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Freakonomics, M.D.

21. Should We Pay People to Be Healthier?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.8 β€’ 1.1K Ratings

πŸ—“οΈ 21 January 2022

⏱️ 29 minutes

🧾️ Download transcript

Summary

Each year, millions of people get sick or die from diseases caused by their own unhealthy behavior. Getting people to change their bad habits – to quit smoking, eat better, or exercise – can be extremely hard. But what if we paid them?

Transcript

Click on a timestamp to play from that location

0:00.0

years ago when Megan Piper was in college, she went to Colorado with her family to visit

0:09.6

her grandparents.

0:11.1

My grandfather, whenever we would go to visit, he'd spend a lot of time looking at the

0:15.1

tomatoes, checking on the tomatoes, being out back in the garage, and I just figured

0:18.3

he was tinkering or doing whatever he was doing.

0:20.8

But on this visit, Megan remembers standing in the kitchen and seeing her grandfather

0:25.0

outside through the window.

0:26.9

I just happened to be watching him again.

0:29.0

He was out with the tomato plants, and I looked and I thought, I think that's a cigarette

0:33.8

in his hand.

0:35.1

And he had it way down by his side, and that's when it all clicked.

0:39.7

What he was doing out there was smoking.

0:41.9

And I had no idea.

0:42.9

I was 21, and I finally realized that my grandfather had been a smoker for my entire life.

0:48.2

And in fact, he'd been a smoker since he had been in the army in World War II.

0:53.4

They used to get free cigarettes.

0:55.3

Megan says smoking was a source of shame for her grandfather.

0:59.7

This is an example of someone who is well-educated, strong religious beliefs, and yet was dealing

1:08.3

with an addiction that he just couldn't handle on his own.

1:12.3

He struggled his whole life with this, struggled his whole life with the guilt around the fact

1:16.8

that he was using tobacco.

1:19.0

And that has really helped me think about people who smoke, people who vape, people

...

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