The Impact

Introducing The Impact

The Impact is a show about how policy affects people. In Washington, the story often ends when Congress passes a law. For us, that’s where the story begins. We follow the choices that legislators, leaders, and researchers make out into the real world where they have human consequences — both positive and negative, expected and unexpected.

The curious case of the $629 Band-Aid

How does a Band-Aid wind up costing so much money? Why are American health care prices so incredibly high? Vox’s new podcast, the Impact, explores how policy affects real lives. This season, we’re focusing on healthcare, and we wanted to begin with one of thorniest questions in the American healthcare system: prices.In this episode, we look at how the American decision not to regulate health care prices leads to $629 Band Aids and $3,170 fees just for visiting the emergency room. We talk to doctors who think these prices are totally justified – and a health economist who doesn’t buy it. And we take a trip to the drug store to find out how much a Band-Aid should really cost. Email us your feedback to impact@vox.com. 

Car crash hospitals vs. plane crash hospitals

Central line infections can be deadly. And they used to be extremely common: just a decade ago, hundreds of thousands of patients got them every year. Now, that number is closer to 9,000 annually. That's still high, but it's a dramatic drop in just ten years.So how did that happen? On this episode of the Impact, we talk to the doctor who discovered that central line infections are, in nearly all cases, completely preventable. Physicians just need to follow a checklist to make sure the line stays safe and sterile.And we’ll explore why, if this infection is preventable, some hospitals still have several cases of them each year.Many thanks to Vox's Johnny Harris, who originally recorded footage for this story. For more on this topic, read Sarah’s story on central line infections from 2015.Please subscribe, leave us a rating and a review, and email us your feedback at impact@vox.com. 

It’s time to face the fax

Why are fax machines still such a staple of American health care?We talk to a pair of policy makers who hatched a plan to replace paper files and fax machines with electronic medical records. We explain why that plan backfired. And we go into clinics to understand why the fax's continued use isn't just annoying, but also sometimes harmful for patients' health. Send us feedback at impact@vox.com

The policies that created the opioid epidemic

There's a well-known narrative about the opioid epidemic: pharmaceutical companies and dirty doctors pushed misinformation and addictive drugs on patients. But there's also a policy story here, about well-meaning doctors who tried to find the best solution for their patients in pain. These doctors developed and spread new policies that urged their peers to treat pain as a vital sign and measure it at every visit. That policy change helped create the nationwide opioid epidemic we’re dealing with today.  Please, subscribe and leave us a review! You can email us at impact@vox.com, or send an ER bill at erbills.vox.com Music in this episode by Podington Bear and Chris Zabriskie, with sound effects from Berlin Atmospheres.