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How to Rebalance Your Budget When Insurance Premiums Go Up

Rebalance Your Budget When Insurance Premiums Go Up

Even the best thought-out household budget can be broken in seconds by an increase in insurance premiums. It may be health, home, or car insurance and in all these cases, they tend to increase with market trends, inflation or alterations in the calculation of risks. To a variety of households, these increases might force reevaluation of financial priorities to keep necessary protections and shun avoidable financial tension.

Increase in the premiums could also prompt an immediate urge to quit or reduce the coverage. Nevertheless, this may have dangerous long-term risks. Rather, it is better to go through the budget and make amendments cautiously that will not cause a lack of some coverage. Through informed financial adjustments, it can be absorbed to pay more without losing critical security of your home, vehicle or health.

Assessing the Current Financial Situation

The initial thing you need to do when you are rebalancing your budget when a premium goes up is to determine your current financial situation. An overview of income, expenses, and debt obligations can be used to determine the areas where it can be flexible and decrease spending. Many people can realize that after a couple of weeks of tracking their monthly expenses, they can identify unnecessary costs that can be changed or removed.

Discretionary expenses and essential expenses also should be separated. House, food, and insurance cover can be defined as necessities, whereas entertainment or eating out can be considered nonessential. The knowledge of these categories is important in making decisions about what one needs to change and making sure that key safeguards, like auto insurance, are not compromised.

Exploring Options to Reduce Insurance Costs

The insurance itself is worth reevaluating before other budget cuts. A simple phone call to your provider to inquire about any available discounts, policy bundling, or deductible changes can have a tendency to make your pay less. An example is that since the home insurance and car insurance are available together with the same company, asking to be given a discount on both is possible without significant protection loss.

A second helpful thing to do is to compare quotes of several insurers. The insurance companies tend to vary in adjusting their rates and a more competitive insurer can provide a better package according to the same coverage. Even a small change (a decrease in the monthly payments of the premium) can be felt in the long run and can also re-adjust your financial plan without necessarily having to do away with obligatory policies.

Adjusting Nonessential Spending

When the adjustments made on the insurance are not able to counter the higher cost completely, then we may need to consider discretionary spending. Reduction in luxury or subscriptions or lowered frequency of entertainment can release funds to meet the increased premiums. Such downsizing might only be required to be short term before revenues grow or costs level off.

In making these adjustments, aim at ensuring lifestyle satisfaction in a moderate manner. As an illustration, rather than abolishing social outings, think about other more affordable options. This will enable you to maintain social wellness and at the same time set aside money to make sure that the necessary covers like car insurance are affordable.

Reviewing and Refining Debt Management

The debt repayment plans may also affect the capacity to reorganize your budget. Debt incurred at high interest rates e.g. credit cards can absorb a big portion of monthly earnings. Trading in or refinancing the debt at a cheaper rate will help to lower the monthly payments and also release the money that could be used to pay higher insurance premiums at a much easier rate.

It is prudent not to enter into new debts at this time of financial adjustment as well. Even the basic purchases that are made using credit will build up monthly payments, and it will be more difficult to afford the coverage. Being disciplined in terms of debt management grants the long term financial stability and allows the management of special needs such as auto insurance not to be a burden.

Building a Sustainable Budget for the Future

Once preliminary changes are made, it is worthwhile to establish a long term budget that takes into consideration the potential future rise in expenses. To counter the price increases in the future, it is better to allocate a small amount of income every single month to a contingency fund without affecting the necessary financial obligations. This active strategy provides stability even in the case of changes in the market conditions.

It is always good to review the budget every quarter or so to make sure that the expenditure is in tandem with priorities and the financial realities on the ground. Insurance premiums are not the only costs that are subject to change with time and a flexible budget can securely handle these changes. Financial balance is a continuous process that is good to be looked into and readjusted periodically.

Maintaining Key Protections While Staying Financially Secure

Necessity to rebalance a budget when the insurance costs increase does not necessarily imply the loss of critical coverage. Careful planning can absorb the increases, and at the same time maintain financial control. It is all about keeping up with the times and checking all possibilities as well as making minor but effective changes in spending.

Insurance is some form of insurance against the unpredictable loss and it is crucial to keep it so that there is security in the long term. Households may defend what is important to them without going into a state of financial distress by approaching the changes in their budgets with a slow and careful approach. A balanced plan will make sure that the current stability and future protection is affordable even in case of an increment in the premiums.

Gen AI Can Change Work Forever—If You Build the Right Gen AI Portal 

Employee using generative in the workplace

By Dr. Gleb Tsipursky

The integration of Generative AI (Gen AI) into the workplace is a game-changer, offering transformative potential for efficiency and innovation. Yet, with this potential comes uncertainty, as employees may feel unprepared or apprehensive about the implications of this technology on their roles. To address these challenges, forward-thinking organizations are creating internal Gen AI portals—a centralized resource hub that provides employees with the knowledge and tools they need to thrive in this evolving environment. By offering clear, accessible, and interactive learning opportunities, these portals not only demystify Gen AI but also empower employees to see it as an opportunity rather than a threat.

The Importance of a Centralized Gen AI Portal

The introduction of Gen AI into the workplace marks a significant shift in how tasks are performed and decisions are made. While leadership may focus on its potential to drive business outcomes, employees often focus on what it means for their day-to-day work and career prospects. A centralized Gen AI portal addresses these concerns by serving as a trusted source of information, fostering transparency, and guiding employees through the changes.

While leadership may focus on its potential to drive business outcomes, employees often focus on what it means for their day-to-day work and career prospects.

According to research from McKinsey, organizations that prioritize upskilling during technological shifts like the Gen AI paradigm shift are significantly more likely to achieve their digital transformation goals. A Gen AI portal supports this by providing a space where employees can learn at their own pace and gain the confidence needed to leverage new tools effectively.

Beyond education, a well-designed portal also alleviates fear by addressing misconceptions about Gen AI. Employees often worry that automation and advanced technologies will replace their roles entirely. By offering clear information about the technology’s purpose—augmenting human capabilities rather than replacing them—companies can foster a more optimistic mindset among their workforce.

Core Features of a Gen AI Portal

For an internal Gen AI portal to meet its objectives, it must be thoughtfully designed to cater to the diverse needs of the workforce.

1. Educational Resources

The portal should offer a variety of materials to accommodate different learning styles and levels of expertise. Examples include:

  • Introductory Guides: Written explanations of Gen AI concepts, including its benefits and practical applications.
  • Video Tutorials: Visual demonstrations that simplify complex topics, such as using specific Gen AI tools.
  • Interactive Modules: Quizzes, gamified lessons, and self-paced courses to engage employees actively.

2. FAQ Section

A comprehensive FAQ section is crucial for addressing common concerns and misconceptions, and facilitating risk management. Questions might include:

  • How will Gen AI affect my role?
  • What skills do I need to stay competitive?
  • Are there ethical concerns with using Gen AI at work?

Regular updates to the FAQ ensure it stays relevant and reflects employees’ evolving needs. Research from Deloitte highlights that frequent communication and transparency are essential for building trust.

3. Feedback and Interaction

The portal should be a two-way communication tool, allowing employees to submit questions or suggest topics for future resources. This not only keeps the portal dynamic but also reinforces the organization’s commitment to employee involvement.

4. Accessibility and Security

Ensuring the portal is user-friendly and accessible across devices is critical. Features like single sign-on (SSO) integration and a responsive design make it easy for employees to use the portal from anywhere. At the same time, robust security measures are essential to protect sensitive organizational information.

Case Study: Implementing a Gen AI Portal in a Nonprofit Organization

A nonprofit organization focused on environmental advocacy recently faced challenges when adopting Generative AI (Gen AI) to streamline operations and enhance community engagement. The leadership team believed that Gen AI tools could optimize donor communications, automate administrative tasks, and improve data analysis for impact reporting. However, employees expressed concerns about their roles, fearing that automation might reduce the need for human input, especially in areas like grant writing and outreach. The nonprofit hired me to help them address this challenge.

Through employee surveys and small focus groups, we identified several concerns:

  1. A lack of clarity on how Gen AI would be integrated into their daily work.
  2. Anxiety about job security, particularly in roles involving repetitive tasks.
  3. Limited understanding of how to use Gen AI tools effectively to complement their current skills.

I collaborated with the nonprofit to design an internal Gen AI portal that addressed these concerns while aligning with the organization’s mission and values.

  • Learning Resources Tailored to Nonprofits:
    We created specific learning modules, including video tutorials and guides, demonstrating how Gen AI could assist with donor segmentation, crafting personalized outreach emails, and automating volunteer scheduling.
  • Interactive FAQ Section:
    Employees were encouraged to submit questions anonymously, which were addressed in a dedicated FAQ section. Topics included, Will Gen AI replace my job? and How can I use Gen AI to enhance grant writing?
  • Ethical Guidelines Module:
    Given the nonprofit’s focus on social impact, we included a section on using Gen AI responsibly. This module outlined ethical considerations, such as avoiding biases in automated content and ensuring transparency with stakeholders.
  • Feedback Loop for Continuous Improvement:
    A portal feature allowed employees to suggest new resources or flag unclear content, ensuring the platform remained dynamic and responsive to their needs.

To encourage portal usage, we launched it alongside a live webinar that demonstrated its features and addressed employee concerns in real time. A follow-up email campaign highlighted key resources and celebrated early adopters who shared their success stories.

Within six months of the portal’s launch:

  • Over 80% of employees reported improved confidence in using Gen AI tools.
  • The organization reduced the time spent on administrative tasks by 35%, allowing staff to focus more on mission-driven activities, as well as fundraising.
  • Employee feedback indicated a 50% drop in anxiety about Gen AI, as they began to see the technology as a collaborator rather than a replacement.

This initiative not only eased the transition to Gen AI but also strengthened the nonprofit’s ability to deliver on its mission, demonstrating how tailored resources can empower employees in even the most purpose-driven organizations.

The Broader Implications for Workforce Transformation

Employees who feel supported and informed are more likely to embrace new tools and even suggest novel applications for them.

Creating an internal Gen AI portal isn’t just about addressing immediate concerns—it’s about fostering a culture of innovation and continuous learning. Employees who feel supported and informed are more likely to embrace new tools and even suggest novel applications for them. This engagement can drive both individual and organizational growth.

Furthermore, a Gen AI portal signals to employees that the organization values transparency and development. In a competitive job market, this can be a significant factor in attracting and retaining top talent. A study by LinkedIn Learning found that opportunities for upskilling and reskilling are among the top drivers of employee satisfaction.

Conclusion

The integration of Gen AI into the workplace is inevitable, but the success of this transformation depends on how well employees are supported during the transition. An internal Gen AI portal, with its comprehensive resources and interactive features, is an effective way to empower employees, address their concerns, and foster a sense of collaboration.

As demonstrated in the case study, such a portal can turn apprehension into engagement, helping organizations unlock the full potential of Gen AI. By investing in education and transparency, companies can build a workforce that is not only prepared for the future but excited to shape it.

About the Author

Dr. Gleb TsipurskyDr. Gleb Tsipursky PhD, serves as the CEO of the hybrid work consultancy Disaster Avoidance Experts and authored the best-seller Returning to the Office and Leading Hybrid and Remote Teams. He was named “Office Whisperer” by The New York Times for helping leaders overcome frustrations with Generative AI. He serves as the CEO of the future-of-work consultancy Disaster Avoidance Experts. Dr. Gleb wrote seven best-selling books, and his two most recent ones are Returning to the Office and Leading Hybrid and Remote Teams and ChatGPT for Leaders and Content Creators: Unlocking the Potential of Generative AI. His cutting-edge thought leadership was featured in over 650 articles and 550 interviews in Harvard Business ReviewInc. MagazineUSA TodayCBS NewsFox NewsTimeBusiness InsiderFortuneThe New York Times, and elsewhere. His writing was translated into Chinese, Spanish, Russian, Polish, Korean, French, Vietnamese, German, and other languages. His expertise comes from over 20 years of consultingcoaching, and speaking and training for Fortune 500 companies from Aflac to Xerox. It also comes from over 15 years in academia as a behavioral scientist, with 8 years as a lecturer at UNC-Chapel Hill and 7 years as a professor at Ohio State. A proud Ukrainian American, Dr. Gleb lives in Columbus, Ohio.

ESG in Action: Africa’s Private Sector Leading Inclusion

Portrait of multicultural ecology engineer standing with solar panels model in hands at boardroom and having seminar about clean and renewable energy development in front of diverse team of experts.

By Christopher Burke

Africa’s private sector is embedding ESG into core business models, driving inclusion of youth and women as engines of growth. Programs such as Stanbic’s incubator, Unilever’s Shakti and Samsung’s Innovation Campus present ESG as strategy, not compliance; fostering skills, resilience and market access while reshaping Africa’s economic transformation.

Africa stands at a pivotal crossroads. Half the population on the continent is under 25 years of age and women account for over half of the potential workforce. This demographic profile represents both opportunities and challenges. Without targeted efforts to expand access to economic development, especially for youth and women, Africa risks falling short of its growth potential.

As public sector resources tighten and donor priorities shift, private sector players are beginning to fill a critical gap using environmental, social and governance (ESG) principles not just for compliance, but as a roadmap to inclusive business. Compliance can no longer be treated as an administrative afterthought; it must be recognized as a core strategic driver of business success according to Steven De Backer Founder and CEO of Afriwise, an African governance and legal advisory firm.  Examples across the continent suggest the private sector is no longer treating ESG as a compliance checklist, but a practical framework for action embedded in business models, supply chains and workforce development.

A growing number of promising initiatives recognize youth and women as central to market growth, innovation and resilience rather than side beneficiaries. The scale of transformation required across African economies highlights the urgent need for sustained capacity building, especially in technical skills including digital fluency and enterprise management. Enhancing capacity is a cornerstone of development to enable governments to craft and execute effective strategies and empower society–including the private sector–to support, engage, manage and hold institutions accountable.

The Stanbic Bank Business Incubator in Uganda is indicative of the broader transformation. Launched in 2018, the initiative has since supported more than 11,400 entrepreneurs and over 5,700 enterprises in sectors ranging from agro-processing and clean energy to logistics and oil and gas. Over 4,000 of its beneficiaries have been women. On average, each supported business created seven new jobs, contributing significantly to employment generation and livelihood improvement. “We see ourselves as more than just trainers,” says Catherine Poran, Chief Executive of the Stanbic Business Incubator. “We link SMEs to market opportunities, help them understand and unpack these opportunities and bring them into the market so they can see where the real growth lies.”

The model addresses three persistent challenges faced by entrepreneurs across Africa: 1) the need for practical business skills, 2) the challenges accessing capital and 3) limited engagement with formal markets. The business incubator is helping to formalize businesses, connect them with procurement opportunities and build long-term resilience through mentorship programs, tailored business support and partnerships with institutions such as the Uganda Registration Services Bureau (URSB) and Uganda Revenue Authority (URA).

This practical, problem-solving approach is echoed across sectors and regions. Total Energies is embedding youth training directly into its energy infrastructure projects in Mozambique and Uganda. In Mozambique, vocational programs developed with local partners are training 2,500 youth to transition into skilled employment.  The company has supported training for welders, pipeline technicians and environmental officers in the oil-producing Albertine region of Western Uganda.  These initiatives are tied to local content requirements, but reflect a longer-term investment in community stability and operational continuity.

Unilever’s “Shakti” program in Kenya and Nigeria supports rural women to become micro-distributors of household products, boosting incomes and expanding rural supply chains. Unilever also participates in the TRANSFORM initiative in cooperation with the UK’s Foreign, Commonwealth and Development Office, and EY to support entrepreneurs working on sanitation, health and economic inclusion for low-income communities, with a strong focus on digital innovations for young people.

What unites these diverse initiatives is not only their reach, but the way the private sector is often setting the pace–innovating faster than public programs and shaping models of inclusion that governments and partners now learn from. From supply chains to digital skills, African businesses are demonstrating that inclusion is not peripheral; it had become a driver of competitive advantage.

The Samsung Innovation Campus in partnership with Walter Sisulu University in South Africa has emerged as a leading model of skills development for digital youth inclusion. Since its 2022 launch, the program has equipped students in South Africa with future-proof skills ranging from coding and programming to artificial intelligence and the Internet of Things via intensive training tailored to the Fourth Industrial Revolution. Its first cohort of graduates in 2023 has already joined Samsung’s global innovation network, underscoring the initiative’s commitment to building tech-ready talent across the region.

Across West and Central Africa, Nestlé is supporting inclusive entrepreneurship through its MYOWBU (My Own Business) program in 11 countries. In Côte d’Ivoire. Since 2020, more than 1,000 youth—40 percent of them women—have become last-mile distributors, bringing Nestlé products to underserved communities. Participants receive startup kits, branding, and business development support, enabling them to operate viable micro-enterprises that meet both community needs and company expansion goals. “This is how I earn money which allows me to be independent and take care of my child,” states Laurent Ahou, a young mother participating in the MYOWBU program.

Stanbic’s Business Incubator in Uganda remains one of the few financial-sector-led programs providing full-cycle enterprise development support. Its collaboration with the United States African Development Foundation (USADF) enabled the disbursement of grants to early-stage agro-processors, reducing financial risk while ensuring business training is completed before funds are accessed. The incubator also works in close cooperation with the Petroleum Authority of Uganda (PAU) to align SMEs with opportunities in Uganda’s emerging oil sector.

These efforts reflect a growing understanding that formality, compliance and clear governance are not administrative hurdles, but essential to long-term business success. As Leo Long, Managing Director at the Strategic Impact Leadership Advisory Services (SILAS), cautions, “If ESG is purely used to report or disclose, then it is useless and has missed the point. It needs to be integrated across the organization, across all levels and operations to have real impact. We seek transformation, not compliance.” Leo’s view underscores the shift from box-ticking exercises to embedding ESG deeply within core operations. Without formal registration or credible accounting systems, entrepreneurs remain shut out of supply chains, finance and public tenders limiting both business resilience and inclusive growth.

A recent Brookings Institution report stressed the crucial role of commercial actors in stimulating growth across sectors while strategic collaboration with public institutions deepens financial markets and creates stable conditions for long-term investment. Integrating ESG principles into operations, not just reporting, provides companies with opportunities to expand market access, strengthen supply chains and reduce social and operational risks affirms Caroline Sonje, ESG specialist for ICEA LION Group operating across East Africa.

As ESG principles take root across Africa, companies are finding that aligning profit with purpose is not only possible, but increasingly necessary.  Companies are positioning themselves as corporate social responsibility (CSR) pioneers, anticipating future regulations, creating social impact and ensuring a sustainable competitive advantage with investments in the skills, networks and long-term potential of young people and women across Africa notes Eva Sessou, a chartered accountant and director of audit and assurance at Deloitte based in Lomé, Togo.

These examples signal a broader shift. African companies are no longer waiting for governments or donors to dictate inclusion strategies. By embedding ESG into operations, the private sector is showing that social responsibility can drive competitiveness, stability and long-term growth. Inclusive business is no longer peripheral, but central to how forward-looking firms operate with youth and women integrated as core contributors to market growth and resilience.

Meaningful integration enhances market resilience, diversifies supply chains and strengthens stakeholder trust. As ESG principles take root, businesses that align commercial goals with inclusive development are positioning themselves at the forefront of Africa’s economic transformation, demonstrating that private sector leadership is essential to the continent’s long-term competitiveness.

About the Author

Christopher BurkeChristopher Burke is a senior advisor at WMC Africa, a communications and advisory agency located in Kampala, Uganda. With over 30 years of experience, he has worked extensively on social, political and economic development issues focused on governance, the environment, agriculture, extractives, public health, communications, community mobilization, advocacy, peace-building and international relations in Asia and Africa.

Spain’s Health Service Challenges Spur Demand for Private Care

Spain’s Health Services

By Irene Palomo and Dr. Osman Sahin

The Spanish healthcare system is relying heavily on the private medical sector to help absorb the shock of the pandemic and address other challenges, such as acute staff shortages and long waiting lists. Last year, private hospitals made up over a third of healthcare activity, performing 41.6% of surgical procedures and treating 33.6% of emergencies.   

Private healthcare providers are increasingly playing a pivotal role in supporting the overstretched Spanish public healthcare system, the SNS, as it struggles to meet patient need. But while the private healthcare sector is expanding, existing players and new entrants, must pay attention to the varying, regional nature of treatment demand, and understand the factors behind it, in order to operate effectively.

Spain’s health services are facing huge challenges, including a severe shortage of medical staff and an ageing population, particularly in rural and sparsely-populated areas, such as Asturias, Galicia and Castilla and León. The situation has been exacerbated by a substantial backlog of cases, which worsened particularly during the Covid era. Waiting lists for surgical procedures are most acute in provincial Spain. And across the country, there are big differences in delays for specific specialties.

The country is seeking to address what is essentially a severe supply and demand problem. In order to absorb the shock of the pandemic, the SNS needed to increase capacity dramatically. It was not able to do so itself because of fiscal, technical and regulatory constraints. Supply has simply not increased fast enough, which has opened the way for greater private sector involvement.

Health authorities in the country’s 17 autonomous regions and two autonomous cities (Ceuta and Melilla) – all with different surgical needs and priorities – have sought to work closely with the private sector, often in the form of public-private partnerships, as a means of boosting flagging service levels. About 58% of private hospitals have formal agreements with the SNS. At the same time, concerns about delays in – and the quality of – treatment in the public sector, have prompted many Spaniards especially the young, to purchase private health insurance. Take-up is geographically uneven but largely concentrated in urban areas.

In the wake of the pandemic, private healthcare has consolidated its role as a parallel and complementary system to the SNS. It is now an essential part of SNS’s efforts to reduce waiting lists, accounting for just over a quarter of healthcare spending in the country. More than half of Spanish hospitals are private, mainly based in Andalucía, Cataluña and Madrid, autonomous regions with the greatest demographic and economic weight.

Covid caused a sharp decline in inpatient surgical procedures in 2020, followed by a moderate recovery through 2021–2023, which was uneven across regions and surgical specialties. Overall, surgical procedure volumes are still below 2019 levels. Only urology, plastic surgery and neurosurgery were able to increase in an inpatient setting nationwide. At a regional level, just Murcia, Asturias, and Castilla and Leon have surpassed pre-pandemic inpatient volumes. Large autonomous regions such as Andalucía, Cataluña, Madrid, and the Valencian Community have yet to fully recover.  

In December last year, in Spain as a whole there were still nearly 850,000 people on surgical waiting lists. Canarias, Castilla-La Mancha, Cataluña, and Madrid were able to lower average waiting times between 2019 and 2024, while the remaining autonomous regions saw them rise in the same period.

The inability to rebound from the pandemic, especially in large autonomous regions, has been attributed to factors such as doctor shortages (in 2023 the deficit reached nearly 5,900 medical specialists), an ageing workforce, and post-pandemic burnout. Studies conducted last year showed that 24% of doctors in Spain suffered from burnout, and sick leave rates jumping from 6% to 9% in the post-pandemic period. Research has shown that there are heightened regional disparities in not only waiting times, but also capacity and workforce stability.

As a consequence, we’re witnessing a major structural shift in Spain, with a significant volume of surgical procedures – especially dermatology, ophthalmology, and gynecology – transitioning from public hospital inpatient settings to private outpatient facilities. This is most prominent in regions like Andalucía (which has experienced a 700% increase in private outpatient dermatology surgeries since 2019), Aragón and Castilla-La Mancha (which since 2019 saw a 1,000% surge in outpatient gynecological procedures in private facilities). Private sector providers are increasingly vital in absorbing excess demand. They often outpace public facilities in both agility and capacity for certain specialties, likely reflecting Spanish patients’ eagerness to avoid long waiting lists.

Such is the growing reliance on private healthcare that last year the private hospital sector made up about 35% of Spain’s healthcare activity, performing 41.6% of surgical procedures (32.6% in 2023), managing 29.7% of hospital discharges (22.6% in 2023) and treating 33.6% of emergencies (25.2% in 2023). The specialties with the highest number of procedures performed by private practitioners included traumatology (37.1%), angiology and vascular surgery (35.8%), general and digestive surgery (33.1%), and urology and gynecology (30.9%).

In 2024, the turnover of the private hospital sector, which now comprises 431 medical facilities, amounted to EUR 13.9 billion, a third consecutive year of growth, spurring demand for advanced medical technologies and specialized healthcare services.  Of the turnover figure for the sector, health insurers and mutual insurance companies, which are largely financing the expansion, contributed EUR 7.92 billion, while public-private collaboration agreements generated EUR 4.655 billion.

Annual investment within the private sector is now close to 1 billion EUR, of which EUR 650 million has been allocated to improvements and innovation and EUR 322 million to Medtech, presenting significant commercial opportunities for companies able to support outpatient care and operational efficiency. All the while, there has been a strong focus on the construction of new private medical facilities, particularly in regions with higher purchasing power, such as Madrid, Cataluña and the Balearic Islands.

While the Spanish healthcare is increasingly dependent on private sector providers, the complexity of demand requires the latter – whether established or new entrants – to focus on specific areas of demand in regions that invest most in private healthcare. There is quite a significant disparity in per capita public spending on healthcare across the country, with the lowest per capita spending regions, such as Madrid, seeing the greatest private sector investment. Other important factors to consider when going to market are that some surgical specialties, as we’ve seen, are more established in some regions than others while waiting lists for all specialisms vary significantly nationwide.

The private sector has been able to support the public healthcare system by being highly agile and responsive to patient needs across the country. Players have had to be alert to demographic and treatment trends to identify gaps in provision and anticipate areas of demand. They have also had to better understand regional health authority challenges and offer appropriate solutions. Such front-footedness and cooperation will be crucial in further cementing the private sector’s role in helping the state meet the country’s healthcare challenges.

About the Authors

Irene PalomoIrene Palomo is the Healthcare Analyst for Spain and Italy at FrontierView. Irene supports the Western Europe Healthcare Practice.

 

Dr. Osman SahinDr. Osman Sahin is the Associate Practice Leader for Healthcare Strategic Insights at FrontierView. Osman leads the Western Europe Healthcare Practice.

Why Banks are More Resilient After a Run

Bank Collapse and Banking Crisis or global credit system falling in debt as a financial instability or insolvency concept

By Dr Kenneth Baldwin

Banks typically fail because they have too little cash on hand to meet payment demands (a liquidity problem) or asset values are too low to pay back their debts (a solvency problem). Traditionally, it’s assumed that adding liquidity risk to solvency risk can only make matters worse, but that is not necessarily the case. In fact, new research shows there are circumstances in which liquidity risk can help to mitigate solvency risk. 

Introduction

Banks typically fail for at least one of two reasons: insolvency, when the total value of a bank’s assets is not enough to pay its debts, or illiquidity, when a bank is unable to turn sufficient assets into cash quickly enough to keep up with payment demands. The latter scenario can be triggered by a sharp increase in depositors rushing to withdraw their funds, called a ‘run’, or when creditors call in their loans and the bank has to sell assets quickly to pay up.

The 2008 financial crisis shows how this can play out in practice. Lax lending standards led banks to give mortgages to people who couldn’t repay them on the assumption that house prices would continue rising, so even if some borrowers defaulted on their payments, the bank could still turn a profit by selling the house.

However, as the market became flooded with houses for sale, house prices started to drop below the mortgage value. Banks started to lose money and confidence, and stopped lending, including to each other, which restricted the amount of liquid assets held by many institutions.

In the years since, regulators have taken a firmer hand, introducing additional requirements to guard against the risk of banks defaulting. For instance, the UK’s Prudential Regulation Authority (PRA) now imposes requirements on both liquidity and capital adequacy. Such oversight aims to ensure banks are able to survive runs, repay their debts, and absorb losses when they arise.

It is intuitive that adding liquidity risks to solvency risks increases the chance of a bank defaulting on its debts, but that’s not necessarily the case. While this line of thought seems to make sense at first, new research shows that there are circumstances in which liquidity risk may actually help to mitigate solvency risk.

When two risks make a right

To show how liquidity risk and solvency risk interact, I published a new financial model that derives the joint probability of bank default due to illiquidity or insolvency (the full article is freely available at https://doi.org/10.1016/j.econlet.2025.112581). The findings suggest that if a bank survives a liquidity run, the resulting contraction of its balance sheet can actually reduce its post-run insolvency risk.

Why? Because a smaller asset base suffers less damage from negative shocks to asset returns.

For instance, if a bank has £1 billion in assets and £800 million in debt, a ten percent shock would lose £100 million, leaving the bank with £900 million in assets, £800 million in debt, and a debt to assets ratio of 89%. However, if that same bank had shrunk to £600 million in assets and £400 million in debt following a liquidity crisis, a ten percent shock would only generate a loss of £60 million, leaving the bank with £540 million in assets, £400 million in debt, and a comparatively healthier debt to assets ratio of 74%. In effect, the contraction slows the bank’s possible movement towards the point where its assets are so devalued that it can no longer pay its debts. Whilst to some this result may seem obvious, its importance is that it links liquidity risk with solvency risk, showing that liquidity risk acts as a counterweight to solvency risk as long as a bank survives unexpected cash outflows.

This relationship also applies in situations where a bank faces liquidity pressure not caused by a run; for instance, when there is a non-rollover of debt and the bank has to convert assets to cash so it can pay outgoing creditors.

Rethinking risk management

A deeper understanding of how risks interact presents an opportunity for banks and regulators to fine-tune how they respond to financial stress.

Most significantly, this simple yet important result suggests that the intense pressure banks face to de-risk after a run may be overstated. Currently, it’s common practice for banks to assess the severity of each type of risk and set equity aside to guard against solvency risk accordingly. But the assumption that multiple risks are always a compounded threat, without sufficient recognition given to how sometimes one risk helps to mitigate another, may cause them to set aside more equity than they need to.

Reducing the pressure on banks to de-risk after experiencing liquidity challenges could encourage them to continue lending to the real economy in the wake of a run without compromising their stability. A revised understanding of joint liquidity-solvency risks should also be integrated into stress tests run by banks and regulators. As the financial sector continues to be impacted by geopolitical, environmental, and social uncertainties, these tests must adopt an approach to evaluating resilience that embraces the complexity of interactions between risks.

This new liquidity-solvency model offers banks a light at the end of the tunnel by reframing how risks are perceived. Rather than seeing every challenge as putting banks further on the back foot, edging closer to default and failure, it proves that surviving liquidity problems can increase resilience, proving the adage that what doesn’t kill you can indeed make you stronger.

About the Author

Ken BaldwinDr Kenneth Baldwin is a Senior Lecturer in the Department of Economics at Nottingham Business School, Nottingham Trent University (NTU). His research focuses on the intersection of finance and economics, including banking regulation and asset pricing. Prior to working in academia, he spent over two decades working at investment banks in senior risk management roles.

China Denounces U.S. Over Rare Earth Dispute and “Distorted” Remarks

China and US

China on Thursday accused the United States of spreading fear over its new rare earth export restrictions and sharply rebuked Treasury Secretary Scott Bessent for making “grossly distorted” comments about a top Chinese trade negotiator. The criticism came as Beijing rejected Washington’s call to lift the curbs, escalating tensions just weeks before President Donald Trump and President Xi Jinping are set to meet in South Korea.

In a strongly worded statement, the Communist Party’s official newspaper issued a detailed, seven-point rebuttal following U.S. claims that China’s rare earth measures represented a global power grab. The response came after U.S. Trade Representative Jamieson Greer and Bessent suggested Beijing could avoid Trump’s threat of a 100% tariff on Chinese imports by rolling back the export regime set to take effect on November 8.

“The U.S.’ interpretation seriously distorts and exaggerates China’s measures, deliberately stirring up unnecessary misunderstanding and panic,” Commerce Ministry spokesperson He Yongqian said at a press briefing. She emphasized that export licenses would be approved “provided the export licence applications are compliant and intended for civilian use.”

China’s latest export rules have raised concern among global manufacturers about whether any product containing even small amounts of Chinese rare earths would require government approval to ship abroad. He Yongqian clarified that this would not be the case.

Greer had earlier labeled China’s controls “a global supply-chain power grab” and urged Beijing not to enforce them. Bessent hinted that the U.S. might consider extending the current 90-day tariff truce, which is due to expire in early November.

Relations between the two economic superpowers had appeared steady following a September phone call between Trump and Xi and a Madrid summit that was hailed as a success for both sides after progress on the TikTok deal. However, tensions reignited after Washington expanded its “Entity List” in late September to target Chinese and foreign companies allegedly circumventing U.S. export restrictions on semiconductor technology.

Beijing argues that its export measures are legal and align with international standards. “The United States has long overstated national security concerns and abused controls, adopting discriminatory practices against China,” said one of seven infographics released by the state-run People’s Daily. The newspaper pointed out that the U.S. maintains a control list of over 3,000 restricted items, while China’s list includes about 900.

“Implementing such export controls is consistent with international practice,” read another section of the publication, reiterating Beijing’s defense of the new policy.

The dispute took a personal turn after Bessent described China’s chief trade negotiator Li Chenggang as “slightly unhinged” and “disrespectful,” claiming Li had threatened “global chaos” if the U.S. moved ahead with new port fees. Bessent also alleged that Li arrived in Washington uninvited in August for talks.

In response, He Yongqian said the U.S. remarks “seriously distort the facts,” stressing that China had been proactive in maintaining communication with Washington. “It is hoped the U.S. will cherish the achievements of the earlier economic and trade talks and immediately correct its wrongdoings,” she said.

Bessent maintained that trust between Trump and Xi had helped prevent further escalation, keeping diplomatic channels open despite disagreements between their trade teams. Analysts, however, warn that continued public sparring could overshadow the planned leaders’ meeting and unsettle markets already wary of new tariffs.

With both sides trading accusations and defending their policies, the world’s two largest economies appear locked in a delicate balancing act — seeking to project strength while trying to preserve enough stability to avoid another round of damaging trade escalation.

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US and China painted on cracked wall

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China’s Rare Earth Curbs Draw U.S. Warning and Decoupling Threat

US and China painted on cracked wall

U.S. Treasury Secretary Scott Bessent has warned Beijing that its sweeping new export controls on rare earths and other critical minerals could push the United States and its allies to sever economic ties with China.

Speaking at a joint news conference with U.S. Trade Representative Jamieson Greer on Wednesday, Bessent cautioned that China’s latest policy risked isolating the world’s second-largest economy. “If China wants to be an unreliable partner to the world, then the world will have to decouple,” Bessent said. “The world does not want to decouple. We want to de-risk. But signals like this are signs of decoupling, which we don’t believe China wants.”

Beijing announced last week a new regime for rare earths and critical minerals that would require non-Chinese companies exporting products containing even trace amounts of these materials to obtain government approval. The move, scheduled to take effect in December, has drawn sharp criticism from Washington and its allies, who say it threatens global supply chains.

President Donald Trump has responded by threatening to impose an additional 100 percent tariff on Chinese imports by November 1 if Beijing proceeds with the export restrictions.

Greer said the measures represent more than just a trade response. “While China has taken a number of retaliatory trade actions against the United States, Europe, Canada, Australia and others in recent years, this move is not proportional retaliation,” he said. “It is an exercise in economic coercion on every country in the world.”

Both Bessent and Greer stressed that the United States has urged Beijing to halt implementation of the controls, warning that they could destabilize the global economy.

Sara Schuman, a former top U.S. trade negotiator for China, said the controls jeopardize progress made earlier this year in Geneva, where both countries reached an agreement aimed at easing tensions. “The ball is now in China’s court. Will it return to the Geneva agreement and rollback these [rare earth] restrictions, or choose to weaponise the global supply chains it dominates?” said Schuman, who now leads the trade and economic security practice at Beacon Global Strategies. “China’s answer to this question over the next two weeks will have broad strategic implications for years to come.”

Greer added that the restrictions would give China leverage over the global economy and technology supply chains. “This will impact artificial intelligence systems and high-tech products, but even regular consumer items like cars, smartphones and potentially even household appliances,” he warned.

Beijing has defended its decision, claiming it was a response to what it calls “punitive measures” imposed by Washington since the two sides held a fourth round of trade talks in Madrid last month. The U.S. has dismissed that argument, saying China appeared to have planned the export regime long before the Madrid meeting.

Bessent and Greer also took aim at Li Chenggang, a senior member of China’s trade delegation, accusing him of behaving unprofessionally during an unannounced visit to Washington in August. According to Bessent, Li was “very disrespectful” and threatened “global chaos” if the U.S. followed through on its plan to impose port fees on Chinese vessels docking in American harbors. The policy went into effect this week. “Perhaps he has gone rogue,” Bessent said.

Despite the growing friction, Bessent expressed hope that dialogue could prevent further escalation. He said he expected President Trump to meet Chinese President Xi Jinping during the Asia-Pacific Economic Cooperation summit in South Korea on October 29, calling it a potential “opportunity to reset the tone.”

“I’m optimistic that we can de-escalate,” Bessent said. “But if China moves ahead, we will respond.”

Analysts believe Beijing’s strategy may be aimed at pressuring Washington to relax its own export restrictions on semiconductors and chip technology. When asked if the U.S. would consider such a trade-off, Bessent declined to comment, saying, “I’m not going to pregame what the negotiations are going to look like.”

He added, however, that one key question would be whether China delays the rollout of its export controls.

The U.S. and China have repeatedly postponed tariff deadlines since agreeing to a ceasefire in their trade war earlier this year. The current 90-day window for talks is set to expire in mid-November, heightening pressure on both sides to reach a compromise before the confrontation escalates further.

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Time for Change in the Middle East      

Flag on the map of iraq. Vintage Map and Flag of middle east, arab Countries Series

By Dan Steinbock

In the Middle East, the U.S. model has relied on oil buys, arms sales and regime change. The results have been catastrophic. What the region needs is rapid development in which China has excelled and the Global South promotes.

Accepted finally by both Hamas and Israel, the ceasefire in Gaza is the effective outcome of the US administration’s maximum pressure on Hamas and its embrace of the positions of several Arab states, particularly Qatar, Egypt and Turkey.

But the end of hostilities represents barely the first of the three phases presumably proceeding from ceasefire in Gaza to peace in the Middle East. The devil is in the details and the hardest talks loom ahead.

Here’s why: the complicated, multi-phase plan is ridden with caveats because the old U.S. approach to the Middle East is crumbling.

America’s military hegemony    

Since 1945, the U.S. hegemony in the Middle East has relied on oil buys, weapons sales and regime change. In diplomacy, Washington has favored bilateral peace treaties between Israel and Egypt (1979) and Jordan (1994) and the Oslo Accords with the Palestinian Authority (1993-95).

Since his first administration, President Trump has built on the Abraham Accords (2020-21); a series of bilateral agreements to normalize relations among Israel and several Arab states, led by United Arab Emirates (UAE) and Bahrain. With massive oil buys from and arms sales to Riyadh, the U.S. goal is to have Saudi Arabia to join the Accords.

With massive oil buys from and arms sales to Riyadh, the U.S. goal is to have Saudi Arabia to join the Accords.

But arms sales are the key to America’s hegemony. In the case of its allies, the U.S. provides 60 to 80 percent of their lethal imports (Israel, Kuwait, Saudi Arabia). In the rest, it accounts for 50 to 60 percent of the total (UAE, Iraq, Qatar), followed by Egypt.

Additionally, American hegemony relies on aid dependency. Between 1946 and 2023, Washington provided a whopping $373 billion in foreign assistance to the Middle East. Before the Gaza catastrophe, the bulk of the aid was steered to just a few countries: Israel ($139 billion), Egypt ($83b), Iraq ($70b), and Jordan ($24b).

Since the Middle East is the largest regional recipient of U.S. aid, the impact should be reflected in increasing security and rising per capita income. Yet, the net effect has been precisely the reverse, as evidenced by the region’s “forever conflicts” and periods of historical economic stagnation.

Extensive periods of stagnating living standards   

Worse, the military symbiosis between the U.S. and Israel has triggered huge adverse spillovers to adjacent Arab states. These severe destabilizations have been accompanied by lost years, even decades, with no increase in per capita incomes in these states.

Egypt coped with such stagnation in 1965-75 and again in the early 2010s. Jordan lost a decade after the 1967 Six-Day War, during the first Palestinian uprising in the 1980s and again in the early 2010s. Even Israel hasn’t been immune to stagnation periods, as evidenced by past economic crises, highest income polarization among OECD countries and the huge costs-of-living protests after the failure of the peace process.

In Iran and Iraq, adversities have escalated since their 1980-88 war in which the U.S. supplied arms to both sides. In Iraq, where the U.S. had backed the 1963 coup, per capita income in 2010 was where it had first been in 1978; over three decades before. In Iran, which suffered the first U.S.-UK regime change in 1953, U.S. sanctions prevented gains in per capita income for a quarter of a century after the Islamic Revolution and again in the 2010s.

Following the 1949 U.S.-led regime change, Syria’s democratic path was undermined until 2025. As a result, Syrian per capita income before October 7, 2023, is where it was last in 1981; that is, 44 years ago. In Palestine, per capita income is now where it first was in the early 1970s; half a century ago. And in Yemen, per capita income is where it first was 55 years ago. 

China-led development                

In the past decade, China has emerged as a credible and peaceful intermediary in the Middle East. In addition to investing significantly in countries burdened by decades of U.S. interference and regime change, Beijing has achieved several diplomatic coups.

Major regional Arab states, including Egypt, Saudi Arabia and Turkey, build on the China-led Belt and Road Initiative (BRI).

Saudi Arabia has joined the BRICS alliance, remains one of China’s largest oil suppliers and is selling oil in multiple currencies. For decades, U.S. administrations fostered divides between Saudi Arabia and Iran. Yet, in March 2023, these two countries resumed relations, after a China-brokered deal.

In July 2024, China played a vital role in fostering Palestinian national unity in the Beijing Declaration, signed by 14 different Palestinian factions.

In August 2024, Beijing established a Second Silk Road in the region. In July 2025, China and Egypt expanded their bilateral cooperation across various economic sectors.

For years, China has called and worked for de-escalation, sustained peace and development in the region.

Surely the Middle East is large enough for both great powers – as long as the presence of each is predicated on diplomacy and peacemaking rather than abject obliteration.

Catastrophic economic and human costs

Since 1945, Washington has relied on destabilization and regime change in the Middle East to maintain its hegemony in the region. The post-9/11 wars alone have cost over $8 trillion and the lives of more than 1 million people.

The region has lost decades in self-defeating wars that have benefited primarily global defense contractors in the West.

In the past, US military aid to Israel amounted to $3.8 billion per year; since October 7, 2023, it has soared to $22 billion. In Gaza and Yemen, it has made US complicit to genocidal atrocities.

In 2023-25, a quarter of a million Palestinians — mainly women and children — have been killed or wounded in Gaza, while more than 5.3 million people in the region have been displaced in Israel’s post-October 7 atrocities.

These catastrophic performances can be compared and contrasted with Chinese initiatives focusing on de-escalation and stabilization, particularly on investment, development and modernization – which are hugely attractive in the Middle East.

The region has lost decades in self-defeating wars that have benefited primarily global defense contractors in the West. The time for decisive economic development, led by China and the Global South, has arrived, also in the Middle East.

Obliteration wars are no solution to 21st century challenges.

A version of this commentary was first published by China Daily on October 15, 2025.

About the Author

Dr Dan SteinbockThe author of The Obliteration Doctrine (2025) and The Fall of Israel (2024), Dr Dan Steinbock, a strategist of the multipolar world, is the founder of Difference Group and has served at the India, China and America Institute (US), Shanghai Institute for International Studies (China) and the EU Center (Singapore). For more, see https://www.differencegroup.net/

Remote Work is the Pro-Family Policy

By Dr. Gleb Tsipursky

Picture a young couple staring at a spreadsheet, not a sonogram. Between rent, daycare, and the commute that eats two hours a day, a second child feels out of reach. Now flip one switch: both parents work from home a day or two each week. New research from Nicholas Bloom at Stanford University and a team of colleagues shows that this single change shifts real family decisions. Evidence on flexible arrangements and fertility intentions in dual-earner couples, paired with U.S. analyses linking pandemic-era flexibility to higher births, points to a simple conclusion: if the Trump administration and cultural conservatives want more babies, they should want more remote work. 

In 2023, U.S. fertility fell to 1.62 children per woman, with 3.596 million births, resuming a pre-pandemic slide. The question is which policies change day-to-day life enough to move births.

Working from home trims the commute tax and returns hours to households. A parent can handle a pediatric visit without blowing up a shift schedule, breastfeed without logistical relays, or cover school pickup without a costly nanny. One U.S. analysis documented a baby bump in 2021 and early 2022, strongest among college-educated women, aligning with the population most able to use hybrid work. Women with remote options were more likely to report plans to try for a child. New research on dual-earner couples shows how schedule control translates into realized family plans.

This gap between elite pronatalist rhetoric and household priorities is instructive. People want support that makes everyday life with kids workable.

Remote work is not going away. The Survey of Working Arrangements and Attitudes shows hybrid has stabilized since 2023, with U.S. workers performing roughly a quarter of paid days from home by 2025. That persistence matters because fertility planning responds to expected conditions, not temporary perks. A policy that institutionalizes two at-home days per week delivers hard time in a soft way. It is a structural fix to the everyday frictions that push families to stop at one child.

Many on the right propose monthly family benefits or expanded child tax credits. The conservative conversation is overdue. But cash stipends alone rarely deliver durable fertility gains.

Americans want help with practical barriers: child care affordability and better maternal health outcomes, according to an AP-NORC survey from July 2025. About three-quarters say child care costs are a major problem. This gap between elite pronatalist rhetoric and household priorities is instructive. People want support that makes everyday life with kids workable.

Hybrid work changes a binding constraint every week without a massive fiscal outlay. When one or both partners gain even one remote day, time reappears. That time lets a parent keep a job through a rough pregnancy, attend a 2:30 school concert, or start dinner at 5:30 instead of 6:45. The evidence on flexible work and fertility intentions reinforces that flexibility moves the needle because it attacks the real constraint, which is time.

The most robust data show hybrid has settled into a sustainable equilibrium. Well-run hybrid teams sustain performance while widening the pool of family-stage talent. Where remote is infeasible, targeted schedule control and paid time for essential family logistics emulate the same benefits.

Conservatives argue families, not bureaucracies, should decide how to raise children. Remote work does exactly that. It returns hours without dictating how to use them. It supports marriage, childrearing, and church engagement by making home a functional base rather than a staging area between commutes.

Remote options let a dad accept a quality job without moving away from grandparents who provide informal child care. They let a mom maintain attachment to work during early childhood, cushioning earnings and career progression. The work from home literature documents durable levels of hybrid work across dozens of countries.

Policy can amplify those gains. The federal government should model best practice where duties allow. In January 2025, the Office of Personnel Management issued guidance directing a broad return to in-person work. The federal conversation has featured blanket mandates, even as a 2025 GAO report flagged weaknesses of one-size-fits-all approaches. A smarter pro-family stance would normalize predictable hybrid schedules in eligible roles.

Second, infrastructure policy should make flexibility real outside big metros. Expanding reliable high-speed internet in rural counties enables hybrid options that keep young families near church networks, cousins, and babysitting grandparents. Public data on work from home rates helps employers and policymakers calibrate hybrid norms to different sectors and regions.

Public data on work from home rates helps employers and policymakers calibrate hybrid norms to different sectors and regions.

Skeptics ask whether flexibility distracts from reviving births. The evidence points the other way. When flexibility arrived suddenly during the pandemic, births among U.S.-born women ticked up, reversing a long decline. Newer work explains why: when couples can allocate time more sanely, they follow through on family plans. Pair that with the global stabilization of hybrid work and you get a practical lever, not a fad.

Families keep telling leaders the same thing: make everyday life with kids workable and we will respond. Work from home does exactly that. It collapses the distance between paychecks and playrooms, trims invisible costs that choke the evening routine, and preserves careers during the most fragile years of family formation. Cash bonuses make headlines. Predictable hybrid schedules change Tuesday afternoons. If the Trump administration and cultural conservatives are serious about reversing the baby bust, they should embrace the most conservative tool of all: giving families the freedom to organize their own lives.

About the Author

Dr. Gleb TsipurskyDr. Gleb Tsipursky PhD, serves as the CEO of the hybrid work consultancy Disaster Avoidance Experts and authored the best-seller Returning to the Office and Leading Hybrid and Remote Teams. He was named “Office Whisperer” by The New York Times for helping leaders overcome frustrations with Generative AI. He serves as the CEO of the future-of-work consultancy Disaster Avoidance Experts. Dr. Gleb wrote seven best-selling books, and his two most recent ones are Returning to the Office and Leading Hybrid and Remote Teams and ChatGPT for Leaders and Content Creators: Unlocking the Potential of Generative AI. His cutting-edge thought leadership was featured in over 650 articles and 550 interviews in Harvard Business ReviewInc. MagazineUSA TodayCBS NewsFox NewsTimeBusiness InsiderFortuneThe New York Times, and elsewhere. His writing was translated into Chinese, Spanish, Russian, Polish, Korean, French, Vietnamese, German, and other languages. His expertise comes from over 20 years of consultingcoaching, and speaking and training for Fortune 500 companies from Aflac to Xerox. It also comes from over 15 years in academia as a behavioral scientist, with 8 years as a lecturer at UNC-Chapel Hill and 7 years as a professor at Ohio State. A proud Ukrainian American, Dr. Gleb lives in Columbus, Ohio.

The Cooperative Model: Financing Community, Stability, and the Future

Cooperative model and financing community

By Casey Fannon

Nearly 30 years ago, I joined the National Cooperative Bank (NCB) straight out of college. 

I knew little about cooperatives then, but I quickly discovered the strength of this ownership model while working in cooperative housing finance. 

Since that time, I’ve seen firsthand how co-ops create not just economic value, but community resilience, democratic participation, and long-term stability.

In 2024, NCB originated $1.1 billion in new loans, serving housing co-ops, food co-ops, purchasing co-ops, credit unions, and more. In my view, what makes co-ops so durable—especially in times of economic uncertainty—is that they are not speculative ventures. They exist to solve real needs. 

Whether it’s a food co-op addressing neighborhood food scarcity, a purchasing co-op helping independent retailers compete with national chains, or a credit union providing access to the unbanked, cooperatives put people before profits. 

As members both own and benefit from the enterprise, co-ops form self-sustaining ecosystems where value flows back to the community.

Take housing. Cooperative housing remains one of the most overlooked solutions to affordability and neighborhood stability. 

Unlike condominiums, where decision making is less centralized, housing co-ops act collectively—whether repairing roofs, upgrading community centers, or negotiating financing. 

This model works especially well in senior housing co-ops and manufactured housing communities particularly, where residents gain security and dignity by collectively owning their homes. 

At NCB, we are also supporting new efforts like Frolic Communities in Seattle, which is pioneering small-scale urban cooperative developments that fight displacement, expand affordability, and build neighborhood cohesion.

And let’s be clear – Salient policy innovation can unlock even more potential. 

One promising step is adapting the Low-Income Housing Tax Credit program to allow direct pay credits for co-ops—ensuring affordability and homeownership without diluting cooperative governance. 

Similarly, expanding programs like Tenant Opportunity to Purchase Acts (TOPA) can give renters the first right to convert buildings into resident-owned co-ops, creating long-term community wealth.

But the cooperative difference isn’t just financial. Research shows co-op members are more likely to vote, volunteer, and engage civically. 

I’ve seen this play out in real life: in one Massachusetts housing co-op, a resident who once stayed on the sidelines became active in the property committee, met her neighbors, and even met her future husband. 

That may be an extraordinary case, but the point stands—cooperatives build connections. They create the conditions for belonging and purpose, which are essential to well-being and longevity.

For lenders, policymakers, and communities looking ahead, the message is clear: the cooperative model offers a double bottom line—economic returns alongside measurable social impact. 

At a time when people are demanding more sustainable, community-centered ways of living and working, co-ops stand as a proven alternative.

NCB’s mission remains simple: finance cooperative enterprises that strengthen communities. But the broader call is to ensure policies, financing tools, and public understanding catch up to the model’s promise. 

If we do, cooperatives can play an even greater role in addressing some of our country’s most urgent needs—from affordable housing to equitable energy, from resilient retail to inclusive finance.

The cooperative advantage isn’t just about business. It’s about building communities that endure.

About the Author

Casey FannonSince joining NCB in 1996, Mr. Casey Fannon has dedicated his entire career to National Cooperative Bank and has served as its President and CEO since 2021.

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