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                    Interviewer: Today I'm
interviewing Professor David Cutler
                  
                    about health care in
the United States.
                  
                    Professor Cutler
is Otto Eckstein
                  
                    Professor of Applied Economics
at Harvard University.
                  
                    He also holds appointments in
                  
                    the Kennedy School of Government
                  
                    and the School of Public Health.
                  
                    There is a presumption that
listeners will have read
                  
                    Professor Cutler's article
                  
                    "The World's Costliest
Health Care,
                  
                    and what America
might do about it"
                  
                    in Harvard Magazine,
May-June 2020
                  
                    before listening
to this interview.
                  
                    Professor Cutler,
what's the problem,
                  
                    and is there a cure or at
least treatment that will
                  
                    improve the current condition?
                  
                    Prof. Cutler: Well,
thank you for having me.
                  
                    The US has a number of
problems in health care.
                  
                    I would list them in a
few different categories.
                  
                    The first one is
that we do not have
                  
                    a universal insurance
coverage system.
                  
                    Unlike most other wealthy
countries around the globe,
                  
                    really all other
wealthy countries,
                  
                    and some middle-income
countries.
                  
                    The US has never
been able to do that
                  
                    and that's a problem because
                  
                    people can bankrupt themselves
                  
                    in the medical care system.
                  
                    The second problem is
that the cost and quality
                  
                    of medical care is substandard.
                  
                    The US spends more
than it ought to and
                  
                    it gets less than it should
given what it spends.
                  
                    That's a big problem
because the US is
                  
                    wasting a lot of money at a time