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The Gray Area with Sean Illing

Which country has the world's best healthcare system?

The Gray Area with Sean Illing

Vox Media Podcast Network

Politics, News, Society & Culture, News Commentary, Philosophy

4.511.1K Ratings

🗓️ 22 June 2020

⏱️ 71 minutes

🧾️ Download transcript

Summary

I got my start as a blogger. But more specifically, I got my start as a health policy blogger. My first piece of writing I remember people really caring about was a series called “The Health of Nations,” in which I checked out books from college library, downloaded international reports, and profiled the world’s leading health systems. It was crude stuff, but it taught me a lot. The way we do health care isn’t the only way to do health care. It’s not the best way, or the second best, or the third. Ezekiel Emanuel is a bioethicist, oncologist, and co-director of the University of Pennsylvania’s Health Transformation Institute. He was a top health policy advisor in the Obama administration, he’s a senior fellow at the Center for American progress, he makes his own artisanal chocolate, and he’s got a new book — Which Country Has the World’s Best Healthcare? — where he goes into more detail than I ever did, or could, to profile other health systems and rank them against our own. So, yes, this is a conversation about which country has the world’s best health system. But it’s also about how innovation in health care actually works, whether there’s any evidence private insurers add actual value, whether health care is the best investment to make in improving health (spoiler: no), how do you improve a health system when half of the political system will fight like hell against those improvements, and much more. Emanuel has also been doing a lot of work on coronavirus policy, and so we spend some time there, discussing the question that’ tormenting me now: Are we simply giving up that fight? And is there even a politically viable option to giving up, given how much time the government has wasted and how exhausted the public is? Book recommendations: Master of the Senate by Robert Caro The Last Place on Earth by Roland Huntford On His Own Terms: A Life of Nelson Rockefeller by Richard Norton Smith Want to contact the show? Reach out at ezrakleinshow@vox.com Please consider making a contribution to Vox to support this show: bit.ly/givepodcasts Your support will help us keep having ambitious conversations about big ideas. New to the show? Want to check out Ezra’s favorite episodes? Check out the Ezra Klein Show beginner’s guide (http://bit.ly/EKSbeginhere) Credits: Producer/Editer/Audio Wizard - Jeff Geld Researcher - Roge Karma Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0

The Grey Area is brought to you by Into the Mix, a Ben and Jerry's podcast about joy and justice produced with Fox Creative.

0:08.0

Their second season tells real stories from real people directly impacted by some of today's most pressing issues.

0:15.0

The latest episode of Into the Mix takes listeners to the dairy barns of rural Vermont,

0:21.0

to tell the story of how grassroots activism for safe conditions, competitive wages,

0:26.0

and humane working hours led to an innovative worker-led program that let workers decide for themselves what dignified working conditions look like.

0:36.0

Hear their story on Into the Mix out now.

0:44.0

We basically have one flavor of everything.

0:47.0

We don't have socialized medicine, Alok, Britain. We got that. It's called the VA.

0:51.0

You want single-payer system where the government pays out to private hospitals and private on a fee-for-service basis.

0:59.0

We got it. It's called Medicare. You want more like Germany and the Netherlands where you put money in a pot,

1:05.0

and then you pay it to private insurance, and private insurance organizes the care.

1:08.0

We got that. It's called Medicare Advantage in the exchanges. You know, we got everything.

1:17.0

Hello and welcome to The Deser Client Show on the Vox Media podcast network.

1:28.0

This show gets back to my roots. People don't all know this, but when I was a blogger back in the good old days,

1:33.0

what I really loved writing about is healthcare, and in particular, I loved writing about international healthcare systems.

1:38.0

One of the first projects I guess you would call it that ever got any attention from me was a series I called the Health of Nations

1:45.0

where I checked out textbooks from UCLA and wrote up these profiles of international healthcare systems.

1:50.0

How did the UK work? How did they pay doctors? How did they cover people? How did Canada work? Germany, Japan?

1:57.0

I wanted to know. I would hear people argue about these systems, but what were they? What was the actual functioning?

2:04.0

Now people are really doing a stronger, more methodologically rigorous job of this.

2:09.0

Ezekiel Manual has a new book out called Which Country has the world's best healthcare?

2:15.0

Zeke is one of these guys with a resume as long as my arm. He's a bioethicist. He's a oncologist.

...

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