AESG Member Statement on Economic Policy Priorities

Aspen Economic Strategy Group (AESG) Member Statement December 2019

We, the undersigned members of the AESG, have collectively worked at the highest levels of the policy, business, government, academic, and civic communities. We believe that our nation’s economic policies need to be adjusted so that more people participate more fully in our economic success. We believe that this can only be accomplished through effective government, which will require leaders to engage in principled compromise and make decisions grounded in facts and analysis. We call on our nation’s leaders to recognize the following as immediate economic priorities and to develop responsive policy agendas based in sound economic reasoning and evidence:

1. Long-Run Economic Growth. Economic growth is critical to our nation’s continued prosperity and competitiveness in the global economy. It is fostered by increases in productivity and labor force participation. Policy leaders should evaluate economic policies based on their potential impact on long-run growth and on how they strengthen the resilience of our economy in the face of economic fluctuations.

2. Widespread Prosperity. Rising wage and income inequality over the past 50 years in the United States illustrates that economic growth is not sufficient to deliver universal economic prosperity. The public and private sectors need to do more to distribute economic opportunity as widely as possible and, where necessary, supplement the wages of hard-working low and middle income Americans.

3. Robust Market Competition. Fair and robust market competition advances economic innovation and helps growth translate into greater individual welfare. In sectors where there are indications that increased market concentration reflects a reduction in healthy market competition, policymakers should focus on reducing barriers to competitive entry and vigorous enforcement of competition law.

4. A Sound Fiscal Path. Our nation currently faces an unsustainable fiscal trajectory. An unsound fiscal position will preclude adequately funding national priorities, could complicate efforts to respond to future economic challenges, and places a greater economic burden on future generations. Our nation’s elected leaders should work together to stabilize the federal debt, which will require economic growth, new revenues, and reform of entitlement and other spending programs that lowers spending growth while maintaining benefits for low and middle income Americans.

5. Funding for Necessary Investments. Advancing U.S. economic competitiveness and expanding economic opportunity requires investments in our nation’s economic and human potential. This will entail increased expenditures and reforms to educational institutions and programs, as well as spending on physical infrastructure and basic sciences.

Signatories

Kelly Ayotte
Former U.S. Senator from New Hampshire

Ben S. Bernanke
Distinguished Fellow in Residence, Economic Studies Program, Brookings Institution

Erskine Bowles
President Emeritus, The University of North Carolina

Lanhee J. Chen
David and Diane Steffy Fellow in American Public Policy Studies Hoover Institution, Stanford University

Kenneth I. Chenault
Retired CEO and Chairman American Express

James S. Crown
Chairman and CEO Henry Crown and Company

Mitchell E. Daniels, Jr.
President, Purdue University

Diana Farrell
President and CEO, JPMorgan Chase Institute

Laurence D. Fink
Chairman and Chief Executive Officer BlackRock, Inc.

Jason Furman
Professor of the Practice of Economic Policy, John F. Kennedy School of Government, Harvard University

Timothy Geithner
President, Warburg Pincus LLC

Austan Goolsbee
Robert P. Gwinn Professor of Economics, Booth School of Business, The University of Chicago

Danielle C. Gray
SVP, Chief Legal Officer & Corporate Secretary, Blue Cross and Blue Shield of North Carolina

Doug Holtz-Eakin
President, American Action Forum

Glenn Hubbard
Dean Emeritus and Russell L. Carson Professor of Finance and Economics, Columbia Business School

Neel Kashkari
President, Federal Reserve Bank of Minneapolis

Melissa S. Kearney
Neil Moskowitz Professor of Economics, The University of Maryland

Edward P. Lazear
Morris Arnold and Nona Jean Cox Senior Fellow, Hoover Institution; The Davies Family Professor of Economics, Stanford Graduate School of Business

Maya MacGuineas
President, Committee for a Responsible Federal Budget

N. Gregory Mankiw
Robert M. Beren Professor of Economics, Harvard University

Magne Mogstad
Gary S. Becker Professor in Economics and the College, Kenneth C. Griffin Department of Economics University of Chicago

Marc H. Morial
President and CEO, National Urban League

Janet Murguía
President and CEO, UnidosUS

Phebe Novakovic
Chairman and CEO, General Dynamics

Michael A. Nutter
David N. Dinkins Professor of Professional Practice in Urban and Public Affairs, Columbia University School of International and Public Affairs

James Owens
Chairman & CEO Emeritus, Caterpillar Inc.

Henry M. Paulson, Jr.
Chairman, Paulson Institute

Penny Pritzker
Founder and Chairman, PSP Partners

Bruce Reed
CEO & Co-founder, Civic LLC

Robert E. Rubin
Co-Chairman Emeritus, Council on Foreign Relations

Margaret Spellings
President and CEO, Texas 2036

William Spriggs
Chief Economist, AFL-CIO

Robert K. Steel
Chairman, Perella Weinberg Partners

Mark A. Weinberger
Former Chairman and CEO, EY

Tom Wilson
Chair, President and Chief Executive Officer The Allstate Corporation

Janet L. Yellen
Distinguished Fellow in Residence, Brookings Institution

Jeffrey Zients
CEO, The Cranemere Group Limited

Robert Zoellick
Senior Counselor, Brunswick Group

New York Times: How to Get Americans to Love Capitalism Again

Originally published in New York Times.

American capitalism is at a serious inflection point. Many Americans, including the two of us, are alarmed by enormous levels of inequality and by declining economic mobility. We are concerned that in many cases American markets are no longer the most competitive in the world. And, we worry that our country’s long-term economic strength will slowly deteriorate because of an unsustainable fiscal trajectory that leaves future generations worse off.

The solution is not to upend the system. A market-based economy, for all its flaws, is still the best way to achieve broad economic prosperity and to ensure that living standards continue to rise over time. But the answer is not to maintain the status quo, either.

Radical change or complete inaction seem to be the only types of solutions that are being debated in today’s marketplace of ideas. Americans can’t afford to restrict our thinking based on political ideology and the false equivalency of having to pick one extreme or the other. That’s a recipe for stalemate.

Since founding the bipartisan Aspen Economic Strategy Group more than two years ago, our focus has been on bringing together leaders with different perspectives to highlight the importance of evidence-based policymaking. Earlier this week, 38 of our members signed on to a statement of principles that should guide the development of a new economic policy agenda. We also believe we must rigorously analyze some of the proposals that are being put forward in today’s policy debates, including universal basic income, “Medicare for all” and direct taxes on wealth.

Based on research from the newest book from the Aspen Economic Strategy Group, the two of us are more convinced than ever that those policies are fundamentally misguided and would result in economically harmful outcomes that could put our economy on an unstable and precarious path, harming the very people they are intended to help.

The collective work to identify specific policy solutions, however, also suggests to us that there are still many ways to ensure more that many more people can participate in America’s successes. And while there are no silver bullets, nor will there ever be complete agreement about every policy detail, we see many excellent ideas that are ripe for bipartisan collaboration and that can begin the process of adapting our economic policies so that they work for far more people.

First, we must aggressively invest in our human capital. That starts with addressing the supply side of the education market, including investments in community colleges to provide more students the option to obtain a high-quality education and complete their degree. This ensures that more American workers have the skills they need to compete in a global economy. Just as important, investing in education will increase economic productivity, which will help drive the wage growth needed to reduce income inequality.

There are other steps we can take to further address the distribution of economic opportunity and wage growth. But as Melissa Kearney and Magne Mogstad have argued, universal basic income is not a viable solution. It directs resources away from the neediest individuals and fails to address the underlying factors that contribute to inequality. Instead, we should look at more targeted and efficient approaches to encouraging work by supplementing the wages of low- and middle-income Americans, such as expanding the earned -income tax credit or enacting a wage -subsidy program.

Finally, we have to confront the uncomfortable truth that our country is on an unsustainable fiscal trajectory. Spending priorities such as education, infrastructure, and high-value research and development are underfunded, while our commitments to entitlements continue to rise indefinitely. Restoring the sanity of our fiscal position will require raising more revenue, slowing the rate of growth in health care spending, and making Social Security sustainably solvent.

Returning to fiscal responsibility through spending reform alone is neither just nor possible. The United States needs to reform its tax code in a manner that is more progressive and produces more revenue. But there are better approaches than a wealth tax, which would be highly distortionary and is unlikely to capture nearly as much revenue as its proponents claim. Making the income tax code more progressive and reforming estate and gift taxes to eliminate the loopholes that allow wealthy Americans to pass on wealth to their children at very low tax rates would be a better first step.

Whatever path policymakers choose, it is clear that we need to move away from theoretical arguments and wishful thinking and into the arena of pragmatic policy solutions that can actually be enacted. There is a plethora of policies that already enjoy broad bipartisan support, and these policies can be enacted only through effective government, which will require leaders to engage in principled compromise and make decisions grounded in facts and analyses.

The cost of inaction is severe and grows each day, as inequality undermines our economic strength and more Americans become disillusioned with the capitalist system that has made upward mobility a pillar of the country’s identity since its founding.

Business Insider: The Math Is Clear: Universal Basic Income Is A Terrible Idea

Originally published on Business Insider.

It’s not a new idea, but few could have predicted that talk about universal basic income (UBI) would be receiving as much attention as it is today — especially among candidates for president of the United States.

Andrew Yang has made UBI the cornerstone of his campaign and is now enjoying a steady rise in the Democratic primary race. Other candidates, including Sen. Elizabeth Warren, have recently expressed an openness to the idea.

Widening income inequality, stagnant median income growth, declining economic mobility, and concerns over the effects of automation are all driving renewed debate over the topic across the political landscape.

But despite the growing popularity, UBI is a flawed idea that would do little to fix the issues some supporters claim it addresses.

UBI’s renewed popularity

UBI has a fairly high level of approval among the electorate, which explains the attention it’s receiving from candidates. A recent Gallup poll suggests that while less popular here than in the UK and Canada, 43% of Americans support the idea of UBI to subsidize jobs lost to artificial intelligence.

The premise of UBI is to provide individuals with an unconditional income guarantee from the government regardless of personal circumstances or family income. For instance, a version of UBI popularized by labor leader Andy Stern, journalist Annie Lowrey, Yang, and others would distribute a $1,000 check once a month to every adult in the US.

Advocates suggest that UBI would address rising income equality, insulate households from the effects of globalization and technological innovation, and be more efficient than the complicated set of existing transfer programs targeting different populations or types of need.

While elements of UBI may be appealing in the abstract, in practice it’s an inefficient, extremely expensive, and potentially harmful policy that would solve none of those three challenges.

UBI directs resources inefficiently

Let’s start with concerns about the income gap in the US.

If the goal is to design a progressive policy that better redistributes income, UBI is a terrible tool. Unlike programs crafted to specifically help people with low income and those with disabilities, a UBI program would, by design, spread payments across the widest possible base.

This means that while the economically vulnerable would receive support, so too would middle- to upper-income families. Why give some money to everyone, rather than offer dedicated assistance to those who need it?

Even if UBI payments were phased out and then capped for earners above a certain income, the program would still end up giving able-bodied working-age adults subsidies alongside families with low incomes, regardless of relative need.

UBI by design fails to account for the elements of life that make families more or less in need of government support — such as having a child with a serious illness or a work-limiting disability oneself — and as such would result in a highly inefficient allocation of resources.

UBI is staggeringly expensive

Further, the likely fiscal costs of a UBI are staggering.

Enacting a UBI that pays $10,000 to every US adult would distribute about $2.5 trillion in benefits each year. That’s roughly 75% of the federal government’s 2018 revenues. To fund a UBI program of this size, Congress would need to pass massive tax increases or spending cuts.

Some proponents of UBI would fund the program, at least in part, by disbanding existing safety-net programs. This would be a disaster.

Cutting a wide array of existing programs — such as the earned income tax credit (EITC), child tax credit (CTC), temporary assistance to needy families (TANF), supplemental nutrition assistance program (SNAP), and disability insurance — would cover only one-fifth of the cost of such a UBI and result in a massive loss of existing transfers to people with disabilities and families with children. This approach would exacerbate the needs of the most vulnerable members of society.

UBI doesn’t address the automation problem

Next, consider concerns about displaced workers and the threat of robots taking jobs. If the goal is to get people back to work, then UBI, again, is a terrible policy.

Giving people unconditional cash payments does nothing to address the root causes of declining employment and wages among less educated people. Whereas a targeted wage subsidy would encourage work and increase take home pay, UBI discourages labor supply.

Instead, we should spend money helping people invest in their own human capital and making it easier for them to get to work. We should spend money on promising career and technical education programs and help low-income workers pay for child care and transportation.

All told, UBI is a sub-optimal and probably harmful policy response to all three of the challenges it purports to address.

There are legitimate critiques to standard social safety net and welfare programs — they can be administered inefficiently and they aren’t structured perfectly to fit the needs of today — but that doesn’t mean they should be abandoned for a shiny policy idea taking Twitter by storm.

Our country is facing serious and daunting economic challenges, and too many people feel left behind in today’s modern capitalist economy. To address these challenges, we need to ground ourselves in reality by looking at the facts and designing programs that address the underlying problems.

Candidates and policymakers should focus spending on targeted benefits and policies that support early-childhood education, skills training, subsidized daycare and housing, and other investments that support families and workers. Evidence shows that’s much more likely to produce the desired social and economic outcomes for the American people than universal basic income.

 

Policy Options for Taxing the Rich

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SUMMARY:
Batchelder and Kamin argue the United States must raise new revenue in order to reduce high levels of economic disparity, finance much-needed new services and investments, and address the nation’s long-term fiscal needs. They present a range of options that would raise tax revenue and increase the progressivity of the federal tax system. Policymakers can pursue a combination of incremental changes to increase revenues through the current tax system along with new tax structures to generate new revenue.

Both incremental reform and new tax structures require policymakers to acknowledge that the wealthiest Americans earn income and accrue wealth in fundamentally different ways than the rest of the country. A greater composition of income is derived from capital gains, dividends, and income flowing through business entities. Further, the actual share of income that those at the top derive from capital gains and business income may be substantially higher because individuals can defer paying tax, such as through unrealized gains on capital, or even eliminate the tax on it entirely, such as through a “step-up” in basis, which allows unrealized assets to pass between generations without being taxed.

 

KEY POINTS:
As shown in the table below, Batchelder and Kamin identify incremental changes to current policy that, taken together, could generate up to $4.9 trillion in new revenues over ten years (2021-2030).

The authors also explore four structural changes that could increase revenues from the wealthy. Their paper features a robust discussion of the pros and cons of each approach, some of which are briefly highlighted below.

1. Increasing top tax rates on labor and other ordinary income. Raising the top tax rates on labor income for wealthy Americans would be well targeted to those who are well-off. However, doing so would not apply to the large share of capital income that comprises a larger proportion of wealthier Americans’ income. It would also increase the incentives for wealthy to recharacterize labor and ordinary income as one of the other lower-taxed categories of income.

2. Introducing a mark-to-market regime in which accrued gains (including unrealized gains) are taxed as they arise at ordinary rates. This approach, which has been proposed by Senator Ron Wyden (D-OR) and 2020 presidential candidate and Senator Elizabeth Warren (D-MA), would raise a large amount of revenue and would broaden the tax base to raise more revenue from capital income. However, there are significant administrative and compliance hurdles involved in taxing all assets on an accrued basis. Moreover, the tax would be less precisely targeted to the wealthy compared to a wealth tax.

3. Instituting a wealth tax on high-net-worth individuals. A wealth tax would raise a large amount of money almost exclusively from wealthy Americans by imposing an annual tax on assets held by wealthy individuals over certain wealth thresholds (e.g. assets over $50 million). Relative to raising ordinary rates on the wealthy or imposing a Financial Transactions Tax, it would lessen deferral and lock-in incentives. However, a wealth tax would impose a greater effective burden on the “normal” return to capital and less on rents. It would also encounter administrative and compliance hurdles, albeit less so relative to an accrual tax. In the U.S., a wealth tax could also be struck down as unconstitutional on the basis that it is a direct tax.

4. Creating a financial transactions tax (FTT). An FTT would be a tax applied to the sale of financial assets. Unlike a tax on capital gains, it is imposed on the full value of the asset at the time of sale and is restricted to financial assets. Such an approach avoids the valuation challenges of accrual and wealth taxes and avoids constitutional risk since there is well-established legal precedence to taxing transactions (e.g. sales taxes). An FTT could affect the trading volume to the extent that it would reduce liquidity, increase market volatility, and inhibit price discovery. Designing an FTT would also entail several serious challenges related to preserving liquidity, preventing price surges on certain products due to cascading effects, and addressing key avoidance techniques.

 

AUTHOR RECOMMENDATIONS:
The authors conclude that all four structural changes merit serious consideration and that several of the approaches would be complementary to one another. In practice, however, the relative strengths of each of these policies will depend to a large extent on how each is designed after it has made its way through the legislative and regulatory process.

Wealth Taxation: An Overview of the Issues

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SUMMARY:
Recent wealth tax proposals put forward by Democratic presidential candidates Senator Elizabeth Warren and Senator Bernie Sanders would impose an annual tax on the net worth of the wealthiest Americans. The proposed wealth tax rates are in the range of 2 to 8 percent per year. Although those tax rates might appear low, they are equivalent to high income tax rates because they are levied on an annual basis on a stock of wealth. Several European countries adopted wealth taxes, but many later repealed them due to administrative and compliance challenges, disappointing revenue yields, and emigration.

Viard argues that a wealth tax in the U.S. would pose administrative and constitutional challenges. As an economic matter, such a tax would decrease savings and investment, thereby lowering the capital stock, making workers less productive, and slowing wage growth. The potential revenue that would be gained is unclear. To the extent that policymakers wish to increase the progressivity of the tax code, many reforms could be made to the existing tax system, including eliminating provisions in the current tax code that allow unrealized capital gains to escape taxation.

 

KEY POINTS:
Interpreting Wealth Tax Rates
Although wealth tax rates of 6% or 8% may appear to be low, that appearance is deceiving because the tax is levied annually. A useful way to interpret wealth tax rates is to translate them into equivalent income tax rates. For a taxpayer holding a long-term bond with a fixed interest rate of 3% per year, a 6% per year wealth tax is equivalent to a 200% income tax because the tax equals 200% of the taxpayer’s interest income. Similarly, an 8% per year wealth tax is equivalent to a 267% income tax.

Progressivity and Wealth Concentration
The distribution of wealth in the U.S. is widely believed to have become more concentrated in recent decades. Recent estimates suggest the top 1% of households own between 31 to 42% of wealth in the U.S. Both proposals would apply to a relatively small number of households: the Warren wealth tax would apply to 75,000 households while the Sanders wealth tax would apply to 180,000 households. The taxes would therefore be highly progressive, falling on households with high ability to pay.

Many supporters of wealth taxation argue that the reduction of wealth concentration is inherently beneficial or that wealth concentration places too much political power in the hands of a small group. Viard argues that these normative statements do not provide a convincing rationale for wealth taxation.

Treatment of Wealth Under the Income Tax
Increasing the progressivity of income taxes may only go so far in increasing the tax burden of the wealthy because much of the income that accrues to the wealthy is generated through the appreciation of capital assets. The income tax system generally does not impose tax on a capital gain until it is realized through the sale of an asset. That tax deferral reduces the owner’s tax burden because a dollar paid tomorrow is worth less than a dollar paid today.

Moreover, if the owner dies without selling the asset, nobody ever pays income tax on the unrealized gain that accrued during the owner’s lifetime. Under the income tax system’s basis step-up provision, the owner’s heirs are treated as if they purchased the asset at its market value on the date of the owner’s death, so they are taxed (if they ever sell the asset) only on any gains that accrued after the owner’s death. A wealth tax would overcome the limitations of an income tax by directly taxing the asset’s value.

Saving and Investment
A wealth tax is intended to reduce the wealth accumulation of the taxed households and would almost certainly do so. A reduction in the households’ wealth accumulation is, by definition, a reduction in their saving. Because the government is unlikely to save all of the revenue raised by the tax, total national savings would likely be reduced. The reduction in national saving would be financed by a reduction in investment in factories, equipment, and other capital in the United States, by capital inflows from abroad, or by a combination of both. Less investment in the country would lead to a smaller capital stock, making workers less productive and lowering their wages over time. Workers would then ultimately bear a small part of the burden of the wealth tax.

Breadth of Tax Base
Warren and Sanders propose a broad wealth tax base, which would be the most economically efficient approach. International experience suggests, however, that it would be difficult to adopt a wealth tax with a broad base. The wealth tax base would likely be eroded through exemptions, which the wealthy could lobby Congress to enact. The exemptions would directly reduce wealth tax revenue. They would also encourage taxpayers to inefficiently shift their holdings from taxed assets to exempt assets, further reducing the revenue yield.

Administration, Avoidance, and Evasion
Under an annual wealth tax, the fair market values of all assets and liabilities would need to be determined each year for all households with wealth that is potentially above the exemption amount. Although bank accounts and publicly traded financial assets would be straightforward to value, assets that are not publicly traded, such as land, houses, privately held businesses, artwork, and furniture, would be more difficult to value. Taxpayers could conservatively value or flatly undervalue assets. Taxpayers might also illegally conceal assets. Taxpayers might shift their holdings toward assets that are easier to undervalue or conceal, including foreign assets.

Revenue Yield
Estimates of the potential revenue raised from a wealth tax vary widely, depending on the assumptions made about evasion and avoidance activity, and the breadth of the tax base.

Constitutional Questions
A wealth tax would face challenges under the constitutional requirement that all “direct” federal taxes, other than income taxes, be apportioned among the states based on population. Apportionment would be unattractive because it would require lower tax rates in states with higher per-capita wealth in order to equalize per-capita tax liabilities across states.  Constitutional scholars disagree about whether a wealth tax is a direct tax that would have to be apportioned. Even if the apportionment requirement applied, it might be possible to sidestep it by modifying some features of the tax.

 

AUTHOR RECOMMENDATIONS:
In view of the difficulties that wealth taxes would face, it would be more prudent to pursue any desired increase in the taxation of affluent households through income tax changes, including changes to the taxation of capital gains. The basis step-up rule could be replaced by a basis carry-over rule, so that when heirs (or their heirs, and so on) sell an asset, they would pay income tax on all of the gains that have accrued since the asset was originally purchased, virtually guaranteeing that gains would eventually be taxed. A more dramatic step would be to adopt mark-to-market taxation for publicly traded assets, under which gains would be taxed each year as they accrued, even if the assets had not been sold. Gains on non-publicly-traded assets could be taxed when they were sold or when the owner died, with an interest charge to offset the advantages of the tax deferral. Gains could be taxed at ordinary income tax rates rather than the current preferential rates because the lock-in effect would be largely removed.

Universal Basic Income (UBI) as a Policy Response to Current Challenges

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SUMMARY:
There is growing concern that current US transfer and social welfare programs are ill-equipped to address widening income inequality, stagnant income growth, declining economic mobility, and the negative impact of automation. This has led to a renewed debate over the merits of a Universal Basic Income (UBI) program and its capacity to address these pressing issues.

Kearney and Mogstad argue that, in practice, a UBI would be an extremely expensive, inefficiently targeted, and potentially harmful policy that would solve none of the economic challenges it purports to address. First, a UBI that provided $10,000 a year to every American adult would cost more than half of the current annual federal budget. To fund such a program would require the crowd out of existing programs and potential investments. Second, since a UBI is not inherently designed to redistribute resources to the most needy individuals, moving from our current system to a UBI would redistribute resources away from those who are most likely to benefit from income support programs. And third, since a UBI lacks a direct mechanism to help workers learn new skills or broadly support the development of human capital in the U.S., it does not offer a long-term solution to the challenge of weakened employment prospects.

Kearney and Mogstad do not favor a UBI, but they do recommend improved and expanded government programs to expand economic opportunity and address income inequality. Specifically, they favor increased government funding for targeted investments that support families and workers, including early-childhood education, skills training, subsidized daycare and housing, and other initiatives.

 

KEY POINTS:

  • The general premise of a UBI is to provide individuals with an unconditional income guarantee from the government regardless of personal circumstances or family income.
  • A UBI is distinct from a NIT, or negative income tax, which would provide variable subsidies based on an individual’s current earnings to guarantee a minimum income level.
  • Proponents of UBI offer a variety of motivations and arguments in support. Most proponents contend that the program could address rising income equality by offering a guaranteed level of income to all individuals. Some view UBI as an ideal tool insulate households from the impacts of globalization and technological innovation, including job loss. Others contend that a UBI would be more efficient than the existing complicated set of current transfer programs targeting different populations or types of need.
  • Kearney and Mogstad argue that by purposefully spreading payments across the widest possible base – including (in many UBI proposals) middle- and upper-income individuals — the economically vulnerable would receive less support. As compared to existing programs, a UBI would transfer less to the elderly, disabled, and families with children and more to higher income able-bodied individuals. Even if UBI payments were phased out and capped for earners above a certain income, the program would still end up giving able-bodied working-age adults subsidies regardless of relative need.
  • UBI’s are designed to not account for the elements of life that make families more or less in need of government support – such as having a child with a serious illness or a work-limiting disability oneself – and as such, would result in a highly inefficient allocation of resources.
  • The authors argue that a UBI does nothing to address the root causes of declining employment and wages. Whereas a targeted wage subsidy would encourage work and increase take-home pay, a UBI would discourage labor supply and offers no direct assistance to less educated individuals grappling with the impact of automation.

 

AUTHOR RECOMMENDATIONS:

  • The federal government should pursue a pro-work, pro-skills strategy of income support that includes wage subsidies to low-wage workers, as well as providing cash and near-cash benefits targeted to the neediest individuals and households with barriers to work.
  • Wage subsidies like the Earned Income Tax Credit, which raise household income and are an effective tool to encourage labor force participation, should potentially be expanded.
  • Policymakers should work to improve existing cash and near-cash programs to make them administratively less cumbersome. While there are legitimate criticisms of such programs, many existing programs are appropriately targeted to households in need of economic assistance, which in turn reduces the likelihood of wasteful spending.
  • Direct more resources towards subsidized childcare and daycare, institutions of learning and training, and other programs that help people invest in their own human capital and advance they employment opportunities.

The Economics of Medicare for All

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SUMMARY:
Policymakers and political candidates are expressing renewed interest in expanding the role of government in increasing access to and affordability of health care for all Americans. The most prominent proposal, Medicare For All, is supported in some form and under varying definitions by the majority of 2020 Democratic presidential candidates, and would create a single-payer healthcare system funded by the U.S. federal government.

Garthwaite argues that the current public debate about Medicare For All fails to take into account the likely consequences that such a large change to the health-care system would bring about. For example, if such a system adopted the existing Medicare price schedule, the average quality of health services would likely decline. A single-payer system would, by definition, make the U.S. government a monopsonist in the health-care labor market, allowing it the option to exert downward pressure on wages which could impact the availability of healthcare services and the supply of labor. In the market for prescription drugs, a U.S. single-payer could exert its buying power to lower drug prices but doing so would likely reduce innovation in that sector and reduce access to treatments.

Garthwaite also discusses alternative policy reforms that could promote affordability and access in the current U.S. health-care system, centered around introducing more competition to healthcare markets and making Medicare more efficient.

 

KEY POINTS:

  • High health-care costs remain a barrier to universal coverage, with roughly 10% of Americans still uninsured. Medicare For All would reduce costs by reducing administrative costs and expanding price regulation.
  • Medicare For All would only successfully reduce drug prices if it reduced treatment options for enrollees. Monopsony power exists when a buyer has the option of “walking away” from a negotiation – Medicare Part B, which is required to buy nearly all drugs needed by enrollees, does not have this option.
  • Medicare For All would likely remove incentives for hospitals to invest in improving the quality of their care. Currently, a significant driver of a hospital’s incentive to invest in better care is driven by the competition motive – consumers will go to the hospital with the best care, allowing that hospital to negotiate a better deal with insurers. Medicare, on the other hand, pays hospitals based on an estimate of the costs of the average hospital. Replacing the competition motive would therefore lead to substantial decreases in quality of care.
  • 60% of US health care spending goes to labor costs. Any meaningful effort to reduce costs would likely rely on reducing health workers’ wages, which would impact the supply of workers in health-care industry.
  • The establishment of price ceilings for drugs would reduce prices for treatments that currently exist while removing the incentive for pharmaceutical manufacturers to invest in researching new treatments. Pharmaceutical markets are global, and manufacturers often undergo the massive upfront investment required to research a new drug because of expected returns from US sales. Because the United States accounts for a larger share of the global market, its pricing decisions have far more influence on the pace of development of future products.

 

AUTHOR RECOMMENDATIONS:
There are various means by which competition can be introduced to healthcare markets to bring down costs without sacrificing quality of care.

  • There are multiple avenues available to introduce competition to healthcare markets. These include granting generics manufacturers full access to samples of brand-name drugs once the patent protection period has ended. In markets that are too small for more than one competitor, a request-for-proposal (RFP) process should be implemented, with manufacturers charging a fixed percentage above manufacturing costs.
  • Medicare can and should be reformed to introduce competition and eliminate perverse incentives. Medicare Part B, for example, should use vendors to negotiate drug prices, rather than paying doctors a fixed margin above the price of the drug they prescribe. The reinsurance program of Medicare Part D, meanwhile, should be reformed so that private insurance companies – and not Medicare – are responsible for covering the majority of “catastrophic coverage” treatments. Such reforms, among others, would likely increase incentives to negotiate prices, increase competitive pressures, and decrease health care costs.

Can Innovation Policy Restore Inclusive Prosperity in America?

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SUMMARY:
US productivity growth—the engine of long-run wage growth—has been lackluster for the past decade. Meanwhile, US public investment in research and development (R&D), is near historic lows. Although private sector R&D investment has increased over time private sector funding is insufficient to bring about desired gains in productivity growth and wages.

Van Reenen argues the U.S. should pursue a robust innovation policy composed of tax credits, direct subsidies, and human capital investments, which have been shown to spur innovation and wage growth. He proposes combining these approaches into a 10-year $1 trillion Grand Innovation Challenge, which would reinvigorate R&D investment, promote American technological leadership, and advance policy goals of inclusive growth. Van Reenen also recommends against policies that give preferential tax treatment for corporate revenues derived from patents (patent boxes), lower individual income taxes, and support trade protectionism, which are strategies that have thus far failed to promote innovation.

 

KEY POINTS:

  • Across the public sector in the U.S., federal spending on R&D has fallen from 2% to 0.7% of economic output. This is counterproductive in the long-run, since public R&D investment substantially raises productivity growth and wages.
  • Heightened productivity growth can actually exacerbate inequality if innovation initiatives and more technological change only increase demand for highly skilled workers. This highlights the need for government to have complementary policies to ensure that the fruits of higher growth are shared equitably.
  • There is a strong case for public investment in basic research and development. R&D initiatives often generate significantly more social, macroeconomic, and environmental benefits for the public than just direct financial benefits to the investor. A high percentage of government R&D often goes to universities, research grants, and basic R&D, which has been proven to have a positive casual effect on innovation outcomes.
  • The preferential treatment of corporate revenues derived from patents, or patent boxes, often fails to impact the quantity or location of R&D spending and innovation. Another strategy – lowering individual tax rates – is likely to be ineffective in materially increasing the number of U.S. inventors. There is also no clear correlation to heightened innovation and trade protectionism; if anything, reducing global competition reduces the incentive to innovate.

 

AUTHOR RECOMMENDATIONS:
Van Reenen argues that there are three broad classes of policies — tax incentives, direct government grants, and investments in skilled human capital — where large-scale investment would generate significant productivity and growth benefits. As evidenced by initiatives like DARPA, which helped successfully develop the internet, bundling these types of programs into a broader, mission-driven industrial policy could prove to be especially potent innovation strategy. The following policy recommendations generate a mix of short-term and long-run benefits.

  • Tax Incentives: R&D tax credits, which can reduce the cost of investment, can boost overall spending. It’s estimated that a 10% fall in the cost of R&D leads to at least a 10% increase in R&D spending in the long run. This suggests that taxpayers get a big bang for their buck on R&D. Patenting, productivity, and jobs all also seem to increase following tax changes.
  • Direct Government Grants: Public R&D spending, when administered properly, can also encourage influence private firms to allocate more funds to R&D than they otherwise would. The National Institutes of Health, military R&D spending, and the Small Business Innovation Research program are all strong examples of initiatives where public funds have crowded in additional corporate investment.
  • Investments In Skilled Human Capital: By increasing the supply of quantity and quality of inventors, which in turn reduces the “cost” of R&D workers, can increase the directly or indirectly increase the volume of innovation. There are a wide range of policy tools that could be employed to increase human capital. This includes everything from more investments in STEM education, increases in skilled immigration, and reducing barriers to academic success in disadvantaged communities.

Fiscal Policy With High Debt and Low Interest Rates

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SUMMARY:
The U.S. budget trajectory is in uncharted territory. The country faces a structural deficit, accrued the largest increase in debt on record during the current economic recovery, and is expected to surpass its WWII-era debt-to-GDP record of 106 percent within the next 30 years.

Gale argues that although historically low interest rates reduce the cost of government borrowing, they are not­ a “get out of jail free card.” Rising debt will slowly but surely make it harder to grow the economy, boost living standards, respond to wars or recessions, address social needs, and maintain the nation’s role as a global leader.

Gale argues that policymakers should enact a debt reduction plan that is gradually implemented over the medium- and long-term. This would avoid reducing aggregate demand significantly in the short-term and, if done well, could actually stimulate current consumption and production. Doing so would also stimulate growth in the long-term, provide fiscal insurance against higher interest rates or other adverse outcomes, give businesses and individuals clarity about future policy and time to adjust, and provide policymakers with assurance that they could consider new initiatives within a framework of sustainable fiscal policy. In the short-term, policymakers should increase spending on infrastructure, R&D, children, families, and human capital. He also argues that the federal government should implement consumption- and carbon-based taxes to raise more revenue.

 

KEY FINDINGS:

  • The U.S. budget trajectory is in uncharted territory. There has never before been a projected permanent imbalance between spending and taxes.
  • If interest rates rise to a more historically consistent level in the next 30 years (while still remaining below the economic growth rate) the national debt will rise from the current 78% to 169% of GDP by 2049, or about 49 percentage points higher than the maximum U.S. debt level reached in World War Two.
  • The U.S. faces two intertwined problems: The rising, long-term debt profile and the way we tax and spend. Government spending is too oriented toward consumption relative to investment, the latter broadly defined to include human capital. Moreover, as payments towards health care, social security, and interest liabilities pile up, spending in other areas will fall relative to GDP.
  • The economy is more important than the budget. With current low interest rates, low inflation, and concerns about weak growth even amidst remarkably accommodative monetary and fiscal policy, it would be prudent to make any fiscal adjustments gradually.
  • Although interest rates are low, the size of the debt will cause interest payments to take up ever-larger shares of the federal budget. Over 100% of new federal spending is expected to go to three areas: social security, health care, and interest payments.

 

AUTHOR RECOMMENDATIONS:

  • Policymakers should not try to reduce the short-term deficit. The long-term projection is the problem. Cutting current deficits would likely reduce aggregate demand, a change that monetary policy may be hard-pressed to offset, given low interest rates.
  • In the near-term, policymakers should not enact deficit-financed spending for non-investment programs, though they should embrace a broad definition of what constitutes an investment, to include programs that make people more productive by providing childcare, job training, and related items.
  • Policymakers should initiate substantial new investment programs in infrastructure and research and development (1% of GDP) and in children, families, and human capital (another 1% of GDP).
  • Enacting a consumption tax (value-added tax) whose rates rose gradually over time would stimulate current consumption as customers spent more today to avoid higher future prices. Likewise, introducing a carbon tax with rates that rise over time could stimulate current production, as producers choose to use more fossil fuels now while they are still relatively inexpensive.
  • In the long-term, policymakers must enact a debt-reduction plan that is gradually phased in. This will allow time for businesses, investors, and citizens to adjust their plans and would reduce political backlash.