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Rethinking affordability: policy has to start with how households experience shocks

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Public debate often treats economic disruptions as short-lived problems—sharp swings in prices, employment, or growth that settle once the broader economy finds its footing again. Early November’s election results suggest voters may see things somewhat differently. Candidates who focused squarely on affordability did well because households may be responding, at least in part, to something far more persistent: years of declining economic well-being that do not roll back once the headlines move on. 

For decades, policy conversations have too often accepted a simple assumption: that it is only rational to tolerate short-run turmoil in exchange for long-run stability. In this model, policymakers adjust course—sometimes modestly, sometimes not at all—while workers, small-business owners, jobseekers, and caregivers are expected to weather the turbulence. In theory, these shocks are supposed to fade, and the greater good is served by merely bandaging the complaints of lower-income groups until the headline metrics herald an apparent return to normalcy. In practice, however, households experience these shocks—and their aftermath—very differently. And while some economic turbulence is truly inevitable, appreciating the disconnect between the picture painted by the aggregate indicators and the ripple effects households feel is a necessary step towards identifying policies that can improve affordability. 

Everyday Americans certainly feel the effects of economic shocks that are captured in the headline statistics, but there are many reasons why an improvement in those headline numbers doesn’t map to an improvement in a household’s financial situation. For example, most people don’t budget for the 80,000 goods and services tracked by the Consumer Price Index (CPI). They manage a much smaller set of expenses, e.g. rent, groceries, childcare, utilities, insurance premiums, and a few others. If the weekly grocery bill jumps by $40, that often becomes the new number they have to live with.

Even when market forces eventually push prices down, the clock is rarely fully wound back and wages often fail to keep pace with the new cost realities. A rent increase does not automatically reverse when inflation cools. Childcare prices do not necessarily fall just because CPI moderates. Shocks to essentials are rarely one-time disturbances that disappear when the crisis fades, even if the price increases only once—more often, they become lasting additions to the cost of living, raising the baseline from which working Americans make every subsequent financial decision.  

Recent price surges underscore how rare true reversals are. The CPI for food shows prices decelerating but not reversing from their 2022 spike, a frustration grocery shoppers have experienced firsthand. Milk prices, for example, fell briefly from $4.20 per gallon in January 2023 to $3.86 by May 2024, only to stabilize around $4.00 by August. By November 2025, consumers were paying 25% more for the same purchases than they had in 2019. Egg prices tell a similar story: despite easing from their most serious spikes in January 2023 and March 2025, they remained roughly double their pre-inflation level as of September 2025.  

Housing offers little reassurance. The Zillow Observed Rent Index (ZORI) shows rents jumping more than 15% in 2021. The increases slowed down between 2022 and 2025, but rents did not plunge back to their 2019 level; instead, they resumed climbing at roughly their pre-pandemic pace from a much higher baseline. The end of the inflation shock does not mean a return to affordability—it means the return to typical price movement. For many working households, that means a continuation of the faster-than-CPI-U accumulation that characterized the cost of necessities for the previous two decades. 

Even if a one-time shock dissipates, the damage households sustained in the interim can slow their progress for years. A temporary hit to purchasing power may force a household to take on additional debt or postpone savings for college or retirement—effects that do not show up clearly in present-day headline indicators. From that perspective, a one-time shock at the macro level can easily become a permanent shift in a household’s financial position.  

This distinction explains, in part, why voters responded so strongly to affordability-focused campaigns. They may not be rejecting long-run thinking entirely; rather, they are likely reacting not just to today’s “sticker shock,” but to the reality that the long run they have been living is defined by accumulated, irreversible shocks—none of which appear clearly in top-line indicators. 

For policymakers, the implication is straightforward: there is often no such thing as a one-time effect for households. A shock might disappear from the inflation tables or unemployment charts, but everyday Americans continue to feel its consequences long after the data normalizes. Further, even when a shock resolves at the national level, local communities may continue to struggle if critical employers have downsized or if reduced spending within the community has resulted in a more permanent slowdown. 

From a macroeconomic perspective, shocks do often look temporary. The unemployment rate eventually fell after the 2008 financial crisis. Gross Domestic Product (GDP) rebounded after the 2020 lockdowns. The CPI surge in 2022 slowed as supply chains recovered. From that vantage point, the economy appears to move past each disruption in turn, reinforcing the idea that these are temporary events. 

But this “recovery” story breaks down at the household level much more than policy leaders take into account. In 2021, households reported surviving the initial COVID slowdown by postponing their progress towards financial goals: either by drawing on savings set aside for something else, by taking on additional debt or putting off bills, or making plans to delay retirement. But by 2023, when the slowdown was replaced by inflation, consumers once again leaned on the savings to cover the rising costs of groceries—with nearly one in five relying on funds they had not intended to use for everyday purchases. 

Aggregate indicators do not show how much financial well-being households lost during those periods, how long it will take them to rebuild, or whether they ever will. This is a critical blind spot: the metrics policymakers rely on were never designed to measure the compounding, non-reversible nature of household-level shocks.  

Research from my colleagues at the Ludwig Institute for Shared Economic Prosperity (LISEP) and others shows just how large this gap has become. When inflation rose in 2021, much of the debate framed price increases as a temporary concern overshadowed by the risk of recession. But for many, the pressure had been building for years. Essential expenses had outpaced median wages over the past two decades. For a family of four, between 2001 and 2023: 

  • Rent: 40th percentile rents rose 125%. 
  • Healthcare: Annual health-insurance premiums borne by middle-income workers more than tripled. 
  • Childcare: The average price of center-based childcare doubled. 
  • Wages: Median wages for typical workers rose by only 92% in nominal terms, resulting in a 4% decline in purchasing power for families whose budgets are dominated by necessities. 

These aren’t short-term fluctuations. They are structural and cumulative increases in the cost of essentials, compounded by wage growth that lagged behind. That combination steadily eroded families’ room to maneuver. So, when inflation in groceries and consumer goods spiked in 2021—even for a relatively brief period—low- and middle-income Americans had precious little slack left to absorb it. 

This is why focusing on headline inflation misses the larger, persistent threat. Rising unavoidable expenses have been pushing up the household cost structure for decades. CPI understates the rise in many essentials, and labor-market metrics often overstate the prevalence of living-wage jobs. Add in higher barriers to homeownership and education, and the financial path forward becomes even steeper. Consumer behavior reflects this reality. New tariffs introduced in 2025 were described as temporary “trade adjustments,” yet analysis from the Budget Lab at Yale University estimates they will raise consumer prices by roughly 1.7% and cost the average household $2,300 this year alone. Even if those increases eventually unwind, the impact will fall on households that have already been squeezed for decades, and many households are no longer assuming prices will fall back—they’ve been burned too often. 

In a recent survey, 44% believe tariffs have already increased the price of goods and services, and a quarter reported switching to generic or private-label goods in response. These are not the behaviors of households expecting a quick return to pre-shock conditions. 

Against this backdrop, new shocks—whether from AI-driven disruptions, federal layoffs, or additional trade-policy changes—may well land on households that are already stretched thin. Even well-intentioned policies can have unintended consequences if they are not evaluated through the lens of a household balance sheet. Focusing only on short-term affordability or only on long-term reform which may never come misses the point; both matter, because families must make both short- and long-run decisions at the same time. 

After more than two decades of declining well-being for most middle- and low-income households, it is clear that structural reforms are needed to bring costs back in line with wages. Short-term fixes alone are unlikely to address the root causes of affordability and, if misguided, could even prove counterproductive. Effective leaders should recognize that working-class households need both immediate breathing room and policies that make long-term stability possible. 

Ultimately, policy must be judged not only by aggregate performance of the economy as a whole or political resonance but by its ability to strengthen household financial resilience of all income groups—helping families make progress in good times and avoid lasting setbacks in bad. Until our measurement tools capture these realities directly, policymakers will continue to rely on short-termism, intuition, and ideological prejudices rather than evidence. 

And while intuition and such prejudices may shape elections, and too often do, effective policy and the country’s well-being require something more precise: an economic framework that recognizes that very few shocks are ever truly “one-time” for the households who have to bear them. 

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.



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Hundreds more federal agents heading to Minnesota, Noem says

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Homeland Security Secretary Kristi Noem signaled that hundreds more federal agents are being deployed to Minneapolis, where the fatal shooting of a woman has inflamed strife around President Donald Trump’s immigration crackdown.

“We’re sending more officers today and tomorrow,” Noem said on Fox News’ Sunday Morning Futures when asked about the government’s response. “They’ll arrive — there’ll be hundreds more, in order to allow our ICE and our Border Patrol individuals that are working in Minneapolis to do so safely.”

Protests erupted in Minneapolis after a US Immigration and Customs Enforcement officer shot and killed Renée Nicole Good during a tense confrontation on Jan. 7. Thousands marched to the shooting site on Saturday.

Read More: Thousands March to Shooting Site in Minneapolis, Protesting ICE

Noem renewed warnings by senior administration officials that people who try to hamper federal law enforcement risk arrest and criminal prosecution.

“If they impede our operations, that’s a crime and we will hold them accountable to those consequences,” she said.

Good’s fatal shooting has sparked a bitter national debate over whether the officer was justified in using deadly force. The Trump administration and other supporters of the ICE agent argue he acted in self-defense as Good’s SUV moved forward. Noem has said he followed his training.

Critics, including Minnesota officials, law-enforcement experts and civil rights advocates, point to video footage and witness accounts that didn’t show an imminent threat, calling the shooting unjustified.

With each side broadly blaming the other for the circumstances that led to the woman’s death, state and federal officials on Sunday called for lowering the political temperature.

“Of course I bear responsibility to bring down the temperature,” Minneapolis Mayor Jacob Frey said on NBC’s Meet the Press. Yet, he said, “the way that these institutions are being utilized right now by the Trump administration is wrong, and to be clear, is unconstitutional.”

“This was clearly a law enforcement action, where the officer acted on his training and defended himself and his life and his fellow colleagues,” Noem said on CNN’s State of the Union. Good’s death shows “why we need our leaders to turn down their rhetoric,” she said, referring to local leaders in Minnesota.

On Friday evening, hundreds of protesters spent hours outside a local hotel in downtown Minneapolis believed to be housing federal agents as part of a social-media-driven campaign dubbed “No Sleep for ICE.”  Armed with musical instruments, air horns and other noisemakers, demonstrators chanted and played music as passing cars honked horns and shouted at ICE to leave the city. 



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A Supreme Court ruling to undo Trump tariffs would be fastest way to revive job growth, Zandi says

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Moody’s Analytics chief economist Mark Zandi warned the labor market is stagnating and placed part of the blame on President Donald Trump’s tariffs.

But the Supreme Court, which is due to rule soon on the administration’s global tariffs, could provide relief and help revive job growth, he said in a social media post on Sunday.

That comes after the latest monthly jobs report showed payrolls rose by 50,000 in December, while the unemployment rate edged down to 4.4%. For all of 2025, employers added just 584,000 jobs, a sharp decline from 2 million jobs in 2024 and the weakest year outside of a recession since the early 2000s.

Since Trump shocked global markets with his “Liberation Day” tariffs in April, there has been no job growth, Zandi said, adding that subsequent revisions will likely show net declines.

“This reflects the direct effects of the tariffs on manufacturing, transportation and distribution, and ag-related businesses, which are steadily losing jobs, as well as the indirect uncertainty hit to hiring by most other businesses,” he explained.

Indeed, trade-exposed industries suffered steep losses last year. The manufacturing sector, for example, has hemorrhaged 70,000 jobs since April. Tens of thousands have also been lost in mining and logging as well as warehousing.

Meanwhile, the health care and social services are among the few industries that are hiring steadily. Without those two sectors, the U.S. economy would have seen payrolls drop for the year.

“Other factors are certainly at play, including highly restrictive immigration policies, DOGE cuts, and artificial intelligence; however, the global trade war’s fingerprints are all over the ailing job market,” Zandi added. “Thus, the fastest way to boost the job market would be for the Supreme Court to declare the reciprocal tariffs unlawful and for lawmakers to let them become a thing of the past.”

Justices are expected to hand down a decision any day now on Trump’s ability to impose tariffs under the International Emergency Economic Powers Act (IEEPA).

That law has been used for the bulk of Trump’s trade war, including the so-called reciprocal tariffs and fentanyl-related duties. The administration has also leveraged the IEEPA tariffs to secure trade deals with the European Union, Japan, South Korea and others.

But if the Supreme Court rules against Trump, that won’t put an end to his tariff regime. Other levies are based on separate laws and aren’t under consideration at the high court.

New tariffs could also be imposed outside IEEPA, though those would take longer to roll out with some offering only shorter periods to tax imports.

While administration officials have expressed confidence that they have alternate ways to enact tariffs, Trump may not immediately jump at the chance.

As the affordability crisis has become top of mind for lawmakers, Trump has rolled back some duties on coffee, pasta and other staples, while delaying tariffs on furniture.



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Elon Musk told X users to upload their medical information to train AI bot Grok

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In Elon Musk’s world, AI is the new MD. The X owner is encouraging users to upload their medical test results—such as CT and bone scans—to the platform so that Grok, X’s artificial intelligence chatbot, can learn how to interpret them efficiently.

He’s previously said this information will be used to train X’s artificial intelligence chatbot Grok on how to interpret them efficiently.

Earlier this month, Elon Musk reposted a video on X of himself talking about uploading medical data to Grok, saying: “Try it!”

“You can upload your X-rays or MRI images to Grok and it will give you a medical diagnosis,” Musk said in the video, which was uploaded in June. “I have seen cases where it’s actually better than what doctors tell you.

In 2024, Musk said medical images uploaded to Grok would be used to train the bot.

“This is still early stage, but it is already quite accurate and will become extremely good,” Musk wrote on X. “Let us know where Grok gets it right or needs work.”

Musk also claimed in his response Grok saved a man in Norway by diagnosing a problem his doctors failed to notice. The X owner was willing to upload his own medical information to his bot. 

“I did an MRI recently and submitted it to Grok,” Musk said in an episode of the Moonshots with Peter Diamandis podcast released on Tuesday. “None of the doctors nor Grok found anything.”

Musk did not disclose in the podcast why he received an MRI. XAI, which owns X, told Fortune in a statement: “Legacy Media Lies.”

Grok is facing some competition in the AI health space. This week OpenAI launched ChatGPT Health, an experience within the bot feature that allows users to securely connect medical records and wellness apps like MyFitnessPal and Apple Health. The company said it would not train the models using personal medical information.

AI chatbots have become a ubiquitous source of medical information for people. OpenAI reported this week 40 million people seek health information from the model, 55% of which used to bot to look up or better understand symptoms.

Dr. Grok will see you now

So far, Grok’s ability to detect medical abnormalities have been mixed. The AI successfully analyzed blood test results and identified breast cancer, some users claimed. But it also grossly misinterpreted other pieces of information, according to physicians who responded to some of Musk’s about Grok’s ability to interpret medical information. In one instance, Grok mistook a “textbook case” of tuberculosis for a herniated disk or spinal stenosis. In another, the bot mistook a mammogram of a benign breast cyst for an image of testicles.

A May 2025 study found that while all AI models have limitations in processing and predicting medical outcomes, Grok was the most effectively compared to Google’s Gemini and ChatGPT-4o when determining the presence of pathologies in 35,711 slices of brain MRI.

“We know they have the technical capability,” Dr. Laura Heacock, associate professor at the New York University Langone Health Department of Radiology, wrote on X. “Whether or not they want to put in the time, data and [graphics processing units] to include medical imaging is up to them. For now, non-generative AI methods continue to outperform in medical imaging.”

The problems with Dr. Grok

Musk’s lofty goal of training his AI to make medical diagnoses is also a risky one, experts said. While AI has increasingly been used as a means to make complicated science more accessible and create assistive technologies, teaching Grok to use data from a social media platform presents concerns about both Grok’s accuracy and user privacy.

Ryan Tarzy, CEO of health technology firm Avandra Imaging, said in an interview with Fast Company asking users to directly input data, rather than source it from secure databases with de-identified patient data, is Musk’s way of trying to accelerate Grok’s development. Also, the information comes from a limited sample of whoever is willing to upload their images and tests—meaning the AI is not gathering data from sources representative of the broader and more diverse medical landscape.

Medical information shared on social media isn’t bound by the Health Insurance Portability and Accountability Act (HIPAA), the federal law that protects patients’ private information from being shared without their consent. That means there’s less control over where the information goes after a user chooses to share it.

“This approach has myriad risks, including the accidental sharing of patient identities,” Tarzy said. “Personal health information is ‘burned in’ too many images, such as CT scans, and would inevitably be released in this plan.”

The privacy dangers Grok may present aren’t fully known because X may have privacy protections not known by the public, according to Matthew McCoy, assistant professor of medical ethics and health policy at the University of Pennsylvania. He said users share medical information at their own risk.

“As an individual user, would I feel comfortable contributing health data?” he previously told the New York Times. “Absolutely not.”

A version of this story originally published on Fortune.com on Nov. 20, 2024.

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