Source: Niskanen Center
by Caitlin Rowley Gallamore & Marko Gajic
“More than 92 millions Americans live in a federally designated primary care shortage area. That’s about 1 in 4 patients whose demand for primary care exceeds the supply of physicians that can provide it. And this shortage will only get worse without significant changes to how primary care providers (PCPs) are paid. Thankfully, Congress now has a chance to address the poor payment incentives at the root of the primary care shortage.” (10/29/26)
“It’s weeks like this where I can’t help but think of the overquoted H. L. Mencken line that ‘democracy is the theory that the common people know what they want, and deserve to get it good and hard.’ In America, we are nearly two years into getting ‘good and hard’ what voters chose in 2024 and are quite sick of it. Israel’s version of this predicament is almost comical. You’ll find no stronger defender than me of party-list proproportional representation—the system wherein the percent of seats in the legislature that a party gets is, with some technical caveats, one-to-one with the percent of votes they receive in the public election—but in Israel that system does frequently result in a failure to form a governing majority.” (10/29/26)
“It’s really cold living in a home with no heat or running water in December. That was a hard lesson I had to learn as a kid when my family was struggling. Now, as a healthcare case manager, I’ve seen firsthand even more unnecessary human suffering caused by bad policy choices. We need change, and voting is part of how we make it. I grew up in a large family. My dad was a convoy driver during the Iraq War and was gone from us for nearly a decade. During that time, we struggled to afford the medication to manage my sister’s Type 1 diabetes. My mother stayed home so often to care for her that she lost her job. Even as prices rise, they’ve also chosen to take help away from those who need it the most—and give it to those who need it least.” (10/29/26)
“Someday the Lord will call Donald Trump home. At that happy hour, as Trump is welcomed to eternal life, there will be a great deal of uncertainty in American politics. What will happen next? My thesis is that there will be no return to normal because Trump has fundamentally changed the character and desires of a large group of American voters. This is the sort of idea that’s hard to quantify because you can’t come at it head-on. You have to look for oblique angles. The Public Religion Research Institute just gave us some interesting data points. I want to talk about them, and the Gospel, and the future of American politics. And empathy.” (10/29/26)
“I need six pillows to sleep comfortably. Two under my side, two between my legs, one against my back, and one to hug. That’s too many pillows to pack …. Fortunately, Walmart doesn’t just make obtaining pillows convenient throughout the United States. It makes it dirt cheap. Every Walmart I’ve visited has the same $3.44 pillow for sale, so I routinely buy them wherever I go, and just abandon them when I leave. I’ve done this over and over, yet only on my last trip to Wyoming did I reach a profound economic epiphany. I have bought Walmart pillows in dense urban areas. I have bought them in suburbs. I have bought them in rural areas. And the price is always $3.44… plus tax. … Which has a shocking implication: The degree of local competition has absolutely no effect on the price of the pillow.” (10/29/26)
“Cairo buys an increasing amount of fuel from abroad, owes billions to foreign lenders, and depends on open Red Sea-Suez traffic, among other pressures.” (10/29/26)
“A new project by The Intercept reveals the hundreds of candidates still taking the pro-Israel lobby’s cash, and how AIPAC is obscuring its spending.” (10/29/26)
“I don’t know what’s going to happen in the midterms, and you don’t know what’s going to happen in the midterms, and the boosters and pundits certainly don’t know what’s going to happen in the midterms. But something is going to happen in the midterms. And what happens in the midterms will make them either the most important midterms in the history of ever, or the least important. It all depends. Which means you shouldn’t take a chance, and you should get out there and vote all red just in case.” (10/29/26)
