The Doctor's Lounge
Where scalpels meet systems — and physicians say what they really think.
Co-hosted by Dutch Rojas & Anthony DiGiorgio, DO, with Anish Koka, MD, Dan Choi, MD, & Sanat Dixit, MD — candid talks on healthcare policy, reform, physician autonomy & patient care.
The Doctor's Lounge
The Healthcare Fallacy: How Big Systems Broke the Market
Show Link: https://www.acpjournals.org/doi/10.7326/0003-4819-153-8-201010190-00274
Why Listen 👥
In this episode, the hosts delve into the complexities of the healthcare system, discussing the impact of large hospital systems as major employers, the broken window fallacy in healthcare, and the challenges of high premiums. They explore the historical context of certificate of need laws and site of service differentials, and how these contribute to rising healthcare costs. The conversation also touches on the role of government intervention, the influence of large health systems, and the potential for free market solutions.
Co-Hosts
Dutch Rojas – Founder, Bliksem Health
Anthony DiGiorgio, DO, MHA – Neurosurgeon, UCSF; health policy researcher
Anish Koka, MD – Cardiologist, Philadelphia; healthcare policy commentator
Episode Overview 📌
The episode covers the economic myths in healthcare, the influence of large health systems, and the potential for free market solutions. It also discusses the historical context of certificate of need laws and site of service differentials.
Notable Quotes 💬
"Healthcare systems as major employers can be problematic."
"The broken window fallacy applies to healthcare economics."
"High premiums are linked to market consolidation and subsidies."
What You’ll Learn 📚
The impact of large hospital systems as major employers.
The role of certificate of need laws in healthcare costs.
How site of service differentials affect healthcare pricing.
The influence of government intervention in healthcare.
Potential free market solutions to healthcare challenges.
The Episode (Timestamps) ⏱
00:00:00 Introduction to Healthcare Economics
00:03:00 The Role of Hospital Systems
00:09:00 Understanding High Premiums
00:15:00 Certificate of Need Laws
00:21:00 Site of Service Differentials
00:27:00 Government Intervention in Healthcare
00:33:00 Free Market Solutions
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