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| ===Market-driven medical welfare state=== | ===Market-driven medical welfare state=== | ||
| {{Main articles|Welfare state|Market economy|Anti-competitive practices|Freedom of contract}} | {{Main articles|Welfare state|Market economy|Anti-competitive practices|Freedom of contract}} | ||
| Insurance companies that are regulated to accept all customers or patients within the state-regulated public basic insurance policy, which requires ] treatment of all customers or patients and reimbursement of all health care treatment prescribed by a gatekeeper medical doctor, covered by the policy and charged to a patient. This basic health care insurance policy |
Insurance companies that are regulated to accept all customers or patients within the state-regulated public basic insurance policy, which requires ] treatment of all customers or patients and reimbursement of all health care treatment prescribed by a gatekeeper medical doctor, covered by the policy and charged to a patient. This basic health care insurance policy often is obligatory for all residents in a country. While this system allows for a broad private enterprise market of health care services offered only to public basic insured patients with prescriptions from a gatekeeper. It may be referred to as a form of ]. This system has the side-effect of the driving out of health care offered to patient seeking individually contracted medical services without gatekeeper doctors prescription. It therefore eliminates the ] in health care. It effectively puts all residents on a market-driven medical ] program. A problem with this medical system is that the quality of it's goods and services cannot be independently verified by freely contracting, and therefore the people have to rely on this medical system to verify the quality of it's own services. | ||
| An example of the market-driven medical welfare state is the public healthcare system in the Netherlands, where these insurance companies receive, from tax revenue, an additional leverage sum with respect to the premium of about a factor 9. This policy is known to be very effective at eliminating waiting lines in health care. ] | |||
| Related adversities: | |||
| * While this system allows for a broad private enterprise market of health care services offered only to public basic insurance policy prescribed patients, it has as a side-effect the driving out of health care offered to patient seeking individually contracted medical services without gatekeeper doctors prescription. It therefore eliminates the ] in health care. | |||
| Hence, the market-driven medical welfare state is a form of '''economically totalitarian welfare-state capitalism'''<ref name="milton">{{cite book |first=Milton |last=Friedman |author-link=Milton Friedman |title=Capitalism and Freedom |year=1962 |isbn=0-226-26421-1 |page=17}}</ref><ref name="mises">{{cite book |first=Ludwig |last=Von Mises |author-link=Ludwig von Mises |title=Planning for Freedom |year=1952 |page=1}}</ref><ref name="berg">{{cite book |first=Andreas |last=Bergh |title=Sweden and the Revival of the Capitalist Welfare State|year=2014}}</ref>, in the sense that there is ] free-market but no patient contracting free-market. The public medical insurance policy becomes a ] of private-enterprise public insurance companies and medical goods and services companies which results in an effective ] of these medical goods and services, similar to the ] banking system. This system can also be characterized as ], in the sense that it distributes medical goods and services to the patients in a Marxist ] way, instead of using the classical Marxist state ownership of all means production for medical goods and services. Note that Marxist egalitarianism can, in reality, be of the middle-stage or end-stage type depending whether distribution happens according to contribution or necessity. Formally the gatekeeper general practitioners will determine the necessity of treatment and diagnostic health care. | |||
| ⚫ | |||
| ⚫ | The income of people working in the market-driven welfare state consisting of the public health care policy basic insurance, the corresponding insurance companies and the public health care service providers like public hospitals, private clinics and practices, which is based on mandatory premiums and state tax revenue contribution, does no longer directly depend on the forces of ], this works out particularly bad in country wide medical emergency situations, where the ] of the medical welfare-state workers does not ultimately depend on servicing the patient customers. A principle that is firmly secured by Adam Smith's ] serving the ]. | ||
| ==See also== | ==See also== | ||
Revision as of 16:43, 25 September 2022
Economic policy position favouring government intervention in the market process This redirect is about government intervention in markets and market economies. For an alternative to markets as an allocative mechanism, see Economic planning.
Economic interventionism, sometimes also called state interventionism, is an economic policy position favouring government intervention in the market process with the intention of correcting market failures and promoting the general welfare of the people. An economic intervention is an action taken by a government or international institution in a market economy in an effort to impact the economy beyond the basic regulation of fraud, enforcement of contracts, and provision of public goods and services. Economic intervention can be aimed at a variety of political or economic objectives, such as promoting economic growth, increasing employment, raising wages, raising or reducing prices, promoting income equality, managing the money supply and interest rates, increasing profits, or addressing market failures.
The term intervention is typically used by advocates of laissez-faire and free market capitalism, and assumes that, on a philosophical level, the state and economy should be inherently separated from each other and that government action is inherently exogenous to the economy. The terminology applies to capitalist market-based economies where government actions interrupt the market forces at play through regulations, subsidies, and price controls; state-owned enterprises that operate as market entities do not constitute an intervention. Capitalist market economies that feature high degrees of state intervention are often referred to as a type of mixed economy.
Political perspectives
Liberals and other advocates of free market or laissez-faire economics generally view government interventions as harmful due to the law of unintended consequences, belief in government's inability to effectively manage economic concerns and other considerations. However, modern liberals (in the United States) and contemporary social democrats (in Europe) are inclined to support interventionism, seeing state economic interventions as an important means of promoting greater income equality and social welfare. Furthermore, many center-right groups such as Gaullists, paternalistic conservatives and Christian democrats also support state economic interventionism to promote social order and stability. National-conservatives also frequently support economic interventionism as a means of protecting the power and wealth of a country or its people, particularly via advantages granted to industries seen as nationally vital. Such government interventions are usually undertaken when potential benefits outweigh the external costs.
On the other hand, Marxists often feel that interventions in the form of social welfare policies might interfere with the goal of replacing capitalism with socialism because a developed welfare state makes capitalism more tolerable to the average worker, thereby perpetuating the continued existence of capitalism to society's detriment. Socialists often criticize interventionism (as supported by social democrats and social liberals) as being untenable and liable to cause more economic distortion in the long-run. While interventions might solve single issues in the short term, they cause distortions and hamper the efficiency of the capitalist economy. From this perspective, any attempt to patch up capitalism's contradictions would lead to distortions in the economy elsewhere, with the only lasting solution being the replacement of capitalism with a socialist economy.
Effects
The effects of government economic interventionism are widely disputed.
Regulatory authorities do not consistently close markets, yet as seen in economic liberalization efforts by states and various institutions (International Monetary Fund and World Bank) in Latin America, "financial liberalization and privatization coincided with democratization". One study suggests that after the lost decade an increasing "diffusion of regulatory authorities" emerged and these actors engaged in restructuring the economies within Latin America. Through the 1980s, Latin America had undergone a debt crisis and hyperinflation (during 1989 and 1990). These international stakeholders restricted the state's economic leverage and bound it in contract to co-operate. After multiple projects and years of failed attempts for the Argentine state to comply, the renewal and intervention seemed stalled. Two key intervention factors that instigated economic progress in Argentina were substantially increasing privatization and the establishment of a currency board. This exemplifies global institutions, including the International Monetary Fund and the World Bank, to instigate and propagate openness to increase foreign investments and economic development within places, including Latin America.
In Western countries, government officials theoretically weigh the cost benefit for an intervention for the population or they succumb beneath coercion by a third private party and must take action. Intervention for economic development is also at the discretion and self-interest of the stake holders, the multifarious interpretations of progress and development theory. To illustrate this, the government and international institutions did not prop up Lehman Brothers during the financial crisis of 2007–2008, therefore allowing the company to file bankruptcy. Days later, when American International Group waned towards collapsing, the state spent public money to keep it from falling. These corporations have interconnected interests with the state, therefore their incentive is to influence the government to designate regulatory policies that will not inhibit their accumulation of assets. In Japan, Abenomics is a form of intervention with respect to Prime Minister Shinzō Abe's desire to restore the country's former glory in the midst of a globalized economy.
United States government interventions
President Richard Nixon signed amendments to the Clean Air Act in 1970 that expanded it to mandate state and federal regulation of both automobiles and industry. It was further amended in 1977 and 1990. One of the first modern environmental protection laws enacted in the United States was the National Environmental Policy Act of 1969 (NEPA), which requires the government to consider the impact of its actions or policies on the environment. NEPA remains one of the most commonly used environmental laws in the nation. In addition to NEPA, there are numerous pollution-control statutes that apply to such specific environmental media as air and water. The best known of these laws are the Clean Air Act (CAA), Clean Water Act (CWA), and the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) commonly referred to as Superfund. Among the many other important pollution control laws are the Resource Conservation and Recovery Act (RCRA), Toxic Substances Control Act (TSCA), Oil Pollution Prevention Act (OPP), Emergency Planning and Community Right-to-Know Act (EPCRA), and the Pollution Prevention Act (PPA). United States pollution control statutes tend to be numerous and diverse and many of the environmental statutes passed by Congress are aimed at pollution prevention. However, they often need to be expanded and updated before their impact is fully realized. Pollution-control laws are generally too broad to be managed by existing legal bodies, so Congress must find or create an agency for each that will be able to implement the mandated mission effectively.
During World War I, the United States government intervention mandated that the manufacturing of cars be replaced with machinery to successfully fight the war. Government intervention could be used to break the United States dependence on oil by mandating American automakers to produce electric cars such as the Chevrolet Volt. Michigan Governor Jennifer Granholm said: "We need help from Congress", namely renewing the clean energy manufacturing tax credit and the tax incentives that make plug-ins cheaper to buy for consumers. It is possible that government mandated carbon taxes could be used to improve technology and make cars like the Volt more affordable to consumers. However, current bills suggest carbon prices would only add a few cents to the price of gasoline, which has negligible effects compared to what is needed to change fuel consumption. Washington is beginning to invest in car manufacturing industry by partially providing $6 billion in battery-related public and private investments since 2008 and the White House has taken credit for putting a down payment on the American battery industry that may reduce battery prices in the coming years. Currently, opponents believe that the carbon dioxide emissions tax the United States government introduced on new cars is unfair on consumers and looks like a revenue-raising fiscal intervention instead of limiting harm caused to the environment. A national fuel tax means everyone will pay the tax and the amount of tax each individual or company pays will be proportional to the emissions they generate. The more they drive, the more that they would need to pay. While this tax is supported by the motor manufacturers, stipulations confirmed by the National Treasury state that minibuses and midibuses will receive a special exclusion from the emissions tax on cars and light commercial vehicles which went into effect on 1 September 2010. This exclusion is because these taxi vehicles are used for public transport, which opponents of the tax disagree with.
During George W. Bush’s 2000 campaign, he promised to commit $2 billion over ten years to advance clean coal technology through research and development initiatives. According to Bush supporters, he fulfilled that promise in his fiscal year 2008 budget request, allocating $426 million for the Clean Coal Technology Program. During his administration, Congress passed the Energy Policy Act of 2005, funding research into carbon-capture technology to remove and bury the carbon in coal after it is burned. The coal industry received $9 billion in subsidies under the act as part of an initiative supposedly to reduce American dependence on foreign oil and reduce carbon emissions. This included $6.2 billion for new power plants, $1.1 billion in tax breaks to install pollution-control technology and another $1.1 billion to make coal a cost efficient fuel. The act also allowed redefinitions of coal processing, such as spraying on diesel or starch, to qualify them as "non-traditional", allowing coal producers to avoid paying $1.3 billion in taxes per year.
The Waxman-Markey bill, also called the American Clean Energy and Security Act, passed by the House Energy and Commerce Committee in 2010, targets dramatic CO2 reductions after 2020, when the price of the permits would rise to further limit consumers' demand for CO2-intensive goods and services. The legislation is targeting 83 percent reduction in CO2 emissions from 2005 levels in the year 2050. A study by the Environmental Protection Agency estimates that the price of the permit would rise from about $20 a ton in 2020 to more than $75 a ton in 2050.
The Office of Management and Budget (OMB) shows that federal subsidies for coal in the United States were planned to be reduced significantly between 2011 and 2020, provided the budget passed through Congress and reduces four coal tax preferences, namely Expensing of Exploration and Development Costs, Percent Depletion for Hard Mineral Fossil Fuels, Royalty Taxation and Domestic Manufacturing Deduction for Hard Mineral Fossil Fuels. The fiscal 2011 budget proposed by the Obama administration would cut approximately $2.3 billion in coal subsidies during the next decade.
Forms of regulation and state-intervention
Market-driven medical welfare state
Main articles: Welfare state, Market economy, Anti-competitive practices, and Freedom of contractInsurance companies that are regulated to accept all customers or patients within the state-regulated public basic insurance policy, which requires egalitarian treatment of all customers or patients and reimbursement of all health care treatment prescribed by a gatekeeper medical doctor, covered by the policy and charged to a patient. This basic health care insurance policy often is obligatory for all residents in a country. While this system allows for a broad private enterprise market of health care services offered only to public basic insured patients with prescriptions from a gatekeeper. It may be referred to as a form of Rhenish capitalism. This system has the side-effect of the driving out of health care offered to patient seeking individually contracted medical services without gatekeeper doctors prescription. It therefore eliminates the market economy in health care. It effectively puts all residents on a market-driven medical welfare program. A problem with this medical system is that the quality of it's goods and services cannot be independently verified by freely contracting, and therefore the people have to rely on this medical system to verify the quality of it's own services.
An example of the market-driven medical welfare state is the public healthcare system in the Netherlands, where these insurance companies receive, from tax revenue, an additional leverage sum with respect to the premium of about a factor 9. This policy is known to be very effective at eliminating waiting lines in health care. Zvw-algemeen: Hoe werkt de Zorgverzekeringswet? – Verzekerde zorg – Zorginstituut Nederland Zorgverzekering (Nederland)
Hence, the market-driven medical welfare state is a form of economically totalitarian welfare-state capitalism, in the sense that there is private enterprise free-market but no patient contracting free-market. The public medical insurance policy becomes a compulsory cartel of private-enterprise public insurance companies and medical goods and services companies which results in an effective government-granted monopoly of these medical goods and services, similar to the fiat money banking system. This system can also be characterized as Critical Marxism, in the sense that it distributes medical goods and services to the patients in a Marxist egalitarian way, instead of using the classical Marxist state ownership of all means production for medical goods and services. Note that Marxist egalitarianism can, in reality, be of the middle-stage or end-stage type depending whether distribution happens according to contribution or necessity. Formally the gatekeeper general practitioners will determine the necessity of treatment and diagnostic health care.
The income of people working in the market-driven welfare state consisting of the public health care policy basic insurance, the corresponding insurance companies and the public health care service providers like public hospitals, private clinics and practices, which is based on mandatory premiums and state tax revenue contribution, does no longer directly depend on the forces of supply and demand, this works out particularly bad in country wide medical emergency situations, where the self-preservation of the medical welfare-state workers does not ultimately depend on servicing the patient customers. A principle that is firmly secured by Adam Smith's invisible hand serving the common good.
See also
- American School (economics)
- Austrian School
- Crowding out
- Deficit spending
- Developmentalism
- Dirigisme
- Indicative planning
- Keynesian economics
- Monetary policy
- National debt of the United States
- Regulatory economics
- Rent-seeking
- Sales tax
References
- ^ Karagiannis, Nikolaos (2001). "Key Economic and Politico-Institutional Elements of Modern Interventionism". Social and Economic Studies. 50 (3/4): 17–47 . JSTOR 27865245.
- ^ von Mises, Ludwig (1998). Interventionism: An Economic Analysis (PDF). New York: The Foundation for Economic Education. pp. 10–12.
- ^ Brown, Douglas (2011). Towards a Radical Democracy (Routledge Revivals): The Political Economy of the Budapest School. Routledge. pp. 10–11. ISBN 978-0415608794.
The political definition refers to the degree of state intervention in what is basically a capitalist market economy. Thus this definition 'portray the phenomenon in terms of state encroaching upon market and thereby suggest that market is the natural or preferable mechanism.
- Lu, Catherine. "Intervention". Encyclopedia of Political Theory. Sage. Retrieved 5 February 2012.
- ^ Pierson, Chris (1999). Gamble; et al. (eds.). Marxism and Social Science. Urbana and Chicago: University of Illinois Press. pp. 176–77. CiteSeerX 10.1.1.397.5282.
- Schweickart, David (2006). "Democratic Socialism" Archived 2012-06-17 at the Wayback Machine. Encyclopedia of Activism and Social Justice. "Social democrats supported and tried to strengthen the basic institutions of the welfare state – pensions for all, public health care, public education, unemployment insurance. They supported and tried to strengthen the labor movement. The latter, as socialists, argued that capitalism could never be sufficiently humanized, and that trying to suppress the economic contradictions in one area would only see them emerge in a different guise elsewhere. (E.g., if you push unemployment too low, you'll get inflation; if job security is too strong, labor discipline breaks down; etc.)"
- Jordana, Jacint; David Levi-Faur (Mar 2005). "The Diffusion of Regulatory Capitalism in Latin America: Sectoral and National Channels in the Making of a New Order". Annals of the American Academy of Political and Social Science. 598 (The Rise of Regulatory Capitalism: The Global Diffusion of a new Order): 102–24. doi:10.1177/0002716204272587. JSTOR 25046082. S2CID 154487130.
- ^ de Beaufort Wijnholds, J. Onno. "The Argentine Drama: A View from the IMF Board" (PDF). The Crisis That Was Not Prevented: Argentina, the IMF, and Globalisation. FONDAD. Retrieved 2 February 2012.
- ^ Lanchester, John (November 5, 2009). "Bankocracy". London Review of Books. 31 (21).
- del Rosario, King (15 August 2013). "Abenomics and the Generic Threat". Archived from the original on 9 November 2013.
- "40th Anniversary of the Clean Air Act". Environmental Protection Agency. 22 January 2011. Retrieved 8 July 2012.
- ^ "Laws and Regulations, United States". Pollution Issues. Retrieved 8 July 2012.
- ^ "Electric Carmakers Focus on Incentives, Not Carbon Prices". Carbon Offsets Daily. 3 August 2010. Retrieved July 8, 2012.
- ^ "State puts cart before horse on vehicle carbon tax". Carbon Offsets Daily. 13 August 2010. Retrieved 8 July 2012.
- ^ "U.S. Coal Facts". The Indypendent. 7 June 2007. Retrieved July 8, 2012.
- "WRI Summary of H.R. 2454, the American Clean Energy and Security Act (Waxman-Markey)". World Resources Institute. 31 July 2009. Retrieved 21 March 2019.
- "US 2011 budget may cut coal subsidies". Bury Coal. 3 March 2010. Retrieved 8 July 2012.
- (February 2, 2010). "Obama budget would cut coal subsidies". McClatchy. 2 February 2010. Retrieved 8 July 2012.
- Friedman, Milton (1962). Capitalism and Freedom. p. 17. ISBN 0-226-26421-1.
- Von Mises, Ludwig (1952). Planning for Freedom. p. 1.
- Bergh, Andreas (2014). Sweden and the Revival of the Capitalist Welfare State.
Further reading
- Ikeda, Simon (2008). "Interventionism". In Hamowy, Ronald (ed.). The Encyclopedia of Libertarianism. Thousand Oaks, CA: Sage; Cato Institute. pp. 253–256. doi:10.4135/9781412965811.n154. ISBN 978-1412965804. LCCN 2008009151. OCLC 750831024.