Government subsidies within healthcare systems like the ACA create a perverse incentive for providers and insurers to inflate prices. This triggers a toxic flywheel: higher costs demand more subsidies, which in turn fuel further price hikes, making the underlying problem of affordability worse over time.
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Both Democrats and Republicans avoid the boring, complex solutions to inflation—like housing density, healthcare reform, and aggressive antitrust. Instead, they opt for politically palatable but ineffective measures like tariffs (Republicans) or short-term subsidies (Democrats), ensuring the core problems remain unsolved.
Instead of a radical healthcare overhaul, a pragmatic solution is to lower Medicare eligibility by two years, every year. This phased approach would gradually move the US toward nationalized coverage, address the highest-cost demographic first, and allow the private sector time to adapt. This single policy change could potentially eliminate the entire annual federal deficit.
Meaningful affordability cannot be achieved with superficial fixes. It requires long-term, structural solutions: building 5-10 million more homes to address housing costs (40% of CPI), implementing universal healthcare to lower medical expenses, expanding public higher education, and aggressive antitrust enforcement to foster competition.
Recent elections show a clear pattern: politicians win by focusing on groceries, rent, and healthcare. These three categories, dubbed the "unholy trinity," represent the biggest inflation pain points and make up 55% of the average American's cost of living, making them the decisive political issue.
The government often creates economic problems (e.g., through money printing), then presents itself as the solution with "free" programs. This cycle causes the public to misattribute their financial struggles to the failures of capitalism, rather than recognizing the government's role as the problem's source.
Policies like price caps (e.g., for insulin) or price floors (e.g., minimum wage) that deviate from market equilibrium create distortions. The economy then compensates in unintended ways, such as companies ceasing production of price-capped goods or moving to under-the-table employment to avoid high minimum wages.
Well-intentioned government support programs can become an economic "shackle," disincentivizing upward mobility. This risks a negative cycle: dependent citizens demand more benefits, requiring higher taxes that drive out businesses, which erodes the tax base and leads to calls for even more wealth redistribution and government control.
A serious approach to the affordability crisis requires a multi-year strategy targeting the biggest cost drivers: housing (massive supply increase), healthcare (nationalization), and education (income-based tuition), combined with aggressive antitrust enforcement. Piecemeal solutions from either party fail to address the systemic nature of the problem.
Widespread cancellation of medical debt, while well-intentioned, may remove consumer pressure on providers. If patients don't need to shop around or question prices because they anticipate forgiveness, it eliminates a key market force needed to control escalating costs.
Healthcare prices have risen 2.5 times more than groceries, but consumers are less sensitive to these increases. Unlike the frequent, tangible cost of eggs, infrequent medical bills make people "numb" to rising prices, masking a major source of inflation that policy changes can suddenly make visible.