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The trap I *don't* want to fall into is claiming that all is well. Wages have stagnated while healthcare and higher ed pricing skyrocketed, and both systems are regulatory fortresses. Regulatory capture via licensure and accreditation is locking in profit for the current players
The healthcare/education monster is unavoidably a private interest + government collaboration. Moreover, the collaboration has grown so complex and labyrinthian that it's unclear how to attack it. And it's moot anyway, unless it sounds better than "boo yachts, free college!"
Here's what worries me: whether via a punitive income tax bracket or a wealth tax, you're hitting a group that contains some game-players and many more value-creators. If you don't first solve the regulatory capture issue, you funnel the gains straight back to the game-players.
If we bet on a policy as aggressive as Warren's wealth tax, it'd become nearly impossible for ultra-successful entrepreneurs to maintain controlling stakes in their own companies over 1-2 decades. It should not be controversial to say this would be disastrous for the US economy.
Find me a politician who's saying "we need to prevent the AMA from artificially bottlenecking residencies" or "we need to reorganize higher education around student career expectations and implement elements of apprenticeship." Then find me a voting populace who wants to hear it
One obvious thing would be direct provision of the sort of basic care we expect/want everyone to have anyway and/or low-finesse stuff with a huge benefit per unit cost (vaccines, basic surgery & treatment for physical injuries, screening for common or easily treatable ailments).
Of course this policy won't be proposed by any politician, but it seems like the sort of thing that could easily be implemented. Generally routing around the system seems better than trying to repair the existing spaghetti.
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