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Freakonomics, M.D.

35. Are More Expensive Hospitals Better?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 29 April 2022

⏱️ 28 minutes

🧾️ Download transcript

Summary

For lots of things, price is an indicator of quality. But what about in health care? Bapu Jena gets some clues from Steve Levitt’s wine tasting experiment, and looks at why shopping for health care is so hard.

Transcript

Click on a timestamp to play from that location

0:00.0

With the cost of pretty much everything on the rise lately, I've been thinking a lot

0:07.5

about how price tags and quality relate to each other, or sometimes don't.

0:14.0

So recently, my podcasting colleague and former teacher, economist Steve Levitt, told me

0:19.1

a story that he'd told on Frekenomics Radio way back in 2010, called Do More Expensive

0:26.3

Taste Better. He gave me the short version. So, Bobo, I was a junior fellow in the Harvard Society

0:32.6

Fellows, which is an amazing opportunity. It's three years as a young researcher, no obligations,

0:39.0

except to shop to fancy dinners and to a weekly wine tasting that's your total obligation.

0:47.9

And they have this enormous budget for wine. I don't care about wine. I can't tell a good wine

0:55.7

from a bad wine. So, being an economist, I said, hey, why don't we do a blind wine tasting once

1:02.6

just to be a lot of fun? And they said, oh, that would be fun. Why don't we go ahead and do that?

1:06.4

What they didn't know is that I had a trick up my sleeve.

1:11.2

The wine seller that we kept had all the very fancy wines, then I had our wine steward

1:16.1

pick out some excellent examples of some particular variety. And then on the way to the wine tasting,

1:21.8

I bought the cheapest bottle of wine I could find at the liquor store of that same kind of great.

1:26.7

He put that cheap wine into one decanter. He put a fancy wine in another decanter,

1:32.5

and then he put a second fancy wine into two of the other decenters. These were now identical.

1:38.9

So, all together, four decenters, three wines. And then I had people taste each of those four

1:46.1

decenters and make comments about how good it was. The Harvard Fellows sniffed and sipped.

1:53.4

I imagine they savored, they swirled, they contemplated a whole range of appropriate adjectives,

1:59.5

and then they wrote down their reviews and ratings for each of the four decenters.

2:04.2

And so then I quickly went in the other room and I crunched the numbers. And it turned out

2:09.3

that these wine snops, not only did they not have preferences for the expensive wine,

...

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