Fighting the Good Fight

Yesterday on Brazen Careerist, a sensational article on class warfare popped up. I offered my two cents there, but I thought the topic was important enough to highlight further and keep the conversation going. My comment didn't so much dive into the topic of class warfare as much as it dealt with my ideas about how to solve the problems ancillary to it: unfair and complex tax code, inefficiency of socialized programs, lack of competition. The free market offers solutions that can be applied to government, but legislation rarely takes into consideration those mechanisms. Here is the comment, and I'd love to keep the conversation going here. (Mostly because I have no time to post anything else as I'm writing a paper on the failures of Medicare...I have a lot of posts in the wings, so stay tuned...)

To Brazen Careerist's Tim Weaver:

My main contention is not that I oppose paying taxes.
Furthermore, I don't loathe all socialized programs, per say, but their bloated cost structures and inefficient execution. I have indicated numerous times I support a flat tax to fund public spending (around 15-17%) with anyone earning under approx. $40,000/yr. be exempt, and possibly include a graded tax introduction for the beginning brackets. (eg - $40,001 pays 5%, $50,000 pays 10%, etc.) Basic arithmetic shows us that under such a system, the richer you are the more you will naturally pay out in taxes. This solution could hardly be argued "unfair."

The other concern is that ever-increasing taxes are paradoxically resulting in ever-decreasing efficiency and satisfaction with results of socialized programs. There is ample evidence many social programs are failing. You would not find me complaining about socialized medicine if it were demonstrated to be successful, but the reality is that increased expenditures have not led to proportionately higher quality care or standards. This is a paradox unlike most other areas where increased expenditures over time generally lead to reduced costs, higher quality, and better outcomes. Eg, computers, telephones, electronics, automobiles.

Milton Friedman describes this phenomenon, “Some years ago, the British physician Max Gammon, after an extensive study of the British system of socialized medicine, formulated what he called "the theory of bureaucratic displacement." He observed that in "a bureaucratic system . . . increase in expenditure will be matched by fall in production. . . . Such systems will act rather like ‘black holes,’ in the economic universe, simultaneously sucking in resources, and shrinking in terms of ‘emitted production.’" Gammon’s observations for the British system have their exact parallel in the partly socialized U.S. medical system. Here, too, input has been going up sharply relative to output. This tendency can be documented particularly clearly for hospitals, thanks to the availability of high-quality data for a long period.” (Friedman, Hoover.org)

A tax system that is paired with entitlements rather than budgets is doomed to failure. Eligibilty for programs are increasing, and those who have the means to provide funding are disappearing as they join the ranks of the recipients, or direct
their money outside our tax system. I fully support a fixed, flat tax collection, and using whatever taxes are gathered to fit within a budget. Excessive deficit spending cannot be tolerated and supported by tax payers for long without completely bankrupting a country.

The points I bring up cannot be ignored in any rational conversation. Solutions must at least consider that socialized programs are failing, and increasing funding without some kind of accountability and competition mechanisms will not improve them. There is nothing that prohibits the government from competing with private organizations to provide service with the exception of their own legislation. A great example occurred in Arizona with garbage collection. The public works dept. was
ineffectual at collecting garbage in a timely and complete manner. Private companies were sought to replace the public system. However, instead of fully privatizing collection, the government was allowed to compete, on an equal level for procuring the services. Over a period of years, the public department won the contract back (I don't know if subsidy was involved, but if it was, that could have been a large factor) but the overall point is that competition does not have to be relegated to the private sector. If the government were allowed to compete and be held accountable, I maintain we'd see far better performance from them.

13 Comments:

  1. I also threw in my 2 cents worth, but I tend to avoid posts and articles that become flame wars (as Tim's tend to). And I agree with many of the root causes that you list (inefficency being offender #1), but I disagree that a free market approach would correct it. The product / consumer model doesn't take into account individual people.
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  2. Hello, I stumbled upon this site in my quest to find local Tweeters. I liked the content I saw on this site and I have bookmarked it.

    Now, my question to you is, do you really feel that on a Federal level that social programs should exist? I mean, every region is different, so we cannot expect the same socialized program to work for each are efficiently. People are fatter in Detroit than Scottsdale, AZ or Seattle, WA. It wouldn't be fair to assume that the cost to treat their citizens should be the same.
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  3. Aye, the failing social programs. What is your definition of failing? Do they have something to do with inadequate funding? I think so. But I agree there has to be accountability. That applies to both the public and the private sectors.

    Suppose we eliminate Medicare and Medicaid completely. Are companies going to step in and insure a portion of the marketplace that is unlikely to yield them profit, and in fact will probably cost them money? (High risk patients with pre-existing conditions.)

    How would you convince them to fill this void? How can you get the market to provide assistance when it is not in their financial interest to do so?
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  4. @norcross - can you elaborate on what you mean by the product/consumer model?

    @gamalam - You bring up a great question, and you are correct, it isn't fair to assume costs should treat citizens should be the same. I think some tax redistribution already takes that into account, for example, Medicare is controlled jointly through the federal and state governments. I'm assuming states with more health problems get more funding, but I cannot verify that...

    Do I feel on a Federal level that social programs should exist? Sure, with limitations. For example, if defense were provided by state, it could lead to some real slipshod coordination efforts, it is far more efficient for the Feds to control it.

    I'm not sure if you were exactly alluding to this, but I would absolutely LOVE it if the tax code allowed for more "personalization" of where our dollars go. I'd be a lot happier sending my check in if I got to say how it was divided up - or even a portion of it was my "fun" money. I might set aside 20% to the arts. I mean, if they are going to have a bunch of govt.-sponsored programs, at least let us pick the ones we like, huh? Anyone who doesn't feel like choosing can let the government handle the allocation. That would let legislators know what really matters to their constituents.
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  5. P.S. I find it hilarious that you've added Econ 101 to your subheading here. As I recall, your original blogging had very little to do with economics. Is the election getting to you? Or do you feel compelled to teach liberal pansies on BC a thing or two about economics?
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  6. @tim - good to see you here. No, I'm studying economics in my masters degree, which I began two years ago. I never talked about it in the past because it was too closely related to what I did professionally and I felt blogging about econ and finance would present a conflict of interest with my employer. Now that I quit my job, the reins have been cut and I get to blog about econ with wild abandon.

    My definition of inadequate: ever-increasing funding with decreasing satisfaction and results.
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  7. @milena - I hear you wholeheartedly on the concept of more in the personalization department as to where our taxes are appropriated. As a person who believes that humans will do what's right for them and theirs most of the time if socialized correctly, I don't think government types should worry that our money would go to the right places. If anything, we'd put the money exactly where we really need it!

    I am definitely of the mind that the only thing that should be assumed at the Federal level is the military, including the subset of National Guard that's divvied at the state level. Heck, add on police. Police forces should all get the same training; even though, they should receive some kind of local sensibility training for better customer service.
    I do not really support Federal control of social programs. I think that the top-tier control has stymied the priorities that state and local levels should be focusing on.
    It's obvious that we are losing the intellectual race internationally, but we're complaining about health care and money for folks who are too old to work. Less money goes to education with no push for parents to start assuming more responsibility for the intellectual aptitude of their own children. It's crazy really.

    I could go on and on about this. Great blog. It's good to see more talk on things that should matter more - you and yours. It's great to see other "liberals" (lowercase "l") or libertarians on the internet.
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  8. @gamalam - I too am glad to see some more liberals in this neck of the woods! I tell people I'm a classical liberal and to Google it...

    Like I said, I have my ideal philosophy, which jives a lot with what you are saying, but the more I study politics and economics, I'm realizing the game cannot be played with ideals, sadly. So, I try to think of ideas that can match the best of both worlds - like if you are going to take my taxes, at least let me decide...or give the public garbage collection some competition...that cannot hurt. Any move towards the classical liberal ideals is a victory in my book...

    Thanks for sharing your thoughts and keep coming back!
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  9. @milena I definitely understand what you mean. I studied International Relations as an undergrad and 9/11 happened during my senior year. It was then that I realized that the theoretical applications that my peers and myself would have proffered would never have been accepted.

    I don't doubt it's any different when it comes to economics.

    Like I said, I bookmarked this site. You'll be seeing me around!
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  10. Milena- couldn't help but notice that you missed my original question-

    If we do away with medicare and medicaid (bloated, inefficient social programs) how will the market step in and fill the void?

    What about patients that are difficult to insure like those with pre-existing conditions? Can the market meet their needs as well, and how?
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  11. @Tim - the questions you ask should not be ignored, so you need to understand I’m not ignoring them, but they require beginning at premises and going into depth that I simply don’t have time to go into right now. The solution, “Let the government provide care and insurance” sounds great, but it will fail in the long-term.


    Your question: if we do away with Medicare/caid how will the market step in and fill the void?

    I don't think brooming Medicare right away is an option - you cannot leave everyone currently covered in the lurch, but you can begin to make reforms towards a market-oriented system. I’m writing an extensive paper on this very topic, which is part of the reason I wasn’t able to answer all your questions. I’ll send it to you once I turn it in if you are interested. It should answer all your questions to me.

    How the market works: people want health care and health insurance, companies provide those goods, they decide on a price.

    Will people with pre-existing conditions be denied insurance (not care) or charged high premiums? Yes. Is that fair? No, life is unfair. Are there ways we can help our fellow man without the government, and should we feel a moral imperative to do so? Yes.

    Don't get me wrong, I still believe in providing assistance to the most destitute, but that is not who we are covering. We are going far beyond that. Also, looking at the numbers, there are some huge problems going forward. Our aging population is increasing and our young productive generation is decreasing in comparison. Do the math. All signs point to the old models of tax and spend failing us, so the solution is not to do more of it.

    Like I said in my original comment to you: we need competition and transparency in these socialized programs, if nothing else. The government cannot be allowed to pilfer our paychecks with horrid results. It should not be tolerated.

    I'm more curious as to why you look at the programs and are hungry for more? They don't work. The more money we throw at them, the worse off we become. To illustrate, in 1965 when Medicare was first introduced, it was projected to cost $9 billion by 1990. The real number? $66 billion. Going forward? We are looking at doubling the spending from 2005 levels by 2013.

    Unsustainable.
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  12. Milena- I am agreeing that the programs don't work- but I don't see it as a problem of them being too expensive.

    If you really want to get technical, our entire lifestyle is completely unsustainable. Paper money, over a long enough time-line, always returns to its intrinsic value of zero. The government has kept piling on to the debt from Nixon on down the line and we have pardoned them and encouraged more of it by continuing to elect them.

    If there is still hope to salvage the ship before we hit a global depression, it comes through independent candidates and a LOT more transparency. Unfortunately, I fear it's already too late.

    Now the really terrifying part about this is- the one cornerstone of our economy that is not going to be hurt by all of this is the weapons industry. The quickest way to get out of this mess is to start a real war. None of this picking on oil rich middle eastern nations sh*te- a REAL war.

    Much as I loathe to admit it- the only way to prevent this would have been hardcore fiscal conservatives running things since the end of WW2 to cut back the military budget. But the Republican Party sent them to the corner of the room with a dunce cap on a long time ago...
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  13. @Tim -

    Sure, paper money may become zero, but that simply means there would be some other more highly-valued medium for exchange, it doesn't mean exchange itself becomes obsolete.

    That's why when you see hyperinflation, (valueless paper money) you see a flight to consumer goods. People will start buying up tvs, iPods, (if they can't afford gold and silver) in order to have something tangible to exchange. (See post WWII Germany)

    Hehe, as for the weapons industry, you are absolutely right. If you ask me, forget buying gold, and buy bullets. It's every man for himself. We're on the brink of the Wild West for sure. : )

    A note on the military budget, at least as of 2005, it was more than halved from 1965 levels, so that is a significant reduction, even w/ the Reagan increases...that's as a percentage of total federal budget, not dollar figures. I'd be interested to know what the spending was post-WWII...do you know?
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I'm curious to see what you are thinking...