"Two months ago I wrote about gasoline prices and tried to give the current prices some historical context. Gas prices have, of course, only continued to increase since then. Here’s a chart I created to give a bit more context, using an idea from Ryan Radia: how much does it cost to drive a car 250 miles? Since fuel efficiency has increased over time, we might be understating how much it costs to drive today relative to the past. And of course, to give the “cost” proper context I have stated in terms of hours worked at the average wage (note: the final data point is from April 2026, as we don’t have wage data for May yet):
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In April 2026 it took about 1.4 hours of work at the average wage ($32.23) to purchase enough gasoline to drive 250 miles (10.7 gallons) at the average fuel efficiency (23.4 miles per gallon). That average fuel efficiency figure is from 2024, the latest available, so it could be a bit higher today. Maybe it’s a little easier than 1.4 hours of work to buy it, but even if fuel efficiency had crept up to 25 mpg (that would be a big increase in 2 years, historically speaking), it would still be 1.3 hours of work.
1.4 hours of work is certainly a big jump from earlier in 2026, but you’ll notice it is still on the low end in this chart, and well below the peak we saw in June 2022 of just over 2 hours of work to buy 250 miles worth of gasoline.
But 23.4 miles per gallon is pretty low, as this is includes lots of trucks and SUVs with pretty bad fuel efficiency. What if we looked at some more fuel efficient vehicles?
Here’s a few I checked on (all for 2026 models, with gas and electricity at current national averages):
- Toyota Camry: 0.71 hours of work
- Chrysler Pacifica Hybrid: 0.61 hours on electric, 1.18 hours on gasoline
- Tesla Model Y: 0.37 hours of work
It will probably not surprise you that the all-electric Tesla Model Y is cheaper than the average car to operate at current prices, but you may not have realized that it is almost four times cheaper. But the Toyota Camry, with all models operating as hybrids now, also comes in pretty good at about half the cost of the average vehicle to operate (and the Camry is a very affordable car to purchase). The Chrysler Pacifica hybrid minivan does pretty well too, though even operating only on electricity (30 miles at a time), it’s only slightly more fuel efficient than the Camry."
Friday, May 22, 2026
Fuel Costs Are Way Up, But It’s Still Pretty Affordable to Fill Up Your Tank (relative to wages)
Does Providing Laptops Improve Educational Outcomes?
"The One Laptop Per Child program was supposed to bridge the digital divide for children in developing countries.
To assess the long-term effects of the program, one study performed
a large-scale randomized evaluation of the OLPC program implemented by the Peruvian government in rural primary schools, using administrative and survey data from 2007 to 2019.
The study found that the program had
no effects on students’ exam or test scores or on their likelihood of completing primary or secondary school or enrolling in a university… [T]he program [also] reduced the fraction of primary students who advanced to the next grade by 1 percentage point between 2009 and 2016.
Despite lengthy teacher trainings,
the program had no significant effects on teachers’ digital skills … [and it] led to limited academic use of laptops and generated few benefits beyond basic digital literacy, which partly explains the absence of effects on achievement and attainment."
Thursday, May 21, 2026
The Feudal Economics of Modern Healthcare: How Regulation Turned Medicine into a Fiefdom
By Richard Menger. He is currently the Chief of Complex Spine Surgery at the University of South Alabama and is on the faculty of the neurosurgery and political science departments. Excerpt:
"Medicine once mirrored this liberalizing trend. Post-World War II, most physicians owned or partnered in independent practices. They controlled their schedules, negotiated directly with patients and insurers, and bore the risks and rewards of their craft. Private property in medical practice — autonomy over one’s office, staff, and patient relationships — fostered competition and innovation. That world is vanishing. Today, nearly 78 percent of US physicians are employees of hospitals, health systems, or corporate entities. Private practice has collapsed into a shrinking remnant.
The new lords are sprawling tax-exempt “non-profit” health systems. These entities enjoy at least $37 billion annually in federal and state tax breaks — property, income, and sales tax exemptions — while operating with margins and executive compensation packages that rival for-profit corporations. Many run massive investment portfolios and for-profit subsidiaries. Their community-benefit spending often falls short of the value of their exemptions when measured rigorously; some profitable systems deliver minimal charity care relative to their tax windfall.
Government policy supplies the moat around these castles. Rule after rule and regulation after regulation favors the big conglomerates. The regulatory reach adds to the lords’ dominion.
By Richard Menger. Richard Menger He is currently the Chief of Complex Spine Surgery at the University of South Alabama and is on the faculty of the neurosurgery and political science departments. Excerpts:
"Certificate-of-need (CON) laws are still on the books in about 35 states plus DC, requiring regulatory approval before new hospitals, surgery centers, or even MRI machines can open. Incumbent systems predictably oppose competitors’ applications, turning state boards into tools of rent-seeking protection. Without CON, independent physicians and ambulatory centers could challenge hospital dominance. With it, local monopolies flourish.
Once entrenched, these systems wield two powerful economic weapons: the 340B Drug Pricing Program and site-of-service payment differentials. Enacted in 1992 to help safety-net providers serve low-income patients, 340B allows qualifying hospitals to purchase outpatient drugs at steep discounts — often 20-50 percent or more — then bill insurers or Medicare at full list price. In 2024, covered entities purchased $81.4 billion in 340B drugs. But studies and reports show the windfall frequently funds facility expansion, acquisitions, and executive pay rather than expanded charity care for the intended populations. Contract pharmacies amplify the arbitrage. The program has become a hidden tax on patients, employers, and manufacturers, with limited transparency on how savings reach the vulnerable.
Site-of-service differentials complete the trap. Medicare — and many commercial payers — reimburse the identical service at dramatically higher rates when performed in a hospital outpatient department (HOPD) instead of a physician’s independent office. A clinic visit, imaging study, or minor procedure in an HOPD can command 125 to 300 percent more reimbursement. Hospitals therefore acquire physician practices, rebrand them as HOPDs, and capture the facility-fee markup. Patients are sometimes seeing the same doctor in the same building but for twice as much.
Physicians are increasingly likely to be employed by these healthcare entities — not because they want to, but because the structure and rules are tilted that way.
The physician receives a salary or production bonus but loses ownership. The patient pays higher coinsurance. Independent practices cannot compete on price because the payment rules themselves favor the hospital flag. Vertical integration explodes. Horizontal mergers compound the effect. Markets once served by several competing hospitals see them consolidate into single dominant systems: one or two health systems control the entire market for inpatient care in half of American cities. Research consistently shows that such mergers raise prices five to 20 percent or more — with little or no improvement, and sometimes deterioration, in quality. Cross-market mergers demonstrate similar price effects after several years.
The physician-vassal’s daily reality reflects the bargain. A neurosurgeon or cardiologist may receive a competitive base salary, malpractice coverage, and administrative relief from his affiliation with a hospital. In return, the doctor must (directly or indirectly) refer patients only within the system, meet RVU targets that prioritize volume over value, and accept corporate dictates on electronic health records and formulary restrictions. They must accept care pathways optimized for margins, rather than patient outcomes. Dissent risks contract non-renewal, often triggering noncompete clauses.
True entrepreneurship — opening an ambulatory surgery center or cash-pay spine clinic — requires profound courage and near-inevitable litigation within the framework of CON. The independent doctor who once embodied the free professional has become a salaried cog in a revenue-extracting machine.
Reversing neofeudalism in medicine demands restoring property rights and competition — the very forces that ended medieval feudalism. Policymakers should repeal CON laws nationwide, as several states already have with measurable price reductions and new market players. Implement full site-neutral Medicare payment for outpatient services, leveling the field so independent practices can survive. Reform 340B with transparency mandates, patient-definition tightening, and caps on windfall profits unrelated to charity care. Stop the unnecessary ban on physician-owned hospitals that provide better care at cheaper costs. Antitrust enforcement must scrutinize both horizontal and vertical mergers with renewed vigor. Tax-exempt status for hospitals should be performance-based, tied to verifiable charity care and community benefit exceeding the exemption’s dollar value."
Paul Krugman Misleads with Statistics
"In his May 12 Substack post titled, “What Happens When Americans Realize How Miserable We Are?” Paul Krugman makes the case that we are more miserable than we think. He writes:
What will happen when Americans realize how miserable we are? Not in all respects, of course. But my guess is that relatively few Americans realize how much we are falling behind other nations on basic aspects of a civilized life, like health and safety.
The first graph he uses to make his case is a comparison of deaths from road injuries. Deaths include deaths of drivers and passengers and deaths of motorcyclists, cyclists, and pedestrians. He compares the United States with Portugal and France.
His measure is deaths per 100,000 population.
I’ll say that again: His measure is deaths per 100,000 population.
Do you see a problem? I do. In which of the three countries are the miles driven per person highest? Think about how undense our population is and how low our gas taxes are, all compared to the numbers for Portugal and France, and you know the answer: Miles driven per person are much higher here; fatalities are highly positively correlated with miles driven.
But let’s make sure. In 2025, American vehicles traveled 3.28 trillion miles. In 2024, Portuguese vehicles traveled 79.7 billion kilometers, which is 49.5 billion miles. In 2024, French vehicles traveled 377.7 billion miles.
Let’s do the simple math on vehicle miles per person.
U.S. population in 2025: 341.8 million.
Portugal’s population in 2024: 10.75 million.
France’s population in 2024: 68.5 million.
So:
U.S. vehicle miles per person: 3.28 trillion divided by 341.8 million = 9,596.
Portugal’s vehicle miles per person: 49.5 billion divided by 10.75 million = 4,604.
France’s vehicle miles per person: 377.7 billion divided by 68.5 million = 5,514.
So the average U.S. vehicle travels 108% more than the average Portuguese vehicle and about 74% more than the average French vehicle.
What all that means, of course, is that the relevant comparison, deaths per miles traveled rather than per resident of the country, shows a much small difference among the three countries.
As a check, I asked ChatGPT to compare fatalities per million miles between the United States and Portugal. Here’s what it said.
Country
Fatalities per million vehicle miles
Source basis
United States
0.0126
2023
France
0.0085
2021–2023 average
Portugal
0.0134
2021–2023 average
United States vs. France
The U.S. rate was about 48% higher than France’s:
France’s reported rate was 5.3 deaths per billion vehicle-kilometres, which converts to 0.0085 per million vehicle miles.
United States vs. Portugal
Portugal’s rate was about 6% higher than the U.S. rate:
Portugal’s reported rate was 8.3 deaths per billion vehicle-kilometres, which converts to 0.0134 per million vehicle miles. The ETSC report notes that Portugal’s vehicle-distance figure excludes motorcycles, so this comparison is not perfectly clean; including motorcycle mileage would likely lower Portugal’s rate somewhat.
Now go to back to Krugman.
His graph shows the United States being about 200% more dangerous than France and over 100% more dangerous than Portugal. But norming by vehicle miles driven rather than population shows the United States being 48% more dangerous than France and comparable to Portugal.
Big difference.
Krugman made a living by carefully examining macroeconomic data and data on international trade. It’s too bad that didn’t use his analytic tools on this one."
Wednesday, May 20, 2026
The compound interest of innovation: Wi-Fi and the power of unlicensed spectrum
"Investors understand the power of compound interest. Over time, small gains accumulate into exponential growth.
Innovation often works the same way. One breakthrough creates the foundation for the next, which enables another. Over time, innovation compounds, producing transformative economic and technological change.
Few technologies better demonstrate the compound interest of innovation than Wi-Fi.
In 1985, the Federal Communications Commission (FCC) took a novel and consequential step. It opened three spectrum bands for unlicensed use. At the time, these spectrum bands were dismissed as “junk bands.” Yet those supposedly worthless bands were put to many productive uses, including Wi-Fi.
While exclusive-use licensed spectrum forms the core of modern mobile networks, Wi-Fi relies on portions of unlicensed spectrum that anyone can use on a nonexclusive basis. This spectrum is also decentralized: there are no license payments or centralized control for users, though Wi-Fi devices remain subject to FCC certification and certain technical requirements.
This openness allowed Wi-Fi to proliferate and drive affordability. Coffee shops, hotels, airports, hospitals, libraries, and countless other locations routinely offer Wi-Fi at no cost. And a single residential broadband subscription can serve an entire household with many connected devices. The average home now has more than 21 connected devices, each connected at no incremental cost.
The result is extraordinary consumer value and affordability.
In 2020, when the FCC opened an additional 1,200 MHz of spectrum within the 6 GHz band for unlicensed use, the agency found that unlicensed devices relying on Wi-Fi and other technical standards had “become indispensable for providing low-cost wireless connectivity in countless products used by American consumers.”
The educational benefits alone are substantial. In a survey of more than 16,000 undergraduate students across 71 US institutions, 96 percent said that Wi-Fi was the most important technological feature for studying. Wi-Fi has transformed how teachers and students communicate, allowing them to safely share homework, documents, and files over a school’s network.
Business applications are also significant. A recent report by ABI Research shows an increase in Wi-Fi usage across business and enterprise environments. The report found that “virtually all business, from sprawling multinational enterprises to independent mom and pop shops, depend on Wi-Fi for daily communications and commerce.” It concluded that Wi-Fi serves as a “key enabler” of the disruptive innovations that will define tomorrow’s economy.
Health care is another example. Wi-Fi-enabled telehealth services allow medical professionals and patients to communicate more efficiently and conveniently, saving both money and time. A recent study found that 71 percent of Americans are comfortable receiving virtual care for the treatment of common mild illnesses, while that 66 percent are comfortable using it for chronic disease management.
These innovations emerged because policymakers created an environment where entrepreneurs and technologists could experiment freely. One innovation led to another, and then to another – compounding over time into a communications ecosystem that has transformed modern life.
The lesson for policymakers is straightforward.
Innovation flourishes when government creates space for experimentation. The success of Wi-Fi and unlicensed spectrum demonstrates the extraordinary economic and consumer benefits that openness, flexibility, and light-touch regulation can produce.
That is the compound interest of innovation."
Academia's Leftward March
By Steve Stewart-Williams. Excerpts:
"According to a recent paper by Nathan Honeycutt, 74% of US faculty identify as liberal, 15% as moderate, and only 11% as conservative. Remarkably, more faculty identify as “far left” or “very liberal” than with any position right of center."
"The first graph shows the increasing dominance of the left in academia from the late 1960s to the early 2020s. As you can see, liberals and leftists have always outnumbered the rest, but the skew has grown increasingly strong over time. And not only have conservatives become vanishingly rare, so have centrists."
Tuesday, May 19, 2026
U.S. Airlines and Carmakers Need to Go Global
Policies that insulate them from competition created the conditions that led to bailouts and bankruptcies
By Clifford Winston of the Brookings Institution. Excerpts:
"While we rightly celebrate the 1978 Airline Deregulation Act, airports and foreign competitors that could serve U.S. routes weren’t deregulated. Public airport monopolies and duopolies allow airlines to raise fares. With foreign carriers prohibited from flying domestic U.S. routes, domestic fares have been kept artificially high even while load factors approached 85% just before the Iran war. As a result, when a domestic shock hits, the system lacks the diversified global networks and capital depth needed to absorb the blow.
The car industry suffers from a similar condition. While the automakers aren’t currently liquidating, they are operating on a margin-over-volume strategy that has pushed the average transaction price of a new car to a record $50,000. This wasn’t a natural market evolution. It was manufactured by decades of trade barriers.
From the 1964 “Chicken Tax” to the 100% tariffs on Chinese electric vehicles in 2025, Washington has walled off the American consumer. These barriers have allowed domestic makers to abandon the low-cost econobox segment entirely, focusing instead on $80,000 SUVs. Because they are shielded from the $15,000-a-car global competitors that are modernizing fleets in Europe and Asia, automakers have become addicted to a narrow, affluent demographic."