First, more entry and mid-level workers must be licensed in the U.S. For example, while most European countries license physical therapists, they don’t require physical therapy aides and assistants to have licenses. The U.S. does.
Licensing is also more burdensome and expensive for individual health care professionals in the U.S. Compare the requirements for an advanced practice nurse in the U.S. versus one in Sweden.
An advanced practice nurse may expect to pay well over $15,000 in licensure-related fees. A nurse in Sweden will pay approximately $86.
Health professionals who move must undergo an additional round of licensure and must provide additional documentation from each board they were previously licensed under (with additional fees assessed by both the new and previous boards).
Moving to a position in another state requires paying fees, filling out extensive paperwork, and possibly meeting numerous other burdensome requirements, including exams or an interview with the state board.
In the best of times, cross-state licensing requirements put individuals and our economy at a disadvantage. In the middle of a pandemic, that means that hard-hit areas won’t get the help they need.
In response to COVID-19, some states temporarily lifted or streamlined licensing requirements. That states were comfortable with this makes one wonder how necessary the requirements were in the first place. niskanencenter.org/states-are-tem…
In conclusion, licensing reform in the U.S. could go a long way toward improving the lives of health care workers, lowering the cost of our health care system, and making sure that qualified professionals can practice where they are needed most.
NEW PAPER: The emerging “Abundance movement” isn’t left, right, or center—it’s a cross-cutting idea.
Here are six different camps emerging across the political spectrum. 👇
Red Plenty is Abundance for those who dream of state-led economic development aimed at publicly determined goals.
@ZohranKMamdani’s NYC mayorship, if it comes to pass, could be the tip of the spear of Left Abundance.
Cascadian Abundance combines deep environmental commitments, especially around the need for rapid decarbonization, a commitment to urbanism, and a faith in technological solutions to environmental problems.
.@heritage publishes regular iterations of its “Mandate for Leadership” with an agenda for the next Republican administration. The prior Trump admin implemented nearly 64% of its recommendations in its 1st year.
First, the Mandate would effectively close many avenues of legal immigration by:
❌Halting H2 visa programs
❌Closing the H-1B visa program to most recent grads
❌Leveraging entire visa categories as collateral in foreign policy negotiations
It would sabotage U.S. humanitarian relief by:
❌Repealing all TPS designations, stripping almost 700,000 of legal protection + work authorization.
❌Forbidding use of DHS staff time on DACA, Uniting for Ukraine, etc.
❌Prohibiting refugee vetting, ending refugee resettlement.
NEW PAPER: Manufactured housing is an affordable option in rural areas where land prices are low. They even promise to ease the housing crunch in coastal cities where land prices are high!
To clarify, we’re not talking about vacation trailers, or 1970’s-era mobile homes. Modern manufactured homes have strict standards for structural integrity and safety. They often look like homes built on-site, but they were assembled in a factory, like a car or an airplane.
Benefits of manufactured homes include: (1) They’re safer and more efficient to make, their materials don’t have to be exposed to the elements until the house is fully assembled, and (3) they can help improve quality of housing while driving costs down.
Before we enact any reform, we have to understand the political economy of our system: whom it empowers, whom it enriches, etc.
Answering these questions will rally opinion shapers around reform, protect reforms against backlash, and help avoid unintended consequences.
Here's how the conventional wisdom explains the political economy of housing: single-family homes and large lot sizes restrict the availability of housing to buyers who will pay at least as much in local taxes as they consume in public services, such as schools.