← Back to Insights
February 25, 2021
Authors
David W. Johnson
Topics
Consumerism Economics
Channels
Blogs Dispatches

Hogan’s Texas Heroes Taken by Storm

A legendary Defense Department “Whiz Kid” taught my Analytic Methods class at Harvard Kennedy School. Professor Bill Hogan’s analytic prowess often left us in the dust. During one class, we all raised white flags (note cards stapled to tongue depressors) to signal our awe and confusion.

Hogan is a market fundamentalist. He sees beauty in the way prices create supply-demand equilibrium. Hogan’s background is relevant because he is the principal architect of Texas’ unregulated power grid.

In Texas’ freewheeling energy marketplace, 220 electric companies sell electricity directly to consumers. Monthly rates for variable-rate contracts are low, but rates can spike when power supply dwindles. That happened last week.

With power supply eviscerated by a raging winter storm, variable electric rates skyrocketed. Some jumped to 70 times normal levels. For market-loving Bill Hogan, Texas’ energy marketplace worked as expected. The higher prices “were inconvenient,” but they incentivized both energy production and conservation.

However logical, these “surprise” energy bills enraged Texas consumers. They are demanding regulatory intervention to address this injustice.

Ironically, healthcare routinely exposes consumers to similarly high bills without experiencing the populist blowback. The reason is that healthcare consumers rarely pay these “surprise” bills directly.

Instead, health insurance companies largely cover the costs. Ever-increasing premiums fund insurer payments to providers. In this way, health insurance premiums have become a hidden tax that suppresses workers’ incomes.

Whether in electricity or healthcare, higher prices increase supply. Unfortunately, more healthcare services promote overtreatment, not lower prices. That would make Bill Hogan very unhappy.

Read all dispatches from Dave Johnson here

About the Author

David W. Johnson

David Johnson is the CEO of 4sight Health, an advisory company working at the intersection of healthcare strategy, economics, innovation. Johnson is a healthcare thought leader, keynote speaker, and strategic advisor to organizations busting the status-quo to reform our healthcare system. He is the author of Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019). As a speaker, Dave plays the role of rebel, challenger, industry historian, investor and company evaluator to push audiences forward. (Watch bio video.) Johnson applies his 25+ years of investment banking in healthcare to identify ways the healthcare industry must change to deliver better care. He received a Masters in Public Policy from Harvard Kennedy School, an English degree from Colgate University, and served in the African Peace Corp service. Join over 10k+ healthcare executives who read our weekly insights and commentary on www.4sighthealth.com.

Dave wakes up every morning trying to fix America’s broken healthcare system. Prior to founding 4sight Health in 2014, Dave had a long and successful career in healthcare investment banking. He is a graduate of Colgate University and earned a Masters in Public Policy from Harvard Kennedy School. Employing his knowledge and experience in health policy, economics, statistics, behavioral finance, disruptive innovation, organizational change and complexity theory, Dave writes and speaks on pro-market healthcare reform. His first book Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019), are available for purchase on www.4sighthealth.com. Get his new book with Paul Kusserow, The Coming Healthcare Revolution: 10 Forces that Will Cure America’s Healthcare Crisis now.

Recent Posts

Outcomes
Burda On Healthcare: Vampires in Medical School
We learn lessons in life from many sources. One source, at least for me, is the movies. For… Read More
By March 31, 2026
System Dynamics
Podcast: Physician Compensation, Competition and Substitution 3/26/26
New compensation models and new types of licensed practitioners are redefining the market for physician services. Will consumers… Read More
By March 26, 2026
Economics
MedPAC March Madness: Hospitals Maintain the Status Quo
The annual March report to Congress from the Medicare Payment Advisory Commission, better known as MedPAC, never fails… Read More
By March 25, 2026