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Opinion Today: Hospitals are ignoring a new rule — and you’re paying the price

From

nytimes.com

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nytdirect@nytimes.com

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Fri, Aug 5, 2022 12:03 PM

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Many hospitals aren’t complying with price transparency regulations. | ~/AAAAAQA~/RgRkz4vTP0Rta

Many hospitals aren’t complying with price transparency regulations. [View in browser](~/AAAAAQA~/RgRkz4vTP4QoAWh0dHBzOi8vbWVzc2FnaW5nLWN1c3RvbS1uZXdzbGV0dGVycy5ueXRpbWVzLmNvbS90ZW1wbGF0ZS9vYWt2Mj9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnByb2R1Y3RDb2RlPVRZJnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1cmk9bnl0JTNBJTJGJTJGbmV3c2xldHRlciUyRjE5YmJiNjExLTc0ZDgtNWNkNi04OTYzLTk2Njc0NzRiZDAzNyZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~)|[nytimes.com](~/AAAAAQA~/RgRkz4vTP0SwaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA)[Continue reading the main story](#a11y-skip-ad-marquee) ~/AAAAAQA~/RgRkz4vTP0RtaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MTYyMTM5JmxpPVRZJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1UWV8yMDIyMDgwNVcDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~ [Read more from Opinion](~/AAAAAQA~/RgRkz4vTP0S_aHR0cHM6Ly93d3cubnl0aW1lcy5jb20vc2VjdGlvbi9vcGluaW9uP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) August 5, 2022 [Author Headshot](~/AAAAAQA~/RgRkz4vTP0TBaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vYnkvam9uYWgtbS1rZXNzZWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) By [Jonah M. Kessel](~/AAAAAQA~/RgRkz4vTP0TBaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vYnkvam9uYWgtbS1rZXNzZWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) Deputy Director, Opinion Video How much does that M.R.I. cost? You won’t find out until you get the bill. When prices are invisible, hospitals can charge whatever they want. What other business works this way? That’s why the Department of Health and Human Services implemented the [Hospital Price Transparency](~/AAAAAQA~/RgRkz4vTP0THaHR0cHM6Ly93d3cuY21zLmdvdi9ob3NwaXRhbC1wcmljZS10cmFuc3BhcmVuY3k_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) Rule, which went into effect last year. It requires hospitals to list prices, giving patients more choice and understanding of the decisions they make when seeking health care. In a best-case scenario, it could spur competition between medical providers, driving prices down. But our rules are only as good as our ability to follow and enforce them. [One study](~/AAAAAQA~/RgRkz4vTP0TgaHR0cHM6Ly93d3cucGF0aWVudHJpZ2h0c2Fkdm9jYXRlLm9yZy9zZW1pLWFubnVhbC1jb21wbGlhbmNlLXJlcG9ydC0yMDIyP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) of 1,000 hospitals in the U.S. found that only 14 percent were compliant with the new rule. [Martin Schoeller](~/AAAAAQA~/RgRkz4vTP0S0aHR0cHM6Ly9tYXJ0aW5zY2hvZWxsZXIuY29tLz9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) isn’t OK with that. The photographer is known for his portraits of [well-known faces](~/AAAAAQA~/RgRkz4vTP0TBaHR0cHM6Ly9tYXJ0aW5zY2hvZWxsZXIuY29tL0FuZ2VsYS1NZXJrZWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~), but much of his work takes a different tone. “I have focused much of my personal work photographing individuals and groups who have faced immense adversity and struggle in their lives, oftentimes marginalized as a result of great injustices perpetrated against them,” Martin wrote to me in an email this week. “When I was photographing homeless people, I met professionals such as teachers, truck drivers and factory workers that couldn’t pay their medical bills, which led to them declaring bankruptcy and, ultimately, living on the streets.” [Continue reading the main story](#a11y-skip-universal-0) ADVERTISEMENT ~/AAAAAQA~/RgRkz4vTP0RsaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9NTk3ODUmbGk9VFkmbT1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkNyZwPVRZXzIwMjIwODA1VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~ He decided [to concentrate on those](~/AAAAAQA~/RgRkz4vTP0TiaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wMi9vcGluaW9uL2hvc3BpdGFsLWJpbGwtdHJhbnNwYXJlbmN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) who have been crushed by exorbitant hospital bills they didn’t see coming, creating a series of portraits and [this video for Times Opinion](~/AAAAAQA~/RgRkz4vTP0TiaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wMi9vcGluaW9uL2hvc3BpdGFsLWJpbGwtdHJhbnNwYXJlbmN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) that he hopes will put pressure on hospitals to comply and regulatory bodies to enforce the new rule. “I have never been able to understand how people in this country can lose everything because of an illness,” he says. “My hope, with this portrait series, is to reveal the dignity of these subjects while also revealing the transgressions routinely being committed against ordinary patients, especially by hospitals.” This isn’t the first time that Opinion Video has brought to light the many ways in which our profit-driven hospital system is failing both patients and, at times, the providers who care for them. In 2021, nurses set the record straight about [what’s actually causing the hospital staffing crisis](~/AAAAAQA~/RgRkz4vTP0TqaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wMS8xOS9vcGluaW9uL251cnNlcy1zdGFmZmluZy1ob3NwaXRhbHMtY292aWQtMTkuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~); we spent time in an I.C.U. showing the sad intersection of the [coronavirus and vaccine politics](~/AAAAAQA~/RgRkz4vTP0ThaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMS8wOC8yMS9vcGluaW9uL2Fya2Fuc2FzLXZhY2NpbmUtaGVzaXRhbnQuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~); and another short film offered a firsthand perspective of [the brutality of the pandemic inside an I.C.U.](~/AAAAAQA~/RgRkz4vTP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vdmlkZW8vb3Bpbmlvbi8xMDAwMDAwMDc1NzgxNzYvY292aWQtaWN1LW51cnNlcy1hcml6b25hLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) We hope that by [highlighting another hidden injustice](~/AAAAAQA~/RgRkz4vTP0TiaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wMi9vcGluaW9uL2hvc3BpdGFsLWJpbGwtdHJhbnNwYXJlbmN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~), the need for price transparency becomes clear. Hidden prices put profits over patients. [Continue reading the main story](#a11y-skip-universal-1) ADVERTISEMENT ~/AAAAAQA~/RgRkz4vTP0RtaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MjAxODEyJmxpPVRZJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1UWV8yMDIyMDgwNVcDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~ What Our Readers Are Saying The solution is simple. Have the law work like Miranda rights. If the hospital doesn’t post its cost schedule then they can only charge Medicare rates, or nothing. — [GW, New York](~/AAAAAQA~/RgRkz4vTP0TAaHR0cHM6Ly9ueXRpLm1zLzNQVEtiWm4_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkNyNwZXJtaWQ9MTE5NjIxMzcwVwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) What is the point of knowing how much something is if you can’t feasibly shop around anyway? It’s one thing if it’s a planned surgery (say, a hip replacement). It’s quite another if you’re having a heart attack or in a car accident. If you were in an emergency situation you wouldn’t be in a good position to pick and choose or ultimately decide the price was too high and decide to forego treatment. Transparency is good. Single payer is better. — [Kristina, Atlanta](~/AAAAAQA~/RgRkz4vTP0TAaHR0cHM6Ly9ueXRpLm1zLzNjWnRYemc_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkNyNwZXJtaWQ9MTE5NjIyMDA2VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) I just want the EXACT SAME medical coverage that members of Congress receive. That shouldn’t be so hard for them to do. — [Matt, San Francisco](~/AAAAAQA~/RgRkz4vTP0TAaHR0cHM6Ly9ueXRpLm1zLzNKcWFMcU0_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkNyNwZXJtaWQ9MTE5NjIxODU5VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) Want to read more? Head to the [comments section](~/AAAAAQA~/RgRkz4vTP0T0aHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wMi9vcGluaW9uL2hvc3BpdGFsLWJpbGwtdHJhbnNwYXJlbmN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkNyNjb21tZW50c0NvbnRhaW5lclcDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) to share your experience or to join the conversation. [You can watch the full video here](~/AAAAAQA~/RgRkz4vTP0TiaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wMi9vcGluaW9uL2hvc3BpdGFsLWJpbGwtdHJhbnNwYXJlbmN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~). [Article Image](~/AAAAAQA~/RgRkz4vTP0TtaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vdmlkZW8vb3Bpbmlvbi8xMDAwMDAwMDg0NDI2OTIvaG9zcGl0YWwtYmlsbC10cmFuc3BhcmVuY3kuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [How Much Does Your MRI Cost? Buy It First to Find Out. Across the country, thousands of hospitals have largely ignored price transparency laws. By Martin Schoeller](~/AAAAAQA~/RgRkz4vTP0TtaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vdmlkZW8vb3Bpbmlvbi8xMDAwMDAwMDg0NDI2OTIvaG9zcGl0YWwtYmlsbC10cmFuc3BhcmVuY3kuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) Here’s what we’re focusing on today: Editors’ picks [Guest Essay The Case for Longtermism We are living through an extraordinary and precarious chapter in humanity’s story. By William MacAskill](~/AAAAAQA~/RgRkz4vTP0TgaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL3RoZS1jYXNlLWZvci1sb25ndGVybWlzbS5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Article Image](~/AAAAAQA~/RgRkz4vTP0TgaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL3RoZS1jYXNlLWZvci1sb25ndGVybWlzbS5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) On the News [Paul Krugman Republicans Flail and Fail on Taxes No, Biden’s climate-change bill won’t tax the middle class. By Paul Krugman](~/AAAAAQA~/RgRkz4vTP0ThaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2NsaW1hdGUtY2hhbmdlLWJpbGwtdGF4ZXMuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Article Image](~/AAAAAQA~/RgRkz4vTP0ThaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2NsaW1hdGUtY2hhbmdlLWJpbGwtdGF4ZXMuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Katherine Miller This Is Why Peter Meijer Lost? What one Michigan primary tells us about Democrats’ strategy heading into the midterms. By Katherine Miller](~/AAAAAQA~/RgRkz4vTP0TaaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL3BldGVyLW1laWplci10cnVtcC5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Article Image](~/AAAAAQA~/RgRkz4vTP0TaaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL3BldGVyLW1laWplci10cnVtcC5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [frank Bruni What’s the Matter With Arizona? While Kansas rejected extremism, Arizonans embraced it. What a puzzle this country is. By Frank Bruni](~/AAAAAQA~/RgRkz4vTP0TpaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2FyaXpvbmEta2Fuc2FzLWVsZWN0aW9ucy1hYm9ydGlvbi5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Article Image](~/AAAAAQA~/RgRkz4vTP0TpaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2FyaXpvbmEta2Fuc2FzLWVsZWN0aW9ucy1hYm9ydGlvbi5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Guest Essay I’m Taiwanese and I Want to Thank Nancy Pelosi Taiwan needs more leaders to stand with us against China. By Yu-Jie Chen](~/AAAAAQA~/RgRkz4vTP0TlaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL3RhaXdhbi1jaGluYS1wZWxvc2ktZGVtb2NyYWN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Article Image](~/AAAAAQA~/RgRkz4vTP0TlaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL3RhaXdhbi1jaGluYS1wZWxvc2ktZGVtb2NyYWN5Lmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Continue reading the main story](#a11y-skip-universal-2) ADVERTISEMENT ~/AAAAAQA~/RgRkz4vTP0RtaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9NzI2NTM3JmxpPVRZJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1UWV8yMDIyMDgwNVcDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~ Ideas [David Brooks What Is It About Friendships That Is So Powerful? They not only make you happier; they can make you richer. By David Brooks](~/AAAAAQA~/RgRkz4vTP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2ZyaWVuZHNoaXBzLWVjb25vbWljLW1vYmlsaXR5LWNsYXNzLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Article Image](~/AAAAAQA~/RgRkz4vTP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2ZyaWVuZHNoaXBzLWVjb25vbWljLW1vYmlsaXR5LWNsYXNzLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Guest Essay They Were Sure Their High School Was Making Them Sick. Experts Disagreed. The complicated nature of cancer cluster investigations. By Marion Renault](~/AAAAAQA~/RgRkz4vTP0TpaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL2NhbmNlci1jbHVzdGVyLWNvbG9uaWEtd29vZGJyaWRnZS5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Article Image](~/AAAAAQA~/RgRkz4vTP0TpaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL2NhbmNlci1jbHVzdGVyLWNvbG9uaWEtd29vZGJyaWRnZS5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Farhad Manjoo Private Equity Doesn’t Want You to Read This Government must do more to clip its wings. By Farhad Manjoo](~/AAAAAQA~/RgRkz4vTP0ThaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL3ByaXZhdGUtZXF1aXR5LWxheXMtd2FzdGUuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Article Image](~/AAAAAQA~/RgRkz4vTP0ThaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL3ByaXZhdGUtZXF1aXR5LWxheXMtd2FzdGUuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIyMDgwNSZpbnN0YW5jZV9pZD02ODUxNSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xMDA1MzUmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmLq0wbtYo4a5OFSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAA~~) [Guest Essay How Changing One Law Could Protect Kids From Social Media Raising the age requirement for social media use could empower parents. By Yuval Levin](~/AAAAAQA~/RgRkz4vTP0TlaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL3NvY2lhbC1tZWRpYS1wYXJlbnRzLWNoaWxkcmVuLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Article Image](~/AAAAAQA~/RgRkz4vTP0TlaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNS9vcGluaW9uL3NvY2lhbC1tZWRpYS1wYXJlbnRzLWNoaWxkcmVuLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Guest Essay Here’s What School Covid Policies Should Look Like This Year The crisis kids face at this point in the pandemic is not the virus, but the cost of so many years of disrupted school. By Joseph G. Allen](~/AAAAAQA~/RgRkz4vTP0TdaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2NvdmlkLXNjaG9vbC1wb2xpY2llcy5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Article Image](~/AAAAAQA~/RgRkz4vTP0TdaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL2NvdmlkLXNjaG9vbC1wb2xpY2llcy5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjIwODA1Jmluc3RhbmNlX2lkPTY4NTE1Jm5sPW9waW5pb24tdG9kYXkmcmVnaV9pZD03NzY3NDk1MiZzZWdtZW50X2lkPTEwMDUzNSZ0ZT0xJnVzZXJfaWQ9YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDdXA255dEIKYurTBu1ijhrk4VIbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAA) [Jay Caspian Kang The Case for Mandatory National Service Expanding AmeriCorps could help us solve a number of pressing individual, social and economic problems. By Jay Caspian Kang](~/AAAAAQA~/RgRkz4vTP0TiaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL21hbmRhdG9yeS1uYXRpb25hbC1zZXJ2aWNlLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) [Article Image](~/AAAAAQA~/RgRkz4vTP0TiaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMi8wOC8wNC9vcGluaW9uL21hbmRhdG9yeS1uYXRpb25hbC1zZXJ2aWNlLmh0bWw_Y2FtcGFpZ25faWQ9MzkmZW1jPWVkaXRfdHlfMjAyMjA4MDUmaW5zdGFuY2VfaWQ9Njg1MTUmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTAwNTM1JnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpi6tMG7WKOGuThUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAA~) Opinion Audio [Gender Is Complicated for All of Us. Let’s Talk About It. A distinguished professor helps me understand our complicated — and changing — culture around gender. 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