Learning new facts and improving your reasoning is the universe's way of making you smarter - it is one of the things that people should embrace most, yet it is so often one of the things from which people casually shy away.
Using Philosophical and Economic analysis to consider big questions, world issues and matters of everyday life!
Wednesday, 17 January 2018
Why Don't We Like It When The Universe Makes Us Smarter?
Learning new facts and improving your reasoning is the universe's way of making you smarter - it is one of the things that people should embrace most, yet it is so often one of the things from which people casually shy away.
Saturday, 13 January 2018
With This Basic Error, Trump Is Doing His Best To Hide His 'Genius'
Trump has spent the best part of a year explaining to Americans how, under current NAFTA rules, Mexicans export far too many goods and services to
Sunday, 7 January 2018
Healthonomics:
This is a frequent phenomenon called Gammon's Law (after Max Gammon), which follows a predictable pattern whereby increase in expenditure will be matched by fall in production, where the more resources a system swallows up, the less efficient it becomes in terms of production per unit of investment. Pretty much any big centralised institution - health, schools, taxation, the EU, the church - when it gets so big that it passes through the efficiencies of economies of scale and begins to suffer from diseconomies of scale (see also the Dunbar number) will show a pattern whereby increased input produces decrease quality of output. In economics, the Rahn Curve (named after American economist Richard W. Rahn) is a graph that illustrates that there is a level of state spending that helps increase growth rates, but that there is a point over which it reduces growth rates.
Research
from the Cato Institute indicates that when government spending expands beyond
about 20% of GDP, economic growth diminishes. This often works alongside Gammon’s law, where increase
in expenditure will be matched by fall in production, and where resources get
sucked into a black hole of diseconomies of scale and the overall production as
a ratio of resources inputted diminishes. At the time of writing, the
NHS has 1.6 million employees, and there are 66 million people in the
But whether it is the right type of system being sub-optimally managed, or the wrong type of system altogether is a complex question - not least because the question of the right size of government is an even more complex question. This is due to the fact that humans are adaptive, goal-oriented beings involved in a complex social nexus with lots of incomplete information. And consequently, the wisdom of central intelligence sometimes serves the system best, and other times it is best left to the price systems in the market.
The challenge, as ever, is to find a way to incorporate the qualities of a kind of socialist-individualist-libertarian triumvirate at the personal level with the qualities of the free market and its concomitant mechanism for price theory to efficiently balance supply and demand. I am naturally sympathetic to a system that draws from the efficiencies of market prices, but I believe that good health care is essential to individual well-being and society's ability to thrive, and no one should be without it, especially society's poorest and most vulnerable people. I'm friendly towards a system in which taxation is collected to fund health care for anyone who is poor and can't afford it, to fund research, to subsidise low earners, to support vulnerable people, and to provide a safety net for every single person who needs it. A nation that doesn't start with that premise is ignoble. But given this as a sine qua non, there are some more complex elements to health care that need addressing. I'm not sure that any health care system that's ever been created is efficient and comprehensive enough to manage the full gamut of complex human needs without sub-optimality in some of its parts - and therefore, the studies that compare different nations' health care systems and look to highlight the relative strengths and failings are probably of limited scope. I think any analysis of health care is (distally) also a study of human society, and is going to have to include the concession that it impossible be maximally efficient and get everything right.
In my estimation, the most efficient healthcare system would be one that reflects the spirit of community libertarianism: that is, it has all the efficiencies of market-based allocation of resources and competition, but it is provided under a framework that reflects a health service free at the point of delivery for all, so no one, rich or poor, ever has to worry about not getting the range of health care they need. Consequently, I think the market is not fully equipped to tackle the complex problem of health provision.
A typical libertarian argument is this: Doctors are professionals; they know things about our health that we do not, and they can make us better, which is why they command high salaries. Patients, on the other hand, are professionals too - they are professionals over their own lives. But when it comes to our health and well-being, we should approach this kind of reasoning with caution. There is a lot we don't know about our health, our future needs, how our behaviour affects others down the line, what viruses may be lurking round the corner (Edit to add: think of Covid-19 as a prime example), and how much health care we are going to need throughout our life (especially in old age). Even if it an imperfect model, there may be some mileage in preferring a centralised health system, as long as implicit in that framework would be a scenario for individuals where their preferences and their expenditure are more closely aligned.
The main reason that the
healthcare considerations are too intractable for purely bottom-up local market
management is that health is a far too complex lottery to reflect the same
incentives and value created by the market. Through no fault of their own, some
people will have the genes or misfortune or accidents that mean they cost the
health service tens of thousands of pounds, whereas others will go through life
costing virtually nothing. A civilised society should be one that cares for all
its citizens equally, giving everyone the security of healthcare that's free at
the point of delivery. A health system that resembles an insurance model with coverage
funded by pooled resources is a must in a society that purports to provide a
security net for its citizens. The thought of a society that bases health care
on what people can afford is one that should be repudiated at every level. When
it comes to health, there are some outcomes that some individuals have no
chance of managing without the pooled resources of others - and the bottom-up
market system doesn't contain all the information needed to factor in the range
of complex human health needs.
As an economist, I believe the market solves a lot of the problems a lot of the time, but not all of the problems all of the time. But I think human health (for different reasons to defence and rule of law) is a problem that needs top down centralised information processing, because it doesn't have the foresight required to capture the diverse range of human needs. A society that successfully cares for the complex needs of human health and well-being cannot be at the mercy of market-driven supply and demand computation, which is subject to chaotic instability and power law distributions that would be inimical to comprehensive health provision if left unchecked. It's not often I'll endorse a Marxist principle, but when it comes to healthcare, I think a tolerant and compassionate society should deliver according to the Marxist principle of “From each according to his ability, to each according to his need”. I think the only model that can satisfy this is one in which every worker contributes to a health insurance scheme regulated by the government. Higher earners may if they wish opt for private insurance, and insurance companies can compete for business to provide customers with cover. This would take out the politicisation of the health system.
A system in which most health care insurance was run independently by private operators, where providers would compete with other providers for patients based on price and quality of service, can form part of the national health framework. After all, many private companies successfully provide goods and services for public health institutions. Under a benevolent libertarian system, some providers would be part of big corporations, whereas others would be large cooperatives, and others still smaller businesses specialising in particular practices. There probably would even be many charitable organisations funded by benefactors. This would also open the market for insurance companies to offer incentive based premiums for a diverse range of people with diverse lifestyle choices (and no, I don't mean like the cost inflation-inducing American insurance system). It might be a health system rather like that of a shopping mall, where doctors, dentists, pharmacists and opticians are linked together by a nexus of industry and efficiency, where prices, supply, demand, value and incentives are more coterminous in their relations.
If that seems like moonshine, remember, someone in the 1950s would be quite astonished to think that you could walk in to a supermarket, scan the goods in your basket and tap a payment card on the sensor to complete the transaction. Imagine in the future when money earned and money spent on health care can be so much more prodigiously efficient thanks to advanced technology. An awful lot of positive developments in society are made possible by life-changing technology. Think of any detective movie in the old film noir era with Humphrey Bogart and Robert Mitchum and imagine how much easier their cases would be to solve with a smart phone. Think of how much easier the protracted scientific revolution would have been if all the exponents had laptops and the Internet. Think of how much quicker the Industrial Revolution would have gathered momentum with more advanced electrical and combustion capabilities.
I said earlier that competition is usually good for efficiency. But with ill health and injuries, this causes me some concern, because when you have small-scale competition for cherry-picked services, firms tend to opt for services that are easy to manage and readily profitable. Not only does this tendering process amount to increased bureaucracy, and excessive use of time and staff resources - it very often is awarded to poor quality low bidders whose profits are made by cheap resources, and under-trained and under-staffed units. This doesn't work so well for patients whose health is at stake, because injuries or illnesses that are complex and risky are in danger of being refused.
In summary
There must be a negative
effect on any health service model because of those who use health care too
much because of bad decisions (alcoholism, smoking, drug use, binge eating), making
supply shorter for the majority who need health care through no fault of their
own. The system might be more efficient if people who make these bad decisions
pay a higher insurance premium. But I'm not sure there could be an efficient
top-down system that could be less costly than the extra costs these people would
cost a public health service. Equally, a health care system, like a car
insurance system, that said 'yes' to every single claim everyone wanted would
be providing too much health care and costing the nation too much money, so
there needs to be an optimum amount of health care provide. For example, if
everyone visited the doctor every time they had a cold or a blister, the GP
surgeries would be inundated beyond the capacity to cope. And I'm very
sceptical of large scale operations that try to operate with the dual mandate
of serving the public and trying to be financially profitable - you usually get
the worst of both worlds, where failure to serve the public well enough is
blamed on the financial pressures of solvency, and the failure to remain
financially solvent is down to the pressure to serve the public to full
capacity.
Given the complex nature of health, human physiology, diseases, infections, health prevention, research and future unknowns, I have a feeling that healthcare is one of those institutions where public service must take precedence over tight financial regulatory, and that we might just have to accept that erring on the side of generous expenditure to cover pubic need is a requirement for the kind of healthcare coverage that provides the safety net that gives everyone free health care at the point of delivery, and the peace of mind too. I'm not denying that every effort should be made to ensure money is spent as prudently as possible. But in terms of outcomes, quality and efficiency, a healthcare insurance system that combines the universal 'free at the point of delivery' safety net of a public service with the consumer sovereignty, competition and the innovative dynamism of a market system looks to be the one that will give citizens the closest approximation to what they need. The free market can do a lot to reduce inefficiency in society, but markets can't do everything - they involve people responding to the incentives that markets and free enterprise provide - but health is likely to remain far more complex than that, and should continue to yield to a model that prioritises a compassionate ethos, peace of mind, and safety net.
Wednesday, 3 January 2018
Another Thing Corbyn Doesn't Get: Opinion Polls Are Deceptive About Our Preferences
Jeremy Corbyn's New Year speech was full of buoyancy about how he's a Prime Minister in waiting because the policies he endorses are popular with voters. The problem is, he misunderstands the most primary error in his evaluation: that opinion polls are deceptive about what people actually do want, as opposed to what they say they want.
Below is a recent poll showing the public appetite for the nationalisation of various services in the
Similarly, when a British citizen is asked if she wants more public money spent on health care, railways and the energy sector, and if she wants employers to be forced to lower their staffing levels so others can receive a minimum wage, she will quite happily say 'yes' if she doesn't have to bear any of those costs. She may have to bear a tiny proportion of the costs through increased taxation, but those costs are spread thinly enough that no one individual feels it very acutely.
Moreover, a poll asking you whether you support renationalisation of the railways is not very likely to have the result affected by your vote, so you are less likely to have spent much time analysing the pros and cons of a nationalised railway.
The only poll that genuinely covers your revealed preferences is the poll where you feel the full costs and benefits of your decisions - and that only happens when your decisions are market-based, with the full gamut of consumer surpluses and opportunity costs factored in. I would buy a £1000 television for the consumer surplus, and wouldn't buy a £4000 television because of the opportunity costs associated with that additional £3000 expenditure.
Polls, therefore, are fairly meaningless in telling us what politicians should do with our money, because the poll choices are divorced from the personal ramifications of those choices. To discover what British citizens really want you have to allow them to spend more of their money, and reveal their preferences in a market-based economic landscape. Unlike in state policy, the market will respond, as prices and quantity will adjust accordingly to supply and demand.
Sunday, 31 December 2017
Homework For Owen Jones In 2018.....
This is, of course, utter hogwash, built on the fact that neither Jones nor the European Commission understands the concepts they are trying to evaluate. Humans do not look to maximise individualism, we look to maximise utility. In conjunction with this, economics is a proper empirical method for assessing what humans prefer given many combinations of goods, services and opportunities for mutually beneficial exchanges.
Therefore, what Owen Jones sees as selfish individualism is no such thing, because the pursuit of human utility for each individual is underpinned by solidarity in cooperation. Once you factor in the billions of combinations of goods and services and the billons of combinations of tastes and preferences, you see that suppliers only provide what consumers desire, and at a price people are willing to pay.
Friday, 29 December 2017
The Rapid Immiseration Of A Nation State Blighted By Socialism
Why socialism never works
Society is made up of billons of life choices each day, and the prices we see in the marketplace are a reflection of those choices and the value we place on things. Cars are popular among 50 year olds, whereas roller skates are not, because 50 year olds tend to prefer cars to roller skates. Beer is more popular than mint tea in a nightclub because people value beer more than mint tea when they are clubbing. These are society's revealed preferences, and prices reflect those wants and needs.
Thursday, 28 December 2017
Why Some Questions Fail To Get Answered
But how do you ascertain whether a question is being reasonably asked? Here's my tip on how you do it. If either or all of the answers you are considering in relation to a question would sit equally well with the reality you perceive, whereby each putative conclusion bears no change to the reality you perceive objectively, then your question cannot be reasonably asked.
Friday, 22 December 2017
Why It Is *Possibly* Safer To Drive Home Drunk Than Walk Home Drunk
Monday, 11 December 2017
The Popular Annual Myth Of December 11th
Despite appearing in reputable newspapers, my initial instinct was that this story is poppycock, and that what we are seeing with this account is lazy, uncritical journalism. Save for one of those extremely rare coincidences that one expects every now and then when the law of large numbers throws up some irregular statistical patterning, the probability of the same day each year being the most fertile day of the year is vanishingly small. There are just too many variables and complex interlinking causes for such a peculiar pattern to emerge, and I could definitely smell a rat.
Sunday, 10 December 2017
A Radical Way To Change Politics For The Better
It's only when professional people are accountable for their actions or words that we lessen the duplicity and complacency. I doubt we would have seen the MP expenses scandal nor be subjected to the regular tosh to which we have become habituated if we had upstanding MPs who feared the opprobrium (and voting power) of the electorate, and had to conduct themselves with integrity and intelligence to secure their next vote.
Tuesday, 5 December 2017
The Trojan Horse Of Public Goods: Beware Of Politicians Bearing Gifts
The state provides some public goods from which we all benefit equally, like national defence and rule of law, but it also provides private goods like health care, education and pensions which would be better run under a 'consumer pays' model. The distinction is that we more or less want the same thing when it comes to national defence, but not so when it comes to health care, education and pensions.
One obvious example of a public good that everyone benefits from is national defence: so effectively the nation is treated as a single consumer paying for this through taxation. Another example of a similar service is the police force, as is the infrastructure that provides the framework for the rule of law. There are people, such as David Friedman in his seminal Machinery of Freedom, who maintain that even things like defence, police and rule of law don't need to be provided by governments, but can be sustained instead by non-coercive market and charity-based systems. But we'll give the state the benefit of the doubt for now in terms of providing a few of these public goods, even if it is easy to envisage a time when things may be different.
Monday, 4 December 2017
Junk Food, Junk Theory
Statistics often provoke incredulity. For example, The London School of Tropical Medicine sent out a report that says the surplus (stress, that's surplus) food consumed by all the obese people in the world is enough to feed 1 billion of the world's poorest people. You don't need to be a genius to predict what many will say when they tap away on their keyboards by way of a response:
"Ah, so if the over-eaters consumed normal amounts, we could give all that food to those billion people".
Not quite. That's a bit like saying that if we gave some of Europe's rainfall to Africa, there would be less barren land in
On a happy note to end, well done to the Co-op for being the first major retailer to voluntarily sell food on a large scale at a reduced price after its 'best before' date, in an effort to simultaneously cut its losses and reduce its food waste too. What I like most about it is that it's an entirely voluntary decision - no enforcement, no pressure from regulatory bodies - just a straightforward sensible decision that mutually benefits sellers and buyers.