Author: Warren Coats

I specialize in advising central banks on monetary policy and the development of the capacity to formulate and implement monetary policy.  I joined the International Monetary Fund in 1975 from which I retired in 2003 as Assistant Director of the Monetary and Financial Systems Department. While at the IMF I led or participated in missions to the central banks of over twenty countries (including Afghanistan, Bosnia, Croatia, Egypt, Iraq, Israel, Kazakhstan, Kenya, Kosovo, Kyrgystan, Moldova, Serbia, Turkey, West Bank and Gaza Strip, and Zimbabwe) and was seconded as a visiting economist to the Board of Governors of the Federal Reserve System (1979-80), and to the World Bank's World Development Report team in 1989.  After retirement from the IMF I was a member of the Board of the Cayman Islands Monetary Authority from 2003-10 and of the editorial board of the Cayman Financial Review from 2010-2017.  Prior to joining the IMF I was Assistant Prof of Economics at UVa from 1970-75.  I am currently a fellow of Johns Hopkins Krieger School of Arts and Sciences, Institute for Applied Economics, Global Health, and the Study of Business Enterprise.  In March 2019 Central Banking Journal awarded me for my “Outstanding Contribution for Capacity Building.”  My recent books are One Currency for Bosnia: Creating the Central Bank of Bosnia and Herzegovina; My Travels in the Former Soviet Union; My Travels to Afghanistan; My Travels to Jerusalem; and My Travels to Baghdad. I have a BA in Economics from the UC Berkeley and a PhD in Economics from the University of Chicago. My dissertation committee was chaired by Milton Friedman and included Robert J. Gordon. I live in National Landing Va 22202

Abuses of Government regulation

Government is essential for a vibrant, growing economy. It provides and enforces the property rights and rules of the game (e.g., contract enforcement) within which entrepreneurs operate. It is, or should be, the referee of the game rather than a player.

There is often pressure from established firms for government regulations to have a role beyond establishing a transparent and level playing field in order to favor or protect these firms from unwanted (by them) competition. Requiring the U.S. government to buy what it needs from American firms is such an example. If the products and services of American firms were better and cheaper than those of foreign firms, there would be no need for such a law. As it is, it often means that taxpayers must pay more for their government than would be the case if it procured on a purely competitive basis. The extra cost must either divert government spending from other things or divert household incomes via an increase in taxes.

Two examples of such abuse are currently in the news—the Jones Act and the Boeing dispute with Bombardier.

The Jones Act, adopted in 1920, requires that all goods shipped between American ports must “be carried on ships built, owned and operated by Americans…. A 2012 study from the New York Federal Reserve found that shipping a container from the US East Coast to Puerto Rico cost $3,063. But shipping the same container on a foreign ship to the Dominican Republic nearby cost only $1,504. More broadly, the island loses $537 million per year as a result of the Jones Act.” “Jones-Act-hurts Puerto-Rico”

The Jones Act, formally called the Merchant Marine Act of 1920, was adopted to protect our merchant marine industry—thousands of sailors, ship builders, and their owners and operators. They were not competitive with foreign shippers without such protection. So Puerto Rico and all of the rest of us buying the goods shipped pay higher prices than necessary. If American cargo ships were forced to compete with foreign operators, then some—but not necessarily all—of them would fail and take jobs producing things that were competitive. Those that survived such competition would be the better for it, as would we. Senator John McCain introduced a bill in 2015 to repeal the Jones Act permanently, which we should all support. Buy American is a loose, loose, requirement. “Buy-American-hire-American”

“Mr. Trump’s big mistake has been his handling of the Jones Act.… First he said he would not suspend it as he did for Texas after Harvey and Florida after Irma. ‘A lot of people that work in the shipping industry . . . don’t want [it] lifted,’ he said. Well, duh. A lot of people don’t like competition. But that’s hardly a good argument for blocking it.

“Under pressure, he finally said he would suspend the Jones Act for Puerto Rico—but only for 10 days, a meaningless gesture.” Mary A. O’Grady FEMA’s-foul-up-in-Puerto-Rico

Boeing’s claim that Bombardier’s C Series CS100 commercial jet, built in Canada and Ireland and being purchased by Delta in the U.S., is competing unfairly because of government subsidies is murkier than the Jones Act case and raises a different issue for the renegotiation of NAFTA, which is now underway. While it is undeniable that Bombardier receives financial assistance from the Canadian government in a variety of ways, so does Boeing (from the U.S. government). Boeing is the single largest beneficiary of the loan subsidies provided by the U.S. Import-Export Bank (nicknamed in Washington the “Bank of Boeing”) to help foreign airlines finance their purchases of Boeing aircraft. “Boeing-took-a-foreign-firm-to-task-over-subsidies-critics-say-boeing-gets-help-too”

In response to Boeing’s complaint, the Commerce Department has announced that it intends to impose a staggering 219% tariff on the Canadian plane. Strangely Boeing did not even compete for Delta’s business and has no aircraft that competes with the Bombardier plane. Sorting out the claims and counter claims will be complicated. Which plane builder has benefited more from their governments’ help? What would constitute a level playing field in the international competition to sell these airplanes?

Canadian Prime Minister Justin Trudeau threatened that “his government might cancel a previous proposal to buy Boeing F-18 Super Hornet fighter jets.” In addition, “Bombardier employs about 4,000 people in Belfast, many of whom work on the CS100.” Britain’s, Prime Minister Theresa May “tweeted that it was ‘bitterly disappointed’ by the proposed tariff….   British Defense Secretary Michael Fallon said that he would not cancel an existing deal to buy eight spy planes and 50 Apache helicopters from Boeing but that the slight would hurt Boeing in future competitions.”

These are the sorts of tit for tat trade wars can grow out of, to the detriment of everyone. Like most other trade agreements, the NAFTA (North American Free Trade Agreement) has established a dispute resolution mechanism to evaluate and settle such disputes. Bombardier-vs-Boeing-skip-to-chapter-19. Such disputes are adjudicated by independent dispute resolution panels. “Chapter 19 [of NAFTA] offers exporters and domestic producers an effective and direct route to make their case and appeal the results of trade-remedy investigations before an independent and objective binational panel. This process is an alternative to judicial review of such decisions before domestic courts.” http://www.naftanow.org/dispute/default_en.asp

The Trump administration is now renegotiating NAFTA with Canada and Mexico. “U.S. Trade Representative Robert Lighthizer has… suggested having the nation’s own courts hearing the disputes.” Canada-says-hard-no-on-Trump-change-to-nafta-dispute-resolution.

Take a deep breath and step back. We want Canada’s challenge to our proposed 219% tariff on Canadian airplanes adjudicated in our own courts? How can we imagine that this would be acceptable? Would we agree to our challenge to a Mexican tariff on American cars sold in Mexico being settled in a Mexican court? Have we become such big bullies that we can even suggest such an outrageous approach? Trade should be as fair as possible within the terms of any trade agreement and disputes should be resolved as impartially as possible. We and the rest of the world benefit from the increase in trade that results.

Taxing the Wealthy

The administration has “backed a tax plan that analysts say would greatly benefit the wealthy.” I want to unpack that and take a closer look at what it might mean.

“The Trump tax plan drops the top bracket from 39.6 to 35 percent, and allows for the possibility of a 25 percent top rate through a pass-through entity.” The Washington Post Fact Checker

I want to explore two questions. Would the proposed income tax changes reduce the taxes paid by the average wealthy tax payer (say the top ten percent, who in 2016 paid 80% of all income taxes)? Would that be a good thing or a bad thing and in what ways should we judge that question?

To evaluate the impact on taxes paid by dropping the marginal tax rate from 39.5 to 35 percent we must also take into account the increase in taxable income resulting from broadening the tax base (eliminating some of the existing deductions from taxable income such as State and Local Taxes and interest paid on other than mortgage debt, etc). The conventional wisdom of tax reform is to lower the rates and broaden the base. This can be done in amounts that leave tax revenue unchanged (revenue neutral). Whether the wealthy pay more or less from the proposed modest drop in the tax rate will depend on how successful congress is in fighting off the special interest groups that will try to preserve their special interest deductions.

There are two other important considerations when evaluating the revenue impact of a rate cut. To the extent that lower marginal tax rates encourage greater investment, the economy will grow more than otherwise. This is an additional way in which the tax base is increased and with it the tax revenue generated from whatever the tax rate might be. While there is no case in which the economy grew fast enough to recover all of the revenue lost from cutting the rate, faster growth generally recovered some of it. But a bigger revenue boost can also come from the wealthy repatriating more of their income held abroad to be taxed in the U.S.

But let’s assume, all things considered, that lowering the marginal tax rate for the wealthy reduces the taxes they pay. Is that a good or a bad thing? Leaving aside the point above about increasing economic activity in the U.S., what should the standard of judgment be of what is fair? Obviously people with more income should pay more taxes but how much more? If current tax rates (and deductions) are unfairly high for the wealthy, then lowering them is a good thing. If they are unfairly low, they should be raised. In short, it is not necessarily appropriate to say that something that lowers the taxes paid by the wealthy is a bad thing. The core question is thus: what is our standard of fairness?

Tax burdens are generally discussed in relation to the share of ones income paid in taxes. Rather than comparing the fairness of a millionaire with an income of $5,000,000 paying $1,000,000 in taxes with the average American family income of $50,000 paying $10,000, we look at the tax burden in relation to the share of ones income paid in taxes. In the preceding example, both the millionaire and the average family are paying 20% of their incomes in taxes. In fact, the average share of income paid in taxes of the top 10% of income earners was almost 20% in 2012 while the bottom 50% (most of whom paid no federal income taxes) was 3.3%. A flat tax rate (same marginal rate for everyone), which means that a person with twice the income pays twice the tax, is my standard of fairness. Many others believe that it is fair for the rates to be progressive (higher marginal rate for higher incomes).

My point is that it is wrong to conclude that any reduction in the taxes paid by the wealthy is good or bad unless we have first agreed on the standard of fairness and whether existing tax payments exceed or fall below that standard.

It is important to note also that there are many other taxes that people pay. While most America families pay no federal income taxes, they do generally pay wage (social security) taxes, sales taxes, property taxes and other taxes. “The Principles of Tax Reform”

 

Trump’s Real Job

President Trump should give up his childish feud with the NFL and attend to his real job. His frequent attacks on the press, the intelligence community, so called rapists from south of the border, among many other things, in addition to being incredibly stupid, seem a tactic to deliberately divert public attention from failures of his administration. And the NFL players should think again about how most effectively to make their political points.

During the campaign the President promised a more restrained use of our military around the world, which is a view I share. However, he has failed to appoint the State Department officials needed to develop and oversee the diplomacy that could replace excessive reliance on our solders. Almost a quarter of our ambassadorships remain vacant, including to Germany and France. The ambassadors to the UK and Italy were only appointed last month. When I attended the American Embassy’s Independence Day celebration at the Ambassador’s residence in Rome in July, there was still no Ambassador.

According to Wikipedia: “The Washington Post has identified 601 key positions requiring U.S. Senate confirmation. As of September 22, 2017, 122 of Trump’s nominees have been confirmed for those key positions, 157 are awaiting confirmation, and 18 have been announced but not yet formally nominated.” In other words Trump has not even appointed half of his administration.

Our indefensible assistance to Saudi Arabia’s indefensible war in Yemen needs the POTUS’s urgent attention. As Russia and our allies in Syria finish off ISIS, what is our strategy for the future of the region and Iran’s role in it? What about Afghanistan and Iraq, where I worked extensively for the last 15 years? Our objectives re our relationship with China (not to mention Russia) need to be clarified and our strategy for achieving them better articulated.

And then there is the mess that is the DPRK (North Korea). School boy taunts that threats from Kim Jung Un “will be met with fire and fury like the world has never seen,” is not a credible or wise strategy. Even without a full deck at the State Department, Trump’s senior advisors repeatedly warned him not to attack the North Korean leader personally:

“Trump’s derisive description of Kim Jong Un as ‘Little Rocket Man’ on ‘a suicide mission’ and his threat to ‘totally destroy’ North Korea were not in a speech draft that several senior officials reviewed and vetted Monday, the day before Trump gave his first address to the U.N. General Assembly…. Some of Trump’s top aides, including national security advisor H.R. McMaster, had argued for months against making the attacks on North Korea’s leader personal, warning it could backfire.” http://www.latimes.com/politics/la-fg-trump-northkorea-20170922-story.html

And then there is Trump’s domestic agenda (Obama care, Tax Reform, etc.). How is that doing? He should cancel his twitter account, finish appointing his government and listen to what his cabinet and advisors have to say and get on with his job as the President of the United States. And by the way, the campaign is over. It is time to stop further dividing the country and to reunite us to the extent possible.

 

A Basic Human Right

Hunter-gatherers freely traded what they produced (gathered) for what they needed but did not produce. The story is well known (except by Peter Navarro, an energy and environmental policy analyst masquerading as Trump’s trade expert). By specializing in what they did best (hunting) and trading their bounty with those better at producing the other things hunters needed, total output was greater and every one was better off. The right to sell what we produce for what we need/want but don’t produce is, or should be, a pretty fundamental right. It is called free trade.

Historically governments have interfered with this right to protect the markets of special groups otherwise unable to compete. These trade restrictions and tariffs reduced total output making everyone (except those protected) worse off. Recognizing the general harm done by trade restrictions, most countries have negotiated mutual reductions in these restrictions. These have taken the form of bilateral and regional and global multilateral trade agreements.

The Trans-Pacific Partnership (TPP) was one of the most recent efforts to expand trade and its income rising benefits. It was negotiated over an eight year period among 13 Pacific Rim countries and in addition to expanding trade would have deepened U.S. leadership in setting trade standards in the region. Steve Bannon rejoiced when President Trump withdrew the United States from the agreement, claiming that all future agreements would be bilateral. President Trump thereby potentially gave standard setting leadership in the area to China. Not very smart.

Candidate Trump had also promised to scrap the North American Free Trade Agreement (NAFTA) with Canada and Mexico, calling it the worst trade deal of all times (a rather crowded category). President Trump wisely decided to renegotiate it instead. It has been updated several times since it was originally signed and another round can potentially make it better still. In fact, many of the good features of the now discarded TPP are being incorporated.

If we remove existing restrictions on purchasing Canadian lumber and millwork products, for example, fewer trees will be cut down in Washington and Oregon. In exchange Canada will reduce its tariffs and other restrictions on American cars, equipment, and food product sales to Canada. Production will be more efficient and incomes will rise both here and there.

As competitive advantages shift with freer trade and product and manufacturing innovations, some workers will need to shift to new areas of work and may need new skills. Public policy should facilitate and ease the adjustment burdens of these shifts, but it is important to recognize that these shifts arise mainly from improving productivity and not from increases in cross border trade. Most of us export our labor to a domestic company (our employer) and import everything we need (paid for by our labor export). But most of those imports are from domestic companies and service providers not from so called foreign trade. The era of the self sufficient farm families ended long, long ago. https://wcoats.wordpress.com/2017/07/23/the-balance-of-trade/

President Trump may well oversee the negotiation of a better NAFTA (better for all three countries involved). Unfortunately his style of leadership in this area—baseless claims of great harm to American workers from existing trade agreements—provides a very misleading message to the American worker and public in general. He creates a negative atmosphere around the right of each of us to sell what we make to whom ever we choose and to buy what we need from whomever we choose. The world has benefited enormously from freer trade and the increases in worker productivity it has made posible. This is a huge understatement. President Trump does us all a great disservice by characterizing trade in negative terms.

Do we really need Free Speech?

James Damore was fired by Google for a memo he posted at work giving his views on why there are so few women at his workplace. Basically, he argued, fewer women are interested in math and science than men and thus Google’s hiring policies designed to attract and hire more women are misguided. In this note I make two points: First, we lose a great deal of first order importance if we counter erroneous or offensive speech by repressing it—FREE SPEECH is protected by the First Amendment for good reason. Second, it is more effective to counter false ideas with correct or better ideas than to repress them.

Damore went further than Larry Summers did twelve years ago. Summers, who was President of Harvard University at the time, noted the fact that there were so few women at Harvard in the hard sciences and asked why that might be so. He explored several possible explanations without endorsing any of them. He was, in fact, raising a serious question for serious discussion. Many of his colleagues found his question so offensive that he was forced to resign his Harvard presidency. This is what I wrote about it at the time: “Science-discrimination-and-Larry-Summers”

One of the possible factors in the underrepresentation of women in the sciences not raised by Summer is the fact that the approach to teaching math and science has been designed by man and best suits the ways men generally learn. Considerable research indicates that men and women tend to learn differently. A pedagogy best suited to men might discourage otherwise potentially interested women from perusing science.

Damore went further by concluding that Google’s hiring practices were discriminatory to men and thus illegal. In a Wall Street Journal oped Damore stated that:  “I committed heresy against the Google creed by stating that not all disparities between men and women that we see in the world are the result of discriminatory treatment…. I suggested that at least some of the male-female disparity in tech could be attributed to biological differences (and, yes, I said that bias against women was a factor too).” “Why-I-was-fired-by-Google” None of us needs to be convinced that there are biological differences between men and women (hopefully), so why not with regard to tastes in employment?

I have not read Damore’s ten page memo and don’t intend to take sides on the points he makes, over than to agree with his statement that Google will have a better Human Resources policy if it is based on fact rather than ideological presumptions of the facts. Open discussion of the issue—of Damore’s biological claims—is one of the best ways to sort out what is scientifically supportable from what is ideological fiction.

Opening public discourse to the views and comments of anyone wishing to say something, i.e., “free speech,” potentially exposes us to some pretty nasty stuff. There is a fundamental and critical difference between addressing rudeness—bad manners—via inculcating cultural values of mutual respect (good manners) and via government suppression. Today’s millennials seem to have been raised to expect protection from anything unpleasant (shame on you helicopter moms). Rather than take responsibility for their own good behavior and the encouragement of the same in others, they seek and demand protection imposed by the “authorities” with “safe zones” and the like. In my view this is on the “Road to Serfdom.” I have shared my views on the emergence of state imposed political correctness on several earlier occasions: “What-is-wrong-with-PC”

To my second point, suppression of speech is also an inefficient way of countering falsehoods or doubtful or “bad” principles. If such views cannot be aired openly and publically, they are very likely to live on and survive within social or ideological bubbles where they are not challenged. The Internet facilitates living within a bubble or reaching beyond it and we need to encourage everyone, and especially each new generation to reach beyond their echo chamber in order to confront their beliefs with other views.

In an interview with Bloomberg on August 10, Damore stated that: “There are simply fewer women that want to get into these fields,” he said. “If you’re a girl and you’re interested in technology, that’s great…. If anyone is interested in technology they should just pursue it,” he added. “It’s a great field.” “Fired-google-engineer-says-company-execs-shamed-and-smeared-him.” This doesn’t sound much like a bigot to me.

Science, Discrimination, and Larry Summers

It is clear that Harvard President Larry Summers has hit a nerve, yet again. It is far less clear why reactions have been so strong and often so disappointing to those of us who believe in science. Let us know the truth, whatever it is. If women have less “intrinsic aptitude” for science than men, and no one—not even Larry Summers—is arguing that such a fact has been established, then we should know about it. Choices are better made on the basis of facts than ignorance or fiction. To my mind, the key overlooked point is that such a fact would have almost no relevance to the values most of us believe in.

Equal treatment under the law and in public policy has nothing to do with whether the average intelligence or other indicators of aptitude or virtue of women is the same as men, or whether the same is true for blacks, whites, Asians, Jews, Arabs, Christians, Moslems, etc, or for gays or straights. We are each individuals, not averages. Our public policy and the personal beliefs of most of us are based upon the morality and advantage of dealing with individuals rather than classes of one sort or another. Whatever the averages might turn out to be—and why should we be afraid to know?—currently available evidence clearly establishes a very large dispersion of traits within each group and a very large overlap with all other groups.

Such principles are expressed and upheld by governments only when they are broadly believed by the governed (in democracies), or by enlightened rulers, or, as in our case of a constitutional democracy, when enlightened leaders in the contemplative environment of a constitutional convention imbed such principles in a constitution that limits what majorities may do. Fortunately, in free market economies self-interest works in favor of such principles. Profit minded employers want the best employees for the least cost.

It is human nature to economize and conserve in various ways. It is part of being efficient. Economizing on the gathering of information is but one of the many ways we prioritize the use of our time. We often develop impressions of people or groups of people (say Southern Baptists) on the basis of partial information. We often rely on the views of others we trust. It would take more of our time than it is worth to gather ALL of the facts. Biases and prejudices are perpetrated for some time for these reasons even among the good hearted.

If women are being discriminated against in the market place, presumably because of incorrect perceptions of their productivity, they will tend to earn less for the same work. If this is the case, it is economically advantageous for an employer to hire them. Thus there is an economic incentive for firms to look beyond the stereotypes (or averages) for individuals whose talents may not be fully appreciated yet in the market place. Not all employers will bother to do so, but those who do so will profit at the expense of those who discriminate. Over time more profitable firms tend to grow more rapidly than less profitable ones. If employers are forced to pay women the same wages as men when they believe they are less productive, fewer women will be hired until such time as broadly held prejudices are over come.

Open and honest debate about such issues is another way of advancing the truth and overcoming prejudice. In my opinion Larry Summers has contributed to that goal and the sometimes hysterical reactions to his raising legitimate scientific questions have not.

Finally (?): Healthcare Reform

What are the problems with our universal healthcare system (no one is denied the care they need “Health-care-plan-B”) that Congress is trying to fix? At the broadest level America’s health care costs much more than it should for the results it delivers and the distribution of its financing is neither efficient nor equitable. Six years ago Democrats made the mistake of sneaking through the Affordable Care Act without significant debate. This year Republicans committed the same error but failed to pass a law. This provides congress (thank you Senator McCain) with the opportunity to fashion a healthcare reform law the proper way (open committee hearings, etc.).

A new attempt to reform the system would no longer be restrained by the limitations of a budget law that limited what earlier attempts were able to do. In particular a new law should address the factors that drive up the cost of medical care in the U.S. These include relaxing legal limitations on who can provide what services and how they may be performed, requiring that the cost of services be transparent and requiring stronger incentives for customers (patients) to care about cost when choosing medical treatments. “Heath-care-reform-fatigue”

How medical services are paid for influences the incentives of both suppliers of these services as well as the users to seek and provide the most cost effective options. Medical services are paid for by patients (because they are uninsured, or pay deductibles or copays), insurance premiums, or taxpayers. Each provides its own set of incentives for choosing what is delivered. When patients pay for the services they have a financial incentive to choose the option with the highest benefit-cost ratio. When third parties pay for medical services, (insurance companies or government) they must impose choices that patients, in consultation with their doctors, would otherwise make.

Some commentators have complained that third party payers, whether a single payer (government) system or many insurance companies, introduce rationing. However, all scarce goods and services are necessarily rationed. The relevant issue is how they are rationed, whether on the basis of the preferences of patients or the judgment of the third party payer of what is reasonable.

To the extent that medical costs are paid for by taxpayers, the incidence of such financing depends on and is determined by the structure of the government systems of taxation. In the U.S. these are currently unfair and inefficient and in bad need of reform quite independently of the issues of healthcare delivery. Medical insurance financing is complicated by the ill advised post World War II tax incentive for employers to provide and help pay for medical insurance. This practice establishes insurance pools (the firms employees) that generally mix the number of healthy and sick policyholders in a representative way. The very purpose of insurance is for the healthy to share the costs of the sick and thus reduce the financial burden of medical surprises. Most Americans with health insurance buy it through their employers’ plans.

The most serious problem with the existing American health insurance system is for those not receiving insurance from an employer (or those changing employers and needing to establish new insurance policies). These people must use the so-called private market for which the Affordable Care Act established the insurance exchanges. The cost of insurance purchased in this private market depends on the mix of healthy and sick people that sign up. Employer provided plans are essentially mandatory for a firm’s employees (and enjoy a tax subsidy) and thus result in a well mixed (sick and healthy) risk pool. Private market plans were made mandatory by the ACA but with a penalty for remaining uninsured that was so low that large numbers of young healthy people choose not to join. Thus private market plans were increasingly populated by the sick (and those expecting that they were likely to become sick). This undermines the cost sharing the insurance exists to provide and thus drives up the premium cost. The simple cure for this problem is to make healthcare insurance mandatory as originally proposed by the Heritage Foundation.

Mandatory healthcare insurance should cover every health service for which society believes financial assistance should be given. It undermines the purpose of insurance to allow policy holders to pick and choose which services will be covered. Premiums might very with age, lifestyle choices that effect health (such as smoking or obesity) and the choice of the level of deductions and copays but policy holders should not be able to opt out of services society intends to provide and finance one way or another even if they never expect to need them. The issue of preexisting conditions would not arise when insurance is mandatory and policies are not linked to individual employers. “Health-care-in-America”

The individual policyholders’ choices of the level of deductions and copays (but not the scope of services covered) would determine the division of financing between patients and third party payers. In addition, government (the voting public) would choose the extent to which the cost of medical services would be taken over by taxpayers as a result of government financial assistance to the poor. A further policy option is whether the cost of catastrophic health care needs would be lifted from insurance premiums and paid for by taxpayers via a reinsurance plan. But the cost of medical services that must be paid over all (by patients, insurance premiums, or tax payers) can be greatly reduced by taking those measures that will lower the cost of these services in the first place.

Hopefully this time around congress will entertain open public discussion of all of these issues so that the public will understand the purposes and tradeoffs of the policies ultimately adopted.

The Balance of Trade

President Trump has regularly called for bilateral trade balances with our trading partners. Though he prudently gave up his campaign promise to declare China a currency manipulator on his first day in office because of China’s large trade surpluses with the U.S., he more recently criticized Germany’s even larger surplus. The Trump administration’s objectives in renegotiating the North American Free Trade Agreement (NAFTA) published July 17th also call for reducing U.S. bilateral trade deficits with Mexico and Canada. Economists recognize these objectives as nonsensical, but it might be worthwhile to spell out to the broader public (if not to Trump’s protectionist White House wing) why that is so.

Let’s start with the U.S. trade balance with the rest of the world. As we pay for what we import with what we export, we would generally expect a balance between imports and exports over time, just as we expect a rough balance between our income and expenditures over time. But uniquely in the case of the U.S., we need to have a deficit (imports exceeding exports) paid for with U.S. dollars, because the rest of the world holds and uses our dollars to finance many international transactions. The dollar is the world’s primary international reserve currency and our trade deficit is the primary means by which we supply them to the rest of the world.

This is an over simplification, however, because dollars are also supplied to the rest of the world via our capital account, i.e. Americans investing abroad. At the end of 2016 Americans had invested about $24 trillion USD equivalent. However, the rest of the world had invested over $32 trillion USD in the U.S. Roughly $5 trillion of this net investment in the U.S. of $8 trillion represented official foreign exchange reserves held by foreign governments in U.S. dollars out of total foreign exchange reserves of about $8 trillion.

Something also needs to be said about the relationship between foreign holdings of dollars and changes in those holdings. Any increase in the demand for foreign exchange reserves by foreign governments, something that tends to happen naturally as economies grow, must be met by the balance of payments deficits of the countries supplying those reserves. Thus the U.S. trade deficit last year (2016) of about $500 billion USD more or less reflects the addition to the dollar reserves of foreign governments.

So the use of the U.S. dollar in foreign exchange reserves implies that the U.S. will have, and need to have, a balance of trade deficit of a similar amount. But let’s simplify and assume that U.S. trade with the rest of the world is balanced (zero trade balance as well as zero current and capital account balances), perhaps because the U.S. dollar is replaced in international reserves by the SDR as I have long recommended. See my: Real SDR Currency Board What about the trade balance with Mexico and Canada? Should we want and expect each bilateral trade relationship to be balanced?

The error of such thinking can be easily illustrated with a simple, hypothetical example. Assume that within NAFTA the U.S.’s comparative advantage is in manufacturing all the pieces that make up an automobile and growing wheat, Mexico’s comparative advantage is using its “cheap” labor to assemble those pieces into cars, and Canada’s is growing and milling lumber. Assume that that is all they do that crosses their borders. The U.S. sells its car parts to Mexico, which puts them together and sells the cars to the U.S. and Canada. The value of the parts sold to Mexico is less than the value of the cars (which incorporates the parts from the U.S.) Mexico sells to the U.S. so that on net the U.S. has a trade deficit with Mexico. The U.S. sells wheat to Canadians buying a lesser value of lumber in return and Canada sells its lumber to the U.S. and to Mexico buying a few cars but of less value. Looking at bilateral trade balances, Mexico has a surplus vs. the U.S. and a deficit vs. Canada. Canada has a surplus vs. Mexico just sufficient to cover its deficit vs. the U.S. These bilateral deficits and surpluses are not a problem because the U.S. has a trade balance vs. Mexico and Canada combined and indeed with all of the rest of the world. The same is true for Mexico and Canada. What really matters is whether the value of a country’s exports to the rest of the world match and thus pay for the value of its imports from the rest of the world. As someone noted, no one worries that you have a large trade deficit with the grocery store as long as your total spending everywhere is covered by your income (the sale of your labor to your employer).

Being the eternal optimist, I trust that there are enough people in the Trump administration that understand that seeking bilateral trade balances with each and every country would be a terrible mistake to keep him from trying to do so.

Paid Family Leave

The view that if something is good or beneficial the government should provide or mandate it is one of the attitudes dividing those who favor limited government from those favoring a more expansive and generous government. The following provides one example.

Ivanka Trump and others make a convincing case for generous paid family leave, Paid-family-leave-is-a-good-national-policy. Stephen A. Schwarzman, Founder, Chairman and CEO Blackstone, explained that Blackstone extended its paid maternity leave from 12 weeks to 16 weeks because it improved Blackstone’s bottom line – Paid-maternity-leave-is-worth-every-penny. But for all of the many reasons that big government should be resisted in general (inappropriate incentives for government bureaucrats and the public, special interest capture of policy—i.e. crony capitalism and other forms of corruption, limitations of individual freedom, inefficiency, etc.), there is not a good case for the government to get involve in mandating or subsidizing paid family leave.

Generous paid family leave programs provided by employers are smart business. Companies that offer them will have a competitive edge and thus free market firms will increasingly adopt them. Employers will be free experiment with what works best (for employees’ and companies’ bottom lines), which may well evolve over time as markets and technology change. Governments’ rarely enjoy such flexibility and are often captured by voters best able to influence government to protect their special interests, and that is never the poor. Those who are unemployed don’t need paid leave as they are already receiving unemployment compensation or welfare support for staying at home.

Maternity or family leave has facilitated bringing women into the labor force and thus increased family and national incomes. Given the importance of education to worker productivity and thus individual and national incomes, the state has also undertaken to finance (and unfortunately in most cases also to supply) education for all children from Kindergarten to 12th grade. While upper income families can easily afford to pay for this education for their children, lower income families generally cannot. Thus public financing of such education helps give all children a more equal start in live and also facilitates two worker families. A gap in such assistance exists for preschool children (age 0-5). Financial assistance should also be considered for day care or nursery schools for such children.

In most cases where a policy or practice is good for the general public, it will be adopted by free market participants and better fulfill its purpose than is possible or likely by government.

Heath Care Reform Fatigue

On average, Americans spend about twice as much on medical care as do Europeans and with poorer results. About half of that cost is paid for by government. If we could get the cost of medical care down to European levels either the government (i.e., tax payers) could stop paying for any of it with no change in the cost to patients, or patients could stop paying anything with no change in the cost to government. Of course it wouldn’t work like that and is much more complicated but it does focus the mind about the issues concerned.

Both the Affordable Care Act of Obama and the current drafts of its replacement by the Republicans are limited to what can be considered budget authorizations so that they can be passed with simple majorities. In June 2015, when the Supreme Court rejected challenges to the constitutionality of parts of the ACA (the insurance mandate), Chief Justice Roberts complained that: “Congress wrote key parts of the Act behind closed doors. . . . Congress passed much of the Act using a complicated budgetary procedure known as ‘reconciliation,’ which limited opportunities for debate and amendment, and bypassed the Senate’s normal 60-vote filibuster requirement. . . . As a result, the Act does not reflect the type of care and deliberation that one might expect of such significant legislation.” Now the Republicans are doing the same thing. Once again George Will is right on target: Why-repeal-and-replace-will-become-tweak-and-move-on/2017/06/27/

This means that the most important elements of health care reform in America—reducing supply side costs—must await other legislation. However, limited market forces are already eating away slowly at the American Medical Association’s (the doctors’ union) self protective strangle hold on the delivery of medical services. The information technology now exists to dramatically improve the quality of service while lowering its cost. Nurse practitioners have already taken over some routine functions previously preserved for MDs. With a growing shortage of doctors, more restrictive practices are likely to be relaxed such as phone consultations, etc.

The focus of the ACA and the current Republic efforts to “repeal and replace” it, has been how best to finance these costs for those financially unable to pay them. The two overriding challenges for this effort should be to adequately target those who need such assistance and in the process to avoid undermining to the extent possible the incentives for both doctors and their patients to provide and to seek the most cost effective care.

There are many small and large details in ACA and proposed Republican replacements that could be changed to improve targeting of financial assistance and the incentives for seeking and delivery cost effective care. See my earlier discussion: A-mistitled-tax-proposal. The largest issues are how best to remove the unfair tax treatment of employer provided health insurance vs. the “private” market and how to insure that the risk pools in the private insurance market include both healthy and sick premium payers.

The point of insurance is to pool the cost of the risk of bad things happening, like breaking a leg or getting sick. Thus the lucky (healthy) share the costs of the unlucky (sick or injured). The group as a whole must pay the total medical costs of all members of the group. It follows that health insurance should be mandatory for every one in a properly defined group. The risk pool of employer provided health insurance consists of the company’s employees, and premiums are set on the basis of the average medical costs of that group. There is no such predefined risk pool for those who buy insurance in the “private” market. The logic of insurance suggests that everyone within each age group should be required to buy insurance at a cost to each that reflects the total medical costs of the full group. The-individual-health-insurance-mandate.

The simplest, cleanest, and most comprehensive way to insure that those unable to pay for whatever medical care they need can do so is to require that all people in their group buy insurance so that those who later don’t need it finance those who do. I have earlier advocated that this approach be integrated as part of a guaranteed minimum income (GMI). A GMI would provide the basis for eliminating most government welfare programs from Social Security and food stamps, to disability and unemployment insurance. But first a brief word about minimum wage laws.

Charles Lane has proposed a sensible approach to balancing the political attraction for legal minimum wages with the economic case against them. He proposes that the issue be removed from the political arena by legislating an automatically adjusting formula for a legal minimum wage that closely matches actual historical wage experience so as to minimize the harm to low skilled and inexperienced (teenagers) workers that would be hurt by higher minimum wages. Forget the $15 minimum wage–here’s what a sensible compromise would look like/2017/06/28

A legal minimum wage does not help the unemployed. A Guaranteed Minimum Income would. It should be paid to every man, woman, and child but the amount might vary with age (but not with income). It could be administered by the Social Security Administration, which it would replace. Saving-social-security. Fixed shares of the GMI would be placed in an individual health insurance account, a pension account, and an education account (school tuition or college fund). The amount deposited to the health savings account would be required to be used to purchase general health insurance and would be sufficient to do so.

The GMI would be paid for from general tax revenue. Clearly our existing, hole riddled income tax laws (both personal and business) are a mess and need to be cleaned up. As I have argued earlier the fairest, least distorting and easiest to administer tax is a consumption tax. I should replace all income taxes, wage taxes and existing sales taxes with one uniform Value Added Tax (VAT). My-political-platform-for-the-nation-2017.

Let’s try for better health care that costs less for both patients and tax payers.