Following are excerpts from New York Times columns by economist and Nobel Laureate Paul Krugman. You may tweet your reaction to him at @NYTimeskrugman.
Well, I know about a health care system that has been highly successful in containing costs, yet provides excellent care. And the story of this system’s success provides a helpful corrective to anti-government ideology. For the government doesn’t just pay the bills in this system — it runs the hospitals and clinics.
No, I’m not talking about some faraway country. The system in question is our very own Veterans Health Administration, whose success story is one of the best-kept secrets in the American policy debate. (Health Care Confidential, January 27, 2006)
“You see, we actually have a real live case of impressive cost control in health care: the VA system.” (Medicare and the VA, May 27, 2009)
What Mr. Romney and everyone else should know is that the V.H.A. is a huge policy success story, which offers important lessons for future health reform.
Many people still have an image of veterans’ health care based on the terrible state of the system two decades ago. Under the Clinton administration, however, the V.H.A. was overhauled, and achieved a remarkable combination of rising quality and successful cost control. Multiple surveys have found the V.H.A. providing better care than most Americans receive, even as the agency has held cost increases well below those facing Medicare and private insurers. Furthermore, the V.H.A. has led the way in cost-saving innovation, especially the use of electronic medical records.
What’s behind this success? Crucially, the V.H.A. is an integrated system, which provides health care as well as paying for it. So it’s free from the perverse incentives created when doctors and hospitals profit from expensive tests and procedures, whether or not those procedures actually make medical sense. And because V.H.A. patients are in it for the long term, the agency has a stronger incentive to invest in prevention than private insurers, many of whose customers move on after a few years. (Vouchers for Veterans, November 13, 2011)
When Wichita city leaders tell us that the budget and spending have been cut to the bone, that everything that can be done to save money has already been done, remember my Friday trips to downtown for lunch.
At 11:20 am on a Friday with the sun brightly accentuating the fluffy clouds, it’s a good thing that only two of the four bench lights are lit. The other two, however, have probably expired from having been switched on all day for the past month.
But to compensate for the loss of those two, it appears the city decided to switch on the nearby overhead street lights.
The lights illustrated in this photograph are, undoubtedly, a small portion of the city’s spending. But you don’t have to look very hard to find waste like this, and we know that small examples of waste are multiplied many times. So when city leaders tell us that there is nowhere left to cut in the budget, that everything that can be done to trim the fat has already been done, and that the only thing we can do is raise taxes — well, think of this photograph and others illustrated in In Wichita, the streetside seating is illuminated very well, In Wichita, the rooftops are well-lit and On a sunny day in downtown Wichita you can see the street lights.
This is not to say that waste like this does not occur in the private sector. Of course it does. But businesses and individuals have a powerful incentive to avoid waste that isn’t present in government: Businesses and people are spending their own money.
In this episode of Voice for Liberty Radio: United States Senator Pat Roberts spoke to the Wichita Pachyderm Club on Friday May 30. He addressed a number of current topics in Washington such as the problems at the Veterans Administration, the Internal Revenue Service, and regulations regarding the lesser prairie chicken. He also spoke about his current campaign for re-election and took questions from the audience. Roberts was introduced to the Pachyderm Club members and guests by Sedgwick County Republican Party Chairman Bob Dool.
On the three major questions — Do economic development incentives create new jobs? Are those jobs taken by targeted populations in targeted places? Are incentives, at worst, only moderately revenue negative? — traditional economic development incentives do not fare well.
Judging the effectiveness of economic development incentives requires looking for the unseen effects as well as what is easily seen. It’s easy to see the groundbreaking and ribbon cutting ceremonies that commemorate government intervention — politicians and bureaucrats are drawn to them, and will spend taxpayer funds to make sure you’re aware. It’s more difficult to see that the harm that government intervention causes.
That’s assuming that the incentives even work as advertised in the first place. Alan Peters and Peter Fisher, in their paper titled The Failures of Economic Development Incentives published in Journal of the American Planning Association, wrote on the effects of incentives. A few quotes from the study, with emphasis added:
Given the weak effects of incentives on the location choices of businesses at the interstate level, state governments and their local governments in the aggregate probably lose far more revenue, by cutting taxes to firms that would have located in that state anyway than they gain from the few firms induced to change location.
On the three major questions — Do economic development incentives create new jobs? Are those jobs taken by targeted populations in targeted places? Are incentives, at worst, only moderately revenue negative? — traditional economic development incentives do not fare well. It is possible that incentives do induce significant new growth, that the beneficiaries of that growth are mainly those who have greatest difficulty in the labor market, and that both states and local governments benefit fiscally from that growth. But after decades of policy experimentation and literally hundreds of scholarly studies, none of these claims is clearly substantiated. Indeed, as we have argued in this article, there is a good chance that all of these claims are false.
The most fundamental problem is that many public officials appear to believe that they can influence the course of their state or local economies through incentives and subsidies to a degree far beyond anything supported by even the most optimistic evidence. We need to begin by lowering their expectations about their ability to micromanage economic growth and making the case for a more sensible view of the role of government — providing the foundations for growth through sound fiscal practices, quality public infrastructure, and good education systems — and then letting the economy take care of itself.
With term limits in place, Congress will be more responsible toward their constituents because they will soon be constituents themselves. They will have to live under the laws they have created while in office.
Members of Congress will have less time in office to develop financially beneficial commitments to lobbyists and other special interest groups, thereby undermining the threat of lobbyists being a primary influence on legislation.
Since the time of the Founding Fathers, a general consensus states that people, when given power, will eventually be corrupted by it. If Congress has term limits in place, their power will also be limited. Candidates will be more likely to run for the purpose of serving the people, and they would have to leave office before corruption dominates their decisions.
Congress is heavily entrenched in partisan politics, resulting in gridlock when trying to pass any legislation. If term limits were enacted, toeing the party line would be less important, as the need for re-election and holding onto party seats would no longer be the driving force behind most legislative decisions. Congress would have an easier time passing the legislation that would make a positive difference for the nation.
Money is a major factor in who will win an election. Incumbents have the benefit of the profits they made while in power — plus the backing of their party, contributing organizations and special interests — to get re-elected. However, these wealthy incumbents are often not the best person for the job, as they are so far-removed from the daily realities of the American people. A middle class person who better understands the problems facing the average citizen is highly unlikely to get elected over a wealthy incumbent. Term limits will help to eliminate the shady, profitable relationships between members of Congress and special interest groups, and therefore reduce the wealth gap between candidates. In turn, more qualified people will have a real opportunity to win elections.
Within Congress, most legislation is written by a committee that handles a specific duty or topic. Committee appointments can be very prized positions for the power, influence and financial backing that can be attained. These positions are often assigned based on political favors and a willingness to support causes or projects. Therefore, career politicians who have formed the most self-serving relationships can often be given the most power in Congress. Term limits would work to stop this cycle of political reward and power abuse. Committee assignments would be determined by merit and expertise, resulting in fair and informed decisions.
The arguments against term limits
Career politicians should be valued for their experience. If we regularly fill a Congressional office with a newcomer, we will lose the valuable experience on-the-job that person can offer in government.
On occasion, there may be a member of Congress that has fought for his constituents and resisted the corrupt system of power abuse that is considered normal on Capitol Hill. The Founding Fathers discussed the need for a “rotation of office.” When one’s terms are up in one office, that politician can run for another office (such as a member of the House running for Senator, Governor, etc.) and put their experience to use in other helpful ways.
The notion that only one person — the incumbent — can do the job well is absurd. Problematically, we continue to elect the incumbent because of name recognition and party affiliation rather than a proven track record. Realistically, there is usually someone just as qualified to take over the incumbent’s office.
Term limits are not necessary because members of Congress must be regularly re-elected. If they are not doing a good job in office, we can simply vote for someone else.
While this would happen in an ideal world, historically the incumbent is re-elected 90% of the time. The playing field is simply not level between incumbents and challenging candidates because of the ability to raise money. In 2010, the average incumbent in the House raised around $1.4 million, while the challengers averaged $166,000. In the same year, Senate incumbents averaged $9.4 million for each campaign, while challengers raised $519,000. With that incredible discrepancy, it is no surprise that the incumbent usually prevails. If a member of Congress is limited to one or two terms, the party itself and other major donors would not invest nearly as much in an incumbent, giving challengers a better chance of winning the race.
Term limits would give more power to bureaucrats and lobbyists.
This argument is based in the notion that incoming legislators will be entirely unqualified for their jobs and will be easily led astray by staff, bureaucrats, special interests, etc. The way the system works today suggests that the real problem is in longevity of office and the complacency that can come along with it. For instance, lobbyists invest heavily in long-term relationships with sitting legislators. Congress members currently shirk many responsibilities by delegating them to bureaucratic agencies.
Term limits have the potential to greatly reduce these problems. When more Congressional races are won by challengers from outside the Beltway, this change is likely to bring new staffers with new ideas into Washington, rather than recycling the same old corrupt insiders.
Term limits are unconstitutional.
Clearly this is not the case, as the President of the United States is limited to two terms because of a Constitutional Amendment. A 28th Amendment would be necessary to impose term limits for Congress, and that is precisely what we are seeking. Since Congress will not willingly do so on their own, it is imperative that Americans make their voice heard on this issue.
In this episode of WichitaLiberty.TV: Uber is an innovative transportation service, but is probably illegal in Wichita. Then, the City of Wichita fails again at basic government transparency. Finally, a look at job growth in Wichita compared to other cities. Episode 45, broadcast June 1, 2014. View below, or click here to view at YouTube.
From the office of United States Representative Mike Pompeo, an example of Rep. Pompeo opposing corporate and business welfare that benefits a few parties at detriment to the rest of the economy. Video of Pompeo speaking on the floor of the House on this matter is here, or below.
Congressman Mike Pompeo, R-Kansas, offered an amendment to H.R. 4660, the Commerce, Justice, Science, and Related Agencies Appropriations Act for Fiscal Year 2015, to eliminate the Economic Development Administration (or the “Earmark Distribution Agency”). The amendment would send EDA’s total funding — $247 million in FY 2015 — to the Deficit Reduction Account, saving up to $2.5 billion over 10 years based on current levels.
“We need to solve America’s debt crisis before it is too late, and that means reducing wasteful spending, no matter the agency or branch of government,” said Rep. Pompeo. “The EDA should be called the ‘Earmark Distribution Agency,’ as it continues to spend taxpayer dollars on local pet projects in a way similar to congressional earmarks — which have already been banned by the House.” Examples of the “Earmark Distribution Agency” spending taxpayer dollars wastefully:
In 2008, the EDA provided $2,000,000 to begin construction of the UNLV Harry Reid Research and Technology Park in Las Vegas, NV. Currently the UNLV Harry Reid Research & Technology Park features a paved road and a website claiming the first anticipated tenant would move in in 2010. (There’s nothing there.)
In 2010, $25,000,000 was spent by the EDA for a Global Climate Mitigation Incentive Fund and $2,000,000 for a “culinary amphitheater,” wine tasting room and gift shop in Washington State.
In 2011, the EDA gave a New Mexico town $1,500,000 to renovate a theater.
In 2013, the EDA also gave Massachusetts $1.4 million to promote new video games.
Back in the 1980s, the EDA used taxpayer dollars to build replicas of the Great Wall of China and the Egyptian Pyramids in the middle of Indiana. They were never completed—it is now a dumping ground for tires.
Rep. Pompeo concluded: “EDA has for too long been the dumping ground for taxpayer money. The road to America’s return to fiscal sanity starts with abolishing this agency.
When candidate for United States Senator from Kansas Milton Wolf posted medical images that some thought were unethical, the establishment political class was worked up over this perceived indiscretion.
Example from a Senator Pat Roberts campaign website. I’ve obscured the portions that Roberts says are offensive. The website shows the original image.Now the initial hubbub has died down. Except, on a website produced by the Pat Roberts campaign. Not only produced, but promoted so that when you Google “milton wolf” you’ll be presented with a paid advertisement directing your attention to this site. That site prominently features and takes delight in presenting these perceived indiscretions for which Dr. Wolf has accepted responsibility for and apologized.
But there are a few questions that Kansas voters should ask of the senator and his campaign, such as:
Example from a Senator Pat Roberts campaign website. I’ve obscured the portions that Roberts says are offensive. The website shows the original.Senator Roberts, if it’s true that what Dr. Wolf posted was out-of-bounds or unethical, why is it acceptable for your campaign to post the same images and words for political gain? In my illustrations I’ve pixelated the images that you contend are unethical. But why do you post the original images?
Also: Why was it allowable for the Topeka Capital-Journal to post the images and quotes, if, as is contended, their use outside the doctor-patient relationship is unethical?
The website with the purportedly offensive images is a product of the Senator Pat Roberts campaign.And: Senator Roberts, if their use is unethical, as your campaign contends, why does your campaign continuously call attention to them? Why does your campaign pay for advertising to promote their visibility?
Discussions of Wichita’s deteriorating infrastructure and economy should lead us to ask: Who has been in charge, and is this all we can do?
Recently the City of Wichita decided to use a new method to measure the condition of city streets. The new method is Remaining Service Life (RSL). It’s a measure of the condition of city streets. The city has also used a Pavement Condition index.
A recent white paper from the city held this analysis of the city’s streets and their future condition:
The model demonstrated that, with the current level of $8 million in annual funding, the City’s street network would decline in value from the current $444.9 million to $79.6 million over the 40-year period. In addition, the current RSL value of 42,213 lane mile years would fall to 5,524 lane mile years. In other words, the continuation of past strategies with the current level of funding would result in a deterioration of the Wichita street infrastructure in the long term. However, over the same 40-year period, utilizing new strategies, the current level of funding would result in streets in basically the same condition as today, with the Network Service Value increasing by $14 million (to $458.3 million) and the RSL slightly higher at 42,898.
Wichita Pavement Condition Index, from the city’s 2012 Performance Measure ReportThe takeaway from this passage is that the city has not been maintaining its streets adequately. The city’s analysis finds that at current funding levels, the overall condition of Wichita’s streets will continue to decline. This message is not new. As you can see in this chart from the city, the Pavement Condition Index has been deteriorating, and as of its publication in the 2012 Performance Measures Report was projected to continue to decline. The black line running horizontally near the top of the chart is the city’s benchmark as to where it would like the pavement condition index to be.
In its explanation, the Performance Measure Report says “Because many streets in residential areas have deteriorated significantly, an increased investment in street maintenance will be necessary to raise Wichita’s street condition to the benchmark.” This represents future spending that will be required in order to correct the city’s lack of care for its capital assets.
Political leadership and long-term thinking
On these and other issues, the Wichita Eagle recently quoted Wichita Mayor Carl Brewer: “We’ve put them off for too long. We didn’t want the challenges. We didn’t want the tax bills. But now, to maintain our quality of life, we’ve got to catch up.”
It’s often said that business is interested only in short term results. Driven by the pressures of profit, business firms can’t invest for the long term. Investments and decisions involving a long time horizon, it is contended, must be left to government.
But here we see the city failing to maintain the assets we need to survive. Instead of proactively managing its assets, we have Wichita’s mayor telling us that we have to raise taxes to “catch up” with what we haven’t been doing. That is lack of long-term thinking and decision making.
When discussing the deteriorating condition of city assets or the city’s poor economy, Mayor Carl Brewer speaks as though he was a bystander. But he’s been mayor for over seven years, and was on the city council before that time. During that time, he and other city leaders have boasted of not increasing property taxes. While the property tax rate has been stable (in fact it has risen slightly), property tax revenue has increased due to development of new property and rising assessment values. Even with this rising revenue, the city has a huge backlog of deferred maintenance. The way to interpret this is that the city has really been engaging in deficit spending under Brewer’s leadership. The city didn’t spend what was needed to maintain its assets — assets like streets, water, and sewer infrastructure — and now the mayor tells us we need to increase taxes and spending to make up for this.
The economist Milton Friedman told us that it’s more important to look at government spending rather than the level of taxation. That’s because spending must eventually be paid for, either through current taxes or future taxation. The federal government generate deficits and can pay for spending through creating inflation. Fortunately, cities and states can’t do that.
But as we’ve seen, cities like Wichita can incur costs without paying for them. This is a form of deficit spending. By deferring maintenance of our infrastructure, the city has pushed spending to future years. The magnitude of this deferred spending is huge.
This form of deficit spending is “off the books” and doesn’t appear in city financial statements. But it’s real, as the mayor now admits.
Everything that can be done, has been done
City leaders often tell us that budgets have been cut, services have been pared, salaries have been frozen, and there’s nothing more the city can do except to raise taxes.
But now and then, the city lets us know that there are alternatives. From the recent white paper: “Using the new model, street maintenance will be done more efficiently, matching treatment options to streets in the most efficient manner possible.”
Can we conclude that everything that can be done has been done, except operating more efficiently?