What Works?

Progressives have the word ‘affordability’ and are going to run with it. Two prominent areas where costs are particularly burdensome for the public are housing and healthcare. Ranting about high prices only gets you so far. At some point, you have to come up with solutions.

Who better to look to for progressive answers than Ezra Klein, the New York Times columnist, turned the left’s Abundance guru due to his co-authored book “Abundance.” For the latest from the left on healthcare, who better than the principal author of the Affordable Care Act, Ezekiel J. Emanuel?

In his book, Klein unearthed the reason for our inability to build anything. We don’t make enough houses because of government restrictions and red tape. Heavens, what else will he find directly under his nose? He provides us with this illuminating chart in a recent article to state the obvious:

Klein offers insights into progressive solutions. The Center for American Progress and the Searchlight Institute would give some rent subsidies, but, like all subsidies, this would only add to demand, not increase supply, unless you could address the red tape and restrictions.

Many of the restrictions are aimed at preventing the construction of multi-family units in established single-family housing communities. Klein admits this could lower values, so there is no incentive for owners to increase density. People rarely vote against their economic interests.

This situation leaves Klein with one solution that I’ve expounded on in this blog: modular housing. Do the major work in factories rather than on-site. He, again, cites the Center for American Progress. “It wants the federal government to seed a major research program to fund innovation in housing construction.” Backdoor subsidies through military and other government purchases would maintain market continuity and the demand needed to bring in manufacturers.

Klein puts it this way, “One problem the modular housing industry has faced is the absence of steady demand to keep the factories running and work out the kinks of construction.” But then he refers to Sweden, where “more than 40 percent of new homes — and more than 80 percent of single-family homes — are fabricated off-site.” How can a small nation maintain a vibrant modular home industry when we have a market 32 times greater, and we can’t?

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Rooted in Obamacare

The government shutdown is brought on by Senate Democrats refusing to sign on to a clean continuing resolution because of exploding Obamacare premiums. Without an extension of the COVID-19 era coverage expansion subsidies, many people will see their premiums more than double. The heartless Republicans will consign people to lose their healthcare. Of course, some of those losing their subsidy make 600%0f of the poverty level, but everyone is entitled to healthcare, right?

None of this mess should come as a surprise. When the original Obamacare bill squeaked through, President Obama and the Democrats told us this was a way to get close to universal medical care at a reasonable cost.

Obamacare, at the forefront of the shutdown, brought back the memory of why I started this blog. At the time, I, along with a slew of others, disputed these claims. We said the projected costs would prove much higher and would leave many people uncovered. Of course, we’re correct:

Even with the COVID-19 expansion, 27.2 million Americans, or 8.7%, remained uninsured in 2024. Coupling with this failure are rapidly rising costs. Contributing to these costs is widespread fraud.

After the Affordable Care Act (ACA, Obamacare) narrowly passed and went into effect, I happened to inveigh against it at a family dinner, pointing out its numerous flaws and how to improve healthcare. My stepdaughter challenged me to come up with a better plan. In other words, put up or shut up, though she said more nicely.

This reasonable dare prodded me to start this blog to air my public policy ideas, beginning with healthcare. Dave’s Healthcare Plan went online in 2014. Anyone can read it here.

The difference between my Plan and others, including the ACA, is that it integrates health insurance with savings and portability. This view of a person’s financial picture is standard for a financial advisor assessing a person’s economic needs. Without health insurance, you could wipe out your savings overnight. Your savings could make healthcare more affordable.

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