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Performative Bafflement's avatar

A true tour de force on the details of why local governance is "hard mode" here in the US. Honestly, despite your optimism, it seems like a fully general argument that good governance at the city and state level is functionally impossible.

One thing that stood out to me in your section on Medicaid going from 20%-30% and Baumol making all state things more expensive than the private market, the biggest difference I see there compared to some of the "actually functional and well run" places like Singapore, Tokyo, Berlin, and Prague, are that healthcare is covered at the federal level in those places, thereby eliminating this mandated local cost growth (which we only expect to get bigger).

So perhaps there are some federal-level moves that could actually make local governance better. That certainly looked to me like the biggest lever that both existed and could be plausibly pulled.

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The AI Architect's avatar

The pension underfunding mechanic is such a clever political trap. Politicians get to avoid visible service cuts or tax hikes, the problem lands on someone else's desk decades later, and meanwhile the unfunded liabilites just compound. The comparison betwen South Dakota's discipline and states like Illinois really shows how governance choices matter way more than structural constraints. When you see Wisconsin maintaining 100% funding through recessions by actually paying contributions on time every time, it's hard to argue the trap is inescapable.

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