This is why I think the article whiffs on something important, in the section where he asks "If we can code quickly and cheaply, what is the new constraint?"
And people wonder why Luigi Mangione had such wide appeal for so many people. It's not that what he chose to do was morally right (personally I dont condone it at all), more that he represented someone trying to do something about the disease you mention.
Energy. The new constraint is energy.