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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

Your insurance company is saying, OK, we have to ration health care in some way.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

If we don't ration health care, our premiums are going to be sky high.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Nobody's going to choose our plans and we're going to go out of business.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

So not unintentional.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

No, not unintentional.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And in fact, this is common.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The difference is that in systems around the world, Canada, the UK, etc., there's intentional sludge, but I would call it organized sludge.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

In the U.S., say you're with United, you go look at the provider network list and

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And you look for specialists.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

You call 52 specialists who have no availability.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And then on number 53, they say, yeah, we'll see you in like three and a half months.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

And then United says, okay, but you have to do prior authorization from your primary care doctor before you can see this specialist.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

You didn't know that.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

In the U.S., it's just more disorganized.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

But the principle is the same.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

The principle is that...

Freakonomics Radio
The World Is (Still) Drowning in Sludge

We can't give you everything you want because of saving money.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

We don't want the percentage of GDP of health care to be 52 percent.

Freakonomics Radio
The World Is (Still) Drowning in Sludge

I mean, it's already double any other country, right?

Freakonomics Radio
The World Is (Still) Drowning in Sludge

Yes, that's correct.