Beat the Press is Dean Baker's commentary on economic reporting. Dean Baker is co-director of the Center for Economic and Policy Research (CEPR).
The New York Times reported this afternoon that Senate Republicans have now altered their health care bill to include a provision that would penalize people who opt not to buy insurance. According to the article, people who go more than two months without insurance will have to wait six months for a new policy to take effect after they buy it.
This is an entirely reasonable change since it prevents the obvious problem that many people would have opted to game the system without a provision like this. As I and others pointed out, it would be a pretty low-risk proposition for healthy people, especially older ones who faced high premiums, to go without insurance and then buy insurance only if they developed a serious illness.
This would likely make the system unstable since it would mean that the pool of people in the system were less healthy than average, and therefore have higher health care expenses. This would raise costs and premium prices, leading more people to drop out. Eventually, only very unhealthy people would look to buy insurance, which would be extremely expensive.
For this reason, the penalty makes sense. What doesn't make sense is that the Republicans are just adding the provision now. This problem of adverse selection (only less healthy people buy insurance) is not a new discovery. It has been known to people writing about insurance for more than half a century. So how could the Republicans spend all this time hashing out a bill and only now realize that they have a problem?
This is yet another piece of evidence (as if more was needed) that this is not an effort to provide better insurance to the public, it is about giving tax cuts to rich people. The insurance aspect is a sidebar, sort of like when you buy cheese at the store and you need it wrapped in something. You don't really care what the cheese is wrapped in, you care about the cheese.
In the same vein, the Republicans don't really care what the insurance looks like, they care about the tax cuts for rich people. If they did care about the insurance, the penalty for going uninsured would not be a last minute addition.Add a comment
The NYT gave us yet another piece telling us that Donald Trump is right about his growth projections and that the Congressional Budget Office is wrong. The piece, by Kai-Fu Lee, the chairman and chief executive of Sinovation Ventures, a venture capital firm, and the president of its Artificial Intelligence Institute, tells readers that we are about to see mass displacement of jobs due to the spread of artificial intelligence (AI).
This mass displacement has another name, it's called "productivity growth." In other words, Lee is predicting a massive boom in productivity growth. If we get a massive boom in productivity growth, it will mean a huge rise in the rate of GDP growth.
While Lee doesn't put a number on the rate of productivity growth, it is clear he thinks it is faster than anything we have seen in the past. In the long post-war Golden Age from 1947 to 1973, and again from 1995 to 2005, productivity growth averaged 3.0 percent annually. (This was a period of rapid wage growth and low unemployment.) Since Lee apparently thinks the growth will be even faster with his job-killing AI story, we should probably envision productivity growth even faster than this 3.0 percent rate.
In that case, Trump and his crew are probably being too pessimistic projecting GDP growth of just 3.0 percent over the next decade. After all, GDP growth is just the sum of productivity growth and labor force growth. Even with the retirement of the baby boomers we are still expecting labor force growth in the range of 0.5–0.7 percent annually. So, if Mr. Lee is anywhere close to being right about his projections of the future, then the Trump team is being too pessimistic.
We can leave the resolution of this debate over the future for other occasions, but there is one point that is clear. If anyone thinks that Mr. Lee's view should be treated seriously, they better also take Trump's growth projections seriously. Anyone who thinks this NYT column is plausible but that Trump is just inventing numbers has problems with simple arithmetic and should be laughed out of any serious policy discussion.
There is another important point that Lee misses in his column. He argues that AI will transfer wealth from the rest of us to the people who own AI. This is sloppy thinking. One gets to "own" AI from patent and/or copyright monopolies. These come from governments, not technology. If the ownership of AI is leading to an upward redistribution of income the most obvious way to deal with it is to reduce the length and strength of these monopolies.
This basic point, that policies designed to give incentives to innovate can be altered should be obvious to anyone involved in this debate. But, as we all know, the economy is suffering from a severe skills shortage.Add a comment
The NYT had a piece on how many smaller cities that have already lost factory jobs are no seeing a loss of jobs in retail due to the growth of online shopping.The article provides an interesting picture of some of the cities in industrial Midwest and Northeast that have already lost many of their manufacturing jobs and are now seeing major retailers shut their doors.
What is striking is that the piece doesn't present any economists saying how this is good news, as is usually the case on pieces with trade, since the fact that people can buy items online for less money means that they will have more money left in their pockets to buy other things. In fact, there is a better case for this story with retail than with trade since the on-line retailers generally are still in the United States, which means that the money will largely be re-spent here. By contrast, much of the money spent on imports is not spent in the United States.
It is also worth noting that the rate of job displacement due to technology has actually been extremely slow (as in the opposite of fast) over the last decade as productivity growth has fallen to its slowest pace on record. This doesn't mean that people are not losing jobs due to technology, but the rate is slower than normal, not faster than normal.
There could be a problem of inadequate aggregate demand, but in that case, the Federal Reserve Board should not be raising interest rates. The purpose of higher interest rates is to slow the economy and reduce the rate of job creation. The Fed raises interest rates because it considers aggregate demand to be too high, not too low.Add a comment
The Washington Post had an interesting column by a doctor that discussed the difficulties his diabetic patients face dealing with the high cost of insulin. While the doctor, David Trigdell, does call for measures by the government to reduce the price that patients and insurers have to pay for the drug, he doesn't ask the most basic questions about why the price is high in the first place.
This gets back to how the government finances medical research. To a large extent it relies on patent monopolies, and other types of monopoly rights, to pay for drug research. These monopolies are the reason that insulin is expensive. If it were sold in a free market, insulin would be cheap, and Dr. Trigdell's patients would have little trouble covering the cost.
Of course, it is necessary to pay for the research, but there are other mechanisms. The most obvious would be for the government to pay for the research upfront as it is doing now in the case of the development of a Zika vaccine by Sanofi. (Unfortunately, in this case, the government is both paying for the research and planning to give Sanofi a monopoly on its distribution.)
If drug research was paid for upfront it would have the benefit that all research findings would be fully open (that could be a condition of the funding) and there would be no reason for unnecessary duplicative research, as no one would have the incentive to try to innovate around a patent just to develop a copycat drug. I discuss this in chapter 5 of Rigged: How Globalization and the Rules of the Modern Economy Have Been Structured to Make the Rich Richer (it's free).Add a comment
The financial sector is chock full of people with no useful skills. This is why the government has to devise make-work projects like collecting back taxes owed to the I.R.S. for these people to do. As the NYT reports, this practice consistently leads to abuses by the collectors and often ends up losing the government money. But hey, at least it creates some good-paying jobs in these companies and a nice return to their shareholders.Add a comment
The Senate health care plan hugely increases the cost of insurance for older pre-Medicare age people compared to young people, and it eliminates the penalty for not buying insurance, so naturally the NYT tells us:
"That could inadvertently discourage the youngest and healthiest people from buying insurance, leaving a higher percentage of sicker people with expensive treatments on the exchanges, driving up insurers’ costs."
If you raise the cost of insurance for older people relative to younger people, then we expect it to disproportionately reduce the number of older healthy people who buy insurance, not young healthy people.Add a comment
As we all know, driving west in New Jersey is unsustainable. After all, if you keep going west, you will eventually end up in the Pacific Ocean. That's pretty damn unsustainable. It would have been helpful if the Washington Post had clarified for readers that when the Republican health care experts cited in this piece called Medicaid "unsustainable" they meant it in the same way.
The Republicans were celebrating the prospect of the Senate's health care reform bill which includes large tax cuts for rich people, which are coupled with large cuts to Medicaid. The economists justified these cuts by proclaiming Medicaid to be unsustainable.
This is true in the sense that spending is growing faster than the economy. Of course the same would be true of any category of spending that grows faster than the economy, like federal payments for various types of social media and any other category that might be seeing rapid growth for a period of time. If we projected out a rapid rate of growth for the indefinite future, it will eventually cost more than the whole economy. It's just like driving into the Pacific Ocean.
As a practical matter there is no problem with covering the cost of Medicaid for moderate-income people, the elderly, and the disabled far into the future, if we don't give big tax cuts to Donald Trump and his rich friends. We can and should look to get the costs of the program down by bringing what we pay for drugs, medical equipment, and doctors in line with other wealthy countries. Of course, this is a route that Donald Trump and his rich friends probably do not want us to take, nor does the Washington Post.Add a comment
That's the question millions are asking as the Senate plows ahead with its plan to repeal and replace Obamacare. Okay, I don't think anyone is actually asking this question, but they should be if they are trying to take the Senate plan at face value.
As some folks may remember, we had a great wave of hysteria around the importance of the "young invincibles" for Obamacare. These were young healthy people who didn't think they would ever need insurance. The concern was that they would not sign up for the plan and instead pay the penalties, depriving the system of their premiums. Because the ratio of insurance premiums for older to younger people was set slightly to the disadvantage of the young (compared with an actuarially fair rate), the loss of these young healthy people would worsen the program's finances.
In fact, there was far less to the young invincibles story than was claimed in the hype. Kaiser did a simple analysis showing that even an extreme skewing of enrollment towards the old made little difference to the finances of the program. The basic point is that because the premiums of young people are low, it doesn't make much difference whether they sign up or not.Add a comment
That's not exactly what Edsall said in his NYT column, but it is pretty damn close. The theme of Edsall's piece is that in the United States, as in other wealthy countries, the main political divide is between those who support and those who oppose globalization:
"...if we define globalization as receptivity to open borders, the expansion of local and nationalistic perspectives and support for a less rigid social order and for liberal cultural, immigration and trade policies."
The elites in the United States who claim support of globalization actually do not favor open borders and liberal trade policies, although they dishonestly claim this position. The "globalizers" strongly support protectionist measures that benefit people like them.
First and foremost, they favor longer and stronger patent and copyright protection. These forms of protection (sorry folks, they are still protectionism even if you like them) are enormously costly. They often raise the price of the protected items by hundreds or even thousands of times the free market price.
This is why prescription drugs are expensive. New cancer drugs, which often sell for hundreds of thousands of dollars for a year's treatment, would typically sell for a few hundred dollars in the absence of patent and related protections. The United States will spend more than $440 billion this year on prescription drugs. These drugs would likely cost less than $80 billion in a free market. The difference of $360 billion is roughly 1.9 percent of GDP. If we add in the cost of protectionism in medical equipment, software, and other areas it would likely be more than twice as much.
In addition, while trade policy has been deliberately designed to put manufacturing workers in direct competition with low-paid workers throughout the developing world, which puts downward pressure on the wages of less-educated workers more generally (this is the theory, not an accidental outcome), it has largely left in place the protectionist barriers which benefit doctors, dentists and other highly paid professionals. (Foreign-trained doctors cannot practice in the United States unless they complete a U.S. residency program. Dentists must graduate from a U.S. [or Canadian] dental school. As a result, these professionals get paid roughly twice as much as their counterparts in other wealthy countries.)
When one party openly supports policies that are designed to redistribute upward and lies about the redistributive features of its policies, it is not surprising that most working people will not be inclined to vote for them. (Yep, this is the point of my book Rigged: How Globalization and the Rules of the Modern Economy Have Been Structured to Make the Rich Richer [it's free.])Add a comment
The NYT ran yet another piece highlighting the "crisis" in public pensions. This time the story is that pensions are in worse shape in New York City than they were in 1975 when the city faced bankruptcy. The way it gets this conclusion is by showing that pension payments and liabilities are larger, even after adjusting for inflation, than they were in the mid-1970s.
While this is true, it ignores the fact that New York's gross domestic product is close to three times as large today as it was in the mid-1970s. This means that the $5 billion contribution to pensions that the article shows was made in the mid-1970s (in 2017 dollars) was a considerably larger burden on the city's economy at the time than the projected payment of $10 billion in 2020.
The article points out that the unfunded liability of the city's pensions, as conventionally measured, is $65 billion. While this sounds ominous, the discounted value of the city's GDP over the next three decades will be more than $20 trillion, making the liability equal to roughly 0.3 percent of projected GDP. That is far from trivial, but also not an unbearable burden if the city's economy remains healthy.
There is one very important point in this article. It notes a big expansion of pensions in 2000 at the peak of the stock bubble. Many other public pension funds also raised their commitments as a result of this bubble, with the expectation that markets would give their historic rates of return even though price-to-earnings ratios were at unprecedented highs.
Other governments stopped contributing to their pensions during this period with the idea that the market would contribute for them. This led to a situation where they suddenly were forced to ramp up contributions sharply when the bubble burst and threw the economy into recession in 2001. Some, like Chicago under Mayor Richard Daley, found this shift too difficult to manage and simply allowed the unfunded liability to grow.
In short, the stock bubble created serious problems for public pension funds. It also created problems for tens of millions of workers planning for retirement. This is worth noting because the conventional view among economists of the stock bubble is that it was just a lot of good fun with no major economic consequences.
This is close to mind-boggling. Many of the same economists who see the growing and bursting of a huge bubble as no big deal think all hell would break loose if the inflation rate were 3.0 percent instead of the 2.0 percent rate currently targeted by the Fed. There may be a world where this inconsistency makes sense, but it's not the one we live in.Add a comment
A column in the Wall Street Journal by Dana P. Goldman and Darius N. Lakdawalla presents a case for high drug prices by making an analogy to the salaries of major league baseball players. They ask what would happen if the average pay of major league players was cut from $4 million to $2 million. They hypothesize that the current crew of major leaguers would continue to play, but that young people might instead opt for different careers, leaving us with a less talented group of baseball players. Their analogy to the drug market is that we would see fewer drugs developed, and therefore we would end up worse off as a result of paying less for drugs.
This analogy is useful because it is a great way to demonstrate some serious wrong-headed thinking. It also leads those of us who had the privilege of seeing players like Bob Gibson, Sandy Koufax, Henry Aaron, and Willie Mays in their primes to wonder if there somehow would have been better players 50 years ago if the pay back then was at current levels.
But the issue is not just how much we should pay for developing drugs, but how we should pay. Suppose that we paid fire fighters at the point where they came to the fire. They would assess the situation and make an offer to put out the fire and save the lives of those who are endangered. We could haggle if we want. Sometimes we might get the price down a bit and in some occasions a competing crew of firefighters may show up and offer some competition. Most of us would probably pay whatever the firefighters asked to rescue our family members.Add a comment
Apparently the dislike at the NYT is so intense that they couldn't restrict it to the opinion pages. In an article on French President Emmanuel Macron's plans for changing France's labor market regulations, it referred to the current labor law as the, "rigid and job-killing labor code."
It is not at all clear that France's labor protections have a major impact on unemployment in the country. A cross-country analysis found no effect of employment regulations on unemployment. The more obvious cause of high French unemployment is the lack of demand in the economy which results from both Germany's large trade surplus and its insistence on imposing austerity on France and other euro zone countries. The piece forgot to mention this major aspect of economic policy.Add a comment
Donald Trump's economic team has been widely ridiculed for its projection that economic growth will average 3.0 percent annually over the next decade. However, a Washington Post article implies that Trump's team may actually have been overly pessimistic. The article discusses the possibility that robots will be used to replace cashiers at Whole Foods, now that it has been purchased by Amazon.
The piece also raises the concern that automation will displace large numbers of workers throughout the economy over the next two decades.
"A 2013 study from Oxford University predicted that 47 percent of jobs in the United States could be performed by machines over the next two decades, and cashier roles carry an especially heightened risk."
This pace of automation (losing 47 percent of jobs over two decades) is consistent with a 3.0 percent rate of productivity growth, roughly the same rate as the U.S. experienced in the long Golden Age from 1947 to 1973 and again from 1995 to 2005. By contrast, the Congressional Budget Office is projecting productivity growth of roughly 1.5 percent. If the Oxford study's more optimistic assessment proves correct, with labor force growth in the range of 0.5 to 0.7 percent annually, GDP growth would be in the range of 3.5 to 3.7 percent. This far exceeds the Trump administration's 3.0 percent projection.
Contrary to what is implied in this article, rapid productivity growth should lead to rapid wage growth and low unemployment, as was the case through most of the prior two periods. Of course, this assumes competent management of economic policy and there is a serious problem with being able to find qualified economists, which is why the people in charge of policy completely missed the housing bubble.Add a comment
David Callahan had an interesting NYT column on the philanthropical efforts of the latest cohort of the newly rich. The piece makes the important point that people like Bill Gates, the Walton family, and Mark Zuckerberg often use their givings to push their specific political agenda. As Callahan points out, these contributions involve a large amount of taxpayer dollars, these very rich people are getting their taxes reduced by roughly 40 cents for every dollar they give. This means, in effect, that Gates, the Waltons, Zuckerberg and the rest are effectively getting taxpayers to put up a large amount of money to support their political agenda in important areas of public policy.
There are a couple of additional points worth adding on this issue. First, these charitable efforts likely have advanced these billionaires in their efforts to get ever richer. This is especially likely to be the case with Bill Gates where efforts to establish himself as a great humanitarian likely discouraged efforts to take more actions against his company's near monopoly in the computer operating system market. (Also, a program officer in the Gates Foundation once once told me that they would not support any work questioning the usefulness of patent support for drug research because of Gates' dependence on intellectual property protections.)
The other point is that the foundations themselves help to contribute to inequality with the outsized paychecks given to their top executives. It is common for these people to get salaries at or above $1 million a year. (This is discussed in chapter 6 of Riggged: How Globalization and the Rules of the Modern Economy Have Been Structured to Make the Rich Richer [it's free.])
It would be possible to require that philanthropies limit pay in order to qualify for tax-deductible status. The president of the United States earns $400,000 a year. (This doesn't count the special deals for his businesses that Donald Trump gets from those seeking favors.) Many highly talented people compete vigorously for this job. Charitable foundations should be able to find qualified people for the same pay. If not, then they are probably not the sort of organization that deserves the public's support.
Limiting pay for the top executives at institutions receiving taxpayer subsidies, which would include presidents of universities and non-profit hospitals, should help put downward pressure for pay at the top more generally, leaving more money for everyone else.Add a comment
Donald Trump went to Wisconsin today to tout the virtues of apprenticeship programs, which he claimed would give workers the skills they need to fill available jobs. Fortunately, the NYT had a good piece by Noam Scheiber that pointed out there is little evidence to support the view that the economy is suffering from a serious skills shortage.
The skills shortage is a recurring theme which businesses and pundit types routinely use to blame unemployment on workers rather than a lack of jobs in the economy. For example, here's a McClatchy News Service piece from August 2014 telling readers that the problem was a lack of worker skills and also the employer sanctions in Obamacare which discouraged businesses from hiring full-time workers. The economy has since added almost 7 million jobs and involuntary part-time employment has plummeted. (Voluntary part-time employment has risen by roughly two million, as Obamacare made it possible for workers to get health care insurance outside of employment.)
Oh, and here's NYT columnist Thomas Friedman in April of 2013. He spoke to the president of a technical college in North Carolina who Friedman quotes:
"'We have a labor surplus in this country and a labor shortage at the same time,' Green explained to me. Workers in North Carolina, particularly in textiles and furniture, who lost jobs either to outsourcing or the recession in 2008, often 'do not have the skills required to get a new job today' in the biotech, health care and manufacturing centers that are opening in the state.
"If before, he added, 'you just needed a high school shop class or a short postsecondary certificate to work in a factory, now you need an associate degree in machining,' a two-year program that requires higher math, I.T. and systems skills. In addition, some employers are now demanding that you not only have an associate degree but that nationally recognized skill certifications be incorporated into the curriculum to show that you have mastered the skills they want, like computer-integrated machining."
And here's J.P. Morgan CEO Jamie Dimon in January of 2014 explaining in a Washington Post interview that employers can't find workers with the skills they need. How about another dose on the skills mismatch from Thomas Friedman, this time from May of 2012, when the unemployment rate was still over 6.0 percent.
"The Labor Department reported two weeks ago that even with our high national unemployment rate, employers advertised 3.74 million job openings in March. That is, in part, about a skills mismatch."
And then we have a NYT article from July of 2010, near the bottom of the Great Recession, the headline of which told readers, "...factory jobs return, but employers find skills shortage."
So there you have it, the evergreen story. There is a substantial segment of elite types who are always happy to hear about the skills shortage as an explanation for unemployment. See, the problem is not the state of the economy and its poor management by economists, the problem is always the ill-trained workers. You don't need evidence for this one, just assert that the problem is workers don't have the right skills and furrow your brow in a concerned manner. Works every time.Add a comment
Apparently, at least no one at the New York Times cares about the budget deficit. An article that reported on the Fed's plans to reduce its holdings of assets never once mentioned the implication for the budget deficit. Currently the Fed is refunding close to $100 billion a year to the Treasury based on the earnings from these assets. If its holdings were to drop to pre-crisis levels, measured as a share of GDP, this amount would fall to around $30–$40 billion. The difference could be close to $600 billion in revenue over the course of a decade (enough to fund the rich people's tax cut under the Republican health care plan), but apparently the NYT didn't think it was worth mentioning.Add a comment
The NYT had an interesting article on how the pharmaceutical company Alkermes had successfully promoted its drug Vivitrol as a treatment for opioid addiction, even though there is little evidence the drug is more effective than older and cheaper alternatives. This effort has involved a massive marketing campaign that has included campaign contributions to politicians in a position to influence the choice of drugs, as well as the lobbying of judges in a position to determine the course of a treatment program.
The piece neglected to mention the fact that Alkermes would have little incentive to engage in such practices if it did not have a government-granted patent monopoly on Vivitrol. If the drug were selling at generic prices, it would not pay for expensive, and possibly corrupt, lobbying efforts.Add a comment
It's a bit painful to see this piece in the NYT this morning, which tells readers that the Affordable Care Act gave workers the flexibility to leave jobs they didn't like and to retire early. The latter option is especially important for people in bad health, who desperately need insurance, but often could not get it outside of employment before the ACA.
The reason it is painful to see this piece is because this benefit of the ACA is pretty damn obvious. There is an extensive literature dating back a quarter century about "job lock," the idea that workers will be stuck in jobs they would otherwise leave, but can't because they need the health insurance it provides. In addition to extending insurance coverage to people who did not already have it, the ACA largely ended job lock by allowing people to get relatively affordable policies through either Medicaid or the exchanges.
This flexibility is a huge deal in the U.S. labor market. More than five million people lose or leave their job every single month. It matters hugely that these people don't have to worry about losing health care insurance for themselves and their families.
The ACA clearly gave workers this security. This can be easily shown in the surge in voluntary part-time employment that followed the creation of the exchanges and expansion of Medicaid in 2014. CEPR has been virtually alone in trying to call attention to this fact (e.g. here, here, here, and here). In particular, we pointed out that there were large increases in voluntary part-time among young parents (mostly mothers) and older workers, as highlighted in this NYT piece.
For some reason, the Obama administration and Democrats in Congress had no interest in highlighting this benefit of the ACA. I don't know the reason for their not wanting to take credit for one of the main benefits of the program, but I do have a guess. Many of the parents choosing to work part-time were African American or Hispanic. (The older workers were more likely to be white.) The Democrats may not have wanted to have the ACA thought of as a policy that allowed non-white people to work less than they would have otherwise.
I have no idea if this actually explains the Democrats' behavior (I'm open to other explanations), but it is the best one I can think of. Anyhow, the flexibility the ACA gives to workers is a huge huge deal. It is amazing that the Democrats never chose to highlight this benefit of the program.Add a comment
That would seem to be the implication of the part of his discussion of the loss of "social capital" that deals with the increase in the percentage of women in the labor force. He tells readers:
"Work: The main trend was the gradual entrance of millions of women into the job market. In 2015, 74 percent of prime-working-age women (25 to 54) were in the labor force, up from 35 percent in 1948. However, there were social costs. There was more 'reliance on markets for child care,' and 'community-based' volunteer work suffered. Meanwhile, increasing numbers of men with lower levels of education dropped out of the labor force."
It is not clear what exactly Samuelson means here, but presumably he is mentioning the decline in the labor force participation rate of less-educated men as one of the "social costs" of women entering the labor market. If so, the linkage is more than a bit bizarre. Countries like Sweden, Denmark, and Japan all had large increases in women's labor force participation rates without any large decline in participation rates for men.
There are certainly economic and social factors that have reduced employment opportunities for less-educated men (mass incarceration is a big one), but it is a stretch to blame this on women entering the labor force.Add a comment
I usually don't stray directly into political contests and polling here at BTP, but I think there is a very important economic phenomenon here. Dan Balz, the Washington Post's lead political analyst, had a piece on the election results in the UK. The last paragraph begins by telling readers:
"No one saw Thursday’s British results ahead of time. Even more than the Brexit vote and more than Trump’s victory, this was a shocker."
This is not true. The polling firm YouGov's model nailed the results almost exactly, predicting that the Conservatives would lose 20 seats. (They actually lost 19.) This matters not only because Balz is denying YouGov the credit it deserves for getting this one right, but because he is giving an amnesty to everyone else who missed it. According to Balz, the other polling firms can't be blamed because the outcome simply was unknowable.
This collective amnesty is annoying because these people are paid lots of money to get things right. When they completely blow it, they should suffer the consequences. After all, when the custodian doesn't do a good job cleaning the toilets, they get fired. The Washington Post doesn't write a piece on their behalf saying that it couldn't be done.
Of course, this brings back memories of the housing bubble and the massive "who could have known" amnesty granted all the economists and policy types who completely missed the largest economic collapse in more than seventy years. As a frustrated "no one" in this case, I can say that it absolutely was foreseeable and anyone with open eyes saw it.Add a comment
That would have been a useful point to mention in a Washington Post article that reports on an orphan drug with a list price of $750,000 for a year's treatment. The piece reports that the drug's manufacturer, Biogen, offers the drug at concessionary prices to people who sign away privacy rights.
The piece notes the price being charged, then tells readers:
"But the Laskos [the family profiled in the piece] know it is expensive and risky for a company to develop a drug for a disease that affects one in 10,000 babies born each year. Drugs for tiny patient populations — called “orphan diseases” — are an increasingly attractive niche of drug development in part because of the high prices companies can charge."
While the drug companies do charge very high prices for many of these drugs, they also find it attractive to develop drugs for orphan diseases because of the orphan drug tax credit. This credit covers 50 percent of the cost of clinical drug tests. (The number could actually be somewhat higher than 50 percent, since an employee's salary can be fully charged as a covered expense if they devote 80 percent of their time to tests of orphan drugs. This means that for an employee right at this floor, the government is paying 62.5 percent of their pay, assuming the company accounts time honestly.)
Anyhow, it would have been worth noting this tax credit, since the federal government is sharing in this "expensive and risky" effort. This also suggests an obvious way around the problem of high-priced drugs. If the federal government paid the full cost (instead of half) of the research upfront, then the drug could be produced and sold as a generic.
In that case, we would likely be talking about a drug that would sell for around $750 a year, rather than $750,000, since few drugs are actually expensive to manufacture. It is probably worth mentioning in this context that the Washington Post receives considerable advertising revenue from pharmaceutical companies.Add a comment