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Misunderstood reasons

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Greg Anrig has misunderstood the reasons “Why Right Wing Ideas Keep Failing.” The first reason is that many proposals to change government policy have not been adequately thought through before implementation. The second reason is that the only policies evaluated in the book were proposed by the right; because the left has not made any broadly appealing policy proposals for over 30 years.

I will not comment in detail on the material in the book through chapter 5 for several reasons:

Cato and I have been critical of almost every major policy initiative by the current Bush administration. Anrig is profoundly wrong to conclude that “the Bush administration that most (movement conservatives) are now so hostile toward has largely followed their game plan.” Bush abandoned both his own campaign commitment to a “humble” foreign policy and the traditional Republican commitment to fiscal restraint. The Iraq war is the first war in which the ground combat lasted for more than a few days that was initiated by a Republican president in more than a century. Bush proposed the No Child Left Behind act only a few years after the 1995 Republican Contract with America proposed eliminating the Department of Education, broadening Medicare coverage to include prescription drugs will prove very expensive, etc.

I was apparently the first to document that “Starve the Beast” does not work.

The objective of the reduction of federal income tax rates, starting with the reduction of the capital gains rate approved by the Democratic Congress in 1978, was to increase economic growth, not to redistribute income to the rich. In fact, the upper half of the income distribution pays about 96 percent of federal income tax revenues after all the tax rate cuts.

I have been personally critical of the TABOR-like state tax limits.

The most irritating theme of the book is the ad hominem argument that right-wing policy proposals should be dismissed because some of the major “sponsors of the right-wing ideas industry” have family roots in the John Birch Society. I do not know who are the major sponsors of the Century Foundation nor do I care. The policy analyses and proposals of the Century Foundation should be evaluated on their own merits, which, based on the Anrig book, have yet to be demonstrated.


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Wow. This is not the forum to come in with "The upper half of the income distribution pays about 96 percent..."

That's to be expected, after all. Because the lower half is freaking poor.

Here's what you're trying to avoid: within your upper half, all of the gorwth in wealth has been concentrated in the top 10%. The further up you are, the faster you grow. If you're in the lower part of the upper half, your wealth is pretty stagnant. So yes, our tax policies have had the effect of redistributing income to the rich.

How much people pay in taxes is actually irrelevant. You have to look at who is getting richer faster.

thosethingswesay.blogspot.com

Thanks for reading and responding, Mr. Niskanen! For the record, The Century Foundation was endowed by the progressive Republican businessman Edward Filene in 1919. He often said that it was in the self-interest of corporate leaders to be 'liberal.' He wrote in 1923: "“I do not know of a better word for describing the sort of business man who, broadly speaking, is the opposite of a reactionary, the sort of business man who faces fresh problems with a fresh mind, who is more interested in creating a better order of things, who realizes that a private business is a public trust, and who has greater reverence for scientific method than for the traditions and majority opinion of his class.”

I'll reply after folks have a chance to digest your comments. And I'll focus particularly on the connection between public choice theory (one of your areas of expertise) and the Bush administration's failures in public management, best exemplified by its destruction of FEMA. The chapter on Social Security privatization, which you apparently didn't get to, unfortunately, is also worth further exploration.

Best, Greg

The objective of the reduction of federal income tax rates, starting with the reduction of the capital gains rate approved by the Democratic Congress in 1978, was to increase economic growth, not to redistribute income to the rich.

Even as a progressive with strong libertarian leanings, I find that to be a very doubtful. Even if you argue that all the tax cuts were intended to foster economic growth rather than to "starve the beast" or reward crony capitalism, you have to look at how the tax cuts were designed and implemented.

It's all been based on the Laffer curve and trickle-down economics since Reagan, which has absolved Congress and the White House from any responsibility for making commensurate cuts in spending. In fact, the current administration has so completely bought into the Laffer curve that it embarked on the most vigorous guns-and-butter (aka warfare/welfare) program since LBJ. Now we've got plenty of debt to show for it.

The tax cuts were crony-capitalist redistribution schemes. Cato knows this. But, then Cato exists as nothing more than a message shop for crony capitalists in the defense and resource-exploiting industries who are looking to mask their agendas with faux-libertarian messages.
--
Empire of Liberty

Cato and I have been critical of almost every major policy initiative by the current Bush administration.

Look at these rascals all attempting to distance themselves from Bush after two disastrous terms. The way they'd tell it, no conservatives wanted his reelection.

Somehow Bush got elected, twice, and somehow the Republican congress marched in lock step, and somehow conservative pundits have been shilling for his policies on FOX News. It's a complete mystery how all this happened, considering no conservatives actually supported him.

Pretty soon they'll be claiming the 2000 and 2004 elections were stolen, by Democrats, for Bush!

Thanks Mr Niskanen. I appreciate all your insights as they highlight the diversity of views among intelligent, concerned citizens against a backdrop of concerted stereotyping and reductionism by labeling. The frequency of ad hominem arguments disappoints many of us greatly as it does you. I was taught that ad homimenm arguments were to be avoided because they signaled a subsconscious lack of confidence in one's own argument. I think that was probably a little simplistic and, upon growing older, came to believe that one reason for ad hominem arguments is that you can make more money selling a sharply worded diatribe to the author's ideological brethren than by offering a data-packed, closely reasoned argument. Ironic that the left is willing to employ crassly profit-seeking methods to selling books.

I also had to note one commenter's argument for which I can not conceive of any intellectual support: "How much people pay in taxes is actually irrelevant. You have to look at who is getting richer faster." By this proposition, a regime in which the bottom half of the country had a 60% tax rate would, as long as the top 10% had a 100% tax rate, be judged preferable to the current tax rate scheme, because it would stop the rich from getting richer faster, and the fact that poor people were now much poorer after-tax would be "irrelevant". I understand that envy is a human emotion but it will be a sad day if we start making it the basis for policy.

At the risk of stating the perfectly obvious, the purpose of cutting tax rates today is to cut taxes. Prior to the early 1980s tax rates were truly confiscatory and hampered growth, but Bill Clinton's terms showed that even moderate tax increases in the current range (up to about 40%) have no meaningful impact on growth. And we all know this, because the economy did just splendidly after Clinton's tax increases. In this day, at these rates, the purpose of tax cuts is tax cuts (although certainly Reagan's tax cuts truly did serve to rescue the economy from 70-90% marginal income tax rates).

My second point has to do with the rhetorical trickery deployed by Mr. Niskanen, which is little more than the rote regurgitation of the rightwing elevator speech we've all heard a million times. Mr. Niskanen, as required by conservative house rules, restricts his argument carefully to income tax rates alone, excluding sales taxes (which are regressive), payroll taxes (both employer-paid and employee-paid, which are regressive), and government user fees (such as national park entrance fees, toll road fees, etc., which are - care go guess? - regressive).

Basically this shell game works by taking all taxes and then removing from the conversation all the regressive ones and restricting the argument only to the progressive ones. Step two is to strip away all the context and "forget" to acknowledge that the rich pay the vast majority of income taxes because the rich make the vast majority of the income. Thus what is in fact a signal of inequality gets spun as a sign of how unfair we are to the wealthy! To uncareful readers this kind of argument is actually pursuasive. Despite the trickery on display here, the sheer chutzpah earns my respect.

And don't even get me started on the 15% capital gains tax, which I'm certain Mr. Niskanen feels should be cut to, say, zero percent. All for the greater good of the economy, of course! Of course - just a public policy intellectual doing his darnedest to come up with good policy prescriptions. The fact that all these proposals redistribute wealth upward - that just incidentally puts tens of millions of dollars into the pockets of rightwing (conservative and "libertarian") think-tank financiers. Just a coincidence, that.

An ad hominem argument is one that substitutes unrelated characteristics for genuine argument. So if Mr. Anrig's entire argument was that Birchers funded rightwing think tanks like Cato, it'd be an ad hominem argument.

But in fact the Bircher stuff is just background, not the core argument, and it's perfectly legitimate (and a lot of fun) to paint that creepy backdrop, especially if one is writing a history of the conservative movement.

I can tell you're confused about the difference between describing this background in addition to argument, and using it as a substitute for argument, but the charge is plainly untrue.

are we really going to pretend that the Bush Admin didn't try to privatize Social Security, or, that Cato was "critical" of this "major policy initiative"?

Well said, Slippery Pete, thanks! --Greg

If we assume that the extreme tax cuts for the ultra rich were designed to increase economic growth then they were both unnecessary and were very badly written.

Why is there a need in our economy with all its banking and financial techniques designed to aggregate large sums of money from small pockets of savings to give tax money to already wealthy individuals to invest? What is it that stock markets, mutual funds, 401(k)'s and the myriad other forms of financial aggregation fail to do that the ultra-wealthy individuals who have uniquely benefited from the Bush tax cuts can somehow do better? The tax cuts were and remain quite unnecessary.

The problem of inadequate economic growth in the U.S. has not been a shortage of capital. It has been a shortage of innovative organizations and people.

So even if somehow wealthy individuals are more productive investors than the financial institutions are, they are motivated to invest where the return on investment is greatest, and that has been outside the United States for the last six or so years. Essentially the tax cuts have been designed so that ultra-wealthy Americans can invest more in China and thus increase the outsourcing of jobs.

It is much more rewarding to investors to take their great wealth, added to by the tax cuts, and invest it in nations that subsidize students so that the cost of labor is a lot lower. An exception to that is investors who buy a monopoly from the government (telecoms, toll roads, private prisons, etc.) and gouge labor to increase profits or like Brent Wilkes bribe government officials to give them government contracts. With the exception of MicroSoft (a natural monopoly) that is how investors make money inside the U.S.

HB1 visas have the same effect of eliminating the cost of training American labor and holding down labor training costs. If an investor goes to where they get the greatest ROI, then it isn't going to be inside the U.S. That makes the Bush tax cuts designed to increase world economic growth and maintain a world-wide oligarchy of wealth at the expense of the American labor force.

This becomes even more true when the America schools and students are starved for public funding here and businesses that invest in higher-level training for their employees are penalized by having to compete with other firms who don't invest in advanced training but rather hire HB1 immigrants or outsource the work to countries who DO invest in the education of their workforce. This is why American Engineers of all types find that their careers peak out at age 40 when their employers hire only new grads with the latest training.

Had the tax cuts lowered rates from the 90% range to something more reasonable, they might have had some value. As it is, they are simply destructive to the American economy and especially to the American labor force.

Thus the attempt to assume the tax cuts were designed to increase economic growth fails. The tax cuts were instead a power redistribution technique for political use inside America. Nothing else.

But I rarely question Libertarians or CATO Institute people. Libertarianism is a farce and quasi-religion, not a real body of useful ideas.For the most part its adherents ignore government, power in both government and business organizations, and imperfect markets. The occasional useful idea from CATO was either stolen from someone who thinks or was stumbled on accidentally and has not yet been totally mangled by Libertarianism. (**cough** Ron Paul and MD and crackpot, not an economist **cough**)

the left has not made any broadly appealing policy proposals for over 30 years.

Professor Niskanen, you might want to check out the history of that system you're using called the internet.

-Dave Adams-

In fact, the upper half of the income distribution pays about 96 percent of federal income tax revenues after all the tax rate cuts.

This is a remarkably dishonest claim. Right-wingers love it because the federal income tax is about the only broadly applied, progressive tax anywhere in the United States. (That and the estate tax, another perennial right-wing target.)

What about payroll taxes? These are actively regressive; they only apply on income earned below a certain cut-off figure. What about regressive state and local sales taxes? Local property taxes?

Even state income taxes are often highly regressive in application.

Ronald Reagan cut federal income taxes for the wealthy. Meanwhile, his Greenspan Commission dramatically raised payroll taxes on the poor and middle class. Yet the right-wing still remembers Reagan as the great tax cutter. That is a good indication of what they truly care about.

Shouldn't the post about the objective of tax cuts, perhaps not unlike Bush's, as sound economic policy rather than for the benefit of the few belong over with replies to Chait? Here, you're supposed to switch gears, I should think, and refute Anrig by saying that it wasn't a failure, because it wasn't intended as other than enriching corporations. Heck, that way, you can at least say it accomplished its aims. (Not that concern for who benefits wouldn't be a reasonable part of policy as well as overall economic growth, and thus a policy that rules out such a concern would be loading the dice. But let's leave that part out for now.)

John 

http://www.haberarts.com/

This comment makes absolutely no sense:

The second reason [Why Right Wing Ideas Keep Failing] is that the only policies evaluated in the book were proposed by the right; because the left has not made any broadly appealing policy proposals for over 30 years.

First of all, it's patently false. Even self-identified conservatives support liberal public policy:

. . . 30+ years of public opinion research from the General Social Survey (GSS) shows overwhelming conservative opposition to cutting any of America’s core social spending functions. That’s right. Taken as a whole, a substantial majority of self-identified conservatives favor maintaining or expanding spending on Social Security, health care, education, the environment, urban problems . . . even aid to blacks.

Furthermore, liberal Democrats are far more effective at managing the economy than are conservative Republicans.

Whatever problems the left has in US politics, they are not the result of unappealing or ineffective policy ideas.

I don't think you're correct in this limited interpretation of ad hominem. My understanding is that ad hominem is any attempt to distract the audience from the merits of the argument by focusing on a purported personal characteristic of the opposing speaker. You may check this site for a supporting reference for that understanding:

http://www.fallacyfiles.org/adhomine.html

It's a "distraction" to give the historical background of an organization and then deconstruct thier ideology point by point? Absurd.

Regardless of the main arguments, of which I am on Greg's side, this post is shallow. It might serve as a letter to the editor, but I'd expect some argument and data to support it. This is only denial.


I have been thinking for some time about those who advocate a return to the time of the constitution's creation and that its interpretation should be literal. I would like to ask how would this look today.
Has anyone in your origination produced a scenario?


Second, during the early period of the country there were slaves, indentured servants, and debtor prisons so to some extent there was an understanding that the words may not have been literal, and that what is being complained about today is the society and the words evolving towards an interpretation or practice that brings reality to the words and their intent.

As with the first question is there a list of changes to our laws and today's practices through the various levels of governments from federal down to the town level that would be changed?


Third, in this early period there was the availability to gain satisfaction from someone who the individual thought had offended them. This was dueling at best and down right killing at worst. If an outsider was in you local area the fight may not have had to be fair at all.


It seems to me that the growing of the living breathing intent of the constitution has made life a lot safer to visit other states and areas of the country. When you take away the environmental laws and a parents child dies of cancer from tainted water will there be dueling, a form of individual justice called revenge?


This is just one example of the environment that made up for the lacked of enlightenment. Would we regress, but not have an option for justice for crimes that would no longer be recognized?

Not wanting to go point by point but just to hit the top I would like to raise the issue you brought up about In fact, the upper half of the income distribution pays about 96 percent of federal income tax revenues after all the tax rate cuts.

I would add that the Heritage Foundation report by Daniel Mitchell, states that the top 1 percent of income earners account for about 35 percent of personal federal income tax collected, and the top 25 percent of the income distribution pays almost 83 percent.

I read that as a small number collect most of the money. I seem to remember in the early 1900 a lot of discussion about a lack of money in circulation and the problems this caused. Is this not a similar problem but with few a citizens controlling disposable cash not the government as it was back then?


In the united state it has been my observation that besides using politics to get the rights to provide monopoly business opportunities and receive highly profitable contracts political influence is the general practice. Politics is used also to not pay the influential costs and have the public taxpayer pay it. Until the true costs are taken care of by those reaping Citizen Subsidized Expense Relief the discussion of high taxes on this "free ride" should be taken off the table as a distraction!


Your statement that I have been personally critical of the TABOR-like state tax limits. fails to state the total story.


Your words:
My favorite rule to reduce these biases would be a constitutional amendment
requiring that total federal spending in any fiscal year not exceed
110 percent of total federal receipts in the second prior fiscal
year without the approval of a supermajority, say 60 percent, of the
total members of each house of Congress or in any year in which a
declaration of war is in effect. The 110 percent rule would lead to a
small
http://www.cato.org/pubs/journal/cj26n3/cj26n3-8.pdf


You will get to see the result of this in Florida. The Florida Republican Governor called on the Republican Legislature to cut the property taxes. He also had the Florida State Insurance Company provide cheaper insurance to the residential and commercial property owners in the state. The state legislation also has cut and limited future growth of property taxes to the change in personal income.

Remember Florida does not have personal income taxes. The citizens will stand behind the fund. One hurricane and that is the end of the financial stability of the state and the citizens.

Also Jeb Bush left us another gift. He appointed some of his cronies to an every 20-year tax commission with the power to put items on the ballot in the 2008 election.

The Republicans are putting a School Voucher amendment on the ballot remember Florida has one of the hardest testing programs that every child has to pass to graduate. The test was intended to fail schools so that the voucher program would grow, but the Supreme Court struck vouchers down, but it will be proposed again as a constitution change. It will be a get out the vote operation for the Christian Right’s vote.

What a State! What a Country!


-----------------------------------------------
Today, are we searching for I deals or Ideals?
-Thinking

"The objective of the reduction of federal income tax rates, starting with the reduction of the capital gains rate approved by the Democratic Congress in 1978, was to increase economic growth, not to redistribute income to the rich."

Measure a man not by what he says, but what he does. You can state that objective over and over and in as many languages and "nuances" as you like. But it will not change the effect; it has been repeatedly seen since to not work. Tax cuts do provide a stimulus when the economy is slowing, and are not needed when the economy is growing.

1. When the income tax rate is cut, it most benefits those with the higher tax rates. Since spending is never cut, and there is NEVER a tax increase when the economic slow down is over, this remains borrowed money that eventually gets paid back by inflation. This is a flat tax, kinda like what some conservatives are always on about. It is regressive and accelerates the income disparity caused by the poorly adjusted progression of the income tax as it now stands.
2. The tax cut is not a permanent stimulus to the economy. Eventually, inflation, balance of payments and the national debt all come into account and balance things out. Either you pay your bills or you don't. If you are making investment decisions based on the effect of taxes, then you either do not know how to invest, or like most "libertarians" I know, are basicly afraid to take the honest risk that investing takes.

dc

"In fact, the upper half of the income distribution pays about 96 percent of federal income tax revenues after all the tax rate cuts".

We're back to the 'lucky ducky' argument. Great.

Can't wait for Grover to weigh in.

It is correct to tax money, not people.
The ones with the most money pay the most taxes.
Simple and correct operation.
Want poor people to pay more taxes? Help make them rich people via good government policy!

And since the right wing religious nuts who define themselves as "conservatives" weren't mentioned, as though fiscal conservatism is the only form there is, let me say that Jesus Christ himself would approve of my statement on taxes above. :-)

Great point.
Since Anrig stands accused of addressing only those points supporting his argument, it is good that the same ruler be applied to Cato.

Niskanen came very close to trolling there, didn't he?

The top 50% income earners earn 84% of the income. Why shouldn't they pay 96% of the taxes?

Mr. Niskanen,

Welcome to TPMCafe!

First I'd like to thank you and the Cato Institute for publishing the pocket edition of the Declaration of Independence and the Constitution of the United States of America. I purchased 50 copies of this little brown book following the 2004 elections, and included one with each Christmas card I sent that year. (I wanted my friends and family to be prepared for a second Bush administration.)

Ironically, I searched the Cato website, but was unable to find an essay calling for the impeachment of President Bush.

I did find an article by Richard Epstein, "Executive Power on Steroids", wherein he clearly opines that the President has over-stepped his authority in the domestic spying realm. "[T]he key legal struggles over domestic spying go not to its wisdom, but to the thorny issue of whether the president has exceeded his constitutional powers in disregarding FISA. He has."

But I also found an essay by Roger Pilon (who prepared the preface to my pocket Constitution) defending the the NSA surveillance program, in part by citing John Yoo: "This is hardly the place to plumb that original understanding [of the Constitution's founders]. Suffice it to say that Yale's own John Yoo, now teaching at Berkeley's Boalt Hall, has done so masterfully in his new volume, The Powers of War and Peace, answering in the process the scholarly arguments for an imperial Congress that emerged a decade ago, in part again from Yale." While I disagree with Pilon's conclusions, I would grant that his arguments are well presented and constructed.

Your own arguments, in the post above, are not as effective, however. I have not yet read Mr. Anrig's book, so I cannot comment on his alleged ad hominum attacks.

But I do agree with other posters on this thread that your comments about the income tax are weak and well worn. (C'mon, you can do better than that!)

Also, your comment that "the left has not made any broadly appealing policy proposals for over 30 years" might have something to do with the fact that Democrats have been playing defense for the vast majority of that time (which includes the 12 years of Regan/Bush-I, and the 6-1/2 years of Bush-II/Cheney).

I am a strong civil libertarian, so I have some respect for the Cato Institute. But I cannot understand your tacit support for this President, given the brazen imperial power grab that defines his administration.

I mean, it really does make me wonder whether that has more to do with where your money comes from. Would some funding sources dry up if you called for impeachment?

-- ARG

"The Iraq war is the first war in which the ground combat lasted for more than a few days that was initiated by a Republican president in more than a century."

It's true, until the Iraq invasion Republicans had built their entire (and entirely undeserved) reputation for being "strong on defense" on two things; 1) their willingness to bust the bank with completely unaccountable handouts to the defense industry, 2) a strategy of brief, no-risk military action used exclusively for show and domestic political advantage -- and only against pathetically over-matched 3rd world countries.

As in past Republican wars, the Iraq war was undertaken not because the administration believed Iraq was a dangerous threat, but because they knew it wasn't. They knew defeating Saddam would be easy. What they didn't know, and didn't plan for, was how hard, after his defeat, it would be to establish control over and security within the country. Wanting and expecting another PR war of only a "few days" they put more planning into their "Mission Accomplished" event at home than than did into providing for the security and well being of the people of Iraq.

The tendency to only see the glorious advantages to themselves, and never recognize the painful disadvantages caused to others, by their policies and actions is a major reason for conservative failures -- they are incapable of comprehending consequences or anticipating blow-back.

Thanx for pointing this out. I would add to this that if you do step back that century he alludes to, you will find an era that, being history I guess, we are now repeating.
The 1880's - 1900 were a time when the repubs made that transition from an agent of change before & during the civil war into the pro corporate party they are today. The war that lasted more than a few days was the Spanish-American war. I'll bet anybody here can come up with a list of 25 similarities between that war and Iraq, some of which are in the body of your post.

dc

I mean, it really does make me wonder whether that has more to do with where your money comes from. Would some funding sources dry up if you called for impeachment?

"You tell me where a man gits his corn-pone, and I'll tell you what his 'pinions is."

--Mark Twain

Post No. 3

One of the continuing themes of the Amrig argument is most irritating: He is too quick to dismiss the position of anyone, even Harvard professors, if they receive some money from a conservative donor or foundation.  He writes as if this relieves him of any responsibility to evaluate the quality of the argument and evidence.

Major errors in Chapter 8

1.  "HSAs are likely to induce some individuals to forgo medical treatment that they need."  Here, Anrig ignores a mountain of evidence to focus on a molehill.  The RAND experiment did find that for poor people in poor initial health, "free" health care moderately reduced the risk of death from heart disease compared to high-deductible insurance.  Yet was the only evidence of worse health outcomes; the overwhelming result was that high-deductible insurance had no adverse effects for the average person.  Moreover the results for poor people do not apply to the debate over HSAs, because they are covered by Medicaid.  Most private insurance involves some cost sharing, and the RAND study found absolutely no differences in outcomes between the high-deductible paln and plans with less cost-sharing.

2.   "Adam Smith's 'Invisible Hand" works magic only when a number of contions are met -- one of which is that consumers must have 'perfect information' ... "  The assumptions of the neoclassical model are sufficient but NOT necessary conditions for Pareto optimality and the market process.  Moreover, patients do not have adequate price and quality information primarily because of insurance.  On the average, patients pay only 12 percent of the cost of their medical care, so they are less likely to ask "How much does this cost?  Is it worth the cost?"  Transparence is not a problem for insurers and the government; they control the money , so they know what the costs are.  After 40 years, Medicare is still paying for medical errors.  Does Anrig really think that patients would be less intelligent purchasers?

3.   "(U.S.) administrative costs are more than twice the level in most other advanced countries."  Only if you don't count the deadweight cost of taxation.  Patricia Danzon writes the "The rough empirical evidence tends to confirm that overhead costs in Canada, adjusted to include some of the most significant hidden costs, are indeed higher than they are under private insurance in the United States."

4.   "The Medicare Drug Debacle."  Actually, that was a debacle.  Except conservatives hate it, and the doughnut hole was a resule of spreading benefits among the greatest number of voters.

5.   "(U)niversal systems are far more efficient because of economies of schal, risk-pooling, and the absense of the extensive fragmentation that produces such high administrative costs here."  No mention of moral hazard, adverse selection, rent-seeking, bureaucratization, or deadwieght losses.  Here he is in complete denial about the effects of socialism on innovation.

6.   "The Medical Malprictice Myth."  Actually here he agrees with David Hyman.  He could have quoted Hyman on rising premiums or Hyman's conclusion that "tort reform lowers the incentive for health care providers to exercise due care and invest in measures that protect patients from harm."   

There is a basic concept clash between the viewpoint represented here, and that of progressive/liberal positions. Economic conservatives want to view health care as a commodity, like others to the extent possible. Therefore, forcing choices is exactly what is wanted.

Also, if a commodity, the price will level off as demand finds its level. Unnecessary procedures will not be done, necessary procedures will get shopped around for bargains. Nice theory.

Economists must know the term "inelastic demand". Drug addicts exhibit this, pretty much ignoring prices---note how little effect tobacco prices have on smoking rates, not zero but very small. Obviously some price is simply unattainable, so it's not a sharply defined process.

Health care is an inelastic demand, for most people most of the time. While some people that are very old and in pain find death a welcome release, it's not a popular choice in typical situations. So here's the problem: As new techniques are found, more can be done, at any stage of life, to improve health. More money can be spent, and therefore is spent.

When an individual knows that a certain kind of disease can be treated, he will want his treated. If the difference between treatment and death is only money, he will get a little irked to see others recover while he dies.

It would be easy to hold costs, by letting folks die early. We ask ourselves, as a society, if we want to live in that kind of country. Most here would rather accept sharing the (temporarily) rising costs.

Techniques that are cutting-edge (sorry) are an art, not a science. They must be performed by educated practitioners, using professional equipment (not available at Wal-Mart). As time goes by, what is now expensive will become cheap, at the same time it becomes seen as being necessary as sanitation.

Transplants, or other tissue/organ replacement, would have been impossible for most of history, a daring experiment recently, and wholly expected, soon. In the meantime, it's expensive. What should we do?

I'm OK with helping others. If you're not, say so and spare us the theories.

After 40 years, Medicare is still paying for medical errors. Does Anrig really think that patients would be less intelligent purchasers?

Niskanen here is suggesting that individual patients would be more successful than the federal government at, first, evaluating that a procedure they had undergone was a "medical error" (and proving that to the satisfaction of a court or other third party); and, second, at refusing to pay for the procedure (in the face of a hospital's legal actions to force payment)? Umm...

No mention of moral hazard, adverse selection, rent-seeking, bureaucratization, or deadwieght losses. Here he is in complete denial about the effects of socialism on innovation.

Tedious cant, but more importantly: Anrig doesn't mention these things because he is not trying to speculate about why universal systems might be more efficient; he is accounting for the fact that, empirically, they have been demonstrated to be more efficient, in every country where they have been adopted (i.e. every advanced economy except the US). The person who is in "complete denial" is Niskanen, who is rejecting the overwhelming evidence from every country in the world that the "effects of socialism" he cites are outweighed, in health inurance and care, by the advantages Anrig cites. Niskanen also commits the common, sloppy right-wing error of equating "universal health care" with "nationalized or socialized health care"; it is tiresome to have to repeat that most universal health care systems retain private health care providers and private insurers.

"All governments lie, but disaster lies in wait for countries whose officials smoke the same hashish they give out." - I.F. Stone

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