Are stagnant wages the hidden price tag of a broken healthcare system? On this week's Capitalisn't, Yale health economist Zack Cooper tells Bethany McLean and Luigi Zingales that the U.S. healthcare market is failing because of structural flaws like employer-sponsored insurance, which hides true costs from consumers. He argues this opaque system has quietly become one of the leading drivers of income inequality in America.
Cooper explains why standard economic principles break down in healthcare: in one of his studies, the average Manhattan patient drives past six cheaper MRI options to reach the one their doctor recommends. He also shows that when premiums rise equally across a workforce, companies are financially incentivized to lay off lower-wage workers to absorb the cost. And when hospitals acquire physician practices, doctor behavior shifts to maximize hospital revenue, significantly increasing rates of expensive, potentially unnecessary procedures like cesarean sections.
Looking ahead, Cooper argues the U.S. will soon face a stark choice to control costs. The system must either roll back employer-sponsored insurance to push more people into the individual market, or expand Medicare to bring more of the public under regulated pricing. If you've ever stared at a medical bill and wondered how those numbers got there, this episode is worth a listen.
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