4.8 • 1.1K Ratings
🗓️ 23 October 2025
⏱️ 21 minutes
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Economist Vivian Ho has been researching the US health care system for four decades. These days she focuses on what she describes as the biggest burden on the average American: runaway hospital prices and rising health insurance premiums. (You know, Arm and a Leg stuff.)
And she’s developed a strategy for addressing high insurance premiums – one based on a real-life success story.
So when she asked us to help her gather data for a new study, we were intrigued.
We break down Vivian’s theory of change, and how sharing your medical bills with her team could help build a data arsenal for the fight ahead.
Want to share your documents with Vivian and her team?
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Here’s a transcript of this episode.
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| 0:00.0 | Sources and methods, the crown jewels of the intelligence community. |
| 0:05.0 | Shorthand for, how do we know what's real? Who told us? |
| 0:08.8 | If you have those answers, you're on the inside. |
| 0:11.2 | And NPR wants to bring you there. |
| 0:12.9 | From the Pentagon to the State Department to spy agencies, listen to understand what's really happening and what it means for you. |
| 0:20.2 | Sources and Methods, the new national security podcast from NPR. |
| 0:24.2 | Hey there. |
| 0:25.1 | Divian Ho is a health economist at Rice University and the Baylor College of Medicine in Houston. |
| 0:31.0 | And since early 2024, she's been giving talks at HR conferences, which is not a typical gig for an academic economist? |
| 0:40.9 | Yes, economists don't usually do that. We love to go talk at our own conferences. |
| 0:46.2 | But she has been eager to spread a pretty big message. |
| 0:49.6 | There's a potential to save workers a lot of money. |
| 0:53.2 | And a few weeks ago, she sent me an email asking for help with what she's trying to do. |
| 0:58.3 | She wants folks to send her hospital bills for a study she thinks could be part of saving people a lot of money. |
| 1:04.7 | And she wondered if I would encourage people to pitch in. |
| 1:07.6 | And honestly, I wanted to say yes before I really even knew anything specific about the |
| 1:12.8 | study. Now, I should say, Vivian Ho has been a donor to this show. That's actually how I met her |
| 1:19.0 | and learned about her work and became kind of a fan. Over the last few years, she's been digging up |
| 1:26.1 | and publishing evidence we need to push back |
| 1:29.4 | against the way healthcare keeps getting more and more expensive. Now, this is stuff a lot of |
| 1:35.0 | us suspected, to say the least, stuff reporters have documented examples of, but she's demonstrated |
| 1:41.4 | their actual trends, not one-offs. |
... |
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