Why Charging Smokers More for Health Insurance Costs All of Us Money

Cigarette smokers have rights. No one should be able to tell an adult that she can’t spend her hard earned money on cigarettes. But non-smokers have rights, too. Specifically, they shouldn’t have to pay to subsidize health care costs of people who choose to smoke. In fact, smokers hurt non-smokers by racking up health care…

Is It Fair to Reward Medicaid Patients for Receiving Flu Shots?

My son was underperforming at school, and I was gently encouraging him to try harder (if gesticulating like an over caffeinated Italian qualifies as gentle encouragement). He could not understand why I was upset: “Dad, most of my friends are doing drugs and engaging in unprotected sex. You should be rewarding me for being such…

How to Stop Over-Eating — Lessons from Brain Science

Put our brains into the modern food environment, and you have a recipe for disaster. Our brains are hardwired to crave calorie-dense foods, this craving no doubt arising from our evolutionary time spent on the Tundra where calories were often scarce. But our modern food environment surrounds us with calorie-dense foods, forcing us to deplete…

What Behavioral Economics Get Wrong About Improving Healthcare

It is notoriously difficult to change physician behavior. When it’s discovered that primary care physicians are, say, prescribing too few cholesterol pills or too many antibiotics, it will not be easy to change those behaviors. Physicians are strong-willed people, with lots of things competing for their attention and with many well ingrained habits. That’s why…

Financial Disparities and Abdominal Girth  

I recognize that correlation does not prove causation. But here is a picture illustrating the correlation between income inequality and the percent of a country’s population that is obese. The findings are provocative, to say the least. Making the relationship somewhat plausible is all the evidence we have now of the toll that income inequality…