Beat the Press

Beat the press por Dean Baker

Beat the Press is Dean Baker's commentary on economic reporting. He is a Senior Economist at the Center for Economic and Policy Research (CEPR). To never miss a post, subscribe to a weekly email roundup of Beat the Press. Please also consider supporting the blog on Patreon.

Tyler Cowen had a piece in the NYT arguing that the mandates in Obamacare may be painful for many moderate-income people who don't qualify for subsidies and don't value the insurance. This is true, but it is also true of almost any policy that would be designed to help low- and moderate-income people. First, the basic point is that the mandate requires people to buy insurance who might not have otherwise if the law didn't require it. If we give these people credit for acting rationally, they would choose to pay necessary medical expenses out of pocket and to rely on emergency room care rather than pay for an insurance premium. In this case, the mandate is effectively a tax that can be a substantial burden on households who are over the cutoff for subsidies at 350 percent the poverty level. (That would be $41,200 for a single person, $71,300 for a family of three.) This sort of argument would also apply to a program like Social Security. There are many people who can reasonably expect that they will not enjoy long retirements based on the age at which parents and other relatives have died. Social Security also provides survivors benefits for spouses and dependent children. In addition, it provides disability benefits. But if a person with a short life expectancy does not have children, or they have grown, and either does not have a spouse or the spouse would be entitled to comparable benefits based on their own work history, Social Security will not provide this person with a very good expected payback. We may or may not feel bad about requiring this person to contribute to Social Security, but it is essentially the same sort of dilemma that Cowen raises about Obamacare.
Tyler Cowen had a piece in the NYT arguing that the mandates in Obamacare may be painful for many moderate-income people who don't qualify for subsidies and don't value the insurance. This is true, but it is also true of almost any policy that would be designed to help low- and moderate-income people. First, the basic point is that the mandate requires people to buy insurance who might not have otherwise if the law didn't require it. If we give these people credit for acting rationally, they would choose to pay necessary medical expenses out of pocket and to rely on emergency room care rather than pay for an insurance premium. In this case, the mandate is effectively a tax that can be a substantial burden on households who are over the cutoff for subsidies at 350 percent the poverty level. (That would be $41,200 for a single person, $71,300 for a family of three.) This sort of argument would also apply to a program like Social Security. There are many people who can reasonably expect that they will not enjoy long retirements based on the age at which parents and other relatives have died. Social Security also provides survivors benefits for spouses and dependent children. In addition, it provides disability benefits. But if a person with a short life expectancy does not have children, or they have grown, and either does not have a spouse or the spouse would be entitled to comparable benefits based on their own work history, Social Security will not provide this person with a very good expected payback. We may or may not feel bad about requiring this person to contribute to Social Security, but it is essentially the same sort of dilemma that Cowen raises about Obamacare.
As the debate over a Fed interest rate hike heats up, it is worth noting an important distinction between the types of issues being debated. On the one hand there is a debate over what is likely to happen in a scenario in which the Fed soon begins raising interest rates and one in which it does not. On the other hand there is debate over what we want to see happen. The first question has to do with the likelihood that we will see more rapid wage growth and more rapid inflation if the Fed holds off compared to a scenario in which it starts raising rates. Looking to the 1990s, many of us see the possibility that wages could grow considerably more rapidly without any substantial uptick in inflation. (There was strong real wage growth in the last year due to a plunge in energy prices, but no one expects that to be repeated. Real wage growth in the year ahead will depend on stronger nominal wage growth.) Since productivity growth has been incredibly weak in recent years, the possibility of stronger real wage growth will depend at least in part on a return of more normal productivity growth, at least in the range of 1.5–2.0 percent. (Where are the robots when we need them?) There is a story that productivity growth may be in part endogenous. This would mean that in a tighter labor market firms have more incentive to economize on labor. Also, in a tighter labor market workers move from low paying, low productivity jobs to higher paying, higher productivity jobs. There are clear differences among economists in their views on the extent to which a tighter labor market will first translate into higher wage growth, and secondly how much this will translate into higher inflation. However, there is also a difference on what we might want to see. There was a massive shift from wages to profits at the start of the recession. The weakness of the labor market allowed employers to keep pretty much all of the gains in productivity in 2008–2011. This is a sharp departure from the rise in inequality that we saw in the prior three decades. That was pretty much entirely a story of redistribution of labor income. Money went from assembly line workers and retail clerks to doctors and lawyers, Wall Street bankers, and CEOs.
As the debate over a Fed interest rate hike heats up, it is worth noting an important distinction between the types of issues being debated. On the one hand there is a debate over what is likely to happen in a scenario in which the Fed soon begins raising interest rates and one in which it does not. On the other hand there is debate over what we want to see happen. The first question has to do with the likelihood that we will see more rapid wage growth and more rapid inflation if the Fed holds off compared to a scenario in which it starts raising rates. Looking to the 1990s, many of us see the possibility that wages could grow considerably more rapidly without any substantial uptick in inflation. (There was strong real wage growth in the last year due to a plunge in energy prices, but no one expects that to be repeated. Real wage growth in the year ahead will depend on stronger nominal wage growth.) Since productivity growth has been incredibly weak in recent years, the possibility of stronger real wage growth will depend at least in part on a return of more normal productivity growth, at least in the range of 1.5–2.0 percent. (Where are the robots when we need them?) There is a story that productivity growth may be in part endogenous. This would mean that in a tighter labor market firms have more incentive to economize on labor. Also, in a tighter labor market workers move from low paying, low productivity jobs to higher paying, higher productivity jobs. There are clear differences among economists in their views on the extent to which a tighter labor market will first translate into higher wage growth, and secondly how much this will translate into higher inflation. However, there is also a difference on what we might want to see. There was a massive shift from wages to profits at the start of the recession. The weakness of the labor market allowed employers to keep pretty much all of the gains in productivity in 2008–2011. This is a sharp departure from the rise in inequality that we saw in the prior three decades. That was pretty much entirely a story of redistribution of labor income. Money went from assembly line workers and retail clerks to doctors and lawyers, Wall Street bankers, and CEOs.
Insanely high drug prices have been in the news lately. We are regularly hearing about new miracle drugs like the Hepatitis C drug Sovaldi. Sovaldi comes with an $84,000 price tag for a 3-month course of treatment. Many of the new cancer drugs cost well over $100,000 for a year's dosage. And of course we had the case of Turing Pharmaceuticals, which raised the price of a Daraprim, an old but important anti-infection drug, by 5000 percent.  These stories of extraordinarily high drug prices are especially painful because they are unnecessary. In almost all cases drugs are cheap to produce. The reason they are expensive is because the government grants them a patent monopoly. (In the case of Daraprim, at the moment Turing is the only licensed manufacturer, even though the drug is off-patent.) Generic Sovaldi is available for just $300 a treatment in Egypt, less than one percent of the U.S. price. Most of the cutting edge cancer drugs would also be available for less than one percent of the U.S. price if they could be sold as generics in a free market. The rationale for patent monopolies is that the drug companies need high prices to recover their research costs. And, they claim they have very high research costs. According to Joe DiMasi, an economist with close ties to the industry, the research and development costs of the pharmaceutical industry averages almost $2.6 billion for each new drug they produce that is a new molecular entity. (New molecular entities account for only about 15 percent of the new drugs approved by the Food and Drug Administration.) Patent monopolies are not the only way to support research. There are other mechanisms. For example, the U.S. government spends over $30 billion a year on biomedical research through the National Institutes of Health. There are also various private initiatives that support research. One such initiative is the Drugs for Neglected Diseases Initiative (DNDI). This is a research network, led by Doctors Without Borders, that was established to develop treatments for diseases that primarily affect poor people in the developing world. It was created in 2002. On their tenth anniversary, DNDI produced a report describing some of their accomplishments. The figure below shows some of the highlights and their price tag and compares them to DiMasi's estimate of what it costs the big pharmaceutical companies to develop a single drug. Source: DNDI and DiMasi, 2014. As the figure shows, DNDI was able to develop ASAQ, a combination drug for treating Malaria, for $17 million. More than 250 million dosages have been distributed since 2007. It developed Fexinidazole, a new drug candidate and new chemical entity, intended to treat sleeping sickness, at a cost of $38 million. DNDI developed SSG&PM, a combination therapy for visceral leishmaniasis at a cost of $17 million. DNDI's entire budget for its first 10 years of existence was $242 million, less than one-tenth of what DiMasi estimates it costs the pharmaceutical industry to develop a single new drug.
Insanely high drug prices have been in the news lately. We are regularly hearing about new miracle drugs like the Hepatitis C drug Sovaldi. Sovaldi comes with an $84,000 price tag for a 3-month course of treatment. Many of the new cancer drugs cost well over $100,000 for a year's dosage. And of course we had the case of Turing Pharmaceuticals, which raised the price of a Daraprim, an old but important anti-infection drug, by 5000 percent.  These stories of extraordinarily high drug prices are especially painful because they are unnecessary. In almost all cases drugs are cheap to produce. The reason they are expensive is because the government grants them a patent monopoly. (In the case of Daraprim, at the moment Turing is the only licensed manufacturer, even though the drug is off-patent.) Generic Sovaldi is available for just $300 a treatment in Egypt, less than one percent of the U.S. price. Most of the cutting edge cancer drugs would also be available for less than one percent of the U.S. price if they could be sold as generics in a free market. The rationale for patent monopolies is that the drug companies need high prices to recover their research costs. And, they claim they have very high research costs. According to Joe DiMasi, an economist with close ties to the industry, the research and development costs of the pharmaceutical industry averages almost $2.6 billion for each new drug they produce that is a new molecular entity. (New molecular entities account for only about 15 percent of the new drugs approved by the Food and Drug Administration.) Patent monopolies are not the only way to support research. There are other mechanisms. For example, the U.S. government spends over $30 billion a year on biomedical research through the National Institutes of Health. There are also various private initiatives that support research. One such initiative is the Drugs for Neglected Diseases Initiative (DNDI). This is a research network, led by Doctors Without Borders, that was established to develop treatments for diseases that primarily affect poor people in the developing world. It was created in 2002. On their tenth anniversary, DNDI produced a report describing some of their accomplishments. The figure below shows some of the highlights and their price tag and compares them to DiMasi's estimate of what it costs the big pharmaceutical companies to develop a single drug. Source: DNDI and DiMasi, 2014. As the figure shows, DNDI was able to develop ASAQ, a combination drug for treating Malaria, for $17 million. More than 250 million dosages have been distributed since 2007. It developed Fexinidazole, a new drug candidate and new chemical entity, intended to treat sleeping sickness, at a cost of $38 million. DNDI developed SSG&PM, a combination therapy for visceral leishmaniasis at a cost of $17 million. DNDI's entire budget for its first 10 years of existence was $242 million, less than one-tenth of what DiMasi estimates it costs the pharmaceutical industry to develop a single new drug.
Most young people today are having tough times economically. As we know, the main reason for this fact is that so much income has been redistributed upward over the last thirty five years. (Also, we have a cult of deficit reduction in which our leaders in Washington insist on keeping deficits small even when this means slowing growth and keeping people out of work.) Their parents are not doing notably better, with most approaching retirement with little to support them other than their Social Security and Medicare. The wealth holdings of the middle quintile of households headed by someone between the ages 55–64 averaged $165,700 in 2013. Excluding home equity it was just $89,300.  But Social Security and Medicare are still something. And the guiding philosophy of many in Washington is that a dollar that is in the pocket of a poor or middle-class person is a dollar that could be in the pocket of a rich person. Furthermore, if they can get the kiddies to complain about their parents' Social Security and Medicare they may not notice all the money that the Wall Street gang, the pharmaceutical companies, and the rest are pocketing at their expense. Hence we get folks like private equity billionaire Peter Peterson devoting much of his fortune to perpetuate attacks on Social Security and Medicare. The Washington Post has also been a major actor in this effort using both its news and opinion pages to advance the cause. Unfortunately, they appear to have enlisted a relatively new economics reporter, Jim Tankersley, who should know better. Tankersley used his column to complain that "baby boomers are what's wrong with the economy." He adds in the subhead, "they chewed up resources, they ran up the debt, and escaped responsibility." He lays out the case in the third and fourth paragraph: "Boomers soaked up a lot of economic opportunity without bothering to preserve much for the generations to come. They burned a lot of cheap fossil fuels, filled the atmosphere with heat-trapping gases, and will probably never pay the costs of averting catastrophic climate change or helping their grandchildren adapt to a warmer world. They took control of Washington at the turn of the millennium, and they used it to rack up a lot of federal debt, even before the Great Recession hit. "If anyone deserves to pay more to shore up the federal safety net, either through higher taxes or lower benefits, it’s boomers — the generation that was born into some of the strongest job growth in the history of America, gobbled up the best parts, and left its children and grandchildren with some bones to pick through and a big bill to pay. Politicians shouldn’t be talking about holding that generation harmless. They should be asking how future workers can claw back some of the spoils that the “Me Generation” hoarded for itself."
Most young people today are having tough times economically. As we know, the main reason for this fact is that so much income has been redistributed upward over the last thirty five years. (Also, we have a cult of deficit reduction in which our leaders in Washington insist on keeping deficits small even when this means slowing growth and keeping people out of work.) Their parents are not doing notably better, with most approaching retirement with little to support them other than their Social Security and Medicare. The wealth holdings of the middle quintile of households headed by someone between the ages 55–64 averaged $165,700 in 2013. Excluding home equity it was just $89,300.  But Social Security and Medicare are still something. And the guiding philosophy of many in Washington is that a dollar that is in the pocket of a poor or middle-class person is a dollar that could be in the pocket of a rich person. Furthermore, if they can get the kiddies to complain about their parents' Social Security and Medicare they may not notice all the money that the Wall Street gang, the pharmaceutical companies, and the rest are pocketing at their expense. Hence we get folks like private equity billionaire Peter Peterson devoting much of his fortune to perpetuate attacks on Social Security and Medicare. The Washington Post has also been a major actor in this effort using both its news and opinion pages to advance the cause. Unfortunately, they appear to have enlisted a relatively new economics reporter, Jim Tankersley, who should know better. Tankersley used his column to complain that "baby boomers are what's wrong with the economy." He adds in the subhead, "they chewed up resources, they ran up the debt, and escaped responsibility." He lays out the case in the third and fourth paragraph: "Boomers soaked up a lot of economic opportunity without bothering to preserve much for the generations to come. They burned a lot of cheap fossil fuels, filled the atmosphere with heat-trapping gases, and will probably never pay the costs of averting catastrophic climate change or helping their grandchildren adapt to a warmer world. They took control of Washington at the turn of the millennium, and they used it to rack up a lot of federal debt, even before the Great Recession hit. "If anyone deserves to pay more to shore up the federal safety net, either through higher taxes or lower benefits, it’s boomers — the generation that was born into some of the strongest job growth in the history of America, gobbled up the best parts, and left its children and grandchildren with some bones to pick through and a big bill to pay. Politicians shouldn’t be talking about holding that generation harmless. They should be asking how future workers can claw back some of the spoils that the “Me Generation” hoarded for itself."

That might have been a better headline for a NYT piece on the Trans-Pacific Partnership. As the piece points out, the provisions on labor rights in Vietnam and currency interventions by governments, which have been widely touted by the Obama administration, are not actually enforceable under the terms of the TPP. There are other much less well-defined mechanisms. On the other hand, if Pfizer wants to argue that Australia is not respecting its patent rights or George Lucas wants to complain that Malaysia is not honoring his copyrights on Star Wars, there is recourse through the Investor-State Dispute Settlement mechanism.

That might have been a better headline for a NYT piece on the Trans-Pacific Partnership. As the piece points out, the provisions on labor rights in Vietnam and currency interventions by governments, which have been widely touted by the Obama administration, are not actually enforceable under the terms of the TPP. There are other much less well-defined mechanisms. On the other hand, if Pfizer wants to argue that Australia is not respecting its patent rights or George Lucas wants to complain that Malaysia is not honoring his copyrights on Star Wars, there is recourse through the Investor-State Dispute Settlement mechanism.

The Washington Post got recent history badly wrong in the third paragraph of its lead front page article when it told readers:

“Three years ago, GOP presidential nominee Mitt Romney and Ryan, his running mate, faced withering Democratic attacks after endorsing dramatic overhauls of Medicare and Social Security that proved unpopular.”

Actually, Romney did not endorse an overhaul of Social Security in his 2012 campaign, although Ryan has long been on record as favoring privatization. Presumably, they chose not to raise the issue in the campaign since they knew it would be highly unpopular.

The piece also notes Governor Chris Christie’s characterization of himself as a “truth-teller” on Social Security and then reports on his plan to save the system money by means-testing benefits starting at $80,000 and eliminating them entirely for people with incomes over $200,000. The truth is that this cut would only reduce spending by 1.0-1.5 percent. Furthermore, it would effectively increase the marginal tax rate for people in this $80,000-$200,000 range by more than 20 percentage points.

 

Correction:

While Romney did not call for privatizing Social Security, he did propose raising the normal retirement age by two years to 69. He also proposed reducing benefits for middle and upper income workers from their currently scheduled levels.

The Washington Post got recent history badly wrong in the third paragraph of its lead front page article when it told readers:

“Three years ago, GOP presidential nominee Mitt Romney and Ryan, his running mate, faced withering Democratic attacks after endorsing dramatic overhauls of Medicare and Social Security that proved unpopular.”

Actually, Romney did not endorse an overhaul of Social Security in his 2012 campaign, although Ryan has long been on record as favoring privatization. Presumably, they chose not to raise the issue in the campaign since they knew it would be highly unpopular.

The piece also notes Governor Chris Christie’s characterization of himself as a “truth-teller” on Social Security and then reports on his plan to save the system money by means-testing benefits starting at $80,000 and eliminating them entirely for people with incomes over $200,000. The truth is that this cut would only reduce spending by 1.0-1.5 percent. Furthermore, it would effectively increase the marginal tax rate for people in this $80,000-$200,000 range by more than 20 percentage points.

 

Correction:

While Romney did not call for privatizing Social Security, he did propose raising the normal retirement age by two years to 69. He also proposed reducing benefits for middle and upper income workers from their currently scheduled levels.

The Washington Post decided to correct the positive image of Denmark that Senator Bernie Sanders and others have been giving it in recent months. It ran a piece telling readers:

“Why Denmark isn’t the Utopian fantasy Bernie Sanders describes.”

The piece is centered on an interview with Michael Booth, a food and travel writer who has spent a considerable period of time in the Scandinavian countries.

Much of the piece is focuses on the alleged economic problems of Denmark and the other Scandinavian countries. At one point the interviewer (Ana Swanson) asks:

“Danes are experiencing a rising debt level, and a lower proportion of people working. Are these worrying signs for its economy or the country’s model?”

While Denmark’s employment rate has been declining, it is still far higher than the employment rate in the United States. The employment rate for prime age workers (ages 25–54) is still more than 5 full percentage points higher than in the United States. If the rate of decline since the 2001 peak continues, it will fall below the current U.S. level in roughly 24 years. (The U.S. rate also fell over this period.) If we take the broader 16–64 age group then the gap falls slightly to 4.7 percentage points.

denmark U.S.fredgraph

As far as having an unsustainable debt level, Swanson seems somewhat confused. According to the I.M.F., Denmark’s net debt as a percent of its GDP will be 6.3 percent at the end of this year. Sweden has a negative net debt, meaning the government owns more financial assets than the amount of debt it has outstanding. In Norway’s case, because of its huge oil assets, the proceeds of which it has largely saved, the government wealth to GDP ratio is almost 270 percent. This would be equivalent to having a public investment fund of more than $40 trillion in the United States.

Some of the other assertions in the piece are either misleading or inaccurate. For example, Booth is quoted as saying:

“Meanwhile, though it is true that these are the most gender-equal societies in the world, they also record the highest rates of violence towards women — only part of which can be explained by high levels of reporting of crime.”

Actually, Danish women are far less likely to be murdered by their husbands or boyfriends than women in the United States. Its murder rate is 1.1 per 100,000, compared to 5.5 per 100,000 in the United States.

Later Booth is quoted as saying:

“In Denmark, the quality of the free education and health care is substandard: They are way down on the PISA [Programme for International Student Assessment] educational rankings, have the lowest life expectancy in the region, and the highest rates of death from cancer. And there is broad consensus that the economic model of a public sector and welfare state on this scale is unsustainable.”

While Denmark is not among the leaders on either PISA scores or life expectancy, on both measures it is well ahead of the United States. And the “broad consensus that the economic model…is unsustainable” exists only in Booth’s head.

Booth is also apparently confused about tax rates around the world. He tells readers:

“Denmark has the highest direct and indirect taxes in the world, and you don’t need to be a high earner to make it into the top tax bracket of 56% (to which you must add 25% value-added tax, the highest energy taxes in the world, car import duty of 180%, and so on).”

Actually France has a top marginal tax rate of 75 percent. The U.S. rate was 90 percent during the Eisenhower administration.

Booth apparently is confused about Denmark’s public spending. He tells readers:

“How the money is spent is kept deliberately opaque by the authorities.”

Actually, it is not difficult to find a great deal of information about Denmark’s money is spent. Much of it can be gotten from the OECD’s website.

So we get that Mr. Booth doesn’t like Denmark. He tells readers that the food and weather are awful. That may be true, but his analysis of other aspects of Danish society doesn’t fit with the data.

The Washington Post decided to correct the positive image of Denmark that Senator Bernie Sanders and others have been giving it in recent months. It ran a piece telling readers:

“Why Denmark isn’t the Utopian fantasy Bernie Sanders describes.”

The piece is centered on an interview with Michael Booth, a food and travel writer who has spent a considerable period of time in the Scandinavian countries.

Much of the piece is focuses on the alleged economic problems of Denmark and the other Scandinavian countries. At one point the interviewer (Ana Swanson) asks:

“Danes are experiencing a rising debt level, and a lower proportion of people working. Are these worrying signs for its economy or the country’s model?”

While Denmark’s employment rate has been declining, it is still far higher than the employment rate in the United States. The employment rate for prime age workers (ages 25–54) is still more than 5 full percentage points higher than in the United States. If the rate of decline since the 2001 peak continues, it will fall below the current U.S. level in roughly 24 years. (The U.S. rate also fell over this period.) If we take the broader 16–64 age group then the gap falls slightly to 4.7 percentage points.

denmark U.S.fredgraph

As far as having an unsustainable debt level, Swanson seems somewhat confused. According to the I.M.F., Denmark’s net debt as a percent of its GDP will be 6.3 percent at the end of this year. Sweden has a negative net debt, meaning the government owns more financial assets than the amount of debt it has outstanding. In Norway’s case, because of its huge oil assets, the proceeds of which it has largely saved, the government wealth to GDP ratio is almost 270 percent. This would be equivalent to having a public investment fund of more than $40 trillion in the United States.

Some of the other assertions in the piece are either misleading or inaccurate. For example, Booth is quoted as saying:

“Meanwhile, though it is true that these are the most gender-equal societies in the world, they also record the highest rates of violence towards women — only part of which can be explained by high levels of reporting of crime.”

Actually, Danish women are far less likely to be murdered by their husbands or boyfriends than women in the United States. Its murder rate is 1.1 per 100,000, compared to 5.5 per 100,000 in the United States.

Later Booth is quoted as saying:

“In Denmark, the quality of the free education and health care is substandard: They are way down on the PISA [Programme for International Student Assessment] educational rankings, have the lowest life expectancy in the region, and the highest rates of death from cancer. And there is broad consensus that the economic model of a public sector and welfare state on this scale is unsustainable.”

While Denmark is not among the leaders on either PISA scores or life expectancy, on both measures it is well ahead of the United States. And the “broad consensus that the economic model…is unsustainable” exists only in Booth’s head.

Booth is also apparently confused about tax rates around the world. He tells readers:

“Denmark has the highest direct and indirect taxes in the world, and you don’t need to be a high earner to make it into the top tax bracket of 56% (to which you must add 25% value-added tax, the highest energy taxes in the world, car import duty of 180%, and so on).”

Actually France has a top marginal tax rate of 75 percent. The U.S. rate was 90 percent during the Eisenhower administration.

Booth apparently is confused about Denmark’s public spending. He tells readers:

“How the money is spent is kept deliberately opaque by the authorities.”

Actually, it is not difficult to find a great deal of information about Denmark’s money is spent. Much of it can be gotten from the OECD’s website.

So we get that Mr. Booth doesn’t like Denmark. He tells readers that the food and weather are awful. That may be true, but his analysis of other aspects of Danish society doesn’t fit with the data.

Austin Frakt had an interesting piece discussing people’s abilities to select the lowest cost health care plan to meet their needs. He cites a number of studies that indicate people often make mistakes. For example, they frequently will pay way too much for plans with low deductibles and they fail to switch drug plans, even when they would have clear savings. (These behaviors are not necessarily irrational. If people know that a high deductible will discourage them from getting necessary care, they may opt for a plan that removes this obstacle. Also, filling out forms can be an ordeal for many people. If a person has familiarized themselves with one company’s forms, they may not want to switch companies and have to deal with a new set of forms, even if it could save them money.)

Anyhow, there is an interesting implication of this discussion that is not explored in the piece. If we assume that insurers have some target profit rate, then they obtain this rate from the average profit they earn from their customers. If insurers can make a larger than average profit from people who make bad choices, for example by paying too much to reduce their deductible, then they can make a lower than average profit from people who can effectively navigate through the choices offered.

This means that presenting a range of choices is a good way to redistribute from the people who are not very good at analyzing choices to those who are. The latter group tends to do things like write about insurance systems and advise politicians on these issues. This could help explain the preference by our politicians for systems involving choice over more simple options, like universal Medicare.

Austin Frakt had an interesting piece discussing people’s abilities to select the lowest cost health care plan to meet their needs. He cites a number of studies that indicate people often make mistakes. For example, they frequently will pay way too much for plans with low deductibles and they fail to switch drug plans, even when they would have clear savings. (These behaviors are not necessarily irrational. If people know that a high deductible will discourage them from getting necessary care, they may opt for a plan that removes this obstacle. Also, filling out forms can be an ordeal for many people. If a person has familiarized themselves with one company’s forms, they may not want to switch companies and have to deal with a new set of forms, even if it could save them money.)

Anyhow, there is an interesting implication of this discussion that is not explored in the piece. If we assume that insurers have some target profit rate, then they obtain this rate from the average profit they earn from their customers. If insurers can make a larger than average profit from people who make bad choices, for example by paying too much to reduce their deductible, then they can make a lower than average profit from people who can effectively navigate through the choices offered.

This means that presenting a range of choices is a good way to redistribute from the people who are not very good at analyzing choices to those who are. The latter group tends to do things like write about insurance systems and advise politicians on these issues. This could help explain the preference by our politicians for systems involving choice over more simple options, like universal Medicare.

Hey, better late than never. It was good to see two columns reporting on new data indicating that the Current Population Survey (CPS), the main survey used to measure poverty rates, as well as employment and unemployment, seriously undercounts the number of poor people due to undercoverage in its sample. It’s an important point and deserves attention.

We thought so too, which is why John Schmitt was writing about the issue almost a decade ago for CEPR. Schmitt noticed a large gap between employment rates as shown in the CPS and the 2000 Census long-form. The latter was lower with the largest gap for the groups with the lowest coverage rate in the CPS. (Coverage rates in the Census are close to 99 percent due to extensive outreach efforts.) In the case of young African American men the gap was close to 8.0 percentage points.

Anyhow, this is an important issue and it is good to see it get some attention. Of course it would have been better if it got some attention a decade ago.

Hey, better late than never. It was good to see two columns reporting on new data indicating that the Current Population Survey (CPS), the main survey used to measure poverty rates, as well as employment and unemployment, seriously undercounts the number of poor people due to undercoverage in its sample. It’s an important point and deserves attention.

We thought so too, which is why John Schmitt was writing about the issue almost a decade ago for CEPR. Schmitt noticed a large gap between employment rates as shown in the CPS and the 2000 Census long-form. The latter was lower with the largest gap for the groups with the lowest coverage rate in the CPS. (Coverage rates in the Census are close to 99 percent due to extensive outreach efforts.) In the case of young African American men the gap was close to 8.0 percentage points.

Anyhow, this is an important issue and it is good to see it get some attention. Of course it would have been better if it got some attention a decade ago.

That is sort of what the Post reported. It told readers that:

“One of the largest federal programs that provides cash benefits to disabled workers overpaid $11 billion during the past nine years to people who returned to work and made too much money, a new study says.”

The Post article never bothered to tell readers that the program paid out roughly $1.1 trillion in benefits over this period, making the overpayment equal to 1.0 percent of benefits. It also would have been worth noting that the study by the Government Accountability Office found that most of this money is repaid, so that the government ends up losing substantially less than 0.5 percent of its spending on the disability program due to overpayments.

That is sort of what the Post reported. It told readers that:

“One of the largest federal programs that provides cash benefits to disabled workers overpaid $11 billion during the past nine years to people who returned to work and made too much money, a new study says.”

The Post article never bothered to tell readers that the program paid out roughly $1.1 trillion in benefits over this period, making the overpayment equal to 1.0 percent of benefits. It also would have been worth noting that the study by the Government Accountability Office found that most of this money is repaid, so that the government ends up losing substantially less than 0.5 percent of its spending on the disability program due to overpayments.

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