One of the big lessons of market design is that markets need social support to work well. That applies with particular force to the market for medical care, which (for its sins) isn't universally trusted. Neale Mahoney interviews my remarkable colleague Marcella Alsan about her work, starting with her QJE paper on the downstream consequences of the infamous Tuskegee experiment:
Alsan, Marcella, and Marianne Wanamaker. "Tuskegee and the health of black men." The quarterly journal of economics 133, no. 1 (2018): 407-455.
And here's the Econ to Go podcast:
"In
this episode of Econ To Go, Neale Mahoney sits down with Stanford
physician-economist and MacArthur Fellow Marcella Alsan to explore how
trust and representation shape the U.S. health care system. Her research
shows that historical events like the Tuskegee Syphilis Study continue
to affect healthcare use and health outcomes today, and that trust isn’t
abstract, it’s measurable. The conversation also highlights how trust
can be built, how under-representation in clinical trials can influence
both physician behavior and patient trust, and other key themes,
including:
(01:33) The mistrust problem
(06:50) Representation as remedy
(12:18) Clinical trials and trust in data
(24:04) Eroding trust across the system"
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