Navigating Complexity in Health Care and Society

There is no sludgier place in America than Washington, D.C. But there are signs of a change. We’ll hear about this progress — and ask where Elon Musk and DOGE fit in. (Part two of a two-part series.)

• SOURCES:
  • Benjamin Handel, professor of economics at UC Berkeley.
  • Neale Mahoney, professor of economics at Stanford University.
  • Jennifer Pahlka, founder of Code for America.
  • Richard Thaler, professor of economics at The University of Chicago.

• RESOURCES:
  • "How Big Is the Subscription Cancellation Problem?" by Giacomo Fraccaroli, Neale Mahoney, and Zahra Thabet (Briefing Book, 2024).
  • Recoding America: Why Government Is Failing in the Digital Age and How We Can Do Better, by Jennifer Pahlka (2023).
  • Nudge: The Final Edition, by Richard Thaler and Cass Sunstein (2021).
  • "HealthCare.gov: Case Study of CMS Management of the Federal Marketplace," by Daniel Levinson (U.S. Department of Health and Human Services, 2016).

• EXTRAS:
  • "Sludge, Part 1: The World Is Drowning in It," by Freakonomics Radio (2025).