To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing
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Doctors Debate Post Partum Depression Testing","publishDate":1520240430,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n","blocks":[],"excerpt":"A proposed bill would require doctors to screen new moms for depression, and require health insurers to help them get care.","status":"publish","parent":0,"modified":1521474114,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":891},"headData":{"title":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing | KQED","description":"A proposed bill would require doctors to screen new moms for depression, and require health insurers to help them get care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"362850 https://ww2.kqed.org/stateofhealth/?p=362850","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/03/05/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing/","disqusTitle":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/03/MandatedPostPartumScreeningDembosky.mp3","path":"/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","authors":["3205"],"categories":["stateofhealth_2442","stateofhealth_3012","stateofhealth_14"],"tags":["stateofhealth_3067","stateofhealth_2582","stateofhealth_2947","stateofhealth_2808","stateofhealth_28","stateofhealth_3229","stateofhealth_3212","stateofhealth_68","stateofhealth_3230","stateofhealth_2519","stateofhealth_3228"],"featImg":"stateofhealth_362852","label":"stateofhealth"},"stateofhealth_241770":{"type":"posts","id":"stateofhealth_241770","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"241770","score":null,"sort":[1474916155000]},"guestAuthors":[],"slug":"doctors-write-prescriptions-for-fruits-and-vegetables-to-help-low-income-patients-get-access-to-healthy-food","title":"Doctors Write Prescriptions for Fruits and Vegetables to Help Low-Income Patients Get Access to Healthy Food","publishDate":1474916155,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The idea is simple: Load fresh fruits and vegetables into a refrigerator truck and drive it to a health clinic, then have a doctor write a \"prescription\" for food to improve the diets of low-income people with diabetes and high blood pressure.\u003c/p>\n\u003cp>U.S. food banks — the organizations on the front lines of fighting hunger — increasingly are promoting \"food as medicine\" strategies designed to address, not exacerbate, the high rate of chronic health problems among the poor.\u003c/p>\n\u003cp>One-third of households using food banks are feeding a family member with diabetes, and 58 percent have a family member with high blood pressure, according to a recent survey by Feeding America, a national network of 200 food banks. Meanwhile, 55 percent of people identify fresh fruits and vegetables as the foods they most desire but aren't receiving from their food pantry.\u003c/p>\n\u003cp>\"I'm on a very limited income,\" said James Cline, who has diabetes and gets by on $700 a month living with his mother in suburban Chicago. Disabled after an all-terrain vehicle accident, the 53-year-old former loading dock worker knows he should eat more fresh produce. But the cost of a nutritious diet can be out of reach, so he took his doctor's advice and showed up for a recent produce giveaway at Oak Forest Health Center.\u003c/p>\n\u003cp>\"It helps a lot,\" he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Since August 2015, six Chicago-area clinics have hosted 26 \"Fresh Truck\" visits by the Greater Chicago Food Depository, providing more than 100,000 pounds of fresh fruit and vegetables to more than 3,200 households.\u003c/p>\n\u003cp>Nationally, 30 food banks are working directly with health care providers to identify low-income patients who sometimes run out of food. In Idaho, doctors in Boise and Caldwell plan to add small food pantries to their offices. In Delaware, pediatricians write \"prescriptions\" for fresh produce; a family can get up to 25 pounds each month distributed by the local food bank at clinics. Two hospitals, in Alabama and Florida, collaborated with a Gulf Coast food bank to offer free lunches during the summer to children with hospitalized relatives.\u003c/p>\n\u003cp>\"Food banks are trying to do better by providing fewer starches and carbs and more lean proteins, fruits, vegetables and whole grains,\" said Dr. Hilary Seligman, senior medical adviser for Feeding America. \"The nutritious foods that are expensive for our clients are also expensive for food banks. We're figuring out how we can do this and do it better.\"\u003c/p>\n\u003cp>Seligman is leading a clinical trial to measure if food banks can help people with diabetes improve their blood sugar levels through education and tailored food packages. Researchers have enrolled 572 food pantry clients in Detroit, Houston and Oakland, California. Results are expected in 2018.\u003c/p>\n\u003cp>\"If this works, we'll spread it across the Feeding America network, and if it doesn't, we'll try something else,\" Seligman said.\u003c/p>\n\u003cp>Food banks, whose supplies are stocked through purchases and food donations, have hired dietitians to teach classes. Some are barring donations of sweets.\u003c/p>\n\u003cp>\"We don't accept candy. We don't accept soda,\" said Kim Turner of the Delaware Food Bank. \"We want to make sure the foods we're giving to low-income people are the best nutrition possible.\"\u003c/p>\n\u003cp>Food banks distributed 1.25 billion pounds of fresh produce from July 2015 through June this year.\u003c/p>\n\u003cp>\"That's double what it was five years earlier,\" said Ross Fraser of Feeding America, adding that food banks rescue perishable fruits and vegetables with \"cosmetic issues\" otherwise headed for the trash. \"Produce that is too small, too big, too round or not round enough.\"\u003c/p>\n\u003cp>Growers have answered the call, said Idaho Food Bank CEO Karen Vauk.\u003c/p>\n\u003cp>\"Boy, did they respond,\" Vauk said. \"We have certainly been overwhelmed by the increase in produce. Most of it is right out of the field. And it's not all potatoes. It's peaches and plums. Beautiful produce.\"\u003c/p>\n\u003cp>On Thursday, Cline showed a visitor the bananas, onions, cantaloupe, potatoes, kale and other produce in the box he was taking home.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"It's a big help,\" he said.\u003c/p>\n\n","blocks":[],"excerpt":"Researchers will study if food banks in cities including Oakland can help people with diabetes improve their blood sugar levels through education and tailored food packages.\r\n","status":"publish","parent":0,"modified":1474917274,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":688},"headData":{"title":"Doctors Write Prescriptions for Fruits and Vegetables to Help Low-Income Patients Get Access to Healthy Food | KQED","description":"Researchers will study if food banks in cities including Oakland can help people with diabetes improve their blood sugar levels through education and tailored food packages.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"241770 http://ww2.kqed.org/stateofhealth/?p=241770","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/26/doctors-write-prescriptions-for-fruits-and-vegetables-to-help-low-income-patients-get-access-to-healthy-food/","disqusTitle":"Doctors Write Prescriptions for Fruits and Vegetables to Help Low-Income Patients Get Access to Healthy Food","nprByline":"Associated Press","path":"/stateofhealth/241770/doctors-write-prescriptions-for-fruits-and-vegetables-to-help-low-income-patients-get-access-to-healthy-food","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The idea is simple: Load fresh fruits and vegetables into a refrigerator truck and drive it to a health clinic, then have a doctor write a \"prescription\" for food to improve the diets of low-income people with diabetes and high blood pressure.\u003c/p>\n\u003cp>U.S. food banks — the organizations on the front lines of fighting hunger — increasingly are promoting \"food as medicine\" strategies designed to address, not exacerbate, the high rate of chronic health problems among the poor.\u003c/p>\n\u003cp>One-third of households using food banks are feeding a family member with diabetes, and 58 percent have a family member with high blood pressure, according to a recent survey by Feeding America, a national network of 200 food banks. Meanwhile, 55 percent of people identify fresh fruits and vegetables as the foods they most desire but aren't receiving from their food pantry.\u003c/p>\n\u003cp>\"I'm on a very limited income,\" said James Cline, who has diabetes and gets by on $700 a month living with his mother in suburban Chicago. Disabled after an all-terrain vehicle accident, the 53-year-old former loading dock worker knows he should eat more fresh produce. But the cost of a nutritious diet can be out of reach, so he took his doctor's advice and showed up for a recent produce giveaway at Oak Forest Health Center.\u003c/p>\n\u003cp>\"It helps a lot,\" he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since August 2015, six Chicago-area clinics have hosted 26 \"Fresh Truck\" visits by the Greater Chicago Food Depository, providing more than 100,000 pounds of fresh fruit and vegetables to more than 3,200 households.\u003c/p>\n\u003cp>Nationally, 30 food banks are working directly with health care providers to identify low-income patients who sometimes run out of food. In Idaho, doctors in Boise and Caldwell plan to add small food pantries to their offices. In Delaware, pediatricians write \"prescriptions\" for fresh produce; a family can get up to 25 pounds each month distributed by the local food bank at clinics. Two hospitals, in Alabama and Florida, collaborated with a Gulf Coast food bank to offer free lunches during the summer to children with hospitalized relatives.\u003c/p>\n\u003cp>\"Food banks are trying to do better by providing fewer starches and carbs and more lean proteins, fruits, vegetables and whole grains,\" said Dr. Hilary Seligman, senior medical adviser for Feeding America. \"The nutritious foods that are expensive for our clients are also expensive for food banks. We're figuring out how we can do this and do it better.\"\u003c/p>\n\u003cp>Seligman is leading a clinical trial to measure if food banks can help people with diabetes improve their blood sugar levels through education and tailored food packages. Researchers have enrolled 572 food pantry clients in Detroit, Houston and Oakland, California. Results are expected in 2018.\u003c/p>\n\u003cp>\"If this works, we'll spread it across the Feeding America network, and if it doesn't, we'll try something else,\" Seligman said.\u003c/p>\n\u003cp>Food banks, whose supplies are stocked through purchases and food donations, have hired dietitians to teach classes. Some are barring donations of sweets.\u003c/p>\n\u003cp>\"We don't accept candy. We don't accept soda,\" said Kim Turner of the Delaware Food Bank. \"We want to make sure the foods we're giving to low-income people are the best nutrition possible.\"\u003c/p>\n\u003cp>Food banks distributed 1.25 billion pounds of fresh produce from July 2015 through June this year.\u003c/p>\n\u003cp>\"That's double what it was five years earlier,\" said Ross Fraser of Feeding America, adding that food banks rescue perishable fruits and vegetables with \"cosmetic issues\" otherwise headed for the trash. \"Produce that is too small, too big, too round or not round enough.\"\u003c/p>\n\u003cp>Growers have answered the call, said Idaho Food Bank CEO Karen Vauk.\u003c/p>\n\u003cp>\"Boy, did they respond,\" Vauk said. \"We have certainly been overwhelmed by the increase in produce. Most of it is right out of the field. And it's not all potatoes. It's peaches and plums. Beautiful produce.\"\u003c/p>\n\u003cp>On Thursday, Cline showed a visitor the bananas, onions, cantaloupe, potatoes, kale and other produce in the box he was taking home.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"It's a big help,\" he said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/241770/doctors-write-prescriptions-for-fruits-and-vegetables-to-help-low-income-patients-get-access-to-healthy-food","authors":["byline_stateofhealth_241770"],"categories":["stateofhealth_11","stateofhealth_2407"],"tags":["stateofhealth_2740","stateofhealth_2947","stateofhealth_2950","stateofhealth_2808","stateofhealth_2953","stateofhealth_2949","stateofhealth_2948","stateofhealth_2519","stateofhealth_2951","stateofhealth_2952"],"featImg":"stateofhealth_241778","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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