Health policy @CenterModHealth. Teaching @DartmouthInst. The guy who keeps saying things about healthcare that neither side wants to hear.
New Hampshire
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Huh? Users receive higher rewards when they take fewer puffs, but there is no incentive for not using the device? nejm.org/doi/full/10.1056/NE…
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You know how Elaine gets labeled "a difficult patient" for not changing into a paper gown? I bet there's a note in my chart somewhere, "this guy asks for prices." Yup, I'm a price asker. piped.video/3U0EaKS30s8?is=TRRh…
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Glad to see David and Ben take a well-deserved victory lap on the NSA issue. They called it in 2019, as I tweeted back then. @ben_ippolito @CatoRegulation
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"For the last thirty years, there have been no conservatives. There have only been nationalistic radicals of the right and nationalistic radicals of the left."
What's your guess as to when that was written?
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Expectations versus reality... @iamjohnoliver @UnitedHealthGrp @LastWeekTonight piped.video/shorts/Eis_hmJLV…
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Jared Rhoads retweeted
Is @iamjohnoliver right about UnitedHealthcare? (Spoiler: no, but he's also not totally wrong.) @LastWeekTonight piped.video/6jd3twSFGHU?is=O-pI…
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Good patience demonstrated by @brian_blase a minute ago with the caller (and host) who confuse the healthcare system we have now with a free market. Every free-market health policy person answers this again and again. We should get one of those big red buttons to hit and then a recording plays the answer. c-span.org/event/washington-…
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I wish we could build a health policy simulator that is as good as the flight simulators we have in aviation. We could invite every politician and academic who thinks they can out-regulate reality to have a go, and then when they crash it, nobody gets hurt and their egos get knocked down a few pegs at the same time.
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Jared Rhoads retweeted
Medicare for All would ban private health insurance. They’ve moved on from “if you like your doctor you can keep your doctor.”
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Around the 21 min mark is where Pres Trump predicts we are "going to see a massive reduction in autism" under the new vaccine schedule. I don't think he is going to be proven right, but let's set that aside and think about just sketch out what should pass as massive. This is a judgment call, but I'd say a statistically significant reduction of up to 10% should be called small/modest, up to 30% could be called large, and up to 50% would be massive.
Here's the important part, though: a reduction in autism *diagnoses* is not necessarily the same as a reduction in the real rate of incidence. If there is indeed overdiagnosis happening, and then that finally gets reined in over the next couple of years, then the stats will make this change to the vaccination schedule look like brilliance even if it did nothing for actual autism rates. piped.video/watch?v=q0dpGYLq…
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Sports league MBA hotshots: When your models showed that splitting games across platforms would boost short-term revenue, what were the assumptions on loyalty, and did you account for the new generations of fans you might never create? Seems you're eating the seed corn.
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Whoa, whoa, I was all excited about this book, but then I spotted in this review that Dartmouth President Sian Beilock is one of the alleged kowtowers? Please, slam Bezos and Zuckerberg and Tim Cook and Sam Altman all you want for their cowardly and revolting million-dollar gifts to Trump. But Beilock doesn't remotely belong in this conversation. Holding ground against the student protesters = good. Adopting institutional neutrality on "open letter" culture = good. Not taking Harvard's side = that was complicated and mixed, and Harvard is culpable for some ugliness, so at most that is only a half-ding. @sianbeilock nytimes.com/2026/09/14/books…
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Lawmakers, you've outdone yourselves.
apparently you'll be able to satisfy medicaid work requirements in a lot of states with *gross* gambling winings of $580 every six months, meaning you could take offsetting bets, pay the vig, and be employed aei.org/commentary/the-medic…
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We just published the Health Freedom Index, and I've been waiting for somebody to mention Victor Fuchs's classic 1970s article "A Tale of Two States," but it hasn't come up yet, so I suppose I'll be the one.🤪
In the piece, Fuchs compares Utah and Nevada, which at the time were similar in many ways, but had very different health outcomes (Utah's were better). Fuchs characterized it as the more "restrictive" state, and Nevada the more "permissive" state.
You might think that's bad news for what we're trying to do. But it's not. And the reason why is that the restrictive nature of Utah comes from the Mormon influence, which gets you less drinking, less smoking, greater family stability, etc.). These are "restrictions" that people choose. They aren't the same kinds of government restrictions on healthcare professionals and institutions that we're measuring in the Health Freedom Index.
So no, I don't think Fuchs's is problematic at all for us and the HFI. We don't even claim that every single one of our variables directly correlates with better health outcomes. We're measuring how much freedom people have to pursue their health (or to pursue other things, if that's what they prefer).
p.s. Fuchs's whole book is a good read, especially if you want to know what has gone on in these fields.
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Blue Cross Blue Shield, I'm saving you $2,400 by shopping for a better deal on my shoulder MRI. What do you say we split that and you let me put $1,200 in my kids' college fund? @BCBSAssociation
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MRI quotes (shoulder w/o contrast) from two places <5 miles apart in New Hampshire. Contracted price at the large, powerful, regionally dominant nonprofit place is $2,976. Contracted price at the little for-profit place is $576.
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Boo. Regulation is preventive law. I.e., treating citizens with a presumption of guilt.
Every three years in medieval England, the king's men went from cottage to cottage cutting the toes off the peasants' dogs.
It was called lawing. The dog's forefoot went on a block of wood, a chisel was set across three claws, and they came off with one blow of a mallet. The Charter of the Forest, 1217, records the correct method: three claws of the forefoot, but not the ball.
A dog with three toes missing cannot run down a deer. That was the entire purpose. A third of England was royal forest, every animal in it belonged to the king, and a poor man's dog was the one piece of hunting equipment he could not be stopped from owning. So they left him the dog and took its feet.
If the inspectors found yours intact, the fine was three shillings, about a month's wages. Before 1217 they simply took your ox.
No law ever told that man he could not eat meat. The law took his bow, his dog's toes and his right to the wood, then left him entirely free to work out the rest for himself. He worked it out. He ate oats and beans, and he raised children who ate oats and beans.
That is how it is always done. Meat is never banned for the poor. It just becomes, by one sensible regulation after another, impossible to get.
Count the sensible regulations being drafted for your dinner this year.
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