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An Arm and a Leg

An Arm and a Leg

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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.

2026 An Arm and a Leg
Hygiène et vie saine Maladie et pathologies physiques Sciences sociales
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    Épisodes
    • 'Sh**’s wild': Scaling up, doubling down, and buckling in
      Jan 15 2026

      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.

      See omnystudio.com/listener for privacy information.

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      26 min
    • Our favorite project of 2025 levels up – and you can help
      Dec 29 2025

      Hey, first! If you value what we do, we need your support to keep it going in 2026.

      We have SO much work ahead, and we can’t do it without you.

      Every little bit counts. Here’s where you can chip in. Thank you SO much!

      Our listeners have been teaming up on an incredible project – kicked off earlier this year by a med student named Thomas Sanford.

      The idea: create a list of reliable resources to help with medical expenses and avoid debt, and circulate it where people might find it useful, like hospital waiting rooms.

      In this episode, we hear how that project is ready to level up – and how you can bring it to people in your community.

      Here’s how to help:

      Send this link to anyone you think might need it: armandalegshow.com/help

      Or go here to print it out, post it, pass it around, customize it for your community, or join with other volunteers: armandalegshow.com/helpers

      See omnystudio.com/listener for privacy information.

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      15 min
    • Some more things that didn’t suck in 2025
      Dec 11 2025

      Hey, first! If you value what we do, this is the best-ever time to support our work.

      We have SO much work ahead in 2026. Donate here.

      We’re back for another look at things that – believe it or not – did NOT suck in 2025.

      Specifically: new state laws from around the country aimed at protecting people from things like medical debt, insurance delays and denials, and corporate profiteering.

      In this episode, we dive into two examples from opposite sides of the country to look at how laws like these get made – and in some cases, defended.

      In Maine, lawmakers unanimously voted to remove medical debts from people’s credit reports. While a nationwide court ruling raises questions about the new law’s future, we’ll hear why consumer rights attorney Chi Chi Wu remains optimistic.

      And in Oregon, a law aims to prevent big corporations and private equity firms from taking over medical clinics and strip-mining them for profits.

      Plus, a good-news update from our team at An Arm and a Leg.

      Here's a transcript of this episode.

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

      And, again… we’d love for you to support this show.

      See omnystudio.com/listener for privacy information.

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      32 min
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