An Arm and a Leg is a show about why health care costs so freaking much, and what we can (maybe) do about it. New episodes every three weeks.

An Arm and a Leg&nbsp;is a show about why health care costs so freaking much, and what we can (maybe) do about it. New episodes every three weeks.

An Arm and a Leg is a podcast about why health care costs so freaking much and what we can (maybe) do about it.

If you’ve ever been surprised by a medical bill, you’re in good company. But as our team of seasoned journalists has learned from years of reporting — you’re not always helpless. We don’t have all the answers, but we’ll offer you tools and big picture insights with plenty of humor and heart. 

An Arm and a Leg is co-produced with KFF Health News and distributed in partnership with KUOW.

You can support An Arm and a Leg by donating at armandalegshow.com/support/

Show Credits: Created, hosted, and produced by Dan Weissmann with senior producer Emily Pisacreta and engagement producer Claire Davenport, edited by Ellen Weiss. Audio wizard: Adam Raymonda. Music is by Dave Weiner and Blue Dot Sessions. Bea Bosco is our consulting director of operations. Lynne Johnson is our operations manager.

An Arm and a Leg&nbsp;is a podcast about why health care costs so freaking much and what we can (maybe) do about it.
If you&rsquo;ve ever been surprised by a medical bill, you&rsquo;re in good company. But as our team of seasoned journalists has learned from years of reporting &mdash; you&rsquo;re not always helpless. We don&rsquo;t have all the answers, but we&rsquo;ll offer you tools and big picture insights with plenty of humor and heart.&nbsp;
An Arm and a Leg is co-produced with <a href="https://kffhealthnews.org/">KFF Health News</a> and distributed in partnership with <a href="https://www.kuow.org/">KUOW</a>.
You can support An Arm and a Leg&nbsp;by donating at <a href="https://armandalegshow.com/support/">armandalegshow.com/support/</a>
<hr>
Show Credits:&nbsp;Created, hosted, and produced by Dan Weissmann with senior producer Emily Pisacreta and engagement producer Claire Davenport, edited by Ellen Weiss. Audio wizard: Adam Raymonda. Music is by Dave Weiner and Blue Dot Sessions. Bea Bosco is our consulting director of operations. Lynne Johnson is our operations manager.

An Arm and a Leg

This is An Arm and a Leg

Hey, first! We’re looking for your help. Can you take a couple minutes and fill out our Audience Survey? 

We’re dying to know more about the community that’s using this show — and about what’s working for you and what you’d like to see. Let us know!

Today we’re switching it up. We’re sharing an episode from the new podcast Drug Story. In each episode, science journalist and self-described “public health nerd” Thomas Goetz goes deep on the story of a single drug — what it treats, how it came to be, and what it reveals about the business of health and disease. 

On this episode: the EpiPen, a device you’ll find in classrooms, on airplanes, in glove compartments — basically everywhere — because the EpiPen can be a literal life-saver for people with severe allergies.

And of course, the EpiPen is also one of the most infamous examples of pharmaceutical profiteering gone bananas. 

That part of the story makes us especially geeked to share this episode. 

And there are more threads here — on the drug’s discovery, on the science of severe food allergies, and on what researchers have learned about preventing them — that Goetz does a great job of weaving together. 

If you like it, new episodes of Drug Story come out every week. 

We’ll be back with more Arm and a Leg in a few weeks. Meanwhile, don’t forget to help us by filling out our quick survey.

Here’s a transcript of this episode.

Send your stories and questions. Or call 724 ARM-N-LEG.

Of course we’d love for you to support this show.

Hey, first! We&rsquo;re looking for your help. Can you take a couple minutes and fill out our <a href="https://armandalegshow.com/2026-survey/">Audience Survey</a>?&nbsp;
We&rsquo;re dying to know more about the community that&rsquo;s using this show &mdash; and about what&rsquo;s working for you and what you&rsquo;d like to see. <a href="https://armandalegshow.com/2026-survey/">Let us know!</a>
<hr>
Today we&rsquo;re switching it up. We&rsquo;re sharing an episode from the new podcast&nbsp;<a href="https://www.drugstory.co/">Drug Story</a>. In each episode, science journalist and self-described &ldquo;public health nerd&rdquo; Thomas Goetz goes deep on the story of a single drug &mdash; what it treats, how it came to be, and what it reveals about the business of health and disease.&nbsp;
On this episode: the EpiPen, a device you&rsquo;ll find in classrooms, on airplanes, in glove compartments &mdash; basically everywhere &mdash; because the EpiPen can be a literal life-saver for people with severe allergies.
And of course, the EpiPen is also one of the most infamous examples of pharmaceutical profiteering gone bananas.&nbsp;
That part of the story makes us especially geeked to share this episode.&nbsp;
And there are more threads here &mdash; on the drug&rsquo;s discovery, on the science of severe food allergies, and on what researchers have learned about preventing them &mdash; that Goetz does a great job of weaving together.&nbsp;
If you like it, new episodes of <a href="https://www.drugstory.co/">Drug Story</a> come out every week.&nbsp;
We&rsquo;ll be back with more&nbsp;Arm and a Leg in a few weeks. Meanwhile, don&rsquo;t forget to help us by <a href="https://armandalegshow.com/survey-2026/">filling out our quick survey</a>.
<a href="https://armandalegshow.com/episode/epipen-drug-story/#transcript">Here&rsquo;s a transcript of this episode</a>.
<a href="https://armandalegshow.com/contact/">Send your stories and questions.</a> Or call 724 ARM-N-LEG.
Of course we&rsquo;d love for you to<a href="https://armandalegshow.com/support/"> support this show</a>.

The EpiPen and Food Allergies (from Drug Story)

Thirty-six hours before his wife was scheduled for a major surgery, New York Times personal finance columnist Ron Lieber got a letter in the mail that sent him reeling. 

Insurance was denying prior authorization for the surgery. The only way forward would be to appeal the decision. But it was Saturday night, and the surgery was Monday morning. There wouldn’t be any time. Should they even go to the hospital?

They decided to bet on being able to reverse the denial later on, but the last minute coverage  questions left Ron’s wife, New York Times reporter Jodi Kantor, going into surgery that Monday with a brand new sense of stress and anxiety. 

And along with worrying how his wife's surgery would go (spoiler: it was successful), and whether they’d end up on the hook for a bajillion dollars, it left Ron to wonder why no one had given them a heads-up earlier.

He set out to find answers — and whether there might be a way to prevent these last-minute denials from sneaking up on other people. 

Ron turned to his "Your Money" newsletter subscribers for ideas, and eventually published a draft letter in his New York Times column that doctors and other health care providers could give their patients to better prepare them for insurance curveballs. 

Check out the column here – and consider passing it along to any health care workers whose patients you think might benefit. 

Here’s a transcript of this episode. 

Send your stories and questions. Or call 724 ARM-N-LEG.

Of course we’d love for you to support this show. 

Thirty-six hours before his wife was scheduled for a major surgery, New York Times personal finance columnist <a href="https://www.nytimes.com/by/ron-lieber">Ron Lieber</a> got a letter in the mail that sent him reeling.&nbsp;
Insurance was denying prior authorization for the surgery. The only way forward would be to appeal the decision. But it was Saturday night, and the surgery was Monday morning. There wouldn&rsquo;t be any time. Should they even go to the hospital?
They decided to bet on being able to reverse the denial later on, but the last minute coverage&nbsp; questions left Ron&rsquo;s wife, New York Times reporter Jodi Kantor, going into surgery that Monday with a brand new sense of stress and anxiety.&nbsp;
And along with worrying how his wife's surgery would go (spoiler: it was successful), and whether they&rsquo;d end up on the hook for a bajillion dollars, it left Ron to wonder why no one had given them a heads-up earlier.
He set out to find answers &mdash; and whether there might be a way to prevent these last-minute denials from sneaking up on other people.&nbsp;
Ron turned to his <a href="https://static.nytimes.com/email-content/MY_sample.html">"Your Money" newsletter</a> subscribers for ideas, and eventually published a draft letter in his New York Times column that doctors and other health care providers could give their patients to better prepare them for insurance curveballs.&nbsp;
<a href="https://www.nytimes.com/2025/10/22/your-money/prior-authorization-health-insurance.html?unlocked_article_code=1.JlA.MrrJ.zCdji0rCJedL&amp;smid=url-share">Check out the column here</a> &ndash; and consider passing it along to any health care workers whose patients you think might benefit.&nbsp;
<a href="https://armandalegshow.com/episode/ron-lieber/#transcript">Here&rsquo;s a transcript of this episode</a>.&nbsp;
<a href="https://armandalegshow.com/contact/">Send your stories and questions.</a> Or call 724 ARM-N-LEG.
Of course we&rsquo;d love for you to<a href="https://armandalegshow.com/support/"> support this show</a>.&nbsp;

NYT’s Ron Lieber: ‘These people are not going to win.'

For five years, we’ve been following the work of Dollar For and its founder Jared Walker, watching them quickly scale up their efforts to help people crush medical debt by tapping into “charity care” — the financial assistance that hospitals are legally required to offer some patients. 

Their work represents what a small, scrappy, thoughtful group of people can do. Last year, their tiny staff helped wipe out more than $55 million in medical bills. 

As we kick off 2026, we thought it was time to check in again. After all, this will be a year when millions more people will have trouble covering their medical bills — when Dollar For’s work may become more important to more people, and when we’re hungry for more ways to help each other. 

As Jared tells it, 2025 proved to be a pivotal – yet rocky – period in the organization’s story. Both their successes and their challenges put into stark relief exactly what we’re all up against. 

So we go deep with Jared on what they achieved while they weathered the chaos, and what it might mean for their – and our collective – next moves.  

Here's a transcript of this episode. 

Check out our Starter Pack: How to wipe out your bill with charity care.

And our previous coverage of Dollar For:
Could billions in medical debt get zapped by the legal strategy from this 60-second video? (2021)
We talked to Jared just weeks after Dollar For first went viral. The group’s early history — they’d been working locally for years — is fascinating.
Badass volunteers help Jared level up, in the fight to crush medical debt (2021)
Within six months, they’d recruited volunteers and built systems. 
The Medical Bill “Negotiation Lab” (2022)
In an experiment aimed at scaling up impact, Dollar For tried a different approach in 2022. We sat in.
One last tip before 2024 (2023)
Why Jared thinks you should ask for “charity care” by name -- even though, let’s face it, asking for “charity” does not feel good to most of us.
New lessons from the fight for charity care (2024)
Dollar For spent 2024 focusing on the big picture and starting to focus on policy advocacy.

Check out our history of charity care series (from 2021): 
A legendary lawyer sued hospitals for price-gouging their patients. And got his butt handed to him. 
Dickie Scruggs is the guy who beat Big Tobacco. But when he took on hospitals, he lost.
The wild backstory of a tiny but crucial Obamacare provision (ft. David Axelrod)
Charity care wasn’t part of federal law until the Affordable Care Act passed. A Republican senator made sure it was part of the ACA — before deciding he wouldn’t vote for the law.
“We just kept right on pushing” … and laws changed
In New York, a grieving family’s story made headlines and helped advocates catch lawmakers’ attention.
Wait, that was legal until now?!
In 2021, Maryland barred hospitals from suing patients who qualified for charity care.

Send your stories and questions. Or call 724 ARM-N-LEG.

Of course we’d love for you to support this show. 

For five years, we&rsquo;ve been following the work of Dollar For and its founder Jared Walker, watching them quickly scale up their efforts to help people crush medical debt by tapping into &ldquo;charity care&rdquo; &mdash; the financial assistance that hospitals are legally required to offer some patients.&nbsp;
Their work represents what a small, scrappy, thoughtful group of people can do. Last year, their tiny staff helped wipe out more than $55 million in medical bills.&nbsp;
As we kick off 2026, we thought it was time to check in again. After all, this will be a year when millions more people will have trouble covering their medical bills &mdash; when Dollar For&rsquo;s work may become more important to more people, and when we&rsquo;re hungry for more ways to help each other.&nbsp;
As Jared tells it, 2025 proved to be a pivotal &ndash; yet rocky &ndash; period in the organization&rsquo;s story. Both their successes and their challenges put into stark relief exactly what we&rsquo;re all up against.&nbsp;
So we go deep with Jared on what they achieved while they weathered the chaos, and what it might mean for their &ndash; and our collective &ndash; next moves.&nbsp;&nbsp;
Here's a <a href="https://armandalegshow.com/episode/dollar-for-2026/#transcript">transcript of this episode</a>.&nbsp;
Check out our <a href="https://armandalegshow.com/starter-pack/how-to-get-your-medical-bill-forgiven-with-charity-care/">Starter Pack: How to wipe out your bill with charity care</a>.
And our previous coverage of Dollar For:
<ul>
<li aria-level="1"><a href="https://armandalegshow.com/episode/dollar-for/">Could billions in medical debt get zapped by the legal strategy from this 60-second video? (2021) </a>We talked to Jared just weeks after Dollar For first went viral. The group&rsquo;s early history &mdash; they&rsquo;d been working locally for years &mdash; is fascinating.</li>
<li aria-level="1"><a href="https://armandalegshow.com/episode/badass-volunteers-help-jared-crush-medical-debt/">Badass volunteers help Jared level up, in the fight to crush medical debt (2021) </a>Within six months, they&rsquo;d recruited volunteers and built systems.&nbsp;</li>
<li aria-level="1"><a href="https://armandalegshow.com/episode/the-medical-bill-negotiation-lab/">The Medical Bill &ldquo;Negotiation Lab&rdquo; (2022) </a>In an experiment aimed at scaling up impact, Dollar For tried a different approach in 2022. We sat in.</li>
<li aria-level="1"><a href="https://armandalegshow.com/episode/one-last-tip/">One last tip before 2024 (2023) </a>Why Jared thinks you should ask for &ldquo;charity care&rdquo; by name -- even though, let&rsquo;s face it, asking for &ldquo;charity&rdquo; does not feel good to most of us.</li>
<li aria-level="1"><a href="https://armandalegshow.com/episode/new-lessons-charity-care/">New lessons from the fight for charity care (2024) </a>Dollar For spent 2024 focusing on the big picture and starting to focus on policy advocacy.</li>
</ul>
Check out our history of charity care series (from 2021):&nbsp;
<ul>
<li aria-level="1"><a href="https://armandalegshow.com/episode/a-legendary-lawyer-sued-hospitals-for-price-gouging-their-patients-and-got-his-butt-handed-to-him/">A legendary lawyer sued hospitals for price-gouging their patients. And got his butt handed to him. </a>Dickie Scruggs is the guy who beat Big Tobacco. But when he took on hospitals, he lost.</li>
<li aria-level="1"><a href="https://armandalegshow.com/episode/one-crucial-provision-with-david-axelrod/">The wild backstory of a tiny but crucial Obamacare provision (ft. David Axelrod) </a>Charity care wasn&rsquo;t part of federal law until the Affordable Care Act passed. A Republican senator made sure it was part of the ACA &mdash; before deciding he wouldn&rsquo;t vote for the law.</li>
<li aria-level="1"><a href="https://armandalegshow.com/episode/a-tragic-death-pushed-health-reform-ny/">&ldquo;We just kept right on pushing&rdquo; &hellip; and laws changed </a>In New York, a grieving family&rsquo;s story made headlines and helped advocates catch lawmakers&rsquo; attention.</li>
<li><a href="https://armandalegshow.com/episode/wait-that-was-legal/">Wait, that was legal until now?! </a>In 2021, Maryland barred hospitals from suing patients who qualified for charity care.</li>
</ul>
<hr>
<a href="https://armandalegshow.com/contact/">Send your stories and questions.</a>&nbsp;Or call 724 ARM-N-LEG.
Of course we&rsquo;d love for you to<a href="https://armandalegshow.com/support/">&nbsp;support this show</a>.&nbsp;

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