worry about it? Why should we work to improve traditional Medicare while pursuing Medicare for All?To find out, we spoke to Dr. Ed Weisbart, the national board secretary for Physicians for a Na…
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