THINKING OUT SIDE THE BOX
07/05/08

Impotent and Knee Deep in Mud

What ever happened to the “can do” attitude in America? We are acting like pathetic children: whining about our problems but seemingly incapable of solving them.

We are the society that tamed the American wilderness, defeated the British, invented an enduring constitutional republic based on individual freedom, a-bolished slavery, built the Panama Canal, won two World Wars, defeated Communism, and led the world to prosperity based on a free-market economic system. We tamed malaria, polio, smallpox, and tuberculosis. We invented ninety percent of the world’s life-changing inventions from the telephone, radio, and light bulb to the airplane, television, copy machine, computer, and Internet. Did I forget to mention that we sent men to the moon?

But several problems plague us year after year after year. They never go away and we seem to be making no progress.

Center stage lately is the “Oil Crisis” or “Energy Crisis,” which has been festering for over thirty years. Other lingering failures are: education, healthcare, and Social Security.

These are not our only problems, but they seem to be the BIG ones and the only ones that just keep going and going like the Energizer Bunny.

Question: What do these problems have in common?

Answer: They are all problems that the GOVERNMENT has created and which the government puts “off-limits” to free-market solutions. The government has sold us a lie: “Only BIG GOVERNMENT can fix these problems. No private solutions allowed!”

What are prohibited, in each case, are all sensible avenues to a solution. The havoc that results from continuing failure becomes fodder for campaign speeches, new programs, increased taxes, and additional government regulations.

I cannot remember a time when America was as stuck on failure as we are today.

Each of these problems has a relatively straight forward solution and can be solved within a decade or less if the government would just stop perpetuating them.

Let’s look at these four problems one at a time:

EDUCATION: There is nothing new-fangled about education. There is no need to invent anything in the classroom. We don’t need a billion dollars for new computers, or new government teacher certification programs, more mandated testing, or readiness programs. And we certainly do not need any new “schools of education” to promote mediocrity in core academic subjects.

The solution is to let parents and students control their own educational dollars. Their goals and our goals are aligned: better educational outcomes. The same cannot be said for the special interests represented by the teachers’ unions, education colleges, and special education providers.

After the parents and students are put in the driver’s seat – via vouchers or “education stamps” – some educational institutions will prosper and expand while others will fail. The vast majority of students will succeed, but a few will not. We live in and want to remain in the real world, not in a make believe world where we foolishly attempt to ensure that “no child is left behind” by merely slowing down the bus.

If liberals don’t want to take advantage of education vouchers, fine. Just give them to intelligent independents and conservatives. Let the liberals figure it out later.

HEALTHCARE: Anyone who is serious about this problem knows the solution. It is not a secret; it is obvious. We have high healthcare costs and poor service because healthcare consumers have no significant motivation to avoid costs and have no way to punish those who provide poor service.

A recent personal story illustrates this. I am one of those rare people that have a high deductible medical insurance policy. Recently, I had a scheduled procedure and was told by my doctor that I could have it done at a local hospital or at a nearby clinic.

Since I would be paying the bill, I ask-ed what the costs were for the various options. He looked at me like I had three heads. He had no idea and had never been asked. I then asked the doctor’s, the hospital’s, and the clinic’s billing departments and my health insurance company’s claims department. Each was dumbfounded and none knew the cost, but they all promised to find out. I won’t bore you with the succeeding dozen or so calls, but I finally found out that the procedure in the hospital would cost me three times what it cost in the clinic. After determining that the quality of service and risks were not measurably different, I chose the clinic. So what do we learn from this? We learn that costs almost never play a role in deciding if or how a procedure is per-form-ed. Most patients pay almost nothing out of pocket, so they never question whether a procedure is worth having done. There is no cost difference if they decide on the more expensive venue … so, why not indulge?

Consumers and providers have little or no motivation to control costs. Any efforts by government bureaucrats to constrain costs are effectively opposed by highly motivated special interests that benefit directly from high prices. So costs continue to sky-rocket.

Similar facts play out in almost all healthcare decisions. Until consumers routinely trade off costs and some combination of quality/efficacy/comfort/convenience, the motivating force for improving healthcare while moderating costs will be missing.

The only way to accomplish this is to move towards Health Savings Accounts (HSAs), coupled with high-deductible insurance for catastrophic medical events. Such a system rewards both healthcare consumers and providers for making sensible healthcare decisions.

RETIREMENT: Social Security is a bad deal for just about everyone except the politicians, who enjoy spending the current Social Security “surpluses” and look forward to raising taxes when the surpluses turn into deficits. Since nobody benefits from the current Ponzi scheme except politicians, they have to scare the old folks every time someone touts private retirement accounts while hoping the younger generations aren’t paying attention.

With the old people frightened and the younger generation listening to their iPods at the beach, the status quo seems safe. Of course, it is those under 40 who should be frightened, not retirees like myself.

Moving from the current system, which immediately spends your withholdings, to a system of private savings accounts with returns averaging 7-10% annually is the only long-term solution. Isn’t this obvious?

Young people have a choice: They can get taxed into poverty while building no assets under the current system as the ratio of retirees to workers approaches 2:1 … OR they can build a nest egg that they will own, that will probably grow into the millions, and that they can pass on to their children when they die.

Older folks also have a choice: Settle on a set of guaranteed benefits now while letting the younger generation save for their retirements … OR risk a revolt by the young that puts all Social Security benefits at risk.

ENERGY CRISIS:  The world is flush with energy resources and the people, capital, and technology needed to harvest, refine, and distribute them affordably. Our current energy shortage and high prices are the result of GOVERNMENT interference in the market. Government can’t fix these problems; it needs to get out of the way.

If you consider uranium, oil, and natural gas within U. S. territories or under our continental shelf, along with coal, shale oil, and tar sands - not to mention the over-rated wind and solar energy sources - we are drowning in energy resources. If we opened the floodgates, oil futures would quickly drop to under $50/barrel.

Couple this increase in energy supplies with demand reductions due to such technologies as plug-in hybrids (using cheap nuclear power for recharging) and we could send the Saudi sheiks back to camel herding.

None of this requires environmental Armageddon. The technologies needed to keep environmental damage in check are well understood. In fact, in many instances eliminating current restrictions on domestic drilling and the building of nuclear power plants will reduce oil spills, carbon emissions, and other environmental hazards. Yes, a few reindeer may become steaks for the construction crews, but SO WHAT?! Would you rather freeze to death some winter as you walk to work?

Do we need change? Yes, we do.

Our biggest problems are a direct result of government programs and regulations championed by liberals that only serve the special interests and consistently fail everyone else.

The change we need is to get the government out of the way and let the needs, aspirations, creativity, and hard work of the American people solve these problems through the miracle of free markets.

Oh, and I’ll have my reindeer steak medium rare! 

Dr. Ormsby is a member of the North  Andover School Committee. He is a graduate of Cornell and has a doctorate from MIT. You can contact Dr. Ormsby via email: cormsby@comcast.net

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