Recent Publications

As the Affordable Care Act’s future continues to hang in the balance, the idea of implementing some form of universal healthcare system in California or nationwide has become increasingly popular. Much of this discussion has focused on the desirability and feasibility of adopting a Canadian-style single-payer or “Medicare for All” system. While Canada is a worthwhile case study to examine, there are other models for a universal healthcare system that may make more sense for California and the U.S., achieve better outcomes, and have a more feasible path to implementation. One such example is a “Universal European Health System,” inspired by the Bismarck model, most clearly exemplified by Germany. This report lays out what such a model could look like if implemented in California.

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The Oakland A’s have proposed the construction of a gondola system that will carry passengers from Washington St. and 10th St. in Old Oakland to Washington St. and Water St. in Jack London Square. This type of aerial transit system will bring frequency, reliability, and speed that other traditional types of transit lack. It will also create a link between BART and the new stadium and the amenities surrounding it.

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This report examines the ongoing, mostly state-based efforts aimed at lowering health care prices. It asks whether there are lessons California can learn from these experiments as well as limitations to importing similar practices into the state and expecting the same results. It also explores whether reinvigorating managed competition—a “made in California” alternative that tries to reduce total health care costs while improving quality of care—has the potential both to moderate prices and avoid the drawbacks of price controls.

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Investment in infrastructure has one of the highest economic multipliers of any form of government spending, but due to California’s failure to invest in and maintain its infrastructure at all levels, the state is putting its future growth and prosperity at risk. There is a demonstrated need to fundamentally reform public infrastructure procurement in California and the U.S., accelerate project delivery, and drive more widespread adoption of life-cycle management approaches. The role that public-private partnerships can play in addressing California’s infrastructure needs is the primary focus of this report.

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Tri-Valley Rising was published in 2014 with the aim of taking inventory of the Tri-Valley region’s assets and resources, explaining its impressive economic success, identifying challenges that could threaten to impede its future growth, and providing policy recommendations to ensure its continued vitality. Among the report’s findings were that the Tri-Valley’s innovation assets were driving its economy, high-value connections between the Tri-Valley and the broader region were growing, a high quality of life was a large part of the Tri-Valley’s competitive advantage, and improving transportation systems between the Tri-Valley and broader region would support growing economic activity and improve competitiveness.

This July 2018 update to Tri-Valley Rising builds on the findings and information presented in the first report, while also exploring more policy options for local and regional stakeholders to better connect and strengthen the Tri-Valley’s economy as it continues to grow.

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This report, the tenth in a series of Bay Area Economic Profile reports produced since 1997 by the Bay Area Council Economic Institute and McKinsey & Company, examines the region’s economy over the last decade, as it has emerged from the Great Recession to enter a new period of immense growth and innovation. As previous reports have done, it benchmarks the Bay Area’s performance against other knowledge-based economies to assess the region’s national and global competitiveness. It also examines the economic and policy challenges that continue to confront the region, even in a period of extraordinary growth, and looks to uncover the next wave of innovation and renewal.

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Housing affordability in Alameda County has reached a crisis point. With rents and home prices spiraling upward since the Great Recession, there has been no shortage of policy proposals envisioned to alleviate the county’s affordability problem. This analysis evaluates these proposals alongside each other using a consistent and comprehensive method to gauge their impact on affordability for individuals and families.

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Employers who care about gender equity in the workplace need to understand the importance of two major areas in which they can provide work-family support: (1) family-friendly policies that increase flexibility and provide paid parental leave, and (2) providing affordable access to quality childcare and early childhood education.

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Climate change remains a serious threat to human health, and healthcare organizations in California, across the U.S., and globally can be catalysts in creating a climate-smart future.

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This report traces how California successfully built an Affordable Care Act (ACA) marketplace and what its options are in this period of retrenchment.

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Preserving the strength of the regional economy—which derives much of its vitality from its diverse set of industry sectors and robust innovation ecosystem—requires land use policies that allow the conflict-free coexistence of industrial activities with other uses in populated areas. Such policies also help to ensure the availability of sufficient industrial lands to sustainably accommodate industrial businesses in both their current and future configurations.

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This report highlights how pass-through registration works in practice and what the future of homesharing in San Francisco looks like in the wake of PTR. As an update to our November 2016 report, Limits on Homesharing, this report also analyzes the potential effects of additional restrictive short-term rental regulations on housing affordability.

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