Eighty percent of maternal deaths in the United States are considered preventable. So why do they keep happening?

On this episode of “Conversations on Health Care,” hosts Mark Masselli and Margaret Flinter are joined by award-winning journalist and New York Times bestselling author Irin Carmon for a thoughtful conversation about pregnancy, care, and what gets lost when she says systems stop listening.

Carmon’s new book, “Unbearable: Five Women and the Perils of Pregnancy in America,” draws on 15 years of reporting and the stories of five women navigating very different parts of the American maternal health system. Rather than a political argument, the discussion focuses on lived experience, reporting and what compassion and accountability can look like in maternal health care.

“Pregnancy can be a gift. But nothing can truly be considered a gift when it comes wrapped in coercion or paternalistic silence,” Carmon wrote.

Through these stories, Carmon explores why preventable tragedies still occur, even in places with advanced health care, and what she has learned by listening closely to patients, families and clinicians.

“We know what makes a difference. Listening when someone says something doesn’t feel right is as sophisticated as you need to get.”

The episode touches on maternal mortality, postpartum care, midwifery models and why improving outcomes starts with recognizing the humanity of the person who is pregnant.

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Congress is scrambling to find a solution to the enhanced Affordable Care Act subsidies that expire at the end of the year. Without action, premiums are set to rise sharply for millions of Americans, creating a major health care cliff as 2026 approaches.

Congressional reporters Sandhya Raman (CQ Roll Call) and Robert King (Politico) join hosts Mark Masselli and Margaret Flinter to help make sense of the fast-moving negotiations and what is likely to happen next.

King captures the mood inside Congress as competing proposals circulate without leadership support. As he explains, “But right now, there has not been any indication from Speaker Johnson that he is going to be advocating for any of the compromise legislation that is being discussed in the House.”

Raman looks ahead to the broader forces that will shape the policy debate over the next year. She says, “I think affordability and the forms of that will be a big thing, whether or not we get any sort of deal on ACA or some of the other things that have been in the mix. Congress has been very interested in PBM reform and things like that to bring down health costs. So I think going into next year, regardless of what happens in the next couple weeks, that will be definitely something big to watch here.”

Together, their insights offer a timely look at why the subsidy cliff is proving so hard to solve, why the Senate’s competing plans are unlikely to pass, and how issues like abortion coverage and health savings account proposals are adding new complications to an already crowded landscape.

They also share their predictions for the top health care story of 2026, including the trends they believe will shape the year ahead for patients, providers, and policymakers.

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The doctor who once led the Centers for Disease Control and Prevention sees trouble ahead:

1. There’s been a significant decrease in people taking the COVID and flu vaccines
2. Europe is experiencing the worst flu season in years (an early indicator of problems in the U.S.)
3. CDC data show that Influenza infections are growing or likely growing in 41 states

“It’s not good…what we have seen from Europe is a very early and very severe flu season, something that could mean more hospitalizations.”

Dr. Tom Frieden says confusing vaccine guidance, limited access and weakened public health systems are contributing to fewer shots in arms. He also shares insights from his new book, “The Formula for Better Health: How to Save Millions of Lives—Including Your Own.” He explains his “See, Believe, Create” formula for building a healthier future and his broader call for a public health system that listens to communities and makes vaccination easier. Dr. Frieden now leads Resolve to Save Lives, which works to close the gap between proven, life-saving solutions and the people who need them around the world.

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