Home > Uncategorized > Why not make the rich compete?

Why not make the rich compete?

from Dean Baker

I’m glad to see the debate that Max Sawicky has touched off with his review of Steve Teles and Brink Lindsey’s new book, The Captured Economy: How the Powerful Enrich Themselves, Slow Down Growth, and Increase InequalityThe book, and the resulting debate, raises the question: can an attack on rent-seeking by the rich be the basis for a progressive agenda? This is a debate I’ve played some role in getting started, with several books, most recently Rigged: How Globalization and the Rules of the Modern Economy Were Structured to Make the Rich Richer.

In my view, it’s an area of enormous potential, and it presents the only plausible path forward for progressive politics in the US and elsewhere.

The basic logic of the argument is that markets are pretty much infinitely malleable. The government sets rules that can lead to relatively equal outcomes or can lead to enormous inequality. In the last four decades, the Right has managed to use its control of the rule-setting process to engineer an enormous upward redistribution of income. The process involved the leadership of both political parties, so it’s certainly not a story in which right-wing Republicans exclusively can be seen as the villains.

Since there’s nothing intrinsic to the market that caused this upward redistribution, it doesn’t make sense to talk about using the government to rein in the market. Reversing the upward redistribution will in some cases involve more government, but in some cases it will require less. Most importantly, it will require that the government act differently when structuring markets.  

To take the single most important and obvious area, monetary and fiscal policies effectively determine the unemployment rate. Not only does this matter for who gets jobs; the level of unemployment also has a huge impact on wage growth. The low unemployment years of the late 1990s boom were the only period since the early 1970s when workers at the middle and bottom of the wage distribution saw sustained real wage growth. With unemployment falling to comparable levels in the last year or two, we’re again seeing real wage growth at the middle and bottom end of the income distribution.

There’s nothing big- or small-government about monetary and fiscal policy. While a large budget deficit resulting from high spending is clearly big government, we could also run large deficits by cutting taxes. The same story holds with monetary policy. An expansionary monetary policy is not obviously bigger government than a contractionary monetary policy. (Teles and Lindsey choose not to talk about monetary policy in their book, although I know both to be proponents of expansionary monetary policy.)

To take this a step further, one cause of weak demand, and also a loss of relatively well-paying manufacturing jobs, is the trade deficit. This is the result of an over-valued dollar in international currency markets. The value of the dollar, relative to other currencies, is a policy choice with no obvious connection to the size of government.

Moving from the obvious to the more obscure, many of the richest people in the country made their money in large part due to government-granted patent and copyright monopolies. When I give talks, I like to ask how rich Bill Gates would be if he didn’t enjoy patent or copyright protection on Windows, Word, or other Microsoft software. Given his background and ambitions, it’s a safe bet Gates would still be doing fine, but he almost certainly wouldn’t be one of the richest people in the world. In fact, he might still be working for a living.

Over the last four decades, we have made patents and copyrights longer and stronger through a variety of mechanisms. (Read Rigged for the details, it’s free.) We could have made them shorter and weaker. We could also use different mechanisms to support innovation and creative work. In this scenario, we are likely talking about less government rather than more.

And we should recognize there’s a vast amount of money at stake. In the case of prescription drugs alone, the gap between the patent-protected price and the free market price is likely to be around $370 billion a year. That is just under 2 percent of GDP or more than 20 percent of after-tax corporate profits. If we add in medical equipment, software, and other sectors where such monopolies are a big deal, we get a sum that’s two or three times as large.

Another place where we see massive fortunes in this economy is the financial sector. A modest financial transactions tax (FTT) would raise a huge amount of revenue, but more importantly it would eliminate many of the rents in this sector. As even the International Monetary Fund has noted, the financial sector is under-taxed relative to other sectors. Using an FTT to replace some revenue raised through other taxes would not imply any bigger government, but it would mean a vastly different distribution of income. (Both Teles and Lindsey support an FTT, although this mechanism for reining in the financial sector is not mentioned in their book.)

The point in these examples is that reversing the upward redistribution doesn’t necessarily require more government intervention in the economy. It just means structuring markets differently.

Markets can also be used to put pressure on inequality-generating structures in the same way that the Right has sought to use markets to undermine wages. For example, state and local governments can look to buy generic drugs in India that often cost a tiny fraction of the US price. In the case of the Hepatitis C drug Solvaldi, the list price is $84,000 in the United States, while a high-quality generic is available in India for less than $500. A state Medicaid program could pay to send a patient to India for three months, with a family member, hand them an extra $10,000 for their trouble, and still end up way ahead. It might not take too many excursions like this to call more attention to the absurdity of patent financing of prescription drug research.

In a similar vein, if there were ever a billionaire or large foundation with an interest in public health, they could put up a few hundred million dollars to buy the rights to promising compounds and pay for the clinical trials of new drugs. They could then put any successful drugs in the public domain where they would be sold at generic prices. This could mean that the next cancer breakthrough drug sells for a few hundred rather than a few hundred thousand dollars.

We can also use the market to subject doctors (average annual pay of around $250,000) to competition, both reducing the income of many one and two percenters, and reducing health care costs for the rest of us, thereby raising real wages. The same is true for dentists, and to a lesser extent lawyers, all of whom tend to occupy the bottom rungs of the one percent and the next one to two percentiles of the income distribution.

There are many other areas where we could envision a different structuring of the market that results in a more equal distribution of income. Teles and Lindsey approach the issue from a perspective broadly similar to mine, even if we have different emphases and don’t come down in the same place on some issues. (For example, I think restructuring corporate governance rules to make it easier for shareholders to rein in CEO pay is a big deal.)

To me, the main takeaway is that we have to figure out how we can structure the market so it leads to more equalitarian outcomes. The Right has been doing the opposite with enormous success for the last four decades. At the very least, we force the Right onto indefensible intellectual ground when we oblige them to argue for government intervention to make the rich richer, even at the cost of sacrificing growth.

See article on original site

  1. Risk Analyst
    December 15, 2017 at 10:56 pm

    Dean writes, “For example, I think restructuring corporate governance rules to make it easier for shareholders to rein in CEO pay is a big deal.”

    I’m not sure the shareholder route is the way to go. The data on shareholders is very difficult to get and interpret, but one is drawn to the length of holdings question. There are some long term holders of equity like insurance companies, but then there are also many short term transactions that open and close a position in seconds. If one tries to generate an average, the consensus seems to be that shareholders hold equities for perhaps three months. That is not enough of a commitment to be choosing CEO pay. If investors are unhappy with their stock company’s management, they usually just sell and move on. Some (Glyn Holton) have tried to generate interest in creating the separate exchange of trading the rights to vote on shares from the dividend and appreciation rights, but it just did not go anywhere.

    Perhaps the problem is with the idea of stock. It is not used in a meaningful way to raise funds for companies outside of occasional and highly visible IPOs and actually the number of shares has been declining over time with the buy backs. Shares do not really represent ownership. A shareholder cannot walk into one of their buildings and take a box of pencils out. The whole idea of a stock market is kind of perpetuated because it creates a vehicle for personal savings and for management compensation. I’m not sure the point of the stock market outside of that and using it to influence management governance per the article may not be the most effective course.

  2. December 17, 2017 at 11:09 am

    Dean, you suggest, “To me, the main takeaway is that we have to figure out how we can structure the market so it leads to more equalitarian outcomes.” This is a route worth considering. But it’s not as cut-and-dried as you make it seem. First, how are market rules and equally important market oversight changed without government power? The right has spent hundreds of millions of dollars to buy local, state, and federal government for this very purpose. The non-1% or 5% or 10% don’t have the resources for such an approach. They must take over and control governments in some other way. I don’t believe that’s as simple as just “outvoting the right.” So, how can this be achieved? Second, the right continues to threaten violence if “liberals” attempt any such efforts as you suggest. Now these threats are backed by several hundred thousand well-trained and well-armed right-wing (that is, Nazi) militia, and by private military like Blackwater. Right now, the right has won almost every battle, with as you correctly state the aid of both major political parties. But if this momentum is changed by suggestions like yours, how do we ensure “domestic tranquility?” Civil wars for fun and profit!

  3. December 17, 2017 at 2:13 pm

    “Since there’s nothing intrinsic to the market that caused this upward redistribution…”.

    I don’t agree. Money is intrinsic to the market, and the interpretation of it as a rentable valuable rather than a mere credit limit – the spending of which indebts – inevitably means the money goes “upward” to those renting it out rather than “trickling down” inevitably to those who need the credit so much they cannot afford to rent it.

  4. Rob Reno
    December 18, 2017 at 6:24 pm

    “At the very least, we force the Right onto indefensible intellectual ground when we oblige them to argue for government intervention to make the rich richer, even at the cost of sacrificing growth.” ~ Dean Baker

    Are we not already seeing the right-wing so-called “conservatives” use government intervention to assure the rich get richer and stay that way? Our daughters suffer from chronic migraine headaches. We must purchase their medicine from Canada at a fraction of the cost of $90 to $80 per pill. We have seen personally how big pharma is blocking our access in every way they can to access to the same medicine in Canada.

    We are sending (and funding) our daughters pursuing their science & medicine degrees in Canada and immigrating obtaining Canadian citizenship so they can protect themselves and their children from predatory capitalism (aka market fundamentalism) and have some long-term certainty they and their children grow up in a society that realizes that morality and ethics matter in economics.

    • Rob Reno
      December 18, 2017 at 6:45 pm

      “grow up in a society that realizes that morality and ethics matter in economics and government.”

  5. Rob Reno
    December 29, 2017 at 5:45 am

    I read your paper Economic Policy in the Trump Era in Trumponomics: Causes and Consequences. Both my wife and I find it sad and disturbing that America is so sick socially and culturally that an economist of your standing must recommend we send our citizens abroad to get affordable health care. Consider the irony of one of your suggestions. You write:

    Progressives have generally focused their efforts on health care reform at the federal level, which is where many of the key policy decisions are made, however there are steps that can be taken at the state level. Health care is an area where the market has been structured to create enormous rents for doctors, drug companies, and insurers. There are ways to undermine these rents for the benefit of the people in a state taking progressive measures.

    One route is to take advantage of the lower cost health care available in other countries. While it doesn’t make sense to go to Germany, Canada, or Thailand for a check-up or emergency care, there are many expensive surgical procedures that are done on a nonemergency basis, where there can be enormous savings from having them performed outside of the United States. In some cases the cost difference can be an order of magnitude, with high quality facilities in hospitals in India or Thailand performing procedures costing $100,000 to $200,000 in the United States for a tenth of the price. The gap can allow for enormous savings even after paying for the travel of the patient and family members and a stay overseas for a period of recovery. (Baker 2017, 10)

    (….) The United States pays its doctors more than twice as much on average as doctors in other wealthy countries. This is the result of both protectionist measures internationally and licensing restrictions domestically. On the international side, doctors are prohibited from practicing in the United States unless they complete a U.S. residency program. Obviously there are hundreds of thousands of very competent doctors in Europe and elsewhere who are excluded from practicing medicine by this measure. While this protectionist measure may cost the country as much as $100 billion a year in higher health care costs, it is almost never mentioned by “free traders”, which says an enormous amount about the sincerity of their commitment to free trade. (Baker 2017, 11)

    We know first hand you are correct that here in the US “the market has been structured to create enormous rents for doctors, drug companies, and insurers.” Our family corporation took us around the world, and while living abroad (Japan and Netherlands) we saw first hand the world-class affordable healthcare these wealthy countries make available to their citizens. Insurance, hospitals, and doctor’s services were affordable because they were not extracting predatory rents.

    In RWER (above) you write:

    We can also use the market to subject doctors (average annual pay of around $250,000) to competition, both reducing the income of many one and two percenters, and reducing health care costs for the rest of us, thereby raising real wages. The same is true for dentists, and to a lesser extent lawyers, all of whom tend to occupy the bottom rungs of the one percent and the next one to two percentiles of the income distribution. (Baker 2017, RWER Blog)

    Here is the irony. Economics, in its toy model world has eliminated uncertainty, yet real families, in the real world, facing real economies, face uncertainty every day in both the short-term and long-term. Our two daughters are pursuing science and medical degrees. They are just at that critical time in their academic careers when having completed their degrees in neurobiology from the University of Washington they are preparing to further pursue advanced degrees and medical school. To fund their advanced degrees and medical school here in the US we are looing at about $250,000 for each of our daughters for a total of $500,000. When I asked one doctor about this she justified taking on such debt because she was able to repay the debt quickly based on that nice fat rent of an average $250,000 salary. Now just imagine they pursue their medical degrees here in the US and we fund this (basically from our retirement) and then the policies you suggest above are implemented and the US is flooded with cheap doctors from abroad the same way the high-tech industry is using H-1B visas to drive down salaries and wages for high-tech workers. In an uncertain world this may not be so far fetched, especially with economists of prestige such as your suggesting policies.

    This is why we are taking our entire family and emigrating and getting the hell out of the US. Whether it is Canada, the Netherlands, or Germany, they can get just as high quality education and medical degrees, but at a fraction of the cost. And they have a pathway to citizenship. We will fund their education, but we will send them abroad to more enlightened countries that have not lost their economic minds to predatory capitalism. As professionals we are not alone as we have numerous family friends (also professionals) who are doing the same. It is brain-drain, but in reverse.

    America is broken and your state-by-state solution is really an admission of failure of our nation and the stupidity of American culture and the horrible human cost of the destructive culture wars that have brought the US to this sad state.

  6. December 29, 2017 at 1:45 pm

    The important basic point is that in areas such as health care the US is declining, in comparison to both other developed nations (e.g., France), and compared to less developed nations (e.g., Cuba). The decline encompasses not just higher costs but also lesser results in actual care areas (e.g., infant mortality, life expectancy). Why is the US declining? Our impractical economics is part of that answer. US citizens pay more, receive lesser results, and have no effective way to change that right now. Tail wagging the dog once again.

    • Rob Reno
      December 29, 2017 at 5:17 pm

      Contemporary mainstream economics has widely “poisoned the well” from which people get their ideas about the relationship between economics and ethics. The image of economic life as inherently characterized by self-interest, utility- and profit-maximization, and mechanical controllability has caused many businesspeople, judges, sociologists, philosophers, policymakers, critics of economics, and the public at large to come to tolerate greed and opportunism, or even to expect or encourage them.

      ~ Nelson (2016) Poisoning the Well, or How Economic Theory Damages Moral Imagination. In The Oxford Handbook of Professional Economic Ethics.

      • December 30, 2017 at 10:39 am

        Rob, all good points. But the more important question is why are human groups unable to deal effectively with such disruptive (to the group) actions and actors? Humans developed tools and techniques to do this job thousands of years ago (e.g., isolation, banishment, ostracization, ceremonial death). Americans have known and used such tools and techniques throughout their history. Over the last 30 years, however Americans seem to have become inept in both understanding and using these. So, the sociopaths and psychopaths are taking over.

      • Rob Reno
        December 31, 2017 at 1:03 am

        [W]hy are human groups unable to deal effectively with such disruptive (to the group) actions and actors? …. [T]he sociopaths and psychopaths are taking over. ~ Ken Zimmerman

        I wish I had the answer, but I only have hunches, vague intuitions, and a boatload of doubt and questions. One reason seems to be secular materialism and its disregard for philosophy and its blind pursuit of mindless consumerism. Howe’s “The Making of the American Self” offers insights into early American culture and the underlying philosophy of character development that informed leading intellectuals who were children of the Scottish Enlightenment.

        If philosophy is the love if wisdom, then American culture’s indifference to philosophical thinking has deleterious consequences for whether we evolve a wise culture or not. Critical thinking is one of the fruits of philosophy. Perhaps we need to tend the vine better?

    • January 1, 2018 at 9:39 am

      A few suggestions to help save Homo Sapiens. In terms of Homo Sapiens evolution any culture or philosophy that elevates individual achievement or survival above and before group solidarity and security must be removed. Thus, most of current economic theory must be banned, permanently. And those who teach and were taught it forbidden to apply it. Banned also is every form of libertarianism or individual self-interest theory or practice. Civics (citizenship) education must be required for all Americans from K-12, and throughout adulthood. Such education would provide a balanced and honest view supporting the belief that while individuals are important with rights that must be protected their welfare can never supersede that of the nation (the group). This hierarchy must be institutionalized in the Constitution and in federal, state, and local laws. Clearly this will generate conflict, perhaps even warfare. But 2 million years of evolution show humans survive by group, not individual selection. Individual selection is a threat to human survival.

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