Thursday, 7 January 2021

Horizontal vs. Top-down Control

When I was growing up I got really into the "grand" global conspiracy. I went to see David Icke speak with my brother in a relatively small room in Stoke on Trent around 2002. There were only maybe a couple hundred people in the audience.

Later on, around 2007, I got really into economics and libertarianism. I began to think a less about the "global" conspiracy. Suddenly most of what I saw going on in society could be explained by economic incentives. 

For one thing, people like free stuff, of course they are going to vote it for themselves whenever they can. They don't typically see this as looting the commonweal, living at the expense of their neighbour, but "fair" in light of the challenges they face in life. Society has never told public sector workers, for example, that this is shameful, all is fair under democracy. A vote is a vote and a policy is a policy.

As a corollary, those individuals that make up government want power - even if it is power to "do good" according to their own values. One way the government can get power, while garnering the support of the populace, is to bribe people with handouts. People who receive benefits are from the state are likely to be supporters of the state. All the public servants, school teachers, university professors, campaign contributors, not to mention the politicians themselves, are basically bought off with public funds to be tacit allies of government. In addition to this, they keep an underclass on welfare, who can always be relied upon to support the institution of government out of fear of starvation. 

When our societies were not very affluent, only a small percentage of people's income could be appropriated in taxes because, say, a "0% reduction in the average person's living standards would have  been huge. As we have grown richer, the total tax many people pay is far in excess of half of their income. This allows the government to have a far greater number of people than ever before on its payrolls to protest tax increases, however, it does not cause the tax-payer themselves to starve. In addition to this, they believe they are at least in receipt of some services that have come to be seen as impossible to provide without government by the great majority of people, including roads, hospitals and schools. By this final act, the support of even the net tax-contributors are won over to the idea of government, and all of this is explainable merely by the incentives of the system itself. This is what you could more or less expect to happen in an affluent democracy. 

It's power being solidified, it's not difficult for the corporations, who deal with huge sums of money, to buy the government. In fact they are incentivised to do so. As soon as a corporation gains a greater return on their investment by lobbying the government than they do from serving their customer, that is what they are going to do. This completes the circle. 

Organisations like WHO, IMF, World Bank and CDC work in the interests of the corporations, but people think they are "government" agencies; which they take to mean working in the public interest.  

Now, this doesn't mean I don't believe individual conspiracies take place. For example, murder of Jeffrey Epstein. Other conspiracies such as The Lavon Affair or Operation Gladio are even freely admitted to have occurred. It just means that I don't necessarily think these need to be centrally orchestrated in smoky rooms by the same cabal of powermongers. 

The term conspiracy theory, itself, is simply used to dismiss claims out of hand and relieve people of the need for further investigation. The term "conspiracy theorist" is synonymous with "nut," and it is popular to psychologize people who believe in conspiracies as having some strange motive to find patterns where there are none. However, someone can have psychological tendencies which drive them towards a position - and that position can still be true! One of the appeals of the "conspiracy theorists" in the pre-YouTube world was exactly that they would bring context to a media landscape devoid of it, where the media would portray complex events as a snapshot in time. For example, propagandizing the populace with the claim that, "Saddam Hussein gassed the Kurds," without showing either of the videos of Donald Rumsfeld, then the defense secretary, meeting with Hussein in the 80s to sell him weapons.

Like many, recent events regarding the Global Pandemic (or "Globalist Plandemic" to conspiracy theorists), like many, have really made me think again of the global conspiracy again.

A global conspiracy, of course, could exist, and by its very nature of being secret and covert we would not even know about it.

My question though, remains, what is actually the scarier thought?

If there are just a handful of evil men who are orchestrating world event, up to no good, then it is relatively easy to depose them.

If it is not a centrally planned conspiracy then the world becomes far harder to fix. You have a nice neighbour, but he doesn't believe you should be able to operate a hair salon without a licence. Your drinking buddies want to take your guns. Your churchmates don't think gays should be allowed to get married. Another friend says Soviet Russia wasn't real communism and real communism has never been tried. All the people at your local theatre group support you being taxed to pay for allopathic medical treatments that you disagree with, taking money from you to pay big pharma. Atheists want Christians to pay for abortions. Meat eaters want vegans to pay for subsidies to dairy farmers. 

In other words - control is not exerted upon you vertically, from above, but horizontally, by the very people around you, whom you love.


Monday, 4 January 2021

Charity or Investment?

There is general bias towards the belief that if rich people give away their money (or are taxed is more) then that will be more beneficial to humanity as a whole than if they reinvesting their fortune in the stock-market. When people hear that such-and-such is a billionaire, they tend to think Mr. Billionaire is 'hoarding the money' and he 'doesn't need it because he is rich enough' as though the money is sitting under his bed. But it's not, it's invested in businesses that often end up doing a great deal of good, not for Mr. Billionaire, but for the average person. To illustrate, imagine:

Option A. Mr. Billionaire gives away 1.2 billion to Africans, might be a drop in the ocean. This amounts to around $1 per person. Very soon the money is spent, nothing systematic has changed, and things revert to more or less the way they were before. 

Option B. Mr. Billionaire invests 1.2 billion in an engineering company that invents an innovation in communications technology for people’s phones. This is driven by consumer demand, but it ends up making it significantly cheaper to build infrastructure in Africa. This sets aspects of the process of development forwards by a decade. It actively takes people out of poverty is a durable way.

The advantage investment has is it’s actually responsive to public preferences. I.e. If people don’t buy the products that Mr Billionaire invests in it will get re-diverted into things that people do want to buy. There is a feedback mechanism to prevent it from being wasted, as the rich guy does not want to lose his investment. 

Giving is more guess work. 

This process does not depend on the magnanimity of the investor either. He can invest out of pure self-interest and still benefit society as a whole. If the first millionaires gave away their money rather than reinvesting them in other businesses thinking that was the best way to do good it may have set back technological progress by decades we might not have computers yet.

These things are more complex than people intuit. If world poverty was as easily solved as some think it could be we would have done it already.

Friday, 25 September 2020

Corona Virus Lockdown Truth Bombs

1) The simple fact is that if you want stuff - i.e. wealth rather than poverty... people have to actually Make the stuff. It doesn’t come out of thin air. 

2) It’s nice to think that with a magic wand all we have to do is appropriate the wealth of "the greedy rich" and redistribute it, but the fact is almost all the money they have is invested in the machines and factories that make a modern standard of living possible, and the technology that promises to improve it in the future. Moving it from capital investment to consumption will make everyone poor not rich. They will go out to the shops and spend it, the price of goods and services will shoot through the roof, and we will be worse off. 

3) Spending does not create wealth saving does.

4) If you stop people working for the best part of a year don’t be surprised when everyone is poor in the future. It’s going to take years for people to recover from the poverty, possibly decades.

5) If people blame the on eeeevil capitalism they will end up killing the goose that laid the golden eggs that bought all the privileges they are lamenting having lost from shutting the economy down. 

6) It may be nice to fantasize that some benign gods will come along to take over and run everything in the interests of "the people" (whatever that means) - but we are infinitely more likely to end up looking like Venezuela or Cuba. 

7) If you're not scared of this outcome you should be. 

Sunday, 20 September 2020

Governments Are Not Incentivized to Solve Problems

States arose with agriculture, around the same time as slavery. When states were monarchies, it was relatively obvious that the institution existed - like slavery - to separate people into two classes. One that produced, and another one that consumed. 

This fact became intolerable, and people demanded to have a say in how the state was run. They did not imagine that states, as such, were the problem, but simply that they were run by monarchs. They could no longer imagine forms of organisation that did not involve state, but really states are the anomaly. Throughout most of history there were none. They are a logical error predicated on misunderstanding of economics. 

Economics demonstrates that people and institutions tend to act as they are incentivized to behave.

Companies gain wealth from providing goods and services for money, the consumer is king and puts them out of business if they don't deliver the goods. Charities have limited resources and must allocate them effectively if they are to do well in league tables. Even then there is still corruption.

The government is simply not incentivized  to solve problems. First, they get paid whether they do a good job or not. Second, they monopolize services so they can't compare their performance to other strategies and adopt other people's innovations. 

Damningly, the government derives its power from people being poor because the pretext for every government program is "how will the poor get xyz if the government does not provide it". 

If poor people become rich they will just do what middle class people do which is take their kids of out public schools and put them in better private schools, take out health insurance so they don’t need to rely on poorer nhs hospitals, there will be less crime so less need for police, and no poor people to go in the army and fight endless wars in the Middle East. With the diminishing need for social programs because people are rich enough to solve their own local issues, there will be less need for social workers and other social services. Millions of government bureaucrats will no longer be necessary. How can the government even make them redundant given that A) they represent a huge voting block? and B) they are heavily unionized. 

Solving problems reduces the need for government and no one puts themselves out of a need for a job unless they are forced to. The incentive structures are such that government are doomed to fail and basically everything that economic theory predicts you will find from government is exactly what you see the results to be. More and more dependence, less self-sufficiency, people bribed with public funds to support this or that policy, and driven to hatred of one another. 

Monday, 3 August 2020

Private Ownership of the Means of Production confers a Social Benefit

Perhaps the most difficult battle faced by the advocates of free markets it to convince people that Private Ownership of the Means of Production is not some special privilege conferring and advantage to "greedy capitalists" at the expense of everyone else, but that it serves a social function that is beneficial to all.

Private ownership makes the accumulated wealth of the entrepreneur a slave to the consumer - that is - to everyone else. We commonly understand private ownership to mean "for our own use," eg. the use of a toothbrush or a private residence, but in the case of private ownership, what is owned is almost exclusively for the use of others, placed at their service.

The capitalist keeps his wealth only to the extend he continues to use what he has accumulated in the interests of the masses, as they judge them, by churning out whichever goods and services they demand. To the extent he succeeds, his wealth will grow. This is the economy’s way of saying that he makes sure and wise decisions with the capital we have amassed as a society - not wasting them on projects that the public have no interest in paying for. To the extent he fails to do so, those factories, machines and companies that his investments represent will be sold on at knock-down rates to whoever thinks they can do a better job of managing them in the public interest. This allows for the constant re-allocation of capital to those who can best manage it, and engenders the accumulation of more capital over time. As the capital stock increase there is more wealth generation and technological advancement can be expected, and this will necessarily be largely led by the preferences of consumers, not those who actually "own" the capital.

Saturday, 26 January 2019

Capitalism is not "A System of Competition"

Capitalism - A System of Competition?

Capitalism has often been described by as “a system of competition” by its adversaries, or a system “based on competition.” Naturally, this assertion is usually coupled with a spirited oration on how this “tooth n’ nail” competition psychologically corrupts us – pitting man against man in a “race to the bottom.”

Many of capitalism’s most vocal advocates have, themselves, imbibed this premise uncritically. They leap to a fervent defences of competition, extolling its virtues – real or perceived. In my view this is a mistake. To accept without evaluation the presupposition that capitalism is a system of competition – in contrast to other hypothetical systems of cooperation (namely socialism and communism) – is to frame the very debate itself in leftist terms and play the game on an unfairly tilted game-board.

Competition is Fierce for Government-Controlled Resources

This is not to say that those who defend competition do not raise some worthy points. For example: If not competition, then what is the alternative? Is there to be one central provider of each good and service available who gets to decide on our behalf how it is best to be produced and then allocated? Add to that, that if competition is wrong in the market, then why not in the political sphere? Surely democracy is out of the question if competition is a corrupting factor, because what do political candidates do if not compete for office? Think of the competition this generates between political parties, not to mention the ensuing competition between firms and individuals for preferential treatment from politicians and legislators, competition between lobbyists, think-tanks, and voters, to receive benefits out of the public purse. If the free and voluntary section of society is a system of competition, how much more so is government? Surely democracy is a “system of competition.” Politicians are competing for the very machinations of control in our society. For the right to pass and enforce laws which apply to everyone (whether they agree with them or not) and to force them to pay for their enforcement. They are not simply competing for market share where the winner of the competition is the one that satisfies the most demand. We can sidestep the more mundane economic arguments in favour of competition for the moment, such as the case that it increases efficiency and cheapens goods while driving innovation, as we are all familiar with them already.

Capitalism is a System of Voluntary Exchange

Nonetheless, parsing what is essentially a sociological debate – a meditation upon the effects of an economic environment upon the soul of man – in socialist terms; basing it upon left-wing premises without examining their foundation is to cede too much ground. A comical equivalent would be for a leftist responding to the clich├ęd assertion of the American right that “Hitler was a Socialist!” by arguing that many of his labour policies were successful in improving social conditions for the working class.

This is not to say that competition is necessarily an evil either. The problem lies in defining capitalism as “a system of competition” - in comparison to other systems which are somehow “cooperative”; that is a rhetorical ploy. Those who profess it may honestly believe it to be so, but it’s not true. Capitalism is not “a system of competition” any more than any other system. Capitalism (at least in its free-market, laissez faire ideal) is a system of the voluntary exchange of goods and services in the absence of physical coercion, theft, compulsion or fraud, predicated upon the fundamental right to own and accumulate property.

Or, for brevity: Capitalism is a system of voluntary exchange, predicated upon the right to own property.

One might even venture, therefore, that capitalism is a system of voluntary cooperation.

Granted, this definition still leaves room to debate the morality of accumulating property. Or perhaps whether the “negative” right to ownership when it comes to the rich should take precedence over the “positive” right to healthcare or education at their expense when it comes to the poor. We can even debate whether the relationship between capitalists and their employees are really free of coercion given the power disparity between the two groups. Indeed these are debates I delight in exploring further. However, there is no justification for defining capitalism as a system based upon competition.

Because Scarcity is a Fact of Life, Competition will Exist under Any System

The reason for this is that while the voluntary exchange of goods and services may give rise to a certain amount of competition, competition does not give rise to the voluntary exchange of goods and services. Scarcity does. In any situation of scarcity of resources, there is bound to be some form of competition over those resources (as well as over how those resources are allocated). To exemplify the mistake that is being made here, consider the uncontroversial statement: “The fact that things exist gives rise to motion.”; Now, if I were to conclude that because of this, “motion itself gives rise to the material world,” that would be a weird conclusion to reach. Motion is a feature of the material world, not what defines it or gives rise to it. Similarly, competition is a feature found within a capitalist economy, but it is not its defining feature, nor is it only a feature of capitalism…

If we have a system that allows voluntary exchange, some competition is bound to arise out of that, but that would happen under any system. Even if you had a completely communistic society, which was centrally planned and involved no exchange of money whatsoever, people’s time would still be limited. If you were a film maker in this society, you would probably want as many people to see your films as possible. As would every other film-maker. That would put you at least somewhat in competition with them. Does this mean that communism, too, is a system of competition? Certainly you would be competing for the only customer – the sponsorship of the state. Corruption and cronyism would surely be the result. Who gets their film made and who doesn’t? Who allocates the highly desirable job of being a film-maker over the undesirable job of being a street-sweeper or refuse collector, and how can their favour be courted? The competition will commence, but instead of being decided by the free and voluntary exchange of film-goers, investors and film-makers it will be decided by someone else, I would argue, in a rather more authoritarian fashion. (For a particularly vivid and chilling illustration of how communism substitutes market competition over customers [which is at least tied to the provision of desirable services] for the completely unmeritocratic competition over gaining favour from the corrupt power structure of the state, I refer the reader to Ayn Rand’s first novel, We The Living.)

Competition is a feature of living in a world of scarcity and would exist in any system. Socialism cannot do away with competition – nor can any other system. Therefore it is wrong, both logically and polemically, to define capitalism as “a system of competition” in contrast to socialism; let alone define communism – a system where individuals will have to compete for the favour of authorities who make decisions on their behalf – as a system of cooperation.

Scarcity Means Competition Extends Beyond the Economy

The implications of these facts reach into any circumstances of scarcity beyond the economy. For example, supposing two friends each invite me over to dinner of an evening, I might have to make a choice between their invitations which will result in one of them losing out on my company. Does this then mean that friendship is a system of competition?

We can’t see all of our friends all of the time, or even all of them at the same time. Even if we do, we are bound to have to split our attention between them. In addition to that we can only maintain so many close friendships at once, and we definitely can’t be friends with everyone. All of this means that inevitably we have to make choices. We each make decisions on who to make and maintain friendships with based upon our value judgements, conscious or unconscious. Perhaps based on how happy we feel around them, how long we have known one another, how much we have in common, how much we trust someone or how loyal they have shown themselves to be, how much they educate, enrich or enlighten us, or perhaps based upon what roles roles they allow us to fulfil in their lives. There can be countless other reasons. The fact is we decide. People who feel that they will benefit from our company, for whatever reason, will make attempts to spend time with us. We will invariably begin to make choices on who to spend time with based upon our values, schedule, and what other activities we are willing sacrifice to see them. These are basic facts of life, but they hardly make friendship a system of competition.

Similarly, on the market, our time and resources are limited. We make value-based judgements about choices of products and services to consume based upon what utility we think they will bring to us, sacrificing some options to others. Maybe we will choose a coffee shop based on which has the best tasting coffee, or maybe based on which provides the nicest atmosphere, or maybe based on which is closest, or where the customer service is best, or which is the cheapest, or which we have gone to the longest and therefore find familiar, or perhaps even based on which we think has the best ethos – for example, because they are a social enterprise that only sells fair trade produce and deliberately seeks to employ and train disadvantaged people. The fact is we decide. Each service provider believes they will benefit from our custom and will make attempts to attract us, placing an upward pressure on the quality of services and a downward pressure on price which we may correctly identify as a form of competition. Since human beings are not infallible, sometimes someone might buy a coffee that they don’t end up liking, but over the long term the competition is likely to be won by the satisfaction of customers.

Free to Choose

The miraculous wonder we miss when we focus our attention upon the competition which derives from choice is the ability to choose itself. For example, supposing two commercial events are being held on the same evening. Each perspective patron will want to choose whichever event appeals to them the most, and for whatever reasons they choose based upon what they value in an event. Now, to simply mention that these events are “in competition” would be to completely miss the crucial point that event-goers (who are in the majority compared to event-organizers) have a choice of two events which they may prefer to go to one of rather than one alone.

There is no necessity for competition implicit in the market either. If both events are in jeopardy due to a lack of patrons, then their organizers can always put their heads together and create one bigger, better event. Or they can choose distinct themes that are aimed at different audiences, or perhaps they will agree that it would be in their interests if one of them moved their event to a different night, and they could cross-promote one another. This is part of the free choice the market affords, unless the government has passed laws against it, calling it “collusion.”

The defining feature of the market, clearly, is not competition, but choice. The freedom to choose. It is only when event organizers can go to the government to force people to buy tickets, or shut down other events, or get preferential legislation passed to make it easier for them to advertise, or regulate the market so tightly that only established events-managers can survive, that we see competition become the dominant force. Coercion has entered the market which is no longer free. This is not free market capitalism but what we observe in many sectors of our society today – crony capitalism, or “neo-liberalism” as some may call it. (Unfortunately the failings of “neo-liberalism” are endlessly pinned on the market economy itself rather than the state’s nefarious influence in the market.)

It is worth mentioning that there is actually far more cooperation involved in providing people with goods and services than competition. You have to cooperate with buyers, sellers, managers, employees, suppliers, customers, advertisers, promoters, marketers, collective buyers, and so on. Leonard E. Read (1898-1983), founder of the Foundation for Economic Education, illustrated this in his most famous essay, I, Pencil, first published in 1958. In it he noted that not a single person on the face of this earth knows how to make a pencil. He goes onto explain that the cedarwood is sourced from Oregon and the logs milled in California. The graphite is mined in Ceylon, mixed with clay from Mississippi, then treated with a hot mixture which includes candelilla wax from Mexico to increase its strength and smoothness. The six coats of lacquer come separately from the growers of castor beans and the refiners of castor oil. In fact, when you include those who manufacture and transport the equipment involved in these processes you cannot help but marvel at the fact that millions of people have a hand in its creation. They are working in concert, in cooperation, and as a result you can get a pencil for pennies.

To the extent that it is free, the self-interest of the producer is subordinated to the hardly antisocial end of meeting the desires of others. A producer wins the competition only by organising a vast degree of cooperation in the service of satisfying the demand of consumers. This means producing things that regular people like you and I value enough to part with their scarce resources for. To the extent the government interferes in the market, firms are enticed to compete over government contracts, subsidies, preferential legislations, and so forth. This is a corrupting factor in the market as companies no longer have to focus on serving consumers but doing whatever it takes to beguile officials. Sometimes that may well be providing the best service, but this becomes far more likely as the end user is no longer the buyer. Instead they may lobby, bribe, or bait with promises of high paying positions for officials after they leave office. In my book Universal Basic Income – For and Against I note that according to The Sunlight Foundation, a non-partisan, non-profit organization that aims to make government more accountable and transparent, “For each of the 5.8 billion dollars spent by America's 200 most politically active corporations between 2007 and 2012 on federal lobbying and campaign contributions they got $741 in return in kickbacks and benefits. This poses a tremendous problem because as soon as it becomes more profitable for a business to lobby the government than serve their customers then lobbying will become their top priority. This is why government is often a corrupting actor in the economy rather than a referee. The mutual benefit of politicians and big business getting in bed together often outweigh those of serving the public. These incentives drive companies to misallocate resources by making products that the general public doesn't want profitable, and products that they do unprofitable. In other words, the government has become the client of these corporations rather than their customers.” The competition has turned sour.
Those free-market advocates who extol the virtues of competition may point out that every service provider is, in one sense, actually competing with every other product that someone can possibly conceive of buying with their money, and argue that is a good thing as encourages firms to really try their best to create things that will please people in order to earn their cash and do business with them. Still, it cannot be said that capitalism is a system of competition – because competition is not the basis of the system, but choice. The freedom of consumers to choose gives rise to trial and error between competing service-providers attempting to draw a profit by catering broadly to as many consumers as possible or narrowly to meet certain niches depending upon their expertise and predilections. As human desires are infinite, there will likely always be incrementally more beneficial ways of meeting those desires, and thus infinite scope for innovation. What the market allows is for different producers to fill different niches. Buyers are able to compare the relative merits and drawbacks of competing products and vote with their cash on which they feel will better meet their needs according to their own values. Producers themselves are able to observe innovations in the marketplace and attempt to improve upon whichever products or services are already available. Customers will ultimately be the arbitrators of which models are successful and which will be weeded out the market. While there is clearly some competition in this process, overall it is a system of cooperation between buyers and sellers to reach a mutually satisfying voluntary exchange. In comparison to a centrally planned economy (or sector of an economy) where the amount of trial and error is very limited, and the state must roll out a one-size-fits-all solution scarcely tested against other possible solutions – a little competition between service producers might be worthwhile in exchange for a greater degree of autonomy and cooperative communication between service users and service providers which takes the form of supply and demand.

The beauty of the free market, when it is allowed to function, it that it is a constantly self-correcting and self-optimising system. Producers can reflect upon what is available and look for gaps in the market, or improvements upon existing services, and the public will quickly be able to provide signals of what is serving them and what is not by which variations they choose to part with their money for. Over time this leads to a general improvement in the standard of service available to them and decrease in cost which is probably why most of the products we buy are pretty decent. If someone sells a faulty watch then we have somewhere else to go for watches. If we did away with choice in the name of eliminating competition, if there was a design flaw in one watch it would have already been rolled out to every store and it would be too late. What is more if someone could think of any small way to make the watch better, more accurate, more durable, more energy efficient, the new model would probably not hit the market for fear of someone making another improvement upon it making all of those obsolete as well.

The Primary Feature of Capitalism is Choice, Not Competition

So to review, because people make choices with scarce resources and limited time, competition will be an inherent part of any economic system so long as there is scarcity. The primary feature of free market capitalism is not competition, but choice. Rather than moderate the amount of competition in an economy, state intervention will replace competition to serve customers on a voluntary basis with competition over gaining the favour of whoever is responsible for allocating resources within government. Instead of competing to serve their customers as best as they possibly can to achieve the biggest market share – firms can, will, and do, compete for government favours, and to have their products “rolled out” by the state to as many people as they can using public funds or subsidies out of the public purse. This is where the real “tooth and nail” begins.

Wednesday, 28 November 2018


I remember seeing this cute little meme posted, without irony, on facebook a couple years ago.

Related image

Clearly the fact that the picture highlighted the failure of a state program escaped the OP.

More seriously though, it's hard to see how the removal of snow would pose any problem for the private sector at all. Some entrepreneur (or community serviceman reprisenting a nonprofit organisation) comes round the neighbourhood and asks if people are willing to contribute however much (or little) would be necessary to insure them against heavy snows. If necesseary, the organisation could draft a contract which says if the necessary amount of people to fund the program is not reached, the people who agree do not have to pay.

Everyone who does pay up gets placed on a register, and gets a nice big siver snow-flake medallion to put on their mailbox or gate to show off to their neighbours that they have contributed. If some people can't afford to pay they can be offered a discount rate, or perhaps they could be included on register in return for agreeing to volunteer for the snow removers should their help ever be needed.

If people choose not to buy into the system, when the snow falls eventually come, the company will drive by houses that are not on their register and don't have a snow medallion on display, or they will bill them out of pocket for a far larger sum than the original insurance fee to clear their driveway, offsetting the costs for everyone else. Perhaps they will think better in future. Even so, they will not necessarily be stranded - they can pay the neighbours children to take shovels and clear it like in the old days.

Problem solved.

Similar arrangements could be made for other services considered "public goods", like municipal garbage removal. For things like street lighting, which are near impossible to exclude those who do not pay for provision of, the medallion system would allow neighbours to apply social pressure to free riders without applying the use of coercion to subtract funds. Those who don't have theirs on display might attract disapproving looks, or have people round saying, "hey man, you are taking money out of everyone's pocket, when everyone pays, everyone pays less." With the technology we have today, it would be easier than ever to apply pressure to those who shirked the responsibility of sharing in the costs of local services they benefit from. The local shop could choose not to serve them and they may need to drive further to the supermarket which will not be worth the hassel of not buying a medallion. Their neighbours could choose not to allow them to collectively buy other services unless they paid in, meaning they would have to make their own arrangements which would prove costlier than choosing not to cooperate.

Sunday, 21 October 2018

Thursday, 5 July 2018

The NHS is a False Prophet

According to a recent article in The Guardian by Polly Toynbee, The NHS is our religion in the UK and that's why the conservative government can't destroy it. Of course, the Conservative government has never actually tried to destroy the NHS. They haven’t even reduced the amount spent on the NHS. They haven’t even halted increases in healthcare spending. The only thing they have done is reduced the rate at which spending is going to continue to increase.

Before the National Health Service was created in Great Britain, our nation was a world-leader with an unrivaled record in making major medical breakthroughs. People came from all over the globe to study medicine, and to be treated in the UKDr. John Snow proved that the source of cholera epidemics was the water supply in London. Edward Jenner pioneered a vaccine for smallpox in rural England, and Sir Almroth Wright one for typhoid. Sir Humphrey Davy, also a Briton, first suggested the use of nitrous oxide as an anaesthetic in 1800. Sir Joseph Lister pioneered the use of antiseptics in operations in 1865 using impure carbolic acid, saving countless people dying from infections after surgery. Alexander Flemming, the Scottish physician discovered Penicillin in one of the charitable hospitals in London in 1928. Howard Florey and Ernst Chain, brought it to fruition working in a laboratory in Oxford in 1941.1 Britain had established the best record in the world for achieving major medical advances and had just developed the landmark drug of the 20th century, as well as playing a leading role in 5 out of the 7 leading medical breakthroughs between 1750 and 1948 when the NHS was established.2 Britain is no longer a leader in medical advances. Despite its costliness, nepotism, and other flaws, America’s private system has taken the lead.

Image result for the nhs is our religion

Britain has less of the latest equipment and the old equipment is often being kept beyond the time when it is safe.3 If a private company was using out of date intensive care machines and x-ray machines, obsolete cancer care equipment, and operating tables over twenty years old – double their safe life span – the champions of the NHS would no doubt be clamouring for more government oversight and regulation. When government agencies are culpable, they are more or less given a pass on public outrage because they are perceived to be acting in the public interest rather than for profit.

In the UK we cannot compete with cancer survival rates in the US. A 2011 report demonstrated that the average cancer survival rate was 71.18% in the USA as compared to 54.48% in England.4 Our healthcare may be free at the point of service, but fewer of us survive it. It is costly in terms of lives. In fact, the BBC recently ran an article that reported “patients ‘dying in hospital corridors’.”5 In one month 300,000 patients were made to wait in emergency rooms for more than four hours before being seen, with thousands more suffering long waits in ambulances before even being allowed into the emergency room.

The sad reality is that in the UK or Canada people die waiting in line for what would be quick and routine medical treatments in the US. In Britain a shocking 4 million people languish on waiting lists according to official sources6 up from a 7 year high of 3.4 million in 2015 as reported by The Guardian, a left-leaning newspaper,7 and this in a population of scarcely over 65 million. At current trends this number is set to rise above 5 million in 2019 unless we do something to reverse them.8

In the UK you could turn up to an emergency room with an appendix about to burst and still be asked to wait overnight before they find you a bed. One patient reported that a lack of treatment rooms led hospital staff to examine her for gynaecological problem which had left her in severe pain and bleeding in a busy corridor, in full view of other patients. Such humiliating anecdotes could be dismissed as embarrassing one-offs were it not for the shocking fact that as many as 120 patients per day are being attended to in corridors and waiting rooms, in the public areas of hospitals, and some even dying prematurely as a result. In the first week of 2018, over 97% of NHS trusts in England were reporting levels of overcrowding so severe as to be “unsafe.”9

25% of British cardiac patients die waiting for treatment, and an investigation by a British newspaper found that delays in treatment for colon and lung cancer patients have been so long that 20% of cases were incurable by the time they finally received care.10 193,000 NHS patients a month wait beyond the target time of 18 weeks for surgery.11 According to the OECD Britain has the lowest number of doctors per thousand population in the advanced world.12 A chart displayed in James Bartholemew’s book The Welfare State We’re In in 20 documented that while only 1% of patients of patients in the USA had to wait over four months for surgery, while the number was 12% in Canada, 17% in Australia, 22% in New Zealand, and a shocking 33% in the UK.13

Where free-at-the-point-of-entry resources are limited older patients are viewed as a drag on the system – especially since they require the most frequent care which costs much more. The average 65-year-old costs the NHS 2.5 times more than the average 30-year-old. An 85-year-old costs more than five times as much.14 Although a third of all diagnosed cancers in the UK are found in patients seventy-five and over, only one in fifty lung cancer patients over seventy-five receives surgery, and the NHS does not even provide cancer screening to patients over the age of sixty-five.15

The government can make waiting lists look shorter by denying patients services outright because those who have been refused services will no longer appear in statistics. If someone’s disease proves fatal because they failed to receive treatment in time, the government figures appear more cost effective because instead of having to budget for a series of expensive surgeries, they have a deceased person on their hands who will not rack up a whole lot of medical accounts. It’s not to say that anyone is perniciously trying to kill off patients, but with pressure constantly mounting for officials to show meaningful improvements, the incentive to coldly take advantage of manipulated statistics “for the greater cause of saving the NHS” will always loom. It is, after all, our religion. In one interview, prominent columnist Dr. Dalrymple reported “Managers going around the wards telling the doctors who they thought ought to be discharged. They had no medical training or knowledge. But they would try and influence the doctors to discharge patients quickly… This is a problem, of course, wherever the person paying for the care is not the patient himself… But where you have one giant organization that decides everything the hazard is even greater.”16

The failings of socialised medicine are invariably blamed on budget cuts and a lack of funding by advocated of the NHS who are used to expecting medical services to be paid for by the government. The assumption is that if we were just spending more money none of this would be happening. The thing is, we are spending more money than ever before already.

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In fact, the budget of the NHS doubled in real terms between 1995 and 201517 and now waiting lists are longer than ever! This is because the shortages and inferiority of services are not caused by a lack of funding in the first place. They are caused by how we are choosing to pay for healthcare.

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1 Tooley, J. (2004, 2013) “The Welfare State We’re In” p106-109
2 Tooley, J. (2004, 2013) “The Welfare State We’re In” p109
3 Tooley, J. (2004, 2013) “The Welfare State We’re In” p131
5 Triggle, N.
9 Pickering, G.
10 See DiLorenzo, T. J. (2016) “The Problem With Socialism” Chapter 9. p96-97
13 Bartholomew, J. P126
14 Triggle, N. (2017) "10 charts that show why the NHS is in trouble" BBC News, Health
15 See DiLorenzo, T. J. (2016) “The Problem With Socialism” Chapter 9. p101
16 Gunn, C. and Dr Olsson, P. R. (2015) "Wait Till It's Free." Gunn Productions LLC, Waco, Texas. p67
17 Author Unspecified (2015) “Health Spending”, The Institute for Fiscal Studies.