Dr. Marty Makary—surgical oncologist at Johns Hopkins University School of Medicine, and health policy and innovation expert—has long been a passionate advocate for transparent pricing in the healthcare system. We don’t talk enough (or really at all) about price in healthcare, says Makary (instead, we talk about cost). But shedding a light on prices in healthcare—from not just what those prices are but how prices are set and the value we all receive as consumers of the system overall—can help us measure quality in medicine, and be a driver for real behavioral change in the healthcare system, correcting many of the unintended consequences of a fee-for-service system like surprise billing or unnecessary medical procedures.In this conversation with a16z General Partner Julie Yoo, Makary and Yoo discuss what price transparency in the healthcare system could really do; how we can "steer" towards the good physicians who are not just highly skilled, but make the right judgment calls based on need and holistic health, not cost; how we might distinguish between high value and low value through medical appropriateness; and how we might gain clinical wisdom from other kinds of scientific discovery beyond randomized controls, especially during the wartime protocol of COVID-19.
Marc Lotter Director of Strategic Communications for President Trump's 2020 reelection campaign Marc Lotter joins Larry O'Connor to discuss the recent string of Republicans who have come out to oppose President Trump's reelection. Lotter suggests that given Trump's high ratings for conservative policies from groups like The Heritage Foundation, perhaps these Republicans were never really Republicans in the first place.
NEWT GINGRICH Former Speaker of the United States House of RepresentativesSpeaker Gingrich slams congressional Democrats and Speaker Nancy Pelosi for their history of neglect of the African-American communities in Baltimore, San Francisco, Detroit and other major American cities. Gingrich says Pelosi should drop to her knees and ask for forgiveness. Gingrich also discusses the context of the 1994 Crime Act that he participated in.
Dr. Marty MakaryJohns Hopkins professor of surgery and health policy,Dr. Makary analyzes the recent confusing messages from the WHO regarding asymptomatic transmission of covid-19. See omnystudio.com/policies/listener for privacy information.
The latest on the unprecedented government reaction to the Covid-19 Coronavirus pandemic hosted by Larry O'Connor.
DR. MARTY MAKARYJohns Hopkins University Professor of Public HealthFox News medical contributor,
Dr. Makary and Larry O'Connor discuss the latest news out of Southern California with regard to antibody testing for Covid-19 and the surprising results that show 55 times more people in California may have been exposed to or contracted the Coronavirus than previously believed.
SCOTT WHITAKER President and CEO of AdvaMed Former Chief of Staff with the Department of Health and Human Services
Mr. Whitaker and Larry discuss testing protocols and the ramp-up of millions of tests to be made available in the United States plus the distinction between the availability of tests and the available laboratories necessary to process the tests.
Trevor Donovan Actor
Larry and Trevor discuss Mr. Donovan's virtual anti-bullying campaign to supplement school forums that are now inaccessible due to the shutdowns invoked for the coronavirus pandemic. They also discuss the popularity of Hallmark films (many of which Trevor has starred in) and how important escapism is at this time. See omnystudio.com/policies/listener for privacy information.
"Don't believe the numbers you're seeing." This is Dr. Marty Makary's big message. The number of cases and deaths are radically underreported because a) we don't have tests, b) some countries are hiding their data, c) some people aren't showing symptoms yet, but have coronavirus and more.
But listen. This podcast is not about fear. It's about knowledge and awareness and action.
Right now, nobody really knows what's happening. Thew news and social media are giving us false predictions off "estimates" that don't even account for the thousands of people who can't get tested for COVID-19. Meanwhile, Amazon is out of toilet paper. People are signing their emails "Don't touch your face! Best, Joe." And I officially own two hazmat suits.
But how do we really "flatten the curve?"
This episode will give you the steps. And I also recorded a recap at the end to give you more of a summary. AND because this is so critical, I have a list of timestamps below. So you can rewind and fast-forward for the stats that you want to share with friends and loved ones the most.
So here you go: to keep on with the trend of providing ACCURATE information from reputable people, I called up, Dr. Marty Makary, a Johns Hopkins doctor and policy expert who also wrote the New York Times bestseller "Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care" and "The Price We Pay: What Broke American Health Care--and How to Fix It."
6:50 GOOD NEWS: we can anticipate we’ll be clear in the summer. And more good news (for young people), you’re at less risk
7:00 - But who’s at risk? Let’s hear stats from Dr. Marty
9:34 - Which countries have given honest data. And which haven’t
10:58 - “Are we ready to see over a thousand Americans each day?” - Dr. Marty Makary
11:26 - Do we need a total lockdown?
12:18 - WHY there’s a major misconception around the actual number of cases and deaths around COVID-19 in the U.S.
15:13 - “The notion that this is somehow contained is a notion we need to abandon. This is everywhere.” - Dr. Marty Makary
18:06 - Is China lying about the number of deaths?
21:30 - HOW to get an accurate estimate based on REAL data everyday
24:13 - THESE behavior changes will reduce the societal transmission rate by 50%
25:25 - I ask Dr. Marty Makary about the data from the cruise ships and why only 27% of the people on board got coronavirus… and he explains why the data from the cruise ship is “the perfect case study”
29:35 - We talk about school shutdowns and travel bans
30:18 - “We need to break society down into two constructs: (1) essential and nonessential workers. And (2) high risk and low risk individuals.” - Dr. Marty Markary / Hear Dr. M break down both of these ideas to figure out what categories you’re in
31:50 - We explore The Hong Kong flu, which killed between 1.5 to 3 million people globally in 1968. And other global pandemics to compare the numbers… Dr. M says this “could be roughly 5-10x worse…” and explains why.
35 - We talk about the death rate for the flu
37:20 - Why there are no cures or medicines that slow down the virus
40:30 - Stay active. But don’t go to the gym
42:20 - Where the media has gone wrong… and what the responsibility is for doctors in connection with the media
48:30 - We talk about the food supply chain
50 - How Americans are taking care of each other
52:40 - The math on how to estimate the potential death rate in the U.S.
54:40 - Why it’s good to practice social distancing
56:00 - Will this come back in the winter?
59:17 - Will there be a second round of infection? Is it possible to become immune to COVID-19? And can the virus mutate?
1:02:50 - “This is a time for us to take care of each other, forget about these artificial, political boundaries and see the best in people.” - Dr. Marty Makary
1:50:20 - Why we need to stop relying on government leaders. And start taking care of ourselves
1:09:00 - What’s the long-term benefit of a lockdown?
1:11:00 - “Don’t panic. Prepare. We don’t want to create hysteria. There’s a lot you can do individually and this is one of the only things in healthcare ever, where what you do affects the rest of the country.” - Dr. Marty Makary
1:12:21 - Follow Marty on Twitter @MartyMakary
1:13:11 - I summarize what we heard and learned in the past hour
Also! A lot of you have been writing me and tweeting to say you love this episode with my friend Bill Beteet. Ep. 555 - How to Persuade Anyone of Anything with William Beteet III
He's giving my listeners a special deal to his new course and if you're stuck at home in isolation, now is the perfect time to let yourself learn or improve a skill.
So definitely take him up on the offer while you can. All the information is at www.framescholar.com/james
And here's the link to the episode
Apple Podcasts: https://podcasts.apple.com/us/podcast/555-how-to-persuade-anyone-anything-william-beteet/id794030859?i=1000467302479
I write about all my podcasts! Check out the full post and learn what I learned at jamesaltucher.com/podcast.
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