In theory, crowdfunding sites offer an opportunity for anyone to give to any cause, including, say, strangers facing huge medical bills. In practice, crowdfunding suffers from many of the same inequities that led to someone needing to crowdfund to begin with.

Guest: Nora Kenworthy, author of Crowded Out: The True Costs of Crowdfunding Healthcare, associate professor at the University of Washington, Bothell.

Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen.Learn more about your ad choices. Visit megaphone.fm/adchoices