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    LOWA’s Innox Pro GTX Lo–the ultimate hybrid hiking/street shoe

    For all of us, who spent time cloistered during the last several years, the silver lining was having the time to get into a regular fitness habit.

    For me that meant walks around Kapiolani Park or a hike with the doggy up the Mau’umae trail.

    And what could be better than walking? It’s not only wonderful exercise but as the immortal Swiss psychiatrist Carl Jung said, just putting one foot in front of the other is great therapy.

    Of course, in doing so, it helps to have good quality shoes on your feet.

    That’s where LOWA comes in. I’ve become a big fan of this German manufacturer of high-end hiking boots and athletic shoes for quite a while.

    There are several reasons for this.

    European Quality

    Everyone knows that the quality of German design and manufacturing is second to none.

    In addition to finely engineered cars, optics, etc., they also make some of the best hiking shoes in the world.

    I’m partial to “crossover” or in LOWA’s terms “All Terrain Sport” shoes. They can serve both as serious “trail wear” or for everyday use.

    The second reason why I like LOWA products stems from pure bias.

    Full disclosure: I have dual German/American citizenship, so the made-in-Germany aspect is a no-brainer.

    Panorama of Jetzendorf in Bavaria. (Courtesy Wikipedia)

    Origins

    Founded by a Bavarian cobbler named Lorenz Wagner, the firm has been around since 1923. Herr Wagner was onto something because nearly 100 years later, LOWA is a worldwide brand that annually sells over 2 million pairs of boots and shoes in over 40 countries.

    The company is still based in Wagner’s home village of Jetzendorf, in Bavaria which is about an hour north of Munich (and a little over an hour from where my grandmother was born, in Ulm).

    The manufacturing for the shoe which is the subject of this review happens to be in a town called Továrenská in Slovakia. No, this particular model is not made in Germany but you can be sure some guy named Fritz or Rolf is overseeing quality control. (LOWA also manufactures products Italy, Croatia, Bosnia and Herzegovina and the Czech Republic).

    Why not manufacture in a low-cost Asian factory? Despite bottom line considerations, there are good reasons why LOWA keeps its manufacturing in Europe.

    LOWA headquarters in Jetzendorf. (courtesy LOWA)

    Keeping the technology close to home:

    Manufacturing and designing high-quality footwear is, as LOWA states on their website, “a complex process that requires a high degree of handicraft.” By having factories close by, they can maintain a tight rela­tionship between the production facilities and the R&D at the mother ship in Jetzendorf.

    Case in point: If the company needs to produce a brand-new prototype, management is only a few hours away. Much easier, especially in this day and age, than jumping on an airplane to China.

    Keeping things green: 

    LOWA’s biggest market is Europe. Thus proximity to the manufacturing plants reduces both shipping costs and reduces emissions.

    Value chain proposition: 

    LOWA is a highly integrated company. According to their website, nearly 95 percent of production capa­cities are covered by wholly owned LOWA subsi­diaries. In this current era of broken supply chains, precise control of materials and production is a huge asset.

    The components that make up LOWA’s “All Terrain” shoes.

    A True Hybrid

    The Innox Pro GTX Lo, like its predecessor the Innox Pro Lo, is a cross between a running shoe, a trail running shoe and a hiking boot. Thus, in theory, you get the best of all possible worlds with this product. 

    Marketing hype?

    Not really.

    For starters, the shoe is both stable and flexible on all types of terrain. It’s also really light (360 grams or .78 lb).

    Innox Pro GTX Lo is both stable and flexible on all types of terrain.

    The shoes are constructed with a synthetic, mesh fabric upper that entails a “PU” or polyurethane frame for durability, shock-absorption and stability. LOWA says that they are one of the few outdoor footwear companies that manufacture 90% of their line using polyurethane (PU) midsoles vs. EVA midsoles—an older, less sophisticated technology.

    PU absorbs shock, supports and rebounds well and is more durable. LOWA claims a PU midsole also offers excellent support, lasts 2-5 times longer than a comparable EVA midsole and, is less toxic to manufacture.

    The Pro GTX Lo also uses waterproof/breathable GORE-TEX lining to protect feet from the elements. The earlier model I tested did not have a Gore-Tex lining. This was not a big issue on Oahu, where I live, because it’s dry most of the year and I don’t encounter much off the road muck. However, in Fiji where I spend a great deal of time, there’s more precipitation and waterproof shoes with GORE-TEX are very desirable.

    Some argue that a GORE-TEX lining, while in theory is “breathable”, it’s going to make your feet feel sweatier than a non GORE-TEX lining. I’ve used both the non-GORE-TEX lined Innox Pro Lo and LOWA’s Gorgon GTX, which is GORE-TEX lined, extensively. To be frank, I don’t see that much of a difference in every day use.

    The upper is manufactured from vey breathable synthetic, microfiber. And yes folks, it’s all vegan.

    One other point: LOWA proclaims that the shoes are “vegan friendly”—zero animal products on your feet. (No one can accuse LOWA of not being attuned to the zeitgeist).

    Sole Survivor

    Another excellent quality is the sole, which seems to be “grippy” in a variety of terrain. Whether you’re in the Costco parking lot or romping up the 1,048 steps of Koko Head Crater Stairs, this shoe can handle it.

    The sole has really deep lugs which serve two purposes. The lugs give you great purchase yet are spaced out enough that they kick out small stones and mud so you don’t end up taking it with you. The sole has wonderful arch support while at the same time is flexible like a running shoe. It also has stability in the mid sole, akin to a hiking shoe. The toe is reinforced to protect you, which is a good thing.

    The Innox Pro GTX Lo provides traction in a variety of environments. A proven design that I’ve tested in other Lowa models, you can wear it all day in comfort. (courtesy Rob Kay)

    When you first try it on, the one thing you can’t help but note is how comfortable it is. The first time you slip into a pair you’ll feel right at home. You don’t generally find it in an inexpensive shoe. Come to think of it, I’ve never found it in a cheap shoe.

    It’s so comfortable that in fact you can make it an everyday shoe. They are ideal for long hikes on relatively easy treks. (For a serious trail you’re going to need boots. Lowa makes a variety of boots as well).

    Aesthetics are great too. Mine was Graphite/Blue but you can also get Olive, Navy Lime or Black/Grey.

    Other reviewers seem to like it as well. Its design got kudos from BACKPACKER’s gear tester (April 2020), which stated “….impressive rebound…” adding, “I didn’t have that achy-tired feeling at the end of the day.”

    Price is $200 on the LOWA and REI sites but Zappo’s has them for $175. The bottom line–a less expensive shoe is not going to have the capabilities, much less durability or comfort of this Teutonic hybrid.

    Editor’s Note: Lowa’s claim to fame are its boots. If there are defects or warrantee issues, Lowa will repair or in some cases, resole products at their German facilities. Above is an instructive video from the company that illustrates the re-soling process.

    Biggest barrier to more housing is politics

    By Keli‘i Akina

    Usually, when we say that “government” is responsible for the high price of housing in Hawaii, we are talking about bureaucracy: the rules, regulations, permits and barriers in general that make it difficult, time-consuming and expensive to build homes.

    But there is another side to the government’s role in the housing crisis, and it consistently frustrates attempts to reduce the bureaucratic burden on housing. 

    I’m talking, of course, about politics

    The politics of housing includes self-advancement, election fears, special interests, land, money, government funds, property rights,  NIMBYism (“not in my backyard” objections), socio-cultural issues and economic factors.

    Keli‘i Akina

    On one level, you can sympathize with politicians who are trying to navigate this mess. There is a strong public sentiment that “something” must be done to bring down the cost of housing in Hawaii. But most practical reforms require upsetting a potentially powerful groups of voters or donors.

    That is probably why attempts at fixing the housing crisis usually end up dying on the vine while efforts to scapegoat different groups for high housing prices are legislatively successful.

    From the viewpoint of politicians, it doesn’t really matter if their policy “solutions” might be ineffective. It only matters that they don’t get any negative publicity or lose any votes.

    The result is exactly what we have in Hawaii: a lot of talk about lowering the cost of housing, but very little effective reform.

    Consider two recent county proposals: Honolulu’s Bill 10 and Maui’s Bill 107.

    Bill 10 is a flawed but promising proposal that seeks to encourage housing by revising Oahu’s land-use laws. The Grassroot Institute’s testimony on Bill 10 praised its long-overdue effort to reduce regulation on accessory dwelling units and allow more housing in business districts. 

    Unfortunately, Bill 10 appears to have stalled this week, a victim of the political season and the pressures of the upcoming election.

    Maui’s Bill 107, on the other hand, was a poorly conceived effort to address the housing crisis by lowering the price cap on affordable homes. 

    It is a basic principle of economics that price caps increase scarcity. The Grassroot Institute of Hawaii, along with homebuilders and community activists, warned that the proposal would create disincentives for housing construction, further slow the growth of housing and contribute to higher home prices. Bill 107 also included vague language about subsidies that would have an unknown effect on the county budget.

    Everything about Bill 107 indicated a need for caution and further thought. Yet, it was pushed to the finish line with little time for reflection. The Maui County Council passed Bill 107 last week and Mayor Mike Victorino signed it into law just days later. Why the rush? 

    Once again, the upcoming election is a likely factor.

    In other words, one bill that could have made a difference in creating more housing was killed, while a bill that is certain to deepen the crisis was pushed through. And all because of politics.

    So what do we do? How can we achieve real change if politicians are so easily persuaded to look for scapegoats, pass bad laws or abandon good ones?  The answer is twofold. 

    First, we need to show strong grassroots support for reform. Our lawmakers need to know that the people want to see less regulation, streamlined approvals and fewer barriers to new housing. 

    There are some policymakers who are willing to take a stand on housing reform regardless of the political winds, but most need to see that their constituents care about these issues and expect action.

    Second, we need to hold our lawmakers accountable, not just at the ballot box, but throughout their terms. We have to remind them of their promises and speak out when these proposals come up at the Legislature or county councils. 

    Politicians have a lot of different voices in their ears when it comes to addressing the housing crisis. We must ensure that the needs of ordinary Hawaii families aren’t drowned out by the chorus of political interests involved.  We must get the politics out of housing and make Hawaii more affordable for everyone.
    ____________

    Keli‘i Akina is president and CEO of Grassroot Institute of Hawaii.

    Maui mayor signs bill to add more housing regulations

    A bill intended to help Maui residents buy affordable housing likely will discourage homebuilding and add to the burden of Maui taxpayers
    A new Maui County law is being promoted as a way to provide more affordable housing, despite considerable testimony that the promise might not quite work out that way.

    The law, formerly Bill 107, liberalizes the formula by which Maui residents can qualify to buy affordable housing. Mayor Mike Victorino said upon signing the bill on Tuesday that it will “put homeownership within reach for more Maui County residents.”

    The Grassroot Institute, however, testified last month that the proposed changes would force homebuilders to lower their prices by about 20% and disincentivize future affordable home construction. The Institute also said the bill could be a drain on Maui taxpayers, which the mayor’s remarks seemed to confirm.

    “We will continue to work with developers to make these home prices possible,” Victorino said. “We have examples of successful public-private partnerships that bring construction costs down through subsidies, infrastructure support, creative financing, various exemptions and bonus packages.”

    Of course, the best, simplest, least costly option is to just get Maui’s government out of the way, so homebuilders can add to the county’s housing supply without having to jump through so many complicated, time-consuming and expensive regulatory hoops.

    As Institute President Keli‘i Akina said in his most recent “President’s Corner” column, “This isn’t a secret. Housing activists from all parts of the political spectrum have been telling Hawaii policymakers for years that the best way to increase homebuilding and bring down home prices is to reduce government barriers.

    “Nevertheless,” Akina said, “calls to increase government involvement in housing persist. A perfect example of this flawed approach is Bill 107, approved Sept. 27 by the Maui County Council,” and now signed into law by the mayor.

    Akina said, “No doubt it is a well-intended effort to ‘do something’ about housing in Hawaii, but this is not the ‘something’ that needs to be done.”

    Should criticizing the Jones Act be punishable by death?

    A 2020 agenda item of a panel advising the federal government recommended that critics of the law be charged with treason
    Yes, you read that right: Government and private maritime leaders at a private meeting in 2020 were presented with an agenda item that proposed charging prominent critics of the 1920 shipping law known as the Jones Act with treason — a federal crime punishable by death.

    As Cato Institute trade policy analysts Colin Grabow and Scott Lincicome explained in a blog post on Tuesday, Cato researchers spent many months collecting internal emails from the U.S. Maritime Administration via the Freedom of Information Act process.

    They said MARAD often was not cooperative with the researchers, citing various exemptions from the law to justify withholding information. Ultimately, however, “after months of appeals, repeated missed deadlines to provide promised information and threats of legal action on our part, MARAD finally sent the required materials last month.”

    And after reading through what MARAD sent, Grabow and Lincicome said, “we now can understand why the agency was so reluctant to comply with the law.”

    They said that toward the end of the 41‐​page document “is what appears to be a set of recommendations related to a March 2020 meeting of the Marine Transportation System National Advisory Committee’s International Shipping Subcommittee. Among them: ‘Charge all past and present members of the Cato and Mercatus Institutes with treason.'”

    Grabow, who also is a Grassroot Scholar, and Lincicome said “it’s impossible for us to determine who made this request and whether MARAD ever considered it, [but] … it’s undeniably true that someone who sits among government officials in meetings with MTSNAC suggested charging American citizens with treason, a federal crime punishable by death, due to their political speech. This is manifestly antithetical to the values of a free society.”

    In addition, they said, “it’s also undeniably true … that this opinion — and many other, less‐​salacious ones in support of the Jones Act — are permitted or even welcomed at the supposedly impartial government agency charged with overseeing the nation’s waterborne transportation system. Devotion to the Jones Act in the halls of MARAD and among rent‐​seeking members of the domestic maritime industry is apparently so strong that equating scholarly criticism of the law with treason didn’t even elicit the batting of a bureaucratic eyelash.”

    To read the entire blog post, go here. See also Grabow’s post from yesterday, “Why Risk ‘Treason’ Charges Over the Jones Act?”

    Other recent reports about this outrageous story include, from Wednesday, Scott Shackford“Somebody in the Shipping Industry Wants Opponents of the Jones Act Charged with Treason,” Reason; John Hugh Demastri“Federal Advisory Group Suggested Charging All Employees Of Libertarian Think Tanks With Treason,” Daily Caller; “Somebody within the delivery business needs Jones Act opponents to be charged with treason,” Thajobs; and Alex Tabarrok“Treason,” Marginal Revolution.

    And from Tuesday: Veronique de Rugy, “It’s Not ‘Treason’ to Want to Repeal the Jones Act,” NR Capital Matters; Veronique de Rugy, “It’s Time To Repeal the Jones Act,” Discourse Magazine; and the article that first reported on it, Haley Byrd Wilt“How the Jones Act Sparked Calls of Treason,” The Dispatch.

    Finally, Grabow, one of the nation’s foremost Jones Act critics, is slated to appear in Hawaiii in early December for a forum on the Jones Act sponsored by the Grassroot Institute of Hawaii — assuming he hasn’t been charged with treason. Stay tuned for details.

    Fungal Fruit and Nasty Nuts: 

    Dried fruit and nuts have earned their reputation as healthy, nourishing foods that make for a great snack. They are convenient to carry and they don’t need preparation, so you can eat them straight away whenever you are hungry. And since they are dry, they are neat to eat and won’t dirty your hands.

    The question is, how dirty and contaminated is the snack. You wash your hands before eating. Should you also wash the snack?

    It’s long been known that fruits, vegetables, and nuts from the store may be contaminated with toxic chemicals, including heavy metals, herbicides, pesticides, and preservatives. They may also harbor bacteria, fungi, insects and their waste products, and can be dusted with dirt, ash, soot, and other environmental contaminants. Some of the toxins in dried fruit and nuts can be lethal, such as aflatoxin. That is why it’s so important to clean food before you consume it. 

    However, there are different types of foods, and we have different cleanliness standards and expectations for each one. Some foods we wash before using, and some we don’t.

    We don’t clean pre-packaged, prepared foods.  

    We assume, and hope, that the food production plant is hygienically operated under strict food safety standards. We have become accustomed to opening a package and immediately consuming the contents without any further need or concern for cleaning that product. This is how we treat frozen dinners and baked goods. Just open the package, maybe heat the contents, and consume. While contamination of the factory can lead to a product recall, we assume consumer protections are in place. 

    We do clean agricultural food products, such as fruits and vegetables. 

    These products are directly in contact with soil, chemicals, lots of people, machinery, and more. They are exposed to potential contaminants during their production, processing, shipping, storage, and marketing. Everyone knows, for example, to wash potatoes from the grocery store when taking them out of the bag, which may even contain some dirt. You know the potatoes were washed before packaging, but you wash them again, even if they look clean. 

    But then there is a category of food products which you don’t clean, but should. 

    That includes dried fruit and cracked nuts, which are semi-processed agricultural products that may be contaminated and needing cleaning. High on the list are raisins, which have been successfully marketed as a snack food eaten right out of the box, like you would eat a candy or other cooked, prepared product. You assume each piece of candy in the box is clean, so you assume each raisin in the box is clean, as well. 

    Ironically, when people buy grapes, they wash them before eating. But when they buy dried grapes, or raisins, they don’t wash them, as though the drying process removed contaminants, which it does not.  These fruits, when fresh, are usually washed before setting them to dry, but they are not typically washed after the potentially-dirty drying process, since washing them makes them wet again and attracts mold.

    Even if washed after drying, these dried fruits typically have wrinkles in their skins, which are difficult to clean and are effective at trapping dirt and other contaminants. In addition to these crevices in the skin, there may be sugar on the dried fruit skin that can gathering moisture, which makes dirt and other nasty stuff stick better. Moisture also promotes bacteria, mold, and yeast growth. 

    You literally don’t know who or what has touched or contaminated the date, fig, apricot, or handful of raisins that you just put in your mouth. When you consider that lots of dried fruit is imported from less developed countries with lower standards of hygiene and food safety than in the US, it’s enough to make you sick.

    But how do you clean dried fruit and nuts? Here are some tips.

    1. Soak the fruit to reduce wrinkling and facilitate cleaning. Soak them in warm water for a few minutes. If you just run water over raisons, for example, the water will not get into the crevices, so you need to first let the raisons soak in warm water to swell the raison, which will reduce the wrinkling and make it easier to clean. The same would go for other dried fruits with wrinkled skin. Of course, nuts also need to be rinsed before using.
    2. Once the skin of the fruit has expanded, mechanically rub the fruit in a bowl of fresh water to clean the surface. Do the same with nuts.
    3. Dry the fruit and nuts and store them in a cool, dark place in a sealed container.
    4. Make your own snacks with the clean, dried fruit and nuts. Just put them in a convenient, toxic-free container, and you can rest assured that your snack will be free of contaminants.
    5. Avoid bulk dried fruit and nuts. These are probably more contaminated than pre-packaged fruit and nuts from trusted food producers. However, even those should be washed, since oxidation and mold formation can happen even in cleaned products due to storage and handling. 
    6. When buying packaged dried fruit, look for additives, such as sulfur dioxide, which may be a problem for allergic individuals. Also look for the quality of the fruit or nut. Are there discolored or rotten pieces in the package? How fresh does it look? Is there dust in the nut packages, which may potentially be old and moldy particles? When you open the package, does it smell right? If in doubt, throw it out.
    7. Consider that dried fruit does not need to be eaten dried. Drying is a storage method for fruit, and helps make the food available off-season. This doesn’t mean you have to eat it dried. Rehydrating the fruit to wash it and then cook with it is a great way to include these nutritious foods in your diet. 

    In summary, treat dried fruit and nuts as you would treat other produce you buy in the store. Just because it comes dried does not mean it is clean and ready for consumption. Assume all bulk fruit and nuts, and many packaged ones as well, need cleaning before use.

    Will Maui mayor heed warnings about misguided housing proposal?

    By Keli‘i Akina

    “Do something,” goes the popular political call to action. But perhaps it would be better if politicians added a line from the medical field: “First, do no harm.”

    In the case of housing, the urge to “do something” too often means expanding the role of government, which research shows is exactly the wrong medicine needed to remedy one of our most pressing issues.

    According to a recent study by UHERO, the University of Hawaii Economic Research Organization, Hawaii already has the highest level of housing regulations in the country, which many other studies confirm is significant cause of our acute lack of housing and higher housing prices.

    Keli‘i Akin

    This isn’t a secret. Housing activists from all parts of the political spectrum have been telling Hawaii policymakers for years that the best way to increase homebuilding and bring down home prices is to reduce government barriers.

    Nevertheless, calls to increase government involvement in housing persist. A perfect example of this flawed approach is Bill 107, approved Sept. 27 by the Maui County Council, which seeks to implement “affordable housing sales price guidelines.”

    Bear in mind, of course, that in the context of housing regulations, “affordable housing” doesn’t refer to reasonable housing prices for everyone. It refers to a subset of homes that must be sold at below-market rates to residents who meet certain income requirements.

    Under existing Maui law, a percentage of homes in any development over a certain size must be sold at these below-market rates. But by changing the “guidelines” of how those below-market prices are determined, Bill 107 would require homebuilders to lower the prices of their “affordable” units even further — by about 20%, or an average of about $120,000.

    In testimony submitted to the Maui Council on Sept. 20, Joe Kent, executive vice president of the Grassroot Institute of Hawaii, warned that such a reduced price would disincentivize the construction of new homes — exactly the opposite of what the Council would like to achieve.

    This was backed up by testimony from a representative of the Waikapū Country Town project, who said the bill would negatively affect a building project that has been in the making for more than a decade.

    Despite the many reasoned arguments opposing Bill 107, the Maui County Council passed the bill by a 5-4 vote. As if the proposed “sales price guidelines” weren’t problematic enough, the bill also includes a vague subsidy program for prospective buyers that has the potential to become a budgetary albatross for decades to come.

    The measure now is before Maui Mayor Mike Victorino, who has until Monday to decide whether to veto it, sign it or let it become law without his signature.

    He has plenty of reasons not to let the bill become law, including that it likely will discourage new homebuilding, be a drain on the county budget and contribute to higher average home prices on Maui.

    There also is the likelihood that the Council membership might change after the upcoming election, and this bill may not represent the wishes of Maui voters.

    Will the mayor listen to the warnings that Bill 107 could end up doing more harm than good? No doubt it is a well-intended effort to “do something” about housing in Hawaii, but this is not the “something” that needs to be done.
    _____________

    Keli‘i Akina is president and CEO of Grassroot Institute of Hawaii.

    State Financial Condition Still Dismal

    Here in Hawaii, we have weathered a major pandemic.  The primary driver of our economy is, and has been for a long time, tourism.  Tourism was in the toilet during the pandemic, with our Governor going so far as to publicly urge tourists to stay home or go somewhere else.  Now, with the brunt of the pandemic apparently past us and tourism levels back up to pre-pandemic levels, and with bazillions of federal dollars coming in to prop up our teetering economy, you would think we would be in reasonable shape financially, right?

    Not so, according to the nonprofit Truth in Accounting, which about one year ago put out a report called “Financial State of the States 2021.”  That report compared published financial information from all of the states for fiscal year 2020, graded all of the states, and ranked them based on fiscal health.

    Hawaii received – you guessed it – an “F.”  This grade happened to be given to the bottom ten states, which, from Nos. 41 to 50, were New York, California, Vermont, Kentucky, Delaware, Hawaii, Massachusetts, Illinois, New Jersey, and Connecticut.

    The top ten states, from Nos. 1 to 10, were Alaska, North Dakota, Wyoming, Utah, South Dakota, Tennessee, Nebraska, Idaho, Iowa, and Oregon.

    Fun facts from the Truth in Accounting report:

    We had $29.9 billion in assets.  When capital assets and restricted assets are deducted, it left $6.5 billion to pay bills.  Our total bills amounted to $24.5 billion.  The shortfall divided by the number of taxpayers we have here yields about $37,000 of shortfall per taxpayer.

    What kind of bills do we have that put us in this pickle?  The two 1,000-pound gorillas in the room are, and there are no surprises here, unfunded pension benefits and unfunded retiree health care benefits.  Our state government promised to pay our retired employees a pension.  It also promised to pay their health care, in some cases for the life of the retiree.  The State’s audited financial statements pegged these numbers at $10.4 billion of unfunded pension benefits and $9.4 billion of unfunded health care benefits.

    Put together, the unfunded benefits total almost $20 billion of the $24.5 billion in total bills.  That’s quite a benefit for state retirees, and a noose around the neck of the rest of us who are trying to make ends meet and don’t happen to be state retirees.

    Truth in Accounting also observed that “Hawaii’s overall financial condition worsened by 11 percent during the onset of the pandemic mostly because pension plan liabilities increased faster than investment income.”

    With the way the financial markets have been sputtering, it’s probably not a good idea to simply hope that a humongous upturn in the market will make investment income soar and pull us out of this mess.  Besides, if there is indeed an upturn in the market and we are flush with investment income, our lawmakers can be expected to raid the gains and spend them on new things, as they have done in the past.

    What about the old things?  The promises that our state government already has made?

    “Those don’t get me votes,” our lawmakers may be thinking.  “New parks, bridges, and rebates to taxpayers might get me votes.”

    Fiscal discipline, however, will get us survival. 

    ‘Economic freedom’ took hit in 2020; is this a problem?

    Hawaii legislators take note: If you want prosperity, less conflict and stronger human rights, push for greater economic freedom

    The Fraser Institute’s latest “economic freedom” report is out and it unfortunately shows that the United States was less free in 2020 than it was in 2019.

    The data isn’t exactly fresh, but it’s the best that the Institute’s researchers had. Apparently we’ll have to wait another year or two to find out how we’re doing now.

    In any case, the new report, “Economic Freedom of the World 2022,” ranked the U.S. as the seventh most-free country in the world in 2020, down from the fifth in 2019.

    That was out of 165 nations, which were ranked according to five general policies: size of government; legal system and property rights; sound money; freedom to trade internationally; and regulation.

    It also considered gender legal rights in order to measure “the extent to which women have the same level of economic freedom as men.”

    Largely due to the COVID-19 lockdowns, America’s freedom score fell from 8.25 to 7.97 — a 0.28 point drop, compared to the world average drop of only 0.16.

    Is this a problem?

    Well, yes. As economist Robert Lawson notes in a chapter of the report titled “Economic Freedom in the Literature: What Is It Good (Bad) For?“, “hundreds of studies in top-ranked academic journals show that economic freedom leads to positive outcomes for people, whether in increased prosperity, reduced conflict or stronger human rights.”

    Lawson, an economics professor at Southern Methodist University and one of the co-authors of the report, reviewed 721 academic papers published in leading peer-reviewed journals and came to the following conclusions:

    >> More than half of the papers, 50.6%, found that economic freedom yielded “positive” results.

    >> About 45% concluded economic freedom had “mixed/null/uncertain” outcomes.

    >> A small fraction of the papers, 4.6%, concluded that economic freedom had “negative” outcomes, such as higher inequality or a worse environment.

    In general, he said, “the bulk of the evidence suggests that economic freedom … corresponds with normatively good outcomes.”

    Hawaii health care ‘an undeniable human tragedy’

    Dr. Keli‘i Akina

    The greatest takeaway from three forums last week about Hawaii’s doctor shortage was the realization that we are dealing with an undeniable human tragedy.

    Sponsored by the Grassroot Institute of Hawaii, the forums on Maui, Oahu and Hawaii island made it clear that the state’s acute shortage of physicians — estimated at more than 1,000 — is not just about doctors, but also our families, friends and neighbors throughout the islands who are desperate for affordable and easily accessible healthcare.

    How bad is it?

    At the Oahu event, James Winkler, a physician associate who is president and CEO of the Kauai Community Health Alliance, described the situation in rural Kauai:

    “We have no endocrinologist, we have no outpatient neurologist, we have no oncologist. We don’t have a psychiatrist on our island. We have no geriatrics. We have no palliative care medicine. Our ophthalmologist won’t see Quest patients. I just had a patient with senile macular degeneration and diabetes. I tried to get them into an ophthalmologist, and they told me, ‘Send this person to Costco.’”

    PA James Winkler

    Winkler said recruiting and retaining doctors is extremely difficult, and those who are practicing here are “exhausted” from working long hours and “broke,” trying to cope with “our high cost of living [and] our high cost of housing.”

    He continued: “I haven’t taken a salary in four months just to keep the [KCHA] facility going. … In a way, our facility is a canary in the coal mine, but we’re one of many canaries. There are canaries dropping out every day. We’ve lost 25% of our private practices in Hawaii in the last two years. I mean, just think about that for a second: 25% of private practices have disappeared in the last two years.”

    As for Hawaii’s residents who need healthcare, “It’s heartbreaking to not be able to take care of the patients we take care of,” Winkler said. “So the human face of this is profound. These are patients who are depressed, suicidal, have breast cancer, ovarian cancer, diabetes, hypertension. These are our aunties and uncles. These are our children. … So anyway, I just wanted to set the record straight, [that] it’s really not about us.”

    Winkler’s story has garnered nearly 640,000 views on TikTok, and comments from other healthcare professionals express similar struggles:

    >> “I am a physician planning to move back home to Hawaii. … I will be taking a 50% pay cut, increased taxes/cost of living.”

    >> “I looked at becoming licensed there and providing therapy via telehealth, but the process is cumbersome in HI. They need to offer reciprocity.”

    >> “As a case-management nurse in Hawaii that has patients statewide, this is a huge problem we deal with everyday; we have to send people to Oahu.”

    >> “I am closing my Oahu clinic in primary care. I don’t get paid for a year. I fight to get services. Cannot afford to live in HI.”

    >> “My husband and I are both from Honolulu and in the health field. We want to return home, but we would both be taking significant pay cuts.”

    If there is one message you can take from these comments — which are just the tip of the iceberg — it is that there are medical professionals who are willing to work in Hawaii. What they aren’t willing to do is barely scrape by because of our high cost of living. The inevitable result is that we can neither hold onto nor attract medical professionals.

    There is no quick, miracle fix for Hawaii’s doctor shortage, but one obvious first step would be to relieve private and group practice physicians from having to pay the state’s 4.7% general excise tax — especially since they are not allowed to pass that expense onto their Medicare, Medicaid and TRICARE patients.

    In another viral video from the Oahu event, Dr. Scott Grosskreutz, a diagnostic radiology specialist from the Big Island and founder of the Hawaii Physician Shortage Crisis Task Force, says that more than half of patients in Hawaii are covered by these three government-funded insurance programs.

    And because of their exceptionally low reimbursement rates, Hawaii doctors are “basically breaking even, losing money. And then they’re being taxed on top of that, driving them into the red,” he said.

    Dr. Scott Grosskreutz

    Grosskreutz mentioned one more bad omen for the future of healthcare in Hawaii:

    “We … have the second oldest cohort of healthcare workers in the country. … We have 37% of our providers over age 60. Statewide, 25% of us, including myself, are over age 65, and [on] the Big Island, a third of us are over age 65. A lot of these providers are working 60-70 hours a week. And at some point, we’re going to be gone, and we desperately need to bring in new and younger providers to replace us.”

    Fortunately, some Hawaii policymakers are waking up to the need for change.

    In an effort to heighten awareness of this problem, the Grassroot Institute launched a petition this week urging the Legislature to create a GET exemption for medical services.

    If enacted, it would be a small, but vital, step toward making our state more attractive to doctors — and making healthcare more available to all who are in need.

    Together we can make Hawaii a better place to practice medicine. Send a message to our lawmakers by signing and sharing our petition to exempt medical services from the GET.
    _____________

    Dr. Keli‘i Akina is president and CEO of the Grassroot Institute of Hawaii.

    Putin and Biden Should Pass the Torch Before the Flame Goes Out

    How does a national leader deal with the future of the world when he doesn’t personally have a future in that world? 

    As the confrontation with Russia escalates into nuclear threats, there is a risk the world is facing that has not been clearly stated. It has to do with the ages of Presidents Biden and Putin, both in their 70s.

    There is no mandatory retirement age for politicians. As a senior member of society myself, I appreciate that there are no agist biases limiting elder statesmen from continuing to participate in politics. Hopefully, their age brings experience and wisdom, so having US and Russian leaders in their 70s is a lucky thing. Right? We need experienced, wise leaders to help us get through this difficult, dangerous time.

    Wisdom from age is good. But can we trust the future to two old men who, due to their advanced age, have little future themselves?

    The future means a different thing to soldiers in their teens and 20s fighting a war, than it does to the leaders in their 70s conducting the war. Not only is the future longer for the young than for the old, but the future seems brighter to the young than to the old. The young have not yet paid all the dues that the old have paid in full. They still have the hope and naive trust that makes them try what the old have given up. 

    But what sets the young and old apart the most is that the old are facing their own, personal existential crisis of getting old and ultimately facing their end.

    Old age can be a difficult time, as we realize we are past our prime and now face health challenges and the specter of disability and death. And depending on one’s personal religious views, it can also be an important time to set things right before meeting one’s “Maker”. It’s a time to do what one can before the world effectively ends for oneself. 

    This has to play on the minds and spirit of elderly leaders. When facing one’s own personal apocalypse, it is hard not to draw others in. 

    If a leader is fighting his last battle, he might feel his people need to fight with him to the bitter end, as well. That’s what some people seem to worry about Putin and his threat to use nukes. Meanwhile, Biden has responded to Putin’s nuclear threats with frightening concerns over a nuclear Armageddon. 

    My point is that it’s easier for old people like Biden and Putin, who are facing their own personal apocalypse, to see the world in Armageddon terms. 

    Perhaps this is a reason why Ukrainian President Zelensky is so successful in thwarting Russia. Zelensky is in his lower 40s. He can see himself part of a future for which he is fighting.  

    French President Macron was quoted as saying that Biden’s expression of concern over a nuclear Armageddon was irresponsible talk, and that cooler minds are required. Macron is one year older than Zelensky, around 45. 

    The older heads seem to be hotter than the younger heads. Let’s hope the hot heads don’t bring their personal Grim Reapers to everyone else’s door. 

    This also means that we need younger people to run for the Oval Office. We need leaders who not only see a vision for the future, but who can also be in that future. We need people in their prime, not their decline. And we need hope for a brighter future, even if it is a bit naive and youthful. 

    Youth should lead with the advice of elders. And elder leaders should pass the torch before the flame goes out.