An analysis of 'painkiller economics' arguing that excessive regulation, rather than market forces, is the primary driver of high costs in housing and healthcare, stifling productivity and creating long-term shortages.

Housing isn’t too expensive. It’s too regulated.
That’s the hard truth locals keep ignoring while they wait for politicians to fix affordability with another round of subsidies or price caps. The current political reflex is to treat symptoms, not the disease. We call it “painkiller economics.” It’s the belief that if we just tweak the knobs — raise wages, freeze rents, protect jobs — the pain of high costs will vanish.
It won’t. The pain returns. Usually worse.
The short version: we’re confusing relief with a cure. Politicians argue constantly about how to ease the economic sting. They almost never ask what’s causing it. The result is a policy landscape littered with well-intentioned band-aids that ignore the underlying friction choking our productivity.
Take housing. It’s the most visible example. New York City implemented rent controls and freezes under the explicit goal of improving affordability. In the short term, it worked for some. Prices held. Tenants breathed easier. But the long-term damage is baked into the concrete. With no potential for profit, developers stopped building affordable units. Landlords pulled old apartments out of service because they couldn’t cost-justify bringing them up to code.
Sources claim that if all those empty apartments were brought back into service, there would be no shortage. Prices would drop naturally. But price controls reduced the immediate pain while making the structural problem far worse over time. We traded a manageable shortage for a stagnant, decaying inventory.
Zoom out. The mechanics of economic progress are simple. Societies get richer when they become more productive. When they figure out how to do more with less. That’s the engine. Innovation drives it. Friction slows it down.
Friction comes in the form of regulation. Control. The insatiable institutional desire for safety, accountability, and security. It’s a significant cost component in everything we buy.
Look at the sectors where folks feel the most strain: housing, healthcare, education. Costs haven’t just risen; they’ve skyrocketed. They haven’t matched overall inflation. They’ve outpaced it. Why? Because every new layer of oversight adds friction. Every new mandate adds cost.
Consider the shift in agriculture. A century ago, roughly 40% of Americans worked in farming. Today, it’s closer to 1% to 2%. Productivity exploded. The same thing happened with shipping. Before standardized containers, loading cargo was slow, expensive, and labor-intensive. One simple innovation, standardized containers; cut costs by more than 90%.
In both cases, productivity rose. Costs fell. Innovation removed friction.
But in housing and healthcare, we’ve done the opposite. We’ve added layers. We’ve demanded more safety, more control, more accountability. We’ve treated the complexity as a feature, not a bug. The result is a system where the cost of compliance outweighs the value of the service.
Painkiller economics assumes that if we just distribute the wealth better, or force prices down, the problem solves itself. It doesn’t. It just delays the inevitable reckoning. When the underlying productivity doesn’t improve, the price tag always catches up.
The question isn’t whether we can afford to regulate. It’s whether we can afford the alternative. And right now, the bill is coming due. Locals are paying it. Every day. In the form of higher rents, pricier care, and slower growth.
The painkiller wears off. The headache returns. And this time, it’s a migraine.





