Freakonomics Radi‪o‬ Stitcher

Kidney failure is such a catastrophic (and expensive) disease that Medicare covers treatment for anyone, regardless of age. Since Medicare reimbursement rates are fairly low, the dialysis industry had to find a way to tweak the system if they wanted to make big profits. They succeeded.

Medicine has evolved from a calling into an industry, adept at dispensing procedures and pills (and gigantic bills), but less good at actual health. Most reformers call for big, bold action. What happens if, instead, you think small? 

Why do so many promising solutions — in education, medicine, criminal justice, etc. — fail to scale up into great policy? And can a new breed of “implementation scientists” crack the code?

In a word: networks. Once it embraced information as its main currency, New York was able to climb out of a deep fiscal (and psychic) pit. Will that magic trick still work after Covid? In this installment of the Freakonomics Radio Book Club, guest host Kurt Andersen interviews Thomas Dyja, author of New York, New York, New York: Four Decades of Success, Excess and Transformation.

Behavioral scientists have been exploring if — and when — a psychological reset can lead to lasting change. We survey evidence from the London Underground, Major League Baseball, and New Year’s resolutions; we look at accidental fresh starts, forced fresh starts, and fresh starts that backfire. And we wonder: will the pandemic’s end provide the biggest fresh start ever?

Americans are so accustomed to the standard intersection that we rarely consider how dangerous it can be — as well as costly, time-wasting, and polluting. Is it time to embrace the lowly, lovely roundabout?