Who the Health Cares? with Prof Michael Sparer artwork

Government · Center for Public Health Systems

Who the Health Cares? with Prof Michael Sparer

by Center for Public Health Systems

America has 3,300 local health departments. They are the backbone of our public health system, yet they are agencies most of us never think about. Until there's a crisis.  They respond to disease outbreaks, inspect restaurants, ensure safe drinking water, and coordinate emergency responses. Yet their work remains invisible, their budgets are perpetually squeezed, and their authority is increasingly questioned. Host Michael Sparer traces how we built this fragmented public health infrastructure, from Constitutional debates to 1866 garbage collection to today's vaccine controversies. He examines why healthcare spending dwarfs public health investment, why public health agencies vary so dramatically from community to community, and why understanding this system matters for everyone. This isn't partisan politics. It's about the public health infrastructure that protects us every day.  Who the health cares? We all should.

Chart trend

Position in the Government chart (US), last 90 days.

#17
all-time peak
0
days in the top 3 since Nov 2025

Latest episodes

Showing 10 · updated from the feed

Public Health, Politics, and Money: Lessons from Kentucky and Indiana

Public health funding is often discussed as a matter of budgets and policy. But the real story is about politics, relationships and power. In the aftermath of the COVID-1

Jun 2
45 min

Former Health Secretary Umair Shah on AI, MAHA and Leadership Lessons

Public health officials are navigating an increasingly complicated landscape defined by shrinking resources and political polarization. Meanwhile, artificial intelligence

May 19
25 min

How Decisions Get Made During Public Health Disasters

The work of public health often becomes most visible when our systems are under the greatest strain. From hurricanes to pandemics, crises test not only our ability to res

May 5
32 min

Public Health, Lost in Translation

The work of the U.S. public health system is invisible to many of us. That’s why public health guidance is often misunderstood – and ultimately mistrusted – by Americans

Apr 21
30 min

Public Health Finds a New Beat

Getting public health messaging right isn’t easy. With trust in institutions on the decline and misinformation on the rise, even life-saving information often fails to re

Apr 7
30 min

The Hidden Cost of Cutting Medicaid

Medicaid was never intended to be the backbone of the U.S. public health system. But what started in 1965 as a limited health insurance option for a small group of low-in

Mar 26
23 min

Ep3-Who Knew? What Health Departments Do

A health department in Kentucky pays half your rent. Another in Oregon runs the county jail's medical system. A third in Iowa partners with businesses to raise wages for

Nov 25 2025
14 min

Ep2-Five Trillion on Medical Care, Pennies on Public Health

Why do public health departments have such little power, so few dollars, and are undervalued while their counterparts in the medical care system, especially physicians an

Nov 25 2025
18 min

Ep1-Jefferson, Hamilton, and Your Local Health Department

When the Supreme Court in 2022 struck down President Biden's COVID vaccine mandate, it wasn't really about vaccines—it was about who has the constitutional power to issue

Nov 24 2025
15 min

Welcome to Who the Health Cares?

America has 3,300 local health departments. They are the backbone of our public health system, yet they are agencies most of us never think about. Until there's a crisis.

Nov 24 2025
1 min

Chart positions

Where Who the Health Cares? with Prof Michael Sparer ranks today in each Apple Podcasts chart (US, Sep 3, 2026).

#191 ▲ 7 Government US

What listeners say

A curated, balanced selection of Apple Podcasts reviews.

Being there felt like going back to those days sitting in the front row of Dr. Sparer’s classroom. He paced the stage from left to right without a single slide or note in hand. I always walked out with five full pages of notes and already looking forward to the next class. Hands down, the BEST professor I’ve ever had.

CCYNTHIAAAA · Dec 2025

So much in here I didn’t know, delivered in a friendly, clear, accessible way. Really interesting, and really important! Looking forward to more.

artemisbee · Nov 2025

Dr. Sparer knocks this out of the park and tells us history in an essential and engaging way

mobemt · Nov 2025

We strive to present a balanced view by showing a diverse range of reviews from Apple Podcasts.

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About Who the Health Cares? with Prof Michael Sparer on Reason.fm

Here you find the Apple Podcasts chart positions of Who the Health Cares? with Prof Michael Sparer, its latest episodes to listen to directly, and reviews from listeners. Rankings are updated daily for the United States.

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