Category Archives: Healthcare

Distributed Dialogues episode #16: Amazon, Nashville and the Future of Healthcare


Recode: “The Mastermind” author Evan Ratliff explains how tech enabled a drug kingpin

Ratliff’s new book traces the rise and fall of Paul Le Roux, the leader of the first internet drug cartel (but he won’t be the last)

The Ezra Klein Show: Leftists vs. liberals, with Elizabeth Bruenig

– Debate over policy or debate over tactics, what is politically possible
– Ezra says he comes from the neoliberal DLC camp
– Bernie Sanders moved Overton window
– It is dangerous to not be up front with what’s needed for DSA policies, because there would be huge backlash if people felt they were lied to.
– The health insurance industry is an extractive layer that skims resources from the process
– Gave up on the power of persuasion
– Trust, respect, hope, relationships vs the strength of an argument
– Arguing against capitalism is arguing against fairness and deep values, better to offer sympathetic stories
– Easier to assign moral failure to someone on food stamps than someone born with a condition.
– Why don’t people who would benefit from left policies oppose it? Racial animus, “last place aversion” perception of unfairness
– “Be honest about proposals, state your hopes, I understand your position”
– Regional identity is an obstacle to mobilization
– “Identity is upstream from ideology”
DSA activists in midwest and south: You don’t have to give up your identity to support certain issues.
– Trump supporters: “Supporting him is the only way to be acknowledged”
– Language of politics: pragmatic, civility vs confrotation and getting attention. Genteel discourse does not produce media amplification. But civil arguments may contain built assumptions that are cruel.
– “I want to lower the emotional cost of listening to what I have to say”

Brookings Institution: Reforming Stark/Anti-Kickback Policies

In recent years, the health care system has accelerated experimentation into new payment and delivery models that reward care coordination, integration, and value.  However, observers and market participants have expressed concerns that long-standing anti-fraud rules in Medicare and Medicaid prevent innovation and hold back potentially promising new arrangements.  In 2018, the Trump administration sought stakeholder feedback on how the regulations implementing those laws might be modified to promote value-based, coordinated, integrated care delivery while protecting taxpayers and beneficiaries from fraud.