Huffington Post reports the first report of hospital treatment costs in the USA, released by the Federal Centre for Medicare and Medicaid Services, which reveals that hospitals in vicinity of one another differ by as much as 1,000% in how much they charge for same operations. Say, $7,044 versus $99,690 for the treatment for chronic obstructive pulmonary disease. HuffPost discusses the inefficiencies, inequalities, and lack of transparency in the market-driven and unregulated US healthcare system. For anyone not inured to the idea that a health problem might ruin you financially, this is a frightening read.
Twitter, meanwhile, brings me two articles about Adelaide policy concerning food trucks: on May 7, the council met to discuss higher concession prices, and on May 8 to decrease the number of concessions. Both, it seems, in order to protect fixed food businesses, who endure higher costs of operation, and who pay rates that fund the council. This might be systemic irrationality at its finest, punishing a service that is thriving financially precisely because it is agile, flexible, and thus able to be where it’s needed when it’s needed, while minimising loss at other times.
Restaurant offer in Australia, in general, is extremely erratic, and it seems to me that it has a lot to do with high operational costs combined with low footfall of low-density neighbourhoods (most of them). In perfectly functioning residential neighbourhoods I have lived in, it is not unusual to have 50-80% of cafes close by 3pm, and finding an open restaurant after 9pm can be difficult even in relatively central areas – the high cost of operation and wages does not warrant staying open past peak-hour foot traffic. How we’re making better cities by protecting that business model from food vans, oh, I really couldn’t say.
To continue the story of irrational legislation, here is a US-based article about the collateral of bad residential zoning. So, for example, “in Milbridge, Maine, seasonal workers sleep in cars and tents because employers can’t build enough housing for them—courtesy of state standards that needlessly inflate the cost of such housing.”
The article above connects NIMBY-ism to class warfare, which ties in nicely with Catriona Menzies-Pike’s critique in New Matilda of a notion that she calls the ‘cultural elitism of the new middle class’. This would be the way those with money feel not just better-paid, but genuinely BETTER people than those without. And which I discuss, to some extent, in my little piece on Brunetti. Menzies-Pike disagrees, but disagrees mainly with one particular book. The whole thing, seemingly, falls neatly into a culture war instead of rising above. But I digress.
Since today is clearly the day of bashing Adelaide, in this article for Kill Your Darlings, Connor Thomas O’Brien tell how you can kill independent culture by state-creating and state-funding their competition. And this fantastic interview with Dr Ianto Ware details how the creeping changes to the Australian Building Code, planning act, and liquor licensing laws have converged to undermine the Australian live music culture. Oh, we need more of this kind of analysis, and we need more of this kind of analysis actually informing policy. I am currently doing a small research on how temporary use could be helped by changing a couple of small, harmful laws of exactly this kind. There is a lot of legislation we have and don’t really need to have…
But not all is bleak. Here is Urban Catalyst from Berlin, giving a talk about how temporary use of space can be used in urban development.