How to Reduce Health Care Costs?

The US spends about 18% of GDP on health care. Other high-income countries spend an average of about 11%, Thus, the Society of Actuaries and Henry J. Kaiser Family Foundation have created Initiative 18/11 to consider ways of holding down US heath care spending. A first report from the initiative, \”What Can We Do About the Cost of Health Care?\” (January 2019), doesn\’t yet offer proposals for action. But it offers a useful sense of what many of the main targets are likely to be of any serious effort to reduce healthy care costs. Here are some of my own reactions and takeaways from the report.

Although the report doesn\’t emphasize this point, it\’s worth noting that 18-11=7, and with a US GDP of about $20 trillion, 7% is $1.4 trillion. If you find yourself wondering why other countries can apparently afford improvements in physical infrastructure or higher support for education or higher social benefits of certain kinds,  part of the reason is that a much lower level of their social resources is going to health care spending. If you wonder why your paycheck seems to go up so slowly, part of the reason is that your employer keeps paying more for you health insurance. My point here isn\’t that a substantial share of US health care spending is wasteful or even harmful, although that does seem to be true. It\’s just that output going to health care has a tradeoff of less output available for other uses–even when some of those other uses might do more to improve health.

When thinking about cutting health care spending, and obvious approach is to look at how the money is being spent, and the bulk of health care spending is on those with multiple chronic conditions. The Kaiser report notes:

\”Remarkably, 86 percent of health care spending is for patients with one or more chronic conditions—conditions expected to last three months … Among the chronic population, people with more than one condition account for 71 percent of total spending. The cost of chronic diseases goes far beyond the direct amounts spent on these diseases. In the United States, seven out of every 10 deaths are caused by chronic diseases each year. There are indirect costs through lost productivity and an unmeasurable loss in the quality of life and the loss of ability to perform activities of daily living, such as bathing and eating. For adults, the most prevalent conditions are uncontrolled hypertension (uncontrolled blood pressure) and hyperlipidemia (high cholesterol and high triglycerides). For children, the most common conditions are allergies and asthma.\”

One way of thinking about chronic conditions is that if they are managed properly (medicine, diet, exercise. whatever is needed),  then health care costs are usually low. But if such conditions are not not managed properly, very expensive episodes of hospitalization become likely.

For example, just looking at noncompliance with taking prescriptions drugs, the report notes:

In a 2011 Consumer Reports survey, one of the leading complaints among primary physicians is that patients do not take the doctor’s advice or follow treatment. For example, although 3.8 billion prescriptions are written every year, more than 50 percent of them are not taken or are taken incorrectly. The cost of noncompliance has been estimated at $290 billion. Also, 125,000 deaths each year are attributed to poor medication compliance.

Interestingly, the report doesn\’t make an argument that Americans overall live less healthy lifestyles than those in other high-income countries. Yes, obesity is bigger problem in the US. But compared to other high-income countries, the US has a smaller share of smokers and a lower share of elderly. Thus, taken as a whole, it\’s not clear that US lifestyles and demographic factors are less favorable than other high-income countries.

The report is also bracingly honest about what can be accomplished by going after \”indirect\” costs. The report notes:

\”In its simplest form, the total cost of health care has two components: the direct cost of care and the indirect expenses needed to develop systems and administer the program. According to national health expenditures reports, indirect expenses have been around 15 percent of total spending for more than 25 years. Currently, 8 percent of the total is associated with costs related to administering a program, such as billing and claims payments. The remaining costs are associated with other indirect services, such as research, public health and infrastructure.\”

Let\’s say for the sake of argument that we could agree on steps that would have the effect of cutting these indirect expenses from the 15% level of the last 25 years by half, with no effect on the quality of care actually received. Sounds good to me! If we can do it, it certainly seems worth doing. But with health care spending rising at about 4% per year, these cost reduction savings would be cancelled out in about two years–at which point we would face exactly the same health care cost problem that we do now. This is of course not an argument against finding ways to cut health care administrative costs. But it suggests that such changes are only a short-term palliative for the long-term of health care costs. It\’s certainly not going to get the US from spending 18% of GDP on healthc are to 11%.

The US pays more for health care compared with other countries not because the US is sicker, but because the US pays higher prices for health care services. The report notes: \”For example, a 2018 Journal of the American Medical Association (JAMA) study concluded that the major drivers of the increase in health care costs were due to the `prices of labor and goods, including pharmaceuticals, and administrative costs.\’ They also noted that utilization rates in the United States were similar to those in other countries.\”

The specific study is \”Health Care Spending in the United States and Other High-Income Countries,\” by Irene Papanicolas, Liana R. Woskie, and Ashish K. Jha (JAMA, March 13, 2018). From the \”findings of that study:

The US did not differ substantially from the other countries in physician workforce (2.6 physicians per 1000; 43% primary care physicians), or nursing workforce (11.1 nurses per 1000). The US had comparable numbers of hospital beds (2.8 per 1000) but higher utilization of magnetic resonance imaging (118 per 1000) and computed tomography (245 per 1000) vs other countries. The US had similar rates of utilization (US discharges per 100 000 were 192 for acute myocardial infarction, 365 for pneumonia, 230 for chronic obstructive pulmonary disease; procedures per 100 000 were 204 for hip replacement, 226 for knee replacement, and 79 for coronary artery bypass graft surgery). Administrative costs of care (activities relating to planning, regulating, and managing health systems and services) accounted for 8% in the US vs a range of 1% to 3% in the other countries. For pharmaceutical costs, spending per capita was $1443 in the US vs a range of $466 to $939 in other countries. Salaries of physicians and nurses were higher in the US; for example, generalist physicians salaries were $218 173 in the US compared with a range of $86 607 to $154 126 in the other countries.

This report from Kaiser Society of Actuaries and Kaiser Foundation the is about setting the stage for further discussion, not about concrete recommendations. While such discussions are certainly needed, I confess that the hints about possible solutions don\’t fill me with great hope. There\’s talk about how future health care technologies might be cheaper and money-saving, rather than expensive and expenditure-increasing. Maybe! There\’s talk about how certain kinds of budgeting and incentives might focus more on improving health outcomes, and thus reduce the need for care. Sounds good!

But I feel as if I\’ve been hearing similar arguments for several decades, about how managed care would alter incentives of health care providers, and new technologies might help drive down costs. Across the high-income countries, there does seem to have been slower growth in the rate of health care spending starting back around 2005.  But with all of that said, the fact remains that the US is spending 18% of GDP on health care.

As health care economists like to note, every dollar of US health care spending is income to someone. Any steps that reduce the income received by someone will lead to protests. In a broad social sense, reducing health care spending from 18% to 11% of GDP would involve a very large shift of (mostly) well-paid workers to other jobs, with industries that provide supplies for health care receiving less revenue, and facilities devoted to health care being shifted to other uses. The build-up of US health care spending to 18% of GDP has taken decades, and a substantial reduction from that level will involve disruptive and controversial changes. 

Some Puzzles About Asset Returns in the Long Run

It can be hard to draw broad lessons about macroeconomics from the experience of one country alone, or from the experience of one or two recessions. Thus, a group of researchers including Òscar Jordà, Katharina Knoll, Dmitry Kuvshinov, Moritz Schularick, and Alan M. Taylor have been working to compile macroeconomic and financial data for 16 high-income countries going back to 1870.  Alan Taylor provides a readable overview of several puzzles that emerge from the long-run financial data in \”The Rate of Return on Everything\” (NBER Digest, December 2018, pp. 20-23).

(The detailed research behind this short article is available as National Bureau of Economic Research Working Paper #24112: Ò. Jordà, K. Knoll, D. Kuvshinov, M. Schularick, and A. Taylor, \”The Rate of Return on Everything, 1870–2015,\” December 2017. It\’s also available as a Centre for Economic Policy Research Discussion Paper #12509: Jordà, O, K Knoll, D Kuvshinov, M Schularick, and A M Taylor (2017), “The Rate of Return on Everything, 1870–2015.” A short readable overview of the work that is very similar to the version I\’m referring to here, with the same title but listing  Òscar Jordà, Katharina Knoll, Dmitry Kuvshinov, Moritz Schularick, Alan Taylor as the authors appeared at the VOX website on January 2, 2018).

#1 The Housing Puzzle

In general, economists would expect that assets with more risk–that is, more likely to rise or fall over time–will tend to have higher returns on average. From the standpoint of investors, the higher returns are needed to make up for the higher risk. This logic suggests that over the long run, a risky asset with volatile prices like corporate stock should have a higher average rate of return than a less risky asset with less volatile prices like housing. But that doesn\’t seem to be true. The blue line shows returns to housing, while the black line shows returns to corporate stock across the 16 countries in this sample.. Corporate stock is more volatile, but the average rates of return are quite similar.

Figure1

Why might this pattern hold true? One possibility is that the risks for housing are higher than they at first appear, because it\’s harder to diversify the risks of owning housing, and perhaps also because it\’s harder to buy and sell housing quickly or in incremental chunks when prices change. But these factors don\’t seem nearly enough to explain the housing puzzle.

#2 The \”Safe Rate\” Puzzle

A lot of theories in finance and macroeconomics start with idea of a \”safe\” investment that pays a low rate of return but also has low risk. A common example would be investing in US Treasury debt, where the risk of default is near-zero. The theory then discusses how the safe assets might be combined with riskier assets. The puzzle is that \”safe\” assets like government debt actually can have quite volatile rates of return, once factors like inflation are taken into account. Here\’s a figure showing international returns on government debt.
Figure2
For a concrete example, think about US experience since the 1970s. When inflation went way up in the 1970s, it mean that those who were holding government debt paying a low fixed rate were experiencing negative real returns for a time. The nominal rates paid on government debt rose by the early 1980s, but then when inflation declined substantially, those holding the \”safe\” asset for a time had substantially positive real returns for a time. Since then, a combination of declining nominal interest rates and low inflation have meant a steady decline in the real rate of return on \”safe\” assets. In real terms, the \”safe\” rate doesn\’t look all that safe.

Indeed, if you look at the \”risky\” assets like housing and corporate stock, but focus on moving averages over any given ten-year period rather than annual returns, the returns on the \”risky\” assets actually look rather stable.

#3 The r > g Question

If wealthy people can invest and receive a rate of return r, while the economic grows at a slower rate g, then wealth might grow faster than the economy over time (at least if wealthy people don\’t spend all of the returns on wealth), leading to greater inequality of wealth. This was a common interpretation of the work of Thomas Piketty in Capital in the Twenty-First Century on causes of income and wealth inequality a few years back. The findings here are that returns on risky assets like stocks and housing are often twice as large as rates of economic growth, or more.

But interestingly, Piketty himself doesn\’t view this r>g dynamic as central to the processes that generate wealth inequality. In an article her wrote for the Winter 2015 issue of the Journal of Economic Perspectives, \”Putting Distribution Back at the Center of Economics: Reflections on Capital in the Twenty-First Century,\” Piketty commented:

\”[T]he way in which I perceive the relationship between r > g and wealth inequality i soften not well-captured in the discussion that has surrounded my book—even in discussions by research economists. … I do not view r > g as the only or even the primary tool for considering changes in income and wealth in the 20th century, or for forecasting the path of income and wealth inequality in the 21st century. … I certainly do not believe that r > g is a useful tool for the discussion of rising inequality of labor income: other mechanisms and policies are much more relevant here, for example, the supply and demand of skills and education.  …  The gap between r and g is certainly not the only relevant mechanism for analyzing the dynamics of wealth inequality. As I explained in the previous sections, a wide array of institutional factors are central to understanding the evolution of wealth. Moreover, the insight that the rate of return to capital r is permanently higher than the economy’s growth rate g does not in itself imply anything about wealth inequality. Indeed the inequality r > g holds true in the steady-state equilibrium of most standard economic models …\”

What are some of the main factors that affect the rise or fall of wealth inequality over time? Examples would include taxes on wealth, the extent to which wealth is saved or consumed, and even the birth and death rates of the population, which affects how long concentrations of wealth will stay together and how many slices they will be divided into when passed to a new generation. There are questions about the extent to which whether the new fortunes being created in businesses around the globe will displace earlier fortunes, and whether the new fortunes will be long- or short-lived. There are also events of history like World Wars, and events of politics like surges of populist sentiment. For more on these topics, see \”Piketty and Wealth Inequality\” (February 23, 2015), or the four-paper symposium on these issues in the Winter 2015 issue of the Journal of Economic Perspectives.

Why Did Simon Kuznets Want to Leave Military Spending out of GDP?

Simon Kuznets (Nobel 1971) usually gets the credit for doing as much as anyone to organize our modern thinking about what should be included in GDP, or left out. But I had not known that Kuznets apparently argued for leaving military spending out of GDP, on the grounds that it wasn\’t actually \”consumed\” by anyone, but should instead be treated as an intermediate input that supported production and consumption. Here\’s how Hugh Rockoff tells the story in his essay, \”On the Controversies behind the Origins of the Federal Economic Statistics,\” in the Winter 2019 issue of the Journal of Economic Perspectives. [Full disclosure: I work at JEP as Managing Editor.]  Rockoff writes:

Military spending presented another problem. In one of his last discussions of national income and product before US entry in World War II, Kuznets (1941, pp. 19–20) explained that his estimates included “dreadnoughts, bombing planes, poison gas, and patent medicines because they are rated economic goods in our country today,” even though they “might well be considered worthless and even harmful” in a society organized differently. In a footnote, Kuznets (p. 31, fn. 5) used an analogy with private spending to buttress his case for including military expenditures: “If the activities of the private police used by many large corporations are productive, why not those of the municipal police? And if of the domestic police, why not of the international police, i.e., the armed forces of the nation?” During World War II, however, Kuznets (1945) modified his thinking. He argued that military spending should be counted in national product during a time of total war, but it should be excluded during peacetime because military spending was then an intermediary good for producing a flow of consumption to consumers. Other economists, including decisively those at the Department of Commerce, thought otherwise (Gilbert, Staehle, Woytinsky, and Kuznets 1944).

A number of economists, however, have found Kuznets’s concept of a Peacetime National Income to be attractive. Higgs (1992), for example, argued that the then-current interpretation of the impact of World War II on the American economy, that it created unprecedented prosperity, was reversed when one used Kuznets’s peacetime concept rather than the conventional measure. Higgs even took exception to Kuznets’s decision to include some military durables such as aircraft in investment because Kuznets thought that they could later be turned to peacetime purposes. 

In retrospect, a number of concerns weighed against adopting Kuznets’s concept of peacetime national product. One reason, as Coyle (2014, p. 20) suggests, was the rise of Keynesian economics. In principle, one could use Kuznets’s peacetime version of national product to analyze the macroeconomy, but the conventional measure fit more smoothly into the simple Keynesian model taught to a generation of economics students in Samuelson and other textbooks. Perhaps the most important reason for rejecting Kuznets’s concept, however, was the Cold War. In his famous study of productivity, Kendrick (1961, p. 25) chose to include all defense spending in his estimates of national product partly on the grounds that “national security is at all times [Kendrick’s italics] a prime objective of economic organization.” In political terms, excluding national defense from national product would create the appearance that the government’s statistical agency was siding with the critics of America’s defense budget. Of course, no one was required, as Kuznets had pointed out, to use only one measure of aggregate product. To the contrary, Kuznets thought that it would be best to produce a series of measures, some specialized for one purpose and some for another. But as we have learned, public attention does tend to focus on a single measure of national product, so the decision to ignore Kuznets’s peacetime concept may have had important consequences.

I find myself in agreement with the views of Kuznets expressed back in 1941, that if private security guards and municipal police are in GDP, the military should be, too.

But more broadly, the dispute serves as a useful reminder that GDP includes some categories of expenditures that society would have preferred not to make. For example, GDP includes all measures for home security and corporate security–not just guards but also locks, bars, and electronic measures. In addition, GDP includes cleaning up after pollution spills and natural disasters, although it would certainly have been preferable if such events had not happened in the first place. It would also be socially beneficial if people got more exercise and at healthier diets, and as a result a substantial proportion of health care spending didn\’t need to happen.

For other comments on the relationship between GDP and social welfare, readers might be interested in the well-known comments from \”Robert Kennedy on the Shortcomings of GDP in 1968\” (January 30, 2012). My own sense is that economists are well-aware of the shortcomings of GDP–indeed, probably better aware of the shortcomings than many critics. But economists also point out that on a wide array of dimensions, people who live in societies with higher GDP tend to live better lives. For samples of these arguments, see \”Why GDP Growth is Good\” (October 11, 2012)  and \”GDP and Social Welfare in the Long Run\” (April 6, 2015).

Why Have Other Countries Been Dropping Their Wealth Taxes?

A wealth tax is what it sounds like: a tax imposed not on income, but on wealth. The standard economic definition of wealth includes both nonfinancial assets like real estate and financial assets like stocks and bonds. Thus, a wealth tax doesn\’t care if the value of someone\’s wealth went up or down in the last year/ It is not a tax on the transfer of wealth to others, like an inheritance tax or a gift tax. It is just imposed on the amount of wealth.

In the US, property taxes are a cousin of a part of a broader wealth tax, in the sense that they are imposed annually on the value of a property, whether the value rises or falls. But they are not at true wealth tax in the sense that they don\’t differentiate between someone who own their home debt-free–and thus all the value of the home is wealth–and someone who is still paying off the mortgage, where only the equity you have in your home is wealth. The inheritance tax is also a form of a wealth tax.

Back in 1990, 12 high-income countries had wealth taxes. By 2017, that had dropped to four: France, Norway, Spain, and Switzerland (In 2018, France changed its wealth tax so that it applied only to real estate, not to financial assets.)  The OECD describes the reasons why other countries have been dropping wealth taxes, along with providing a balanced pro-and-con of the arguments over wealth taxes, in its report The Role and Design of Net Wealth Taxes in the OECD (April 2018).

For the OECD, the bottom line is that it is reasonable for policy-makers to be concerned about the rising inequality of wealth and large concentrations of wealth But it also points out that if a country has reasonable methods of taxing capital gains, inheritances, intergenerational gifts, and property, a combination of these approaches are typically preferable to a wealth tax.  The report notes: \”Overall … from both an efficiency and an equity perspective, there are limited arguments for having a net wealth tax on top of well-designed capital income taxes –including taxes on capital gains – and inheritance taxes, but that there are arguments for having a net wealth tax as an (imperfect) substitute for these taxes.\”

Here, I want to use the OECD report to dig a little deeper into what wealth taxes mean, and some of the practical problems they present.

The most prominent proposals for a US wealth tax would apply only to those with extreme wealth, like those with more than $50 million in wealth.  However, European countries typically imposed wealth taxes at much lower levels of wealth. Here\’s a table showing how much wealth is exempt from the wealth tax in European countries. Clearly, most countries with such taxes were applying them to wealth well below $50 million.

It\’s interesting, then, that in these European countries the wealth tax generally accounted for only a small amount of government revenue. The OECD writes: \”In 2016, tax revenues from individual net wealth taxes ranged from 0.2% of GDP in Spain to 1.0% of GDP in Switzerland. As a share of total tax revenues, they ranged from 0.5% in France to 3.7% in Switzerland … Switzerland has always stood out as an exception, with tax revenues from individual net wealth taxes which have been consistently higher than in other countries …\” However, Switzerland apparently has no property tax, and instead uses the wealth tax as a substitute.

The fact that wealth taxes collect relative little is part of the reason that a number of countries decided that they weren\’t worth the bother. In addition, it suggests that a US wealth tax which doesn\’t kick in until $50 million in wealth or more will not raise meaningfully large amounts of revenue.

Why do wealth taxes imposed on what seem to be quite low levels of wealth collect so little revenue in various European countries, especially during the last few decades when high-wealth individuals as a group have done pretty well? The answer seems to be that when countries impose a wealth tax, they often typically create a lot of exemptions for certain kind of wealth that aren\’t covered by the tax. Each of these exemptions has a reasonable-sounding basis.  But every exception also creates a potential loophole.

For example, a number of common exemptions are based on \”liquidity\” problems, which in this context refers to the idea that we don\’t want people to have to sell their homes to pay the wealth tax, and we don\’t want family businesses or farms that are maybe hitting a tough patch to have to be sold off because of the wealth tax. Thus, many European countries exempt a primary residence from the wealth tax (and instead apply a property tax).

Countries also often exempt the value of a business in which you are actively working, which of course means a potentially voluminous set of rules for what \”actually working\” means. As the OECD notes: \”For the business asset exemption to apply, rules typically require that real economic activities are being performed (possibly excluding activities such as the management of movable or fixed assets, e.g. Spain), that the taxpayer performs a managing role, that income derived from the activity is the main source of the taxpayer’s revenue and/or that the taxpayer owns a minimum percentage of shares in the company (e.g. 25% in France and Sweden; 5% in Spain).\”

Another common exemption is that wealth tax is usually not applied to the value of pensions and retirement savings. One can sympathize with this, but also recognize that it leads to potential issues. As the OECD notes: \”Pension assets typically get full relief under net wealth taxes. … However, this creates inequities between different taxpayers, raises fairness concerns, and creates tax planning opportunities. …. \”

What other incentives does a wealth tax create? Here are some examples that often are not included int he discussion:

1) While we often think of a wealth tax as being applied to those who have already \”made it\” and accumulated a fortune, it\’s worth remembering that when a small- or medium-sized business is trying to get established, or going through hard times, it may lead to a situation where the overall value of the asset is substantial, but profits may be near-zero or even negative for a time. But at least in theory, a wealth tax would still be owed. As the OECD report notes:  

\”Under a net wealth tax, however, if income is zero or negative, the tax liability will still be positive if the capital value of the assets remains positive. In practice, new entrepreneurs which tend to generate low, or even negative, profits in their first few years of operation would still face a wealth tax liability. Thus, a heavy net wealth tax which is unlinked to income might discourage entrepreneurship relative to an income tax with (perfect) loss offset.\”

2) A wealth tax will tend to encourage borrowing. Total wealth is equal to the value of assets minus the value of debts. Thus, one way to avoid a wealth tax is to borrow a lot of money, in ways that may or may not be socially beneficial. The OECD writes: \”[D]ebt deductibility provides incentives to borrow and can encourage tax avoidance. If the wealth tax base is narrow, taxpayers will have an incentive to avoid the tax by borrowing and investing in exempt assets or – if debt is only deductible when incurred to acquire taxable assets – taxpayers will have an incentive to invest part of their savings in tax-exempt assets and finance their savings in taxable assets through debt.\” 

3) To get a fair picture of a wealth tax, one needs to look at it in the context of all the other taxes that exist, along with different situations that arise. It\’s quite possible for there to be situations where when the wealth tax is added, someone who saves more will actually reduce their wealth. The OECD notes: \”In France and Spain, METRs [marginal effective tax rates] reached values above 100%, which means that the entire real return is taxed away and that by saving people actually reduce the real value of their wealth.\” Indeed, France recently decided to apply its wealth tax just to certain kinds of property wealth, not financial wealth, for this reason.  Indeed, many wealth taxes have provisions that if the combined tax burden gets too high, then the wealth tax gets scaled back. Again from the OECD : 

\”Ceiling provisions or tax caps are common features of net wealth taxes. These often consist in setting a limit to the combined total of net wealth tax and personal income tax liability as a maximum share of income. They are used to prevent unreasonably high tax burdens and liquidity constraints requiring assets to be sold to pay the net wealth tax. In France, the wealth tax ceiling (often referred to as the “bouclier fiscal”) limits total French and foreign taxes to 75% of taxpayers’ total income. If the percentage is exceeded, the surplus is deducted from the wealth tax. In Spain, the aggregate burden of income tax and net wealth tax due by a resident taxpayer may not exceed 60% of their total taxable income.\”

4) A wealth tax is typically at a fairly low rate, like 1-2%, in recognition of the fact that it will be imposed every year. But if a wealthy person is investing in a way that has low risk and low returns, this wealth tax could completely swallow up low return,  while having no effect on higher returns. In general, setting up a situation where people receive no gain from saving is not usually regarded as a good set of incentives. The OECD writes:

\”[A] tax on the stock of wealth is equivalent to taxing a presumptive return but exempting returns above that presumptive return. Where the presumptive return is set at the level of or at a level close to the normal – or risk-free – return to savings, a wealth tax is economically equivalent to a tax on the normal return to savings, which is considered to be inefficient. Indeed, the taxation of normal returns is likely to distort the timing of consumption and ultimately the decision to save, as the normal return is what compensates for delays in consumption. As discussed below, it is also unfair that the wealth tax liability does not vary with returns, which implies that the effective wealth tax burden decreases when returns increase.\”

On the other side, it is sometimes argued that a wealth tax will encourage the wealthy to make more productive use of their wealth:

\”For instance, if a household owns land which is not being used and therefore does not generate income, no income tax will  be payable on it. However, if a wealth tax is levied, the household will have an incentive to make a more productive use of their land or to sell it to someone who will … The argument here is that wealth taxes do not discourage investment per se but discourage investments in low-yielding assets and reinforce the incentives to invest in higher-yielding assets because there is an additional cost to holding assets, which is not linked to the return they generate.\”

5) A wealth tax will encourage the spawning of ownership structures where people control assets, but do not technically \”own\” them. A common example is when assets are owned in a trust, or some kind of nonprofit. The possibilities for controlling and benefiting from wealth without technically \”owning\” it are even great for assets that can be held in other countries across the international economy. If there is a heaven for tax lawyers, it\’s a place where they get to sit around and invent legal arrangements for shielding wealth. 
6) The OECD notes: \”Human capital is always exempt under net wealth taxes. This results from a number of considerations, including the fact that human capital is very difficult to value, that it is not

directly transferrable or convertible into cash, and that there is uncertainty about the
durability of its value. Therefore, a wealth tax lowers the net return on real and financial assets relative to the returns on investments in human capital. Thus, wealth taxes encourage investment in human capital, which may in turn have positive effects on growth. Human capital is a critical driver of long-run economic growth. This implies that a wealth tax may be less harmful to economic growth than commonly believed as it can encourage a substitution from physical to human capital formation … \”

7) A wealth tax may not seem especially fair if applied across people who started in similar circumstances. As one example, imagine two adults who split a large inheritance. One heir spends the money. The other heir tries to invest, with some success, in creating new technology and businesses and jobs. The spender depletes the inheritance and thus avoids the wealth tax. More broadly, consider wealth from a variety of sources: inherited financial wealth, inheriting a family business, inheriting a family-owned piece of property, starting and running a business, investing in businesses run by others, investing in property that increases in value over time, wealth from having a patent on an invention, wealth from producing a book or music or movie with high sales. A wealth tax treats all of these the same. 
8) The practicalities of imposing a wealth tax can be nontrivial. It means updating the value of assets and debts every year. If the assets are something that is bought and sold in financial markets, like shares of stock, then updating the value is easy. But updating the value of an expensive house or piece of property on an annual basis isn\’t easy. Updating the value of art or jewelry owned by a wealthy person isn\’t easy. Updating the value of a privately owned business isn\’t easy. Updating the current value of assets held in other countries can be hard, too In general, it\’s a lot easier to track flows of income than it is to measure changes in asset values.  

To me, many of the endorsements of a wealth tax feels more like expressions of righteous exasperation than like serious and considered policy proposals. Many of those who favor a wealth tax tend to favor a more European-style capitalism (and no, I don\’t think of any country in western Europe as \”socialist\”) that places a higher value on economic equality. But when those who favor your goal of greater economic equality have been steadily deciding that the wealth tax isn\’t worth the trouble, and that other policy tools are more effective in reaching the goal, it\’s probably useful to pay attention. 

58 Episodes of Hyperinflation (Venezuela is #23)

Steve Hanke has devoted considerable effort to building up data on hyperinflations during the last century or so. He offers a quick overview of this work in Forbes (January 20, 2019). Below is his list of hyperinflations. When it comes to Venezuela, he writes:

Now, let’s turn to the world’s only current hyperinflation: Venezuela. It ranks as the 23rd most severe. Today, the annual rate of inflation is 120,810%/yr. While this rate is modest by hyperinflation standards, the duration of Venezuela’s hyperinflation episode, as of today, is long: 27 months. Only four episodes of hyperinflation have been more long-lived.

Here\’s the table of all 58 hyperinflations:

For those who want more, here\’s an earlier discussion of \”Hyperinflation and the Venezuela Example\” (April 28, 2016). Here\’s a discussion of \”Hyperinflation and the Zimbabwe Example\” (March 5, 2012). And I offered an earlier discussion of the list from Hanke and Krus in \”A Systematic List of Hyperinflations\” (August 21, 2012).

The Puzzle of the US Productivity Slowdown

In the long-run, the average standard of living in an economy is determined by the average productivity of its workers. For example, Paul Krugman started Chapter 1 of his 1990 book, The Age of Diminished Expectations, by stating: \”Productivity isn\’t everything, but in the long run it is almost everything. A country\’s ability to improve its standard of living over time depends almost entirely on its ability to raise its output per worker.\”

Thus, it matters a lot that US productivity growth slowed down back around 2005, even before the start of the Great Recession, and that we don\’t really understand why. The Congressional Budget Office laid out the issues in its recent report The Budget and Economic Outlook: 2019 to 2029 (January 28, 2019). CBO pointed out that productivity growth–which it refers to by its more formal moniker of TFP for \”total factor productivity\”–seems to be higher or lower for periods of some years, with abrupt transitions between these periods.

\”Over longer periods, however, years of comparatively steady TFP growth tend to be followed by rather abrupt transitions to years with steady but substantially different growth. For example, estimated trend growth in TFP remained  relatively strong in the 1950s and 1960s, slowed considerably from the early 1970s to the mid-1990s, and resurged in the late 1990s and early 2000s. Around 2005, a few years before\\ the recession and financial crisis that began in 2007, TFP growth again slowed in many industries and throughout the international economy. In CBO’s estimate, TFP growth in the domestic nonfarm business sector was only about one-third as rapid during the 2006–2017 period as it had been from 1996 to 2005.\”

In the aftermath of the Great Recession, CBO has been scaling back its productivity forecasts. The top line show the CBO productivity forecasts in 2012. The other lines show how the forecasts were reduced in 2014, 2016, 2018, and now in 2019.

Why is US productivity growth slowing down? CBO is forthright in admitting: \”[E]xtensive research has failed to uncover a strong, compelling explanation either for the slowdown or for its persistence …\” The report runs through a number of potential explanations, before knocking each one on the head.

Is the productivity slowdown a matter of measurement issues?

\”Even though mismeasurement of economic phenomena is widespread and persistent, measurement issues do not appear to have been substantially worse since 2005 than they were in the past and probably account for at most a small portion of the slowdown.\”

Is the productivity slowdown a result of slower growth feeding back to reduced productivity growth?

\”The slower growth of the labor force and of aggregate demand in the aftermath of the recession resulted in relatively modest demand for capital investment, slow turnover of capital stock, and slow introduction of new technologies in new plants and equipment. Nevertheless, there is little evidence of a backlog of technology that exists but is not raising output and productivity through its effect on capital stock, which suggests that slower economic growth did not feed back strongly into TFP …

Is it a result of less human capital for US workers, either as a result of less experience on the job or reduced growth in education?

\”Highly skilled and well-educated baby boomers are retiring, and the educational attainment of younger cohorts only modestly exceeds that of their predecessors—two demographic effects that could be restraining TFP growth. Higher-skilled workers tend to continue working longer than their predecessors, however, and younger cohorts made especially strong gains in educational attainment during the recession and the ensuing slow recovery. Both developments have tended to improve the average skill level of the aggregate labor force. As a consequence, growth of the estimated quality of the aggregate labor force since 2005 has been only moderately slower than growth over the preceding 25 years, and that slowdown has played at most a minor role in the overall slowdown in TFP growth.\”

Is the problem one of overregulation?

\”Declining dynamism in many industries, possibly exacerbated by increasing regulatory constraints, could be contributing to slower growth in TFP. Regulatory restrictions on homebuilding in denser, high-productivity urban regions could also be slowing TFP growth. Such problems have been developing slowly over time, however, and are difficult to associate with an abrupt slowdown in TFP growth around 2005.\”

Is the scientific potential for long-term innovation declining?

\”Some researchers believe that long-term innovation may be slowing as well and that the economy is `running out of ideas.\’ The costs of research and innovation are increasing, they argue, and the resulting new ideas are not as economically significant as past innovations. Again, no evidence exists of an abrupt change around 2005 connected to such developments. Moreover, other, more optimistic researchers conclude that the pools of potential innovators and the potential market for innovative products are now global, that research tools have greatly improved and communication of innovations has become much more rapid, and that major advances in technology can continue to be expected in the future, though they may diffuse through industry rather slowly.\”

When it comes to productivity growth, the great irony in our public discourse is that it\’s common to hear concerns that there is likely to be both too little of it and too much of it. The concern over too little productivity growth is that without productivity growth we won\’t have the economic strength both to offer job opportunities and rising wages to American workers–along with having the economic strength to devote resources to environmental protection, health and education, assisting the poor, and other issues. The concern over too much productivity growth is that a combination of robots and artificial intelligence will be so ultra-productive that they will greatly diminish the number of jobs for humans.

Of course, the scenarios of no-productivity-growth and the ultra-productivity-growth are not both going to happen. Personally, I\’m considerably more worried about the the problems of slow growth.

Winter 2019 Journal of Economic Perspectives Available Online

I was hired back in 1986 to be the Managing Editor for a new academic economics journal, at the time unnamed, but which soon launched as the Journal of Economic Perspectives. The JEP is published by the American Economic Association, which back in 2011 decided–to my delight–that it would be freely available on-line, from the current issue back to the first issue. Here, I\’ll start with the Table of Contents for the just-released Winter 2019 issue, which in the Taylor household is known as issue #127. Below that are abstracts and direct links for all of the papers. I may blog more specifically about some of the papers in the next week or two, as well.

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Symposium on Women in Economics
\”Women in Economics: Stalled Progress,\” by Shelly Lundberg and Jenna Stearns
Women are still a minority in the economics profession. By the mid-2000s, just under 35 percent of PhD students and 30 percent of assistant professors were female, and these numbers have remained roughly constant ever since. Over the past two decades, women\’s progress in academic economics has slowed, with virtually no improvement in the female share of junior faculty or graduate students in decades. Little consensus has emerged as to why, though there has been a renewal of widespread interest in the status and future of women in economics and of the barriers they face to professional success. In this paper, we first document trends in the gender composition of academic economists over the past 25 years, the extent to which these trends encompass the most elite departments, and how women\’s representation across fields of study within economics has changed. We then review the recent literature on other dimensions of women\’s relative position in the discipline, including research productivity and income, and assess evidence on the barriers that female economists face in publishing, promotion, and tenure. While differences in preferences and constraints may directly affect the relative productivity of men and women, productivity gaps do not fully explain the gender disparity in promotion rates in economics. Furthermore, the progress of women has stalled relative to that in other disciplines in the past two decades. We propose that differential assessment of men and women is one important factor in explaining this stalled progress, reflected in gendered institutional policies and apparent implicit bias in promotion and tenure processes.
Full-Text Access | Supplementary Materials

\”Variation in Women\’s Success across PhD Programs in Economics,\” by Leah Boustan and Andrew Langan
We document wide and persistent variation in women\’s representation and success across graduate programs in economics. Using new data on early career outcomes for recent graduates, including first job placement, publications, and promotion, we rank (anonymized) departments on outcomes for women relative to men graduating from the same program. We then conduct interviews with faculty and former students from five programs with better and worse relative outcomes. We find that departments with better outcomes for women also hire more women faculty, facilitate advisor-student contact, provide collegial research seminars, and are notable for senior faculty with awareness of gender issues. We offer our qualitative evidence as the first step in learning about \”what works\” in expanding women\’s representation in economics.
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\”Fixing the Leaky Pipeline: Strategies for Making Economics Work for Women at Every Stage,\” by
Kasey Buckles

While women comprise over half of all undergraduate students in the United States, they account for less than one-third of economics majors. From there, the proportion of women at each stage of the academic tenure track continues to decrease, creating a \”leaky pipeline.\” In this paper, I provide a toolkit of interventions that could be implemented by individuals, organizations, or academic units who are working to attract and retain women students and faculty at each stage of this pipeline. I focus on smaller-scale, targeted interventions that have been evaluated in a way that allows for the credible estimation of causal effects.
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Symposium on Financial Stability Regulation
\”Financial Regulation: Still Unsettled a Decade after the Crisis,\” by Daniel K. Tarullo
A decade after the darkest moments of the financial crisis, both the US financial system and the legal framework for its regulation are still in flux. The post-crisis regulatory framework has made systemically important banks much more resilient. They are substantially better capitalized and less dependent on runnable short-term funding. But the current regulatory framework does not deal effectively with threats to financial stability outside the perimeter of regulated banking organizations, notably from forms of shadow banking. Moreover, with the political tide having for the moment turned decisively toward deregulation, there is some question whether the resiliency improvements of the largest banks will be preserved. This article assesses the accomplishments, unfinished business, and outstanding issues in the post-crisis approach to prudential regulation.
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\”Prone to Fail: The Pre-crisis Financial System,\” by Darrell Duffie
The financial crisis that began in 2007 was triggered by over-leveraged homeowners and a severe downturn in US housing markets. However, a reasonably well-supervised financial system would have been much more resilient to this and other types of severe shocks. Instead, the core of the financial system became a key channel of propagation and magnification of losses suffered in the housing market. Critical financial intermediaries failed, or were bailed out, or dramatically reduced their provision of liquidity and credit to the economy. In short, the core financial system ceased to perform its intended functions for the real economy at a reasonable level of effectiveness. As a result, the impact of the housing-market shock on the rest of the economy was much larger than necessary. In this essay, I will review the key sources of fragility in the core financial system. I discuss the weakly supervised balance sheets of the largest banks and investment banks; the run-prone designs and weak regulation of the markets for securities financing and over-the-counter derivatives; the undue reliance of regulators on market discipline; and the interplay of too-big-to-fail and the failure of market discipline. Finally, I point to some significant positive strides that have been made since the crisis: improvements in the capitalization of the largest financial institutions, a reduction of unsafe practices and infrastructure in the markets for securities financing and derivatives, and a significantly reduced presumption that the largest financial firms will be bailed out by taxpayer money in the future. But I will also mention some remaining challenges to financial stability that could be addressed with better regulation and market infrastructure.
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\”Would Macroprudential Regulation Have Prevented the Last Crisis?\” by David Aikman, Jonathan Bridges, Anil Kashyap and Caspar Siegert
How well equipped are today\’s macroprudential regimes to deal with a rerun of the factors that led to the global financial crisis? To address the factors that made the last crisis so severe, a macroprudential regulator would need to implement policies to tackle vulnerabilities from financial system leverage, fragile funding structures, and the build-up in household indebtedness. We specify and calibrate a package of policy interventions to address these vulnerabilities-policies that include implementing the countercyclical capital buffer, requiring that banks extend the maturity of their funding, and restricting mortgage lending at high loan-to-income multiples. We then assess how well placed are two prominent macroprudential regulators, set up since the crisis, to implement such a package. The US Financial Stability Oversight Council has not been designed to implement such measures and would therefore make little difference were we to experience a rerun of the factors that preceded the last crisis. A macroprudential regulator modeled on the UK\’s Financial Policy Committee stands a better chance because it has many of the necessary powers. But it too would face challenges associated with spotting build-ups in risk with sufficient prescience, acting sufficiently aggressively, and maintaining political backing for its actions.
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Symposium on Public Provision of Economic Data
\”The Value of US Government Data to US Business Decisions,\” by Ellen Hughes-Cromwick and Julia Coronado
The US government is a major producer of economic and financial data, statistics, analysis, and forecasts that are gathered, compiled, and published as public goods for use by citizens, government agencies, researchers, nonprofits, and the business community. There is no market transaction in the publication and dissemination of these government data and therefore no market-determined value. The purpose of this paper is to outline and augment our understanding of the value of government data for business decision-making. We provide an overview of the topic, including results from government reports and a private sector survey. We then provide concrete examples of how these government data are used to make business decisions focusing on three sectors: automotive, energy, and financial services. Examples of new initiatives by the federal government to open access to more data, exploiting technology advances associated with the internet, cloud storage, and software applications, are discussed. With the significant growth in the digital economy, we also include discussion and insights around how digital platform companies utilize government data in conjunction with their privately generated data (or \”big data\”) to foster more informed business decisions.
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\”On the Controversies behind the Origins of the Federal Economic Statistics,\” by Hugh Rockoff
Our federal economic statistics originated in the economic and political divisions in the United States and the bitter debates over economic policy they engendered at the end of the 19th century and during the world wars and Great Depression. Workers were angry because they believed that they were being exploited by robber barons who were capturing all of the benefits of economic growth, while employers were just as sure that the second industrial revolution had brought workers an unparalleled increase in real wages. Other debates centered on the effects of unrestricted immigration on wages and employment opportunities of native-born Americans, on the effects of tariffs on prices paid by consumers, on the effects of frequent financial panics on employment, and, during the world wars, on the effects of wage and price controls on the living standards of workers. Participants on all sides of these debates believed that nonpolitical and accurate statistics constructed by experts would help to win support for the policies they favored. In most cases, the development of these statistics was led by individuals, private organizations, and state governments, although the federal government eventually took over the role of producing these statistics on a regular basis. Here I provide brief histories of the origins of US statistics on prices, national income and product, and unemployment to illustrate this story.
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\”Evolving Measurement for an Evolving Economy: Thoughts on 21st Century US Economic Statistics,\” by Ron S. Jarmin
The system of federal economic statistics developed in the 20th century has served the country well, but the current methods for collecting and disseminating these data products are unsustainable. These statistics are heavily reliant on sample surveys. Recently, however, response rates for both household and business surveys have declined, increasing costs and threatening quality. Existing statistical measures, many developed decades ago, may also miss important aspects of our rapidly evolving economy; moreover, they may not be sufficiently accurate, timely, or granular to meet the increasingly complex needs of data users. Meanwhile, the rapid proliferation of online data and more powerful computation make privacy and confidentiality protections more challenging. There is broad agreement on the need to transform government statistical agencies from the 20th century survey-centric model to a 21st century model that blends structured survey data with administrative and unstructured alternative digital data sources. In this essay, I describe some work underway that hints at what 21st century official economic measurement will look like and offer some preliminary comments on what is needed to get there.
Full-Text Access | Supplementary Materials

Articles

\”Environmental Justice: The Economics of Race, Place, and Pollution,\” by Spencer Banzhaf, Lala Ma and Christopher Timmins
The grassroots movement that placed environmental justice issues on the national stage around 1980 was soon followed up by research documenting the correlation between pollution and race and poverty. This work has established inequitable exposure to nuisances as a stylized fact of social science. In this paper, we review the environmental justice literature, especially where it intersects with work by economists. First we consider the literature documenting evidence of disproportionate exposure. We particularly consider the implications of modeling choices about spatial relationships between polluters and residents, and about conditioning variables. Next, we evaluate the theory and evidence for four possible mechanisms that may lie behind the patterns seen: disproportionate siting on the firm side, \”coming to the nuisance\” on the household side, market-like coordination of the two, and discriminatory politics and/or enforcement. We argue that further research is needed to understand how much weight to give each mechanism. Finally, we discuss some policy options.
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\”Economists (and Economics) in Tech Companies.\” by Susan Athey and Michael Luca
As technology platforms have created new markets and new ways of acquiring information, economists have come to play an increasingly central role in tech companies-tackling problems such as platform design, strategy, pricing, and policy. Over the past five years, hundreds of PhD economists have accepted positions in the technology sector. In this paper, we explore the skills that PhD economists apply in tech companies, the companies that hire them, the types of problems that economists are currently working on, and the areas of academic research that have emerged in relation to these problems.
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\”Parag Pathak: Winner of the 2018 Clark Medal.\” by Ariel Pakes and Joel Sobel
The American Economic Association awarded Parag Pathak the 2018 John Bates Clark Medal for his research on the impacts of educational policies. Both the theory and the empirical research take the constraints facing administrators seriously. As a result, Parag\’s research led directly to educational reforms in many large US cities and abroad. The leading example is Parag (and co-authors\’) research on school assignment mechanisms that led many school districts to institute fairer and more efficient procedures for allocating students to schools. The institutional detail Parag learned in working on the assignment problem led to innovative empirical work on the impacts of different types of schools, most notably of charters, which was suggestive of the characteristics of both successful schools and of the types of students who gained from being enrolled in them. Using the data generated by the new assignment rules, his recent work provides complete frameworks for the quantitative analysis of the benefits of different assignment mechanisms and has measured those benefits in New York high schools.
Full-Text Access | Supplementary Materials

\”Recommendations for Further Reading,\” by Timothy Taylor
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Do We Even Know If the Gig Economy Is Growing?

The concept of the \”gig economy\” clearly captures something real, but it can be hard to measure define in the statistical sense that brings joy to my heart. For example, it clearly refers to those who drive for Uber and Lyft. But does it refer more broadly to all workers with \”alternative work arrangements,\” who are hired for a short-term job with no serious expectation that it will become a longer-term employment connection? Does it cover people who obtain jobs through a temp agency and work for a series of employers, for example?

Conventional labor statistics don\’t draw these kinds of distinctions very clearly, so researchers have looked for clues in less traditional kinds of data. The results are less clear-cut than one might like.

For example, back in 2015 two prominent labor economists, Lawrence Katz and Alan Krueger, noted that the usual tool for the U.S. Bureau of Labor Statistics in looking at alternative and nonstandards work arrangements is called the Contingent Work Survey (CWS). But this survey has only been carried out occasionally, and in fact had not been done since 2005. So Katz and Krueger tried to carry out a survey in Fall 2015, attaching the questions to a nationally representative survey regularly done by the RAND think-tanks called the American Life Panel.

The results were striking. As I noted at the time, they found:

[T]he percentage of workers engaged in alternative work arrangements – defined as temporary help agency workers, on-call workers, contract company workers, and independent contractors or freelancers – rose from 10.1 percent in February 2005 to 15.8 percent in late 2015. … We further find that about 0.5 percent of workers indicate that they are working through an online intermediary, such as Uber or Task Rabbit … Thus, the online gig workforce is relatively small compared to other forms of alternative work arrangements, although it is growing very rapidly  … A striking implication of these estimates is that all of the net employment growth in the U.S. economy from 2005 to 2015 appears to have occurred in alternative work arrangements.

Well, Katz and Krueger have now revisited the subject four years later, and their latest reuslts suggest that the number of workers in alternative jobs actually has not been growing at all. The more recent paper is \”Understanding Trends in Alternative Work Arrangements in the United States,\” published as a working paper from the National Bureau of Economic Research (#25425, January 2019, an ungated version is here).

The Bureau of Labor Statistics did get funding to do a follow-up of the official Contingent Workers Survey in May 2017. They write: \”The … findings were released in June 2018 and indicate, in seeming contrast to our earlier findings … a slight decline in the incidence in alternative work arrangements from 10.7 percent in 2005 to 10.1 percent in 2017 …\”

 What\’s going on here? Part of the answer seems to be that the labor market was improving from 2015 to 2017, and so more people moved into traditional jobs. Other differences have to do with the extent to which surveys were answered by workers directly, or by others in the family, and whether the 2015 survey for some reason ended up with an oversample of people holding multiple jobs. But bottom line, the current view is that the number of alternative workers may have risen during the Great Recession and its aftermath, but has since declined back to about where it was before the recession.

Anat Bracha and Mary A. Burke provide some additional perspective in \”The Ups and Downs of the Gig Economy, 2015–2017,\” written as a working paper for the Federal Reserve Bank of Boston (#18-12, October 2018).

The particular focus on Bracha and Burke is on data from the Survey of Informal Work Participation (SIWP), which was carried out as part of something called the Survey of Consumer Expectations, which is done on a monthly basis by the Federal Reserve Bank of New York. They added questions about the extent of \”paid informal work or side jobs,\” and whether \”websites and/or mobile platforms were used in finding and/or performing such work.\” The survey was not really intended to include professional freelancers or temp workers, but as with any survey, it\’s not always obvious how respondents interpret the questions. They find:

Considering either our broader or narrower concept of informal work, we find that participation rates did not change significantly on net between 2015 and 2017, while our point estimates suggest that if anything, the participation rates declined during that period. … Furthermore, conditional on participation in the gig economy, between 2015 and 2017 the average hours among informal workers showed unambiguous declines, and the aggregate amount of informal work as measured in FTEs also fell substantially, while average earnings among informal workers were effectively flat. Our composite measures of informal work would appear to contradict recent popular narratives depicting rapid growth in the independent workforce in response to structural changes in the organization of work. However, we also find some supporting evidence for the story of a rising gig economy …[P]articipation rates increased across our surveys for selected technology-enabled jobs such as ridesharing and online tasks, and the average ridesharing hours increased dramatically among drivers, although in absolute terms these technology-enabled jobs still account for only a very small segment of the US population of household heads.

In more detailed analysis, they also find hints that the improving labor market from 2015-2017 was tending to  hold down the amount of informal work. But their bottom line is that while ride-sharing is way up, along with AirBnB and various non-labor income-earning opportunities, overall informal work is not on the rise.

Other authors have also found evidence that while participation in ride-sharing jobs is way up, the evidence for more employment in other parts of the gig economy is weak. For example, Katharine G. Abraham, John C. Haltiwanger, Kristin Sandusky James R. Spletzer presented \”The Rise of the Gig Economy:Fact or Fiction?\” at the annual meetings of the American Economic Association in early January 2019. They point out that some of the main possible data sources on gig economy work are not telling the same story: specifically, the surveys of workers form sources like the Current Population Survey aren\’t telling the same story as income tax data about self-employment. They write:

This paper provides an overview of what we know and don’t know about the hypothesized surge in the gig economy. There has been phenomenal growth, confirmed by at least three independent data sources, in the number of self-employed passenger drivers since 2013. The pace of this growth illustrates how quickly new technology can affect the labor market. Outside of this sector, however, the picture is considerably murkier. Furthermore, … there has been a growing discrepancy between self-employment rates as measured in core household surveys such as the Current Population Survey (CPS) versus self-employment rates as measured in tax data. Over the past decade, the former show a slight decline whereas the latter show a notable increase. CPS data also have not captured the surge in passenger driver self-employment that is evident in other data. These facts suggest that, to understand the gig economy, the CPS and other core household surveys will need to be augmented by other types of data

Bracha and Burke from the Boston Fed make a similar point about data on alternative work arrangements from self-employment reported on income taxes. They write:

According to a few different studies, the filing of tax forms indicating self-employment, such as the Schedule C, increased significantly in recent decades (Jackson, Looney, and Ramnath 2017, Katz and Krueger 2016, and Abraham et al. 2018), and one study found that the trends were driven by an increase in independent labor rather than business ownership (Jackson, Looney, and Ramnath 2017). Likewise, an analysis by Dourado and Koopman (2015) of 1099-MISC forms, which are used to report income received outside of traditional employment relationships, indicates an escalation in such filings from 2000 to 2015.

One of the prominent studies of what tax data can tell us on the extent of self-employment is \”The Rise of Alternative Work Arrangements: Evidence andImplications for Tax Filing and Benefit Coverage,\” by Emilie Jackson, Adam Looney, and Shanthi Ramnath written as a working paper for the Office of Tax Analysis at the US Department of the Treasury (#114, January 2017). They note that the category of self-employment is quite broad. However, it is also rising fast, and many of the gains in self-employment seem to be among those who have zero in business expenses–that is, they are just providing labor. They write (footnotes omitted):

In 2014, 24.9 million individuals filed returns reporting the operation of a nonfarm sole proprietorship and 16.8 million earned a profit (and paid self-employment tax) from those activities, representing a 34 percent and 32 percent increase, respectively, from their levels in 2001. The almost 17 million self-employed workers represented 12 percent of all tax filers with earnings. … Self-employed individuals engage in a wide variety of economic activities ranging from operating businesses like restaurants, law offices, or partnerships; providing contract or consulting labor; earning platform-based or “gig economy” income; to house cleaning and babysitting services. Many earn income from both wages and self-employment. … Looking at trends over time, we find that essentially all of the increase in self-employment is due to increases in sole proprietors who have little or no business-related deductions, and who therefore appear to almost exclusively provide labor services (i.e. the contractors or misclassified workers). In contrast, the share of filers that were small business owners was essentially unchanged.

It seems clear that more people are receiving income and tax from activities that are outside traditional jobs. But other than ride-sharing jobs, just how to characterize these jobs remains murky, and the question of what rules and regulations might apply to such income-earning activities remains murky, too.  It feels to me as if a shift is happening in US labor markets, in which the expectation of a long-term bond between employers and employees has declined on both sides. But I don\’t yet feel that I understand the details of this shift.

Budget Deficits and Debt: Background and Tradeoffs

Twice a year the Congressional Budget Office publishes a \”just the facts\” overview of the federal budget picture and the US economy. The latest version is \”The Budget andEconomic Outlook:2019 to 2029 (January 2019). Here, I\’ll focus on the US budget deficit and debt.

Here\’s the pattern of US federal government spending and revenues in the last 50 years. Average outlays during that time were 20.7% of GDP. Average revenues were 17.4% of GDP. Contrary to the widespread belief that US government spending and taxes have over time surged ever higher, to me the more obvious pattern here over the half-century is one of stability. Sure, government spending is higher and taxes are lower than the historical averages during the Great Recession. But during boom times like the late 1990s, taxes are above their historical average while spending is below. When President Trump took office early in 2017, US government spending and taxes were–whether for better or worse–almost bang on their long-run averages.

But under the surface, two changes are going on–one medium-term and one longer-term. The medium-term change is that the usual pattern over time has been that when the US economy is proceeding strongly, with sustained growth and a relatively low unemployment rate, the budget deficits are usually lower, or in the late 1990s even turned into surpluses. But at present, the trajectory is a relatively healthy economy but with larger-than-usual budget deficits.

This CBO figures shows that if one looks back at years when the unemployment rate was below 6%, the average budget deficit has been 1.5% of GDP. But although the current unemployment rate has been substantially below 6% for several years, the projected budget deficits for the next decade are projected at 4.4% of GDP.

The longer-term issue involves the rising share of government spending that is going to support benefits for the elderly. Here\’s an illustrative figure from the CBO on the share of federal (non-interest) spending going to the elderly. Specifically, federal spending on the elderly was 35% of total in 2005, 40% of the total by 2018, and headed for 50% of the total 2029.

The tradeoffs here are a matter of basic arithmetic. If federal spending on the elderly keeps rising, but but there is a goal of keeping total federal spending at about the same level, then other federal spending needs to be slashed. Indeed, overall federal investment has been dropping over time: less for support of R&D, less for infrastructure, less for support of training and employment.  It used to be a half-century ago, that the federal government spent more on investment than on the broad category of paying benefits, but the nature of the federal government has shifted substantially, and over time it has become primarily about paying benefits. As the figure shows, we are rapidly headed toward a situation in which half of all (non-interest) federal spending involves payments of benefits just to the elderly–not even counting benefits paid to those under age 65.

The figure above, showing overall patterns of spending and revenue, show the outcome. Spending keeps rising, driven in the medium-run by the rise in spending on the elderly. Despite the sustained economic growth and low unemployment rate, federal taxes dipped in the last year and will stay relatively low for a situation where the economy is doing fairly well, in substantial part because of the Tax Cuts and Jobs Act passed in December 2017. As this combination of spending and taxes leads to higher budget deficits, more government debt accumulates, and interest payments start climbing, too. For example, the CBO projections show that \”net interest\” is 1.6% of GDP in 2018, but rises to 2.6% of GDP by 2023.

Don\’t skip over that rise in interest payments too quickly. The US GDP is about $20 trillion in 2018. So 1% of GDP amounts to $200 billion which is being spent as a price paid for past borrowing–and thus won\’t be available for spending increases or tax cuts.

Combine these factors, and the US ratio of debt/GDP is headed out of its historical range. There have been spikes in the debt/GDP ratio before, notably in times of war, or during the large budget deficits during the Reagan presidency in the 1980s. But according to the CBO, using current law as its baseline, we are headed well outside those limits in the next couple of decades.

Presumably the answers involve restraints on spending programs for those over-65 or raising additional tax revenue. Those steps need to be phased in energetically even if the only goal is to get off the pathway of an extreme debt/GDP rise. In addition, if you would like to see the pendulum swing back at least a bit–so that the federal government can again take up its role of investing in R&D, infrastructure, and workers–then even greater changes are needed.

This pattern of a rising debt/GDP ratio raises a number of economic concerns. As the CBO report summarizes:

Such high and rising debt would have significant negative consequences, both for the economy and for the federal budget, including these:

  • As interest rates continue to rise toward more typical levels, federal spending on interest payments would increase substantially;
  • Because federal borrowing reduces national saving over time, the nation’s capital stock ultimately would be smaller, and productivity and total wages would be lower than would be the case if the debt was smaller;
  • Lawmakers would have less flexibility than otherwise to use tax and spending policies to respond to unexpected challenges; and
  • The likelihood of a fiscal crisis in the United States would increase. Specifically, the risk would rise of investors’ being unwilling to finance the government’s borrowing unless they were compensated with very high interest rates. If that occurred, interest rates on federal debt would rise suddenly and sharply relative to rates of return on other assets.
As I have said before, I am not someone who argues for sharp immediate reductions in budget deficits. But the long-term trajectory is troubling. And the undebated and de facto shift of the federal government to an institution where the main budgetary action is sending out payments, rather than making investments in the country\’s future, troubles me as well. 

Mexico Misallocated

Economic growth in Mexico presents a puzzle. Mexico has followed many of the standard recommendations that are said to support economic growth. For example, it has prevented a recurrence of the inflationary fevers that used to grip Mexico every few years. Rates of national investment are up. Investment in education and human capital is up. Mexican workers have a  high labor force participation rate. Mexico has signed international agreements to reduce trade barriers. It has done a reasonable amount of privatization and deregulation And the result of all these changes has been slow growth.

 Santiago Levy describes this puzzle and offers his own answer in Under-Rewarded Efforts: The Elusive Quest for Prosperity in Mexico, published by the Inter-American Development Bank (July 2018). Here\’s Levy on Mexico\’s sluggish growth, which actually implies a negative rate of productivity growth in recent decades.

From 1996 to 2015, the country’s per capita GDP growth averaged only 1.2 percent per year. Moreover, this unimpressive figure arguably overestimates Mexico’s performance, as it reflects the fact that because of the country’s demographic transition, its labor force grew more rapidly than its population during these years (2.2 versus. 1.4 percent). In fact, GDP per worker grew on average by only 0.4 percent on an annual basis, far from what is required to create a prosperous country. … 

Over the same two decades, accumulated per capita GDP growth in Mexico was 25.7 percent, less than every country in Latin America except Venezuela. …Over the medium term, growth occurs because the labor force increases (in quantity and quality), because there is more investment in physical capital, and because the productivity of labor and capital (total factor productivity – TFP) increases. Decomposing Mexico’s growth over this period into these three components, one finds that TFP growth averaged only 0.14 percent annually, without any corrections for the quality of the labor force. Considering increases in schooling (that is, taking into account that workers with more years of schooling can potentially contribute more to output than those with fewer years), yields a negative TFP growth rate of 0.53 percent. … [T]he result is that Mexico’s GDP growth has resulted only from the accumulation of physical capital and growth of the labor force. There have been no improvements in efficiency. Thus, by and large the question of why Mexico grows so slowly is equivalent to the question of why productivity has stagnated.

 Why has Mexico\’s productivity growth been so poor? Levy looks for clues in data on the productivity of Mexico\’s firms. In a healthy and growing economy, one expects that average productivity of firms will rise. As part of that process, one expects that firms with higher productivity levels will tend to succeed and expand, while firms with lower productivity will either move to higher productivity, or they will contract and even sometimes go out of business. 
Levy provides data that this expected process isn\’t happening. In looking at data on firms in Mexico, For example, he points out that in Mexico in 2013 census data, informal firms were 90 percent of the total, \”absorbed more than 40 percent of the capital stock and 55 percent of employment,\” and \”constituted the majority in 51 percent of all six-digit sectors in manufacturing, 81 percent in commerce, and 88 percent in services.\” Levy writes: 

The comparison of the four censuses [from 1998 to 2013]  shows that, contrary to what one would expect, the composition of economic activity shifted over time towards the informal sector, measured by the number of firms, the number of six-digit sectors where these firms are a majority, and the share of capital and labor absorbed by them. In parallel, the average size of formal firms increased, and they became more capital-intensive, but the average size of informal firms fell. The net result of all these trends was a fall in average firm size, and larger differences in capital intensity between formal and informal firms, within informal firms, and across firm sizes. In other words, heterogeneity increased across firm sizes and types. … 

\”[L]arge differences in firm productivity inside each six-digit sector … widened over this 15-year period. There were more high-productivity firms in 2013 than in 1998. This is welcome news: a subset of Mexican firms over the last two decades have performed very well, which supports the image of a productive Mexico successfully competing in the international arena. But this is not the whole story. There were also more low-productivity firms in 2013 than in 1998. And the unwelcome news is that those firms attracted even more resources than the high-productivity ones. This result
serves to make a key point: simply noting that over time there are more high-productivity firms, and that these firms are growing, is not enough to claim that things are moving in the right direction. One must also consider the left-tail of the productivity distribution, and when this is done, one finds the image of an unproductive Mexico, lagging other regions of the world. … 

But the main finding, very worrisome to Mexico, is that this large firm churning failed to increase productivity. There are three inter-related problems:

  • The exit process does not distinguish sufficiently between high- and low-productivity firms, so many low-productivity firms survive, and many high-productivity ones die.
  • There is little sorting of entering firms by productivity levels, so many low-productivity firms enter.
  • There is a bias in favor of the entry of new firms and against the growth of existing firms, even if the latter have higher productivity. … 

What about firms that survived? Many changed size and type between 2008 and 2013. Surprisingly, changes from informal to formal status were almost equally offset by changes in the opposite direction. In parallel, more firms became smaller than larger. This suggests that, in the case of Mexico, the view that informal firms that survive in the market grow and formalize is mostly flawed. … [S]urviving firms did not create any additional jobs—in fact, their employment fell. Instead, these firms grew by capital deepening. … 

It is as if in Mexico the Schumpeterian process of creative destruction was countered by a parallel process of destructive creation. A vicious circle is present: misallocation induces dysfunctional firm dynamics, and dysfunctional firm dynamics serve to reproduce misallocation from one year to the next. As a result, on balance, the allocation of capital resulting from new investments, and the allocation of labor resulting from growth in the labor force, fail to increase aggregate productivity. …

In a broad sense, these patterns suggest that Mexico is misallocating its economic resources. The interaction of competing firms in Mexico is not directing resources to areas of highest productivity and skill. Research into how long-lasting misallocations of resources can occur and persist are a lively current topis in economics. For an overview, see the article by Diego Restuccia and Richard Rogerson, \”The Causes and Costs of Misallocation.\” in the Summer 2017 issue of the Journal of Economic Perspectives

This process of what Levy calls \”destructive\” creation,\” with high-productivity firms exiting and low-prioductivtiy firms entering, isn\’t good for workers:

The other side of the coin of large firm churning is large firm-induced job changes—as firms exit and enter, workers transit from job to job. … [T]he exit of high-productivity firms caused the loss of high-productivity jobs, and the entry of low-productivity firms implied the creation of low-productivity jobs. As noted, no net jobs were created in surviving firms because these firms grew mostly by capital deepening. All in all, the census data reveal that between 2008 and 2013 job changes associated with firm churning were almost equally balanced between productivity-reducing and productivity- enhancing ones. Useless firm churning translated into useless job changes.

[T]o the extent that the incentives to invest in education depend on the returns that are obtained from doing so, and given that misallocation lowers these returns, Mexican workers invest less in education prior to entering the labor force. This has long-term implications for the stock of human capital available to the country. … [I]n the last two decades the returns to education in Mexico fell. … {T]he returns to experience in Mexico are not only lower than in other countries of the OECD, but also  wer than in Chile and Brazil, the other two Latin American countries with comparable data. In addition, … the returns to experience fell between 2005 and 2015. The implication of this trend is powerful: given whatever education workers acquired while young, their earnings paths once they entered the labor market were basically flat over that decade. Put differently, the returns to their experience were nil. The combination of falling returns to education and falling returns to experience is very disconcerting.

Moreover, Levy argues that the extent of misallocation appears to be rising in Mexico.  What factors might cause this misallocation of resources to arise and to persist? He argues that \”the main policies and institutions impeding growth are those related to taxation, labor and social insurance regulations, and enforcement of contracts.\” The book goes into considerable detail on many related issues: laws about salaried and unsalaried workers differ, both in provision of social insurance and in the ability of firms to fire workers; how workers are taxed differently based on their labor contract and firms are taxed differently based on their size; and how law and institutions \”determine the trust that agents (banks, firms, workers) place in the institutions enforcing contracts, and the degree of competition in product markets.\” Here\’s a sample: 

In other countries, the distinction between salaried and non-salaried contracts is probably innocuous. But in Mexico it is central because, following constitutional mandates, since the middle of the past century many of Mexico’s policies and institutions have been designed specifically for salaried workers, with obligations imposed on firms only when they hire salaried workers. Among these are the obligations to pay for workers’ social insurance, to comply with dismissal regulations, and to withhold workers’ income taxes. In parallel, other policies have been designed for non-salaried workers, with different obligations on firms. Among these are the provision of free social insurance benefits, and the exemption of firms from dismissal regulations and withholding obligations. As a result, laws with respect to labor taxes, pensions, health, day care, housing, and separation from employment differ depending on the nature of the contract between firms and workers. In parallel, the institutions in charge of enforcing obligations or providing benefits to salaried and nonsalaried workers also differ. …

Here\’s one summation of his argument from Levy: 

After the lost decade of the 1980s, Mexico embarked on a program to restore growth focused on macroeconomic stability, an open trade regime, investments in human capital, promotion of domestic competition, and sector-specific reforms to increase efficiency. This program was accompanied by a substantive expansion of social spending …  [T]he main achievements under this program … [were]  most of them very welcome, and some very impressive. 

On the other  hand … this program was unable to deliver growth with social inclusion. The combination of tax, social insurance, and labor regulations deployed to increase social welfare taxed the high-productivity segment of the economy and subsidized the low-productivity segment, impeding productivity growth and thwarting rapid GDP growth. It also failed to provide workers with satisfactory levels of protection and efficient coverage against risks, while limiting their opportunities to get better paid jobs congruent with their increased schooling. Thus, over a quarter of a century later, it is not possible to assert that this program delivered the prosperity expected from it.

This does not mean that this program should be abandoned. In fact, most of its components were right on the mark, and need to be consistently pursued. But it does mean that, with the benefit of hindsight, this program had an Achilles’ heel: it did not address the main reasons for large and persistent misallocation, and in fact exacerbated some of them. And, looking forward, it implies that continuing to pursue only this program will not address this shortcoming, and that prosperity will continue to elude Mexico. … It is difficult for inclusive growth to occur under exclusive and malfunctioning institutions.

Levy\’s argument about misallocation of resources in Mexico has a number of intriguing implications. 
1) The causes of economic growth matter. When thinking about the \”fundamentals\” of economic growth, it\’s not enough to focus on investment in physical and human capital, a stable macroeconomic environment, and participation in the global economy. The ways in which laws and institutions affect the allocation of resources in an economy can also matter. 
2) Mexico\’s economy matters. For example, If you are worried about immigration from Mexico, immigration that arrives through Mexico, the strength and the opportunities in Mexico\’s economy are one of the main factors affecting how many people will want to emigrate from Mexico. 
3) Mexico is a (vivid) example of a country that has drawn legal and regulatory distinctions between salaried and unsalaried workers, and between smaller and larger firms. But in the US and around the world, technology is enabling the possibility of a shift to \”gig economy\” of alternative work arrangements and how firms organize themselves. In thinking about possible laws will affect treatment of these alternative workers, and the firms that hire them, and the provision of social insurance to these workers, it will be important also to consider the incentives that are being set up for how markets will reward productivity and skills–or not.