Christy Chapin's guest appearances

Christy Chapin

Who Makes Cents?: A History of Capitalism Podcast

The Paradocs Podcast with Eric Larson

Rethinking Podcast

The External Medicine Podcast

Jason Moore

James Buchanan

Randy Shaw

Celeste Kidd

Stephan Guyenet

Raj Patel

Michael Levin

Emily Oster

John Cochrane

Alex Tabarrok

Ryan Murphy

Keeanga-Yamahtta Taylor

David Harvey

Joel Topf

Louis Hyman

OwlTail

In this conversation, Daniel Belkin and  Mitch Belkin speak with Professor Christy Chapin, who is an Associate Professor of History at University of Maryland Baltimore County. We discuss how the American insurance company-based model of healthcare developed in the first half of the 20th century. Specifically, we explore the role of some of the major actors who created the fragmentary and expensive US healthcare landscape: the American Medical Association (AMA), Blue Cross and Blue Shield, as well as private insurance companies. Prefer video? Watch the  interview on Youtube. In this episode, Professor Chapin defines what she terms the “insurance company model” of healthcare. We explore various competing models at the turn of the 20th century, including prepaid physician groups, which were an early multi-specialty group practice. (This model of healthcare delivery, which Professor Chapin argues, could have become the dominant model of US healthcare, was effectively banned by the American Medical Association in 1938).  We discuss the organizational history of the AMA, its rise to prominence, and how it influenced the development of American healthcare. While the AMA attempted to maintain physician autonomy in the 1920s, concerns of government involvement prompted a 1938 deal with insurance companies that produced our current model of 3rd party financed healthcare. By insisting on a fee-for-service payment structure, this led to vast increases in the cost of care. Overtime, increasing insurance company regulation and government involvement (Medicare, the ACA, etc.) have attempted to reduce costs with limited success. Professor Chapin argues that the US healthcare system is not a free market. Rather, it is a product of warped incentives brought about by historical negotiations between insurance companies, hospitals, government agencies, and special interest groups. Cost containment measures instituted by insurance companies to reduce costs have led insurers to effectively control the practice of medicine. Who is Christy Chapin? In addition to being an Associate Professor of History at UMBC, Professor Chapin is a visiting scholar at Johns Hopkins. Her professional interests include 20th century U.S. political, business, and economic history. She’s also the author of Ensuring America’s Health: The Public Creation of the Corporate Health Care System, which was published in 2015.______________________What is the External Medicine Podcast?The External Medicine Podcast explores some of the most exciting ideas in medicine. Co-hosted by Daniel Belkin, MD, and Mitch Belkin, MD. Support the showFollow us at @ExMedPod Subscribe to our Youtube channelConsider supporting us on Patreon

In this conversation, <a href="https://externalmedicinepodcast.com/about" rel="nofollow" target="_blank">Daniel Belkin</a> and  <a href="https://externalmedicinepodcast.com/about" rel="nofollow" target="_blank">Mitch Belkin</a> speak with Professor Christy Chapin, who is an Associate Professor of History at University of Maryland Baltimore County. We discuss how the American insurance company-based model of healthcare developed in the first half of the 20th century. Specifically, we explore the role of some of the major actors who created the fragmentary and expensive US healthcare landscape: the American Medical Association (AMA), Blue Cross and Blue Shield, as well as private insurance companies. Prefer video? Watch the  interview on <a href="https://www.youtube.com/watch?v=3tvg88IX-E0&amp;ab_channel=ExternalMedicinePodcast" rel="nofollow" target="_blank">Youtube.</a> In this episode, Professor Chapin defines what she terms the “insurance company model” of healthcare. We explore various competing models at the turn of the 20th century, including prepaid physician groups, which were an early multi-specialty group practice. (This model of healthcare delivery, which Professor Chapin argues, could have become the dominant model of US healthcare, was effectively banned by the American Medical Association in 1938).  We discuss the organizational history of the AMA, its rise to prominence, and how it influenced the development of American healthcare. While the AMA attempted to maintain physician autonomy in the 1920s, concerns of government involvement prompted a 1938 deal with insurance companies that produced our current model of 3rd party financed healthcare. By insisting on a fee-for-service payment structure, this led to vast increases in the cost of care. Overtime, increasing insurance company regulation and government involvement (Medicare, the ACA, etc.) have attempted to reduce costs with limited success. Professor Chapin argues that the US healthcare system is not a free market. Rather, it is a product of warped incentives brought about by historical negotiations between insurance companies, hospitals, government agencies, and special interest groups. Cost containment measures instituted by <a href="https://www.youtube.com/watch?v=FVAFfd3oCgA&amp;ab_channel=Dr.Glaucomflecken" rel="nofollow" target="_blank">insurance companies to reduce costs have led insurers to effectively control the practice of medicine.</a> Who is Christy Chapin? In addition to being an Associate Professor of History at UMBC, Professor Chapin is a visiting scholar at Johns Hopkins. Her professional interests include 20th century U.S. political, business, and economic history. She’s also the author of <a href="https://www.amazon.com/Ensuring-Americas-Health-Creation-Corporate/dp/1107622875" rel="nofollow" target="_blank">Ensuring America’s Health: The Public Creation of the Corporate Health Care System</a>, which was published in 2015. ______________________ What is the External Medicine Podcast? The External Medicine Podcast explores some of the most exciting ideas in medicine. Co-hosted by <a href="http://externalmedicinepodcast.com/about" rel="nofollow" target="_blank">Daniel Belkin, MD, </a>and <a href="http://externalmedicinepodcast.com/about" rel="nofollow" target="_blank">Mitch Belkin, MD</a>. <a href="https://www.patreon.com/ExternalMedicine/membership" rel="payment nofollow" target="_blank">Support the show</a>Follow us at <a href="https://twitter.com/ExMedPod" rel="nofollow" target="_blank">@ExMedPod</a> Subscribe to our <a href="https://www.youtube.com/channel/UCP3xM4CvdnkmyQFi_QoI4Xw" rel="nofollow" target="_blank">Youtube channel</a> Consider supporting us on <a href="https://patreon.com/externalmedicine" rel="nofollow" target="_blank">Patreon</a>

Christy Chapin, PhD: Bad Incentives, the AMA, and How US Healthcare Became Dysfunctional

Christy Chapin is a historian that dove deep into the US health insurance system and found plot twists you won’t see coming. Where did the present health insurance system in the US come from? Probably not where you think. According to Christy’s research, the free market did not set it up. Christy takes you through the history of the health insurance system in the US, from prepaid physician groups to the AMA and the present-day insurance company model. She explains how incentives affect the healthcare provided and how they rack up costs. Welcome to the world of hidden factors that changed the course of US health insurance. Enjoy the episode! Rethinking Economics NL https://www.rethinkingeconomics.nl/ Twitter https://twitter.com/REthinkNL LinkedIn https://www.linkedin.com/company/rethinking-economics-nl Facebook https://www.facebook.com/rethinkeconnl Instagram https://www.instagram.com/rethinknl/

Christy Chapin is a historian that dove deep into the US health insurance system and found plot twists you won’t see coming. Where did the present health insurance system in the US come from? Probably not where you think. According to Christy’s research, the free market did not set it up. Christy takes you through the history of the health insurance system in the US, from prepaid physician groups to the AMA and the present-day insurance company model. She explains how incentives affect the healthcare provided and how they rack up costs. Welcome to the world of hidden factors that changed the course of US health insurance. Enjoy the episode! Rethinking Economics NL <a href="https://www.rethinkingeconomics.nl/" rel="nofollow" target="_blank">https://www.rethinkingeconomics.nl/</a> Twitter <a href="https://twitter.com/REthinkNL" rel="nofollow" target="_blank">https://twitter.com/REthinkNL</a> LinkedIn <a href="https://www.linkedin.com/company/rethinking-economics-nl" rel="nofollow" target="_blank">https://www.linkedin.com/company/rethinking-economics-nl</a> Facebook <a href="https://www.facebook.com/rethinkeconnl" rel="nofollow" target="_blank">https://www.facebook.com/rethinkeconnl</a> Instagram <a href="https://www.instagram.com/rethinknl/" rel="nofollow" target="_blank">https://www.instagram.com/rethinknl/</a>

Financial incentives and the history of the US health insurance system | Rethinking with… Christy Chapin

Why is health care in the United States so expensive? Why does the United States find it so difficult to provide quality, affordable health care to most of its citizens? What is the relationship among the government, doctors, and insurance companies? Christy Chapin explains how insurance companies became so central to the provision of health care in the United States.

Why is health care in the United States so expensive? Why does the United States find it so difficult to provide quality, affordable health care to most of its citizens? What is the relationship among the government, doctors, and insurance companies? Christy Chapin explains how insurance companies became so central to the provision of health care in the United States.

Christy Chapin on the Centrality of Insurance Companies to American Health Care