In Rush to Build, Older Housing is Overlooked

Older homes provide an affordable housing lifeline, but poor conditions often lead to serious health impacts for residents.

1 minute read

November 29, 2023, 12:00 PM PST

By Diana Ionescu @aworkoffiction


Man with protective mask measures the moisture level on a white wall with green mold in an apartment.

epiximages / Adobe Stock

A growing field of research reveals the impact that living conditions can have on public health and housing stability, highlighting the need to improve the country’s aging housing stock. According to an article by Patrick Sisson in Bloomberg CityLab, “A study by Rebuilding Together, a nonprofit that provides free home repairs, found that every dollar invested in a home generated $2.84 in social benefits, half of which are savings on health-care spending.”

In the United States, 35 percent of housing stock is over 60 years old, and HUD data shows that 6.7 million U.S. households live in substandard housing. Meanwhile, weather events such as extreme heat waves have a disproportionate impact on the lowest-income households that don’t have access to air conditioning, effective ventilation, or weatherization.

With the link between housing and health becoming clearer, some states are experimenting with using healthcare funding to support home repairs that have an immediate impact on health. However, many federal programs still focus on electrification and efficiency upgrades without addressing more basic repairs often needed in older housing. “It exposes a persistent blind spot in US housing policy — the relentless focus on new construction as the key to the housing crisis, rather than repairing the housing that’s already been built.”

Monday, November 27, 2023 in Bloomberg CityLab

Young Professional

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban and Environmental Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban and Environmental Planner

Get top-rated, practical training for planners

"Planetizen federal action tracker" logo superimposed over black and white image of US Capitol dome.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

September 16, 2026 - Zachary Whalen

Overlapping highways

The state-sanctioned urbicide of Austin

People don’t kill cities. Freeways do.

September 8, 2026 - Benjamin Schneider

The Hoover Dam blocking the Colorado River. The river's water level is noticeably low. The cliffs surrounding the blue water are brown and jagged.

US to reduce Colorado River water deliveries to Mexico

A new Colorado Treaty amendment reduces Mexico’s Colorado River water allocation by 250,000 acre feet.

September 11, 2026 - The Arizona Republic

A cluster of wind turbines beneath a stormy sky, above a forest where the leaves are beginning to change colors.

5 New England states march closer to 800 megawatt wind energy project

Securing federal approval for the project may be complicated under the Trump administration, which has historically been hostile towards domestic wind power.

September 16 - Inside Climate News

People boarding a bus on Maryland's Orange Route.

Baltimore to break ground on $50 million Transit Priority Project

The project will bring faster bus trips, safer streets and better bike connections to Baltimore.

September 16 - Mass Transit

A brick building with a circular sign with the Airbnb logo hanging off of it.

Airbnb launches $250 million 'last-dollar financing' housing accelerator, makes first investment in Austin

The company will put $6.4 million towards affordable housing development in Texas’ capital.

September 16 - Smart Cities Dive

FREE Course: Walkable City 1: Why Walkability?

After describing his path towards focusing on walkability as the essence of good planning, Jeff Speck marches through his five principal reasons for making more walkable places.

Reinventing Malls: Planning Alchemy—Turning Gray Fields Into Gold

The course focuses on the opportunities and imperatives that shape reinvention of mall sites.