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Ben Handel

πŸ‘€ Speaker
188 total appearances
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Appearances Over Time

Podcast Appearances

Freakonomics Radio
The World Is (Still) Drowning in Sludge

It's just a list.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

It's a list of saying, we allow this.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And they have to know the answer to that question because they're going to cover it or not.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

If you take another step and you said, OK...

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Now we want to know the prices.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Then I agree with you.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Then healthcare providers, they're often not going to really quote prices.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And it's very complicated for the insurer to say this is what the price is going to be for this service because the provider might do six things and they don't know which six things they're going to do.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Now let's think about the cost, your other question, for the overall system.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

This is also complicated because

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And the reason it's complicated is that it relates very closely to just how do you design a health system overall?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The reason is that unlike many products like retail products on Amazon or whatever, healthcare system and healthcare system design, they're set up to ration care.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

What do you mean by ration?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

So most products, consumers have money.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And they either buy them or they don't.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And then Econ 101 applies, supply, demand, etc.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

In health care, there's a whole host of other issues, and those issues are caused by the fact that as a society, we don't want to make people pay for all of their own health care.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Say someone has a serious disease, going to cost $80,000, and that person has no money.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

We want them to get care, but we don't want them to pay for it.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

That means we're in a world where price rationing doesn't work.