logo
episode-header-image
Apr 2021
49m 50s

456. How to Fix the Hot Mess of U.S. Hea...

Freakonomics Radio + Stitcher
About this episode
Medicine has evolved from a calling into an industry, adept at dispensing procedures and pills (and gigantic bills), but less good at actual health. Most reformers call for big, bold action. What happens if, instead, you think small? 
Up next
Today
682. Should A.I. Move to Space?
At first it sounds ridiculous. But it might be inevitable. Guest host Steve Levitt talks to a team that hopes to push A.I. infrastructure off the planet. Part one of a two-part series.) SOURCES: Blaise Agüera y Arcas, vice president and fellow at Google, C.T.O. of technology and ... Show More
48m 18s
Jul 22
Why Cooking is Caregiving, with Chef Hillary Sterling | Better in Person
Hillary Sterling was a Brooklyn kid raised on cream cheese sandwiches and canned potatoes. So how did she become one of New York City's best chefs? The Ci Siamo executive chef explains on the second episode of Better in Person. Hosted by Simplecast, an AdsWizz company. See pcm.ad ... Show More
42m 47s
Jul 17
Are You Really Allergic to Penicillin? (Update)
Like tens of millions of people, Stephen Dubner thought he had a penicillin allergy. Like the vast majority, he didn’t. This misdiagnosis costs billions of dollars and causes serious health problems, so why hasn’t it been fixed? We find out in this update of a 2025 episode. SOURC ... Show More
1h 5m
Recommended Episodes
Oct 2021
Small Acts Lead to Big Change
Many of us are taught to see the big picture. We tell folks to get out of the weeds, or to stop getting caught up in the details. But it is only by looking at things on a smaller scale that we can make change. Everything you do matters. What small act can you do that can make a b ... Show More
5m 42s
Sep 2023
The Investment Implications of a Rising Federal Deficit
<p>In an idealized world of medical practice, you would go to the doctor, describe a few symptoms, undergo a few tests and then listen carefully to the doctor’s diagnosis, prognosis and prescription. The diagnosis might well be due to something entirely out of your control and th ... Show More
10m 57s
Jul 2022
Why too much medical treatment is causing more harm than good
Much of medicine doesn’t do what it is supposed to do: improve health. That is the view of orthopaedic surgeon, Ian Harris. Ian believes too many drugs are being prescribed, too much surgery is being performed, and there are too many unhelpful tests, scans, and overdiagnosis. The ... Show More
54m 57s
Jan 2022
21. Should We Pay People to Be Healthier?
Each year, millions of people get sick or die from diseases caused by their own unhealthy behavior. Getting people to change their bad habits – to quit smoking, eat better, or exercise – can be extremely hard. But what if we paid them? Hosted by Simplecast, an AdsWizz company. Se ... Show More
29m 18s
Dec 2018
Is This How It Is Supposed to Be?
Dr. Centor discusses the unintended consequences of the U.S. health care delivery and payment system on quality of care, physician wellness, patient satisfaction, and health care costs with Dr. Maria Maldonado. Dr. Maldonado is the author of a recent Annals "On Being a Doctor" es ... Show More
21m 15s
Sep 2020
The Fee-for-Service Monster
<p>The United States spends trillions of dollars on healthcare every year, but our outcomes are worse than those of other countries that spend less money. Why? Physician and healthcare executive Vivian Lee explains the psychological and economic incentives embedded in the America ... Show More
50m 23s
Feb 2019
How doctors can help low-income patients (and still make a profit) | P.J. Parmar
Modern American health care is defined by its high costs, high overhead and inaccessibility -- especially for low-income patients. What if we could redesign the system to serve the poor and still have doctors make money? In an eye-opening (and surprisingly funny) talk, physician ... Show More
10m 23s
Oct 2022
The problems with body mass index (BMI)
<p>Often medicine gets hooked on using simple tools of measurement only to discover, after they have become entrenched, that they don’t measure what they are supposed to measure. </p> 
4m 52s
Jan 2023
68. The E.R. Doctor’s Dilemma
Figuring out which patients to hospitalize and which to safely send home can be tricky. Is there a way to make this decision easier for doctors — and get better outcomes, too? Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and u ... Show More
29m 58s