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How Utah Reduced Chronic Homelessness (npr.org)
328 points by teslacar on March 17, 2017 | hide | past | favorite | 272 comments


The 'Housing First' model was really pushed hard by Stephen Harper as Prime Minister of Canada. It was weird because he is such a staunch right-wing kind of guy, yet here he was putting money towards what seems like a very left-wing socialist idea.

But he, like Lloyd Pendleton in this article, apparently figured out that it saves a lot of money, ideology be damned.

Maybe that's a good example of how to get right-wing politicians to agree to some left-wing ideals: prove that it will save money and let them lower taxes.


> Maybe that's a good example of how to get right-wing politicians to agree to some left-wing ideals: prove that it will save money and let them lower taxes.

I've certainly heard this argument from the (few) libertarian sources that are considering basic income. They are opposed to "entitlement" programs, but see a (theoretically) cheaper entitlement program as better than an expensive one. (Perhaps they also think that a flat-sum basic income is easier to lower or hold flat than a complex web of social programs. Or I may be being cynical)

OTOH, it can still be a hard sell to constituents. The US has known for at least a decade that spending more on IRS agents would earn more money than it would cost. No new rules, no new regulations, just enforcement of the rules we have. Seems like an easy decision to me, but few politicians, left or right, want to be caught saying we should have more tax enforcers.

Pity.


The politicians likely remember the scandal from the 1980s of Regular Joes being torn apart by aggressive IRS agents. Saying "hiring more IRS agents brings in more money than they cost" is incredibly gauche to anyone who remembers it.


But bankrupting your govt because some people aren't paying their share is self-defeating. I'm all for oversight to limit the corruption of power, but trying NOT to give power to anyone will just accept that power falls to those that are ruthless and abusive to take it regardless. In this case, those same Regular Joes are getting the short end of the stick because the govt cuts programs to benefit them because wealthy individuals and corporations have found ways to pay dramatically less in overall tax rate that those Joes are. (and those ways don't even have to be legal if the govt doesn't have the agents to enforce the rules)

And targeting "regular joes" is a terrible way to make money. The vast majority of govt income comes from the wealthy, in particular because wealth distribution is so unbalanced.


> And targeting "regular joes" is a terrible way to make money. The vast majority of govt income comes from the wealthy, in particular because wealth distribution is so unbalanced.

And therein lies the problem. You can hire 10,000 "regular Joe" agents to go after "regular Joe" offenders and make far less than if you could somehow successfully hire 100 genius agents to go after the top 100 suspected cases.

The issue lies in the fact that most people simply are not capable of going toe to toe with some of the best legal tax frameworks money can buy, and so like with all law enforcement the "hard" targets tend to get largely ignored while the soft targets are exploited mercilessly.

That's all I see an IRS hiring program doing - bringing the hammer down on people for rather trivial things, while continuing to ignore the elephant in the room simply due human nature being what it is. They want to show wins, not 6 years on the same 3 billion dollar case.


". . . but trying NOT to give power to anyone will just accept that power falls to those that are ruthless and abusive to take it regardless."

This is the crux, and I've never seen a good Libertarian defense against this. Someone will always fill the power void.


I'm a libertarian that supports unions. If you can get enough of the labor force together to demand higher wages or better benefits, more power to you. I don't think the government should be involved in that. I'm even happy to support socialist style businesses where the workers share ownership. If someone can make that work and be successful/competitive? Awesome. Again, I just don't think the government has any business meddling in it.


Appreciate the response and POV. Based on the info you shared here, I think you're someone who could definitely work with more left-leaning people to find common ground, which is sadly missing from the people actually making decisions.

My question would be: without government intervention, what incentive do mega corporations have to allow unions to continue? What prevents them from making their own rules, which prevent unions? Since these same companies are behind the efforts to dismantle unions, it seems that removing government would just remove the middle man, making it easier for companies to abuse workers, dismantle unions, etc.


Without government intervention it would be harder for mega corporations to exist in the first place. The broadest example is how insane our patent and copyright laws are right now. I do support monopoly laws and think we don't drop that hammer nearly enough.


I'm not quite sure I follow...You're saying the govt should break up monopolies more (I agree), but without the govt we'd have fewer monopolies?

So far as I know, pure free-market capitalism always tends towards monopolies or oligarchies absent some level of intervention. It is simply too hard to be a well-informed consumer, and we consumers prioritize our short term convenience over societies (or even just our own) long term benefit.


Just as a thought experiment, try to imagine a world with no patent or copyright laws. I'm not suggesting we make that a reality, but just consider it. How would Lockheed Martin, GE, Disney, etc. look? Without local government granted monopolies, how would Comcast look? It would be a completely different world.

Look into the concept of regulatory capture. The Dodd-Frank regulations that went into place are a great example of this. They were sold to us plebes as a way to protect us from future banking failures. Except the regulations were basically written by the big banks and forced the small banks out of business. They have actually increased the risk of future crisis by consolidating the industry. Here's an article about it.

http://www.nytimes.com/roomfordebate/2016/04/14/has-dodd-fra...


> try to imagine a world with no patent or copyright laws

I'm not a big fan of the laws as we have them, but sure, i'll play along:

> How would Lockheed Martin, GE, Disney, etc. look?

...I'm not sure they'd look substantially different. LM would still only be in competition with a few others because of high barriers to entry. GE...I lack even passing knowledge to speculate. Disney would lose out on a lot of merchandizing money, but once someone in a field like animation or entertainment got ahead, they'd have an easier time attracting both customer AND talent, which provide a feedback loop to their benefit.

> how would Comcast look?

...of my many, MANY complaints about Comcast, I don't know that copyright or patent issues show up. Comcast isn't what they are via govt monopoly (so far as I know, though they have of course abused govt power) but because the cost of entry is so high that there are few competitors. Even when there ARE competitors, they choose not to compete (see recent admission that comcast and time-warner don't even compete pre-merger).

> Look into the concept of regulatory capture

Not qualified to even speculate - let's just say I have some skepticism but don't reject your claims.

All in all, it seems like you are arguing that the govt creates monopolies. I won't argue against that. BUT my claim is that you have MORE monopolies in (certain) unregulated markets. I can very well be wrong...do you have any evidence to that point?


>>BUT my claim is that you have MORE monopolies in (certain) unregulated markets. I can very well be wrong...do you have any evidence to that point?<<

Not to be too cheeky, but do you have any evidence to support your claim that we would have more monopolies without government intervention?

If you look back through U.S. history, how many monopolies has the government actually broken up? Not many. And I don't think anyone can seriously argue that the threat of antitrust action by the government is what has limited the existence of monopolies.

On the flip side, the government has created or protected thousands of monopolies. As the parent mentioned, virtually every city in the U.S. has granted monopolies to local service providers. On a grander scale, U.S. policy has long perpetuated monopolies for the likes of Standard Oil and U.S. Steel by imposing tariffs on foreign goods and raising barriers to entry through licensing and other regulatory hurdles.

It seems self evident to me that for at least the last 200 years U.S. governments in total have done far more to foster monopolies than they have to dismantle them.


> Not to be too cheeky, but do you have any evidence to support your claim that we would have more monopolies without government intervention?

I just posted elsewhere in these comments on that, but basically: Hearst, US Steel, Microsoft, plus lots of potential abuse that is prevented. (You're implying that tariffs supported the US Steel monopoly - I won't argue. But it didn't create the monopoly, and it didn't create the market abuse)

> And I don't think anyone can seriously argue that the threat of antitrust action by the government is what has limited the existence of monopolies.

I certainly will. I've watched Microsoft dance about (including funding Apple) when they were scared. Before them IBM did the dance. BSD exists because AT&T was prevented from selling UNIX directly. I see Google doing the dance, and Amazon is in the wings. Syngenta was going to merge with Monsanto, but didn't, and not because they suddenly thought it was a bad deal. Bayer and Monsanto are now looking to merge, and they are figuring out what businesses to spin off to avoid being stopped by monopoly concerns. You can go through the big mergers over the past 20 years (at least) and see how they've worked to avoid being hit with govt restrictions.

The govt even allows you to be a monopoly, all through your own market prowess...but prevents (or tries to) you from using that monopoly to spread into related areas. Absent that oversight completely free market capitalism would have ground innovation to a halt because the barriers to entry in most industries would be crippling. Investors wouldn't want to invest in competitors because it'd be a terrible risk rather than a basic risk.

> It seems self evident to me

Indeed, it is self evident to you. Not to everyone.


How could MSFT have gained its monopoly position if anyone were allowed to distribute Windows without paying MSFT a cent? How about if they couldn't enforce patents on the industry at all? There couldn't be a more clear case of government being required for a monopoly to form than any intellectual property company.

I'm not quite as familiar with US Steel, but I do know that one of the primary reasons they became so big was because they were fully integrated through the entire production process. A substantial part of that was controlling the mode of transportation for heavy goods, railroad. That history of rail in our country is wrought with examples of government granted monopolies right from the beginning of the trans-continental railroad.

I know virtually nothing about Hearst, but it was a news/media company right? So that should definitely fall under the same category of intellectual property.


"So far as I know, pure free-market capitalism always tends towards monopolies or oligarchies absent some level of intervention."

Where do you get that idea from? Nearly every monopoly is the product of government bestowed privilege.


> Where do you get that idea from? Nearly every monopoly is the product of government bestowed privilege.

Hearst, US Steel, Microsoft, the various abusive powers across history.

I won't deny that the govt DOES provide monopolies. But absent govt intervention, as soon as someone gets ahead, it's easier to get ahead. "Oh, you want to carry my competitors product? Well, good luck staying in business without my products, or the products of anyone else that relies on me, because I will tell them I'll cut them off if they sell to you." or perhaps there's the carrot instead of the stick: "Oh, you want to buy from them? I'll undercut them by 20%. Sure, that's below cost, but they won't stay in business long with no customers, meanwhile I've got a good bankroll. I'll even buy up the wreck of their company afterward at bargain prices, and make up any difference later when I have no competition to restrict my prices."

Nearly every CURRENT monopoly is from the govt...because in most developed nations that's the only way to get a monopoly without getting hit by antitrust. I remember when Apple was in the toilet - Microsoft kept them afloat with a big stock buy. This wasn't done because MS had warm fuzzy feelings, it was done to maintain the appearance of competition. Were MS not afraid of the govt interfering, they'd have let Apply die, they'd have made (more) deals with OEMs that refused to license Windows to them if they installed Netscape, etc.

Or take Google - They are dancing around trying not to offend European regulators and have been for years. Absent any fear of govts, Google would have no reason not to fully tie their products and advertising. Compete with them and suddenly the engine that powers 60% of customer searches will either not have your products or drop them to page 10. Searches for reviews of your products will somehow highlight the negative reviews. Nearly impossible to prove any wrongdoing if it (1) isn't "wrong" in the legal sense and (2) there is no authority to dig up information.

I don't believe a mythical "informed consumer" will see behavior like that (first - how would they see it? It'd be they said/they said) and punish the abuser. Watch how boycotts against Amazon for their one-click patent fared, or against Blizzard for their treatment of bnetd. (hint: insignificant...and I say that as someone that did both) Or heck, look at how hospitals can successfully hide their prices and have a huge range. The average consumer values convenience far more than fairness.


It's noting that a significant factor in the creation of US-style right-wing libertarianism was an attempt by economically right-wing individualists to straddle the political left-wing gap by reaching out to left-libertarians on shared issues (left wing libertarianism pre-dates right-wing libertarianism by almost a century). E.g. Rothbard being a prominent example, with his "Left and Right - A Journal of Libertarian Thought":

https://en.wikipedia.org/wiki/Left_and_Right:_A_Journal_of_L...


No, it more accurate to say that the "Left and Right - A Journal of Libertarian Thought" was an attempt by libertarians to highlight the fact that the one dimensional left/right line is obviously a very incomplete model of political thought. As your link quotes from the opening editorial:

"Our title, Left and Right, reflects our concerns in several ways. It reveals our editorial concern with the ideological; and it also highlights our conviction that the present-day categories of left and right have become misleading and obsolete, and that the doctrine of liberty contains elements corresponding with both contemporary left and right. This means in no sense that we are middle-of-the-roaders, eclectically trying to combine, or step between, both poles; but rather that a consistent view of liberty includes concepts that have also become part of the rhetoric or program of right and of left. Hence a creative approach to liberty must transcend the confines of contemporary political shibboleths."

Those who talk about "US-style right-wing libertarianism" should realize that this is a too simplistic label as Rothbard tried to say decades ago. For example:

• not only has the libertarian party always supported gay marriage but the first presidential candidate was an openly gay man

• libertarians are opposed to the war on drugs

• libertarians opposed the Viet Nam war

• libertarians generally favor regulated legalized prostitution

etc etc etc

Whatever "right wing" is supposed to mean, I doubt it means these positions.


You start out seeming trying to argue against me, but nothing of what you've written contradicts what I wrote. I'm not sure what you're trying to say.

> Whatever "right wing" is supposed to mean, I doubt it means these positions.

"Right wing" in this context is about economic positions, views on property etc. Right-wing libertarianism generally draw from the Austrian school, and people like von Mises and occasionally Ayn Rand etc.

Compare to left-wing libertarians who generally are anarchists or Marxists when it comes to economic views and views on property rights.

The entire point is that these two camps align with the traditional left and right on economic issues, but are aligned with each other on a lot of social issues and on anti-authoritarianism.


>...I'm not sure what you're trying to say.

I thought I was pretty clear: "Those who talk about "US-style right-wing libertarianism" should realize that this is a too simplistic label as Rothbard tried to say decades ago."

>..."Right wing" in this context is about economic positions, views on property etc.

Again, I doubt the vast majority of the groups you would call "right wing" would share the economic views of the average libertarian. (They also don't share the social views of the average libertarian.) That label isn't helpful if it doesn't explain their views - as Rothbard wrote so long ago: "...This means in no sense that we are middle-of-the-roaders, eclectically trying to combine, or step between, both poles; but rather that a consistent view of liberty includes concepts that have also become part of the rhetoric or program of right and of left. Hence a creative approach to liberty must transcend the confines of contemporary political shibboleths."

>...The entire point is that these two camps align with the traditional left and right on economic issues, but are aligned with each other on a lot of social issues and on anti-authoritarianism.

The point is that using a one dimensional model for political thought is too simplistic and it is simply misleading.


> I thought I was pretty clear: "Those who talk about "US-style right-wing libertarianism" should realize that this is a too simplistic label as Rothbard tried to say decades ago."

It is a too simplistic label for libertarianism as a whole. It is a perfectly viable lable when you want to talk about "US-style right-wing libertarianism" - most people instantly understand roughly what that refers to, so the label serves its purpose.

> Again, I doubt the vast majority of the groups you would call "right wing" would share the economic views of the average libertarian.

Huh? The point is exactly that libertarian groups are found far out on both sides of the spectrum, so what in the world is an "average libertarian"?

> That label isn't helpful if it doesn't explain their views

But it does.

> as Rothbard wrote so long ago: "...This means in no sense that we are middle-of-the-roaders, eclectically trying to combine, or step between, both poles; but rather that a consistent view of liberty includes concepts that have also become part of the rhetoric or program of right and of left. Hence a creative approach to liberty must transcend the confines of contemporary political shibboleths."

And this was exactly the point I made by bringing up Rothbard in the first place: There was an attempt to unify these views of the left and right.

But that still does not mean there is not a firmly right-wing and firmly left-wing libertarianism both when considering primarily economic views and when considering where people self-identify.

> The point is that using a one dimensional model for political thought is too simplistic and it is simply misleading.

So we largely agree then, but this doesn't change any of what I wrote earlier.


>...It is a perfectly viable lable when you want to talk about "US-style right-wing libertarianism" - most people instantly understand roughly what that refers to, so the label serves its purpose.

Obviously not. People have a rough understanding of "right wing" - with the election of Trump they think about Breitbart and various "economic nationalism" groups and various authoritarians who want to limit social freedoms like the right to terminate a pregnancy, put something in their body, etc etc. Those groups obviously have nothing to do with libertarianism. Politicians love to label opponents to poison the well: "tax and spend liberal", "reactionary", "far right", etc - such labeling of other people is not useful if you actually want to understand the other person's views.

>...Huh? The point is exactly that libertarian groups are found far out on both sides of the spectrum, so what in the world is an "average libertarian"?

Again, you are using a one dimensional view of political thought when you say "on both sides of the spectrum". Also some of the libertarian positions such as the removal of victimless crimes haven't been fully embraced by the voters but that doesn't mean they are "far out". We no longer have a draft, most people are now more leery of the war on drugs and gay marriage is allowed, so progress is slowly made.

>...And this was exactly the point I made by bringing up Rothbard in the first place: There was an attempt to unify these views of the left and right.

And again - if the people who label, reject that label as being misleading, it isn't a good label (unless your goal is simply to marginalize them.)

>> The point is that using a one dimensional model for political thought is too simplistic and it is simply misleading.

>So we largely agree then, but this doesn't change any of what I wrote earlier.

Well it is good we agree on something, but you continue to use this one dimensional model throughout.


> Obviously not.

Really? I don't you've made that case at all. My experience is far from that. Maybe that's the case in the US, but in Europe at least the right still encompass a wide range of ideologies that are mostly far more nuanced than that.

> Again, you are using a one dimensional view of political thought when you say "on both sides of the spectrum".

Read again. There is a one-dimensional spectrum that people like assign political movements to, and the main point I've been making in this thread has been exactly that the formation of US style right-wing libertarianism explicitly was an exercise in recognising that this was insufficient, and that while right-libertarians to a large extent are aligned with the "traditional right" in terms of economic views, they rarely are when it comes to social views, and there there is potential for alliances with libertarians on the left.

> And again - if the people who label, reject that label as being misleading, it isn't a good label (unless your goal is simply to marginalize them.)

I don't know what you are trying to say here. I am a left-libertarian. I do use that label, and I don't reject it. I've spoken to many right-libertarians, and they all self-identified as right-wing and libertarians, and don't reject it. I've spoken to many left-libertarians, and they've all self-identified as left wing and seen themselves as clearly separate from the right. I've never met someone who called themselves libertarian who didn't have a very clear idea of whether or not they considered themselves left- or right.

There is a very clear distinction, generally: Those who favour strong private property rights tends to clearly define themselves as right-wing and favour the Austrian school when in comes to economy. Many of them are extremely hostile to socialism, while most left libertarians considers themselves socialist, Marxist and/or anarchist.

As such the left and right labels here are not hypothetical.

Also because of who people consider viable alliance partners or alternatives to vote for. I would opt for (non-libertarian) social democrats over right-libertarians, for example, and would opt for (non-libertarian) classical liberals over right-libertarians too, because while I agree more with right-libertarians on social issues, I see their economic views as disastrous and immoral and in starker opposition to liberty than social-democratic policies even though the latter involve more government regulation, because of which areas they want to regulate and how.

As such the left/right axis is still deeply relevant, though it's important for libertarians to realise that in specific areas, the most likely ally might be on the other side of the spectrum.

> Well it is good we agree on something, but you continue to use this one dimensional model throughout.

Because it is still relevant, given that it is what people are familiar with and define themselves by, no matter how flawed it is.

In 25 years of discussing this with people, you're the first person to get hung up in this use of left vs. right.


>…I've spoken to many right-libertarians, and they all self-identified as right-wing and libertarians, and don't reject it.

This might be an American vs European difference. I have known plenty of libertarians and I can't think of any of them that would classify themselves as "right wing". As an example any of the libertarian positions I listed in my first response would be anathema to any group that is considered to be "right wing".

>…I would opt for (non-libertarian) social democrats over right-libertarians, for example, and would opt for (non-libertarian) classical liberals over right-libertarians too,

Again, maybe an American difference, but I would have to say that many libertarians I know would consider themselves to be classic liberals. For example, here is a quote from a professor at NYU:

"...I consider myself both a libertarian and a classical liberal. … So there are important differences among liberals and libertarians but I view these are differences along a spectrum. Some are principled (“Never, ever, initiate the use of force”) and some are empirical (“Many public goods can be provided privately”) and some are hard to classify (“The NSA should not collect masses of meta data”). Some people will want to take these differences and harden them into different political philosophies with different names and so forth. But I suggest that libertarians and classical liberals have too much in common for any divorce."

https://thinkmarkets.wordpress.com/2014/02/05/libertarianism...

>> Well it is good we agree on something, but you continue to use this one dimensional model throughout. >Because it is still relevant, given that it is what people are familiar with and define themselves by, no matter how flawed it is.

Since no one can even describe the variable that underlies the left-right line, it is a pretty useless model and in American political campaigns, "right wing" and "left wing" is now simply used as a pejorative to paint someone as an extremist (there are plenty of extremists out there, but not everyone who doesn't register with the 2 major parties is one).


This is why libertarians stop being libertarians. At some point, they realize that it's futile and impractical. Someone is going to be in charge, and that person is going to make the rules. Authority is an inevitability.

Libertarianism and Marxism are two sides of the same coin: theoretical utopias, if we can just get everyone to agree to play nice!

Well, in the real world where humans compete for resources to survive, people don't play nice. That's a hard biological fact, and no amount of indoctrination or force is going to be able to remove those hard-coded instincts for self-preservation, so it's best to adopt a system that is at least somewhat compatible with it.

That can take a while to fully internalize, which explains why so many young idealists adopt Libertarian and/or Marxist positions for a few years before they end up moving on.


And targeting "regular joes" is a terrible way to make money. The vast majority of govt income comes from the wealthy, in particular because wealth distribution is so unbalanced.

That depends a lot on your definition of "wealthy" and "regular joes".

https://taxfoundation.org/summary-latest-federal-income-tax-...

According to that, the top 1% contributes about 37% of income taxes. On the other hand, the bottom 50% contributes only 2.78%.

I guess a lot of people would consider the 1% to be wealthy, but most of the 1% are actually just doctors. I'm guessing that the real wealthy, those whose income is derived from capital rather than their labour, don't contribute much to federal tax income because of the low capital gains tax rate in the US.


I'm not sure how much illegal tax evasion happens at the top. The way I look at it you only need tax evasion at lower income levels because of the huge risk associated. Once you have the money you can just buy the tax codes you want.


If enforcing a law properly causes abuse, then the law must be rewritten. Not enforcing laws because they're bad is compounding the problem.


A while back New Zealand ran a successful advertising campaign which invited people to dob in tax dodgers, and told people how.

http://i.stuff.co.nz/business/money/64437383/ird-collects-40...


>the (few) libertarian sources that are considering basic income

While it's not necessarily popular in libertarian circles today, the negative income tax (which is closely related to UBI but not identical) has a long history among libertarian thought leaders. Milton Friedman was a proponent of these policies.

The US already has the Earned Income Tax Credit, so the basic idea of a negative income tax is already in place though highly constrained. I think expanding/modifying that program would be a path of least resistance rather than pushing for independent UBI legislation.


Hayek as well.


As a pragmatic libertarian, that's where I stand.. it likely wouldn't cost much more, but would eliminate a LOT of other programs and agencies, and reduce/eliminate classes of subsidies and complex legislation for a simple, universal system that people aren't able to abuse (short of non-citizens, arguably claiming benefits)

We definitely don't need more tax enforcers, or more taxes... better spending, and simpler tax structures are needed much more.


Judt think of all the useless civil servants you would be putting out of work!

That woul take a serious chunk out of the budget though.


I suspect many people who claim to be libertarians just haven't discovered classical liberalism.


UBI is being pushed by a subset of the wealthy primarily because it will be a juicy source of rent, in both the economic and colloquial senses.

Every cent of UBI will be absorbed by housing costs absent the sort of regulation that would itself make UBI politically untenable (i.e. because it would not benefit the wealthy.)


>Every cent of UBI will be absorbed by housing cost

I think you're wrong about that because UBI frees people to go and live anywhere. They won't be trapped in lousy housing one bus-ride from their McJob anymore. The only way housing would suck up the entire UBI is if everyone were trapped in a California situation where new housing was impossible.


That's the best argument for UBI I've heard yet.

It gives people an option to "exit" shitty societies.

Unfortunately you'll find a good portion being spent on 20th century drugs, which suck immensely.

But if the people in power are willing to take that risk, then it might be a positive thing.

One glaring flaw is that humans are a social species and calculate rank and favors and grudges almost autonomously. Receiving your "life" from a government stooge is something of an embarrassment to men who've survived cold winters and starvation and dehydration. We like to be "equal" or "respectful" to a gift giver by having the possibility of giving back an equivalent gift.

So in a sense, you have to teach the homeless person abilities which, eventually, allow him/her to reciprocate a gift. Even if the gift was from the government.


> Unfortunately you'll find a good portion being spent on 20th century drugs, which suck immensely

Leaving aside any evaluation of the quality of modern drugs...

You raise my one concern about UBI. I'm fairly liberal, and particularly with the rise in automation, I see something like UBI becoming necessary. Unlike some conservatives, I have no real concern about people "mooching" or getting money they don't "deserve". Some WILL mooch, IMNSHO, but not most. And if it generates a society where people CAN succeed if they put forth the effort, I'm generally okay with those that are choosing to be lazy being lazy - just get them safely out of the way of everyone that isn't lazy and make sure they have every opportunity to improve their situation should they try to.

BUT - two of the big arguments in favor of UBI are:

* that it could be cheaper than the social programs of today

* that giving people cash can be the most effective investment (I think it was here that I saw discussion that a program to give the poor of developing nations chickens was successful at a small scale, but couldn't grow because at some point too many people have chickens for the eggs to have much resale value).

My concern is that some people - I expect few, but enough - will spend money and NOT cover their basic needs (food/shelter). If you shrug and let them suffer/die, you aren't who I want to be. If we run all the social programs in ADDITION to UBI you've made it cost more. If you try to regulate how people spend their UBI, you're hurting everyone's ability to innovate their way to greater wealth. If you try to only regulate those that are decided to not be able to spend wisely...that sounds dangerous, having those in power determine what is and who are "wise".

So while I remain very interested in UBI, I'm watching the current and planned-for experiments with great interest to see what problems arise, which problems don't arise, and to see how any problems are handled.


There's no realistic (as in adding up mathematically) way that UBI will be cheaper than the social programs of today.


Oh? I won't claim to be an expert (or even close), but it seems to me that remove the vast majority of the overhead of the current web of social programs with a far more simple "Has this person gotten their $X" would free up a bunch of money, even if $X is given to vastly more people. (And I believe that most social programs are relatively efficiently run - those that disagree would consider the benefit of closing the programs to be greater)

That said, theorycrafting isn't numbers.

Today the US population is roughly 350 million, and we spend 927 billion on social programs between state and federal. That works out to $2800 and change spent per person. (assuming my numbers are correct) That's, as you say, not nearly enough.

Okay, perhaps we can say some large portion of that population is children that would cost less. also families can benefit from shared housing. So let's switch to a theoretical family of four model. For ease of calculations, let's assume large families and small families balance out: $11,200 per (theoretical) family of 4...which isn't the individual poverty line.

So....yeah, you seem to be totally correct. Which makes me wonder what numbers those libertarians in favor of UBI are using?


It doesn't seem particularly hard to me. You raise taxes slightly to claw back the UBI from people making significantly larger amounts of money.

Actually, how I would implement it is as a refundable tax credit in place of the basic deduction. In other words, if you have no income you receive your full UBI. However, you are taxed on your first dollar of income (rather than getting a tax free threshold as you do today). There is still an incentive to work as you still get to keep 75% (or whatever) of every dollar you earn on top of the basic income, but at some point the amount of tax paid exceeds the amount of UBI received, and you become a net tax payer.

EDIT: The point is that by working the numbers, you can have everyone wind up in roughly the same financial position as today except without the overhead of the various social programs.


You receive your full UBI for the year all at once at tax time? That seems like a recipe for disaster.


Lets say you get $500/month to every adult citizen... and $100-300/month (varies by number/age of children) for every dependent child., for a family of four, that winds up being lets say $1500/month. For a year, that would be $18,000/year. The average U.S. income is $52k.. meaning that a flat tax rate of at least 40% would be needed to cover such a system, as well as what's left of the govt.

I might be persuaded to do that, if it meant that pretty much all social programs go away, and that a lot of laws, agencies, regulation, subsidies and even military spending were cut. With a target of cutting the federal budget by 70%. If course it feels like I have that much coming out of my paycheck already.


Two things to keep in mind:

1) Even if the marginal tax rate is fairly high, your average income earner will be getting that $18000 back in UBI which makes the effective rate in your scenario more like 5%.

2) The majority of tax revenue comes from the highest earners. A quick google gave me this (from https://taxfoundation.org/summary-latest-federal-income-tax-...):

The top 1 percent (1.3 million filers) paid a greater share of income taxes (37.8 percent) than the bottom 90 percent (124.5 million filers) combined (30.2 percent).

In other words, I don't believe your math is a reasonable approximation of how the budget would work out. If everyone pays the same effective rate as today (including welfare and other social program recipients who can be treated as having a negative effective rate), nothing changes. Also, there is no need to presume a flat tax rate; the U.S. does not have a flat tax rate, now.

EDIT: Also the average household size in the U.S. is 2.53 people, not 4. A naive calculation would suggest that a household of 4 should therefore expect a mean income around $83K.


Details to be worked out. :)

No, of course, I would not propose that. There are many ways to handle it that effectively amount to the same thing. The UBI could be paid out monthly or fortnightly or whatever seemed good with the tax situation otherwise being the same. Your employer would have to withhold a bit more tax to compensate, but the end result would be the same.

The point is not to argue specific implementation details; it is to offer another way of thinking about it.


Income tax would need to be 40-60% flat to cover such a system.


Even if it isn't cheaper, the costs are better to plan around.

We have an entire bureaucracy centered around benefits and making sure if folks have cheated their benefits. I'm sure we'll need some of the bureaucracy still, but it'll mostly be issues receiving their pay instead of having to screen everyone. Fraud will be more limited in scope because there will be fewer ways to commit this sort of fraud (identity theft, not reporting death, and folks inadvertently recieving double payments most commonly).

We'll still need some social programs. UBI simply won't be enough for some folks unless someplace has cheap, affordable healthcare. Otherwise, folks with expensive health needs still need some support. Yes, this will cost some money, but other folks will simply be able to retire and live off the UBI with no intervention. I'm pretty sure this will be cheaper than the current system. This likely goes down or away completely if everyone has healthcare they can afford.

We'll no longer need to maintain things like the SNAP system (food stamps) because this will simply be included in the UBI. You'll no longer have a seperate card to pay for whatever portion of your groceries are included. We can use existing infrastructure for the UBI payments like we already do for other cash benefits.

We could likely have more staighfoward payroll taxes and less paperwork to fill out with those, both on the government side and the employer side. I'm guessing there are other things I haven't looked over. I think overall we'll have fewer employed in this. Now, there will be the cost of the actual money plus distributing it to everyone in the country. This might make up for the savings above, I don't know as I've not done the math.

The point is this: If we can see these sorts of outcomes happening with UBI, then we can realistically estimate the costs and savings of the two systems. It'd take some work and research, sure, but I think it can be done.And for it to come out cheaper.


Agreed, though it may well be worth the trade off if we could eliminate huge layers of bureaucracy.. there are also a lot of ancillary programs and subsidies that this could be in place of. Reducing military expenditures would help a lot too.

I keep thinking as well that switching to a VAT/tariff/excise system that included money transfers would be beneficial... Even allow (re)patriation of funds without taxes, while funds leaving the country are taxed.


Suggested: Read Charles Murray's book on the topic. (yes, that Murray)

He pencils it out to something pretty close to 1:1, maybe something like 15% nominal spend increase, but with (theoretically) much greater utility for all concerned.


People would still give to charities I assume. Perhaps more so when they get more money from UBI.

How about establishing a trust in that person's name where they can't touch the money but it will pay for needed services? Someone like that sounds like they would need professional help...


>Unfortunately you'll find a good portion being spent on 20th century drugs, which suck immensely.

There's the hardest part about UBI. Its the same thing that makes our welfare systems so awful right now as well.

The terrible fear that if we give people money... they might spend it on stuff we don't think they should.


It's not even a fear: https://www.commentarymagazine.com/articles/our-miserable-21... (and https://www.bostonfed.org/-/media/Documents/economic/conf/gr...) The overwhelming majority of prime-age men on welfare spend most of their time on consuming multimedia, doped up on pain medication like Oxycontin. As beautiful as I personally find the ideal of letting people be free from economic concern beyond their basics (if they want more they can get a job) and free to pursue inexpensive but time-consuming creative passions and work on bettering themselves (it's my own dream I aim to achieve by becoming effectively retired in my early 30s), it's not a realistic outcome for most and can't be used as the basis of argument for why the working class should thus support people whose first complaint against work is simply lack of desire.


...and yet when there was mandatory drug testing it showed a drug use rate lower than the general population. How do you reconcile those contrasting data points? (honest question, not a troll)


Someone I was once friends with had been a drug addict while in the military, where they do random drug tests and throw you out if you fail, basically. I asked how to beat the drug test if I needed to, as I had been unwillingly exposed to secondhand marijuana smoke while job hunting. He assured me it would not matter, as secondhand smoke would not show up on the test, then gave me detailed instructions on how to beat the test "even if you are so high you have trouble peeing in the cup."

So, maybe don't believe all test results.


Devils advocate: If you're getting paid to do drugs and watch movies, don't you think you can find someone's clean pee?


I used to work in Social Services. There are, without a doubt, people that abuse the system.

But you have a lot more confidence in their ability to be sneaky than I do. The average person is not very good at lying without getting caught. The average person that lacks any initiative or follow through is worse.


I seriously doubt it. While I don't doubt it will aid in some mobility it will not be significant enough to let people simply pull up stakes and move. Plus with dual income families someone always gets the shaft when it comes to commutes.

I think a more likely scenario is companies will pop up who cater to providing the needs of UBI dependents. Think about it, if UBI is enough to cover home and food then you could package these together. Welcome to extended stay from hell.

Lets be real, UBI might protect you from going homeless but that ain't the same as having mobility and choice. With more people participating in the market for housing its going to get tight for awhile and you could end up with more sprawl.


That assumes the homeless is a significant portion of the population.


The only way housing would suck up the entire UBI is if everyone were trapped in a California situation where new housing was impossible.

Provided there are no location/COL adjustments.


I think providing location/COL adjustments would be a big mistake for a UBI system. Providing a flat rate encourages people to move to lower-COL places which would reduce the amount of economic activity tied up in rent. It seems to me that adjusting for COL would just reward those who choose to prop up rents and worsen the rent <-> COL cycle.


Agreed.. the main benefit to such a system would be simple rules that apply to everyone, that you can't cheat (other than potentially non-citizens getting benefits). It there's any complexity, including COL, that makes it easier to cheat said system.


Indeed, by encouraging people to move to lower cost of living areas, they may actually help prop up the local economy by spending their UBI cheques in otherwise depressed areas.


In a a UBI situation, I would find the cheapest living conditions around home, then hope the Ubi would cover out-of state schools


"Hmmm... My spreadsheet says you earned a bit more than your neighbor down the road last year. I'm going to have to take that, mmmkay?"


Funny sarcasm, but...what is the point you are trying to make?


Any tax code that, should you be capable of lifting it, requires both hands and a top 5 player to develop, is suspect


> . The US has known for at least a decade that spending more on IRS agents would earn more money than it would cost.

Isn't that proven to be a mostly false notion? Lower taxes tend to bring in more revenue and create more employment.


> Lower taxes tend to bring in more revenue and create more employment.

Two responses:

1) A bit of an irrelevant point, since we're not talking about RAISING taxes, we're talking about collecting taxes that are due under current rules. (You can argue that's an effective tax increase, but I doubt people/companies that aren't following the rules are a good basis for policy - with lower taxes they'll still cheat)

2) But if we do consider your point...I don't know that your point has been shown at all. Sure, if you're on the far side of the Laffer curve, which is 50-70% tax rate (depending on whose numbers you trust), but we're at 20-38% tax rate in the US (and that's marginal rate, not overall rate). I'd also look to the efforts of politicians like Brownback in Kansas, where a massive tax cut led to...a tanking of the local economy. I don't recall of hearing of a single supply-side success in post-WWII America, but I'll admit to non-perfect knowledge.

Also, as a liberal, I support taxes because I support many govt programs. Taxes themselves are NOT exciting - if we could really raise more govt revenue by cutting taxes, I'd be all for it, but I've not seen any reliable evidence for that (again, unless you're on the other side of the Laffer curve) and I've seen at least limited evidence against it.


Our top marginal rate is 39.4%, not 38. And that's only Federal income tax. Add in 3.8% Medicare and top marginal rates at the state / city level approaching 15% for some locations and top marginal income tax rate on earned income approaches 60% for some (wealthy) individuals. Not to mention sales tax, property tax, capital gains, etc.

Whether that's too high or too low is a separate discussion. But saying we're at 38% just isn't true.


My bad, you are correct, 39.4% is the top marginal tax rate in the US, not 38%.

> Whether that's too high or too low is a separate discussion

Sounds fine: while exploring the numbers here (because frankly, I'm curious - tax rates are NOT a strength of mine) I'll not engage in that debate

> Add in 3.8% Medicare

Just to clarify that's the TOP rate, and that includes the employer share (which is arguably fair to include)

> top marginal rates at the state / city level approaching 15% for some locations

I'm less inclined to talk about the local taxes of extreme locations when discussing US taxes - Those would just induce people to move if too high (particularly since we're talking about people making over $400,000/year) and their new location could still be US.

So that would bring top marginal rates to 44.2%, and effective rates somewhere around 28-29% (assuming I didn't screw it up)

There is likely some minimum level of local taxes to apply there, (as well as a "reasonable minimum" to apply so we exclude rare extremely low results just like I rejected the extremely high ones) but I have no idea how to find that (1%? 3%?)


Did Kansas's economy tank? I was under the impression that unemployment has dropped at similar rates to comparable states.

The primary impact has been massive reduction in the ability of the state government to provide services, including education. That is too long-term to be immediately measurable.


First - I was wrong to mention the "local economy" because I don't actually know. I _meant_ the govt budget.

Second - Despite being willing to admit I don't know, I HAVE heard it, so I'm definitely open to having what I've heard proven/disproven (to the degree we can with so many variables).

As far as I can tell from my quick searches:

* Kansas private-sector job growth post-tax plan is low. (both regionally and nationally) * The Govt budget has definitely been hit * Kansas unemployment rate is actually BETTER than the national rate...but it seems like it always has been, for the last 25 years at least. (There's a recent spike since May, but even a skeptic of the Brownback plan such as myself is unwilling to attribute the spike to the tax rate without more data) * Kansas GDP growth rate is lower than the regional average and has been since the tax plan was enacted (this may be a red herring, couldn't see what it did before the tax plan, nor how the state GDP compares to it's theoretical potential which would impact tax rate)

So: Based on this I can't conclude the Kansas economy has "tanked" as I originally said...but I also don't see anything indicating an improvement due to the plan either. If cutting tax rates leads to more investment and growth, where should we be seeing that?


Your referring to an idea called the Laffer Curve. It's true that the government would bring in essentially $0 revenue with an income tax rate of 0% and it's, well, more or less true for a tax rate of 100% too. And so logically there is a point between those two where revenue is maximized. But in the US at least we're no where near that point. For people payed in proportion to their labor like people working hourly jobs it seems to peak over 50% and for salaried professionals the peak seems to be between 70% and 80%. So if you're talking about lowering the top tax bracket from 90% to 70% you can raise more money. But you can't for any of the sorts of tax rates we have today.


But government revenue is almost certainly the wrong thing to optimize for. You probably want to optimize for something closer "wellbeing of the median citizen," although there's of course a lot of disagreement on what the actual right metric is.

This is a very practical difference. For the sake of easy math, let's assume that the maximum-revenue point on the curve is a 50% tax rate. It then follows that for every % you charge someone over 50%, tax revenue decreases. Which means that at this rate, every additional X% of tax is actually decreasing total economic output by 2X%! And assuming that we're on a smooth curve, that means that every X% you DECREASE your tax from the Laffer point is creating 2X% of economic value. Now, based on how fairly the created value is distributed and how efficiently you believe the government can spend its tax revenue you may have a different opinion on how much value you're comfortable destroying to increase tax revenue, but I'd submit that 2X is quite a high number.

I believe we need much-higher-than-0 taxes, but "we're still below the Laffer point" is a poor argument for raising them.


No, see Brownback's Kansas tax cuts for just one recent example showing that (at least in our current tax regime) lowering rates brings in less revenue.


> Lower taxes tend to bring in more revenue and create more employment.

Got some examples where this actually worked?


Tax haven countries that have no other economic drivers, but these are essentially parasitic economies and it wouldn't work in large countries.


Policy is very regularly unrelated to ideology. I consider myself conservative in ideology, but very rarely agree with the policies of US conservatives, and relatively often agree with policies of US liberals, but I almost never agree on the principal arguments liberals might put forth to justify the policy. For example, I advocate for freedom of immigration and emigration as a matter of freedom of trade. I advocate for a solid (but not lavish) welfare state as a matter of fiscal policy (It's a lot cheaper than prisons). I advocate for a single payer health care system because it reduces regulatory capture and rent seeking.

Politics, however, has far more to do with identity than ideology or policy. Finding common ground on contentious issues does not raise money or secure votes. Demonizing and opposing those that don't look, live, or act like you does.


Well said...


> It was weird because he is such a staunch right-wing kind of guy, yet here he was putting money towards what seems like a very left-wing socialist idea.

Many Democrats where I live, Southern California, find these ideas quite repugnant. So it's not just the right-wing that needs convincing. In expensive housing markets, people get pretty upset when they see anyone getting something "for free."

It's a childish attitude, but it knows no political ideology.


Utah's success should be replicated where it makes sense. But just because Utah can reduce chronic homelessness 90% by adding 1,000 beds in a low land value, low labor cost state doesn't mean you can simply transfer the program to San Francisco or San Diego and achieve the same success.

One of the achievements of Utah is actually putting together decent living conditions in their homeless housing. I fear California's attempt to replicate at scale this would end up in some Cabrini–Green like nightmare.


Like everything to do with housing in CA, this idea is ruined by Prop 13. If San Francisco's property tax collections had been allowed to rise with property taxes, their tax revenue would naturally rise as land values rose and they would be able to afford land no matter how high the land values got. However Prop 13 stops their tax revenue from rising as fast as land values so land becomes increasingly unaffordable to them as land values rise.


There's plenty of cheap land and labor 100 miles east of San Francisco. Why don't we build homelessville there?


Because nobody wants to live there? That's why it's cheap.

I fear a lot of SF homeless enjoy being in SF for similar reasons that a lot of the not-homeless do. Can the prospect of free housing in a random area lure them away? Maybe? It's hard to say.


Overheard a homeless guy in Mountain View, think he had a tent in one of the creek beds, saying why he likes it here: - ”it's safe, you don't get robbed". Less risk of violent crime in a prosperous, liberal city like MV, where the police management know they're expected to roll a car for reports of homeless-on-homeless violence, and can easily afford to do so.


Homelessness is a problem easily solved with political will. It is just like health care, we need to spend on prevention not recovery. There are lots of costs, including things like health care. [http://www.newyorker.com/magazine/2006/02/13/million-dollar-...] The hardest problem is preventing a mass migration of homeless once someone institutes a reasonable program. Additionally it is an issue that people generally don't care about. It doesn't resonate in polling compared to jobs and health care so no one invests any effort.


Totally this - I read once that is costs around £16000 a year per rough sleeper in central London, through policing, clean up, emergency care, and other costs. And that at the end of the year (if the person hadn't died) they were no less likely to be a rough sleeper than at the start.

It just seems crazy that we can't better funnel that money to intervene and support people, to plan on removing that cost over the long term.


The general problem isn't convincing people that housing them would be more cost effective, it's that a large portion of the population is worried about incentivizing people to not work. Whether or not that is a valid concern is up for debate, but it's definitely the main driver why programs like this in the US rarely get funded.


Worrying about incentivizing people not to work is one thing, but i think a larger part of that concern is people worrying that somebody else is getting something for free when they have to pay for it.

Free-housing programs are seen as unfair by people who have to pay for their housing. If you take half the $16k that gets spent on policing and cleaning up after a homeless person and spend that on providing housing for them instead, somebody who works a minimum wage full time job and spends the same amount out of their own pocket on housing is going to be rightfully annoyed. Which inevitably brings us around to the basic income debate.


> a larger part of that concern is people worrying that somebody else is getting something for free when they have to pay for it

There are plenty of examples of politicians making promises of spending now on others in order to gain cost savings down the road. Obamacare was sold to the all-too-eager masses this way. Especially at the county/local level, such cost savings arguments could be made very effectively if there were convincing numbers to back them up. You could also make arguments that public health and land values could benefit from such spending. I'm basically sold purely on a public health argument.

What I take issue with is your abstract line of thinking. First, those who oppose you may not be as shallow (nor ignorant) as you seem to suggest. For example, I would love to see temporary housing, drug treatment, mental health counseling, and job/life-skills counseling to be setup for the homeless. But my local government is so disconnected from reality and are so wholly lacking in priorities that there would never be enough political will to allocate additional budget enough to truly address the problem. So, I oppose you on budget priorities grounds: politicians need to make eliminating homelessness a priority at the expense of some other program - and they could care less about the homeless. The taxes are already too high, and there's a laundry list of bullcrap that the city and county does that could be cut in favor of actually helping those who are in real dire straits.

Second, the environment into which the homeless enter is not a vacuum, and at least local to me, the government had a big hand in creating the current homeless crisis we see (legalized building structures for public overnight camping in the streets.) Coupled with our generous social services that keep people alive, our already bad homelessness problem has metastasized into real human tragedy. So, while I am pained to see what's going on here, I am also deeply skeptical that there is enough wisdom in my local officials to deal with this problem when they were fools at the start and caused it to flare so badly. I oppose you in your thinking that government is capable of solving this problem.

Third, the opinion that additional public services for the homeless become an incentive to remain homeless is a legitimate one regardless of how crisis/fear-minded you are on the subject. The crux of my argument is that dependency robs people of their liberty. The systems we have today for supporting the homeless create dependency and are unjust for that reason. I am in favor of increasing services, housing, and even outright paying people who are homeless to get them out of their situation -- BUT, to get around the dependency issue, there needs to be mandatory work. We need to create a more comfortable life for these people and provide a real possibility to emerge and be self-sustaining. And, at the same time, it has to be UNcomfortable because we expect work out of them. I oppose pure charity to otherwise able-bodied people if that charity will keep those people in their miserable place.

If I were el presidente benevolent dictator, I would make homelessness illegal tomorrow. Along with housing, counseling, and rehab, I would give people who break my law a choice of a few kinds of make-work while they sort their lives out. If they are intractable or fail to show up for their new job, they get sent to the work farm (essentially forced work prison where they get paid real wages) or the military if they are fit enough. For people unable/too sick or those not in their right mind, I would reserve the biggest cash outlays in order to provide comprehensive care for them.


This is a great example to support a hope for the day ideology retreats from mainstream consciousness as acceptable thinking. Today, it dominates acceptable thinking about politics.

By contrast, science, which relies on testing hypothesis, is a method that has propelled the world forward. Could you imagine if we still thought ideologically about nature--Isaac Newton did, and that's why he spent so much time on his work with alchemy and in the Bible.

It's easy for smart people to get caught up in ideology, but it won't bring us closer to solving problems.

When Feynman famously defined what science is, he said 'it doesn't matter what university you went to, who your advisors were, how smart you are, or what your last name is, all that matters is if it agrees with nature.'

Hopefully more and more will start supporting policies on the basis of evidence that they improve human welfare (i.e. economic, health, education outcomes), rather than if they fit into their ideology.


And in the absence of evidence not yet collected, place their trust in traditions as those still remain the outcome of thousands of years of natural selection of cultures, as opposed to ditching old ways of doing things for the sake of being old.


> Maybe that's a good example of how to get right-wing politicians to agree to some left-wing ideals: prove that it will save money and let them lower taxes.

I think this is a fine approach for the left to take, as long as the moral foundation is never sacrificed.

In other words, it should always be "we should do this because it's the right/moral/dignified thing to do (and if it saves money too, great)" rather than "we should do this because it saves money." Because what if new research comes out saying it _doesn't_ save money?

(See https://www.currentaffairs.org/2017/02/even-when-it-doesnt-s... for a more fleshed out version of this argument.)


> I think this is a fine approach for the left to take, as long as the moral foundation is never sacrificed

This is why we have Republicans in the first place who won't even consider implementing social programs. They believe so strongly in their moral foundation of lower taxes that they refuse to consider the evidence.

Being willing to look at the evidence objectively is something everyone needs to get better at, conservatives and liberals alike.


Agreed. I also think we need to allow ourselves room to question our moral foundations and make attempts at reconciling them with the foundations of "the other side," whoever that is for each of us.


Everyone should read Jonathan Haidt's book The Righeous Mind on the foundations of moral psychology and how they are used by liberals, conservatives, and libertarians. I think it's a great foundation for discussions about this kind of thing, and it makes it easier to understand where the other side is coming from.


Walter Lippmann famously said that “the goal of politics is not to get people to think alike. The goal of politics is to get people who think differently to act alike”.


Hasn't worked for single payer healthcare yet. Nobody brings up that almost every other country's government pays less than the US.


If you're a wealthy person anywhere in the world and you have a really terrible disease you're probably going to come to the US to get care. Why? Because we have the highest quality healthcare in the world. There's a reason why there was some mild drama over Danny Williams (Premier of Canadian province) hopped the border to have heart surgery in the US. We're the best. What we lack is healthcare access for the poor. Dampening the profitability of health care with single payer will reduce quality and increase access. That's an okay argument to make, just make sure you're stating both sides when you make an argument. Otherwise it's just disingenuous.

Also, it's important not to be fooled by some of the comparative health stats. Many of our poor health stats are the more the result of culture than they are a lack of access to health care. Being able to go to the doctor without paying a copay doesn't matter much when you're 100 pounds overweight and don't follow the diabetic diet your doctor laid out for you.


   Why? Because we have the highest quality healthcare in the world. 
This is one of those statements that kind-of true, but not in the sense that people bringing it up mostly mean.

In fact "best in the world" care depends largely on disease, in many cases the best teams in the world are in the US, in others they are not. If you are (globally) rich, you go wherever the best care is. But that typically isn't "the US", that's far too broad. It is a particular team, at a particular hospital, in the US. Or maybe there are 3 to choose from.

So sure, if you are rich enough to go anywhere, and have enough social capital to get in, you can have amazing care for most conditions in the US. And in some cases you would go to France, say, instead - because they were better for what you have.

But that doesn't mean that the average person in the US in the average hospital, say, is getting the "best care". As far as we can see (and it's difficult) mostly what they are getting is roughly equivalent care for higher costs. It's a complicated issue as to why, of course. Particularly if you are looking at outcomes, rather than procedures. On top of that, access for 10's of millions of Americans is sub-par, in comparison to peer systems.


Exactly, the US has many of the leading (highest quality) medical specialists, which you would expect from the richest country with the best research university system.

That does not mean the US has the highest quality healthcare in terms of health outcomes for the population.

If anyone reading this believes we (the US) have the highest quality health outcomes, please do some research with an open mind. We're not terrible, just far worse than you'd expect given our wealth. We are actually great in some cases, e.g., certain types of cancer treatment (I think, don't have stats at hand). But in many, many categories, our outcomes are middle of the pack or towards the bottom for developed countries. For example, IIRC, we're quite middling/mediocre in life expectancy, infant mortality, heart attack mortality, % of diabetics with managed care, efficiency of spend, etc.


> For example, IIRC, we're quite middling/mediocre in life expectancy, infant mortality, heart attack mortality, % of diabetics with managed care, efficiency of spend, etc.

Life expectancy, infant mortality, and heart attack mortality are directly related to our culture more than access to health care. Go look at our obesity rates. Do you think not having to pay a copay to go to a doctor would fix that?


OK, I'm done debating this with you.

You seem to have an unfalisfiable belief that our mediocre health outcomes are due to problems in our general culture. In other words, all of the good outcomes are due to us having the highest quality healthcare, and all of the bad outcomes are due to culture.

I disagree. I believe that a) our healthcare system is part of our general culture and b) deficiencies in our healthcare system contribute to our health outcomes.

I don't think we'll bridge that gap in the HN comment section. Have a great weekend. Cheers.


US obesity rate: 36% Swedish obesity rate: 18%

US life expectancy: 79 years Sweden life expectancy: 81 years

It is falsifiable. When I talk about culture I'm talking about things like smoking rates, obesity rates, etc. These things are totally unrelated to whether or not you pay a copay to go to a doctor. If you think our relative life expectancy has nothing to do with our obesity rates, then I'm sorry but you just don't need to be making statements about healthcare at all.


It's weird that you're so fixated on obesity as the only driver of poor healthcare outcomes.


and smoking, which I specifically mentioned, and teen birth rates. I mean of course the biggest one is obesity since heart disease is the leading cause of death.


I hear ya. I think a healthcare system can affect smoking rates and obesity rates. You disagree.

Likewise, I disagree that "paying a copay to go to a doctor" is really the crux of the issue.

Maybe we'll meet one day by happenstance and have a richer discussion on this complicated topic. Have a good one.


You may be right. But our government still pays into healthcare as much as Sweden, but then we pay out of pocket on top of it. How much marginal value is gained from the huge expense?


Single-payer health care establishes a floor, not a ceiling of coverage. That in itself is a reason to do it, because it reduces overall costs due to the amortization effect of preventive medicine that people have a right to access.

Single-payer coverage doesn't necessarily dry up the market for private insurance, either. Citizens of Canada and other countries have access to additional coverage that covers faster access to medical care and more expensive procedures. So yes, you can have your cake and eat it, too, if you set things up right.


>That in itself is a reason to do it, because it reduces overall costs due to the amortization effect of preventive medicine that people have a right to access.

Reducing the over-all cost isn't necessarily the only goal. One goal could also be to have the highest quality care in the world, which we have today.

>Single-payer coverage doesn't necessarily dry up the market for private insurance, either.

Comparing the private insurance industry in the US and Canada or UK is laughable. The fact that it exists is not the same as saying it isn't dried up.


The US has many of the "highest quality" specialists.

The US population does not receive the highest quality healthcare in the world.

If you are rich and sick, there's a decent chance that the world's leading specialist on your illness will be in the US. If you are poor and sick, you will receive higher quality healthcare in many other developed countries.

These are not the same thing; you are conflating them, I assume to support an ideological point. Just look at any ranking of healthcare outcomes for developed nations.


>Just look at any ranking of healthcare outcomes for developed nations.

Yes, I addressed that. Look at our obesity rates. That has almost nothing to do with healthcare access and almost everything to do with our average lifespan.


Isnt obesity usually linked to economic inequality which links to not being able to properly afford health care?

Basically: a) "poor people tend to be more obese" b) "healthcare costs are a problem for people who struggle financially"


Nobody needs the highest quality healthcare in the world. Did it get Steve Jobs or Satoru Iwata anywhere?

(The fancy book learnin term that applies here is "marginal cost")


The US does not have a monopoly on high quality health care, and what use are the best experts if they're too expensive? It's not like you can have your pick of the US top experts as long as you're insured in the US.

I live in the Netherlands and our healthcare system is pretty damned good. I pay €92 (~100 USD) a month for my healthcare plan, which covers most anything (I only sometimes have to pay ~€50 for dental checkups out of pocket, but dental/jaw surgery is insured again). It even covers eyewear and contraceptives!

Our population is healthier, which probably helps keep costs down. I do wish our air quality was better, but there was only 10km's of road left that did not fulfill the EU maximum emission goals in 2015.


>The US does not have a monopoly on high quality health care, and what use are the best experts if they're too expensive? It's not like you can have your pick of the US top experts as long as you're insured in the US.

Go do a google search for something like "best children's hospitals in the world." I challenge you to find a list that isn't at last 75% US hospitals. Most are over 90% US. If you have something that warrants it in the US, you're going to get into one of those hospitals and you're not going to pay anything.

>Our population is healthier, which probably helps keep costs down.

This not only keeps costs down, but also keeps health stats up. Your life expectancy is probably a lot better than ours, but you also have much lower obesity rates. People often cite our health outcomes with any context at all. Context matters. The fact that over a third of our population is obese matters. And not having to pay a copay isn't going to change that.


> Go do a google search for something like "best children's hospitals in the world."

So I did that, and noticed something weird. Here's a list of '30 best'

http://www.topmastersinhealthcare.com/30-most-technologicall...

So, the weird thing? They're all in English-speaking nations, with the exception of one that is in Israel (which has strong medico-political ties with the US and a lot of English speakers anyway). The whole of Europe outside the UK doesn't rate, not even Germany or Sweden.

The problem with these kinds of lists is that they're so Americo-centric to begin with, most probably because they're written by Americans. It's like how the "World Series" in baseball has only a token attempt at including other countries.


I'd have to look into this, but I'd imagine the fact that the best doctors preside a.) in the richest country in the world with b.) the most lucrative health industry has a lot to do with the former as well as the latter. Danny Williams also claimed he traveled to the US to see a specific specialist, not because no one in his own province could do the surgery, although we can't know for sure.

To make your arguments and not take all that into consideration also seems disingenuous.

(I also can't imagine that heart surgery would become drastically more dangerous in the US under universal healthcare, certainly not enough to offset it's unavailability. Where exactly are these amazing doctors going to go, anyway?)


>the most lucrative health industry

Yes, that's the whole point of my argument. We have the best because it's lucrative. The health care plans people tend to put forth to fix our system would make our healthcare system less lucrative.

>Danny Williams also claimed he traveled to the US to see a specific specialist, not because no one in his own province could do the surgery, although we can't know for sure.

Right, he went to where he believed the best specialist was. In the US.

> not take all that into consideration also seems disingenuous.

I didn't not take all that into consideration. In fact, it was the entirety of my consideration.


Re lucrative:

"Private" doctors exist also in single payer models.

If you want the premium model pay for the premium model. There is just a good enough alternative available to everyone.


"We're the best for the 1%" != "We're the best", and it's incredibly disingenuous to argue that.


> Why? Because we have the highest quality healthcare in the world.

If we ignore the fact that the US is in the 10 OECD nations with lowest life expectancy.

There's a bunch of over-testing, over-diagnosis, and over-treatment in the US. These make customers feel like they're getting good service, even though they're being harmed by it.


>If we ignore the fact that the US is in the 10 OECD nations with lowest life expectancy.

We have among the lowest life expectancy because we have among the highest obesity. That has almost nothing to do with healthcare access.

>There's a bunch of over-testing, over-diagnosis, and over-treatment in the US. These make customers feel like they're getting good service, even though they're being harmed by it.

If you really believe that getting too much access to healthcare treatments is the big problem in our country, you might be in the wrong discussion.


Do you think obesity is not significantly increased by overmedication?


It might be statistically significant, but it's definitely not the primary cause. Our government fed us HORRIBLE high carb nutrition guidelines for decades and continues to subsidize the sugar (mainly high fructose corn syrup) industry. Those are much bigger factors than whether or not you got a useless MRI.


Well said. I sometimes hear complaints that US healthcare is more expensive, that (perhaps just by mistaken reasoning) treat healthcare as a commodity. In Economics terms, that's a pretty hefty simplification: sort of like complaining that US phones are so much more expensive than Finnish phones.


a) Lots of people bring that argument up. I hear it all the time.

b) There's a difference between "the US pays" and "the US government pays".


The US government pays more for healthcare than average.

http://visual.ons.gov.uk/how-does-uk-healthcare-spending-com...


For b) we get the worst of both worlds. The US government pays one of the highest costs per person AND it costs the individual an exorbitant amount. Without significantly better outcomes.


Can you explain b). Doesn't "the US government pays" mean that the US pays, one step later?


Yes-ish; but maybe not the other way around.


Canadian conservatives are roughly in line with Democrats in the US. At worst they are slightly to the right of Dems but not by very much.


This is largely true in the US as well, but our political parties refuse to update their branding.


"Maybe that's a good example of how to get right-wing politicians to agree to some left-wing ideals: prove that it will save money and let them lower taxes."

You could make the same case for health care. There are plenty of countries that get good quality health care at a much lower cost for the country but somehow in the US it's impossible to learn from that. I always though the US is a pragmatic country but over the last 15 years I have seen an increase in blind ideology. Things get opposed vigorously out of principle.


>> plenty of countries that get good quality health care at a much lower cost for the country

"Plenty", as in effectively every other comparable developed country, and "good quality" as in consistently better than the US on virtually every metric. Dan Carlin, the podcaster, devoted his most recent show (http://www.dancarlin.com/product/common-sense-314-unhealthy-...) to this topic; it felt like an impassioned plea directed at his reportedly strong libertarian base of followers.


Probably preaching to the choir, but Carlin's WW1 series is fantastic. Easily the best history of the era I've listened to or read.


Yes, if US politicians weren't beholden to pharmaceutical and insurance companies, it would already be a reality. It makes sense from either side of the aisle. It just doesn't make sense for the few people who stand to lose billions.


I think it goes even deeper. People simply can't comprehend that health care in Germany or France (the countries I know) is fine at lower cost. They can't even consider this.


Now, how do you get a left-wing politician to agree to some right-wing ideals?

I mean, just to be fair, right?


I consider myself on the left, and I would for instance agree to less regulation when it favors increased consumer choice without sacrificing quality of life. There are a few cases of this, but in the end many industries have opted to solely favor profits instead, resulting in regulation that often has bipartisan support.


> Maybe that's a good example of how to get [people] to agree to [some other people's] ideals: prove that it will [have more benefits than costs].

If only!


Maybe if you define 'right wing' and 'left wing' as just being against/for public spending. That's very specific to a very narrow characterizatuon of the American political spectrum, but is hardly appliacable to the political spectrums of nearly every other country.


> Maybe that's a good example of how to get right-wing politicians to agree to some left-wing ideals: prove that it will save money and let them lower taxes.

It's not the politicians we need to convince, it's the people who vote for them.


I thought right-wingers liked raising taxes? See: most American Republican Party tax plans.


>Maybe that's a good example of how to get right-wing politicians to agree to some left-wing ideals[...]

Why is this a goal for anyone?


Would that it would be possible for the reverse to happen. Never will left-wing politicians lower tax rates.


If you look at federal budgets over the past 40 years [1] (select Presidents Trump through Carter) the only years with a budget surplus were budgets from Bill Clinton. Each year of his term the deficits got smaller, until they became surpluses in the last three years. George W had a (smaller) surplus his first year, but then went back into deficit spending to fund the wars in the Middle East. I'm not sure how the timing works, but that first year surplus might have been due to Clinton too.

As I recall, Clinton cooperated with a fiscally-conservative Republican Congress to get the budget in line. Rapid growth in the IT industry helped raise revenues as well. Unfortunately the Republicans turned against him at the end, and completely lost their fiscally-conservative policy standpoint. Deficit spending has just been getting worse and worse since then, regardless of who's been in power.

http://federal-budget.insidegov.com/ [1]


> As I recall, Clinton cooperated with a fiscally-conservative Republican Congress to get the budget in line.

Your memory is very incorrect. In Clinton's Address Before a Joint Session of Congress, he said that he wanted to raise taxes and cut defense spending (aka, right wing welfare).

http://www.presidency.ucsb.edu/ws/?pid=47232

Newt Gingrich then rallied+campaigned against this and the Omnibus Budget Reconciliation Act of 1993 received zero Republican votes. The fiscal conservatism was all Clinton; but the conservatism was all Republican.

https://en.wikipedia.org/wiki/Omnibus_Budget_Reconciliation_...

Gingrich went on to campaign against this in the 1994 midterms. He went on to shut down the government twice to say nothing of the impeachment nonsense while he was cheating on his own wife. Gingrich was booted out by his own majority and was reprimanded by them for his own (lack of) ethics.

No, Republicans get zero, nada, no credit for Clinton's budgets and his ensuing surpluses.


Obama lowered taxes, in fact no Democratic president has raised taxes during my lifetime (I'm 25). It's pretty strange people always claim this is a thing when it's just flat false.


Bill Clinton raised taxes early in his first term, 24 years ago in 1993. "He raised taxes on higher income taxpayers"[0]. Did you mean that no Democratic president raised taxes on your family in your lifetime?

[0]https://en.wikipedia.org/wiki/Economic_policy_of_the_Bill_Cl...


That's only true if you ignore the ACA taxes.[1]

[1]http://www.atr.org/full-list-ACA-tax-hikes-a6996


[flagged]


Maybe douche is just a francophile who appreciates hygiene.


I'm confused by this. My brother has an office in downtown SLC near the Rio Grande building, and it's pretty clear when I visit him that there are hundreds of homeless people living in that neighborhood alone. Pioneer Park is also covered in homeless people.

If that is less than 200 people either I don't understand what "homeless" means or something is... off. How does one define "chronic homelessness?"

I really want it to be true. I have seen first hand how hard so many people work to help the homeless; through nonprofits, the government, and the LDS Church. But declaring "victory" over homelessness rings pretty hollow if you walk the streets of Salt Lake City.


Salt Lake City has a lot of seasonal homeless, people who come for the summer and leave for the winter. Seasonal homeless are not counted as chronic homeless.

There are no homeless people anywhere else in the state so the ones you see in Salt Lake are it.

Not all panhandlers are homeless. Most of the homeless in Salt Lake City seem to disappear at night. There are no massive homeless camps like you see in San Francisco, Portland and Seattle. A lot of the panhandlers in Salt Lake have houses and consider panhandling to be their day job. https://www.ksl.com/?sid=27782692


Having Winter weather that will kill people sure makes not counting seasonal homeless a great way to say you don't have any homeless problems.


Its actually even better than that. Because the tourist season in Salt Lake City is winter, there are no homeless when the tourists are there.


Also shipping your homeless and/or mentally ill to CA.


Wha? Why CA? Las Vegas is way closer.


Nevada has been caught shipping theirs to CA, so that's still shipping them to CA, just less directly.


Really? Do you have a reference?



That's pretty funny because Nevada accused Utah of shipping their homeless there in the run up to the 2002 Olympics.



The homeless population in Provo is starting to become more visible, particularly around University & Center. I've encountered a few tent encampments around the city, as well as witnessed people sleeping overnight in Provo's Pioneer Park (Center & 5th West, not to be confused with SLC's Pioneer Park).

Edit: I just remembered a city ordinance was passed specifically in response to the tent camping. I'll see if I can dig up a link for reference. Many homeless advocacy groups were quite upset with the decision.

Edit 2: Found an article. This is much more recent that the OP article, which dates from 2015.

http://www.sltrib.com/home/4976771-155/provo-city-ordinance-...



Have you ever driven by the streets next to Pioneer park downtown? On a certain street by the homeless shelter it's basically Tent City


>There are no massive homeless camps like you see in San Francisco, Portland and Seattle.

Uhh, you sure about that? I literally ride my bike by two almost weekly downtown. They are right off the exit ramp for I-15.


> There are no homeless people anywhere else in the state so the ones you see in Salt Lake are it.

I've seen panhandlers in Provo before on Center street (not sure if they were homeless or just panhandling)


_Chronic_ homelessness is what's been reduced.

From the article:

"As of 2015, the state can just about declare victory: The population of chronically homeless people has dropped by 91 percent."

...

"In fact, Utah still has a substantial homeless problem. The overall homeless population is around 14,000."

"The chronically homeless, on the other hand, are a subset of the homeless population that is often the most vulnerable. These are people who have been living on the streets for more than a year, or four times in the past three years, and who have a "disabling condition" that might include serious mental illness, an addiction or a physical disability or illness."

...

"By implementing a model known as Housing First, Utah has reduced that number from nearly 2,000 people in 2005, to fewer than 200 now."


Yes thank you, the article does contain a lot more info than just the headline. Homelessness is a more complex issue than it appears at the surface. There a many stages of homelessness and different demographics of it.

A shelter I contribute to here in Portland focuses specifically on homeless families who have recently fell on hard times and tries to address getting them back on their feet and into sustainable jobs before they enter a vicious circle and are unable to get back into the system at all. I don't believe those families would have counted toward the chronic homeless number.


Of course, but how is chronic defined and measured, and how has that changed historically? I've heard that the definition is ever-changing. I read the article


Did you really? The fifth paragraph defines it:

"The chronically homeless, on the other hand, are a subset of the homeless population that is often the most vulnerable. These are people who have been living on the streets for more than a year, or four times in the past three years, and who have a "disabling condition" that might include serious mental illness, an addiction or a physical disability or illness."


Having relatives in city government I have overheard that Utah's proud achievement was accomplished by "adjustments made to their demographic surveys". And that this was seen as a very economical solution to the problem.


I feel like cynical hear-say like this adds nothing to the conversation. It just tries to smugly diminish good news with no proof.



There is nothing in that analysis that suggests that the reductions aren't real. Quoting in "The Data" portion:

> Figure 2 shows that, measured by its point-in-time counts, Utah experienced a less dramatic, but still impressive 71 percent decrease in chronic homelessness since 2005. Yet should we trust even the point-in-time counts?

Yes. If you want to challenge them, go out and do point in time counts rather than suggest that someone is lying. In fact, challenging them in the manner that the writer is is fundamentally dishonest, suggesting again that research by its very nature shouldn't be trusted.

> In fact, as Figure 3 shows, there were major drop-offs in chronic homelessness during two separate periods: 2009–10 and 2014–15. If not for these two periods, chronic homelessness in Utah would have increased over the past decade.

Just because reductions appear during specific time periods during a research period does nothing to deny the fact that overall reductions occurred. This is like suggesting that a small uptick in violent crime means that crime hasn't reduced at all over the last several decades.

The entire article is anti-science, as the AEI all too often is. If you want to challenge research, you don't do it by suggesting someone is lying, you do it by using the scientific method. AEI really doesn't do any of that, it is primarily there to challenge research to protect support for conservative ideals while making them seem as if they are well researched.


They're not saying "reductions appeared during specific time periods, therefore they weren't real."

Reductions appeared during specific years, and Utah also changed the way it measured chronic homelessness in those specific years, in ways that we'd expect to reduce measured chronic homelessness. Specifically:

- in 2010, Utah stopped counting people in "transitional housing" as chronically homeless.

- in 2015, the Salt Lake region implemented a "new process for confirming whether individuals are chronically homeless."

> If you want to challenge research, you don't do it by suggesting someone is lying, you do it by using the scientific method.

If you want to challenge research, you don't do it by attacking the motives of the researchers or by brutally misstating their arguments to make them look ridiculous. You don't pretend that the research is just "suggesting someone is lying" when it's not. If "anti-science" means "willing to look into potential methodological issues with data provided by the government" then sign me up.


But this is what the AEI does. It produces op-ed information dolled up to look like research. I personally believe that the motives of the "think"-tank AEI should be held up first and foremost when discussing 'articles' that they produce.

They have an end goal in mind: uphold or attack research to support conservative ideologies.


Do you have a source for that? They appear to be a reputable, though conservative, think-tank [1].

I cannot find a rebuttal of the author's interpretation that the 91% statistic is largely due to reclassification. The author appears reasonable. Here is a quote from him:

"The state has rightly focused most intensely on the homeless who sleep on the street and who have serious problems with mental illness and addiction. Hundreds of people have been moved from the street and shelters into housing. Whether the overall numbers have plummeted the way Utah reports should not distract from these positive steps [2]

[1] - https://en.wikipedia.org/wiki/American_Enterprise_Institute#...

[2] - http://www.deseretnews.com/article/865650317/Utahs-big-drop-...


Ok, great. Then post facts instead of "My family overheard..." I shouldn't have to call out hear-say to get more substantial data.


I've always subscribed to Carl Sagan's "Extraordinary claims require extraordinary evidence". That is, the burden of proof lies with those who assert a surprising claim. If you wish to assert that dramatically reducing "Homelessness by 91 Percent" isn't an extraordinary claim, then on that basis one could consider having to support this freely admitted hearsay, but if otherwise then the burden of proof ought to be on them.


Sure, the burden is on them to make this real, but not for them to prove it to _you_.

If they want to prove to the chronically homeless that they can get a home, they only need to follow through with the home.

Or perhaps they want to prove to their constituents that the number of chronically homeless has diminished. Easy enough: tell their constituents where to go to count homeless people. Again, it's not incumbent upon them to count, or even to provide easy access to the location. Just give verifiable steps and expect your constituents to do some legwork. (Most won't, but maybe a news crew will.)


Not every homeless person is chronically homeless. A lot of homeless people have skills (so don't look down on them), but they're going through a rough time. After a while, they pick themselves up, go into rehab or whatever, and become non-homeless again.


> Not every homeless person is chronically homeless.

That's completely biased though. You can only know who is chronically homeless AFTER the fact. So this whole celebration of reducing chronic homelessness is more likely just a PR piece.


> this whole celebration of reducing chronic homelessness is more likely just a PR piece.

No... that's not a fair comment.

We are measuring it. People are constantly going through rough patches and become homeless. In some cases, most cases, they get help "soon" and get into a home. In other cases, they don't. This article is about the latter cases.

Your statement suggests that the efforts to reduce chronic homelessness compete with efforts to help the temporarily homeless. The article doesn't suggest that is the case.


I don't know what you're saying here. The definition of "chronically homeless" is perfectly clear; it's just that you can't look at someone and say "yep, that person fits the definition."


After what "fact"?

That seems like a fairly straight-forward statistic based on a snapshot in time (e.g. when you do the survey): Has the person in question been: (a) living on the streets for more than a year, or four times in the past three years, and (b) has a "disabling condition" (e.g. serious mental illness, an addiction or a physical disability or illness)


FTFA:

"In fact, Utah still has a substantial homeless problem. The overall homeless population is around 14,000.

The chronically homeless, on the other hand, are a subset of the homeless population that is often the most vulnerable. These are people who have been living on the streets for more than a year, or four times in the past three years, and who have a "disabling condition" that might include serious mental illness, an addiction or a physical disability or illness."


Your comment is a little misleading...Rio Grande and Pioneer park are literally right next to each other. And other than those couple streets in that corner of downtown, you'd be hardpressed to find any other gathering of homeless people.

The Road Home (mentioned in the article) and a Catholic food bank and other homeless services are located in that area, hence the reason for the homeless density in that area.

source: I live in downtown salt lake


One thing that sticks in my mind after a business trip to SLC (SaltConf last year) were the ubiquitous red signs urging people to turn away panhandlers. If people actually take notice, I'd be willing to bet this results in the problem being hidden a lot more than it is in some other cities.

The admittedly surface impression I got was that the city is hostile to the homeless.


Doubtful. I used to work in downtown SLC and would get hit up for cash 5 or 6 times per day. Far more than when I've visited other cities like San Francisco or New York. Even in the suburbs, you've got people sitting at the Target parking lot exit begging for money.

I don't think anyone pays attention to the signs.


I was very disappointed that ordinances to restrict panhandling in medians were overturned in Portland, ME in recent years. There's no need of that. If you are willing to work, there is always work to be done for a decent wage, (although possibly less than the absurd level minimum wage has climbed to).


The minimum wage nowadays is just outrageous.

http://money.cnn.com/interactive/economy/minimum-wage-since-...


Anyone who claims the minimum wage level is absurd has clearly never tried to live on it.


I have in the past lived for years off of far less than the Federal minimum wage. It helped that I was healthy and didn't have any medical expenses- but the ridiculous cost of health care is a different debate...


Are any of housing, hygeine products, food, clothing , transportation or internet expensive, or is it just healthcare costs that are out of control?


Food in the US is incredibly cheap. Not high quality at the cheap end, but incredibly cheap. Same with clothing.


Last i checked they had increased the minimum wage beyond what trained heavy equipment operators were making. That is absurd, no matter how you slice it.


No, it's not. For one, other people having things worse off does not mean that certain people should not be trying to better themselves. For two, if that were true, then the heavy equipment operators should be asking for raises, as they now have the leverage to go to a less demanding job for more pay.


How can someone earn less than the minimum while in work? Is the minimum not required to be paid? If that is the case, what is the minimum for?


Do you mean absurd that trained heavy equipment operators are making so little?


The article states quite clearly:

Utah still has ... a substantial ... homeless population ... around 14,000.

The chronically homeless ... are people who have been living on the streets for more than a year, or four times in the past three years, and who have a "disabling condition" that might include serious mental illness, an addiction or a physical disability or illness.


Utah didn't solve homelessness. The primary "reduction" was changing the definition of chronic homelessness and now less people are being counted.

http://www.aei.org/publication/on-utahs-91-percent-decrease-...


I think you need to read your own article. Its conclusion states, "Utah experienced a less dramatic, but still impressive 71 percent decrease in chronic homelessness since 2005." Are the numbers slightly inflated? Sure. Is it better than anything the west coast is doing? Absolutely.


That's not where the linked article ends, though, that's just page 2 out of 6:

> Utah experienced a less dramatic, but still impressive 71 percent decrease in chronic homelessness since 2005. Yet should we trust even the point in time counts? In fact, [..]

So the article is not just claiming the numbers are merely "slightly inflated" as you state.

(I didn't read the rest in detail, so I'm not saying the points are valid or not. Just that your quote is out of context.)


FYI, this is one person's interpretation of looking at data. He didn't produce the data.

Also, he works at an organization that is famous for producing data that neo-conservatives use to attack global warming.


While there is merit to this counter-point, I should also contextualize that this is a fairly conservative think tank. https://en.wikipedia.org/wiki/American_Enterprise_Institute


I have a great idea on how to eliminate poverty!


In Poland, one small city was recently called out on the radio for having the worst air quality in the whole voivodeship. The mayor got pissed off about this and solved the air quality problem quickly and efficiently, by removing the measurement station.


Depressing. A similar technique is used for local problems, but it's usually a refusal to start measuring or messing with the definitions of problem levels rather than removing measurements.


So its like the US unemployment rate?


When was the US unemployment rate definition changed? I know there are debates around whether the rate we normally talk about is the most important indicator, but the definition has remained the same for decades, AFAIK.


Correct I see how I didn't explain well the point I was trying to make. Its always been the same, but it's a tad shady on what they actually count as unemployed. For instance they do not count discouraged workers and involuntary part-timers, or people who stopped looking because they simply cannot find work.

The unemployment percent in the US is largely a political talking point/fodder wherein the government doesn't do much to change it.


As long as you're tracking the same metric over time, it's still useful. I haven't studied the data to back this up, but I suspect that it and other unemployment metrics will tend to follow parallel trajectories over time. That's not to say that we can ignore the other metrics—they obviously provide useful information—but it still provides a good year-over-year comparison.

I see two scenarios that could be "shady": 1. The metric calculation is drastically changed (hasn't happened, to my knowledge) 2. The government somehow manages to "tweak" the economy in a way that artificially alters this metric (unlikely)

Regarding unemployment percent: The government doesn't have a lot of direct control over this (though federal spending does provide tons of jobs, obviously), but policy certainly can cause major implications. Health care, banking, and environmental regulations (to name a few) can cause massive shifts in employment.

Come to think of it, I can see a scenario where federal policy could keep the unemployment rate lower relative to other metrics: The Affordable Care Act made it easier for people to get coverage outside of employment. Perhaps this allowed some people to settle for less-than-full-time positions, or to remain unemployed for longer than they would have (perhaps to care for family, or to pursue an entrepreneurial dream, or education...). This could cause the traditional unemployment rate to remain artificially low, compared to before the ACA was implemented. No idea if this is actually true, and one could debate whether it's a good outcome or not, but it's an interesting possibility.


I disagree, that's like asking a scientist to collect false facts and report on it every year? Is that still good science? No. Will the scientist still get funding and look like he is doing something meaningful? Yes. Is society better off because of his work? No.


They're not "false facts". We're interested in the change of the metric from year to year. Unless there are other factors gaming the statistics, the change over time is valid and useful.


> Unless there are other factors gaming the statistics

Would you not consider people who gave up looking for work because they cannot find employment as unemployed?


No, because that it not what "unemployed" means according to the definition of the unemployment rate. This is not a secret or a conspiracy. I learned this in every economics class I ever took, including one in high school. Economists and the government are aware of the tradeoffs involved.

If you want to know how many people gave up looking for work, that is tracked too, but not as well: https://fred.stlouisfed.org/graph/?g=aAf

It becomes pretty difficult to categorize people as "discouraged workers" because it lumps together a lot of people whose situations are different.

For example, a lot of older people who get laid off and can't find another job similar to their previous one might retire early. Should they count as discouraged workers? If so, should they count that year, or for the rest of their lives?

What about the many young people who got laid off during the recession and chose to go to grad school during that time because their job prospects weren't good? Were they discouraged workers or not?

If the government elevated the discouraged worker rate to the same level of importance as the unemployment rate, it wouldn't be very reliable, and most researchers would end up ignoring it because they have serious problems with the methodology.


No because I'm familiar with the definitions the BLS uses. There are plenty of technical definitions that contradict the laypersons gut understanding of something which is why they have published 6 (formerly 7) different measures of unemployment/underemployment for 40 years and have grappled with defining the terms for at least twice that long. There are dozens of shades of gray in the categories of "discouraged workers" and other people "marginally attached to the workforce" and in the practice of counting them, they had a hard time categorizing these people consistently which is where these definitions come from. Maybe familiarizing yourself with why these measures are used instead of pretending they don't exist or exist as part of some grand conspiracy is a better way forward.


I wouldn't expect somebody taking a survey to distinguish between "not looking for work [because X reason that counts as willfully unemployed]" and "not looking for work [because gave up on finding employment]".

We use the numbers and information that we have access to. They're all flawed, they're mostly better than nothing.



Vancouver tried the same thing. The made a policy of eradicating homelessness by X date and the city bought up SROs to put them in and other housing options.

The problem is once the rest of Canada's homeless heard about this they came in droves, often given one way bus tickets by police, so it's impossible to solve chronic homelessness without some kind of national effort. Utah this strategy works because there isn't a flood of people going there like they are San Francisco or LA's Skid Row.

It would be great if governments could have some kind of yearly conference to compare data and strategies to figure out what works/doesn't work at scale.


That's precisely what NACo — the National Association of (US) Counties — does. They have initiatives on both data driven justice[1] and housing[2].

1. http://www.naco.org/resources/programs-and-services/data-dri...

2. http://www.naco.org/news/roof-of-their-own


Medicine Hat tried the same thing, and it seems to have worked pretty well.

Maybe we don't have to go all-in or nothing, but start with less desirable cities.


Homelessness is a serious problem in Vancouver. Just walking along granville st., aka "entertainment district" (hard to NOT be snarky here too many awful memories) there's vagabond population along the sidewalk in front of luxury shops.

They commit crimes because they are mentally ill and take drugs. They aggressively pan handle even while leeching off our generous social programs while the middle class can't even find proper homes.

Worse, people support the population by pretending to be generous but in reality self serving their own ego to be perceived as a "nice & empathetic human". Pan handlers know this very well and exploit it. Even getting pissy and whiny when you refuse to give change. It's like they feel entitled to free money and too strung out to even put an effort in it.

I've given money to street performers and people hustling. These homeless population in Vancouver are mostly drug addicts and broken humans who are unable to help themselves. They will buy drugs with the money you give them with high certainty.

It's seriously putting inconvenience to the rest of the city and you are absolutely right that the rest of Canada's homeless population are given a one way greyhound ticket to Vancouver.

I refuse to pay taxes towards people who have no desire to change their situation and instead feel entitled and constantly leeching off the backs of hard working folks who are also struggling.

When the housing market collapses in Vancouver, the city is going to have a tough time forcefully relocating the homeless population.


I have no doubt that this program works, even if the success has been overstated [0]. What we really need to think critically about is how exportable the concept is. And really, it comes down to one singular reason, housing costs[1]. High housing costs like those in most coastal cities contribute to higher inflows into homelessness and lower outflows out of homelessness, which means that higher housing costs increase the total number of homeless people and the duration of homelessness. They also increase the capital and administration costs of administering the program, often by a factor of two or more.

So in a city like Seattle or San Francisco, you're going to have drastically more people to house, for drastically longer periods of time, and at higher fixed and variable costs. I have no problem believing that this solution if exported to San Francisco, New York, or Seattle, would cost anywhere between 1-2 orders of magnitude more than SLC as a percentage of total population.

IMO, anti-housing-development trends in our most economically important cities truly have become the US' largest source of injustice in the 21st century [2].

[0] https://www.theguardian.com/us-news/2016/apr/27/utah-homeles...

[1] https://www.rentjungle.com/average-rent-in-salt-lake-city-re...

[2] https://medium.com/the-ferenstein-wire/a-26-year-old-mit-gra...


>High housing costs like those in most coastal cities contribute to higher inflows into homelessness and lower outflows out of homelessness

Citation needed. Because another reason the homeless migrate to these places is that they spend massive sums on homeless outreach, which draws people in from other areas.

I don't know what percentage of homelessness is due to either cause, but I don't see that you do either (not trying to be mean).


It was a logically deductive assertion, although I'm sure there are studies out there. Homelessness is defined as not having a home, and all else equal, a relatively higher cost of having a home will result in relatively more people not having a home. The extent that other city-specific factors contribute to the problem may change absolute numbers in either direction, but relative homelessness should always be higher given higher housing costs.


In absolute terms one would have to agree with your logic. But from what I understand the vast majority of homeless are drug addicts and/or mentally ill. I think (no data to back me up at the moment) that this dwarfs the number of people who become homeless literally because they are priced out of the market.


Imo housing first has always been the best option. Think about how hamstrung people feel trying to conduct their lives out of hotels... now imaging being homeless.


Homes for the homeless. What an obvious solution! May I suggest medical care for the sick next?

I'm glad some cities are starting to recognize the level of dignity and hope a private residence with private facilities can give to impoverished families. Sadly it appears these types of programs seem to only be funded when wrapped in some questionable marketing or political gain.


Food for the hungry would be a good one too.


As an aside, this is a perfect illustration of the states-rights approach going well.

States are testing incubators for trying new ideas.


For sure, but with state boarders so easy to cross, it can be messy to compare. Homeless, guns, etc, can all migrate.


Amen, brother


> Utah says it won 'war on homelessness', but shelters tell a different story

https://www.theguardian.com/us-news/2016/apr/27/utah-homeles...



It was interesting to hear about this, then drive down Rio Grande street or around Pioneer Park and see the massive tent cities and tons of homeless people. Things got really bad downtown the last year or so.

I wonder if this is a case of Salt Lake doing such a good job that homeless from other states were attracted here?


They're focused on the chronic homeless, so there's still a problem even before proposing migration caused by this.


Naw, I live right next to there it was worse five years ago but now it's fairly clean. 90% of people 'homeless' are panhandlers but they're not in dire circumstances and have homes.



> For Joe Ortega, it means ... getting used to being alone.

I would not have figured that moving off the street would be more isolating than living on the street. Don't these housing options mean that someone else is living just in an adjacent room or across the hall?


When you're used to them laying right next to you, with no walls between, then adding walls is going to be more isolating.


And more insulating, dryer and safer. Couldn't a dwelling, room or bed be shared if loneliness was a problem?


I wish there is something we can do in New York City. In the last two years, I saw a significant increase in the number of homeless people in New York City. They have no home and take refuge in subways and the bathrooms at Penn Station.


This will sound hostile. It is not meant to.

Didn't we do the "housing first" thing decades ago? The Projects in the Bronx? Cabrini Green in Chicago? Now most of those places are torn down or being gentrified or are miserable black holes of chaos and crime.

It seems to me that it's really important that residents have some skin in the game, which may be the difference in the Utah program. It is also notable that the Mormon church has such deep involvement. Here in Seattle the Union Gospel Mission has been infinitely at dealing with homeless than the bureaucracy.


[2015]


I wonder if better/more accessible health care would eliminate homeless as a side effect. It seems much of the homeless in Boston, anyway is mental health/health related.

I doubt anyone will say that what Utah did here is bad, but you have to wonder what's preventing a more comprehensive solution (the answer is politics, but ideally you'd get a more specific answer).


Some yes, some no.

Let's remember that mental health care is not as easy as a magic pill. It can take months to stabilize someone. Someone with schizophrenia may have difficulty staying on a regimen. (The side effects are bad in many cases, and the drugs aren't a magic cure.) Some people would do best in a psychiatric ward more permanently, for example, but that's including housing.

Bipolar treatment can stop working and it can take months to get things readjusted.

Inversely, homelessness exacerbates mental illness in many ways, and stabilizing the housing situation goes a long way toward stabilizing the mental illness.


I agree with you, but (most) people don't start off homeless in life, so what factor(s) make people homeless? I bet one of the top ones are health reasons.


Luckily, we don't have to speculate. http://www.nationalhomeless.org/factsheets/why.html


It seems to me that largely the issue is there's no mechanism to force people into treatment for drug/alcohol addiction and mental illness.

Here in Los Angeles the number of homeless who are severely mentally ill is incredibly high. It's quite common to see homeless people standing on street corners, yelling and screaming at non-existent antagonists, behaving bizarrely, urinating and defecating in broad daylight, and creating a general nuisance for everyone around them.

The same goes for seeing drug and alcohol use in public, especially in places like downtown LA and Venice Beach.

Seems to me that the homelessness isn't the problem, so much as a symptom of the underlying issues of addiction and mental illness, and unless people voluntarily seek treatment for those issues their situation is unlikely to change.

Whether the healthcare is available or not, the question is moot if you can't force people to go to rehab and take their meds.


In the US the Supreme Court ruled in 1978 that unless an individual was a threat to themselves or others they couldn't be institutionalized. This was one step of a much bigger reform of care for those that are disabled or mentally ill called deinstitutionalization.

In the past those with mental illness or disability were locked up in facilities with little support for reintegration into society. In many cases being committed was effectively a life sentence. There were also cases of abuse of the system where people were committed for rebelling against parents, homosexuality or political dissidence.

Deinstitutionalization was supposed to transition patients to community based care but it was never funded to the level that would have been needed to support the transition. Even in the US today mental health care is typically the bastard child of the US health care system with minimal coverage. A $50,000 dollar a year arthritis medication is covered but only a couple of days to stabilize a patient in a mental health crisis.

I'm not sure if community based care would have ever worked even with the right funding and that a lot of the addiction and mental health issues may be related to the lack of environments that support mental health. I'm pretty sure that the alternative from earlier in the century also isn't the right approach.


Rehab is worthless beyond worthless. I liked Audrey Murphy's strategy, of locking himself in a room for a week, far better.

Rehab doesn't address the part where you come back to normal life. And all the old aches and pains start up and nothing seems worthwhile and there's little work...

Teaching the homeless to be COMPETENT nomads is a better strategy. Otherwise they're at the mercy of public officials and contractors who only see them as a flesh to money machine.


You care completely correct about the obvious need for mental health and addiction care. I'm guessing 90% of the people living on the street are drug addicts and have mental illnesses. It's a hard problem to deal with as just giving someone housing that has these kinds of issues won't fix the underlying problems and they'll end back up on the streets. In California, due to a court order and some newly enacted laws via propositions, a lot of people have been released from jails, which I'm guessing is where many of the mentally ill/drug addicts previously ended up.


The line between safe housing and healthcare really starts to blur when you start talking about people with severe mental health issues. Another side is that debt from expensive medical care can result in homelessness. It all should be considered basic welfare that we should be providing instead of gutting.


The situation in Utah is FAR from perfect. I work near a building that was renovated to house the homeless. These places are often rampant with prostitution, drug dealing and other nefarious operations. In effect many now have a roof over their heads, but they now live in what some might consider slums.


What would you have done differently had you been in charge?


>A similar approach was first tried in Los Angeles in the late 1980s and New York City in the early 1990s.

Does anyone have a reference for this? I did some searching, but didn't find anything. If anything, the articles I found just said that homelessness in LA was a continuing problem throughout the 80s until today.


Last time I was in Salt Lake, there were a bunch of homeless people camped out all over the place. It was really odd, I noticed some of them were just casually smoking weed. Still not as bad as it is here in the Southern California area.


Regardless of how effective or how it's just "changing the definition" at least it is helping.

Unlike here in Portland where it's just ignored and occasionally the tent cities get pushed to a different area.


Definitely better than when they were just buying bus tickets for the homeless to go to Phoenix and Albuquerque... (Fixing the homeless problem by making it someone else's problem)


Give every homeless person a $20 thing of nicotine each month.

Stop the ponzi scheme of housing costs.

Teach them skills general enough to plug into a variety of jobs and specific enough to survive alongside automation.

Giving a chronically homeless person a "home" doesn't make up for the completely shattered social network they have. And the shattered sense of civil conduct in a society which literally tossed them to the trash.

My melancholy tells me the above will never happen. Homelessness is a shadow industry where nobody gets punished for letting relapses happen. Therefore, nobody "owns" performance in getting the homeless into a housed state. In the industry, talking points are more valuable than actual "performance".


Homelessness should not be a problem in USA where land is plenty. If homelessness is a problem it is mostly because cities are not growing horizontally fast enough.



Imagine what the states could do with the > $50 billion we are about to send to our already outsized military.


So you redefined homelessness and end up counting less people in order to call it success.


Maybe "enlightened self interest" as a governing principle will catch on.


This an older article...and I think it might have been on HN already


*From December 2015


[flagged]


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