Friends and Fans — I have retired from my work as a public intellectual, so Philosophy in Action is on indefinite hiatus. Please check out the voluminous archive of free podcasts, as well as the premium audio content still available for sale. My two books — Responsibility & Luck: A Defense of Praise and Blame and Explore Atlas Shrugged — are available for purchase too. Best wishes! — Diana Brickell (Hsieh)

Third Party Payments in Medicine

Q&A Radio: 11 January 2015, Question 2

I answered a question on third party payments in medicine on 11 January 2015. You can listen to or download the podcast of just this question below – or check out the whole episode of Philosophy in Action Radio.

What should be done about third party payments in medicine? I was fascinated by your statement in your November 7th, 2012 discussion of the election that the real need in medicine was to do away with third party payments. It's quite a radical proposal, one of the most radical I've heard from you. How would you think such a thing might be implemented through ethically proper means – as opposed to measures such as legally prohibiting third party payments? Are there types of medical care – perhaps for catastrophic illness or injury – where third party payment would need to be kept in place, or where people in a free economy would likely still choose to keep them in place?

My Answer, In Brief: Medicine is rife with third-party payments, largely thanks to government interference in the economy. A free market, however, would allow consumers far more control over their health care spending, and incentivize them to use that more wisely.

Tags: Business, Contracts, Free Society, Government, Innovation, Insurance, Medicine, Regulation


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The mission of Philosophy in Action is to spread rational principles for real life... far and wide. That's why the vast majority of my work is available to anyone, free of charge. I love doing the radio show, but each episode requires an investment of time, effort, and money to produce. So if you enjoy and value that work of mine, please contribute to the tip jar. I suggest $5 per episode or $20 per month, but any amount is appreciated. In return, contributors can request that I answer questions from the queue pronto, and regular contributors enjoy free access to premium content and other goodies.

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About Philosophy in Action

I'm Dr. Diana Brickell (formerly Diana Hsieh). I'm a philosopher, and I've long specialized in the application of rational principles to the challenges of real life. I completed my Ph.D in philosophy from the University of Colorado at Boulder in 2009. I retired from work as a public intellectual in 2015.

From September 2009 to September 2015, I produced a radio show and podcast, Philosophy in Action Radio. In the primary show, my co-host Greg Perkins and I answered questions applying rational principles to the challenges of real life. We broadcast live over the internet on Sunday mornings.

You can listen to these 362 podcasts by subscribing to the Podcast RSS Feed. You can also peruse the podcast archive, where episodes and questions are sorted by date and by topic.

My first book, Responsibility & Luck: A Defense of Praise and Blame, can be purchased in paperback and Kindle. The book defends the justice of moral praise and blame of persons using an Aristotelian theory of moral responsibility, thereby refuting Thomas Nagel's "problem of moral luck." My second book (and online course), Explore Atlas Shrugged, is a fantastic resource for anyone wishing to study Ayn Rand's epic novel in depth.

You can also read my blog NoodleFood and subscribe to its Blog RSS Feed.

I can be reached via e-mail to diana@philosophyinaction.com.

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