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Freakonomics, M.D.

32. What is a Good Death β€” and Why Do So Few of Us Get One?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.8 β€’ 1.1K Ratings

πŸ—“οΈ 8 April 2022

⏱️ 23 minutes

🧾️ Download transcript

Summary

When it comes to end-of-life medical care, getting it right can be hard β€” even for doctors. Bapu Jena discusses surprising research on how we can live better - and maybe longer - before we die.

Transcript

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0:00.0

There are certain figures that just stick out in our minds, like 9 out of 10 people live

0:09.5

in the Northern Hemisphere, or nearly half of all marriages and in divorce.

0:15.2

Well as a physician and an economist, I'm fascinated by this one, you may have heard it.

0:20.9

Up to 25% of annual Medicare spending goes to patients in their final year of life.

0:27.8

Of course, the exact size of the figure depends on how you calculate it.

0:31.6

But either way, that's a lot of money, over $150 billion on healthcare for people with

0:37.8

less than 12 months to live.

0:40.6

There have been politically charged arguments for years about this issue.

0:44.9

Mr. Kane, you made a passing comment at the end of your layout of something regarding a

0:49.9

death panel.

0:50.9

Did I hear you say that correctly?

0:53.2

Absolutely sir.

0:54.2

Would you please describe for me what a death panel is?

0:57.8

No matter how much doctors try to predict it, death is largely unpredictable even among

1:04.4

the very sick.

1:07.7

One study from the University of Chicago found that doctors overestimated how long hospice

1:13.1

patients with cancer had to live by a factor of five.

1:17.5

As in, they might suggest you have 10 weeks when it turns out you only have two.

1:23.2

From the Freakonomics Radio Network, this is Freakonomics MD.

1:27.2

I'm Bob Ujena.

1:28.2

I'm an economist and I'm also a medical doctor.

1:31.2

Each episode, I dissect an interesting question at the sweet spot between health and economics.

...

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