no third solution

Blogging about liberty, anarchy, economics and politics

The Costs of Healthcare

July 2nd, 2007

From The Economist, via InsuranceNewsNet.com:

A recent study concludes

[T]hat the overall benefit to society of $170 billion per year delivered by [medical torts; the Food and Drug Administration (FDA); insurance regulation; and the certification of both health professionals and health facilities] was far outweighed by the $339 billion in annual costs that it imposed. Even ignoring the cost of big federal tax breaks for employer-sponsored health insurance (which Mr Conover left out), his study estimated that the net cost of America’s health regulations resulted in perhaps 4,000 extra deaths each year and was responsible for more than 7m Americans’ lacking health insurance.

Just some food for thought…

Dictatorships: Because Unfreedom is Better

June 15th, 2007

Kevin Hassett’s conclusion in the current issue of TheAmerican suggests that democracy and economic prosperity do not go hand-in-hand, but instead, that dictatorships are better at fostering economic growth. (h/t: Brussels Journal) Now, I’m no defender of democracy. I see it as the flip-side of the dictatorship coin, but the historical record is enough to convince me that it is leaps and bounds better at fostering growth and prosperity than dictatorships of any sort – one need only look at the 1,000 year period of abject economic stagnation, between the fall of Rome and the Renaissance, and compare any of those monarchies to any of the lesser forms of filth that would follow in the 16th through 20th centuries. That said, Hasset’s assertion is strikingly idiotic:

So the future may look something like the 20th century in reverse. The unfree nations will grow so quickly that they will overwhelm free nations with their economic might. The unfree will see no reason to transition to democracy.

Meanwhile, democracies may copy many of the market-friendly policies of the dictatorships, but it seems unlikely that free citizens will choose to reduce their own political freedoms.

That sounds vaguely reminiscent of Kruschev’s “WE WILL CRUSH YOU!” outburst. I do not deny that these countries are growing. But I categorically reject the proposition that they can continue to grow at such a pace, and that they will “overwhelm” the already developed world with their might – economic or otherwise – if not for any other reasons than trade begets interdependency and creates wealth.

These economies that have an aggregate 250% over 15 years simply cannot continue to grow at such a pace indefinitely (the United States experienced similar growth – 235% during the post-WWII era, via EH.net). It is also important to note that the economies in question, particularly China, have seen vast trade liberalization in the last two decades. Some amount of real economc growth is to be expected – unlike the figures put out by the Soviets in the 1950s, which were mostly lies – although it is likely to be in the form of State- or crony-capitalism. Eventually these nations, too, will reach diminishing returns. What growth they are experiencing now is like slamming that RedBull in the morning, when you wake up sweating tequila. About five minutes of relief.

It is important to note that China’s economy is 21 times larger than either Singapore’s or Malaysia’s, 8 times larger than Saudi Arabia’s and 3 times larger than Russia’s. Korea (D.P.R.) is not even ranked. Look it up yourself. My best five-second guesstimate for the weighting scheme used would something like this:

pie.JPG
(source: data from World Bank, Excel wizardry: myself)

If China had leveled out at say, 3%, even if the other countries continued at 10% or so, the weighted average growth rate for these countries would be about 3.5% – still robust, but hardly spectacular. Clearly, as goes China, so goes the aggregate. Now, a good deal of China’s growth is real, if nonetheless fascist. And to some extent, her appetite for crude oil weighs significantly on Saudi Arabia’s growth. A further consideration is where these countries might be, and how fast they’d be growing if it were not for previously industrialized nations investing heavily within their borders. China’s growth is not endogeneous.

More importantly, China is not in the midst of a golden age that will never end.

Kill it with Regulation!

June 14th, 2007

Radical health-nazis, like the PNPH are quick to tell you that over 30% of every health-care dollar is spent on administrative costs, profits, and bureaucratic paperwork. Who knows whether this is appalling or not? Insurance is a tough business – about which most people don’t have a fucking clue. Fortunately, Presidential candidate John Edwards, has a “solution” to this “problem.” As potential Health-Care Kommandant, his vision of the future of the industry involves more ham-fisted regulation:

Three out of every $10 in insurance premiums now go to patient care and the rest goes to administrative costs and profits. I would require that to be 85%.

First things first: Do patients get $7 worth of care for $10 worth of premium – as per the PNPH, or do they only get $3, like Mr. Edwards claims? If what Mr. Edwards claims is factual, then it ought to be abundantly clear that only legislation and regulation can reduce an industry to such a level, and that no amount of additional regulation can rescue it. But if he’s wrong, and he almost certainly is wrong, Edwards is still asking them to halve their costs of doing business; from 30% to 15%.

That sounds noble enough, no?

Listen closely so I don’t have to repeat myself: if any of these companies could cut their costs in half, they wouldn’t need Johnny-boy to provide the impetus. The motive for profit will suffice, as it always has in the past.

The hardest of all costs to cut are administrative costs (do you want a person to answer the phone, or do you want an automated-phone-system), but in particular, compliance costs and regulatory burden, for which no process improvement is possible. It’s not like you can just write up your flow-chart, and decide which regulatory burdens you’re not going to care about this year, which ones you can axe, which ones can be streamlined, and which ones need improvement. These decisions are not up to the businesses who are merely trying to operate in a regulatory jungle; Mr Edwards would add another layer to the canopy that blots out the sun.

I’d suggest, as a first measure, removing 1/2 of all regulatory burdens placed on insurers and pharmaceutical companies. Let’s see how that shakes out, because, Mr Edwards, you can’t re-write the laws of economics.

no third solution

Blogging about liberty, anarchy, economics and politics