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Why It Matters

Why It Matters

Council on Foreign Relations

Each episode of Why It Matters breaks down an issue that is shaping our world’s future. Join host Gabrielle Sierra as she speaks with the leaders and thinkers who are facing these questions head on. Fueled by the minds at the Council on Foreign Relations, Why It Matters brings some of the world’s most compelling stories home to you.

124 - Cabin Crew, Prepare for Surgery
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  • 124 - Cabin Crew, Prepare for Surgery

    On this episode of Why It Matters, we sit down with experts to discuss medical tourism, examining the forces that push patients to go abroad for care, the countries that have capitalized on demand, and the question of who bears the cost.   Host:   Gabrielle Sierra, Director of Podcasting, Council on Foreign Relations (CFR)   Guest:   Glenn Cohen, Faculty Director of the Petrie-Flom Center for Health Law Policy, Biotechnology and Bioethics, Harvard University   Valorie Crooks, Associate Vice President of Research, Canada Research Chair in Health Services Geographies, Simon Fraser University   Read More:   “Medical Tourism,” CDC   “Medical Tourism to Witness Exponential Growth by 2034,” World Health Expo   “Decision-making about bariatric and cosmetic medical tourism from countries with universal healthcare: a rapid systematic review,” National Institute of Health   ​​Want to keep up with Why It Matters? Sign up to receive an email alert when new episodes drop.   Why It Matters is a production of the Council on Foreign Relations. The opinions expressed on the show are solely those of the host and guests, not of the Council, which takes no institutional positions on matters of policy.

    Thu, 29 Oct 2026
  • 123 - Side Effects May Include Dependency on China

    What happens if the world’s pharmacy decides to close? From ibuprofen to amoxicillin, a majority of the essential medicines used in the United States depend on ingredients from China. This dependence has left the United States vulnerable to a geopolitical rival that could decide to cut off its access at any time.   On this episode of Why It Matters, we unpack how the U.S. became dependent on China for a majority of its pharmaceuticals and what’s at risk if the pharma supply chain snaps.   Host:   Gabrielle Sierra, Director of Podcasting, Council on Foreign Relations (CFR)   Guest:   Rush Doshi, C.V. Starr Senior Fellow for Asia Studies and Director of the China Strategy Initiative, Council on Foreign Relations (CFR)   Olivia Kosloff, Senior Fellow, American Economic Liberties Project   Read More:   Thomas J. Bollyky, Rush Doshi, Prashant Yadav, Olivia Kosloff, and Elena Every, “The Pharma Choke Point,” CFR.org   Tim Rühlig, “The China Drug Dependency,” CFR.org   “Executive Order 13944 List of Essential Medicines, Medical Countermeasures, and Critical Inputs,” U.S. Food and Drug Administration   ​​Want to keep up with Why It Matters? Sign up to receive an email alert when new episodes drop.   Why It Matters is a production of the Council on Foreign Relations. The opinions expressed on the show are solely those of the host and guests, not of the Council, which takes no institutional positions on matters of policy.

    Thu, 15 Oct 2026
  • 122 - How Demand for GLP-1s Overwhelmed the Global Drug System

    GLP-1 drugs such as Ozempic have become some of the world's most-wanted medicines, but soaring demand has also turned them into a stress test for the global drug system.   On this episode of Why It Matters, we trace how the GLP-1 trend led to shortages, a booming gray market, and steep price gaps driven by patent laws that vary across borders.   Host:   Gabrielle Sierra, Director of Podcasting, Council on Foreign Relations (CFR)   Guest:   Prashant Yadav, Senior Fellow for Global Health, Council on Foreign Relations (CFR)   Read More:   “6 Facts About Obesity and Weight Loss Drugs In the U.S.,” Pew Research Center   “The Expanding Benefits of GLP-1 Medicines,” Cell Reports Medicine   “Obesity Drugs Are Scaling Fast,” Morgan Stanley   “FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss,” U.S. Food and Drug Administration (FDA)   ​​Want to keep up with Why It Matters? Sign up to receive an email alert when new episodes drop.   Why It Matters is a production of the Council on Foreign Relations. The opinions expressed on the show are solely those of the host and guests, not of the Council, which takes no institutional positions on matters of policy.

    Thu, 01 Oct 2026
  • 121 - Honey, I Tracked the War

    This episode explores how drones, cell phones, and other widely-available intelligence tools are turning civilians and aid workers into frontline witnesses—documenting war in real time, guiding humanitarian aid, and helping build evidence that could power future war crimes cases.    Host:    Gabrielle Sierra, Director of Podcasting, Council on Foreign Relations (CFR)   Guest:   Anthony Vinci, Cofounder and CEO, Vico; Adjunct Senior Fellow, Technology and National Security Program, Center for a New American Security (CNAS)   Sam Vigersky, International Affairs Fellow, Council on Foreign Relations (CFR)   We discuss: How drones, satellites, smartphones, and other widely-available tools are changing who gets to document war. How civilians are no longer just witnesses to conflict but are also recording attacks in real time and helping gather intelligence As Anthony Vinci puts it: “We’re becoming civilian spies.” How ordinary people are building digital evidence libraries online that may later support investigations into war crimes and accountability efforts. How drones are blurring the line between surveillance, intelligence gathering, and direct attacks on the battlefield. Why more access to information does not always lead to justice, especially when politics and institutions fail to act. How journalists, aid workers, and civilians face greater danger when documenting violence and sharing what they see. Why the growing flood of footage, data, and digital records is changing how audiences process war emotionally.   Read more:   Anthony Vinci, The Fourth Intelligence Revolution   Sam Vigersky, “Beyond Conventional Aid: Institutionalizing Public-Private Partnership in Ukraine’s Humanitarian Response,” CFR.org   “Counting the Dead,” Human Rights Watch   “Listen, Run, Hide: How Russia Uses Quadcopter Drones to Hunt and Kill Civilians in Kherson, Ukraine,” Human Rights Watch   “UN Commission Concludes that Russian Armed Forces’ Drone Attacks Against Civilians in Kherson Province Amount to Crimes Against Humanity of Murder,” United Nations Human Rights Office of the High Commissioner   Want to keep up with Why It Matters? Sign up to receive an email alert when new episodes drop.   Why It Matters is a production of the Council on Foreign Relations. The opinions expressed on the show are solely those of the host and guests, not of the Council, which takes no institutional positions on matters of policy.

    Fri, 10 Apr 2026
  • 120 - One Woman's Path From a U.S. College Campus to the Ukrainian Battlefield

    This episode traces one young woman's journey home to a new kind of war—and Ukraine’s fight for survival.   Host:   Gabrielle Sierra, Director of Podcasting, Council on Foreign Relations (CFR)   Guest:   Catarina Buchatskiy, Co-Founder & Director of Analytics, Snake Island Institute   We discuss: The story of a young Ukrainian woman who left college in the U.S. to join the fight at home within days of the invasion. How Ukraine transformed its drone manufacturing from garage shops to a sophisticated, rapidly scaling defense industry. Ukraine’s surprising dependence on China in its drone supply chain, and its push to make ‘China-free’ drones by 2026. Stories of Ukrainian resilience and resolve. How the Snake Island Institute bridges the gap between the battlefield and Western policymaking by connecting Ukrainian military insights to the allies who are shaping defense strategy. As Buchatskiy puts it: “The overarching definition of victory is that the Ukrainian nation is whole, that the state is legitimate, that we have control over the state, that we have our democracy, and that we’re at peace and can live freely.”   Want to keep up with Why It Matters? Sign up to receive an email alert when new episodes drop.   Why It Matters is a production of the Council on Foreign Relations. The opinions expressed on the show are solely those of the host and guests, not of the Council, which takes no institutional positions on matters of policy.

    Thu, 26 Mar 2026
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