Sickness and the City
Harvard urban economics professor Edward Glaeser and
Harvard health economics professor David Cutler have teamed up to write a book
about the post-Covid environment for cities. They rightfully note that
isolation and social distancing caused by the pandemic are city destroyers in
that they break the bonds of agglomeration economies that are so necessary for
cities to succeed. In a word they represent an “existential threat” to a city’s
viability.
There is quite a bit of history here in that they
discuss role of cholera, typhus, bubonic plague, and influenza in determining
the development or nondevelopment of cities. Early on city leaders understood
the need to quarantine sick individuals and travelers from lands where sickness
was evident.
To deal with future pandemics the authors call for
strengthening the public health infrastructure to deal with stockpiling
protective equipment and the delivery of healthcare services. They propose a
global public health NATO to supplement the World Health Organization which
would intervene in health emergencies. This NATO would also help fund vitally
needed sanitation infrastructure in less developed countries. Given NATO’s
defeat in Afghanistan, it has become far less of a role model.
They view urban America largely through the narrow
prism of New York and Los Angeles where the struggle is between the insiders
and the outsiders. Homeowner insiders control local zoning which restricts
housing supply that makes housing unaffordable for all but the wealthy, and the
police and teachers’ unions insiders make reform of policing and education
difficult. It is these insiders who prevent cities from achieving their natural
function of being the engine for intergenerational mobility.
Going forward the competitive environment for the
so-called super star cites is going to get tougher. The authors believe they
will continue to thrive, but the breakthrough of remote work is going to make
it more difficult. Simply put, there is too much office space and the
businesses that live off dense concentrations of office buildings will suffer.
My main criticism of the book is that it is way to New
York and Los Angeles focused. It ignores the very exciting urban environments
of Houston, Nashville, Austin, and Denver, for example. Those cities are
thriving amidst the pandemic and will do far better once it ends.
For the full Amazon URL see: Sickness and the City (amazon.com)
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