Podcast

Why Should I Trust You?

News, News Commentary, Science

Why Should I Trust You? is a bold, unfiltered, weekly look at the collapse of public trust in science, medicine, public health, and AI. Every Thursday, we dig into what's behind that breakdown and whether there is common ground beneath our division.

Described as "truly excellent" in The New York Times, WSITY has drawn attention across America's divides, from being mentioned on Joe Rogan's podcast to NPR. We host conversations that cross political and cultural lines, bringing people together with the experts they no longer trust. Hosted by Brinda Adhikari (former EP of The Problem with Jon Stewart), Tom Johnson (former EP of The Circus, former TV news journalist), Dr. Maggie Bartlett (virologist and assistant research professor, University of Texas Medical Branch), and Dr. Mark Abdelmalek (skin cancer surgeon and medical journalist).

News Commentary chart
#157
Episodes
123
Releases
Twice a week
Typical length
1 hr 7 min
On air since
2025
Latest episode
5 days ago

Episodes

123 episodes, newest first

  1. Can Americans Come Together to Fight the Next Pandemic? | WSITY Live at WashU Bursky

    Season 2, Episode 55

    Show notes

    Could America handle another pandemic? And what would we do differently this time?

    For our first-ever live taping of Why Should I Trust You?, recorded at Washington University's Bursky School of Public Health in St. Louis, we tried something different.

    We invented a hypothetical pandemic set in 2030 and invited four people with very different backgrounds, experiences, and perspectives to help America figure out how to respond.

    Here's the premise: A mysterious new virus is emerging. The economy is fragile, political divisions run deep, and public trust in institutions remains low.

    Our four guests have been called to Washington to advise the president. It's Friday afternoon, and by Monday morning, America needs a plan.

    As the conversation unfolds, we introduce new developments and complications—not just about the virus, but about the economic, political, cultural, and social realities of the country confronting it.

    Our panelists must weigh competing risks, draw on lessons from COVID, challenge one another's assumptions, and decide what they would recommend. Meanwhile, our live audience plays the role of the American public, responding to the panelists' ideas and raising questions of its own.

    While this is on its face a conversation about the next pandemic, it's really a conversation about our values, our competing priorities, and who we are as a country.

    What do we owe one another? How much risk are we willing to accept? Who gets to decide? And can we find a way forward when we don't all agree?

    We don't know where our guests will agree or disagree. That's part of the point.

    This is an experiment in what happens when people with different perspectives try to work through a national crisis together.

    MEET OUR PANELISTS

    Dr. Nahid Bhadelia is an infectious disease physician and founding director of Boston University's Center on Emerging Infectious Diseases. She served as a senior policy adviser to the Biden White House on the global COVID-19 response and has worked on the front lines of Ebola outbreaks in Africa.

    David Zweig is an investigative journalist and author of An Abundance of Caution, which critically examines the evidence behind pandemic-era school closures and other COVID restrictions.

    Katherine Wells has served as public health director for Lubbock, Texas, since 2015. She led the city's response to COVID-19 and played a central role in responding to the 2025 West Texas measles outbreak. Before moving to Lubbock, she spent 14 years working at the Texas state health department.

    Jeff Hutt is a political organizer and former national field director for Robert F. Kennedy Jr.'s 2024 presidential campaign and sits on the board of the National Republican Liberty Caucus. His work focuses on civil liberties and grassroots political engagement.

    SPECIAL GUEST

    Dr. Sandro Galea is the inaugural dean of Washington University's Andrew M. and Jane M. Bursky School of Public Health. A physician, epidemiologist, and author, he previously served as dean of Boston University's School of Public Health for a decade. His work focuses on the social forces that shape health and on reimagining the role of public health in society.

    **Recorded live at the WashU Bursky School of Public Health, St. Louis, Missouri, October 27, 2026.

    See it on YT: https://youtu.be/ZCWQ-qJT5pQ?si=DrU0aanBGbOO_Mit

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 49 min
  2. Americans Are Mad As Hell About Healthcare Costs. What’s Actually Standing In the Way of Lower Bills?

    Season 2, Episode 54

    Show notes

    Americans are mad as hell about healthcare costs. Premiums, deductibles, copays, prescription drugs, medical debt—the bills keep piling up, and voters are demanding relief. Politicians are offering big promises, from Medicare for All to restoring Medicaid and ACA subsidies to cracking down on fraud and waste. But how much of that would actually lower what Americans pay for healthcare—and how soon? Do we need sweeping political reforms, or are there practical ways to bring down patients' bills right now? And could the way we keep debating healthcare actually be protecting the status quo? We're joined by Cornell University's Jamila Michener, Rice University's Vivian Ho, and KFF's Liz Hamel to unpack what makes healthcare so expensive, who bears the burden, and what it would actually take to make it more affordable.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Jamila Michener is a professor of Government and Public Policy at Cornell University and director of its Center for Racial Justice and Equitable Futures. Her research examines poverty, racial inequality, healthcare policy, and political power. She is the author of Fragmented Democracy: Medicaid, Federalism, and Unequal Politics.

    Vivian Ho is a health economist and the James A. Baker III Institute Chair in Health Economics at Rice University, where she is also a professor of economics. Her research focuses on healthcare costs, hospital pricing, market competition, and how economic incentives shape the quality and affordability of care. She is a member of the National Academy of Medicine.

    Liz Hamel is senior vice president and director of Public Opinion and Survey Research at KFF, where she oversees the organization's national polling on healthcare. With 25 years of experience in public opinion research, she studies Americans' experiences with the healthcare system, their concerns about affordability, and their views on healthcare policy.

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 15 min
  3. Why Is There So Much Cancer In Iowa? A Conversation w Chris Jones, Democratic Ag Candidate & MAHA Supporter Courtney Hunt

    Season 2

    Show notes

    As the midterms approach, a distinctive issue is animating races up and down the ballot in Iowa: rising cancer rates and growing concerns about the safety of the state’s drinking water.

    Iowa has one of the highest cancer rates in the nation, and voters are asking hard questions about the state’s water, soil, and agricultural practices. With Election Day almost here, water has emerged as one of the top issues Iowa voters cite in polling.

    This week, we’re joined by retired water scientist and Democratic candidate for Iowa agriculture secretary Chris Jones, and Iowa mom and MAHA supporter Courtney Hunt.

    We explore whether voters are ready to demand change, and what that could mean for Iowa’s farmers, who are already facing mounting economic pressures.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Guests:

    Chris Jones, Democratic candidate for Secretary of Agriculture in Iowa, retired water scientist

    Courtney Hunt: social worker; Iowa resident; former Kennedy campaign volunteer; MAHA supporter

    Information about our live taping at WashU Bursky School of Public Health, Oct 27th, 5pET.

    Live stream link:

    https://wustl.zoom.us/j/93933475249?pwd=E9uuw64sJakba6OW3CCCTfPI4ROZ9v.1

    More about the event: https://publichealth.washu.edu/event/live-podcast-taping-of-why-should-i-trust-you/

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    57 min
  4. What's Actually Behind Our National Rage Over Data Centers? A Conversation w Community Organizers & Researchers

    Show notes

    With the midterms just three weeks away, communities across the country are pushing back against the construction of new AI data centers. In a deeply divided America, opposition to these massive facilities is emerging across party lines: seven in ten Americans say they oppose an AI data center being built near them.

    Today, we bring together Midwestern residents on the front lines of this fight, along with researchers examining the electricity demands and potential health impacts of these facilities. AI data centers promise jobs and investment, but they also raise very real questions about who bears the costs, who reaps the benefits, and who gets to decide what's best for a community.

    We often hear that resistance to the centers is really about worry over AI. In our discussion, we discuss how much of that is true and how much of this is about anger over elected officials seen as siding with corporations over people.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Stuart Day is a community organizer with Ohio Valley Allies and host of the Exposure podcast, covering environmental and industrial issues in the Ohio Valley.

    Drew Kassel is a postdoctoral researcher at the University of Texas at Austin studying energy systems and the electricity demands of data centers.

    Montre Moore is a Milwaukee community advocate involved in local debates over data center development and its effects on residents.

    Vina Colley is a longtime environmental activist in Piketon, Ohio, where a massive AI data center campus is proposed near the former Portsmouth uranium enrichment plant.

    Natalie Armstrong, is a PhD candidate in environmental health and engineering at Johns Hopkins Bloomberg School of Public Health, looking at the environmental & public health impacts of data centers.

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 19 min
  5. Special Ep: Our Conversation w Senate Candidate Abdul El-Sayed: On Challenging Trump & RFK Jr. While Reaching Their Supporters

    Season 2, Episode 52

    Show notes

    Our guest is Abdul El-Sayed, a Democratic candidate for the Senate in Michigan, one of the key races in the battle for control of the Senate.

    A physician and former public health director, El-Sayed is making health a centerpiece of his campaign. Along with advocating for Medicare for All, he’s unveiled a new agenda targeting pesticides, polluters, and microplastics, while expanding access to healthier food, issues that overlap with goals of the MAHA movement.

    So can a progressive Democrat find common ground and build trust with MAHA voters? And how does he address concerns among some Democrats and traditional public health advocates who view the movement, Robert F. Kennedy Jr., and the Trump administration as undermining trust in vaccines, scientific research, and public health itself?

    At a time when trust in politicians and institutions is deeply strained, how can El-Sayed convince voters that his agenda can make health care more affordable and help build a healthier country?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guest:

    Abdul El-Sayed, Democratic candidate running for Senate in Michigan

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    29 min
  6. Institutions Are Losing the Battle for Attention. Here’s How to Get Back in the Arena: A Conversation w Researcher Renée DiResta

    Season 2, Episode 51

    Show notes

    Researcher and author Renée DiResta has spent years studying how influence works online, including the power dynamics that determine which voices get heard and which ones have influence.

    In a new report she co-authored, DiResta not only digs into the transformation from old media to new, but also examines how institutions need to rethink their approach to communication. Which brings us to a bigger question: What happens when institutional authority itself is no longer enough to earn people’s attention or trust?

    The old system, in which institutions such as universities, government agencies, think tanks, and nonprofits could rely on mainstream media gatekeepers to relay their insights and messages, has been upended. Today, as influence and attention have shifted toward individual creators, online communities, and influencers, those same institutions (along with their expertise) must find ways to enter these new arenas or risk becoming irrelevant.

    In this episode, DiResta wrestles with how institutions can make headway and rebuild trust in this new world while staying true to their core missions.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek (off)

    Guest:

    Renée DiResta is an associate research professor at Georgetown University’s McCourt School of Public Policy, where she studies influence, propaganda, online information systems and institutional resilience. She previously served as research manager at the Stanford Internet Observatory and is the author of Invisible Rulers: The People Who Turn Lies into Reality. Her latest work, co-authored for the Carnegie Endowment for International Peace, examines how institutions must adapt to a radically changed media environment—and rethink how they earn attention, influence and legitimacy.

    Link to the report:

    https://carnegieendowment.org/research/2026/08/nonprofit-organizations-how-to-engage-social-media-new-media-strategy

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 5 min
  7. Special Ep: Who Gets to Decide What Science Gets Funded? Inside the Fight Over NIH: A Conversation w Sudip Parikh & Michael Green

    Season 2, Episode 50

    Show notes

    Today we ask: When it comes to spending taxpayer dollars on scientific research, how much should elected politicians decide what gets funded, and how much should be decided by scientists and those who lead our health agencies?

    Where should the line be between supporting the best scientific questions and the ones that our elected leaders think are best?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Sudip Parikh, CEO of the American Association for the Advancement of Science and Executive Publisher of the Science family of journals. 2001 to 2009, he served as science advisor to the Republican leadership on the Senate Appropriations Committee, where he was responsible for negotiating budgets for the NIH and several of the other health agencies.

    Michael Green, a population health researcher and a postdoctoral fellow at the Johns Hopkins Bloomberg School of Public Health. His work includes examining how people's experiences of unfair treatment in health care affect their health. Michael is one of the researchers who filed a class-action lawsuit this month alleging the NIH is using keyword searches to flag grants for things like DEI and gender, and to cut or force changes to those grants.

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 5 min
  8. Measles Is Spreading: Beyond the Fighting, What's Helping People On the Ground? We Talk w a Midwife, a Doctor, a Public Health Leader & a Journalist

    Season 2, Episode 49

    Show notes

    This year is shaping up to be the worst in three decades for measles cases. The biggest case count is in Pennsylvania, home to the country’s largest outbreak right now. At its center is Lancaster County and its large Amish community.

    As you're likely aware, the outbreak has also become a political fight, with Governor Josh Shapiro and Health Secretary Robert F. Kennedy Jr. publicly clashing, even over how many deaths to count.

    So what is that fight obscuring about what’s actually happening on the ground? And, widening out, what does this year’s rise in measles across the country portend? And finally, how can public health reach low-vaccination populations and help protect them during outbreaks like these?

    Today, we hear from Roberta Devers, a traditional midwife and Kennedy supporter caring for Amish families at the heart of the outbreak who now believes everyone who can should be vaccinated; The Atlantic’s Tom Bartlett, who has been reporting from the Amish community and spoke with a family whose infant died; immunologist Michael Mina, who has worked with vaccine-hesitant families; and Katherine Wells, the Lubbock public health director who led the response to last year’s Texas outbreak.

    What can we learn when we get past politics and listen to the people working on the front lines of these outbreaks?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Tom Bartlett, staff writer The Atlantic; has interviewed parents of children who have died from or with measles.

    Roberta Devers, home birth midwife, serves Lancaster County Amish families

    Katherine Wells, director Lubbock, Texas Health Department

    Dr. Michael Mina, physician, epidemiologist, immunologist, trains healthcare providers who work with vaccine hesitant populations, Chief Medical Officer, Invivyd.

    Reading:

    "The Measles-Stricken Mother Who Lost Her Newborn Son" by Tom Bartlett

    https://www.theatlantic.com/health/2026/08/pennsylvania-measles-infant-death-family/688469/?gift=_5-xEWgGoCTqSjqIeVMUqmJTBAkpC8ldBZ3MpQ9PSu4

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 21 min
  9. Experts Say AI Could Kill Us. Why Should We Trust Them? A Conversation w Jennifer Reich, Stephen Witt & Rachael Bedard

    Season 2, Episode 48

    Show notes

    AI’s story feels like it's gotten a lot scarier. Some people in the tech world building AI now say it poses a meaningful risk of catastrophic harm, or even human extinction. Others insist this kind of “doomerism” is wildly exaggerated—that the warnings amount to crying wolf, and that the real danger is slowing down and ceding our advantage to China.

    What we do know is that the claims are enormous, sometimes even hard to fully believe or trust, the stakes range from disruptive to potentially existential, and nobody knows what comes next.

    So rather than hearing from the people building the technology or the politicians reacting to the warnings, we gathered voices from the human sciences and professions. We’re joined by Stephen Witt, a journalist who has spent years covering AI; Jennifer Reich, a sociologist who studies how people navigate risk and uncertainty; and Rachael Bedard, a physician and New York Times contributor currently focused on deciphering this AI moment.

    In an era of collapsed trust, how do we process what we’re hearing from tech giants, naysayers, and politicians? How do we make decisions when the experts themselves disagree about the risks? How much uncertainty—and risk—are we willing to accept? And ultimately, will America’s mistrust of institutions and big business be our armor, or our undoing?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Stephen Witt, tech journalist, author of The Thinking Machine, recent opinion piece in the NYT titled "This is Really Bad": https://www.nytimes.com/2026/09/11/opinion/ai-safety-threat-technology.htmlhttps://www.penguinrandomhouse.com/books/757558/the-thinking-machine-by-stephen-witt/

    Jennifer Reich, sociologist, author, University of Colorado -- Denver. Author, Calling The Shots: Why Parents Reject Vaccines.: https://www.jstor.org/stable/j.ctt1803zjf

    Rachael Bedard, physician, contributing opinion writer to The New York Times, and The New Yorker, The Atlantic and New York.

    https://www.washingtonpost.com/outlook/2021/12/14/facing-omicron-relapse/

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 20 min
  10. RFK Jr.’s Former Campaign Adviser Charles Eisenstein: On MAHA & The Kind of Candidates America Needs

    Season 2, Episode 47

    Show notes

    Charles Eisenstein was a senior adviser and speechwriter to Robert F. Kennedy Jr. during his 2024 presidential campaign and an early architect of the ideas that would help shape MAHA.

    In a wide-ranging interview, Eisenstein talks about his heartbreak over how that campaign evolved and, in the wake of Kennedy’s speech at last week’s Republican midterm convention, how he views the possibility of a Kennedy presidential run in 2028. In that speech, the HHS Secretary said the foundational values of the Democratic Party he grew up in had “found a new home” in the Republican Party.

    Eisenstein discusses his original vision for Kennedy’s candidacy: leading a movement that would rise above party fights and political divisions. We talk about whether the growing concern over AI could become an issue that finally brings people together across the political divide. What types of candidates does he see succeeding in this moment?

    And ultimately, does Eisenstein still recognize the movement he helped imagine?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek (seeing patients)

    Guest:

    Charles Eisenstein, former speechwriter and senior adviser to Robert F. Kennedy Jr's 2024 Presidential campaign; author, philosopher, strategist. www.charleseisenstein.org

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 5 min
  11. What Happens If Your AI Is the Better Doctor? A Conversation w Dr. Robert Wachter & Dr. Dhruv Khullar

    Season 2, Episode 46

    Show notes

    A debate has broken out in medicine and tech over what the role of AI should be. Is it a useful tool for doctors to consult when making a diagnosis, or, given studies now showing how powerful AI can be in diagnostics and other areas, should the field actually begin preparing for a not-too-distant future when what’s best for a patient is AI taking the lead in care?

    To explore that question, we're joined by two leading voices in the debate: Dr. Robert Wachter, a leading voice on technology and medicine, who has called AI “the biggest experiment in the history of medicine,” and Dr. Dhruv Khullar, a physician and writer who has written extensively about AI and medicine for The New Yorker.

    So, what does it mean to be a doctor if AI is doing the heavy lifting? Is that the best scenario, or is a hybrid model, with a doctor consulting an AI, the better path? And how do doctors and patients learn to trust AI with life-and-death decisions in a world where AI agents have already shown they can go rogue?

    But beyond the provocative question of what AI will eventually mean for doctors, what about all the ways AI could make medicine better? Could it provide millions of Americans without access to affordable care with an alternative?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Dr. Dhruv Khullar, a physician and health policy professor at Weill Cornell, and a writer at The New Yorker covering medicine and health care. He directs The Physicians Foundation Center for the Study of Physician Practice and Leadership

    Dr. Robert Wachter, physician, professor and chair of the UCSF Department of Medicine. Bob coined the term 'hospitalist' which redefined what it meant to be a doctor. He's the author of 300 articles and six books, including his latest, A Giant Leap: How AI is Transforming Healthcare and What That Means for Our Future.

    Disclosure: Dr. Wachter has consulted with or spoken to a number of AI companies, including Google, Curai, Commure, and Qualified Health. He's received a commitment of support for an upcoming documentary on AI & healthcare from OpenEvidence.

    Sources:

    On Strawmen and Doormen: Robert Wachter

    https://substack.com/@robertwachter/note/p-212925424?utm_source=notes-share-action&r=5vii9h

    If AI Can Diagnose Patients, What Are Doctors For?: Dhruv Khullar

    https://www.newyorker.com/magazine/2025/09/29/if-ai-can-diagnose-patients-what-are-doctors-for

    Will Autonomous AI Exceed AI-Aided Physicians As the Best Medical Care? (if you have trouble accessing this article, please email us at the address below and we can send you a pdf)

    https://jamanetwork.com/journals/jama/article-abstract/2852952

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 12 min
  12. What Is MAHA Right Now -- Is It Working? A Conversation About the Future of MAHA w A Group of Its Supporters

    Season 2, Episode 45

    Show notes

    It’s been two years since Robert F. Kennedy Jr. endorsed Donald Trump and forged an unlikely alliance between the Make America Healthy Again movement and MAGA. Now, as we head toward the midterms, with Kennedy campaigning for Republican candidates, we’re asking: What is MAHA now? Is it working? Is it a political force, a social force, or has it lost its way?

    To hear from supporters about where they see the movement heading, we’re joined by Zen Honeycutt, Aaron Everitt, Elizabeth Frost, Jeff Hutt and Mark Harris. Each has been deeply involved in or closely aligned with MAHA, including several who worked on Kennedy’s presidential campaign. They represent very different priorities and hold different views of where the movement has gone. Some remain committed; others have grown disillusioned or walked away.

    We’re also joined by former Congressman Tim Ryan, a longtime Democrat, who held MAHA-congruent positions on food and agriculture years before MAHA was a slogan on a hat. Where does he see the movement going from here?

    And then there’s the bigger question: If roughly four in ten Americans support many of the aspirations behind MAHA, what does that foreshadow for the future of our politics?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek (off)

    Guests:

    Zen Honeycutt, Moms Across America

    Jeff Hutt, former National Field Director, Kennedy Campaign

    Aaron Everitt, former Kennedy Campaign volunteer

    Elizabeth Frost, MAHA Ohio

    Mark Harris, former Kennedy campaign supporter

    former Congressman Tim Ryan (D-OH)

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 15 min
  13. What Lindsay Clancy's Story Does & Doesn't Tell Us About How We Care For Patients: A Conversation w Drs. Julia Riddle, Anne Zink & Bryan Shapiro

    Season 2, Episode 44

    Show notes

    Has the Lindsay Clancy trial quickly become a proxy for something larger? — arguments about psychiatry and medication, motherhood and mental illness, personal responsibility, and whether our medical system is fundamentally failing the people who depend on it?

    And in choosing sides, are we at risk of turning one horrific case into evidence for conclusions that go far beyond what this particular tragedy can actually tell us?

    We’re joined by two psychiatrists and an ER physician today to talk about all this.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Dr. Julia Riddle, a reproductive psychiatrist and researcher focused on reproductive mental health. She is an Assistant Professor at the UNC Center for Women's Mood Disorders, where she runs a clinic for patients.

    Dr. Anne Zink, emergency medicine physician and public health leader who served as Chief Medical Officer for the State of Alaska before and during the pandemic. Senior Fellow at the Yale School of Public Health

    Dr. Bryan Shapiro, a psychiatrist at UC Irvine Medical Center, treating outpatients and training primary care physicians & nurse practitioners on prescribing psychiatric medications. He is the Medical Director at Outro, a company in which he has a financial stake, and which works to safely taper patients off antidepressants.

    Resources:

    National Maternal Mental Health Hotline: 1-833-TLC-MAMA

    National Suicide Prevention Hotline: 1-800-273-8255

    988 Suicide and Crisis Lifeline . Call or text 988, or chat at http://988lifeline.org/

    For training MDs/DO/NPs/PAs: https://ncrptraining.org/

    NCMatter Access Line Toolkits: https://www.med.unc.edu/ncmatters/provider-tools/toolkits/

    OB Tool kits: https://www.mcpapformoms.org/Toolkits/Toolkit.aspx?AspxAutoDetectCookieSupport=1

    PSI international: https://postpartum.net/

    Postpartum Support International 1-833-943-5746

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    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 17 min
  14. "It's Time For a New Public Health Led By Radical Engagement": A Conversation w Dr. Sandro Galea, Dean of WashU Bursky School of Public Health

    Season 2, Episode 43

    Show notes

    That’s the challenge facing Dr. Sandro Galea, dean of the brand-new Bursky School of Public Health at Washington University in St. Louis. It is the first major school of public health to open in the United States after the pandemic.

    In the wake of COVID, with trust in public health fractured and many Americans viewing the field as partisan, Galea is advocating that his field engage rather than draw lines. He believes public health will be stronger if it listens to all sides and embraces disagreement while still advocating for its values. He argues that the strategy is to widen the tent rather than shrink it, without compromising science or principles, or engaging with bad-faith actors.

    The approach raises a critical question: as public health endures crippling funding cuts, vaccine policy is in turmoil, Medicaid faces major spending reductions, and trust in scientific expertise is low, is this the time for public health to reach across the divide, or resist and fight?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek (off this wk)

    Guest:

    Dr. Sandro Galea, Dean of the Bursky School of Public Health at Washington University in St. Louis.

    Substack:

    https://sandrogalea.substack.com/

    Author of Why Health? What We Need to Think About When We Think About Health

    Purple Public Health:

    https://healthierfutureslab.org/research/purple-public-health

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    58 min
  15. Public Health, Docs, MAHA Mom React to Trump's Vaccine EO: We Speak w Drs. Deb Houry, Craig Spencer, Joel Warsh + Nancy Fuller

    Season 2, Episode 42

    Show notes

    Dr. Debra Houry, the former CDC chief medical officer; emergency physician Dr. Craig Spencer; pediatrician and author Dr. Joel “Gator” Warsh; and MAHA supporter Nancy Fuller join us as we dig into President Trump’s brand-new executive order revamping the recommended schedule for vaccinating America’s children.

    The order reduces the number of vaccines recommended universally for children from 17 to 11, calls for the MMR vaccine to be broken up into three separate shots, and directs the administration to explore spacing childhood vaccines out across separate visits. It also directs the Department of Justice to examine whether parents’ rights are being protected in states that do not offer religious exemptions from school vaccination requirements.

    So…what exactly happened yesterday? Does it actually change anything? How are frontline doctors and MAHA supporters processing the President’s controversial comments at the signing ceremony? Is this latest effort to overhaul the schedule heading straight back to the courts? And how might this high-profile move affect the nation’s growing health polarization and eroding trust in public health?

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek (on call)

    Guests:

    Dr. Debra Houry, former Chief Medical Officer, CDC; emergency physician

    Dr. Joel "Gator" Warsh, pediatrician, Integrative Pediatrics; substack author Between a Shot and a Hard Place

    Dr. Craig Spencer, ER physician, professor Brown School of Public Health

    Nancy Fuller, MAHA supporter, mother to a son with autism and epilepsy

    Sources:

    https://www.theatlantic.com/ideas/2026/07/public-health-maha-rfk/688014/?gift=jf1JNTlPW3HiCUoNqhv9pL4QDDQrO5E0bwhsoINyCrk

    https://drgator.substack.com/p/breaking-trump-just-tried-to-rewrite

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 12 min
  16. The Heat Is Killing Us. So Why Are We Beefing About Air Conditioning? We Chat w Noah Smith, Thomas Chatterton Williams & David Wallace-Wells

    Season 2, Episode 41

    Show notes

    What if one of the biggest public health debates of the next decade isn't about vaccines, Ozempic, or chronic disease? What if it's about air conditioning? The world’s temperatures are getting dangerously warmer. Europe is the world's fastest-warming continent with estimates that this summer the heat contributed to 10,000–14,000 deaths over just a few weeks. The United States suffers deadly heat waves too. But Europe experiences much higher heat-wave related death tolls. One major difference people are pointing to? Air conditioning. Americans have a LOT more of it than Europeans do.

    Defenders of Europe's lower use of air conditioning argue that simply installing more AC isn't the answer. Critics say: this has gone too far. Too many people are dying. Just get air conditioning already.

    But beneath this debate are some very big questions: What do we owe one another in a warming world? What does adaptation look like? And who bears the costs when our solutions create new problems?

    Hosts:

    Brinda Adhikari

    Tom Johnson (off)

    Maggie Bartlett

    Dr. Mark Abdelmalek (off)

    Guests:

    Noah Smith, economist, publisher of Noahopinion substack.

    Thomas Chatterton Williams, staff writer The Atlantic,, author of Summer of Our Discontent and Self Portrait in Black and White.

    David Wallace Wells, writer/columnist, The New York Times. Author The Uninhabitable Earth: Life After Warming.

    Related articles by our guests:

    Europe's Resistance to Air Conditioning is Driving It Insane: Noah Smith

    https://www.noahpinion.blog/p/europes-resistance-to-ac-is-driving

    The Overlooked Reason Why Europe Doesn't Have AC: Thomas Chatterton Williams

    https://www.theatlantic.com/ideas/2026/06/europe-heat-wave-air-conditioning/687729/

    We Need to Retrofit the Planet. The Heat Wave Proves It: David Wallace Wells

    https://www.nytimes.com/2026/07/01/opinion/heat-wave-europe-america.html?smid=nytcore-ios-share

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 6 min
  17. A Conversation w Katelyn Jetelina & David Wallace-Wells: On Anthony Fauci & the National Covid Reckoning That Never Happened

    Season 2, Episode 40

    Show notes

    Few figures in America are as polarizing as Dr. Anthony Fauci. To some, he is the veteran scientist who helped steer the nation through the COVID-19 pandemic. To others, he is the face of government overreach who suppressed the lab leak theory to avoid accountability for research funding decisions they believe contributed to the pandemic.

    This week, those worlds collided in a Senate hearing room as the retired former director of the National Institute of Allergy and Infectious Diseases was subpoenaed to testify before an inquiry led by his longtime critic, Republican Senator Rand Paul. Fauci accused the senator of having an "unhinged obsession" with him and seeing him sent to jail before invoking his Fifth Amendment right and declining to answer questions. Senator Paul, in turn, accused Fauci of deception and of refusing to accept responsibility.

    In today's episode, we ask: Why, six years after the pandemic began, are we still talking about Anthony Fauci? Was this hearing a legitimate effort to uncover new facts about COVID-19's origins, assign accountability and learn from the past, or was it driven by political point scoring and vengeance?

    Joining us are Dr. Katelyn Jetelina of Your Local Epidemiologist and David Wallace-Wells of The New York Times to unpack what remains one of the most consequential and bitter public health debates of our time.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Katelyn Jetelina, founder and CEO of Your Local Epidemiologist

    David Wallace-Wells, columnist and opinion writer, The New York Times

    Jetelina on Fauci:

    https://yourlocalepidemiologist.substack.com/p/its-time-to-leave-the-man-alone

    Wallace-Wells on Fauci:

    https://www.nytimes.com/interactive/2023/04/24/magazine/dr-fauci-pandemic.html?smid=nytcore-ios-share

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 1 min
  18. "I Used to Trust Vaccines. In the Next Pandemic, I Wouldn't." Five Americans Explain What Changed

    Season 2, Episode 39

    Show notes

    If a new pandemic struck tomorrow and scientists developed a vaccine in record time, would you take it? In this episode, we hear from a group of friends of the show and newcomers who describe themselves as vaccine-hesitant. Once broadly supportive of vaccines, they explain how their experiences during the pandemic changed their views. From concerns about mRNA technology and the speed of development to public health messaging and mandates, we explore how and why their perspectives changed, and trust was lost. While a large body of scientific research holds that the COVID vaccines were safe and significantly reduced severe illness and death, we examine why that evidence remains unpersuasive to them today, just as it was during the pandemic. Finally, we tackle what that means for their trust in the broader medical and public health community today.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett

    Dr. Mark Abdelmalek

    Guests:

    Aaron Everitt, Ft. Collins, Colorado

    Jeff Hutt, Corpus Christi, Texas

    Lori O'Connell, Darlington, Pennsylvania

    Daniel DeLuca, Athens, Ohio

    Theresa Dixon, Frederick, Maryland

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 30 min
  19. A Conversation w Dr Robert Malone and Dr Craig Spencer: On Ebola, On ACIP, On Malone's Break w MAHA and On Kennedy

    Season 2, Episode 38

    Show notes

    Dr. Robert Malone and Dr. Craig Spencer are two influential voices on health in America today, reaching very different audiences. And it's no secret that on many critical issues, they fundamentally disagree. Yet as a deadly Ebola outbreak unfolds in Central Africa, they find themselves agreeing on more than you (or they) might expect.

    In this episode, the two physicians discuss what allowed the outbreak to spiral, the geopolitical priorities that shape the world's response to outbreaks (too often reacting to crises rather than investing in preparedness), whether the dismantling of parts of America's global health infrastructure played a role, and what America's role should be in supporting global public health going forward. Dr. Malone also opens up about his break with the MAHA movement and its leadership, and where he disagrees with the administration's approach to global public health.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Dr. Mark Abdelmalek

    Maggie Bartlett (producer)

    Guests:

    Dr. Robert Malone, physician, vaccine researcher.

    Dr. Craig Spencer, physician, public health professor Brown School of Public Health.

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 26 min
  20. What Happened w USAID? Rhetoric, Reality & Real World Impact w Former USAID Leaders Andrew Natsios & Jeremy Konyndyk

    Season 2, Episode 37

    Show notes

    One year ago, the Trump administration dismantled USAID, America's largest foreign aid agency. The administration argued the agency had become wasteful, ideological, and ineffective. Critics warned the consequences would be measured in lives lost.

    A year later, what actually happened?

    We speak with two individuals who know the agency and aid landscape, inside and out: Andrew Natsios, who served as USAID administrator under President George W. Bush, and Jeremy Konyndyk, a senior USAID official under the Obama and Biden administrations.

    Did the warnings about the human cost of cutting aid come true? What reforms did USAID need but never receive? How much authority should a president have to reshape America's foreign aid? And what does the dismantling of USAID mean for America's role in the world?

    This is a conversation about the future of U.S. foreign aid, one year after one of the most consequential changes to American foreign policy in generations.

    Hosts:

    Brinda Adhikari

    Tom Johnson

    Maggie Bartlett (producer)

    Dr. Mark Abdelmalek (off)

    Guests:

    Andrew Natsios, former head of USAID under George W. Bush 2001-2006; author of Guns Are Not Enough: Foreign Aid in the National Interest; teaches at the Bush School of Government at Texas A and M University

    Jeremy Konyndyk, president of Refugees International and a former senior USAID official who served in both the Obama and Biden administrations, leading its response to everything from Ebola to Covid-19.

    Thanks for listening! If you like us, please leave a review, rate us, and please subscribe!

    Got questions? Comments? We'd love to hear from you! Email us at questions@whyshoulditrustyou.net

    1 hr 27 min

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