Plain English with Derek Thompson

• The Trump-Musk Doctrine: F-ck Around and Find Out

  For the past month, chaos and confusion have gripped Washington and the federal government. Elon Musk and his Department of Government Efficiency, or DOGE, have served as an iron fist of the Trump administration—ransacking government agencies, lighting fires in various departments, and generally firing as many people as they can get away with. Much of this work is plainly illegal. Every 12 hours, it seems, another federal judge rules that the Trump administration has exceeded its executive authority. Efficiency is a worthy goal, and some of the programs that Musk and his team cut may turn out to be wasteful. Still, the way Musk has gone about his work—destroying life-saving programs at USAID, mistakenly offering buyouts to nuclear assembly engineers and essential doctors with Veterans Affairs, slashing funds for important studies and data collection programs across government—suggests that his bureaucratic blitzkrieg isn't just illegal; it's careless and harmful. The U.S. deserves a theory of government more sophisticated than "F-ck around and find out." So, what would an effective DOGE look like? Today’s guests are Michael Geruso, an associate professor of economics at the University of Texas at Austin, and Tim Layton, a professor of health care policy at UVA. We explain why any sensible waste and fraud search-and-destroy effort should start with health care spending. Then we get very nerdy about waste and fraud in health care. Most importantly, we talk about trade-offs. It’s a myth that there is some pot of $10 billion just lying around, doing nothing, gathering dust. Every dollar of federal government spending goes to a person in a place doing a thing. And that means that every dollar we cut will have a recipient on the other end who is losing a dollar. Taking government efficiency seriously requires thinking about both sides of this equation: What do we get when we spend this dollar, and what do we lose when we take that dollar away? If you have questions, observations, or ideas for future episodes, email us at [email protected]. Host: Derek Thompson Guests: Michael Geruso and Tim Layton Producer: Devon Baroldi Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• Is There a Scientific Case for Believing in God?

  This is a conversation I've wanted to have for a long time. It's about the decline of religion in America, the value of faith, the case for belief, and the rational reasons to believe in God. My guest is the New York Times columnist Ross Douthat. He is a Catholic conservative. From an identity checkbox standpoint, we are very different people. But Ross is one of my favorite writers from any point of the ideological spectrum. His new book is 'Believe: Why Everyone Should Be Religious,' and it begins with an extremely compelling description of Ross reading the feedback he’s getting at the Times, watching that feedback evolve from “You stupid idiot, how could you possibly believe in a magical man in the sky?” to “I think I’m missing something in my life, a religion-sized hole at the center of my community or myself. Can you help me find it?” We talk about his religious journey and mine, the history of religion in America, the popular misconception that science automatically rolled back religiosity, the rational, scientific case for the existence of God, why I find that case emotionally lacking, and the case for even secular people to believe in God. And, finally, I invite Ross to give me his single best case that Christianity is true. If you have questions, observations, or ideas for future episodes, email us at [email protected]. Host: Derek Thompson Guest: Ross Douthat Producer: Devon Baroldi Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• Fraud, Scandal, and Failure in the Fight Against Alzheimer's Disease

  Why is it so hard to find a cure for Alzheimer’s? A simple answer is that the brain and its disorders are complicated. But as today’s guest, Charles Piller, writes, there’s another, more sinister factor at play. His new book, 'Doctored,' traces an incredible, true story of fraud, arrogance, and tragedy in the quest to cure Alzheimer’s. In the last few years, some of the most famous and revered neuroscientists in America have been accused of doctoring images in research related to Alzheimer’s and neuroscience—even as they raised tens of millions of dollars in funding based on this doctored science and set up clinical trials for thousands of patients based on these manipulated results. At the same time, a silent conspiracy of groupthink starved this field of research of fresh ideas, with catastrophic consequences. Piller explains how he broke the story of what might be this century's biggest scandal in American medical science. If you have questions, observations, or ideas for future episodes, email us at [email protected]. Host: Derek Thompson Guest: Charles Piller Producer: Devon Baroldi Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• The Energy Story of the Moment: The Unstoppable Rise of Solar Vs. the Unmovable Demand for Global Fossil Fuels

  Fans of green energy like me face some inconvenient truths about the global energy picture. First, coal sounds like a dirty technology that the rich world is moving on from. But nearly 9 billion tons of coal were burned last year—an all-time high. Second, "peak oil" is a prediction that many analysts have thrown around in the past few years, but oil production is also near its all-time high. Third, we might not even be at peak wood: Global wood fuel production was higher in 2024 than in 1980. At the same time, I think the renewable energy revolution is proving to be its own unstoppable phenomenon. Solar and battery installations are still exploding upward, and whereas some skeptics worried that the earth wouldn’t be able to provide the essential elements and metals to build out a green energy system, those doubts seem, for the moment, overwrought. Lithium, which is one of the most important metals for battery production, has seen its resources double since 2018. So what we have is not a pretty picture but a messy one. A green energy boom matched with an enormous demand for fossil fuels, as billions of people around the world drive and eat and demand the middle-class lifestyle that is their right. Today’s guest is Nat Bullard, an independent energy analyst and the author of a new extraordinary report on the state of energy and decarbonization. We talk about everything: coal, oil, wood, and natural gas; the history of nuclear vs. solar in America; the solar and battery revolution of the 21st century; the political barriers to its growth; the rise of BYD in China; the flatlining of Tesla's growth; and the future of energy technology. If you have questions, observations, or ideas for future episodes, email us at [email protected]. Host: Derek Thompson Guest: Nat Bullard Producer: Devon Baroldi Nat's report: https://www.nathanielbullard.com/presentations Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• The 5 Types of Wealth

  Wealth isn’t just about financial security, according to today’s guest, Sahil Bloom. It’s about time wealth (the freedom to control our own schedules), social wealth (deep relationships with family and friends), mental wealth (the space to think clearly about the most important questions in life), and physical wealth (health and vitality). Bloom’s new book, 'The 5 Types of Wealth,' is uncommonly wise and deep on the questions I care about most. Why is it so hard to make friends late in life? How can we build a life that combines freedom and control with duty and responsibility? What does it really mean to control our time? What’s the best career advice? I think Bloom is uncommonly good at a job that too many people try and very few people master: serving as a clearinghouse for truly excellent advice about being alive and being decent to other people. It’s a lesson we really need to hear these days. If you have questions, observations, or ideas for future episodes, email us at [email protected]. Host: Derek Thompson Guest: Sahil Bloom Producer: Devon Baroldi Learn more about your ad choices. Visit podcastchoices.com/adchoices

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