Signaling Fairness with Altruistic Punishment

Maintaining the Rules of Fairness with Signaling and Altruistic Punishment

Society is held together by many unspoken rules of fairness, and maintaining rules of fairness is messy but rewarding work. We don't just advocate for fairness in our own lives, but will go out of our way to call out unfairness when we see it hampering the lives of others. We will protest, march in … Continue reading Maintaining the Rules of Fairness with Signaling and Altruistic Punishment

Markets and Fairness

Markets and Fairness

Research from Daniel Kahneman's book Thinking Fast and Slow may help explain some of the anger and anti-capitalism sentiment that has cropped up in the United States in the last several years. Senator Bernie Sanders is incredibly popular among a segment of the population and he is not afraid to categorize himself as anti-capitalist and … Continue reading Markets and Fairness

Transparent Price Bundles

Transparent Price Bundles

One of the items that Dave Chase calls for in his Fair Trade for Health Care Plan in his book The Opioid Crisis Wake-Up Call is bundled prices. He wants pricing to be transparent and up-front so that patients know what services they are receiving, and he wants prices to be bundled for any procedures … Continue reading Transparent Price Bundles

Pharmacy Benefit Managers

Pharmacy Benefit Managers – Another Shadow Healthcare Actor

Unless you are a health policy person, I'm guessing you have not heard of pharmacy benefit managers, or PBMs. The Commonwealth Fund describes a PBM as "a company that manages prescription drug benefits on behalf of health insurers, Medicare Part D, large employers and other payers ... by negotiating with drug manufacturers and pharmacies to … Continue reading Pharmacy Benefit Managers – Another Shadow Healthcare Actor

Deceiving Ourselves

Kevin Simler and Robin Hanson write about evolutionary psychology of the brain in their book The Elephant in the Brain to explain why it is that we have hidden motives and why those hidden motives can be so hard to identify. The authors write (brackets mine, italics in original), "The human brain, according to this … Continue reading Deceiving Ourselves

The Ego and Fairness

I am constantly interested in discussions, arguments, and complaints about fairness. Dictionary.com defines fair as "free from bias, dishonesty, and injustice" but I think we all know "fair" to be more complex than that definition suggests. What I suspect we often mean when we say fair is equitable, which is a far more complex understanding … Continue reading The Ego and Fairness