Every product carries a second price paid by people who never bought it. In 1920 economist Arthur Cecil Pigou named the flaw, showing that a factory's smoke imposes costs on its neighbors that never reach its books. The episode previews the series' disasters and cites the Lancet Commission's estimate of about nine million premature deaths and $4.6 trillion in annual welfare losses.
The nine million deaths are modeled estimates, not counted deaths, and the $4.6 trillion is a welfare valuation rather than cash spent. Economists still argue whether Pigou's taxes or Coase's property rights are the better remedy.