In this installment of the Freakonomics Radio Book Club, the economist Amy Finkelstein explains why insurance markets are broken and how to fix them. Also: why can’t you buy divorce insurance?

The economist Amy Finkelstein explains why insurance markets are broken and how to fix them. Also: why can’t you buy divorce insurance?

If you knew exactly when every person was going to die, or require medical care, you could make a killing buying and selling insurance. Nobody knows these things, of course -- the future is hard to predict -- but some people know something about the future that other people don't. This sets up adverse selection: the ability of one party to leverage information another party doesn't have, in order to gain an economic advantage. Economist Amy Finkelstein is an expert in this phenomenon, as well as the usefulness of empirical studies in economic research.Support Mindscape on Patreon.Amy Finkelstein received her Ph.D. in economics from the Massachusetts Institute of Technology. She is currently John & Jennie S. MacDonald Professor of Economics at MIT. She is the co-director and research associate of the Public Economics Program at the National Bureau of Economic Research, and the co-Scientific Director of J-PAL North America. Among her awards are a MacArthur Fellowship and the John Bates Clark Medal. Her recent book, with co-authors Liran Einav and Ray Fisman, is Risky Business: Why Insurance Markets Fail and What to Do About It.Web pageWikipediaGoogle Scholar publicationsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

How can public policy improve upon and fix the mess of U.S. health care? In a new book, health economists Amy Finkelstein (MIT) and Liran Einav (Stanford) argue that's the wrong question. Instead, they suggest we ask: What is it that U.S. health policy should try to accomplish?Finkelstein, also a MacArthur Genius grantee, joins Bethany and Luigi to discuss health care as a social commitment and to make the case for free, automatic, and universal coverage for a basic set of medical services. She argues why the current patchwork system of incremental reforms isn't the answer, why insurance is not the lever to reduce racial disparities in health inequality, and why we must “tear down the system and build from the ground up.”Finkelstein and Einav's new book, "We've Got You Covered: Rebooting American Health Care," is out now.Show Notes: On ProMarket, read:Lowering the Barriers to Entry for Economics Research in Healthcare, by Filippo LancieriRethinking How To Achieve Universal Health Care Coverage in the U.S., by Katherine Baicker, Amitabh Chandra, and Mark ShepardMore Than 20 Years of Consolidation Have Led to a Dysfunctional Health Care Market, by Martin GaynorThe Secret Driver of U.S. Health Care Costs: Politicians Wanting to Get Reelected, by Asher Schechter

Economists Liran Einav and Amy Finkelstein discuss their book advocating for universal taxpayer-funded basic health insurance. They critique the US health sector, propose comprehensive reform, and debate government's role in healthcare coverage. Topics include historical evolution, challenges in healthcare policy, cost containment strategies, resource allocation, and proposals to improve healthcare access.