Listen ad-free



Tradeoffs is an award-winning nonprofit news organization on a mission to help the folks on Main Street, Wall Street and Capitol Hill have smarter, more honest conversations about health policy.

Founded in 2019 by former Senior Health Care Reporter at Marketplace, Dan Gorenstein, Tradeoffs’ journalism combines data, evidence and storytelling to help people better understand the complicated, costly and often counterintuitive world of health care.

Learn more about us and find transcripts for each episode at

Hosted on Acast. See for more information.

read less


The Fifth Branch: Convincing the Cops
2d ago
The Fifth Branch: Convincing the Cops
How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls?Guests:Patrice Andrews, Police Chief, Durham Police DepartmentRyan Smith, Director, Durham Department of Community SafetySgt. Dan Leeder, Durham Police DepartmentAbena Bediako, Clinical Manager, Durham Department of Community SafetyChristie Thompson, Staff Writer, The Marshall ProjectEMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.Learn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See for more information.