"Upstream" with Erik Torenberg

E5: How Exactly Joe Lonsdale Would Fix The Public Sector

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Apr 21, 2023
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ANECDOTE

Homelessness Incentives

  • The current homeless system incentivizes homelessness rather than solving it.
  • Implement metrics-based accountability and prioritize mental health/drug treatment.
INSIGHT

Healthcare Problems

  • Monopolies and misaligned incentives drive up healthcare costs and stifle innovation.
  • Empower patients with control over their data to drive competition and improve outcomes.
ADVICE

Reform vs. New Institutions

  • Sometimes, creating new institutions is necessary for true innovation.
  • In other cases, working within existing systems to transform them is more effective.
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