NEW REPORT+THREAD: The price tags of essential services like education, child care, etc., are out of control.
The progressive approach? Socialize the costs.
But cutting regulations that limit the supply of these services is the ONLY way to address the root of the problem.
The problem with the progressive approach of guaranteeing affordability via subsidies is:
(1) Public debts/deficits can’t grow without limit (2) Subsidies will cover up the bloat and waste and drive costs up further (we’ll throw out a few examples).
But the budget hawks who, out of concern for the national debt advocate for spending cuts across the board, ignore the real expenses that Americans face.
In the end, Americans will support the subsidies over this backwards-facing approach.
So scratch socializing everything, and scratch total austerity. We have to look at why the costs of essential goods and services are going up exponentially without a corresponding increase in what Americans are getting.
It is no coincidence that the goods and services most frequently subsidized are also sectors where regulations that artificially constrain supply abound. Addressing regs avoids the either/or approach of whether to increase govt spending!
Let’s look at a few examples.
Housing costs in urban areas have skyrocketed because restrictions on land-use and zoning prevent construction of new housing units, even as demand grows.
Case in point: it is ILLEGAL to build apt buildings in 76% of San Francisco. 😬
Constructing more housing will make it more affordable. @paytonchung found that in Washington D.C. rents went down by 8% in Navy Yard between 2014-2018 (lots of new construction).
Here’s how demand-side solutions will increase housing costs: Rent subsidies drive up demand without a corresponding increase in supply (a textbook formula for cost inflation). As prices go up, increasing subsidies becomes a never-ending cycle.
It’s a similar story for #HigherEd. As costs go up, it’s tempting to just subsidize it, but that’s unsustainable in the long run.
The ballooning costs of higher education aren't primarily due to the actual costs of instruction. The costs of the physical buildings +administration seem to be the culprits. Addressing these would go a long way toward cutting costs. theatlantic.com/education/arch…
And rigid models for child care with high barriers to entry make it unaffordable for many lower-income households.
We haven't even gotten to healthcare, but here's a little factoid: The U.S. spends more on health care than any other developed country. In 2019, national expenditures amounted to $3.8 trillion, or 17.7% of GDP, more than double the OECD average of 8.8% percent of GDP.
The report shows how the U.S. is plagued by #certificateofneed laws, bottlenecks in physician education, restrictions on non-MD practitioners, #occupationallicensing, etc. Addressing these could drive down the costs of health care while improving quality.
The U.S. desperately needs better social insurance.
Absent structural reforms to increase access to essentials, however, socializing these costs would be throwing good money after bad and pushing deficit spending to potentially unsustainable levels.
In their new report, @hamandcheese, Steve Teles, and @DanielTakash put political economy front and center, adopting an approach that addresses the concerns of both progressives and conservatives regarding the cost of social insurance.
NEW REPORT + THREAD: Most middle-class people don’t realize it, but the eventual need for long-term care (LTC) will force many of them to drain their savings and face impoverishment.
Medicare doesn’t cover long term care expenses, forcing people to pay out of pocket unless they are poor enough to qualify for Medicaid or are among the few with private LTC insurance
A huge swath of the middle-class will be forced to burn through their savings in short order.
The problem is urgent: The # of people over 85 will triple between 2015 and 2050, reports @JStein_WaPo. The # of individuals requiring long-term care is set to increase dramatically from 14 million to 24 million by 2030. washingtonpost.com/business/econo…
NEW REPORT w/ @cleanaircatf: To manage climate change, the U.S. must double or triple the size of its electric transmission system - and the current piecemeal approach isn’t going to cut it.
To make progress, the U.S. must address the tension between private and public interest. It will also need to find inclusive ways to plan and develop transmission in the national interest that gets buy-in by ensuring broad enough benefits as well as compensation for burdens.
#Transmission building today is a fragmented “3 P” system:
✔️Permitting
✔️Planning
✔️Paying
This is scattered over dozens of federal / state / local authorities. The result? A lengthy process subject to multiple vetoes.
Just how bad is the green card backlog? @catoinstitute’s @David_J_Bier has found that the employment-based green card backlog surpassed 1.2 million applicants last year and could double by FY 2030. cato.org/blog/employmen…
Fighting the spread of dangerous variants means that the U.S. won't have to consider reimposing or extending travel restrictions to protect public health.
The faster the world is vaccinated, the sooner our lives and economy can return to normal. 2/
The 500m-dose donation also earns us goodwill abroad as we re-engage with the world. And offering doses with "no strings attached" contrasts with China & Russia, powers making demands in exchange for doses. 3/
We applaud Sens. @amyklobuchar / @SenatorCollins for re-introducing bipartisan legislation to address physician shortages in the U.S.
The bill would allow international doctors trained in the U.S. to remain here if they practiced in underserved areas. klobuchar.senate.gov/public/index.c…
As @SpeakSamuel wrote in 2018 the U.S. "is facing a growing doctor shortage—which could reach 121,300 by the year 2030." (That was before the pandemic stretched our HC system and professionals to a near-breaking point!).