What does it take to make health care work for everyone? In this episode of Policy Punchline, former CMS Administrator Chiquita Brooks-LaSure joins Princeton students Alice McCarthy ’27 and Aiko Offner ’27 to reflect on her years leading the agency that runs Medicare, Medicaid, CHIP, and HealthCare.gov for more than 160 million Americans.
We explore how the U.S. achieved historic coverage gains under the Affordable Care Act and why maintaining that progress has proved so fragile. Brooks-LaSure reflects on the constant tension between innovation and cost control, the bureaucratic frictions that still leave millions without care, and the deeper question of who should bear responsibility for the social conditions that shape health. She offers a frank look at the limits of reform in a system constrained by politics, paperwork, and inequity, before turning to America’s maternal health crisis and her drive to embed equity at the core of CMS policy amid efforts to roll back years of progress.
This interview, conducted by Princeton students Alice McCarthy ’27 and Aiko Offner ’27, is part of the Policy Punchline podcast series. Supported by Princeton’s Julius Rabinowitz Center for Public Policy and Finance, the series aims to foster dialogue on critical public-policy issues, connecting listeners with leading experts from around the world.
Join us as Chiquita Brooks-LaSure offers a rare inside look at how America’s health-care system really works and what it would take to make it fairer, simpler, and more humane.
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What does it take to make health care work for everyone? In this episode of Policy Punchline, former CMS Administrator Chiquita Brooks-LaSure joins Princeton students Alice McCarthy ’27 and Aiko Offner ’27 to reflect on her years leading the agency that runs Medicare, Medicaid, CHIP, and HealthCare.gov for more than 160 million Americans.
We explore how the U.S. achieved historic coverage gains under the Affordable Care Act and why maintaining that progress has proved so fragile. Brooks-LaSure reflects on the constant tension between innovation and cost control, the bureaucratic frictions that still leave millions without care, and the deeper question of who should bear responsibility for the social conditions that shape health. She offers a frank look at the limits of reform in a system constrained by politics, paperwork, and inequity, before turning to America’s maternal health crisis and her drive to embed equity at the core of CMS policy amid efforts to roll back years of progress.
This interview, conducted by Princeton students Alice McCarthy ’27 and Aiko Offner ’27, is part of the Policy Punchline podcast series. Supported by Princeton’s Julius Rabinowitz Center for Public Policy and Finance, the series aims to foster dialogue on critical public-policy issues, connecting listeners with leading experts from around the world.
Join us as Chiquita Brooks-LaSure offers a rare inside look at how America’s health-care system really works and what it would take to make it fairer, simpler, and more humane.
Voice Without a Veto: How to Bring Progress Back with Marc Dunkelman
Policy Punchline
1 hour 6 minutes 4 seconds
1 month ago
Voice Without a Veto: How to Bring Progress Back with Marc Dunkelman
Why can’t America build anymore housing, transmission lines, and even EV chargers without getting stuck in endless reviews and lawsuits? Marc J. Dunkelman. author of "Why Nothing Works: Who Killed Progress—and How to Bring It Back", joins Policy Punchline to trace the arc from New Deal “builders” to today’s overlapping veto points. We dig into NIMBY politics, environmental review, Loper Bright and agency power, and the paradox where progressive rules now stall progressive goals. Join hosts Maddie Feldman and Eli Padoan in asking what it takes—politically, legally, culturally—to get America building again.
Policy Punchline
What does it take to make health care work for everyone? In this episode of Policy Punchline, former CMS Administrator Chiquita Brooks-LaSure joins Princeton students Alice McCarthy ’27 and Aiko Offner ’27 to reflect on her years leading the agency that runs Medicare, Medicaid, CHIP, and HealthCare.gov for more than 160 million Americans.
We explore how the U.S. achieved historic coverage gains under the Affordable Care Act and why maintaining that progress has proved so fragile. Brooks-LaSure reflects on the constant tension between innovation and cost control, the bureaucratic frictions that still leave millions without care, and the deeper question of who should bear responsibility for the social conditions that shape health. She offers a frank look at the limits of reform in a system constrained by politics, paperwork, and inequity, before turning to America’s maternal health crisis and her drive to embed equity at the core of CMS policy amid efforts to roll back years of progress.
This interview, conducted by Princeton students Alice McCarthy ’27 and Aiko Offner ’27, is part of the Policy Punchline podcast series. Supported by Princeton’s Julius Rabinowitz Center for Public Policy and Finance, the series aims to foster dialogue on critical public-policy issues, connecting listeners with leading experts from around the world.
Join us as Chiquita Brooks-LaSure offers a rare inside look at how America’s health-care system really works and what it would take to make it fairer, simpler, and more humane.
