
What's the End Game? We Talk Massive Remaking of HHS with Gov't Reformer Jennifer Pahlka
Explicit content warning
04/03/25 • 52 min
Health and Human Services chief RFK Jr. unleashed much-anticipated cuts this week, bringing the total to 20,000 jobs slashed from our nation’s premier health institution. This follows cuts in money for state public health agencies and funding freezes for research centers tackling everything from cancer to veterans' health. Secretary Kennedy says this is to streamline government agencies' practices which he says will ultimately make America healthy again.
For too long, both parties ran the show without challenging the status quo. Meanwhile, trust in public health on behalf of a public desperate for action was plummeting. How much did that lack of change pave the way for the radical shift we’re seeing now?
To help make sense of it all, we speak with Jennifer Pahlka—author, technologist, and government reformer. A pioneer in bringing tech-driven innovation to government long before DOGE was a glint in Elon Musk’s eye, Pahlka has a lot to say about government efficiency, streamlining bureaucracy, and where these cuts might be leading us.
Hosts:
Brinda Adhikari
Tom Johnson
Maggie Bartlett
Dr. Mark Abdelmalek
Guest:
Jennifer Pahlka, author Recoding America: Why Government Is Failing in the Digital Age, and How We Can Do Better; former U.S. deputy chief technology officer under President Barack Obama where she helped set up the U.S. Digital Service.
Sources:
Fortune on Pahlka and DOGE cuts
https://fortune.com/2025/03/05/doge-co-founder-digital-service-jennifer-pahlka-code-for-america
Atlantic
https://www.theatlantic.com/podcasts/archive/2025/01/elon-musk-doge-government-efficiency/681366/
Pahlka op-ed NY Times
https://www.nytimes.com/2025/02/07/opinion/democrats-elon-musk-doge.html
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Got questions? Comments? We'd love to hear from you! Email us at [email protected]
Health and Human Services chief RFK Jr. unleashed much-anticipated cuts this week, bringing the total to 20,000 jobs slashed from our nation’s premier health institution. This follows cuts in money for state public health agencies and funding freezes for research centers tackling everything from cancer to veterans' health. Secretary Kennedy says this is to streamline government agencies' practices which he says will ultimately make America healthy again.
For too long, both parties ran the show without challenging the status quo. Meanwhile, trust in public health on behalf of a public desperate for action was plummeting. How much did that lack of change pave the way for the radical shift we’re seeing now?
To help make sense of it all, we speak with Jennifer Pahlka—author, technologist, and government reformer. A pioneer in bringing tech-driven innovation to government long before DOGE was a glint in Elon Musk’s eye, Pahlka has a lot to say about government efficiency, streamlining bureaucracy, and where these cuts might be leading us.
Hosts:
Brinda Adhikari
Tom Johnson
Maggie Bartlett
Dr. Mark Abdelmalek
Guest:
Jennifer Pahlka, author Recoding America: Why Government Is Failing in the Digital Age, and How We Can Do Better; former U.S. deputy chief technology officer under President Barack Obama where she helped set up the U.S. Digital Service.
Sources:
Fortune on Pahlka and DOGE cuts
https://fortune.com/2025/03/05/doge-co-founder-digital-service-jennifer-pahlka-code-for-america
Atlantic
https://www.theatlantic.com/podcasts/archive/2025/01/elon-musk-doge-government-efficiency/681366/
Pahlka op-ed NY Times
https://www.nytimes.com/2025/02/07/opinion/democrats-elon-musk-doge.html
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 [email protected]
Previous Episode

America’s Funding Cuts Chaos + Are We the Next No-Lockdown Sweden? We Chat with Anders Tegnell
Our team first takes on the drastic funding cuts shaking the medical, scientific, and public health communities before turning to a provocative question: What if, during the next pandemic, we avoided strict lockdowns, vaccine mandates, and widespread restrictions? What if schools, workplaces, bars, and gyms stayed open, and the government encouraged precautions rather than enforcing them? Would more people die, or would people comply? Does it have to be a choice between life and the economy? We speak with a firefighter, Barry Arata, who was told during the pandemic, he had to vaccinate or face termination from his position. We learned what he did next and how it changed his view on government and trust.
To explore all this, we bring on Anders Tegnell, architect of Sweden’s controversial no-lockdown strategy. Sweden bucked the trend and stayed open—was it a success or a deadly gamble? How do Swedes view the balance between personal responsibility and public health? And while America is a very different place, should we follow Sweden’s example next time? With trust in the system where it is today, do we even have a choice?
(And yeah we ask him a couple of questions about ABBA. Because, Sweden.)
Anders Tegnell on Sweden’s response
https://medicalxpress.com/news/2023-11-state-epidemiologist-sweden-covid-strategy.html
New York Times' David Wallace-Wells on Sweden’s pandemic response
https://www.nytimes.com/2023/03/30/opinion/sweden-pandemic-coronavirus.html
Study on Sweden’s Covid deaths
https://pmc.ncbi.nlm.nih.gov/articles/PMC10399217/#:~:text=In%20conclusion%2C%20Sweden%20experienced%20relatively,to%20their%20version%20of%20reality.
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 [email protected]
Next Episode

Wendell Potter, A Health Insurance Exec Turned Whistleblower, On Blowing Up Our System
On today's episode, we tackle a topic that sparks more fear, frustration, and mistrust than perhaps any other: health insurance. From denied claims to endless bureaucratic red tape and the dread of sky-high out-of-pocket costs, it's no wonder so many Americans feel trapped. While more people are covered than ever before, many are still skipping doctor visits, avoiding exams, and forgoing prescription refills due to the financial burden. The raw emotion was on full display in the shocking response to the murder of the United Healthcare CEO. Today, we sit down with Wendell Potter, a former health industry insider turned whistleblower who walked away from his high-paying job to fight for reform in the very industry he once served. In today's divisive conversation about making America healthier, is fixing healthcare the one thing we can all agree on?
Hosts:
Brinda Adhikari
Tom Johnson
Maggie Bartlett
Dr. Mark Abdelmalek
Guest:
Wendell Potter, former health insurance executive at Cigna; president of the Center for Health and Democracy
Sources:
I Was a Health Insurance Executive. What I Saw Made Me Quit
https://www.nytimes.com/2024/12/18/opinion/health-insurance-united-ceo-shooting.html
In US, Inability to Pay For Care, Medicine Hits New High
https://news.gallup.com/poll/658148/inability-pay-care-medicine-hits-new-high.aspx
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 [email protected]
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