Derek Thompson

Other countries have sick people. Other countries have public insurance systems. They deal with all of the problems we've talked about today. How do we avoid incentives to over-treat? How do we avoid incentives to under-treat? How do we make the sickness of the patients that exist in each country's population, legible to the government insurer.

Other countries have sick people. Other countries have public insurance systems. They deal with all of the problems we've talked about today. How do we avoid incentives to over-treat? How do we avoid incentives to under-treat? How do we make the sickness of the patients that exist in each country's population, legible to the government insurer.

Other countries have sick people. Other countries have public insurance systems. They deal with all of the problems we've talked about today. How do we avoid incentives to over-treat? How do we avoid incentives to under-treat? How do we make the sickness of the patients that exist in each country's population, legible to the government insurer.

Is there something that the US can learn from another country that would help us align payments in this one?

Is there something that the US can learn from another country that would help us align payments in this one?

Is there something that the US can learn from another country that would help us align payments in this one?

Mike, one thing that I really like about Tim's reply there is that... You guys are economists. You study trade-offs. And one thing that frustrates me in the conversation about government spending is when people deny the existence of trade-offs. Government spending tends to go somewhere. Someone is benefiting.

Mike, one thing that I really like about Tim's reply there is that... You guys are economists. You study trade-offs. And one thing that frustrates me in the conversation about government spending is when people deny the existence of trade-offs. Government spending tends to go somewhere. Someone is benefiting.

Mike, one thing that I really like about Tim's reply there is that... You guys are economists. You study trade-offs. And one thing that frustrates me in the conversation about government spending is when people deny the existence of trade-offs. Government spending tends to go somewhere. Someone is benefiting.

Sometimes that money seems like it's inefficiently spent, but then you take that spending item away and you realize the good that it was doing, the people it was employing, the communities that it was propping up. Healthcare is no different. If you cut 10% of American healthcare spending, it's not as if that's like fat spending.

Sometimes that money seems like it's inefficiently spent, but then you take that spending item away and you realize the good that it was doing, the people it was employing, the communities that it was propping up. Healthcare is no different. If you cut 10% of American healthcare spending, it's not as if that's like fat spending.

Sometimes that money seems like it's inefficiently spent, but then you take that spending item away and you realize the good that it was doing, the people it was employing, the communities that it was propping up. Healthcare is no different. If you cut 10% of American healthcare spending, it's not as if that's like fat spending.

that's zapped from an animal's body and the animal keeps going around like being like really, really ripped, right? It's not like, you know, adipose tissue that can just be burned away. That's money that's going to support jobs and companies and people and patients, right? Economics is trade-offs. Healthcare is trade-offs. Government spending is trade-offs.

that's zapped from an animal's body and the animal keeps going around like being like really, really ripped, right? It's not like, you know, adipose tissue that can just be burned away. That's money that's going to support jobs and companies and people and patients, right? Economics is trade-offs. Healthcare is trade-offs. Government spending is trade-offs.

that's zapped from an animal's body and the animal keeps going around like being like really, really ripped, right? It's not like, you know, adipose tissue that can just be burned away. That's money that's going to support jobs and companies and people and patients, right? Economics is trade-offs. Healthcare is trade-offs. Government spending is trade-offs.

That's a theme that I'm picking up from what Tim's putting down. But let's talk about solutions here. Like obviously the politics of healthcare reform are horrendous. People tend to dislike healthcare in the aggregate, but you get a lot of screaming when individual plans are changed.

That's a theme that I'm picking up from what Tim's putting down. But let's talk about solutions here. Like obviously the politics of healthcare reform are horrendous. People tend to dislike healthcare in the aggregate, but you get a lot of screaming when individual plans are changed.

That's a theme that I'm picking up from what Tim's putting down. But let's talk about solutions here. Like obviously the politics of healthcare reform are horrendous. People tend to dislike healthcare in the aggregate, but you get a lot of screaming when individual plans are changed.

And so there's this interplay between lots of fury at the system, but also a status quo bias that makes it difficult to change the system. Where do you think change can or should start here when we're thinking about the phenomenon of upcoding and Medicare Advantage?

And so there's this interplay between lots of fury at the system, but also a status quo bias that makes it difficult to change the system. Where do you think change can or should start here when we're thinking about the phenomenon of upcoding and Medicare Advantage?