Joe Selvaggi talks with Marc Joffe, a state policy analyst at the Cato Institute, about his research on Medicaid's cost and size. They explore how Massachusetts can control spending growth while protecting other priorities.

Episode 189: Medicaid’s Massive Miasma: Taming Beacon Hill’s Burgeoning Budget Beast

In this episode, Prof. Mario Macis will share valuable insights from his research, "The Role of Trust in Health Care-Seeking Behavior: Insights and Implications."

Trust plays a vital but underexplored role in health care economics. Using a national survey of American adults, we find that trust strongly influences care-seeking behavior, independent of access or knowledge. Its impact rivals’ factors like income and education and is mediated by beliefs about system capabilities and personal discomfort with medical visits. Trust in doctors, nurses, and hospitals drives this association, unlike trust in insurers. Differences by age and political affiliation emerge, but not by race. These findings highlight trust's critical role in shaping health care utilization and its growing policy relevance.

About the Guest:

Prof. Mario Macis is a Professor of Economics at Johns Hopkins Carey Business School and Core Faculty at the Hopkins Business of Health Initiative. He is also affiliated with the JHU Berman Institute of Bioethics, National Bureau of Economic Research, and Institute of Labor Economics. Prof. Macis’s work contributes to the fields of health, labor, development, market design, and managerial economics. 

Prior to joining Carey, he was a faculty member at the University of Michigan, Ross School of Business. He received is PhD in Economics from the University of Chicago, Department of Economics. Prof. Macis has been a consultant for the World Bank, the International Labor Organization, the National Marrow Donor Program, the United Nations Development Programme and the World Health Organization. He also served in a National Academies of Science, Engineering and Medicine committee.

This podcast is brought to you by Global Management Consultancy. For more information, please visit www.globalmanagementconsultancy.com.

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B. Prof. Mario Macis has granted permission to share insights from his research, “The Role of Trust in Health Care-Seeking Behavior: Insights and Implications”, on Business Talk Podcast Channel. The uploaded video contains copyrighted material; therefore, any modifications to graphics, music, or the presence of the author or host are strictly prohibited.

The Economics of Trust in Health Care-Seeking Behavior with Prof. Mario Macis

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