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The a16z Show

Baumol's Cost Disease, in Healthcare... and Where We Go Next

The a16z Show

a16z

Culture, Business, Science, Disruption, Technology, Software Eating The World, Entrepreneurship, Innovation

4.21.2K Ratings

🗓️ 6 January 2021

⏱️ 30 minutes

🧾️ Download transcript

Summary

with @pmarca @vijaypande If software’s eating the world -- and more specifically, bringing costs down and increasing productivity through entire industries -- why have some industries, like healthcare, been so resistant?

Transcript

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0:00.0

Hi everyone. What follows is a hallway style discussion featuring a six and

0:04.4

co-founder and author of the now nearly decade-old thesis of software eating the

0:09.7

world, Mark Andresen, in conversation with a6 and Z Biogeneral partner Vijay Ponte, all about the topic of

0:17.0

Baumel's cost disease in health care.

0:19.4

If software is eating the world and more specifically bringing costs down and increasing productivity

0:23.9

through entire industries, why have some industries like health care

0:27.6

been so resistant and what could the future look like once technology really

0:31.8

gets in? This episode originally ran on our show

0:35.0

BioEats World, but we're sharing it here in the new year as it's very relevant for

0:39.5

anyone interested in, well, the future of software eating the world.

0:44.0

Hi, I'm Lauren, and I'm Hannah, and this is our show BioEats World, where we talk about all the

0:49.6

ways our ability to engineer biology and re-engineer health care are transforming our future.

0:55.7

So Hannah, this episode is called the cost disease in health care.

0:59.4

What disease are we talking about?

1:01.4

It's actually a reference to what's called Bamall's cost disease or the Bowmall effect, which is a phenomenon first described by an economist named William Bowmall in the 1960s. In short, the Bowmall effect is when there's a rise in wages and jobs and industries that then haven't had the same rise in productivity.

1:18.0

Okay, but what does that really mean and what does it have to do with health care?

1:23.0

That's exactly what this episode is about.

1:25.1

A16Z founder and internet pioneer Mark Andresen and general partner, Vijay Pandey,

1:30.1

discuss the economic forces that make some things like health care, education, and housing

1:35.2

get more and more expensive, but things like socks, shoes, and electronics all get cheaper and

1:40.4

cheaper. In this wide-ranging conversation about how society and different industries work

1:46.0

and what that means for consumers,

...

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