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Culture War Roundup for the week of October 10, 2022

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How bad can America’s health actually get? And what shall we do?

All kinds of ill health are steadily increasing, from age-adjusted obesity to autism and depression. Anxiety in young adults nearly doubled in the decade pre-pandemic. Type 1 and type 2 diabetes has risen dramatically. Deaths of despair have also risen. There seems to be no actionable plan, ready for implementation, to halt the rising tide of ill health. The numbers are steadily increasing adjusted for age, with some numbers rising faster in the young than in the old.

I find the willpower discussions to be missing the point. Unless there is a plan that we can implement in schools to significantly increase or teach willpower, then it hardly matters whether the will is relevant. The diseased from poor choices and the diseased from poor environment equally hurt the security of the nation, costing trillions from decreased productivity, decreased fertility, and healthcare expenditure. It is curious how much discourse in America is spent quibbling on issues that are so much less important than the health question. Health is something that directly impacts every aspect of the country, not the least of which is the plain happiness and fertility of citizens.

What I would like to see is a harm tax put in place that adds onto every unhealthy item the cost per item of its societal harm: the projected healthcare costs, the loss from intelligent citizens working for corporations that poison us, the projected loss of productivity. Now, this will always be an estimate, but so are many taxes. I think this would largely make sodas prohibitively expensive.

What I would like to see is a harm tax put in place that adds onto every unhealthy item the cost per item of its societal harm: the projected healthcare costs, the loss from intelligent citizens working for corporations that poison us, the projected loss of productivity.

This is regressive and will just make it so the lives of the poor are even worse. The amount of money some poor people spend on smoking and alcohol, most of it going to taxes, is likely enough to buy a house.

Further, most vices aren't increasing healthcare costs. Smoking doesn't. Most people will get cancer in their lifetime. Smokers will usually get it around the age of 65. In a few years they croak. We save on their future nursing home costs, their social security, etc. Similar with the obese. They are unlikely to make it much past 65. Old age is the most expensive period for healthcare.

Honestly, smoking should be encouraged, maybe even subsidized. It barely impacts productivity during one's work life, and it kills when people are more likely to retire and start hoovering up resources.

There seems to be no actionable plan, ready for implementation, to halt the rising tide of ill health. The numbers are steadily increasing adjusted for age, with some numbers rising faster in the young than in the old.

I'm cynical. I believe the plan is to get people so fucked that they need the government, and specifically a nanny-state, far-left, socialist government. It seems to me that activists push to make problems worse, so they can claim they are the solution. Find a thing you want to eliminate (single family homes, meat, cars), attribute everything bad in the world to it (climate change, cancer, inequality, racism, etc), and then work make those things worse (endless bureaucracy and permitting, dysfunctional layouts, taxes) so that eliminating it looks like a viable option. When it's gone, you apply all the bad things to a new target you want to eliminate.

Having a grand plan is antithetical to this.

How exactly do cars, single family homes, and meat (of all things) make people harder to control?

Also, are you saying single family homes and car culture are not a cause of poor urban planning, which makes housing inaccessible, worsens people's health (as they just drive a car everywhere instead of walking) and contributes to climate change (as people need to drive everywhere, hence using more fuel)?

There are greener options for vehicles these days. I don't think climate change is the existential risk that it's made out to be; I think it's made out to be an existential risk to further policy goals.

Poor urban planning really comes down to the government meddling and trying to create 'livable' neighbourhoods that fall apart. Housing is inaccessible because meddling bureaucracies have made it that way. If you can build what you want on your land, suddenly housing becomes really accessible and very affordable.

If you can build what you want on your land

And isn't that what the activists are asking for? Lifting restrictions on construction?

‘Houston’ is not what Yimbies have in mind.

And isn't that what the activists are asking for? Lifting restrictions on construction?

No, they just want to change the restrictions on construction.

OK then, "easing" or "partially lifting" the restrictions?

Or are they planning to implement some entirely new restrictions?

Summarizing that post: The cars, houses, and meat aren't what make people harder to control. They're the things that the activists want to control. The activists want other problems to be worse so they can use those problems as an excuse to control those things.

Single-family homes seems like a poor example compared to the other ones, since the main thrust of the pro-density activism is loosening control -- giving people more scope to do with their property what they wish

It gives people more scope to create externalities. The activists wish to control the people affected by the externalities, not the people who produce them.

since the main thrust of the pro-density activism is loosening control -- giving people more scope to do with their property what they wish

No, it isn't. It's marketed that way, but it really means "giving people more scope to do with their property as the activists wish". None of them is going to be OK with my building a 10-foot fence or a 6-car garage or just parking my cars on the lawn or building a building for a business or any of the various other things I'm not allowed to do. All they want to do is "allow" more dwelling units.

Maybe this applies to some people but not all of us. I consider myself a YIMBY and I support your right to do all of those on your own land. Principled libertarians are not a myth

And more flexible setbacks, and mixed-use, and less arduous parking minimums, etc etc. Even if you think the position is too minimal or cynical, the net result is certainly not an expansion of state power.

Setbacks are one of those weird things where they don't seem like they matter until they really really do. Like when putting up a barn on the border of your property in violation of local zoning washes out your neighbors drive way. (The #barnlaw saga has been a trip but @morlockp went private when he started running for state office.)

But are rigid setbacks (as the lawyers say) the least restrictive means of preventing your land from draining to somebody else's land? Instead, the code could say something like:

Your site plan should include a hydrologic study showing that your proposed building will not shed additional water onto any adjacent property. If your site plan does not include such a hydrologic study, then it must adhere to this table of default setbacks, which will produce a presumption (rebuttable by a hydrologic study) that your proposed building will not shed additional water onto any adjacent property.

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