In my writing you see an attempt to point out a vacuum that is sucking profits to the top. This is the result of a perversion of our capitalist system, through the regulatory capture in Washington D.C., that placed tribe ahead of common sense, and power ahead of common sense solutions that would best serve its citizens. Our democratic system is a laboratory of idea’s that has been perverted and is stuck through intentional inaction on the part of our political leaders. We are not willing to challenge the orthodoxy that is entrenched in our systems, and when you fail to adapt in a system the system will eventually fail or be rendered obsolete.
Two idea’s I have come across, seem like they need to be discussed more. The first is the concept of a negative income tax. A negative income tax is a way to provide people below a certain income threshold with money. If you set an income threshold at $40,000 and the negative income tax was 50%, then someone who made $20,000 would receive $10,000 from the government. If you made $35,000, you would get $2,500 from the government (differs from Universal Basic Income where everyone gets a check). In our current system, a welfare recipient is faced with a harsh reality. By working they lose the economic benefits they receive at a greater % then the income they earn, making them worse not better off. A negative income tax would provide people with cash instead of in kind benefits (allowing them to spend on their priorities) and not be subject to an income penalty, as they would always come out ahead with a higher income. As with every policy, the devil is in the details, but something that should get more serious thought. The Earned Income Tax is a version of this, but the captured Congress has been unable to pass an updated version. The Grow American Incomes Now Act is attempting to do so, but more needs to be done.
The Second Idea is “Medicare for All” is actually a common sense job creation approach that would encourage more entrepreneurship. Three things hold back entrepreneurs: (1) Access to Capital with favorable terms for the entrepreneur, (2) Access to high speed internet without data caps, and (3) the ability to cover healthcare costs while launching a new venture. When we talk about the outsourcing of jobs, globalization, and corporate flight from the U.S. we don’t talk about the way our health care system impacts those decisions. I recently read an article on MCS Industries (maker of picture frames, decorative mirrors and kitschy wall decor) a company that has shifted all of its manufacturing jobs to Mexico and China. It employs 175 U.S. employees and 600 people overseas. The CEO, Richard Masters, argued that one of the main drivers of those moves was the increasing cost of health coverage in the U.S. His argument is that decoupling health care from the workplace would benefit entrepreneurship. I believe he has a point. The amount of money spent on administrative costs, the complexity and skills needed to navigate the system, the ever increasing costs of prescriptions, all demonstrate the current system is in some instances directing more capital to the administration of paper, then directing it towards the costs of the actual services and procedures. We resist such idea’s because 156 million Americans are covered by employer based healthcare and large employers use generous health care policies as a carrot to attract employee’s. It also is the result of regulatory capture, tribal warfare, and an anti government nudge that has been telling Americans that the government can’t be trusted. In 2018, Masters formed the Business Initiative for Health Policy, a non profit group of business leaders, economists and health care policy experts trying to explain the financial benefits of such a system. Today he pays many of his employee’s deductibles, and is making the argument that this idea makes economic sense in our ecosystem. If less money went to an employer’s administration of health care costs, could more dollars find their way into an employee’s paycheck? What impact might that have?
So why do we fight it. First, we are told that if we provide “Medicare for All” that we will get 3rd world service and have to wait in long lines. If we are designing the system, and make prudent fiscal policy that makes expedient service a priority, is there room for us to design a system to greatly reduce this concern? In America, we pride ourselves on being the innovators and creators of great human contributions, so why is it that we “fail” to think big when creating policy prescriptions that would allow us to adapt our Capitalist system for the better? We are in an era where the Capitalist system is being perverted and will only continue to become more extreme if we choose inaction. The billionaire is not the enemy, it is how we have allowed the “rules” of the road to be crafted in a way that our Nations “wealth” is not being used to address our societies problems. We can and must design better systems for people and the infrastructure that is its foundation. Are we ready to place common sense ahead of tribe? People on equal footing with profits? Do you want to nurture an abundant capitalist system that values us all? We are at a fork in the road, so what path do you want to choose?