Transaction Costs Killed the Medical Stars

Transaction Costs Killed the Medical Stars

June 30, 2026 · 48 min

About this episode

The episode discusses how transaction costs in the U.S. healthcare system affect access to doctors and contribute to high costs and shortages.

Send us Fan Mail We try to make sense of a real problem many of us feel: paying a lot for U.S. healthcare while still waiting months to see a doctor. We trace how engineered transaction costs, from the Flexner Report to modern residency caps, restrict physician supply and protect price power while leaving clinicians overworked and patients stuck. • getting “fired” by a health system and what it reveals about access • why shortages don’t clear when prices rise, and how transaction ...

People in this episode

Host: Michael Munger

Topics covered

Keywords

Mentioned in this episode

Organizations: Flexner Report, U.S. healthcare

More episodes of The Answer Is Transaction Costs

Explore listener stats, chart rankings, contacts and more on the The Answer Is Transaction Costs podcast page.