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The future of America is
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in your hands. This
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thing from Axios. Find us
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every Thursday wherever you get your podcasts.
1:10
The thing we know about economic
1:12
security is that it works, that
1:14
people, when they have it, are
1:16
able to have so many more
1:18
options, are able to start
1:20
the business, participate in democracy, be part
1:22
of their family. That is the cost
1:24
of not investing
1:27
in families, of not guaranteeing
1:29
economic security in America. And
1:32
I literally think the price is
1:35
as significant as democracy itself.
1:46
What could go right? I'm
1:48
Zachary Carabell, the founder of The Progress
1:50
Network, joined as always by Emma Varvalukas,
1:52
the executive director of The Progress Network.
1:54
And what could go right is our
1:56
weekly podcast where we look at, oddly
1:59
enough, what could go right, given that so many
2:01
people are so much of the time asking the
2:03
question of what could go wrong. Let
2:05
us pause for a minute and take a deep
2:07
breath and ask what it is that's going on
2:10
in the world that could go well. And one
2:12
of the great challenges of our day is what
2:14
we do about our various safety nets in terms
2:16
of health care and welfare
2:19
and housing and education. So we're
2:21
going to talk today to someone who has written
2:23
a compelling brief
2:26
for why there should be a set
2:29
of basic guarantees for
2:31
every American. What is
2:33
it that we should be saying that
2:35
everybody who lives in this affluent society
2:38
should have? So who are we going to talk to
2:40
today, Emma? So today we're going
2:42
to talk to Natalie Foster. She's the
2:44
president and co-founder of the Economic Security
2:46
Project. And her work focuses generally on
2:48
economic security, as the title might suggest,
2:50
the future of work and the new political
2:53
economy. As you mentioned, we're going
2:55
to talk to her today about her
2:57
book, which is called The Guarantee Inside
2:59
the Fight for America's Next Economy. She
3:02
served as digital director for President Obama's
3:04
Organizing America. And they were a key
3:06
player in winning transformative health care reform
3:08
that we all might know as the
3:10
ACA, the Affordable Care Act. Ready
3:12
to talk to Natalie? Absolutely.
3:16
Natalie Foster, thank you so much for joining
3:18
us today. You have a new book out
3:20
called The Guarantee, and it's
3:22
actually many guarantees. It's not just the
3:25
guarantee. It's like the guarantee
3:27
of guarantees. Same. But tell
3:29
us what the things are and then expand on
3:32
why'd you write it and why now. Yeah.
3:34
Well, it's really lovely to be here. So
3:36
thanks for having me. I mean, the
3:39
idea of reflecting on what could go
3:41
right is exactly what this book is
3:43
trying to do. So it's really an honor
3:45
to be here. You know, this book
3:47
is about envisioning the
3:50
economy that we deserve in America, envisioning
3:52
the economy that we deserve in
3:55
the richest nation on earth, in the
3:57
richest moment in history. And
3:59
it's naming a framework, a North
4:02
Star, that I'm calling
4:04
the guarantee framework, and
4:06
argues that every American's basic
4:09
needs should be met. And
4:11
the stakes couldn't be higher for that
4:14
given the era of
4:16
disruptions we're in, artificial
4:19
intelligence, climate chaos, more
4:21
important than ever that we raise the floor
4:23
for people in this country and
4:26
that we can do it. And there's proof of concept
4:28
for how to do it. And the
4:30
book introduces us to a lot of
4:32
the architects who have laid the groundwork
4:35
for these guarantees in
4:37
America. So let's
4:39
go over the guarantees. So I'm
4:41
going to list them and then if you want
4:44
to double tap, let's say a phrase that someone
4:46
used in a previous podcast episode that Zachary and
4:48
I went really crazy on. If you want to double
4:50
tap on any of them, feel free. So there's childcare,
4:53
a home, income floor, dignified work,
4:55
family care, college, and a downwind
4:57
at birth. Where would you like
4:59
to start? First is sort of
5:01
the big idea that it's a framework. And let
5:03
me explain sort of why. The last 45 years
5:07
of economic policymaking have really
5:09
been summed up by three
5:11
tenets, total faith in
5:13
the market, zero faith in government, and
5:15
people left pulling themselves up by their
5:17
own bootstraps. That's been the
5:20
economic orthodoxy of my entire
5:23
lifetime. Frankly, I'm not sure
5:25
I thought the American economy
5:27
could look any different than that, but
5:29
it turns out it can. It has
5:31
historically, there have been moments like the
5:33
New Deal where government played a very
5:35
different role in creating
5:37
the middle class and supporting people.
5:41
And it can again. And I believe we're
5:43
at a moment of transition where the last
5:45
45 years of
5:47
economic policymaking have left us
5:49
brittle, have left us in debt, and
5:52
have perhaps brought our
5:54
democracy to the brain.
5:56
And we are at a crossroads. And I think
5:59
the last few years years have shown us
6:01
a different economic policymaking is possible. And
6:03
so what I do with these seven
6:05
guarantees is show the proof
6:08
of concept. I have spent
6:10
the last eight years, heads down,
6:12
building the income guarantee. My colleagues
6:14
and I formed economic security project
6:16
right after the 2016 election
6:19
with Donald Trump being elected to
6:22
build on this big idea that there should
6:24
be an income floor in America. It's an
6:26
old idea and had a
6:29
surge of momentum during that
6:31
period of time. And so we started
6:33
the economic security project to help turn
6:35
that momentum into actual money in
6:38
people's pockets. And so as I put my
6:40
head up, I looked around and realized it
6:42
wasn't just the income guarantee that had had
6:44
so much progress. It was a whole host
6:46
of guarantees. And so you listed them out
6:49
beautifully and we can talk about any one
6:51
of them. But the point is simply to
6:53
illustrate a march toward a new economic
6:55
paradigm. You know, we had on this
6:57
podcast, Alyssa Quarter wrote this book, Bootstrapped.
7:00
I was just thinking about it because
7:02
you referenced the bootstrap part and also
7:04
the bizarreness of that particular metaphor and
7:06
that no one can actually physically pick
7:08
themselves up by their bootstraps. It's sort
7:10
of physically impossible, which was known at
7:12
the time, but then it became kind
7:14
of a stand in for hard
7:17
work, resilience, follow all those things.
7:19
And then rewards will come
7:21
your way, which I guess was sort
7:23
of the embedded promise of whatever we now call
7:25
the American dream. Frankly, this idea
7:27
of an American dream is kind of a,
7:30
in many ways, a much newer concept doesn't
7:32
mean people weren't living it in the 19th
7:34
century. It just means that by the time
7:36
that idea solidified an American culture of the
7:38
20th century, it was already a bit of
7:40
a romantic fantasy, but that isn't
7:43
me. Let's talk a little about
7:45
the income part or more. Interestingly,
7:47
you write a lot in the book
7:49
about the promise of the new deal.
7:52
And you write kind of eloquently about how
7:54
that was a framework, which we
7:56
largely live with today, meaning all
7:58
the institutions, the new deals. continue
8:00
to be Washington departments or institutions
8:02
and many of the institutions of
8:05
the Great Society as well, meaning
8:07
that's our framework, just like
8:09
the National Security Standards of Post 1945 framework. I
8:13
want to plunge into something in
8:15
this, and I guess this is
8:18
my own set of questions and
8:20
biases of guaranteeing basic human rights
8:23
seems to be absolutely essential for a wealthy society.
8:26
The idea that you need an
8:29
incredibly complicated bureaucracy to distribute it
8:31
is far less obvious than if anything,
8:34
you could have a system of complete
8:36
guarantees and a much smaller government.
8:39
What do you make of that particular equation? Again,
8:41
I kind of feel like we're diving in a
8:43
little bit. This is my big question in all
8:46
these things. Couldn't you have all these guarantees and
8:48
less government rather than all these guarantees and more
8:50
government? Yeah, I mean, the point of the book
8:52
is to name the North Star and it really
8:55
deliberately does not get into the
8:57
inter the tensions within how we
8:59
get to each guarantee. I talk
9:01
about one way to guarantee things might
9:03
be the public option. This
9:05
idea that government should create a
9:07
low cost, high quality option that
9:10
sits inside the private market. We
9:12
have public golf courses, we have private
9:14
golf courses, we have public libraries, we
9:16
have bookstores. And that might be a
9:18
way that you guarantee that you
9:21
get to the guarantee, a public
9:23
option for housing being I think
9:25
one of the new surges of
9:27
guarantee energy that I see growing.
9:30
And in that case, you wouldn't
9:32
necessarily have larger bureaucracy per se,
9:35
you would just have what it
9:37
takes to ensure that that product
9:39
is in the marketplace. So
9:42
I don't think I'm philosophically
9:44
opposed to what you're saying. I
9:46
think it's just a matter of how we
9:48
get there. Well, this might be a
9:50
good segue into guaranteed income. I think there's
9:52
no way a few different terms, right? Like
9:54
a lot of people know from Andrew Yang,
9:56
universal basic income. It's the same thing, right?
9:59
Well, I think it's a good thing. I think that
10:01
universal basic income is arguing that
10:03
everybody should get a check no
10:05
matter how much money they make. And
10:08
a guaranteed income might be means tested,
10:11
meaning it might go to the people
10:13
who need it the most, the big
10:15
idea they're being guaranteed. So
10:17
I think what I track in
10:20
the book and what I see a
10:22
lot of promise around is guaranteed income
10:24
that would start by going to families
10:26
that need it the most in the
10:28
United States, like the child tax
10:30
credit did, which was a guaranteed
10:32
income for families with children.
10:35
It was a big part of the Biden plan that
10:37
was supposed to stabilize the economy in
10:39
the aftermath of the pandemic. And
10:42
for six months, every parent in America who made under
10:44
$400,000, which is about 90% of
10:48
parents in America received checks
10:50
with no strings attached. But
10:53
that made a big difference. It wasn't universal. It
10:55
was focused on people who needed the most. So
10:57
that is the difference. But to your point, I
10:59
think what they share in common is this idea
11:01
that it's cash with no strings attached. People don't
11:04
have to stand in long lines and apply for
11:06
it. They don't have to prove how
11:08
they spent it or show up to take tests
11:10
or pee in a cup or any of the
11:12
things that the current safety net
11:14
requires, but that it's simple and
11:17
it comes on a regular basis. So
11:19
the one US experiment that I'm
11:21
most familiar with, and there have been a
11:23
few, was the city of Stockton under Mayor
11:26
Tubbs. And I believe you were pretty involved
11:28
in that as well, which was heralded as
11:30
kind of a microcosm, a laboratory of what
11:32
would a universal basic income program actually look
11:34
like if you pick people and send them
11:36
money. And then it
11:38
all became very politicized. And I'm not entirely
11:40
sure what the conclusion was of that, but
11:42
maybe you could walk us through what the
11:45
real world experience of that was and how
11:47
much one could extrapolate from it. Yeah,
11:49
I think it's actually pretty extraordinary.
11:51
You have this young mayor,
11:54
who at the time was one of
11:56
the youngest mayors in America, who himself
11:58
grew up in poverty. And goes
12:01
away to Stanford comes back to
12:03
Stockton California and says I want
12:05
to do something that will eradicate
12:07
poverty in my city. And
12:09
we teamed up we have the economic
12:11
security project teamed up with michael early
12:14
on i actually sat next to him
12:16
at a conference and
12:18
i was calling around to city at the time
12:20
trying to find a man who would demonstrate this
12:22
idea because the time there was a
12:24
lot of research a lot of white
12:26
papers and a lot of
12:29
sort of cool detached ideation around
12:31
the idea that does not
12:33
get you policy you need to
12:35
open up the political imagination and
12:38
prove that it's possible and
12:40
to demonstrate what it would look like
12:42
and so that is in fact what
12:44
mayor tubs did and he set
12:46
up about eight years ago and announced i'm
12:49
gonna do this in stockton. And
12:51
i'm going to demonstrate what an income
12:54
for would look like here in the
12:56
city and so for two years a
12:58
hundred and twenty five families received five
13:01
hundred dollars a month with
13:03
no strings attached. They were families
13:05
who made at median income level
13:07
or below the wide
13:10
swaths of stockton which is a very
13:12
diverse city about an hour and
13:14
a half away from the area. And
13:17
it was studied closely by researchers who
13:19
are at the university of pennsylvania
13:22
and the conclusions were after
13:24
two years of people receiving
13:26
five hundred dollars a month with
13:28
no strings attached. That people
13:31
were stressed they
13:33
had more room to breathe in their
13:35
life and the people who
13:37
would receive the money actually found. Fulltime
13:41
employment at double the rate than
13:43
the people who did not and
13:46
that is because people had time to invest in
13:48
themselves and invest in finding a job
13:50
that was meaningful to them are closer
13:53
to home or on a managerial track.
13:56
And those are some of the findings that
13:58
come out of stock. doctrine, notably
14:01
the room to breathe and
14:03
the decrease in anxiety and
14:06
stress. And then the
14:08
idea is that this is on top of
14:10
any other benefits that a family
14:12
might qualify for from the state or federally,
14:14
is that right? Exactly. That
14:17
it sits alongside wages, that it
14:19
is on top of, you know, any
14:21
sort of housing vouchers or
14:23
supplements that people get, that it's
14:25
just cash that people can use
14:29
each month. Whether it be a
14:31
transmission that breaks in the car, that
14:33
prevents one from getting to work, whether
14:35
it be paying the final bit needed
14:37
to get to the rent check that
14:39
comes due every month, or
14:42
whether it be buying athletic uniforms
14:44
for kids right at
14:46
the start of the season when the kids,
14:48
you know, need the uniform. Everything as simple
14:50
as that that families who have a lot
14:52
of disposable income take for granted. And
14:55
so many families in America, it's about four
14:57
in 10 families in America, cannot pull together
15:00
$400 in an emergency if
15:02
they need to. And that's when it becomes
15:04
much harder. So the pushback, both
15:06
from conservatives and I think a lot of whatever
15:09
people in this vague thing
15:11
we call the center, is
15:13
where's the money going to come from to do that? Like
15:15
if you're going to send everyone a check, who's
15:17
going to pay for those checks? Now you
15:19
could say, which is more of a
15:22
progressive answer, that there is a X
15:24
amount of wealth at the top, whether
15:26
it's billionaires or centimillionaires or corporations that
15:28
is not taxed
15:30
commensurate to their
15:33
use of a commons that they somewhat free
15:35
ride on. And therefore, there's kind of money
15:37
at the top that could be
15:39
otherwise used or collected. I
15:41
suppose it's questionable whether there's even sufficient money
15:44
at the top to redistribute enough to get
15:46
to your UBI. But I think there's the
15:48
question of A, where does it come from?
15:50
B, should it come from there? And C,
15:53
back to Emma's question, should or should not
15:55
that be in conjunction with altering the rest
15:57
of all the very against the
15:59
rest? spending that we already
16:01
do messily. My vision of
16:03
the Freedom Dividend is that it's universal
16:06
and an opt-in but if
16:08
you opt-in then your forgoing
16:10
benefits that are accruing from
16:12
certain other programs. So if
16:14
you're receiving housing benefits and heating benefits
16:18
and SNAP and some other things then you would
16:20
look at it and say like do I prefer
16:22
a thousand dollars cash to these benefits. So
16:25
you are having people choose
16:27
between the existing benefits they
16:29
have or the thousand dollars. Yeah.
16:32
And that would enable you to wind down
16:34
some of those other programs. It would reduce
16:36
enrollment and subscriptions. America
16:39
always finds a way
16:42
to pay for what America deems important
16:44
and the question is not how do
16:46
we pay for it but how do
16:48
we get the political well needed to
16:51
really modernize the social
16:53
contract for the new age
16:55
in which we live.
16:57
The truth is that there is
17:00
reams and reams and reams of
17:02
research on how we can generate
17:05
the revenue needed to frankly
17:07
see all the guarantees in
17:10
America much less the income
17:12
guarantee from reports that the
17:14
National Economic Council puts out
17:16
to think tanks like the
17:18
Roosevelt Institute. An example is
17:21
a small fee on high-frequency trading
17:23
that would generate you know billions
17:26
and billions of dollars a year.
17:28
So there are a number of ways that
17:30
it could be paid for. The question is how do
17:32
we generate the political well
17:34
and I frankly wrote this book
17:36
to invite economists and policymakers
17:39
and others to the table
17:41
to help answer the question
17:43
of how we would get
17:45
there. That said I'll
17:47
also say that with the
17:49
income guarantee specifically we now
17:52
have this experience of really
17:54
a national experiment in America
17:56
with the child tax credit the expanded
17:58
child tax credit. Meaning that
18:00
nearly every parent in America received a check.
18:04
And we in America fared
18:06
better than so many other countries
18:08
who dealt with the same set
18:11
of economic forces during the pandemic,
18:13
during the supply chain crisis, during the
18:15
start of the Ukraine war, and
18:18
whose economies have bounced back in
18:20
less of a robust way.
18:22
And I think it's largely because we
18:25
did things like the child tax credit.
18:27
We invested in families. We sent people
18:29
stimulus checks. We canceled student debt. And
18:31
we made sure that it was really
18:34
a middle out economic recovery, which changed
18:36
the trajectory of this country. Well,
18:39
I guess that's an interesting fall to the
18:41
political will question, right? Because if what you
18:43
say is true, like we did come out
18:45
of a period and you talk about this
18:47
in the book during COVID, where a lot
18:49
of the normal rules of operation got juggled
18:51
around and the federal government did vastly different
18:53
things than it had done, you know, the
18:55
decade prior. And yet coming
18:58
out of that, the architects of
19:00
this juggling that apparently has led us
19:02
into good economic fortune does not seem to
19:05
be rewarded politically. People don't seem to be
19:07
excited about it the way that there was
19:09
energy around it for Occupy Wall Street, for
19:11
instance. So how do you explain that? What
19:13
does that look like to you? Why
19:16
do we have the vibe session? Yeah.
19:19
Yeah, I think it's a really good
19:22
question. You know, I think that people
19:24
see the economy as a proxy for
19:26
politics. And what they're really saying is
19:29
I'm very disappointed in
19:31
politics today in America. And
19:34
I think that a lot of what
19:36
we're talking about holds well
19:39
on both sides of the aisle.
19:41
So if you just take the
19:43
child tax credit, for example, you
19:45
see a significant support among Democrats
19:47
and you see a pretty good
19:49
support among Republicans, particularly Republican parents
19:51
who received the tax. And
19:54
when you point to this is an elected official
19:57
who brought you these child tax credit
19:59
tax. support for that
20:01
elected official goes up significantly.
20:03
So we know that the
20:06
support is there. I think it's getting
20:08
through the malaise of the moment. And
20:10
that is the work to do over
20:12
the next several months as we march
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21:07
government of Kenya pledged to end gender-based violence
21:09
by 2026. The
21:11
Ministry of Health in Uganda is trying to
21:14
eradicate yellow fever. It's ambitious to make these
21:16
kinds of pledges, but it is much harder
21:18
to achieve these lofty goals. Are these leaders
21:20
really delivering on these promises for women and
21:22
girls? Tune into a new
21:24
season of the hidden economics of
21:26
remarkable women, a podcast from foreign
21:28
policy, as reporters across Africa meet
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courageous women holding leaders accountable in
21:32
various sectors, including healthcare, startups, and
21:35
the government. Listen to Hidden Economics
21:37
of Remarkable Women wherever you get your
21:39
podcasts. You
21:43
know, one of the waves of
21:46
malaise that I think we don't look at
21:48
enough, and what I'm
21:50
going to say now is clearly debatable, but interested
21:52
as to how you would debate it, you
21:55
write in the book at one
21:57
point that America's social spending, housing,
21:59
some basic... education, public education,
22:01
is a meager social spending. And
22:04
it struck me for many years
22:06
that in many ways the United
22:08
States compared to Western Europe, compared to
22:10
Canada, compared to Singapore, Taiwan, manages
22:13
to kind of have the worst of all
22:15
possible worlds in the way we approach social
22:17
spending in that we
22:19
spend an immense amount of money
22:22
on healthcare, housing, and all these
22:24
other things, emergency room medicine. We
22:27
demonize safety nets, we have a portion
22:29
of us. We
22:31
have an ineffective but extremely bloated bureaucracy
22:33
that distributes it. And so we end
22:35
up both having an incredibly expensive safety
22:38
net that doesn't make people
22:40
feel safe, that doesn't function effectively
22:42
as a net. And in that sense, we're
22:44
neither like some countries that just say, you
22:46
know, you're poor, you're poor, sorry, whenever, you
22:49
know, this is how you were
22:51
born into a system of you're just poor.
22:53
And that that part of the continual roilingness,
22:55
which you see each time the federal government
22:57
attempts to address healthcare, both in the
22:59
90s, and then again, with the Affordable
23:02
Care Act, and then even
23:04
with the Republican attempts to, you know, demonize
23:06
Obamacare and repeal it, meaning for all the
23:08
demonization, it's not like they actually could repeal
23:10
it or replace it. That explains some of
23:12
this massive opposition to whatever
23:14
we call a safety net on the right,
23:17
and also massive discontent with the safety net on
23:19
whatever we call the lab. Yes,
23:22
yes, I have finished reading Jen
23:24
Palka's book recoding America, where she
23:26
talks about really how we start
23:28
to get at a government that
23:31
works by expanding state capacity and
23:33
taking seriously user generated
23:35
government services. And
23:38
I feel like it's a real clarion call
23:40
for people that want to see government work.
23:43
But zooming out, I'd say that, you
23:45
know, we as a
23:47
nation have lost the sense that
23:49
so many of these things are
23:51
public goods. But instead we view
23:53
them as individual investments to make.
23:55
So take college, we've shifted
23:57
from the idea that it is good
24:00
For society to has an educated
24:02
populace and you have people to
24:04
dig into the big questions of
24:07
the time. And instead treat as
24:09
an individual and best match where you take
24:11
out tens of thousands of dollars of debt
24:13
a year. To. Have.
24:16
Ah, and he doesn't have to be that way. Same.
24:18
Thing is true for housing. The same thing
24:21
is true for health care that costs of
24:23
those things have skyrocketed and people have sold
24:25
or to. That on their own,
24:27
Baxter's not even a synthetic should be
24:29
a safety net to use. Or that
24:31
it should be a public died that
24:33
we and Bastion and Society and that's
24:35
funny thing is starting to change. You
24:37
know? one of the things we saw
24:39
during the Pandemic. With. Not just
24:42
here is more Section Eight
24:44
housing Vouchers. To go try and
24:46
find a landlord who will take down
24:48
and a apartment that will work for
24:51
your. Family was like more of the same
24:53
we said you know at we're going to
24:55
buy hotels that sit empty and America and
24:57
we're going a movie on housed In and
24:59
we're going to give people their own room
25:01
and exceeded their room and we're going to
25:03
do all of that over the course of
25:05
weeks. For gonna do all of that over
25:07
the course of months. And that was
25:09
the man on the moon. Spirit that
25:11
I want. To see on problems
25:14
feel intractable like housing that I think
25:16
will cut through the Malays. Were talking
25:18
about and reinstall the trust in what's
25:20
possible to the point you're making. So.
25:22
I wanna go back a little bit. What
25:24
you're talking about the City College and since
25:27
like one of my biggest Bugaboo is on
25:29
the left than a supremacists, they're saying that
25:31
I do graduate college with tens of thousands
25:33
of dollars and said so. I don't say
25:35
this from a lack of sensitivity to the
25:37
issue about by my Bugaboo is that they
25:39
so much focus specifically on the laughs about
25:41
canceling student loans and to mean says a
25:43
band. Aid over. A problem. The
25:45
by the ministry announced his latest
25:47
round of student debt relief Wednesday
25:49
More than six billion dollars will
25:52
be cancelled for three hundred and
25:54
seventeen thousand borrowers who enrolled at
25:56
any Art Institute campus. between two
25:58
thousand four in two thousand seventy President
26:00
Biden and the Education Department say the
26:03
art institutes a now defunct
26:05
system of for-profit art schools
26:08
knowingly misled prospective students with
26:10
inflated salary expectations. This
26:12
brings the total amount of student loans forgiven by
26:14
the Biden administration to almost $160 billion. There's
26:18
a limit to what the government can do
26:21
vis-a-vis private universities, but I have to wonder
26:23
about why the left is not spending the
26:25
energy talking about funding public universities. Or maybe
26:27
there are other ideas out there that I
26:29
haven't considered. And why is it always a
26:32
canceling that you'll then just have to cancel
26:34
again and again and again in the
26:36
future? Yeah, I just couldn't agree more.
26:38
And so the guarantee I look at in
26:40
the book is the guarantee of debt-free
26:42
college, that we have to make an
26:45
investment in this as a
26:47
public good. And I show how much progress
26:49
we've actually made. So in the
26:51
book, I trace the story of Astra Taylor, who
26:54
makes a bunch of films and documentaries
26:56
and then teams up around the time
26:58
of Occupy with David Graber. And they're
27:01
talking about canceling debt, medical debt,
27:03
student debt. And so they started to buy it
27:05
on the secondary market and cancel it,
27:07
you know, raising thousands of dollars
27:09
to cancel millions of dollars of debt. It's
27:11
very inspiring work, but it's all a drop
27:13
in the bucket. Right around that
27:16
time, student debt in America hits
27:18
a trillion dollars. It's much higher
27:20
now, but that was an
27:22
extraordinary moment. And she
27:24
realizes we have to be organized.
27:27
So starts the Debt Collective, one
27:29
of the many organizations fighting for
27:31
debt-free college. And from
27:33
there, an idea that was almost laughed out of
27:35
the room during even
27:38
an Obama administration, the idea
27:40
of canceling debt, becomes
27:42
a Rose Garden event in the Biden
27:44
administration. As millions and millions of dollars
27:47
of debt get canceled, you know, it's
27:49
bandied about in courts, but it is
27:51
certainly the desire of the
27:53
administration to cancel the debt, which is
27:55
a step toward debt-free college. And to
27:58
the point you're making, there is... all
28:00
kinds of promise programs that start to
28:02
grow during this period, which start to
28:05
get at free community college, free four-year
28:07
college. And there's more and more of
28:09
an emphasis on that than there has
28:11
been in the past. So there's still
28:14
a long way to go to reinvesting
28:17
in public education in a
28:19
way. You know, there was a time in America
28:21
where high school was not a right and high
28:23
school wasn't free. And it certainly wasn't for everyone.
28:25
And that was a movement that said, no, we
28:28
want kids in this country to go to four
28:30
years of high school. And we did it. And
28:33
there's no question in my mind that we can
28:35
do it again with college if we continue on,
28:37
you know, this path we're on. Yeah,
28:39
I mean, we could probably have a whole
28:41
hour-long conversation about all the vagaries of student
28:43
debt. There's also, in some sense,
28:45
there's multiple different issues of
28:47
student debt. The most egregious one, really,
28:50
is not under 25-year-olds going
28:52
to four-year colleges. People
28:54
going to for-profit schools who have
28:56
full-time jobs and have been kind
28:58
of lured into a questionable
29:01
degree at very high prices with very
29:03
high interest rates that are then backed
29:05
up by the government, which
29:08
also disproportionately affects people of class
29:10
and minorities, meaning that people go
29:12
back for the two-year for-profit associates
29:14
degree, proportionally tend to be either
29:16
African American or Hispanic or from
29:18
a lower income, where that debt
29:20
becomes absolutely unsustainable as opposed to,
29:22
and using Emma's or other
29:24
guinea pig here, somewhat more
29:27
affluent four-year elite colleges where, you know,
29:29
there's a huge difference about, like, going
29:31
to Harvard and having $15,000 or $20,000
29:33
of student debt and being 30 years old, working full-time, and
29:38
going to the University of Phoenix or whatever the
29:40
current version thereof is. And I
29:43
feel like to some degree, because it's
29:45
easy in politics to talk about this
29:47
as one problem, mostly because
29:49
we're not used to our
29:51
politicians talking about anything in
29:53
terms of sophistication or complexity,
29:56
that all these things get lumped in a way that
29:58
isn't particularly healthy to solving. the problem. I
30:01
think you're absolutely right. Tressie McMillan-Katem
30:03
writes a lot about the
30:05
dangers of private colleges
30:08
in her book, which I pulled from a
30:10
lot for this book. And
30:12
in some ways, the private colleges, which to
30:15
your point, I think have had, you know,
30:17
about 80% of their funding coming from
30:19
taxpayers. Not just private for-profit
30:21
colleges. Private, thank you, for-profit
30:24
colleges, yes, funded through, you
30:26
know, Pell Grants and other
30:28
student loan support that government
30:30
gives, are stepping into the
30:33
void of a guarantee. If
30:36
we had a guarantee of college in
30:38
America, like so many developed countries do,
30:41
then you wouldn't have a need for
30:43
the for-profit colleges. And
30:46
our current Vice President, Kamala Harris, when
30:48
she was Attorney General of the state
30:50
of California, sued the Corinthian
30:52
schools, which is one of the
30:55
most infamous private for-profit
30:57
colleges out there where you saw
30:59
government take action. And
31:02
they, in response, you know, pulled out
31:04
of California. And then that is one
31:06
of the first instances of student debt
31:08
cancellation was the cancellation of those debtors,
31:10
they were called the Corinthian 15, who
31:13
fought for years and years and years in the courts and
31:16
legislatively to make the point that
31:18
you're making, that this is a
31:20
predatory way of educating people in
31:22
America. And by the way, that's
31:24
a really important point, which I know you make in the
31:26
book, but just for people listening to remind
31:29
people of these
31:31
hidden government guarantees that currently
31:33
exist. There are within our
31:36
system, as it has evolved
31:38
and accreted over decades, multiple
31:40
guarantees that exist that we don't really
31:42
recognize as such. And the student loan
31:44
one is indeed a guarantee, right? It
31:46
is a federal government saying that in
31:49
the absence of students being able to
31:51
pay the lender, the government
31:53
will make those lenders whole. There's
31:56
no more guarantee than that, right? That's the ultimate.
31:58
If it's not money spent, you know... Fannie
32:00
Mae and some of the ways in which we
32:02
underwrite housing finance, same thing. There's an embedded guarantee.
32:05
Doesn't necessarily help those who can't qualify for a
32:07
mortgage, right? Because it's a guarantee of a loan.
32:09
But the more that you can remind people of
32:12
that, again, or the more that people can be
32:15
made aware of the multiple guarantees
32:17
that we currently fund, even
32:19
if we don't recognize or identify them as such,
32:22
I think the less it seems some
32:24
sort of, yeah, it wouldn't be great
32:26
if everybody had anything and everything and
32:28
much more. We could do such
32:30
a better job and potentially even spend way
32:33
less money providing all these things, some of
32:35
which we provide covertly and badly, some of
32:37
which we don't provide at all, but
32:40
many of which exist in some
32:42
bizarre form or another through some
32:44
government agency, state or federal. Yeah,
32:47
the guarantees are actually foundational
32:49
to capitalism that
32:51
to function businesses in this
32:53
country enjoy a number of
32:55
guarantees for bankruptcy protection, to
32:57
courts that work to the monetary system.
32:59
There's so many guarantees built in to
33:02
capitalism. So I'm arguing let's just extend
33:04
it to the people. Hey,
33:17
it's Emma. They say you should learn something
33:19
new every day. It's good advice,
33:21
but with so much to do in your daily life,
33:23
how are you going to make the time to learn
33:25
and stay curious about our world? Well,
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33:45
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34:01
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34:11
Find it on Apple Podcasts, Spotify, or
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wherever you get your podcasts. Hey
34:16
everybody, I'm Scott Schaeffer. And I'm Marisa
34:19
Lagos. We're the host of Political Breakdown,
34:21
a show that pulls back the curtain
34:23
on the people and forces driving politics
34:25
in the Golden State from KQED in
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San Francisco. And
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now ahead of the 2024 election,
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we are bringing you even more.
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More conversations with the top movers
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and shakers of the state capitol
34:38
and in national politics. But
34:40
the dyslexia was the greatest gift that ever
34:42
happened to me. Nothing was wrote, nothing was
34:44
linear. I had to work around things, work
34:46
differently, see the world differently. And I say
34:48
that to young people and say, know how
34:51
important your participation is.
34:53
And I think it's the time for this
34:55
generation to put forward new voices. More reporting
34:57
with analysis. It's been a very
34:59
good session for organized labor. Hot labor summer.
35:01
Hot labor summer, it's turning out to be
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daily starting January 8th. So
35:35
Natalie, let's talk about one of the other guarantees,
35:37
which is the endowment at birth. I feel like
35:39
this is one that is not talked about that
35:41
often. So can you walk us through that?
35:44
Yes. So this is one of
35:46
the newer ideas, a guaranteed inheritance
35:49
or a baby bond, as
35:51
it's colloquially called. And
35:53
this is building on the work of Derek Hamilton, a
35:56
professor at the New School who's done a lot of
35:58
thinking about the nature of the world. of
36:01
wealth inequality, the racialized
36:03
implications of wealth inequality, the
36:05
fact that you know a white family
36:07
has eight times the wealth of a
36:10
black family in America and in
36:12
some places that is Atlanta,
36:14
white family has 46 times
36:16
the wealth of a black family in America. That that
36:18
is one of the great moral stains
36:21
of this modern economy is the
36:23
racial wealth gap and
36:26
any sort of income supports whether
36:28
it be raising the minimum wage
36:30
or a guaranteed income that those
36:32
are important but will never get out wealth.
36:35
Wealth is different from income but
36:38
one of the things that would get out wealth is
36:40
a guaranteed inheritance and
36:43
the idea is that you'd create
36:45
an endowment at birth, a bond
36:47
that would accrue money over the
36:49
years and you'd target it by
36:51
income and so a low income
36:53
child when they turn 18 might have $50,000 in
36:55
their bond and a higher income
36:59
child might have $5,000 but that
37:01
it would be something that every child in
37:03
America has. That's one way
37:05
of articulating that the policy idea and this
37:09
has gone from the margins
37:11
to the mainstream. In rapid
37:13
speed you had Cory Booker
37:15
running for president on this
37:17
and the primary of ideas of 2020
37:19
and over the
37:22
course of the last few years we've
37:24
seen several states actually pass this idea.
37:26
So the state of Connecticut has
37:28
a baby bonds program.
37:30
Washington DC has passed a
37:32
baby bonds program. In California last year,
37:35
my home state, we had
37:37
a significant surplus. We were
37:39
still in the aftermath of
37:41
COVID policymaking and
37:43
Senator Nancy Skinner, a
37:45
forward-looking legislator in California, created
37:48
baby bonds in the state of California
37:51
for children whose parent died of COVID
37:53
or who are leaving the foster care
37:55
system. And so I think of
37:57
this as the laboratories of democracy. where
38:00
the idea is being worked out at the
38:02
city level, at the state level, and ultimately
38:04
can be scaled to the federal
38:07
level as part of a guaranteed
38:09
economy down the line. I'm going
38:12
to ask you a follow-up question about that.
38:14
So does that just happen automatically about birth?
38:16
Because I asked, I'm thinking about a friend
38:18
of mine that grew up with someone. His
38:20
mother definitely should have had them on
38:22
benefits, right? But she did not have her
38:24
act together to get them on benefits. So is this something
38:26
where a baby is born and
38:28
there still needs to be something filed
38:30
to get the application through? Is it
38:33
just like the baby's on register? This
38:35
is the account. You turn 18. Here you go.
38:38
That is a great question. And that gets to the policy
38:41
implementation details. There's
38:43
no reason why we couldn't automatically...
38:46
We assigned social security numbers. There's
38:48
no reason why we couldn't automatically open
38:50
accounts for children. I think most of
38:52
them today, they're really building on the
38:54
work of the last several decades of
38:57
something called child savings accounts. And that
38:59
tended to be parents, a school district
39:01
or some public entity encouraging parents to
39:04
open these accounts for their children. And
39:06
then the entity would start to put some
39:08
money in and encourage the parents to save
39:10
as well. So that's a policy implementation
39:12
question. And your point, or at least that
39:15
I'm hearing in the story, is it would
39:17
be better for kids if it
39:19
was frictionless and automatic
39:21
so that they weren't held
39:23
back by decisions parents made
39:25
18 years prior? Yeah. I
39:27
mean, this gets to this. There is
39:29
an aspect of people's dislike or
39:31
distrust of government that is
39:33
not just the proliferation of
39:36
neoliberal ideas and the virtues of the
39:38
market. And I think some of the
39:40
critique of neoliberalism has obscured the degree
39:42
to which many people's experience of government
39:45
is humiliating, particularly because of the
39:47
way in which means testing or the
39:49
way in which the interaction with the
39:52
bureaucracy, whether it's healthcare reimbursements, whether it's
39:54
getting your food stamps or qualifying for
39:56
whatever level of aid, it's a constant
39:58
like supplicant position. where
40:01
no is a potentially devastating answer
40:03
on somebody who you have no
40:05
actual relationship to. Literally
40:07
the nameless bureaucrat appears to have
40:09
the power to manifestly make
40:11
you feel small and harm your life, which
40:13
is the opposite of a safety net, right?
40:16
It's like a humiliation net or something. There
40:18
is a degree to which people simply don't
40:20
trust government because their experience of government hasn't
40:22
been trustworthy. Not just the intellectual
40:25
ideas from the Chicago School and
40:28
the kind of debates that educated people have
40:30
about what the nature of the system is.
40:32
And I do think that's something we need
40:34
to grapple with as we propose solutions is
40:36
that I don't know how that divide gets
40:38
bridged. I mean, clearly
40:40
people expect certain basics. I mean,
40:42
there was a famous, might've been
40:45
a procliferful, but I think it wasn't. Signs
40:47
at a Trump rally in 2016, you know,
40:50
government hands off my Medicare as
40:52
a kind of an example of there
40:54
are things that people of all political
40:56
persuasions expect of government. People
40:58
stop, whether they're a Democrat, whether they're a
41:01
Trumpian or Bernie Sanders progresses. But
41:03
I'm not sure you get into that a lot in
41:05
the book, but you've thought about this a lot in
41:07
terms of what's the role of government. So what do
41:10
you say to people who just don't believe government is
41:12
capable of doing anything other than making things worse or
41:15
complicated or just
41:17
incredibly intractable? We are
41:19
living in the aftermath of the
41:21
last 45 to 50 years of policymaking that
41:23
said it's government's job to get out of the
41:26
way and to leave it to the markets
41:28
to solve the problems and
41:30
people are out, you know, they're
41:32
on their own to figure out how to make it
41:35
in this world. And so we've
41:37
intentionally made it such
41:40
that government doesn't
41:42
work in so many instances and that
41:44
your experience of government is one that
41:47
you call humiliating. And that's something that
41:49
we hear over and over. Not
41:52
only that, but the story we tell is
41:54
that if you don't make it, it's your
41:56
fault. And we hear a lot
41:58
of conversation about shame. shame
42:00
for having hundreds of thousands
42:02
of dollars of debt, even though the story in
42:05
America was that was exactly what you were supposed
42:07
to do in order to go to college. The
42:09
shame of having bought a home in 2008 before
42:11
the crisis hit, and then your home being
42:16
worth a quarter of what it was
42:19
supposed to be. And
42:21
the shame of getting cancer and then
42:23
having to go to
42:25
GoFundMe in order to
42:27
afford the treatments in
42:30
the wealthiest nation honor. And
42:32
so it's humiliation and shame. And I
42:34
think it is time for a new
42:37
story. And I think the book is
42:39
filled with a few of those stories.
42:41
Let me tell you about Montgomery County,
42:43
Maryland. For a long time, you know,
42:45
government has left housing up to the
42:47
private market to solve. And here we
42:49
are with 6 million units short
42:52
in this country. The inability to
42:54
build in most cities for a
42:56
whole host of reasons that
42:58
we get into in the book and rent
43:02
skyrocketing. So a true housing crisis in
43:04
America and in Montgomery County, Maryland, the
43:06
Housing Authority said, we actually think it's
43:08
our job to ensure that
43:11
there is housing built in
43:14
this county that supports middle
43:16
income earners that is kept
43:18
off, permanently off the speculative market
43:20
so that it can always be available to
43:22
middle income earners and that it's good housing
43:25
and that it's housing right on a transit line.
43:27
And so they shouldered, you know, the
43:30
financial risk of building housing and
43:32
worked with private builders and did just that.
43:35
And that is government working. They now have
43:37
thousands of units that Montgomery County
43:39
Marylanders can live in. And
43:42
we're seeing housing authorities all over the country
43:45
take note and start to do something
43:47
similar. So I think we have
43:49
to look for stories of where government is working and
43:51
really support that in order
43:53
to tell a new story of an
43:56
economy that can ensure the good life.
43:58
And this has been poor and sad. about things on
44:00
a state level, but also a regional local
44:03
level, right? Because I feel like it gets
44:05
flattened a lot into blue states, red states,
44:07
or like progressive mayors or non-progressive mayors or
44:09
conservative mayors. This is working, that's not working.
44:11
But you don't actually get into, here's a
44:13
real life example of something that worked. And
44:16
like, whether that's red or blue
44:18
or whatever the sad you was, let's just
44:20
copy it. I also wanted to ask
44:22
as a kind of a piggyback onto Zachary's
44:25
question is what do you say to people that,
44:27
you know, I live in Greece, were
44:29
sort of the quintessential warning story of government
44:31
waste and the government squandering of money. You
44:33
know, we certainly had a period that reminds
44:35
me of Oprah, like, you get a check, you get
44:37
a pension, you get this, you get that. And we certainly paid
44:40
for it severely. So what do you say
44:42
to people that are afraid that we're going
44:44
to tip too far on that side of
44:46
the spectrum? Let's say you waved a magic
44:48
wand, all these guarantees came true.
44:50
There was a lot more money being
44:53
spent than there's money being spent now.
44:56
And then it turns out these things didn't
44:58
work. And we are in debt
45:00
as a nation heavily. The
45:02
thing we know about economic security
45:04
is that it works, that people
45:07
when they have it, are able
45:09
to have so many more options,
45:11
are able to start the business
45:14
they want to start, be entrepreneurial,
45:16
just participate in democracy, be part
45:18
of their family. We know that
45:20
economic security works. So the question, in
45:22
my mind, is what is the cost
45:24
of not investing in families,
45:27
of not guaranteeing economic
45:29
security in America? And I literally
45:31
think the price is
45:34
as significant as democracy itself.
45:36
Well, I think on that full-throated
45:39
note, we
45:41
will bring this particular phase of
45:43
a much longer conversation to an end.
45:45
But I would urge everyone to go
45:47
and read the book to
45:50
guarantee it's got a lot of history about
45:52
how we kind of got to where we
45:54
are. It's certainly a partisan book, but probably
45:56
in a good way. It's an honestly partisan
45:58
book. But it's a discussion. that I
46:00
think is much more bipartisan
46:02
than people think. You know, back
46:04
to that, poverty is not
46:06
a political party. No political party has
46:09
a lock on people struggling
46:11
to provide basic needs
46:13
for themselves and different people come up
46:15
with different political expressions
46:17
of that discontent.
46:20
Some people go right, some people go left,
46:23
but that core issue is much
46:25
more human and ubiquitous and
46:27
one that I think neither party
46:29
has really done a great job squaring the circle
46:31
of, certainly not a great job of squaring the
46:33
circle in a way that creates some consensus amongst
46:37
people who have similar needs and
46:39
similar challenges. So I want
46:41
to thank you for your work and
46:43
the conversation and we will,
46:45
I hope, continue it. Amanda Zachary,
46:47
thank you so much for having me on. It's been a
46:49
real pleasure to talk to you today. Thanks,
46:52
Natalie. So like so
46:54
many of our conversations, that one feels to me
46:56
like just getting started as we're coming to an
46:58
end of it, such as the nature of even
47:00
in a long form medium like podcasting. But there
47:02
is a lot more to say there. I mean,
47:04
I certainly did as I indicated at the end.
47:07
I found the book partisan in a way that
47:09
I think will turn off some people and will
47:11
absolutely energize others. She is very much a progressive
47:14
and of that and owns that and I think that's
47:16
really important in its own way, meaning kind of own
47:18
where you are a state what you believe. I do
47:21
think that there's a far greater realm
47:23
of human consensus about a lot of these
47:25
needs and issues that has
47:27
gotten so mired in the
47:29
political identities that it obscures the degree to
47:31
which these are shared issues
47:34
across states, geographies, frankly across many
47:36
parts of the world. And that's
47:38
another one of these conundrums, meaning
47:40
that there is so much that
47:42
people by virtue of where they
47:44
are economically share, where they become
47:46
so divided either by cultural issues
47:48
or by political tribe that that
47:51
gets completely obscured. Well, that
47:53
was always fun about the Andrew Yang
47:55
moment, right? That he just didn't really
47:57
fit into anyone's particular narrative. I mean, he
47:59
ran it. as a Democrat, right? He wasn't an independent.
48:02
She did create a third party and he's a
48:04
member of the Progress Network, but he
48:06
never seemed really at home
48:09
in the Democratic Party. Right, exactly. And
48:11
I think that's why he attracted people, both
48:13
who might have voted for Trump or might
48:15
have voted for Bernie Sanders. And that was
48:17
the sort of genius simplicity of the UBI
48:20
thing at the time. I also learned
48:22
recently, I read an article somewhere that
48:24
apparently UBI back in the day, I
48:26
mean, long before this moment of discourse,
48:28
it was actually a compromise between the
48:30
left and the right. So
48:33
there is a way that these things, as
48:35
you're saying, could be brought outside of partisan
48:37
lines if they're just presented in a way
48:40
as, hey, as
48:42
a person, you deserve XYZ and divorce
48:44
it from certain leftist, maybe your progressive
48:46
language. I mean, I had dreamt of
48:49
a consensus of an
48:51
extremely robust set of guarantees, a
48:53
la what Natalie Foster has written
48:55
about on the one hand, and
48:57
a real dedication to pairing back the
48:59
size of the bureaucracy that's in charge of
49:02
administering them. Because if you do have guarantees
49:04
and they are direct like UBI
49:06
or even some of the ones she talked
49:08
about in a public-private partnership way, you
49:10
presumably don't need the sheer scale of a
49:13
bureaucracy to administer because you wouldn't have means
49:15
testing in the same way you
49:17
wouldn't have all these different hurdles, much
49:20
of which cost a huge amount of money,
49:22
right? So every tax dollar that we wish
49:24
to redistribute, the more expensive
49:26
the bureaucracy is that's redistributing it, the
49:28
less percentage of that dollar actually gets
49:31
to people and needs and services, and
49:33
the more it just pays for the
49:35
system of administering it. So I
49:37
thought you could potentially have some
49:40
sort of odd middle ground of really
49:42
robust spending on the one hand, which we basically
49:45
did during COVID, and much less
49:47
bureaucracy on the other and much less red tape.
49:50
That would satisfy the right, shrinking the size
49:52
of government. A much
49:54
more robust set of safety nets directly administer
49:56
would satisfy the left and you could have
49:58
sort of a consensus around where
50:00
we are going forward. I'm still surprised
50:02
that that hasn't coalesced as such. I
50:04
don't think it's really the moment for
50:07
coalescing as far as politics on the
50:09
national level, but... Are we in an
50:11
anti-coalescing moment? What's the opposite of coalescing?
50:13
We're in an atomizing moment.
50:15
I think we're in a non-coalescing moment. I
50:17
think we're definitely in it. Well, we're in
50:19
an...not an atomizing moment, but a two-group moment
50:22
and nobody wants to be in the groups. So
50:25
atomization would be better, actually. We'll
50:27
save that for a more idealistic future, which
50:30
we can talk about in the depths of
50:32
our future's fair. Okay, so let's look
50:34
at some of the... No, I'm with you then. Let's look at
50:36
some of the headlines of the week, shall we? Yes.
50:39
All right. So, progress news for
50:42
this week. Let's start with some
50:44
green energy transition figures. The
50:46
International Energy Agency is forecasting that
50:48
in 2024, one in five cars sold
50:53
worldwide is going to be electric, which
50:55
doesn't sound like that much until you also know that
50:57
in 2020, it was one in 25. Wow.
51:02
So an astounding uptick in the last
51:04
four years of electric cars. Wow. In
51:07
the US, Bloomberg reported that there's
51:09
now one fast-charging EV station
51:11
for every 15
51:14
gas stations. So not a lot,
51:16
but more than you might expect. Yeah,
51:18
that's always been my, along with a
51:20
gazillion other people's main
51:22
issues slash question of, you know,
51:25
where do you charge if you're
51:27
driving longer distances? Now,
51:29
it is also true in the United States
51:32
and in most parts of the world that the
51:34
vast preponderance of people in their cars stay
51:36
within something like a 60-mile or 50-mile radius
51:39
on a regular basis. And therefore, you
51:42
know, 300-mile range for a plug-in vehicle
51:44
is vastly more than
51:46
adequate for any daily needs, meaning you're never going
51:48
to expend a daily charge before you get somewhere.
51:51
But in larger open space countries
51:53
where people actually are going to do
51:56
drives of 2, 3, 4, to
51:58
spend a lot of time in the future. charging issue definitely
52:00
becomes much more acute. Well, I
52:03
guess nobody wanted to put a bunch of money into
52:05
charging stations and then it turns out that no one
52:07
wanted to buy electric cars. It's a little bit like
52:09
which comes first, the chicken or the egg. Right, the Catch-22.
52:11
Like, I don't want to buy an electric car without
52:13
a charging station. I don't want to build a charging
52:15
station unless you're going to buy an electric car. So
52:18
that clearly is working itself out as the
52:21
demand accelerates and the need increases.
52:23
I think the number was between 8,500 and 9,000 of the fast charging
52:25
EV stations in the states now.
52:29
It's more than I would have expected to be honest.
52:31
Yeah. There's a really fascinating piece
52:33
in the Atlantic that I would love
52:36
to point people to, which is about
52:38
how the prospects of someone finding a
52:40
bone marrow transplant donor
52:42
has changed dramatically
52:45
and probably with almost
52:47
zero notice. There was a drug,
52:49
I believe in the 90s, but they had
52:52
not realized that it could be used for
52:54
this until relatively recently. It's called cyclophosphamide. And
52:56
essentially what it does is that you define
52:58
an exact match for a blood marrow donor,
53:00
and this drug allows them to open up
53:03
their prospects. So if they take the drug,
53:05
the transplant can happen regardless of whether the
53:07
bone marrow donor only has, let's say, three
53:09
out of the ten markers needed rather than
53:11
ten out of ten. So if
53:14
somebody doesn't find an exact match or they
53:16
have one exact match in the entire world,
53:18
it used to be like that's a
53:20
game over, and that is no
53:22
longer the case, which is pretty amazing. I
53:25
mean, even when you were an exact match,
53:28
you still had to take intensive
53:30
amounts of drugs to make
53:32
your body not reject the transplant
53:35
as a foreign alien. I've had
53:37
two friends who had rare diseases,
53:39
both of whom had transplants and
53:42
then both of them died because
53:45
their body didn't accept it. So even when
53:47
you found that exact match, which was rare,
53:49
it was almost always a sibling or a
53:51
relative. It's very hard to find an exact
53:53
match, kind of randomly in the universe. If
53:56
we get to the point where we are
53:58
both able to expand meaningfully,
54:00
the number of
54:03
donors and also reduce the
54:05
body's natural tendency to attack. That's a
54:07
total game changer for all of this.
54:10
Yeah, I don't know if there have been
54:12
advances about drugs to help you not attack
54:15
the foreign object. I do know
54:17
what's been so wild about like the pig kidney
54:19
transplants and the pig liver transplants and all that wild
54:21
stuff that they've been up to in the last year or
54:23
so. And those patients actually surviving
54:25
for a few months would suggest to me
54:27
that they've been able to figure out something
54:30
that has been a bit of a game
54:32
changer. But I don't know. I
54:34
don't know. That's a big question, Mark. It's just
54:36
like one of the other many
54:39
examples of radical
54:42
breakthroughs, medical breakthroughs. This is an
54:44
area we should probably do a
54:46
show this year on this where
54:48
the promise of artificial intelligence just
54:50
being able to go through multiple
54:52
scenarios, different proteins, different ways the
54:54
body reacts. The promise of
54:56
that as an enhancement tool to making
54:59
these discoveries is really substantial as opposed
55:01
to all the other areas where people
55:03
are worried about the risks of AI.
55:06
Absolutely. Not to mention,
55:08
you know, the mRNA, personalized
55:11
cancer vaccines. Now they're finding
55:13
that there might be long
55:15
acting drugs that you
55:18
can take for HIV, tuberculosis and other
55:20
diseases. There's just a vast field of
55:22
medical breakthroughs that I think doesn't get
55:24
a lot of play outside of the
55:26
science world. Yep. I
55:28
want to thank all of you for listening
55:31
to this week's episode of What Could Go
55:33
Right. Please send us comments if you have
55:35
them and suggestions. We'd like this to continue
55:37
to be as much as
55:39
possible a conversation with you, not just
55:41
between us that you're listening to. Please
55:45
sign up for the Progress Networks
55:47
newsletter, What Could Go Right, conveniently
55:49
named, same title as
55:51
the podcast and you can sign up
55:54
for that on your mobile device, on
55:56
the Progress Network page or on your computer.
55:59
And it's free. end of this week. So we
56:02
will be back next week. Thank you, Emma.
56:04
Thank you all for listening. We'll talk to you soon.
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