Show Notes
Ralph welcomes Dr. Alison Galvani, the founding director of the Yale Center for Infectious Disease Modeling and Analysis, and co-author of the forthcoming article, “Projected Economic Gains and Lives Saved Under Universal Health Care in the United States.” Then our constitutional law expert, Bruce Fein, stops by to tell us about a letter he and Ralph sent to states Attorneys General urging them to prosecute Donald Trump for exhorting his followers to commit voter fraud in the forthcoming midterm congressional elections. Finally, we respond to your feedback on how to be a smart voter. Alison Galvani is the founding director of the Yale Center for Infectious Disease Modeling and Analysis and the Burnett and Stender Families Professor of Epidemiology at the Yale School of Public Health, Yale School of Medicine. She has applied her modelling and health economics skills to address public health challenges including HIV/AIDS, Zika, Ebola, influenza, and COVID-19. And she is co-author of the forthcoming article “Projected economic gains and lives saved under universal healthcare in the United States.” We analyze the American healthcare system as a national balance sheet. And on one side of the ledger, we have: covering the uninsured and expanding care for the uninsured (that costs money). And we took into account that utilization will increase for people that currently have inadequate health care… And when we initially started looking at this in 2019…I anticipated a hefty price tag as well. Our work has focused on the effectiveness and cost-efficiency of public health policy in the US and around the world, and usually we’re asking: How much will it cost to save lives? And we rarely get a no-brainer where you save money and you’re saving lives. Alison Galvani
Currently, no country spends more on health care than America (even though millions of Americans are completely uninsured and many more have inadequate insurance). And despite spending so much, we trail dozens of nations in life expectancy, infant survival, maternal mortality, and deaths that timely medical care should prevent. The prevailing issue is that even though we’re spending so much, a lot of the money we’re spending isn’t going to health care delivery itself. So much of it is extracted by for-profit insurance companies and directed away from care towards shareholders. There’s a misalignment of incentives—insurers make more profit when health care is denied. So, Americans are literally forfeiting their health so that corporate shareholders can make more money. And that’s just the architecture of our current health care system by having for-profit companies at so many junctures, even beyond the health care insurers. Alison Galvani
People are dying not because their conditions couldn’t be prevented or treated, but because they couldn’t afford to see a doctor or fill their prescriptions. People without health insurance are more likely to die than insured people of the same age—that’s been empirically shown. So we took those empirical parameters and we applied that increased risk to the uninsured population in each age group, and then the difference between the deaths we have and the deaths we would be able to avert under universal health care coverage is more than 114,000 lives a year, we estimated. And last year’s Big Beautiful Bill, with its health care retractions, will only exacerbate the toll. Alison Galvani
Bruce Fein is a Constitutional scholar and an expert on international law. Mr. Fein was Associate Deputy Attorney General under Ronald Reagan and he is the author of Constitutional Peril: The Life and Death Struggle for Our Constitution and Democracy, and American Empire: Before the Fall. [The US Supreme Court] issued this very broad immunity theory that Presidents have immunity from criminal prosecution for discharging Constitutional responsibilities entrusted to the President. And this was way outside that scope because it relates to Mr. Trump’s activity as the
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Ralph speaks to Dr. Feroze Sidhwa for an update on the death toll in Gaza as well as the new documentary film “American Doctor.” Then Ralph and economic William Lazonick discuss Nvidia’s planned $235 billion stock buyback. Dr. Feroze Sidhwa is a general, trauma, and critical care surgeon in California. He is also a humanitarian surgeon who has worked in Palestine, Ukraine, Haiti, Zimbabwe, and Burkina Faso. He most recently volunteered at Nasser Medical Complex in Khan Younis, Gaza. He was blocked from entering Gaza by Israel’s Shin Bet intelligence service in November 2025. His work in Gaza is featured in the new documentary film American Doctor. If I’m remembering the exact time right, March of 2016 was the deadliest month for children that [Airwars] had ever studied anywhere—so that’s the 31 days of March of 2016. In the first 25 days of the US-Israeli assault on Gaza, the rate of killing of children was 71 to 142 times higher than in the deadliest month they had ever studied for children anywhere else. And just to put these numbers in a little bit of perspective…If you look at Russia’s invasion of Ukraine versus Israel’s invasion of Gaza, Russian forces killed the same percentage of children in Ukraine in 10 months as the US and Israel kill in Gaza every 18 to 37 hours. Dr. Feroze Sidhwa
Ralph welcomes Mary Berry the daughter of the late American novelist, poet, essayist, environmental activist, cultural critic, and farmer, Wendell Berry. Ms. Berry runs the non-profit Berry Center in New Castle, Kentucky, which serves as a repository for the study of small farm agriculture and preserves the legacy of her family’s work. Then, with the midterms on the horizon, Ralph and the team talk about how to be a smart voter. Plus, Ralph has some choice words for the U.S. Chamber of Commerce’s so-called “Free Enterprise Express.” Leave a comment about how you are a smart voter. We will collect these and discuss them on our next program. Click the button below to get Professor Laura Nader’s book Controlling Processes.
Ralph welcomes “New York Times” reporter Natasha Singer to discuss her new book, “Coding Kids: Big Tech’s Battle to Remake Public Schools.” Then, Ralph talks about Donald Trump’s midterm convention speeches and the latest impeachment drive with Constitutional law expert Bruce Fein. Natasha Singer is a New York Times reporter covering the intersection of technology, business and education. She has covered tech industry influence in schools for the New York Times for more than a decade, and her school tech reporting helped prompt California to enact a landmark student online data protection law. In 2019, she was part of a Times team whose tech coverage won a George Polk Award and was a Pulitzer Prize finalist for National Reporting. She is also the author of the book Coding Kids: Big Tech’s Battle to Remake Public Schools. It’s not about the companies immediately making money off schools. It’s about influencing kids, getting customers early and for life. But I think more importantly, it’s about imprinting Silicon Valley worldviews and values on young people. So that you get docile consumers who maybe aren’t worried about wholesale surveillance and data gathering, and docile employees who are not going to push back against being surveilled by their employer or using AI tools or having AI replace them. And so I think this story about tech companies capturing the classroom is not just about how they’re shaping learning. It’s about how some of the most powerful, wealthiest corporations on the planet are able to influence school systems. Natasha Singer
Ralph welcomes Keira Havens a United States Air Force veteran and the executive director of Citizens’ Impeachment a grassroots organization that lobbies Congress and supports candidates who are willing to impeach and convict Donald Trump for a myriad of Constitutional violations. Then Michael Marx, founder of the group CorpEthics that conducts marketing campaigns that apply public pressure to corporations to change their behavior, joins us to discuss his new book “Reining in the Bulls: How to Stop Corporate Abuse in an Age of Unbridled Greed.” Keira Havens is a United States Air Force veteran, a former scientist, and a longtime political activist. She is the executive director of Citizens’ Impeachment. I am a veteran. I was in the United States Air Force. My job was to launch nuclear missiles. I was an ICBM crew commander for four years. And that entire system, that entire weapons system is based on trust that the person at the top has a handle on what needs to be done and has good faith and good leadership to navigate this country. That is not the case right now. That cornerstone is beyond weakened—it has just crumbled straight into dust. The trust and faith in the American President as a capable leader, capable of effective leadership, is an assumption we can no longer make. Keira Havens