Why markets fail — and how to fix them, a conversation about market design, among Scott Kominers, Tim Roughgarden and Al Roth

 I've now been the guest on many podcasts, aimed at many different kinds of listeners. This is the one for people with an academic interest in market design as a growing part of economics (as well as Scott Kominers' academic origin story, and an inside joke about a colleague at HBS:)

Why markets fail — and how to fix them, a conversation among Scott Kominers, Tim Roughgarden and Al Roth 

 

Why markets fail — and how to fix them (ft. Nobel economist Alvin Roth)
22.7K subscribers
Jul 10, 2026
Long before crypto made coordination programmable, Nobel Prize winner Alvin Roth was designing markets where coordination could save lives.

In this episode of First Principles, Roth tells the story of how he helped build systems for some of the hardest matching problems in the world, from where doctors train and where students go to school to how kidney donors can reach the patients who need them.

He joins Tim Roughgarden, Head of Research at a16z crypto, and Scott Kominers — Harvard Business School professor, a16z crypto research partner, and one of Roth’s former students — for a conversation about how market design moves from theory into the real world.

They explore how economic theory becomes practical engineering, whether that's matching riders to Ubers, doctors to medical residencies, students to New York City high schools, or organ donors to people whose lives depend on it. They also cover how these same problems show up in today’s crypto networks. 

Roth explains why markets are not just natural forces, but engineered systems; why the details of timing, congestion, incentives, and trust can make or break a marketplace; and why some of the most important markets are the ones where simply exchanging money can’t do the work.

This is a conversation about economics at its most practical and profound: how to design systems that coordinate people, solve real problems, and sometimes save lives.

00:00 Intro: Why market design matters
04:18 The economist as engineer
08:09 When theory meets the real world
07:02 Fixing the medical residency match
15:32 Why markets unravel
18:22 Redesigning NYC high school admissions
28:05 The hidden problem of congestion
34:47 How kidney exchange saves lives
45:26 How the internet changed market design
48:25 Airbnb, Uber and smarter marketplaces
51:28 Repugnant transactions and moral economics
53:32 When markets need social support
54:32 The unexpected effects of criminalizing surrogacy
01:04:58 Preference signals and the job market 01:18:53 A broken market: resettling refugees and other migrants
 

Hear more from: Tim Roughgarden:   / tim_roughgarden   Scott Kominers:   / skominers   Follow a16z crypto: X:   / a16zcrypto   LinkedIn:   / posts   YouTube:    / @a16zcrypto   Substack: https://a16zcrypto.substack.com/subsc...