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[personal profile] rowyn
I think the thing that I disliked the most about the game NationStates was its implicit assumption that government was the controlling force to society. That is to say, everything that happens in a society: the economy, the divorce rate, the family structure, technological achievements, etc., was the direct result of government policies. There is an assumption that if the government doesn't do something, nothing will happen. If the government doesn't save the rainforest, then it will inevitably be cut down. If the government doesn't outlaw public indecency, everyone will walk the streets naked. If the government doesn't provide social security, then all elderly people will go homeless.

I think it's this fundamental assumption that leads people to think of Libertarians as hard-hearted conservatives indifferent to human suffering. You look at someone who says "we should do away with food stamps" and it's hard not to think "Don't you care?"

Of course I care. Of course I think people should help one another. Of course I believe in charity, in compassion, in decency.

What I don't believe is that the State is any good at charity or compassion. The State is good -- really good -- at just one thing: the use of force. By golly, if you need guns or jails or manpower to kick people around, the State is the place to go. It can bully, harass, and coerce like nobody's business.

And that's a good thing. There will always be powers in the world that will use force against you, and force will always be necessary to defend you from it. The State, ideally, is that good guy using its considerable force in defense of its people.

But force is not the solution to every problem -- at the very least, not the best solution to every problem. When the State tries to do other things, that don't really involve the use of force, it tends to botch them up. It has unintended consequences. It's so big and impersonal that it lends itself to corruption and abuse.

It's not that I'm a pessimist and think people are so pathetic they don't deserve help and should be left to die if they can't take care of themselves. It's that I'm a hopeless optimist, and I think that smaller organizations will step in to fill the void, and to do it better, if the State stops trying.

The State is a hammer. It's a big hammer. It's a really good hammer. But not every problem in the world is a nail.

Minor point....

Date: 2003-03-24 01:43 am (UTC)
From: [identity profile] ex-strangess744.livejournal.com
Ah, but we saw the results of a solely government R&D program....the space program. Now, yes, the space program is not the most efficient enterprise in the world. Not by a long shot. But on the other hand, the phrase "rocket scientist" didn't become synonym for "genius" without reason. I will accept that private organizations can be more _efficient_ than government. I don't accept that government cannot be sufficiently _effective_. The world is very, very rich, production and capital wise. We can afford to be inefficient in spending money. When 90% of capital on the stock exchanges is speculation and trading of _existing enterprises_ rather than expansion of working capital, I don't see a strong argument that the population in general benefits from a system optimized for fiscal efficiency.

The reason the strange type of socialism found in many industrial nations works is that because unlike Stalinism, we've learned that you need to give people incentives. If you do not allow differentiation of wealth and free availability of goods and movement of labor, people get very, very unhappy and it shows. But allowing these things doesn't mean you can't decide that maybe government should be in charge of many important things.

The thing that annoys me you see, is that Canada's system was substainable. During that fairly stressful and anemic decade, the 70's, our system paid for itself. Yes, partly on the proceeds of incredible natural resource extraction industries...but because we seemed to have a pretty good mix. Expenses and revenues grew at roughly the same rate.

Then a man named Brian Mulrooney was PM for 8 years. He said "why don't we keep spending constant, and cut taxes by about 30% of the take we get." The debt ballooned from a nagging worry to 2/3 of our tax spending in 8 years. I can't say the world would be ok if not for him. Maybe companies would have fled Canada in droves....but somehow I don't think so. The difference in marginal tax rates between the highest and lowest taxed industrial countries is about 34% of the lowest...that is, the highest is 34% higher than the lowest (which is, not surprisingly, the States.)

An even more marginal notes is that total tax rate (hidden, service fee, and explicit) is 51% in the States. It's 70% in Sweden. Sweden arguably is having some problems, showing that having the government do EVERYTHING may not be a good idea. I just don't see the picture as painting that the government can do NOTHING (or nearly nothing) productive.

Of course, I did read the bit "I'd have to do more research to argue"....I admit, I need to do some more research too. I saw the tax figures, for example, back in macroeconomics, roughly 8 years ago.

You and Dwayne should talk at some point. He's actually somewhat pro government, rather than "I hate them less than I hate corporate ogilarchy". He did some research on some "accepted facts" in my province that boggled me....
From: [identity profile] telnar.livejournal.com
When we look at the question of whether the Canadian health care system is sustainable, there are at least two questions that might matter:

1) Does this system make Canadians better off and by how much?
2) Does this system make humans better off and by how much?

It's easy (if perhaps wrong) for Canadians to dismiss the second question since relatively little of the world's medical research happens in Canada (even if more might happen there if incentives were different), so the effect on Canadians of anything that they alone could do to change the pace of medical innovation is fairly small.

Incidentally, economists call this type of situation a free rider problem. Canadians will get the benefits from medical research in other countries whether they contribute towards medical advances or not. In fact, because the lion's share of the cost associated with producing a new drug comes prior to approval for widespread use, drug companies have an economic incentive to offer price breaks to countries with socialized medical systems (any revenue is good since the marginal cost of tablets is so low) as long as doing this doesn't jeopardize the prices that they can charge in the world's few relatively free markets.

In contrast, the US faces a far different problem. I don't have exact statistics (sorry -- too lazy to get current ones), but the majority of the world's medical research happens here. If we were to adopt an incentive system that substantially reduced the level of medical research done in the US (e.g. by capping drug prices), the harm to the world would be large enough to probably make us worse off in the long run even though we would stop subsidizing other countries socialized medical care policies.

One option that I've toyed with as a way for the US to share the burden of medical research more fairly with the world would be for Medicare to adopt a policy loosely analogous to the way that most favored nation status works in GATT. Under this plan, Medicare would pay the lowest price for a given drug that the seller had accepted from the government of any industrialized country (chances are that private insures wouldn't be willing to pay more than Medicare). Because the US accounts for over 40% of the world's spending on health care and Americans regularly pay more than double the prices for drugs which prevail in single payer health care systems, I would expect that the short run effect of this would be for US drug companies to be unwilling to sell to European and Canadian governments without radically renegotiating the pricing. In the longer term, it would probably eliminate the cost advantage non-American governments have in health care. The only thing that worries me is that when prices found an equilibrium somewhere between US and European prices, US drug research would be reduced. Perhaps, though, European research would increase to compensate for it.

Incidentally, many of the same arguments apply to medical devices which permit new tests. I focused on drugs because they have an almost software-like cost curve (i.e. 1,000,000 units cost only slightly more than 1 unit). Advances in areas like magnetic resonance imaging can be more complicated to analyze since there are several places where costs occur as opposed to the much simpler model for drugs (where there are generally only 1-3 middlemen).

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