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Benjamin's avatar

These are a lot of great points which I agree with.

The major question for me - and I think for American society at large - is why despite all of this prosperity, so many Americans still feel angry, disillusioned and frankly, even cheated.

It's just such a stark contrast to the economic facts. And also to other developed countries and democracies.

All have their fair share of challenges with populists, demographics, immigration, conflicts over cultural issues, growth, and inequality.

But the pain and anger Americans seem to feel and express seem to be deeper, harder and sharper than most others - and that even though the economic facts rather seem to suggest they've actually had it better (at least in pure money terms) than the citizens of most other rich countries.

That's the deeply worrying puzzle that neither economists nor political scientists or sociologists have found a really convincing answer to yet.

I have a couple of ideas, but it remains a puzzle nonetheless.

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Noah Smith's avatar

Yep, we need to figure this out.

My bet is some combination of:

1. Political conflict leading to everyone yelling about how everything sucks whenever the party they don't like is in power

2. Social conflict making Americans feel like they don't have a nation

3. Inflated and then dashed personal expectations (really striking when you talk to people from Japan or Europe and hear what they expect out of life)

4. Inequality

5. Crappy city centers hollowed out from crime and suburban flight

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NubbyShober's avatar

Market concentration is the easiest explanation, eating into consumer earning power--while simultaneously driving down wages.

Housing costs increasingly more as a share of income. As does healthcare.

Americans also have lower QOL than most EU residents--we work more hours for the same pay. Especially for women; and even more so for mothers.

We're also advertised to more heavily than in the EU; which increases desires and expectations. Especially when measured against increasing wealth concentration and correspondingly less socio-economic upward mobility.

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Benjamin's avatar

You raise a couple of interesting points. Allow me to briefly respond.

– Market concentration is certainly a concern, but how Noah’s statistics show, consumer earning power has *still* grown. Where I would agree with you is that in certain areas (housing, health care, college) price increases have been so much higher than wage increases that it hurts disproportionately.

– Yes, I agree that housing, healthcare, college play a huge role. Which is why I’m increasingly wondering if economists should find way to better measure the relative “happiness” of people being able to afford different types of things. Theoretically, consumer happiness should increase with whatever they can afford more of (be it flat-screen TVs or doctor’s appointments). But imho it’s not that easy.

– The quality of living point is a complex one. Personally, I agree that there is something to this (esp. on health, life expectancy, free time, safety). But on the other hand, Americans as a society *did* choose time and again more income over more free time – and that’s a free choice too. And they are very productive.

– The point about advertising is interesting. I think it might even go further. So much of American self-image and happiness is tied up with career success and material possessions – perhaps even more so today than in the past. And what others have and own is even more visible today than in the past. So the feeling of relative income & wealth might be very skewed today.

– And yes, the socio-economic upward mobility is a good point too. But it’s also true that this varies a lot between rich countries in general.

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Miles's avatar

I think a lot of answers are in that second bullet - housing, healthcare, education, retirement, etc. The "crap" is cheap and plentiful, but the essentials are often out of reach. Annie Lowrey's "affordability crisis" writeup a few years ago seemed pretty convincing to me.

And there's a precariousness to all of it. I wonder if you could almost model it as a "net present value" calculation where people used to feel confident their job would remain & their pension would pay out, so they "felt" more wealthy than they might knowing unemployment lurks around the corner and their retirement plan is dicey. The uncertainty of the future makes the NPV feel lower than it did for the 60s "factory man", even if this year's income will be higher.

While I don't think income inequality is the most important issue, it does also create this sense of a steep gradient where you can easily fall into a lower "bracket" lifestyle - and the bracket above seems quite out of reach. I'm in a top 5% household but I still worry about the 5-10 year horizon because I could get hit with college tuition and aging parents just as I'm approaching retirement. Or volatile economics could wipe out my wealth, which is primarily in stocks in retirement accounts.

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Benjamin's avatar

I think this is absolutely a huge part of it and something that economists – and also Noah – only occasionally address.

Both the question of *what* is more / less affordable and the topic of how *certain* do people feel about their job, career, healthcare, housing, safety and so on.

My feeling is that on both counts, America has seen big shifts that Americans rightly and reasonably feel and see as threatening.

Being able to afford *lots* more stuff does not weigh up struggling to pay for the healthcare that you need or not being able to buy the house that you want (even though those got much bigger & nicer). In people’s minds, they might well feel poorer, even though they have lots more stuff and purchasing power.

And being uncertain about all of this plays an even bigger role, I think.

Even if most Americans *actually* move up the ladder most of the time and actual unemployment is very low, the mere possibility of falling off it and then very quickly losing almost everything (your house, your car, your healthcare plan, your purchasing power, for some even their self-esteem as it was tied to career success) must be a terrifying possibility in the back of people’s minds.

In a way, that thing that struck me was a recent quote of Victoria Ratliff in the TV series “White Lotus,” who said: “I don't want her thinking she'll be just fine if she's poor! She needs to fear poverty, Tim, like everyone else we know. That way, she'll make good decisions.”

Do Americans fear poverty (i.e. falling into poverty) that much? Even middle class and upper middle class Americans? Because that is a pretty terrifying prospect.

I’ll be honest, I’m European and grew up middle class. I personally do not fear falling into poverty. I just don’t. I know that everything around me is built in a way that this is not something I personally need to fear and that I have the resources, networks, support and everything to live a stable and actually pretty good life, even if unfortunate events (personal or more general) happen.

I am concerned of our economy struggling to grow or poverty becoming a bigger issue more generally and lots of other stuff. But personally, I do not fear falling into poverty, neither do my friends, family etc.

It seems a pretty grim prospect that many Americans would, even just in the back of their minds, have this fear.

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Miles's avatar

Well, without a good income to cover living in a top tier city, you have to move to the hinterlands and then you don't really have access to the good jobs. (At least, how I feel working in tech.) So I do think Noah's short answer "land use" has truth.

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GaryF's avatar

And given the trend to losing hospitals and other services (and lousy internet) in the rural and semi-rural areas (where homes are more affordable), it is a serious tradeoff for many people to move. Jobs are tougher to find (especially good ones), etc..

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Greg's avatar

"Americans also have lower QOL than most EU residents--we work more hours for the same pay."

Do you by any chance have a citation for this? I am skeptical...

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Benjamin's avatar

Yeah that’s why I replied that it’s complex. Quality of living (QOL) can be measured in a myriad of different ways and depending on what you prefer you can come to lots of totally different results.

As for the pay measure, Americans do work more hours than Europeans, but their productivity per hour worked is usually on par with the very richest European countries – and ahead of most others. So Americans do get a lot of bang for their buck.

But they also work awfully lot and have a lot less free time, vacation and so on, which might well dent their enjoyment of all that earned money quite a lot.

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Greg's avatar

Fair enough, I just think it's important to distinguish between working late to afford groceries and working late because we've developed a taste for bottled water, DoorDash, central air, yoga classes, SUVs, etc.

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M Randall's avatar

I would hazard a guess that many folks work late because their employer or profession requires it. Employees are not entirely free agents.

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Greg's avatar

That's a good point, so I tried looking up survey data and found 15% answered yes and 68% no to the question "If you had the opportunity to work one less day each week and receive 20 percent less pay, would you take that opportunity?"

https://today.yougov.com/economy/articles/9941-poll-results-working-hours

One caveat is that these people are in competition with one another for things like housing, which may cause something of a race to the bottom.

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offseasonoptimist's avatar

Talk radio, cable news, and the phones/social media.

We all live in our heads and our reality is shaped not by "the real world" but our perception of it. It is why ads against Biden were all about how people "felt" the economy was bad, and not that it was actually bad. Most Americans think all of this horrible things are true and they have it so bad (despite living in the richest country in the world) because they are told so constantly.

While the rest of the world has phones and the havoc they have wrought, we had decades of talk radio and cable news degrading our political discourse leading up to it.

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Darrell Henry's avatar

I have two theories, first housing and education have become too expensive eating into people’s higher earnings and preventing them from achieving the American dream. Second pundits, academics, commentators etc in trying to find an excuse for why Trump, a person they find disgusting won latched onto the theory that it’s all because the economy has failed the middle class. I think the simplest explanation for Trump’s first win is that his opponent was unpopular, ran a bad campaign and voters are reticent to give a party three straight terms. His second victory was because of voters anger at inflation, mass migration and his opponent being seen as a continuation of an administration they didn’t like. The reason I’m skeptical of the narrative that voters won’t be happy until we bring manufacturing back is that they were happy about the economy in 2018-2019.

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Jeff Herrmann's avatar

We have expectation inflation of what a middle class life is supposed to look like. In the 1970’s it was a week in the Adirondack’s for a typical middle class New Yorker at a Holiday Inn, Howard Johnson or cabin. We brought our food for the road in a cooler and stopped at highway rest area for lunch. HGTV house porn, foodie BS - where the decor is as important as the food and entry level cars with things that are nice but you don’t really need. I can crank my own window and slide back my own seat - need to fix that now - 2k. Look at a college dorm of today vs my day in the 1980’s. Mine had more of a prison feel, USF is closer to a resort hotel. Nice to haves have become standard and that is no free. If you don’t have that you are pissed. Plus the really ostentatious wealth that we see even makes a very successful person feel like it’s not fair.

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Benjamin's avatar

That's for sure the case. But it woukd again beg the question, why does this seem to have happened so much more in the US than almost anywhere else?

You probably also have elsewhere expected inflation of a middle class life. But the intense anger and feeling of being all the time on edge seems to be so prevalent in the US. Why?

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Yaw's avatar
2hEdited

A lot of this traces back to the fact that, right after WWII, America made up around 60% of the world’s GDP. Western Europe and Japan had been devastated by war, while the U.S. industrial base was untouched and booming. But by the 1950s and '60s, as Europe and Japan rebuilt and re-entered global markets, their competition began to chip away at America’s industrial dominance. The U.S. economy kept growing, but the global supremacy of many American companies began to erode.

Today, as the U.S. continues to run current account deficits and import goods, we send excess dollars abroad. In turn, countries like China, Japan, and Germany use those dollars to buy U.S. Treasuries, stocks, and real estate. Meanwhile, our low-end manufacturing becomes uncompetitive, unless it’s in high-value-added industries—like pharmaceuticals, aerospace components, or the design (but not fabrication) of semiconductors by companies like NVIDIA or Qualcomm. That shift is economically sustainable, even beneficial. It creates tech, finance, and biotech hubs with large ecosystems of service jobs surrounding them. But it also means New York City thrives while places like Troy, NY wither.

Median incomes have risen, but economic growth hasn’t been evenly spread. Most people still find jobs—unemployment today is lower than in the 1960s or 1970s—but the quality of those jobs varies dramatically. The labor market has polarized: you either work in professional fields like nursing, finance, engineering, or supply chain, or you’re stuck in low-wage retail and service roles like those at Walmart.

The American middle class has shrunk—but mostly because more people moved up the income ladder. According to Pew:

The State of the American Middle Class (2024): https://www.pewresearch.org/race-and-ethnicity/2024/05/31/the-state-of-the-american-middle-class/

In 1971:

27% lower income

61% middle income

11% upper income

In 2023:

30% lower income (+3 points)

51% middle income (–10 points)

19% upper income (+8 points)

(Yes, these are inflation-adjusted.)

The majority of Americans are still middle class, but it feels different.

Why do things still feel bad? Because service costs have exploded. As more people flock to cities like LA, NYC, SF, and Boston, those hubs don’t build enough housing to meet demand—thanks to zoning laws, slow permitting, and NIMBYism. Education is more expensive too, partly because the government increased access to student loans. In the 1950s, mostly elites went to college. Now with widespread subsidized and unsubsidized loans, colleges have jacked up prices.

Healthcare is another pressure point: government programs subsidize demand, while a cartel-like system among doctors restricts supply through limited residencies and licensing bottlenecks. Meanwhile, drug companies and providers set high prices. We blame insurers, but in many cases, it’s the providers and pharma companies charging the actual rates.

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Michael Magoon's avatar

I think that the negative feelings are being generated by cultural/political change, not economic decline. Do not estimate the amount of cultural change over the last 60 years:

https://frompovertytoprogress.substack.com/p/the-great-realignment-in-american

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Quinn Chasan's avatar

Yeah the cultural change is downstream from technological change, that's my point

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Michael Magoon's avatar

Based on your other comments, it looks like by “technological change” you means the smart phone and social media. My article is about changes that long preceded those technologies.

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Quinn Chasan's avatar

More money more free time more time to shit post and get mad. It's just the information ages effects. Nothing to do with wages at all imo. All the rage studies align far more closely with the rise of the smartphone than some concocted story about wages

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Benjamin's avatar

Yes but why then is it so much more acrimonious in the US? Other countries have smartphones and the internet too.

And yes, they also experience populism and all sorts of issues. But the depth of anger and conviction of somehow being cheater and all of that seems to be exceptionally strong in the US, even among people who are really well off.

That's what's so puzzling.

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Quinn Chasan's avatar

May I introduce you to South Korea

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John Laver's avatar

My two cents, I think a great deal of the angst about employment today arises from the pace of change and the consequent impermanence of jobs. This and the financialization of retirement savings. In the US manufacturing heydays of the 1950 and 60's, most people had a job for life, or certainly as long as they wanted it, with medical benefits and a defined pension.

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Orlando Gómez Torres's avatar

It's the phones.

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Susan D's avatar
6hEdited

The think pieces supporting the "hollowed out America" narrative are always accompanied by photos of small towns and big cities, boarded up, blighted and dilapidated. I live part time in Detroit, and part time in rural Michigan, so I've seen plenty of this with my own eyes.

While I agree with Noah's general thesis here - it's true, we as a society are richer than ever - is our crumbling infrastructure a separate issue, driven by low taxes and low effort on building nice places to live? Is wealth hoarded by individual households instead of being shared for the common good?

Because telling people that we are actually rich, when they see evidence of crumbling cities and towns, is not going to convince them.

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Noah Smith's avatar

Yes. It's our cities that have been hollowed out, not our economy. This is the subject of my next two posts!

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Quinn Chasan's avatar

The story that people can't wrap their head around is that for every small manufacturing town that was bleeding people before NAFTA even existed, there were a dozen others created by the new market economy. Half the sun belt and half of Florida look like they were built yesterday. I don't know what we have to stop the whole economy because rural towns in Ohio or West Virginia didn't want to make the transition and never tried.

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Susan D's avatar

This is very true! Lots of town have been built in the last thirty years, and not every place on earth will be revitalized.

Detroit built crappy cars in the seventies, had decades of racial strife, and had problems way before NAFTA was on the horizon. So the "hollowing out by globalization" narrative isn't the whole story by any means. I could argue that globalization actually helped, at least in the last twenty years or so.

However there are places that still look like war zones in this country. Maybe it's just that we are so big and our population so mobile that people tend to abandon and move, rather than dig in and revitalize. In Europe, small towns can remain vibrant because moving on to new frontiers is less of an option.

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Quinn Chasan's avatar

The places that look like warzones are a policy choices not due to trade but due to chronically bad state and local government choices. Mississippi classrooms looked like hollowed out eastern european post war shells until they'd decided not to be like that. So much of the blame rests at the feet of the people complaining imo

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GaryF's avatar

But not everyone can move to those places or have the training to do the jobs there. Disruption and infrastructure decay is real. In an ideal world, people would move to new areas and get new jobs, but there is a ton of friction in terms of actually doing that.

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Quinn Chasan's avatar

Sure but that's no reason to freeze society in amber to protect the interest of one random place over another

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Nathan Smith's avatar

Now, while I agree that "the hollowing out of the middle class" is not an apt summary of any macroeconomic development of the past few decades, I think something has happened in the economy which was deeply subversive for the way of life of middle America.

Assembly line factory production created, in the mid-20th century, an economy where *unskilled labor could earn a middle-class income.* That's why the factories were so important. Factory jobs served as a kind of economic safety net for people who didn't achieve any sort of excellence. They could do that because of the great *human capital saving* innovations in manufacturing, symbolized by the assembly line. It was very boring work, but if you were willing to screw the same two parts together 5,000 times a day, you could have a modern lifestyle full of modern comforts and luxuries, without any particular skills.

That's not normal, and we shouldn't have expected it to last.

Globalization and automation were the big factors that killed it. But the decline in unskilled labor wages was just reversion to the mean.

Now, the decline in unskilled labor wages did not hollow out the middle class. Much of the middle class was never unskilled, and some of the unskilled labor middle class that factories made possible in the mid 20th century managed to upskill either themselves or more often their children so that they could stay in the middle class even as the factory jobs went away or went low wage.

Nostalgia for the anomalous macroeconomy of the mid 20th century is now a destructive force. But I don't think it's fighting a phantom. A certain kind of damage was done in the midst of progress.

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George Carty's avatar

Another reason of course why unskilled Americans in the 1950s could earn a middle-class income in factories is because there was so little foreign competition (because it had been wrecked by World War II).

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Worley's avatar

I remember back in the 1980s (when the competition was from Germany and Japan) I noted your point and then mused "We have a lot of unused nuclear weapons, maybe we could get rid of the foreign competition."

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Worley's avatar

Yes, I think this is a very important point. When you split the population by class-type factors (among which education is very significant), certain *groups* have gone downhill badly. Only slicing the population by income hides that there has been tremendous downward mobility, not only of individuals but of classes. (And consequently, upward mobility.) I once noted down a quote:

"When I grew up in Pocatello [in the 1960s], you could not read or write and still get a job at the railroad making $50,000 or $60,000 a year." -- Pocatello mayor Roger Chase

That number must be incorrect, but the overall concept is true.

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Yaw's avatar

2 things:

1) There's not enough voices fighting for why regionalization works. Shannon O’Neil’s The Globalization Myth makes a strong case: NAFTA is part of why aircraft engines are still made in Hartford, Connecticut by firms like Raytheon and Pratt & Whitney. By integrating with Canada and Mexico, U.S. companies can tap different labor pools and specialize—just like what we see in Columbus, Indiana or in cross-border hubs like Laredo, El Paso, and San Antonio.

Places like Akron, Ohio had their tire firms destroyed by Japanese and French tire firms, and those places used cheap labor too! Back in the 70s and 80s, Japan used Thailand and other Asian countries for cheap labor pools. Back in the 70s and 80s, southern Europe (Portugal, Spain, Italy, greece) was much poorer than than western Europe and functioned as cheap labor for rich Europe.

2) Also, let’s be honest—the military-industrial complex is America’s biggest form of protectionism. The Berry Amendment forces the Pentagon to buy American. I worked at Boeing Defense, and saw firsthand how plants from Ridley Park/Philly to Wichita alive because of federal contracts. These aren't outsourced to French firms. They go to American ones, even supporting good-paying, often union jobs for non-college grads.

If we thought of the Pentagon as economic policy, not just defense policy, we’d realize the U.S. is running the world’s largest protected economy—just dressed in camo..

In short: We need more regionalization and we already have a lot of protectionism.

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Lisa's avatar

Your data is, I am sure, correct, but it isn’t answering the right question.

Globalization, as we have done it, has taken the US from a place where good jobs are widespread across the country and narrowed it into a place where good jobs are heavily concentrated in a small number of places.

People tend to be heavily vested in their family, friends, hometown, and the quirks of their local culture. That culture, in the US, also frequently tends to prize space, whether it’s for cookouts, gardening, or a fenced yard for the dog. Many people literally loathe dense living.

By focusing so much on agglomeration, our economy has increasingly pushed against the preferences of a significant percentage of our people - a preference pretty clearly revealed by the census data on pandemic dispersal of remote workers to less urban areas. That dispersal also revitalized those areas with secondary job production.

Policy needs to consider the geographic dispersal of jobs, including supporting remote work, because lack of those jobs is a big part of why our political culture is breaking.

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Greg's avatar

What I would ask is why did Americans end up in places like Detroit and Cleveland in the first place? People typically are where they are because their family moved there for economic reasons -- the very thing we are now saying is unreasonable to ask people to do. Perhaps local community, roots, and all the other benefits of not having to chase higher incomes across the country are best viewed as another luxury that middle class people can now afford.

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George Carty's avatar

The culture in the United States places a high value on home ownership (and this goes back to the 19th century: the "American Dream" that lured millions of European immigrants across the Atlantic essentially _was_ the dream of owning your own land) which has become economically damaging.

For an individual, the home they live in is a suboptimal investment as it is less liquid than (for example) stocks, and has a value that is strongly tied to the state of the _local_ economy. The US economy today is stronger than it was 40 years ago, but the Detroit economy is not, so people who plowed their earnings into buying homes in Detroit will have seen them wiped out. This means that homeowners are more likely than (market) renters to be trapped in regions with poor economies.

Homeownership also fuels NIMBYism (because people whose life savings are locked up in the piece of real estate where they live are paranoid about any change that could cause it to lose value), and encouraging it as government policy also tends to encourage suburban sprawl: in the US 85% of single-family homes are owner-occupied, while 85% of apartments (in buildings containing at least 3 of them) are rented.

https://pedestrianobservations.com/2017/05/10/cities-should-not-encourage-home-ownership/

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GaryF's avatar

Some of those moves happened because the local economies got so bad that there was no longer any choice but to move. Some was a younger age group that was relatively unconstrained and could move (without spending 4-5 years getting a college degree first). A bunch of reasons why mobility may be less today (there are other ones and as you noted, there are psychological reasons as well - complex topic)

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This Is An Adventure's avatar

I do wish there was more policy discussion about this. I’m a remote worker who left a larger urban area to move to a “hollowed out” small city for family during the pandemic, and it’s been clear to me that the impact of that type of migration has been so positive for the area.

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Steve Estes's avatar

I'm not sure it's ever been true that "good jobs are (were) widespread across the country". Labor mobility is a constant theme of US history. And industries geographically consolidate / cluster for good supply chain and skills-access reasons. This sounds more like the myths we tell ourselves about the past that are twisting the present.

Personally, I blame a nationalized media industry that is heavily incentivized to tell people that things are awful everywhere, in a manner that confirms their preconceived notions.

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George Carty's avatar

Wasn't the geographic concentration of good jobs in a handful of overpriced "superstar" cities driven less by globalization per se, and more by the corporate consolidation enabled by Reaganism?

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Worley's avatar

The consolidation of *corporations* doesn't necessarily lead to the consolidation of *work*. In the early 1900s, manufacturers could only get good transport if they were in the center of one of a few dozen big eastern cities. (Actually, the ones that had major-league baseball teams, the westernmost of which was St. Louis.) But with the development of the interstate highways, factories could be moved to the hinterlands, and because labor was cheaper there, they did. But the concentration of the corporate owners didn't change.

The concentration of knowledge work is more driven by the fact that a knowledge worker gains more from being near a lot of knowledge workers than an assembly line worker gains similarly. Indeed, it would be a lot cheaper to hire a semiconductor engineer in Des Moines than in Silicon Valley, but they would do must less useful work.

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Nathan Smith's avatar

Quick comment: "when America has finally realized the futility of Trump's approach" is off track. Pundits overwhelmingly recognized its futility for serving any conception of the common good instantaneously, and polls. Suggest the public isn't far behind. But that doesn't seem to be Trump's goal. Tariffs give him power. They make companies and countries grovel. It's part of his dictatorship push, not a reindustrialization strategy. That's not a comment on the whole article, just that one phrase.

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PF's avatar

Ok. If this is the case, can you quickly summarize what needs fixing for the US economy (or is there nothing) purely from the econ perspective, sans politics?

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Noah Smith's avatar

Land use.

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Benjamin's avatar

Land use is a big one. But I still maintain that health care also makes Americans deeply unhappy because it causes lots of uncertainty.

Not the health care they actually receive – which mostly is good, often even top-notch – but the overall cost and setup that your health and healthcare is always contingent on hard-to-control external factors.

I truly think that this basic fact is a big driver of underlying uncertainty and misery.

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Benjamin's avatar

To be very concrete: Most Americans (especially middle class Americans) have very good healthcare.

But I have yet to meet one American who has never in their life been worried or concerned about their healthcare coverage in some way, shape or form.

And this worry and concern – which is a very existential one, because health simply is the foundation of our lives – keeps of course shaping and warping their choices.

They may not always be directly aware of it because it’s so ingrained already, but the very fact that Americans go into careers or make big life choices with the corresponding healthcare options in mind is a huge thing that warps their perceptions of what they are truly free to choose and do.

They usually end up with very good healthcare. But they are also aware that it is contingent on a very specific setup which, I believe, adds a lot of underlying stress that’s hard to shake.

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Benjamin's avatar

And yes, I also think that did change over the last couple of decades with careers becoming more unstable (even if people ultimately earn much more).

America’s peculiar way of providing healthcare wasn’t that big of a deal in a world where people would be employed for decades with the same company or where actual options on the healthcare market were fairly limited.

It was organized differently than elsewhere, but most Americans probably did hop from one type of insurance to another pretty seamlessly and without much worrying, or just stay on the same plan all their life.

But the economy has changed and that the healthcare system has stayed the same has inserted an enormous amount of uncertainty in people’s lives, which is really adding up.

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Benjamin's avatar

Last point (and I realize I’m answering myself here a lot, sorry for that):

In my humble opinion, one of the major reasons that makes European healthcare “better” in some ways is precisely because it removes this excruciating layer of uncertainty.

European healthcare may sometimes be cheaper or more universal or better at some things – but as pundits keep pointing out, American healthcare is also exceptional at a lot of things (and lots of Americans get really good healthcare).

So the major underlying thing that is “better” in Europe is simply that this uncertainty doesn’t exist, no matter the income level of the country in Europe. And that makes a huge difference.

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Miles's avatar

and one minor addition - even if you THINK you have good healthcare in the US, it's very hard to be sure until you are actually using it. I have been shocked by the expenses that still passed through to my pocketbook for something as ordinary as a c-section baby delivery.

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Joe Benson's avatar

If you’re assuming no one outside the US is ever “concerned” about their healthcare, I think you’re setting the standard far too high. You won’t have to work hard to find people in countries with national healthcare that you presumably prefer who are themselves “concerned” about their healthcare. Americans hate that healthcare access is rationed by cost. But they would also hate if it were rationed by scarcity and incredibly long delays to receive care, which is the primary alternative for controlling access to a scarce good where demand outstrips supply.

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Benjamin's avatar

I’m certainly not assuming that. But the concerns – especially in Europe or developed Asia – are very different. People are generally *not* concerned that they won’t have healthcare coverage.

Or that, if they lose their job or take the wrong one, they can’t get certain important procedures or need to pay tens of thousands for it. That’s just not a thing people are concerned about.

They might still be concerned about lots of other things – how fast will I be treated, how good is the doctor / hospital and so on – but these are still different things.

Americans might not like them either, sure (nobody likes those things). But that’s not really the choice we’re talking about here.

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Lee's avatar

There is nothing better about a manufacturing job to a service job, the difference is that one sector was unionised and the other isn’t, if McDonalds or Amazon Warehouses or Delivery drivers or any of the other non college service jobs that exist were unionised they could pay the same wages and conditions that the old factory floor jobs used too

My economics teacher in high school once said something that’s always stuck with me, that there’s no reason a shift manager in a McDonald’s Kitchen should be viewed any differently than a floor manager in a factory, but the issue is as much cultural as it is economic, kids have no qualms saying their dad works in the local factory but feel embarrassed to say he manages the kitchen at McDonald’s

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George Carty's avatar

I think a lot of the fetishization of manufacturing is basically mercantilist in nature: a manufacturing worker is seen as "bringing money into the country" by producing products that will either be exported, or will provide for domestic consumption that would otherwise need to be imported.

But then MAGA types don't seem to be particularly worried about foreign tourists shunning the US, even though tourism jobs resemble manufacturing jobs in being both accessible to the poorly-educated (unlike knowledge-economy jobs) and bringing money into the country (unlike most low-level service-sector jobs).

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Fallingknife's avatar

There is no difference. Wages dropped not because we switched from manufacturing to services, but because we doubled the labor supply by bringing women into it and then increased it again by bringing in tens of millions of illegal immigrants, and then totally flooded it by outsourcing labor via free trade. If we could magically bring back the manufacturing economy of the mid 20th century wages would still be low because of supply and demand.

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GaryF's avatar

And we killed the unions that fought for consistently higher wages and conditions..

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Fallingknife's avatar

Unions can't negotiate against supply and demand. If a company can just hire an entirely new workforce for a factory or move it to another country the union has no leverage. Excess labor supply is what killed the unions.

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This Is An Adventure's avatar

Very interesting data! I guess at the risk of leaving the land of Econ and going into discussing vibes, why is there this sense then that American middle class is so much worse off from the rest of the world?

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Tran Hung Dao's avatar

My personal theory is that Americans (not just Americans, it's also other rich countries, especially Anglo ones, but especially in America) there has been a decades-long project of setting expectations in the stratosphere for where people can realistically expect to be on Maslow's Pyramid during their life.

They've been fed a steady diet of What Colour is Your Parachute and "Do what you love and you'll never work a day in your life" and "find your passion" and similar things and...the reality is that very few people are "naturally" going to love the jobs they need to do make money to eat good and have housing. (I think many people grow to like/love their jobs in a kind of "I am competent at this and I enjoy exercising my mastery of a subject" but that's not quite the same thing we were promised as youths.)

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Benjamin's avatar

There might be something to this.

Personally, I think it’s bound up with the breakdown of more classical systems of meaning, solidarity and purpose in modern life, especially in the US. Work and material success has replaced lots of that and become overly important.

In the past – also the not mythologized one – having a house, a neighborhood community, going to church, coaching a kids’ baseball team, having a hobby or a passion – all counted for a lot. These were strong sources of meaning and purpose for people and also for respect from peers.

I have the feeling, all of this was reduced by a lot. If you are not majorly successful in your career (or feel that way), this is a major blow for people’s self-esteem and happiness – to a degree that it arguably wasn’t in the past.

Hustling culture has always been real in America, but now it seems to be even sharped pointed to success as a goal for itself, not for getting lots of other nice things (material comfort, nice trips, leisure time, nice things for family & friends etc.).

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Tran Hung Dao's avatar

I should have mentioned this in my original comment but it slipped my mind: my context is having lived in Vietnam for many years. My sense is that generally people just accept that work sucks but it is something you do to eat & live. You don't look for "meaning" from work. You also don't complain about work, it would be like complaining that the sun rises in the morning and sets at night. My brother-in-law works at a Nike factory and the other day was so tired (he works an overnight shift) he fell asleep on the assembly line and the machinery severely bruised his hand (nothing broken thankfully). His response wasn't "life is horrible", "modernity sucks", "the past was better". It was more like, "I've been talking about starting my own auto repair shop maybe this is the year I do it".

And there's no organised religion (definitely no church!), no hobbies (that's sort of a rich country thing, poor people don't exactly have hobbies), no coaching of kids baseball teams (that requires community spaces that poor countries can't afford to set aside), etc. Despite lacking so many of those American-centric other sources of meaning people aren't nearly as negative as in America, even though work life is objectively way worse than in America (6 day workweeks are the standard, just for one).

That's why I'm not convinced those are the major drivers. Though nothing in reality is mono-causal so they probably do contribute somewhat.

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Benjamin's avatar

Interesting point of view. I definitely agree with you that the attitude to and expectation of how work should be is very different.

But for the US in particular, Americans probably do remember times when they “had it all,” in a way. Jobs that paid pretty well (and felt kinda meaningful, at least to a degree) and all of these other things that gave meaning and purpose.

Now the expectation how meaningful a job should be was scaled up *massively* while all these other drivers of meaning gradually fell away. That does something.

In countries such as Vietnam, I’d say one major difference is that people have no reference that it was “better in the past” – because it truly wasn’t (at least regarding jobs & income). Today’s jobs may be very tough and incomes low compared to rich countries, but compared to the jobs and income in Vietnam of 20 or 40 years ago, there’s a world of difference.

Trajectories and trends matter in these things.

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George Carty's avatar

Especially since 50 years ago was the end of a horrific war that killed one in ten of the Vietnamese population!

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Simon's avatar

So what you're saying is that the American middle class is a bunch of spoiled brats that don't recognize their privileged position? Interesting.

Maybe I missed it, but what might be interesting to see is the relative share of total income per 10th percentile group, and the changes over time, to see if their position relative to both lower and upper class has changed. This might explain why for people it might feel as if they're worse of.

Additionally, I do think 'real income' might be somewhat misleading, as the price of goods & services is limited by the disposable income in the region. So instead of a rise in prises one might just see a reduced supply, that still prevents one to purchase certain goods or services that were available to the middle class before, even though your income relative to its cost might be the same.

Of course that's also related to housing/land where a 'affordable house in a vibrant community' (with shops and service providers nearby) might feel almost impossible if zoning regulation prevents exactly that kind of areas to develop. And your barber might still cost 20 dollars, in real terms, but if you need to spend an additional 20 on gas to get there it still is more expensive to you.

Also, we do need more expensive stuff, like smartphones, to be able to participate in society. So the income share left for savings might be lower? Which might explain some of the discontent as well?

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Simon's avatar

Found an answer to my first issue: https://data.worldbank.org/indicator/SI.DST.05TH.20?locations=US

So middle class has gotten poorer relative to the top (which can actually also be derived from the table in the Jason Furman tweet).

Also,an increasing percentage of housing is bought by investors. And the land available for (new) housing is increasingly far away from employment centers (which have centralized more in urban areas with the switch to services).

So if your idea of 'middle class' is being able to afford a house in the suburbs not to far from work and a social community, so you can work and still have a social life, maybe with some occasional luxury purchases and some nice holidays, then probably that is no longer possible for as many as it used to be. Of course the holidays are now to destinations further away, those things that were luxuries in the past now seem basic necessities, and those things that the rich buy (the luxury items) are relatively more expensive because the rich have gotten relatively richer.

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GaryF's avatar

Also, class/quartile mobility in the US is weaker than in a lot of Europe (American myths notwithstanding). Part of that is due to employer based healthcare issues, but also other things (lots of articles out there on the topic).

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Jeff Herrmann's avatar

While it is great that we have a high per capita income, we also have a high per capita cost structure. I spend significant time in Czech Republic and friends and family are not that worse off ( if I look at things like home size) than people in the USA - and maybe better off if I look at quality of life. Outside Prague rent is cheap, beer is cheap, transportation is cheap (better than German now( food is cheap, HC is free but not as available, and Chinese phones are cheap and better, internet is better than VT!

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David Berson's avatar

Noah — despite all the favorable data you show, you want to make changes? A far better course would be to give true trade adjustment assistance to those who lose their jobs because of free(er) trade. We’ve done a terrible job of this over time.

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Noah Smith's avatar

Sure, I want to do that, but my desire to promote manufacturing isn't about jobs at all. It's about A) national defense, B) multiplier effects, and C) diversification.

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Ben's avatar

Because the balance‑of‑payments identity must hold, every dollar of the U.S. goods‑and‑services deficit arrives as a dollar of foreign savings. Those savings must be absorbed. The U.S. therefore faces a binary choice, which Michael Pettis summarizes this way:

(1) Let demand contract. Tighten fiscal policy, refuse the inflow, and watch unemployment rise until falling wages and prices restore external balance.

(2) Recycle the inflow through debt. Borrow the foreign savings—first via households and firms (pre‑2008 credit boom), later via the federal budget—and keep spending from collapsing.

For forty years the United States has chosen option 2. The measured gains in median household consumption are real, but they are leveraged: they exist only because rising private debt (1980‑2008) and soaring public debt (post‑2008) replaced the income that leaked abroad.

In other words, the trade deficit did not create welfare; it pulled it forward by converting foreign excess savings into American liabilities. The result is a deceptively “richer” median household coupled to a balance sheet that is ever more fragile. Any evaluation of the deficit must therefore count the hidden cost of the leverage that props it up.

I'd like to see you tackle these trade questions much more rigorously and argue from first principles. I do not think your recent articles are giving sufficient weight to the structural arguments Pettis and others are making. I find them more and more convincing, so I'd like counterarguments at their level of analysis.

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AS's avatar

If we're so closed off, why is tariff policy a disaster? One would think that since we are so isolated via trade that we could tariff everything and not see any real supply-driven impacts.

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Nathan Smith's avatar

We're not "so closed off." I think Noah was a not clumsy in his factual reporting on that point. The US economy is very large, and we have big oceans around us, so it makes sense to supply a lot of stuff domestically and International trade is a smaller share of GDP than it tends to be in smaller countries that have land borders with similarly sized countries. But the US has still been a quite open economy that engages in and benefits from a lot of international trade.

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Nathan Smith's avatar

Good article, but much of the time I was thinking, "we should have known all this if we just took economic theory seriously." I think the article would have been truer, though possibly less popular, if it had the tone of an obnoxious neoliberal "I told you so story."

It's key to understand that if some regions and a lot of people did suffer from globalization, that doesn't contradict the neoliberal story at all. Economists have always been perfectly lucid that free trade is good for the country as a whole, but not for everyone in it. It has winners and losers.

I get a slight whiff of "yes, the economists were wrong, but..." from this post. Nope. We were right.

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Jean T's avatar

A good education is essential, yet it depends on money and parents, and many communities are isolated and hostile. Do kids really want to work in a factory, and does anyone care, can be the sad part. The educated versus the uneducated strengthened the class divide, and the loss of hope becomes severe, unfortunately.

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