Amidst the constant drumbeat of tech "progress" and grandiose "solutions," it's a useful exercise to ask: what have we lost in the past 40 years despite all the "progress" and "solutions"? Put another way: what did we have in 1985 that we no longer have, despite all the "progress"?

1. We no longer have affordable, functional healthcare. As I have documented, based on what I paid as an employer and self-employed worker, healthcare insurance was still affordable in 1985; this is no longer the case. By functional, I mean universally accessible and sustainable for those employed in healthcare.

Neither condition applies today. Financially marginalized Americans don't have the same access to the care that is available to wealthy Americans and those with gold-plated insurance. For many Americans, their access to care is little better (or worse) than low-income, developed-nation standards.

As for those working in healthcare, burnout and changing jobs to increase pay and reduce overwork are now standard features of frontline employment in healthcare.