Fixing America, Part IV

All right folks, as promised, here's part IV. I'm going to try to keep this one short, because I'm also writing a paper on organized begging and human trafficking in Vienna, which you'll soon be able to view online by clicking the link to "grad school papers" on the sidebar.

This section is supposed to cover a lot: budget and current account deficits, debt, and America's labyrinthine tax system. Luckily, all of these issues are related (isn't it funny how they all ended up on my part IV?). Once again, I will suggest some unpopular changes that probably would not be implemented, but hey, my job's to point out realistic solutions (in the sense that they are completely doable) to problems, it's the politicians' job to get it done.

So here we go: introduce a federal value-added tax system (VAT) like the ones seen in almost every other developed country in the world. Much of deficit-reduction will be tackled by measures mentioned in previous installments (individual private health accounts, later retirement age, paying social security benefits only to those who actually need them, etc.). A VAT is a tax that is applied to goods and services every step of the way. Sounds like it would accumulate, but it doesn't. Look at it like a chain: Producer A sells raw materials to producer B. Producer B pays a 10% VAT to producer A, who is obligated to deliver that amount to the IRS. HOWEVER, it will probably end up getting to keep much or most of the money. Everything producer A spends money on, from machinery, to contractors, to services, requires producer A to pay a VAT. Producer A simply writes down all that it has paid in VAT for business purposes and gets to keep that amount from the  VAT it has collected from sales. It sounds complicated, but it's actually much easier to manage than a system of tax-exemptions, which all have to be approved, revised, etc. What a headache!

Producer B then sells its finished goods to the retailer. The retailer pays VAT to producer B, who gets to keep whatever VAT from those sales that it has also spent doing business. The same applies to goods sold by the retailer. In this way, only additional value added at any given stage is taxed, so the effect is not cumulative.

OK, fine, by why is this good? It's good for two reasons. The main one is that studies show that taxes on consumption slow growth less than taxes on income because taxes on income reduce your incentive to work and earn more. The second reason is that a company has to pay VAT to keep VAT, it has an incentive to pay VAT and report this, which makes fraud a bit more difficult.

There are always a few problems, and the main one here is this: consumption taxes are regressive, meaning they tax the poor at a higher rate (as a percentage of their total incomes) than the rich. This, by the way, is another way America is more "liberal" than much of Europe: America's tax system is actually more progressive! In any case, addressing this problem is fairly simple: exempt certain necessities from the VAT, like necessary food items (not potato chips, soft drinks, and TV dinners), clothing items under $50 apiece, prescription medications, etc.

This would allow America's income tax rate to be cut and/or exceptions to it to be removed, making the system simpler (it's one of the most complex and frustrating in the world at the moment, costing individuals and businesses a lot in tax consulting services and wasted time). At the same time, this would help encourage growth and wouldn't be overly regressive.

The other issue to be addressed is also addressed with this tax: America's current account deficit. A current account is made up largely of a country's trade balance. America imports quite a bit more than it exports. This could be due partly to the fact that America taxes income too much and consumption too little when compared to other countries. True, America is likely on the road to rebalancing as we speak, since consumers have no scope to boost consumption in the near future, but this might be a pleasant side-effect of a tax that would otherwise be beneficial anyway.

Nancy Pelosi had indicated last year that a VAT was "on the table." Since then, the discussion has been dropped. It's unpopular because it contains the word "tax," particularly hated by conservatives, and because it's regressive, which makes it unpopular with the left. If combined with income tax cuts, tax simplification, and exceptions to protect those who would be most adversely affected, I think the tax could appeal to a broad base of legislators... if they could explain it to the public. Maybe we can give it some ridiculously long name that excludes the word tax? Those plans are usually stupid, but Congress seems to like them anyway...

Who knows Ronald Reagan?

I am starting to become frustrated with the Right's persistent attempts to drag Ronald Reagan's policies back onto the main political stage. The McCain/Palin ticket resurrected the idea of Ronald Reagan to energize their base during an election year, and now the Republicans and Tea Party Movement continue to carry the torch, insisting that we need to return to the Reagan years. President Reagan had a lot of fascinating accomplishments during his Presidency. His foreign policy was a remarkable step forward. His economic policy, however, was much more controversial, and if we are just looking at some hard numbers, it baffles me why we are even bringing up the Reagan name if we are debating the Country's most crucial issue: fiscal deficits. I think we are at the point where no one really remembers what Ronald Reagan actually did during his presidency, which is the perfect storm for meaningless political rhetoric.

Most people remember Reagan's top-down approach to the economy with steep tax cuts, but he also oversaw one of the first real expansions of the deficit, which should cause us to shun his policies in light of today's issues. The Reagan legacy brought such phrases as "supply side economics" and "trickle down" to the national political conversation. This approach is centered on cutting taxes and government spending so individuals can reinvest in the economy. Similar to George H.W. Bush, Reagan was successful in cutting taxes dramatically, especially for the most wealthy Americans, but his true failure was the hard part: cutting spending. We often talk about the unprecedented growth in the national deficit from the Bush Jr. years, but rarely do Republican spinsters mention Reagan's inability to control federal spending. The deficit more than tripled under Reagan's watch, an unintended reality, but still a result of his leadership. Choosing a President that served more than TWENTY years ago may allow Republicans to augment reality, but it cannot escape a simple fact check. At the very least, they should shy away from a politician that made many of the same mistakes that led us to where we are today.

I would like to end with an entertaining video from last week:

Sure Pamela Geller is making a total idiot of herself, and, sadly enough, this interview sparked an embellished controversy about this non-issue, but there is a bigger point here. I think this exchange really drives home how difficult it is to put words in the mouth of a deceased President. It doesn't matter where you land on the political spectrum, if you thought Reagan was a great President or single handedly destroyed our economy, his policies from days ago are really no longer relevant. We shouldn't be asking what would Reagan do, or care about what he would think. We have today's problems, today's leaders, and today's America. We should start coming up with solutions that are tailored to the present instead of trying to turn back the hands of time... Or at the very least, if we are going to look back, can we at least pick a President who actually DID cut the deficit?!?

Fixing America (and the rest, really)

There are four problems in America right now that, if solved, would restore a great deal of America's strength:

1. Exorbitantly priced, patchy healthcare
2. Inequality of opportunity resulting in an undesirably high level of income inequality
3. Energy dependence
   
4. Budget and current account deficits, debt, and America's labyrinthine tax system.
   

These problems all seem nearly intractable, but they're not! Let's start today with the seemingly most incurable of them all: healthcare. The current healthcare bill would solve some of the patchy coverage problem, but it is a band-aid at best and does nothing to address the underlying problems with the system. Part of the problem is that we have been presented with two false options: private health insurance, or one managed by the government. These are NOT the only two options, however. The economist Tim Harford calls attention in his book The Undercover Economist¹ to a system that has been in use in Singapore for two decades. It would cut costs hugely, give control of most of healthcare to individuals, not government OR insurers, would ensure a high standard of care, and would be universal. Sound impossible? It would be if we remained inside of the private/public health insurance box we've been stuck in.

Here's how it works:
Instead of buying health insurance, individual health accounts are set up. Every person in the US gets a $1,500 per year tax break (roughly the amount paid in taxes to public healthcare in the US already) that is deposited into an individual health account. The deposit is obligatory, but the use of the money is optional and at the individual's discretion (as long as it's for healthcare). Those who do not earn enough to pay over $1,500 a year in taxes will be given a subsidy in that amount. Two things will happen here: younger people, who often avoid health insurance because they (usually rightly) think they can save money by betting they won't get sick, can leave the money untouched. Deposited in a high-rate bank account, this money will grow over the years and can be used for health problems later in life. The other thing that happens is that each individual can decide what types of care she would like. Homeopathy? Flu shots? Massage therapy? No one would have to worry about whether insurance would cover it: there's no health insurance!

There's a third effect, and this one is huge: currently, government and private health insurance companies spend unbelievable sums of money on administration (risk assessment, lawyers, etc.) to attempt to provide low-cost coverage to healthy people and predict who will need more care. These costs disappear under this system.

Finally, the point of this personal responsibility is that, when people see how much things cost, they will make decisions about whether to get treatment or not. That is currently not the case in America's employer-based insurance system. Rationing currently occurs by who can pay the most (insurance companies and employers decide who gets what). In a government-run system (think Britain), the government decides who gets what. In this system, the individual decides what he would like. I think we can all see why this is attractive.

I know, I know, I can already hear the objections: a single MRI or a round of cancer treatment can cost significantly more than $1,500! You're right, of course. That was only one part of the picture, although this plan would likely bring those costs more in line with treatment costs in other developed countries because people would choose less treatment knowing the real costs. The other two are catastrophe insurance and government aid for the unfortunate, along with changes to liability laws, which currently lead to high legal and insurance fees for doctors and to doctors prescribing every treatment in the book, making all treatments more expensive.

Catastrophe insurance is cheap, as only really serious events are covered. In addition, there would be some co-pay (maybe $500). This would provide some encouragement for people not to put themselves in dangerous situations or to run down their personal accounts with frivolous spending.

The government aid is for people who don't suffer catastrophes, but rather who are born with bad genes and need to spend more on healthcare. Here, to be fair, the government would simply have to help out.

There's another result not mentioned in Harford's book: this would all serve to increase wages and tax revenues, making the system more than pay for itself. Studies have shown that much of the cause of wage stagnation in the US in the past decades has been due to healthcare cost inflation. Workers' wages were rising, they just didn't know it because the money was flowing into healthcare. With that system eliminated, employees would receive more cash. They would also then pay more in taxes.

In this system, the benefits for nearly all are obvious. The only ones who would not benefit are the insurance companies. For this reason, you can expect this plan to never come up and, if it did, to be heavily lobbied against. The other problem: it takes a while to explain - voters don't like policies that seem complicated up front (although this one would be much simpler in reality than the current healthcare bill!).

That said, something will have to happen eventually. Americans will not be able to afford their healthcare system indefinitely, unless they want to trade everything else. Let's hope they make the right choice...

1. Tim Harford, The Undercover Economist: Exposing Why the Rich Are Rich, the Poor Are Poor - and Why You Can Never Buy a Decent Used Car! (New York: Oxford University Press, 2006), 130-135.