Every individual insurer has their own system, and so the doctor finds it very difficult to customize what they're doing to every single insurer. Many of these are also coupled with systems where you can make more by making sure your patient appears to be sick,. When they turn out ok, you get a lot of money. I think for everyone there should be a fair component of performance base payment. And any time you're not paying for what people really want, somehow you're going to run into trouble.
With remote work becoming more common and cities competing for businesses it’s become easier than ever before for educated Americans to relocate, leaving cities more vulnerable than they’ve ever been. In their new book, Survival of the City: Living and Thriving in an Age of Isolation, economists David Cutler and Ed Glaeser examine the factors that will allow some cities to succeed despite these challenges, while others fail.
They joined Tyler for a special joint episode to discuss why healthcare outcomes are so correlated with education, whether the health value of Google is positive or negative, why hospital price transparency is so difficult to achieve, how insurance coding systems reimburse sickness over health improvement, why the U.S. quit smoking before Europe, the best place in America to get sick, the risks that come from over-treatment, the possible upsides of more businesses moving out of cities, whether productivity gains from remote work will remain high, why the older parts of cities always seem to be more beautiful, whether urban schools will ever improve, why we shouldn’t view Rio de Janeiro’s favelas as a failure, how 19th century fights to deal with contagious diseases became a turning point for governance, Miami's prospects as the next tech hub, what David and Ed disagree on, and more.
Read a full transcript enhanced with helpful links, or watch the full video.
Recorded August 31st, 2021 Other ways to connect
Thumbnail photo credit: Briana Moore