AIPIS 260: The Cost of Complexity with Etienne Deffarges

7 Dec 2025 · 25 min
Episode

7 Dec 2025 · 25 min

0:00

Podcast episode (AIPIS 260) featuring Jason Hartman interviewing Etienne Deffarges about the societal cost of excessive complexity across sectors. Deffarges argues the U.S. has layered decades of rules, institutions, and private interests—particularly in healthcare, law, and finance—leading to higher costs and poorer outcomes than peer countries. He cites concrete comparisons (U.S. health spending ~$10,000 per capita vs Germany ~$5,300, France ~$4,400, Japan ~$4,000; U.S. life expectancy ~79 vs Japan ~84). Policy ideas discussed include expanding a simple public Medicare-like layer to younger cohorts with private supplements, reviving Glass-Steagall–style separation (37-page Glass-Steagall), increasing bank equity buffers (proposals to raise equity ratios to ~15%), and using a carbon tax to replace complex regulation. The conversation also criticizes long, complex regulation (Dodd-Frank cited as ~2,300 pages) and the legal profession's role in perpetuating complexity.

Questions this episode answers

January 11, 2019

U.S.: ~$10,000 per capita; Germany: $5,300; France: $4,400; Japan: $4,000

U.S.: ~79 years at birth; Japan: ~84 years at birth

Glass–Steagall: 37 pages; Dodd–Frank: ~2,300 pages

A proposed increase to around 15% equity-to-debt (equity buffer)

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