Plain English with Derek Thompson

Last week, UnitedHealthcare CEO Brian Thompson was shot to death outside a hotel in Manhattan by a young man motivated by rage at the insurance industry. His rage is clearly felt widely. In the aftermath of the killing, many people seemed to delight in the man’s assassination. Their reaction was a grotesque illustration of something real: There is an enormous amount of anger and frustration about the state of American health care. And there ought to be. The U.S. is the most expensive health care system in the world, while for many people it delivers bad care at exorbitant prices.

But anger is not always a signal of accuracy. And while some of the most popular reasons to be furious at American health care are based on truth, many are based on misunderstandings and myths—especially about the insurance system.

This week, I wanted to present a calm and informed conversation with a health care expert to walk me through what I consider the biggest health care questions of the moment. Why are American health care costs so high? How much are insurers to blame? How do other countries handle health care differently? What can we learn from them? And what, if anything, should make us optimistic about the future of American health care?

Today we have two guests. First we have Jonathan Gruber, an economics professor at MIT and a key architect of several health care laws, including the 2006 Massachusetts health care reform and the Affordable Care Act. Jon walks me through the key drivers of health inflation and American anger at the health care system. The second, David Cutler, is an economics professor at Harvard who served as senior health care adviser for Barack Obama; he helps us think comparatively about the weaknesses and strengths of the U.S. health system and what reforms could help Americans live longer and healthier lives.

If you have questions, observations, or ideas for future episodes, email us at [email protected].

Host: Derek Thompson

Guests: Jonathan Gruber and David Cutler

Producer: Devon Baroldi

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Today, we go wading in the murky waters of 2023 wellness trends. We’re talking cold plunges, fitness trackers, and recovery scores. And on the more prosaic side, the real science of coffee and alcohol.

Today’s guests are Brad Stulberg and Steve Magness. They are the cofounders of The Growth Equation, a multimedia platform dedicated to health, excellence, and well-being. They are authors of ‘Peak Performance,’ ‘Do Hard Things,’ and ‘The Practice of Groundedness.’ And for quite a while I have considered them to be ideal guides in this hype-filled world of biomarkers, biohacks, and fitness.

If you have questions, observations, or ideas for future episodes, email us at [email protected]. You can find us on TikTok at www.tiktok.com/@plainenglish_

Host: Derek Thompson

Guests: Brad Stulberg and Steve Magness

Producer: Devon Manze

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Today's show is a critical look at some of the most popular health fads of the moment, with return guests Steve Magness and Brad Stulberg, from the Growth Equation and the ‘FAREWELL’ podcast. We’re talking VO2 max, the benefits of sunlight, so-called morning and nighttime “stacks” (complex multivitamin routines for optimizing your energy and sleep), and Silicon Valley dreams of immortality. Plus, a rant from Derek about the supplement mania of independent media.

If you have questions, observations, or ideas for future episodes, email us at [email protected].

Host: Derek Thompson

Guests: Steve Magness & Brad Stulberg

Producer: Devon Baroldi

Links:

The ‘FAREWELL’ podcast: https://thegrowtheq.com/farewell-podcast/

The FDA's note on dietary supplement regulation: https://www.fda.gov/news-events/rumor-control/facts-about-dietary-supplements

Joe Rogan's supplement stack: https://jrelibrary.com/articles/joe-rogans-supplement-stack/

Huberman's sleep stack: https://www.nsdr.co/post/andrew-hubermans-sleep-cocktail

The Mayo Clinic on creatine: https://www.mayoclinic.org/drugs-supplements-creatine/art-20347591

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What do most people not understand about the news media? I would say two things. First: The most important bias in news media is not left or right. It’s a bias toward negativity and catastrophe. Second: That while it would be convenient to blame the news media exclusively for this bad-news bias, the truth is that the audience is just about equally to blame. The news has never had better tools for understanding exactly what gets people to click on stories. That means what people see in the news is more responsive than ever to aggregate audience behavior. If you hate the news, what you are hating is in part a collective reflection in the mirror. If you put these two facts together, you get something like this: The most important bias in the news media is the bias that news makers and news audiences share toward negativity and catastrophe. Jerusalem Demsas, a staff writer at The Atlantic and the host of the podcast Good on Paper, joins to discuss a prominent fake fact in the news — and the psychological and media forces that promote fake facts and catastrophic negativity in the press.

If you have questions, observations, or ideas for future episodes, email us at [email protected].

Host: Derek Thompson

Guest: Jerusalem Demsas

Producer: Devon Baroldi

Links:

"The Maternal-Mortality Crisis That Didn’t Happen" by Jerusalem Demsas https://www.theatlantic.com/ideas/archive/2024/05/no-more-women-arent-dying-in-childbirth/678486/

The 2001 paper "Bad Is Stronger Than Good" https://assets.csom.umn.edu/assets/71516.pdf

Derek on the complex science of masks and mask mandates https://www.theatlantic.com/newsletters/archive/2023/03/covid-lab-leak-mask-mandates-science-media-information/673263/

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The crypto industry seems poised for a new golden age. But what exactly does that mean? Who would benefit? And, oh by the way, what does this technology do other than serve as a set of assets to bet to the moon?

I have lots of questions about the state of crypto right now. Last week, Bitcoin traded above $100,000 for the first time in history. Its price has skyrocketed since Donald Trump’s win, as a wave of investors bet that the next four years will mark a new renaissance. And this isn’t just a time for optimism. It’s also a time for recrimination. In the last few weeks, several major tech figures, including the venture capitalist Marc Andreessen, have condemned democrats for what they describe as an illegal war on crypto.

Austin Campbell is finance vet, an adjunct professor at Columbia Business School, and the founder of Zero Knowledge Consulting. Today, we talk about the purported war on crypto, starting with the origins of "debanking" practices under Obama; we talk about why crypto now seems like a majority-republican technology in an industry that has historically been democratic; we talk about the biggest use cases of crypto around the world; and Austin tells me why he thinks many people in the industry still aren't thinking clearly about the future of finance.

Host: Derek Thompson

Guest: Austin Campbell

Producer: Mike Wargon

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