EPISODE · Oct 2, 2025 · 1H 22M
How to Bring Down Healthcare Costs
from Statecraft · host Santi Ruiz
Today, I’m joined by Anup Malani. He’s a professor of law at the University of Chicago, currently on leave, serving as the first Chief Economist at the Centers for Medicare & Medicaid Services. This means he oversees economic analysis for the agency managing $2 trillion in annual healthcare spending — 23% of the entire federal budget. CMS runs Medicare for 70 million elderly Americans, Medicaid for low-income families, and the health insurance exchanges where millions buy coverage.Malani answers a lot of questions I have about American healthcare policy:* The US spends 20% of GDP on healthcare. Why is our life expectancy so bad?* How do you crack down on Medicare fraud without hurting patients who need care?* What incentives do private insurers like UnitedHealth have to make patients look sicker than they are?* What do academic economists get wrong about policy?The full transcript for this conversation is at www.statecraft.pub. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.statecraft.pub
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How to Bring Down Healthcare Costs
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