Why do hospitals keep running out of generic drugs?

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There’s something strange going on in hospitals. Cheap, common drugs that nurses use every day seem to be constantly hit by shortages. These are often generic drugs that don’t seem super complicated to make, things like dextrose and saline (aka sugar water and salt water).

So what’s going on? The answer, as with anything in healthcare, is complicated.

On today’s show: why hospitals keep running out of generic drugs. The story behind these shortages tells us a lot about how these drugs are made, bought and sold–and, it shows us how these markets can falter without the proper care.

This episode was hosted by Sally Helm and Alexi Horowitz-Ghazi. It was produced by Willa Rubin, with help from James Sneed and Sam Yellowhorse Kesler. It was edited by Martina Castro. Fact-checking by Dania Suleman. Planet Money‘s executive producer is Alex Goldmark.

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Romance on the screen and on the page: Two Indicators

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On today’s show, we have two stories from The Indicator, Planet Money‘s daily podcast. They just launched Love Week, a weeklong series exploring the business and economic side of romance.

First, hosts Wailin Wong and Adrian Ma fire up the gas logs and pour a mug of cocoa to discuss the made-for-TV rom-com machine, and how television executives learned to mass produce seasonal romance.

Then, Wailin and host Darian Woods discuss another romance medium: the romance novel. Once relegated to supermarket aisles, these books are now mainstream. And authors, an often-maligned group within publishing, have found greater commercial success than many writers in other genres. We find out how romance novelists rode the e-book wave and networked with each other to achieve their happily-for-now status in the industry.

This episode is hosted by Erika Beras, Wailin Wong, Adrian Ma, and Darian Woods. These episodes of The Indicator were originally produced by Julia Ritchey and engineered by Kwesi Lee. They were fact-checked by Sierra Juarez. Kate Concannon is The Indicator‘s Editor.

You can listen to the rest of the series at The Indicator’s feed, or at npr.org/love

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The Subscription Trap

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Over the past two decades, there’s been a sort of tectonic economic shift happening under our feet. More and more companies have switched from selling goods one by one to selling services, available as a subscription. These days everything from razor blades to meal kits to car washes have become subscriptions. But all that convenience has also come with a dark side – some companies have designed their offerings to be as easy as possible to sign up for and also as difficult as possible to cancel. Many consumers are now paying for way more subscriptions than they even know about.

On today’s show, we discover how we all fell into this subscription trap – who is winning and who is losing in this brave new subscription based world – and what both the government and the free market are doing to try and fix it.

This episode was hosted by Alexi Horowitz-Ghazi and Jeff Guo. It was produced by James Sneed. It was edited by Jess Jiang, fact-checked by Sierra Juarez, and engineered by Valentina Rodriguez Sanchez. Alex Goldmark is Planet Money‘s executive producer.

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We asked 188 economists. And the survey says…

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(For our story on this year’s Nobel in Economics, check out our daily show, The Indicator!)

Let’s face it. Economics is filled with terms that don’t always make sense to the average person. Terms that sometimes mean what you think they mean, but sometimes not at all. Not even close.

We surveyed 188 economists. And we asked them: What are the most misunderstood terms in the field of economics?

On today’s show, their answers! Hear stories about near recessions, a problem with insurance, econ at your local movie theater, and… an economics term that will make undergrads blush. Strap in, and bring your popcorn!

This episode was hosted by Amanda Aronczyk and Alexi Horowitz-Ghazi. It was produced by Sam Yellowhorse Kesler with help from Sean Saldana. It was edited by Jess Jiang, engineered by Valentina Rodríguez Sánchez and fact-checked by Sierra Juarez. Alex Goldmark is our executive producer.

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So imPORTant: Bananas, frogs, and… Bob’s??

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Even in our modern world with planes and jets and drones, the vast majority of goods are moved around the planet in cargo ships. Which means our ports are the backbone of our global economy. The longshoremans’ strike closed the eastern ports for only three days, but those three days raised a lot of questions.

Like – why is a discount furniture store the fourth largest importer on the East Coast? How come so many bananas come through Wilmington, Delaware? Why do we need live frogs delivered into the US six times a month? And… how do we even keep track of all of these imports? On today’s episode, we get into #PortFacts!

This episode was hosted by Kenny Malone and Amanda Aronczyk. It was produced by Sam Yellowhorse Kesler. It was edited by Audrey Quinn, and fact-checked by Dania Suleman. Engineering by Cena Loffredo and Kwesi Lee with an assist from Valentina Rodriguez Sanchez. Alex Goldmark is Planet Money’s executive producer.

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Can cap and trade work in the US?

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Recently, the state of Washington embarked on an ambitious new plan to combat climate change. Taking a page from economics textbooks, the state instituted a statewide “cap and trade” system for carbon emissions. The state establishes a cap on the total amount of carbon pollution it is willing to allow each year, and then gives away or auctions off carbon emission permits that add up to that total. Companies can then trade those permits on the open market.

Economists love cap and trade plans because they establish a limit on carbon emissions while letting the market find the most efficient way for decarbonization to occur. But cap and trade has had a hard time catching on, especially in the U.S.

The stakes are high for Washington’s new plan. If it succeeds, it could convince other states to implement their own versions, but if it fails, it might serve as a cautionary tale. On today’s show, we take a look at how Washington’s grand experiment with cap and trade is faring.

This episode was hosted by Keith Romer and Kenny Malone. It was produced by Emma Peaslee and edited by Emily Siner. It was fact checked by Sierra Juarez and engineered by Valentina Rodriguez Sanchez. Alex Goldmark is Planet Money‘s executive producer.

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What’s up with all the ads for law firms?

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The lawyer commercial is almost an art form unto itself. Learned practitioners of the law doing whatever it takes to get your attention, from impressive dirt bike stunts to running around half naked. All so when you land in trouble, you don’t have to think hard to remember their name. Odds are you can name one or two right now.

This world of law ads did not exist fifty years ago. Then, lawyers were not allowed to advertise. Not by law, by the exclusive organization that decides who gets to be a lawyer: state bars.

On today’s episode, how that changed. How a couple of lawyers placing an ad in a local newspaper led to the inescapable world of law firm ads we know today. And, how the right to advertise got put on the same level as some of the most important, fundamental rights we have.

This episode was hosted by Nick Fountain and Jeff Guo. It was produced by Sam Yellowhorse Kesler with help from Sean Saldana. It was edited by Jess Jiang. It was fact-checked by Sierra Juarez and engineered by Valentina Rodríguez Sánchez. Alex Goldmark is Planet Money‘s executive producer.

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How Venezuela imploded (update)

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(Note: A version of this episode originally ran in 2016.)

Back in 2016, things were pretty bad in Venezuela. Grocery stores didn’t have enough food. Hospitals didn’t have basic supplies, like gauze. Child mortality was spiking. Businesses were shuttering. It’s one of the epic economic collapses of our time. And it was totally avoidable.

Venezuela used to be a relatively rich country. It has just about all the economic advantages a country could ask for: Beautiful beaches and mountains ready for tourism, fertile land good for farming, an educated population, and oil, lots and lots of oil.

But during the boom years, the Venezuelan government made some choices that add up to an economic time bomb.

Today on the show, we have an economic horror story about a country that made all the wrong decisions with its oil money. It’s a window into the fundamental way that money works and how when you try to control it, you can lose everything.

Then, an update on Venezuela today. How it went from a downward spiral, to a tentative economic stabilization… amidst political upheaval.

This original episode is hosted by Robert Smith and Noel King. It was produced by Nick Fountain and Sally Helm. Today’s update was hosted by Amanda Aronczyk, produced by Sean Saldana, fact checked by Sierra Juarez, and engineered by Neal Rauch. Alex Goldmark is our Executive Producer.

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What’s THAT got to do with economics?

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“Wanna see a trick? Give us any topic and we can tie it back to the economy.”

That is the bold promise in Planet Money‘s tagline. And we believe the show does live up to it. Over the last year, we’ve told stories about breakdancing, rum, pagers, buffets, colors, and heartbreak.

But then one host wondered: what if we really held ourselves to that promise? What if we challenged ourselves to find economic meaning in the most esoteric and far-flung topics imaginable?

That’s when we turned to you, our listeners. And boy did you deliver. You sent in ideas so obscure, so banananas, so guaranteed to stump and bamboozle that our host maybe started to regret her life choices…but she was resolved to give it a try.

This episode was hosted by Sally Helm and Keith Romer. It was produced by James Sneed. It was edited by Molly Messick and fact-checked by Sierra Juarez. Engineering by Kwesi Lee. Alex Goldmark is Planet Money‘s executive producer.

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Veep-onomics

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Next week, JD Vance and Tim Walz will face off in the only confirmed vice presidential debate ahead of the election. As voters look ahead to what their economic policies might be, we look back to see what they have said and done, and how it turned out.

Planet Money’s newsletter author Greg Rosalsky has spent some time combing through the economic records of Vance and Walz, and has some knowledge to share. Why does Walz support universal free school lunches, and why do some criticize him for it? Why have some called Vance a “Khan-servative?” And, how much do these candidates represent a break from the past?

This episode was hosted by Nick Fountain and Greg Rosalsky. It was produced by James Sneed and Emma Peaslee. It was edited by Meg Cramer. Sierra Juarez fact-checked it, and it was engineered by Valentina Rodríguez Sánchez. Alex Goldmark is Planet Money‘s Executive Producer.

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