After the release of the October unemployment data that reported a steeper than expected rise to 10.2%, I decided to revisit an old college text, The Zero Sum Society: Distribution and the Possibility for Change, the seminal work of MIT economist Lester Thurow. Written in 1979 and published in 1980, Thurow's work interprets macroeconomics as a zero-sum game and examines the American political environment to find explanations for the decline of the American economy. I thought it might offer some insights into our current predicament.
Just three pages and a mere seven paragraphs into the book, I came across this sentence:
And how do you evaluate vast expenditures, such as those we make on health care, where we are spending more than the rest of the world but getting less if you look at life expectancy (U.S. males are now sixteenth in the world)?
Twenty-nine years later, we are still grappling with the same question only now in terms of life expectancy US males now rank twentieth-fourth in the world. Clearly, we are not exactly making strides which only makes the eight paragraph of Thurow's classic all the more prescient and troubling.
But whatever our precise ranking at the moment, the rest of the world is catching up, and if they have not already surpassed us, they soon will. From many perspectives, this catching-up process is desirable. Most rich people find it more comfortable to live in a neighborhood with other rich people. The tension are less and life is more enjoyable. What is not so comfortable is the prospect that our rich neighbors will continue to grow so rapidly that we slip into relative backwardness.
Well, welcome to relative backwardness! We are not just being surpassed by European countries and East Asian tigers, on some metrics we are being surpassed by Latin American countries. The World Health Organization ranks the healthcare systems of Colombia, Brazil and Costa Rica as better than ours. If in 1980 we were worried about falling behind in relative terms, we should now be worried about falling behind in absolute terms. It is not just that other countries are leapfrogging us, it is the fact our living standards are being eroded. But our economic problem is really one of our politics. Where once success of the American economy was measured in terms of gains in living standards and the growth of the middle class, today only lip-service is paid to these. That the GOP long out sold the middle class should be obvious. This is, after all, a party that subscribes to an ideology where the individual trumps society and where inequality is a public good, not just an unfortunate consequence. But even much of the Democratic Party has long abandoned its New Deal principles with its Clintonian embrace of haute finance as the engine for growth. Everything else but perhaps for the pesky service sector, it seems, we outsource.
There is little doubt that macroeconomic shocks beginning in the early 1970s played a role in the erosion of American living standards. But the more fundamental factor since then has been the collapse of a political consensus that favors inclusive growth based on a broad-based prosperity. Instead our political economy, even today in the Age of Obama, favors a narrow elite. We can quibble about that size of that elite but when Representative Anna Eshoo, a liberal Democrat who represents Silicon Valley, has enough sway to insert an amendment into the healthcare bill that extends the patent protected income streams for biotech firms that produce a class of drugs called biologics from five to twelve years we should have no illusions about whom she actually represents. The interests she serves are that of her largest campaign contributor, the Biotechnology Industry Organization, the lobbying arm for the biotech industry. It is a mockery to suggest that Anna Eshoo has the interests of the American people in mind when she serves a corporate master.
The growth of the lobbyist trade is astounding and as their power rises, our living standards have fallen. Here's a quick historical overview:
After World War II, and particularly starting in the 1970s, lobbying in Washington expanded to a degree unimagined in previous generations. As the nation grew larger it also became more pluralistic. Interest groups multiplied and often were in conflict. Traditional isolationism or general indifference to foreign affairs was replaced by heightened awareness of the global involvement and reach of the United States. The dissident political movements of the 1960s demonstrated the possibilities of group political activities and prompted the rise of new groups that felt government was not being responsive to their needs and interests. The rapid evolution of efficient and cheap mass communication promoted grassroots advocacy far beyond previous levels.
Perhaps the most important change was the quiet revolution in the fundamental nature and rules of the legislative process in Washington: the fragmentation of the power of the political parties and party leaderships; the promotion of individual candidates with special agendas at odds with party preferences and priorities; and the restructuring of election campaign spending in ways that allowed groups to support particular candidates. Changes in Congress in the early 1970s, which some have described as a revolt of a new generation of younger politicians against old-guard traditional leaders, resulted in a reorganization of power within Congress, including a reduction in the power of party leaders and committee heads and an increase in the role of subcommittee heads and individual members. Instead of several dozen committees guided by the party leaderships, there were more than 200 subcommittees, often run by individual congressmen free of leadership control. Congressional staffs grew from 2,500 in 1947 to 18,000 in 2000.
These changes opened the door for interest groups, lobbyists, public relations experts, and political consultants of all kinds. The number of interest groups expanded steadily, growing by one measure from 10,300 in 1968 to 20,600 in 1988. The number of registered lobbyists in Washington grew from around 500 during World War II to more than 15,000 by the early 1990s. The number of political action committees (PACs) that financed many of the more powerful interest groups increased from a handful in 1970 to more than 4,000 in less than twenty years.
By 2005, the number of registered lobbyists had topped 35,000 (the number of lobbyists who actually do the lobbying is less - about 13,400 up 30 percent since 1998; the balance is support & research staff). The lobbying boom was caused by three factors: rapid growth in government, a pro-business Republican Party that controled both the White House and Congress, and wide acceptance among corporations that they need to hire professional lobbyists to secure their share of Federal benefits. In dollars terms according to the Center for Responsive Politics, the amount spent on lobbying Congress between 1998 and 2008 has grown from $1.44 billion to $3.3 billion. That's a CAGR of 8.65 percent. Meanwhile over that time frame, US GDP had a CAGR of just 5.07 percent.
It needs to be noted that lobbyists don't always work to get legislation passed. They more often work to get legislation killed. And to do so, they engage in delay tactics. To delay is effectively to kill. The result has been a paralysis of our politics. That this weekend the House was able to pass a measure that begins to tackle our healthcare crisis is indeed historic but given that the overwhelming percentage of Americans have long desired a more equitable health insurance scheme, it is noteworthy that the measure passed with just two votes to spare. Even more astounding is that the passage of healthcare bill is by no means assured in the United States Senate. The underlying causes of our political paralysis could not be more evident.
Over the weekend during the House debate, Wisconsin GOP Rep. Paul Ryan went on the House floor to speak against the Democratic healthcare plan. According to Congressman Ryan, the health care bill replaces the American "idea" with a "European-style social welfare state." He said it makes Americans "dependent on the Government instead of dependent on themselves."
He went on to say "This is about ideology. What side of history do you want to be on? Will you be on the side of history where you stick with the people and the principles that built this exceptional nation?"
I hate to break it to Congressman Ryan, but American exceptionalism is at best a historical myth. The only thing exceptional about our country at this point is our military expenditure. There we still have a number one ranking. While the United States accounts for 21% of world GDP, we account for 41.5% of world military expenditures. By most measures, we are remarkably mediocre and falling fast. For example, the United States is no longer the world leader in secondary education. Korea now has the best secondary education system in the world. There 93 percent of high school students graduate on time compared with the United States where 75 percent earn their diplomas on time. That's good enough for 18th place among OECD nations. How are we exceptional?
In commenting on these results, Jacob Funk Kirkegaard of the Peterson Institute for International Economics in Washington said that "the United States has rested on its laurels way too long. Other countries have increasingly caught up and surpassed the United States." He might as well be talking about every other major socio-economic metric.
There is another paragraph from Thurow's work that also caught my attention. Remember this was published in 1980, a point in time when the national debate was over the failure of liberalism. Thurow writes:
The hard-core conservative solution is to "liberate free-enterprise," reduce social expenditures, restructure taxes to encourage saving and investment (shift the tax burden from those who save to those who consume, the poor), and eliminate government rules and regulations that do not help business. Specifically, the capital gains taxes that were reduced in 1978 should be reduced further; the "double" taxation of dividends should be ended; income transfer payments to the poor and the elderly should frozen; environmentalism should be seen as an economic threat and rolled back. Laffer curves sprout like weeds to show that taxes should be cut to restore personal initiative. Only by returning to the virtues of hard work and free enterprise can the economy be saved.
Thurow then rightly observes that "in thinking about this solution, it is well to remember that none of our competitors became successful by following this route." And yet we and the British, as if in some bizarre trans-Atlantic suicide pact, plunged head first in a free market abyss that continues to resonate with not just the GOP but with all too many Democrats. Our urgency today is to demonstrate the failure of Reagan's America. We cannot delay this project.
While the facts are all too brutally clear, at what point do we open our eyes to the empirical evidence? Let me just take one metric, that of infant mortality. Infant mortality has long been considered one of the most important indicators of the health of a nation and the quality of its medical system. In 1960, the United States ranked 12th lowest in the world, but by 2004, that ranking had dropped to 29th lowest. This international gap has widened even though the United States devotes a far greater share of its national wealth, some 16% of GDP, to health care than other countries. In 2006, Americans spent $6,714 per capita on health — more than twice the average of other industrialized countries.
Paul Krugman today worries in his New York Times column about the country becoming ungovernable. I hate to disagree with Paul Krugman, but the country has long been sliding into ungovernability. The political system is broken and we need to own up that to impertinent fact because the social economic metrics have long been in decline and yet we have been powerless to stop this erosion. Welcome to Thurow's relative backwardness. We are as Paul Krugman himself quibbed not too long ago an "Argentina with nuclear weapons" and never mind just blaming Ronald Reagan when Anna Eshoo is just as guilty.
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