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Sunday, July 11, 2010

As the Private Sector Shrinks, the Public Sector Grows

I remember the liberal, and even Marxist, teachers and professors I had growing up who talked about how wonderful it was that Russia had "zero unemployment." "Zero unemployment," I thought, "that's amazing!" Little did I know then that the jobs many Soviets were doing was digging holes and refilling them, all at taxpayer expense. This approach of massive government control over private dollars did nothing but create a perennially stagnant and backward society and economy.

It appears that Barack Obama is taking a chapter out of the Soviets own handbook as he pursues a similar policy agenda in the United States. But unlike the Soviets, who saw the virtue of people "working" even if the jobs were worthless, this administration is paying people to simply live off the government.

Dennis Cauchon of USA Today points out that "Paychecks from private business shrank to their smallest share of personal income in U.S. history during the first quarter of this year, a USA TODAY analysis of government data finds." While the private sector's economic muscle was in decline, the government's was moving "full speed ahead." According to Cauchon, "At the same time, government-provided benefits — from Social Security, unemployment insurance, food stamps and other programs — rose to a record high during the first three months of 2010."

This crazy, upside economic world poses several problems for a free society. With all the incentives leaning towards idleness and all the losses in productive endeavors, the future looks dim. How will the growth of the public sector spending continue to expand with a rapidly shrinking private sector to support it? Candidate Obama pledged "no new taxes" for those who are affluent. In his strange world, that will be anyone with a job.

Cauchon's column also notes the findings of the Bureau of Economic Analysis, which "reports that individuals received income from all sources — wages, investments, food stamps, etc. — at a $12.2 trillion annual rate in the first quarter." What are the key changes as far as public and private sector? Cauchon's states that, in the private sector, there was a "record-low 41.9% of the nation's personal income (that) came from private wages and salaries in the first quarter, down from 44.6% when the recession began in December 2007." As this area shrunk, we saw a rise on the government side as "individuals got 17.9% of their income from government programs in the first quarter, up from 14.2% when the recession started. Programs for the elderly, the poor and the unemployed all grew in cost and importance. An additional 9.8% of personal income was paid as wages to government employees."

What is the future of an economy that shifts so heavily to government dependence? The first thing that should come to mind is Greece, as our debt ratio quickly approaches the same levels they have suffered from for the last few years and is now resulting in that country dealing with riots as the government cracks down on previously unchecked social spending. Even if it does not lead to a completely bankrupt economy, it will clearly lead to one that is, simply put, less dynamic. Cauchon quotes economist David Henderson of the Hoover Institution who says that this shift weakens an economy when the "People are paid for being rather than for producing," he says. The "sci-fi" world of Obamanomics continues.

The Neglected Areas in the Constitution due to a Government out of Control

I feel like a broken record, but the Constitution is explicit about what the federal government can and cannot do. Article I of that document lists seventeen powers that the federal government can do. The Tenth Amendment was designed to dismiss any notion that the federal government had broad powers beyond those laid out in Article I. The founders' agenda was clear -- very restrictive powers for the federal government and vast powers to the states and local governments. Thomas Jefferson may have summed it up best when he wrote in 1816 that "The way to have good and safe government, is not to trust it all to one, but to divide it among the many, distributing to every one exactly the function he is competent to. Let the National Government be entrusted with the defense of the nation and its foreign and federal relations; the State governments with the civil rights, laws, police, and administration of what concerns the State generally; the counties with the local concerns of the counties, and each ward direct the interests within itself. It is by dividing and subdividing these republics from the great national one down through all its subordinations, until it ends in the administration of every man's farm by himself; by placing under every one what his own eye may superintend, that all will be done for the best."

Instead of doing the things it is suppose to do, the federal government has pursued the role of being a panacea in all areas. It has abandoned the few -- but necessary -- elements of a strong government capable of keeping its people safe and free. There are areas in which we daily experience poor governing in several different areas in Article I, Section 8. This article will only focus on a few.

"To promote the progress of science and useful arts, by securing for limited times to authors and inventors the exclusive right to their respective writings and discoveries.." Charles Knobloch, who is a patent attorney in the Houston area (and a partner with the firm, Arnold & Knobloch) is a contributor onmy radio show. Knobloch has stated often on my program that intellectual property rights are among the most neglected areas of the Constitution. "Three years is the average length of time it now takes to get a patent processed," he noted on a recent program. In addition to failing to make the protection of intellectual property a timely process, the US has had a spotty record at best when it comes to defending US IP rights around the world. Intellectual property rights are crucial if you are going to enjoy increased technology, tools, medicines, entertainment, and more.

"To establish post offices and post roads..." Post Offices are on life support and the number of days they are even open or delivering are soon to be dramatically reduced. The federal government has failed to make this a truly competitive institution and its decline is now looked forward to with anticipation by many (if not most) that support the cause of free enterprise.

"To declare war, grant letters of marque and reprisal, and make rules concerning captures on land and water.." The founders never intended the US to become an international police force. Changes in a way foreign policy is conducted has lead to police actions and the deferring to the President powers historically required to be voted on by the legislative branch. The current approach of regularly deferring authority is cowardly and costly (both in dollars and lives). This is not to say that the US can afford to be isolationist and pretend it can be a "fortress America," but it does mean that the nation should choose its battles properly. One way that people will know a war is worth fighting is if Congress has the intestinal fortitude to vote for it.

"To coin money, regulate the value thereof, and of foreign coin, and fix the standard of weights and measures..." Essentially, Congress was responsible for our currency. Because of the genius of the founders, the federal government really had very little to spend on (for a complete list, see Article I, Section 8). Meanwhile, the states had huge powers in many areas, giving them the power to spend freely. But without the power to make money, they were limited in their expenditures. With such a situation, our government wisely made sure the currency was backed by precious metals and not the "good faith and credit" of a government out of control, as it is today. We had virtually no inflation from the end of the 18th century until the 1930s, because our dollar was honest and our expenditures were few. Now the government tries to monetize its irresponsible and unconstitutional expenditures and create a "tax" on all money through inflation.

We were given a very special national government. One that was small, but strong. Its purpose was well defined, its objectives were few, and its accomplishments, substantial. Again, quoting Jefferson, we enjoyed "A wise and frugal government, which shall leave men free to regulate their own pursuits of industry and improvement, and shall not take from the mouth of labor the bread it has earned - this is the sum of good government." We replaced this with a government that is out of control and does a poor job in virtually every area.

Will the US Government take over BP?

The Obama administration's imagination as to what the government should be doing is without limits. Obama, and those who surround him, seem to honestly believe that the government is the solution to most (if not all) problems. Over the last two years the government has taken over insurance companies, financial institutions, and even auto companies, so why not an energy company? Especially an energy company that is in the process of destroying our Gulf Coast. That is the exact argument being used by former Secretary of Labor (under Clinton) Robert Reich. Reich is also an adviser to President Barack Obama and is the administration's point person for promoting bizarre government agendas. In this situation, Reich is proposing a policy approach Hugo Chavez used in Venezuela of taking over foreign companies in order to meet "national interests." I wonder what BP and the United Kingdom will have to say about this.

Reich seems to be the official tester of strange ideas for the Administration. He comes out with odd policy approaches and writes articles or give speeches in order to see what type of reaction he gets. What a job, but he relishes it. A great example was his comments on the health care reform debate. While speaking at the University of California, Reich talked about what an "honest" politician would say when running for President, if "that candidate did not care about becoming president." Reich, acting as the "sound" leader stated, "Thank you so much for coming this afternoon. I'm so glad to see you and I would like to be president. Let me tell you a few things on health care. Look, we have the only health care system in the world that is designed to avoid sick people. And that's true and what I'm going to do is that I am going try to reorganize it to be more amenable to treating sick people but that means you, particularly you young people, particularly you young healthy people...you're going to have to pay more." This is definitely the case, especially if the government is going to be the one behind the "reorganization." This is also true if it is going to be a government run system, because the only hope for price containment is in competition and there will be none of that in a national health care program. He goes on to say, "By the way, we're going to have to, if you're very old, we're not going to give you all that technology and all those drugs for the last couple of years of your life to keep you maybe going for another couple of months. It's too expensive...so we're going to let you die." Finally he said "I'm going to use the bargaining leverage of the federal government in terms of Medicare, Medicaid---we already have a lot of bargaining leverage---to force drug companies and insurance companies and medical suppliers to reduce their costs. What that means, less innovation and that means less new products and less new drugs on the market which means you are probably not going to live much longer than your parents. Thank you." Nut job? Maybe, but he is also the typical policy type that comes from this administration.

People were not particularly surprised by Reich's speech on health care and I am beginning to question if they will be shocked by what he has to say about BP. In a recent article he wrote, "It's time for the federal government to put BP under temporary receivership, which gives the government authority to take over BP's operations in the Gulf of Mexico until the gusher is stopped. This is the only way the public will know what's going on, be confident enough resources are being put to stopping the gusher, ensure BP's strategy is correct, know the government has enough clout to force BP to use a different one if necessary, and be sure the President is ultimately in charge."

I believe that there is no role for the federal government to own any business. I also believe that it is extremely dangerous for the government to get in the business of taking companies that are from foreign countries. That has a certain "petty dictator" feel to it. I must say, I like Reich's use of the expression "temporary receivership." These words remind me of the late economist, Milton Friedman, who reminded us that "Nothing is so permanent than a temporary government program." A thought to ponder when we contemplate getting the government out of the many businesses it has found itself in.

"Extreme Measures" draws Attention to how Health Care is Improved

Recently my wife talked me into watching a little movie entitled "Extraordinary Measures," staring Brendan Fraser and Harrison Ford. The film had "made for TV" written all over, although the story is engaging and the lessons learned, significant. Fraser stars as a desperate father with two seriously ill children fighting for their lives. Ford plays a research scientist poised to make a significant discovery in the treatment of a terrible disease. It is inspired by a true story. The children in the story suffer from Pompe's disease, which, according to the film, those who get it as a child usually die in the 9th year. Pompe is an autosomal recessive metabolic disorder that attacks muscles and nerve cells through out the body.

My wife, Stacy, has a heart for these type of movies. We watched it quietly together and were inspired by the story. Fraser plays John Crowley, a biotechnology executive who works in the marketing side of the industry and, in the quest of saving his own children, partners with a scientist at the University of Nebraska who is on the edge of a breakthrough on treating Pompe. In order to do this, Crowley leaves a lucrative job with a major health care company in order to try and help his children. To do so he gives up a lucrative salary and will depend entirely on his entrepreneurial skills.

The movie is inspiring as Crowley first takes the developing treatment to a venture capital (VC) firm to convince them that it can significantly improve the quality of the lives of Pompe patients and that it is a worthy investment. Early stage development will require millions by the firm and assurances from Crowley that the therapy would be subject to Food and Drug Administration (FDA) review within 18 months. He has two children who are dying, so Crowley does not hesitate to agree to the terms and to make the science catch up later. In order to meet the 18 month deadline, Crowley and company hire a team of young scientists to work around the clock to get the drug ready. It becomes clear that, in spite of the amount invested and the huge amount of energy behind it, they would not meet the deadline without additional help. The VC firm then sales the development to a larger drug company and that is when things really begin to take off. With hundreds of millions of more dollars brought to the treatment, the drug finally gets a chance to face FDA review and to be used on actual patients. Meanwhile, Crowley's daughter has suffered a couple of near death experiences, so there was little time to spare.

The goal of a drug company is to have the most effective results, so the firm decides to limit the type of patient used in the tests to infants. No one under three would be allowed to participate. Furthermore, no employee would be allowed to have his or her child participate because it could undermine the objectivity required in pursuit of such science. This is devastating news for Crowley who is now a part of the company and his children are beyond the age of three. He is desperate -- even willing to steal the drugs in order to save his children. Fortunately he doesn not have to as the head of the research makes a pitch to do a "sibling" test as part of the program because it is so rare to have family members with this disorder, than the company fires Crowley to eliminate the conflict of interest.

In the end, the medicine is very successful in treating younger patients and even leads to many having completely normal lives outside the confines of wheel chairs and respirators. Crowley's own children see an end of the disease's progression and enjoy remarkable improvement. This is a real tearjerker.

I turned to my wife who was in tears and said, "that turned out to be a great movie." She agreed, even if she could not express that verbally. I then said, "You know what impressed me most?" She put together the words to say, "the power of love when parents want to save their children." I paused, but had to get my point out. "Yes, that too, but also the power of markets when it is capable of making money to improve the lives of others." Money, and the prospect of making more money, was behind the development of this drug each step of the way. She did not like it, but that is the most important lesson of this movie for me in the times we live in. More than 90 percent of all health care drugs and treatments come from the United States. It isn't because we have more "love," it is because we have more incentives. And, as we see in the movie, "Extreme Measures," incentives really do matter.

Obama Boasts about Jobs Created by Census

I grew up in Detroit, Michigan and left that city when I was 13 years old. It was bad then. The common joke among "Michiganders" that "flew" South in search of jobs and opportunities is that we hoped that "the last person who leaves turns the lights out." That was back in the 1970s and the situation is even worse now. With unemployment at more than 20 percent, the actual population is now less than 1 million people. In fact, it is roughly half the size it was around 60 years ago. It no longer benefits from government programs designed for large cities and the situation is so bad that they are literally tearing down complete neighborhoods in order to reduce crime and make room for other "opportunities," whatever those end up being. In that city's current tax, regulatory, and labor environment, it is not likely to attract anything except more of the crime that has made it a wasteland.

Cleveland, Ohio is another city following a similar path as Detroit. Over the last year I have become friends with a gentleman named Mark Pogue who has been without a job for two years and is seriously looking at moving South in order to create opportunities for his family. He is like many from that once great city that have no choice, but to leave. If Cleveland, Detroit, and other one time great cities on the Midwest want to improve in the furture, they will have to figure out how to get people to stay there.

Cleveland has always been a blue collar, hard working, town. Although it has never been particularly glamorous, it had been very successful as it employed and took care of families that came there for opportunities for generations. Now it is a city on life support and Nick Gillespie of Reason.comsuggests that saving that town entails keeping the population.

When a chamber of commerce discusses a town's success on websites and brochures, one of the things they use to measure a city's success is its population growth. Gillespie points out that the numbers are not very good for Cleveland. It has experienced a decline that is very similar to Detroit, as the town has gone from almost 1 million residents in the 1950s to less than half of that today.

Yet, Cleveland is not without hope. It was not that long ago that it was a town enjoying renewal. The downtown area enjoyed enormous redevelopment (largely government driven and, therefore, expensive on taxpayers) and was becoming a cultural hot spot with a new sports stadium and the creation of the Rock and Roll Hall of Fame. But let's face it, jobs, not culture, keep cities rich in people. As a result, much of the older venues in the city are ugly reminders of how great it use to be and newer buildings are becoming monuments to the false promises of politicians who told the people that Cleveland was poised for a comeback. Millions of dollars from taxpayers were extracted from activities that make economies grow to things that get politicians reelected and fixed for life. Gillespie calls them "sweetheart deals" that demonstrate disdain towards the real needs of the public.

So how do you revive a city like Cleveland? Gillespie suggests that, since the problems of the city exists on several fronts, so should the solutions. Cleveland needs to lower the cost of government services, anything that can be done by private companies through competitive bidding should happen immediately. When you think of the high cost of government employees versus private ones, this would immediately drive costs down. This competitive attitude should be seen in the way young people are educated. The city should explore charter schools and other "choice" options on a large scale to attract people who will want their children in Cleveland's schools. Cleveland should aggressively lower its tax rates as much as possible to be more competitive to other cities that might be interested in relocating and it should reform regulations to make the city more friendly to entrepreneurs. Saving Cleveland will happen from the ground up, not the government down. Policymakers need to operate from that simple premise.

Cleveland's Plight is Familiar Story

I grew up in Detroit, Michigan and left that city when I was 13 years old. It was bad then. The common joke among "Michiganders" that "flew" South in search of jobs and opportunities is that we hoped that "the last person who leaves turns the lights out." That was back in the 1970s and the situation is even worse now. With unemployment at more than 20 percent, the actual population is now less than 1 million people. In fact, it is roughly half the size it was around 60 years ago. It no longer benefits from government programs designed for large cities and the situation is so bad that they are literally tearing down complete neighborhoods in order to reduce crime and make room for other "opportunities," whatever those end up being. In that city's current tax, regulatory, and labor environment, it is not likely to attract anything except more of the crime that has made it a wasteland.

Cleveland, Ohio is another city following a similar path as Detroit. Over the last year I have become friends with a gentleman named Mark Pogue who has been without a job for two years and is seriously looking at moving South in order to create opportunities for his family. He is like many from that once great city that have no choice, but to leave. If Cleveland, Detroit, and other one time great cities on the Midwest want to improve in the furture, they will have to figure out how to get people to stay there.

Cleveland has always been a blue collar, hard working, town. Although it has never been particularly glamorous, it had been very successful as it employed and took care of families that came there for opportunities for generations. Now it is a city on life support and Nick Gillespie of Reason.comsuggests that saving that town entails keeping the population.

When a chamber of commerce discusses a town's success on websites and brochures, one of the things they use to measure a city's success is its population growth. Gillespie points out that the numbers are not very good for Cleveland. It has experienced a decline that is very similar to Detroit, as the town has gone from almost 1 million residents in the 1950s to less than half of that today.

Yet, Cleveland is not without hope. It was not that long ago that it was a town enjoying renewal. The downtown area enjoyed enormous redevelopment (largely government driven and, therefore, expensive on taxpayers) and was becoming a cultural hot spot with a new sports stadium and the creation of the Rock and Roll Hall of Fame. But let's face it, jobs, not culture, keep cities rich in people. As a result, much of the older venues in the city are ugly reminders of how great it use to be and newer buildings are becoming monuments to the false promises of politicians who told the people that Cleveland was poised for a comeback. Millions of dollars from taxpayers were extracted from activities that make economies grow to things that get politicians reelected and fixed for life. Gillespie calls them "sweetheart deals" that demonstrate disdain towards the real needs of the public.

So how do you revive a city like Cleveland? Gillespie suggests that, since the problems of the city exists on several fronts, so should the solutions. Cleveland needs to lower the cost of government services, anything that can be done by private companies through competitive bidding should happen immediately. When you think of the high cost of government employees versus private ones, this would immediately drive costs down. This competitive attitude should be seen in the way young people are educated. The city should explore charter schools and other "choice" options on a large scale to attract people who will want their children in Cleveland's schools. Cleveland should aggressively lower its tax rates as much as possible to be more competitive to other cities that might be interested in relocating and it should reform regulations to make the city more friendly to entrepreneurs. Saving Cleveland will happen from the ground up, not the government down. Policymakers need to operate from that simple premise.

Economics 101: The Left's Refusal to Embrace Reality

I am always shocked by the type of policy proposals that come from the political left. As a rule, the left completely disregards the ability of humans to respond to policy in a protective manner -- be it taxation, regulation, or licensure laws. The way individuals and businesses protect themselves is usually in a manner that does harm to the larger economy. For example, when the minimum wage goes up, unemployment always goes up for the very groups such a policy is "intended" to help -- young people and minorities. The law is suppose to increase the quality of life for these low income earners, the result is less jobs, which means there is no benefit at all.

A recent article in the Wall Street Journal by Daniel Klein begins to shed some light on the real reason there is a distance between liberal policies and reality. .The column discusses the results of a simple economics test among people of different ideological perspectives and it shows a huge disconnect among liberals when it comes to the logical consequences of certain public policies.

The article asks the reader to "Consider one of the economic propositions in" a "December 2008 poll: "Restrictions on housing development make housing less affordable." People were asked if they: 1) strongly agree; 2) somewhat agree; 3) somewhat disagree; 4) strongly disagree; 5) are not sure. Basic economics acknowledges that whatever redeeming features a restriction may have, it increases the cost of production and exchange, making goods and services less affordable. There may be exceptions to the general case, but they would be atypical. Therefore, we counted as incorrect responses of 'somewhat disagree' and 'strongly disagree.' This treatment gives leeway for those who think the question is ambiguous or half right and half wrong. They would likely answer 'not sure,' which we do not count as incorrect. In this case, percentage of conservatives answering incorrectly was 22.3%, very conservatives 17.6% and libertarians 15.7%. But the percentage of progressive/very liberals answering incorrectly was 67.6% and liberals 60.1%. The pattern was not an anomaly."

It would be nice if the above was an exception, but these answers epitomize liberal thinking when it comes to the link between policy and consequences.

Klein points out a trend through exploring other questions. 1) Mandatory licensing of professional services increases the prices of those services (unenlightened answer: disagree). 2) Overall, the standard of living is higher today than it was 30 years ago (unenlightened answer: disagree). 3) Rent control leads to housing shortages (unenlightened answer: disagree). 4) A company with the largest market share is a monopoly (unenlightened answer: agree). 5) Third World workers working for American companies overseas are being exploited (unenlightened answer: agree). 6) Free trade leads to unemployment (unenlightened answer: agree). 7) Minimum wage laws raise unemployment (unenlightened answer: disagree)...How did the six ideological groups do overall? Here they are, best to worst, with an average number of incorrect responses from 0 to 8: Very conservative, 1.30; Libertarian, 1.38; Conservative, 1.67; Moderate, 3.67; Liberal, 4.69; Progressive/very liberal, 5.26."

How big was the gap between those with a free market philosophy and those who support excessive government action? Klein notes, "Yet on every question the left did much worse. On the monopoly question, the portion of progressive/very liberals answering incorrectly (31%) was more than twice that of conservatives (13%) and more than four times that of libertarians (7%). On the question about living standards, the portion of progressive/very liberals answering incorrectly (61%) was more than four times that of conservatives (13%) and almost three times that of libertarians (21%)."

When I look at the gap between the left and those who support a view grounded on liberty, the psychologist inside of me wants to come out. I want to evaluate the political left and determine why the link between policy and consequences is not there. It could be they make decisions that are emotional and with little regard to logic. The desire to take away economic and social problems through mandates seem wonderful on the surface, but they do not happen in reality. It is interesting that the left, which seems to make decisions based on emotions, does not understand the role emotions play when it comes to bad policies. Liberals think people are like trees, if they are attacked they will obediently comply. In reality, when people or businesses are attacked by harmful policies, they fight or take flight. Because of this reality jobs disappear (with higher minimum wage), businesses close (because of excessive regulations), and people suffer from policies that simply do not work in the real world.

Saturday, July 03, 2010

The Uninsured and Emergency Rooms

Rarely would one expect to find anything interesting from an agency called the National Center for Health Statistics (NCHS), but a report on how emergency rooms are used and by types of groups is creating quite the stir among advocates of government health care and ammunition for opponents of socialized medicine. NCHS is the nation's primary health statistics agency and its new report suggests that the perception of our emergency rooms being dominated by the uninsured is based more on fiction and propaganda than on fact and reality.

The prominent use of the emergency room by the uninsured was one of the most frequently heard arguments for the President's socialized medicine program. Since people know they can get treatment there without paying immediately (if at all), they would fill up the room regardless of how small the need. The argument goes on that this care costs so much more and when done for non-emergency needs, it creates a disruption of care for those who really need emergency treatment. Devon M. Herrick, a health economist and senior fellow at the National Center for Policy Analysis, believes the data from the NCHS paints a very different picture.

So who are the biggest users, those most likely to misuse, and even abusers of emergency rooms? According to NCH,S it is a group that already has government health care...individuals in the Medicaid system. Here are some other findings:

  • Approximately 32 percent of these Medicaid enrollees used the emergency room at least once during a 12 month period in 2007. Meanwhile, those with private health insurance were only about half as likely (17 percent) to go to an ER, and a similar number (around 20 percent) of the uninsured did the same in that time frame.
  • Medicaid enrollees were three times more likely than those with private insurance and twice as likely as those who are uninsured to go to the ER twice in that past year.
  • There are approximately 120 million ER visits made in the United States each year. These make up approximately 11 percent of all ambulatory visits.

One thing that there is little debate among health care professionals is that many of these 120 million ER visits could be better handled in other environments (such as a doctor's office, emergency clinics, etc.). Dr. Stephen Nichols, a regional medical officer for Schumacher Group, says "In general, 5 percent to 25 percent of patients who visit an emergency department in a community hospital have non-urgent complaints that could easily have been addressed in an outpatient setting," The Schumacher Group contracts for emergency department services at community hospitals.

The Heartland Institute in its report on the uninsured and their use of emergency rooms, quotes Dr. John Dunn, an emergency room specialist from Brownwood, Texas who noted that "Thirty percent to forty percent are emergencies or urgent care and deserve treatment within a reasonable time. But it is care that could be seen to in an urgent care clinic or a well-equipped office, though the patients probably are better off in the emergency department."

Why are Medicaid patients the most likely to use the ER in a less responsible manner? It simply comes down to the economic way of thinking. People with private insurance pay significantly more in co-pays for using an emergency room over a clinic or doctor's office. Therefore, avoiding the Emergency Room makes economic sense to them as consumers. Obamacare will essentially have all Americans treated similarly to the current Medicare patients. As a result, one can expect ER abuse to explode once socialized medicine goes fully into effect. This NCHS study not only weakens the argument for socialized medicine, but would be a devastating blow if facts still mattered in public policy debates.

How Would Federalism Work?

"Restoring the Constitution" is a phrase that is catching on with people. So is "federalism" as people lament a national government that has become out of control and is spiraling our nation into a downfall. But many also wonder what, exactly, do these concepts mean?

Many have dropped the term "conservative" altogether, because there is really very little left to "conserve" these days. Taxes, regulation, and spending are out of control and the other institutions that have supported our liberties are either being abused or are in decline. The US is on the fast track towards socialism. We need a different paradigm to put our nation back on track. That is where the term "restoration" comes to mind. The United States has lost sight of the things that have made it the most free and prosperous country in the history of the world.

To "restore the Constitution," we would have to review at the things the government can and cannot do according to our founding document. Article I, Section 8 lists the seventeen powers specifically enumerated to the federal government. All of these things are important and the government's function in these areas was suppose to be strong, in order to protect the liberties of every American. Some of the things allowed include standard weights and measures, coining money, post offices and post roads, the protection of intellectual property, and a national defense. Beyond these and a few other very specific items, there was not much for which the federal government was responsible.

So how did new medicines get regulated? How would certain industries be licensed? What about the many other things done today by the federal government, who would do them? This is where we get to the idea of "federalism." You see how it was designed to work clearly in the Tenth Amendment of the Constitution: "The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people." That word, reserved, speaks of exclusivity. This was not a preferential view of public policy ("it would be best if the states and people took care of these things"), but a mandate (if it is not listed in the US Constitution, it is for the states and the people).

The vast majority of regulations that exist through out state governments came into place from states watching the works of one another. With the many states, our country had a vibrant laboratory with new ideas being brought to the surface and each state emulated those laws that worked best. This system worked very well. As the rest of Western civilization largely limped through the 19th Century with stagnant economies and governments in excess, the US was a vibrant powerhouse that focused on industry and innovation. Government did not get in the way, but largely cleared the way for progress.

The ideas behind this system are both simple and profound. The state governments had virtually unlimited powers, but limited amounts of money. It could not "print money" to fund its programs, because only the federal government had the power to do such. On the other hand, the federal government only had 17 powers and it had no reason to use inflation as a vehicle to fund its programs. This contributed to the value of the US dollar remaining constant from the era of the founding until the early part of the 20th century (during the New Deal we began to devalue our currency to pay for "extra Constitutional" or unconstitutional government programs).

Money was not the only restraint put on the states, but also good old fashion competition. If any one state became too excessive in its regulations, taxation, generosity in social spending, or in any other way, people could (and would) vote with their feet to go to places with more fiscally responsible environments. During the early 19th century, the Whig Party's "internal improvements" program (very similar to earmarks today) had a devastating effect of state budgets around the country and led to massive migrations nation wide because of the high taxes that followed. In no time every state, except for Massachusetts, had prohibitions against such programs placed in their constitutions. Since people could leave states because of policies that were economically harmful, all states tended to demonstrate much more restraint in their spending and regulations, which led to greater prosperity for the nation as a whole.

Federalism works. It is in decline today only because of the appetite of the federal government. The national failures seen through out the federal government today -- inflationary monetary policies, unemployment out of control, and a debt growing exponentially -- are all very eloquent arguments for restoring both the Constitution and federalism.

Friday, July 02, 2010

Obama Seeks Another Bailout

In early 2009 the Obama administration informed us that, without more subsidies, the US would see unemployment of eight percent. In a little over a year the government has spent trillions of dollars in bailouts and unemployment is now at ten percent. Furthermore, there is no sign of relief in sight. With that, Obama is trying to do what he does best...ask for more bailout dollars.

FoxNews.com reports that "Congressional leaders received a letter from the president asking for almost $50 billion for distribution to state and local governments, saying that increased spending is 'urgent and unavoidable,' the (Washington) Post reported. The money would protect the jobs of teachers, police and fire fighters. 'Because the urgency is high-many school districts, cities and states are already being forced to make these layoffs,' Obama wrote, 'these provisions must be passed as quickly as possible.'"

Many clichés come to mind when you see this scenario. With a Bush bailout, Obama plan, and now this current effort, one thinks of "three strikes and your out," or "third time's a charm," but I think the most accurate might be that the "definition of insanity is to do the same things over and over again, expecting different results."

Instead of pursuing more government dollars, the administration should learn the lessons of these type of expenditures to date:

  • Bailouts of industries actually have an adverse effect on business behavior. For example, there is a growing view that government bailouts of banks have made them less likely to give loans, since such money came with numerous strings (which include prohibitions for some loans, regulations, etc.) and other factors that make lending less attractive. Generally speaking, the amount of loans generated has seen very few changes since the bailout of 2008 or any of the other actions since then.
  • The reason public employment is particularly vulnerable is because these jobs cannot support themselves without more tax dollars. They are not self sustaining. When Obama did his little dog and pony show in 2009, in which he had photo opportunities in front of law enforcement officials in cities around the country, many economists, pundits, and writers warned that such was unsustainable without more tax dollars. Proof is in Obama's new request for another $50 billion dollars.
  • Real job creation is sustained through tax, regulatory, and market environments that encourage such. Lower corporate tax rates or lower rates on anything that can stimulate economic activity, leads to employment that is self sustaining. In fact, these jobs lead to the creation of more employment through the engine of free enterprise. Every one of these type of jobs that are created are through voluntary exchanges and not the government confiscation of wealth.
  • One of the reasons unemployment is so high is because every time the government pursues bailouts, there is a destabilizing impact on the business environment. These bailouts do not happen in a vacuum as businesses ponder future tax increases, inflation for printed money to pay for such programs, new regulations and conditions that come from the bailouts, and other issues that hinder -- rather than spur -- economic growth and job creation. These bailout foster more caution rather than spontaneous economic activity.

Real economic growth comes from having the lowest corporate taxes in the industrial world (instead of the second highest, like it is today). The government should also create a regulatory environment that is competitive (in terms of ease of doing business) with any other industrialized country. Business should be allowed to face the negative consequences of failure (and enjoy the restoration of moral hazard) in order to encourage companies to behave more efficiently. Finally, the government should provide incentives to work rather than be dependent on the government. Such steps would actually make it possible for Obama to increase the revenue coffers, rather than ask for more money that is simply not there.

The Next Major Financial Concern Could be College Tuition

For decades the cost of college has roughly been double or even triple the pace of inflation. The increases in recent years have been so fast and high, many are concerned that we are about to witness another bubble in America similar to the housing one that we have yet to fully recover. Recently, I saw from theNational Center for Policy Analysis (NCPA and they quote extensively, Naked Law) that there are many indicators that this bubble is about to burst.

  • The cost of going to college is now doubling every nine years, on average, because there are typically eight percent increases each year.
  • Because the government has made it extremely easy for students to get money (and even "more money" in increases) thanks to the government, supportive parents and immediate gratification, colleges have made frequent tuition hikes their primary vehicle for solving their money problems. While fund raising has flatlined and investments have plummeted, students have quietly turned over more and more money to Uncle Sam.

Students are accomplishing this expensive right of passage called college by borrowing more now than ever in the history of higher learning. In fact, according to NCPA, the number of students who graduate with over $25,000 in debt has tripled in the last decade alone. Furthermore, 2/3rds of today's college students borrow money to pay for college and they take on a debt of $23,165 on average.

Some of the behaviors being deployed by for-profit colleges in their quest for dollars are disturbing. Some have gone so far as to paying homeless people to take out federal loans to enroll with no intention of attending. These loans are very easy to acquire because of the government's backing, clever schools are getting these people to enroll and giving them 10 percent of the action. In the end, what you have, is a $20,000 loan paid to the school and a $2,000 "stipend" for the homeless person -- thanks to the generosity of the federal government in the form of tuition payments.

Colleges and universities are continuously arguing that they "need more dollars." Yet it appears that these institutions have spending problems that are similar to the government's. This is seen in the fact that university presidents have a salary that is sky high, while we have a historically weak economy. USA Today has reported that 23 presidents of private colleges made more than $1 million in 2008, while 110 more made over $500,000. This is a new phenomenon, linked to the "trough" mentality pervasive in these schools in the way they look at the federal government. As of 2002, there were no "million dollar" university presidents.

Higher education is a perfect example of government out of control and how public dollars artificially increase demand and leads to enormous waste without accountability. Market sensibilities need to be brought to colleges and universities today.