Beat the Press

Beat the press por Dean Baker

Beat the Press is Dean Baker's commentary on economic reporting. He is a Senior Economist at the Center for Economic and Policy Research (CEPR). To never miss a post, subscribe to a weekly email roundup of Beat the Press. Please also consider supporting the blog on Patreon.

Polls always show that many people, especially young people, don’t expect to see their Social Security benefits. I have been writing on this stuff long enough that many of the same young people who told me 30 years ago that they would never see their benefits, are now collecting Social Security.

The idea that Social Security is about to disappear is basically a flat earth-type lie. There is no economic reason that we can’t pay benefits into the indefinite future, as long as we don’t face some sort of economic collapse from something like nuclear war or a climate disaster.

As the program is now structured, it is projected to face a shortfall beginning in 2035. After that point, if the law is never changed, it can still pay over 80 percent of scheduled benefits.

To be clear, it would be a very bad story if retirees were forced to take a 20 percent cut in benefits. But 80 percent is far more than zero, so the idea that people will receive no benefits after 2035 would require that Congress actually take action to terminate the program. In an electorate that will have an even larger share of retirees than we have today, that seems pretty hard to imagine.

In fact, it is difficult to imagine elected representatives in 2035 even going along with a 20 percent cut in benefits. While there will undoubtedly be considerable political wrangling over the structure of the program going forward, it seems unlikely that the bulk of the shortfall will be made up on the benefit side. There could be some benefit cuts, but these would likely be relatively minor. Most people would continue to see the bulk of their scheduled benefits.

Given this reality, it was incredibly irresponsible of the New York Times to begin a major piece on retirement income by profiling a worker who says that they don’t expect to see their Social Security benefits. The piece begins:

“Jen Forbus turned 50 this year. She is in good health and says her life has only gotten better as she has grown older. Forbus resides in Lorain, Ohio, not far from Cleveland; she is single and has no children, but her parents and sisters are nearby. She works, remotely, as an editorial supervisor for an educational publishing company, a job that she loves. She is on track to pay off her mortgage in the next 10 years, and having recently made her last car payment, she is otherwise debt-free. By almost any measure, Forbus is middle class.”

It then tells us that she wants to retire at age 65. She currently has $200,000 in savings. Between her own contribution and her employer’s she puts 14 percent of her pay into a retirement account each year.

Then it reports:

“Forbus figures that she can retire comfortably on around $1 million, although if her house is paid off, she might be able to get by with a bit less. She is not factoring Social Security benefits into her calculations. ‘I feel like it’s too uncertain and not something I can depend on,’ she says.”

Given the economic and political realities around Social Security, it is absurd that Ms. Forbus, or anyone else, would make their plans for retirement based on the assumption that the program does not exist. In her case, her benefits are likely to make up a very substantial portion of her retirement income.

The piece tells that she earns a high five-figure income. Let’s assume that comes to $80,000 a year. In that case, if she retires in 15 years at age 65, she can expect benefits of roughly $39,200 a year (in today’s dollars). This would come to more than half of her current wage income (net of payroll taxes) of $73,900.

Even if Congress never did anything to shore up Social Security’s finances, and let benefits be cut by 20 percent, Ms. Forbus would still be getting $31,400 from the program, more than 42 percent of her current income net of payroll taxes. Based on the fact that she already has $200,000 in savings, is adding 14 percent of her salary each year, and will have a paid off mortgage, she should be able to look forward to a very comfortable retirement.

In short, if Ms. Forbus has fears about her retirement security, it is due to her having been misled about the health of Social Security. For this reason, it is unfortunate that the NYT piece chose to use her as the basis for a major piece on retirement income.

The reality is that most moderate and even middle-income workers are not anywhere near as well-prepared for retirement as Ms. Forbus. Many workers have accumulated little or nothing in the way of retirement savings, even as they are well into middle age. These workers have been failed by the current system of 401(k)s, since they will be dependent almost entirely on Social Security in their retirement. By contrast, Ms. Forbus is doing just fine, she just needs someone to tell her the truth about Social Security.

Polls always show that many people, especially young people, don’t expect to see their Social Security benefits. I have been writing on this stuff long enough that many of the same young people who told me 30 years ago that they would never see their benefits, are now collecting Social Security.

The idea that Social Security is about to disappear is basically a flat earth-type lie. There is no economic reason that we can’t pay benefits into the indefinite future, as long as we don’t face some sort of economic collapse from something like nuclear war or a climate disaster.

As the program is now structured, it is projected to face a shortfall beginning in 2035. After that point, if the law is never changed, it can still pay over 80 percent of scheduled benefits.

To be clear, it would be a very bad story if retirees were forced to take a 20 percent cut in benefits. But 80 percent is far more than zero, so the idea that people will receive no benefits after 2035 would require that Congress actually take action to terminate the program. In an electorate that will have an even larger share of retirees than we have today, that seems pretty hard to imagine.

In fact, it is difficult to imagine elected representatives in 2035 even going along with a 20 percent cut in benefits. While there will undoubtedly be considerable political wrangling over the structure of the program going forward, it seems unlikely that the bulk of the shortfall will be made up on the benefit side. There could be some benefit cuts, but these would likely be relatively minor. Most people would continue to see the bulk of their scheduled benefits.

Given this reality, it was incredibly irresponsible of the New York Times to begin a major piece on retirement income by profiling a worker who says that they don’t expect to see their Social Security benefits. The piece begins:

“Jen Forbus turned 50 this year. She is in good health and says her life has only gotten better as she has grown older. Forbus resides in Lorain, Ohio, not far from Cleveland; she is single and has no children, but her parents and sisters are nearby. She works, remotely, as an editorial supervisor for an educational publishing company, a job that she loves. She is on track to pay off her mortgage in the next 10 years, and having recently made her last car payment, she is otherwise debt-free. By almost any measure, Forbus is middle class.”

It then tells us that she wants to retire at age 65. She currently has $200,000 in savings. Between her own contribution and her employer’s she puts 14 percent of her pay into a retirement account each year.

Then it reports:

“Forbus figures that she can retire comfortably on around $1 million, although if her house is paid off, she might be able to get by with a bit less. She is not factoring Social Security benefits into her calculations. ‘I feel like it’s too uncertain and not something I can depend on,’ she says.”

Given the economic and political realities around Social Security, it is absurd that Ms. Forbus, or anyone else, would make their plans for retirement based on the assumption that the program does not exist. In her case, her benefits are likely to make up a very substantial portion of her retirement income.

The piece tells that she earns a high five-figure income. Let’s assume that comes to $80,000 a year. In that case, if she retires in 15 years at age 65, she can expect benefits of roughly $39,200 a year (in today’s dollars). This would come to more than half of her current wage income (net of payroll taxes) of $73,900.

Even if Congress never did anything to shore up Social Security’s finances, and let benefits be cut by 20 percent, Ms. Forbus would still be getting $31,400 from the program, more than 42 percent of her current income net of payroll taxes. Based on the fact that she already has $200,000 in savings, is adding 14 percent of her salary each year, and will have a paid off mortgage, she should be able to look forward to a very comfortable retirement.

In short, if Ms. Forbus has fears about her retirement security, it is due to her having been misled about the health of Social Security. For this reason, it is unfortunate that the NYT piece chose to use her as the basis for a major piece on retirement income.

The reality is that most moderate and even middle-income workers are not anywhere near as well-prepared for retirement as Ms. Forbus. Many workers have accumulated little or nothing in the way of retirement savings, even as they are well into middle age. These workers have been failed by the current system of 401(k)s, since they will be dependent almost entirely on Social Security in their retirement. By contrast, Ms. Forbus is doing just fine, she just needs someone to tell her the truth about Social Security.

CNN Says Wages Are Skyrocketing!

Actually, CNN wouldn’t say that, or at least not directly. What it said, in yet another major piece on how the economy is awful, is that prices are skyrocketing:

“The mix of local residents visiting the Enfield Food Shelf in Connecticut has changed a lot in the last few years.

“Prior to the Covid-19 pandemic, many were elderly or disabled people on fixed incomes, said Kathleen Souvigney, the food pantry’s executive director for the past decade.

“But now, more of the folks seeking assistance are working families who are struggling to make ends meet as their cost of living skyrockets. Paying for child care, housing, cars, heating and other basic needs doesn’t leave enough money these days for food, which has also risen sharply in price, Souvigney hears time and time again.”

The key piece of data that CNN apparently was unable to obtain for this article was wage growth. Wages have actually outpaced inflation in many of the items that have seen “skyrocketing” prices according to CNN. And, according to advanced economic theory, if wages are rising more rapidly than a price that is “skyrocketing,” then that wages must also be “skyrocketing.”

Here’s the picture.

Source: Bureau of Labor Statistics.

For wages, I have used the Bureau of Labor Statistics (BLS) average hourly wage for production and non-supervisory workers. This group covers roughly 80 percent of employees. It is useful because it excludes most high-end workers, so that the average is not skewed by high pay for CEOs and professionals.

As can be seen, this wage has risen by 24.0 percent since the pandemic began in February of 2020. This is 3.6 percentage points faster than the overall CPI. It is worth noting that, in contrast to prior decades, the fastest wage growth has been at the bottom end of the wage distribution.

That is not great, but there have been many periods, including the Reagan presidency, when wages have not kept pace with inflation. Furthermore, we have been hit with a worldwide pandemic that led to a huge burst of inflation everywhere. The fact that U.S. workers are actually doing better than before the pandemic is remarkable, and their real wages are on or slightly above the pre-pandemic growth path.    

We can also compare the rate of wage growth to the inflation in some of the items highlighted in the CNN piece. Starting with food, inflation at the grocery store has slightly outpaced wage growth over this period, rising 25.2 percent compared to the 24.0 percent increase in wages. This puts a crimp in people’s budgets, but we have seen many periods in which food prices have outpaced wages by larger amounts.

Next, we have rent. As can be seen, the overall rent index has risen faster than the overall CPI, but less rapidly than wages. So workers are still coming out ahead here. But there is an interesting twist in this story.

In addition to its overall rent index, which follows the rents in all units, the BLS also has a “new tenant” rent index which tracks the rent in units that change hands. This index has risen just 17.4 percent since the start of the pandemic.

This is a big deal for this story for two reasons. First, low- and moderate-income people tend to move more frequently than higher-income people. This means the new tenant rent index might be a better approximation of the rents that the people discussed in this piece are facing.

The other reason the new tenant rent index is important is that it leads the overall rent index. At the start of 2021, the new tenant rent index began to show a large jump in rental inflation, as people looked for more space to accommodate working from home. This later showed up in more rapid rental inflation in the overall index.

In the last year and half, the picture has turned around with the new tenant index being flat or even falling. There is enough error in these measurements that it is hard to be very confident about where rental inflation will end up in the rest of 2024 and into 2025, but we can be quite certain that it will be considerably lower going forward than it is now. This should be a big help to low- and moderate-income households.

The last item is childcare. The index for childcare has risen just 16.7 percent, far less than the rise in wages.

There are two important qualifications that need to be added. There are undoubtedly huge differences in the costs faced by parents, depending on the specific childcare available. Most care is subsidized by the government. Where governments have cut back on support, parents have seen far larger increases in tuition.

The other issue is simply one of availability. Many childcare providers closed in the pandemic, and some did not reopen. As a result, the shortage of affordable childcare slots, which was already a big problem before the pandemic, is worse today.

CNN Highlights the Negative in the Biden Economy

To be clear, there are always bad stories in our economy, even in the best of time. Our system of social supports is far weaker than in other wealthy countries. As a result, even in boom times, there will be tens of millions of people struggling to pay for food, rent, healthcare, and other necessities. It is important that the public be made aware of this suffering.

However, it is also important that the media give a clear picture of the state of the economy. And, by most measures, the current economy is among the strongest in the last half-century, and that is in spite of having to shake off the effects of a worldwide pandemic.

We are doing far better than every other wealthy country right now. It is understandable that people care about their own situation, not the situation of workers in Germany and France, but they should recognize that the impact of a massive pandemic that cannot just be wished away by politicians. CNN and the rest of the media have done almost nothing to educate the public on this point.

Actually, CNN wouldn’t say that, or at least not directly. What it said, in yet another major piece on how the economy is awful, is that prices are skyrocketing:

“The mix of local residents visiting the Enfield Food Shelf in Connecticut has changed a lot in the last few years.

“Prior to the Covid-19 pandemic, many were elderly or disabled people on fixed incomes, said Kathleen Souvigney, the food pantry’s executive director for the past decade.

“But now, more of the folks seeking assistance are working families who are struggling to make ends meet as their cost of living skyrockets. Paying for child care, housing, cars, heating and other basic needs doesn’t leave enough money these days for food, which has also risen sharply in price, Souvigney hears time and time again.”

The key piece of data that CNN apparently was unable to obtain for this article was wage growth. Wages have actually outpaced inflation in many of the items that have seen “skyrocketing” prices according to CNN. And, according to advanced economic theory, if wages are rising more rapidly than a price that is “skyrocketing,” then that wages must also be “skyrocketing.”

Here’s the picture.

Source: Bureau of Labor Statistics.

For wages, I have used the Bureau of Labor Statistics (BLS) average hourly wage for production and non-supervisory workers. This group covers roughly 80 percent of employees. It is useful because it excludes most high-end workers, so that the average is not skewed by high pay for CEOs and professionals.

As can be seen, this wage has risen by 24.0 percent since the pandemic began in February of 2020. This is 3.6 percentage points faster than the overall CPI. It is worth noting that, in contrast to prior decades, the fastest wage growth has been at the bottom end of the wage distribution.

That is not great, but there have been many periods, including the Reagan presidency, when wages have not kept pace with inflation. Furthermore, we have been hit with a worldwide pandemic that led to a huge burst of inflation everywhere. The fact that U.S. workers are actually doing better than before the pandemic is remarkable, and their real wages are on or slightly above the pre-pandemic growth path.    

We can also compare the rate of wage growth to the inflation in some of the items highlighted in the CNN piece. Starting with food, inflation at the grocery store has slightly outpaced wage growth over this period, rising 25.2 percent compared to the 24.0 percent increase in wages. This puts a crimp in people’s budgets, but we have seen many periods in which food prices have outpaced wages by larger amounts.

Next, we have rent. As can be seen, the overall rent index has risen faster than the overall CPI, but less rapidly than wages. So workers are still coming out ahead here. But there is an interesting twist in this story.

In addition to its overall rent index, which follows the rents in all units, the BLS also has a “new tenant” rent index which tracks the rent in units that change hands. This index has risen just 17.4 percent since the start of the pandemic.

This is a big deal for this story for two reasons. First, low- and moderate-income people tend to move more frequently than higher-income people. This means the new tenant rent index might be a better approximation of the rents that the people discussed in this piece are facing.

The other reason the new tenant rent index is important is that it leads the overall rent index. At the start of 2021, the new tenant rent index began to show a large jump in rental inflation, as people looked for more space to accommodate working from home. This later showed up in more rapid rental inflation in the overall index.

In the last year and half, the picture has turned around with the new tenant index being flat or even falling. There is enough error in these measurements that it is hard to be very confident about where rental inflation will end up in the rest of 2024 and into 2025, but we can be quite certain that it will be considerably lower going forward than it is now. This should be a big help to low- and moderate-income households.

The last item is childcare. The index for childcare has risen just 16.7 percent, far less than the rise in wages.

There are two important qualifications that need to be added. There are undoubtedly huge differences in the costs faced by parents, depending on the specific childcare available. Most care is subsidized by the government. Where governments have cut back on support, parents have seen far larger increases in tuition.

The other issue is simply one of availability. Many childcare providers closed in the pandemic, and some did not reopen. As a result, the shortage of affordable childcare slots, which was already a big problem before the pandemic, is worse today.

CNN Highlights the Negative in the Biden Economy

To be clear, there are always bad stories in our economy, even in the best of time. Our system of social supports is far weaker than in other wealthy countries. As a result, even in boom times, there will be tens of millions of people struggling to pay for food, rent, healthcare, and other necessities. It is important that the public be made aware of this suffering.

However, it is also important that the media give a clear picture of the state of the economy. And, by most measures, the current economy is among the strongest in the last half-century, and that is in spite of having to shake off the effects of a worldwide pandemic.

We are doing far better than every other wealthy country right now. It is understandable that people care about their own situation, not the situation of workers in Germany and France, but they should recognize that the impact of a massive pandemic that cannot just be wished away by politicians. CNN and the rest of the media have done almost nothing to educate the public on this point.

Do We Need More People?

This is a line endlessly repeated in the media. Somehow, we face a terrible risk if people decide to have fewer kids. While this is the accepted wisdom in elite circles, there is remarkably little basis in reality for this view.

The latest piece pressing this line was a column in the Washington Post by Catherine Rampell headlined “Americans are having too few kids. The GOP made the problem worse.” The piece then points out that Republicans have opposed policies, like paid parental leave, subsidized child care, and expanded child tax credits that make it easier for families to raise kids.

To be clear, these are good policies, which reasonable people should support both to help parents and improve the lives of children. At this point, there is plenty of research showing the benefits to children, especially those from low- and moderate-income families, from these sorts of programs.  

However, the question is whether we should support these policies because we need more people. Rampell tells us:

“As other countries have discovered, a population that fails to replace itself can face serious challenges. For instance, all else being equal, a shrinking workforce can lead to stagnant or declining living standards, because workers power the economy.

“Likewise, a shrinking contingent of young people means fewer workers are available to care for the growing elderly population and pay for its retirement benefits. Already, the typical American senior receives more Social Security and Medicare payments than they paid into the system. As the ratio of retirees to working-age Americans grows, this problem will worsen.”

This story is not well supported by the evidence. Countries that have declining populations can manage to do just fine in terms of improving living standards.

This point is well demonstrated by Japan, everyone’s favorite story of a country with a declining population. Japan’s population has been declining since 2005. Its population is roughly 2.5 percent lower now than it was 19 years ago.

That’s a fairly rapid decline, but the Japanese probably have not noticed they are suffering as a result. Per capita income in 2023 was 11.9 percent higher than in 2005. That’s not as good as the 23.7 percent growth in the United States, but better than many countries with stable or even increasing populations.

And this income figure is not giving us the full picture. Japanese workers have chosen to take a large share of the gains from productivity growth in the form of more leisure. Workweeks have gotten shorter and vacations have gotten longer over this period. According to the OECD, the length of the average work year for a Japanese worker has been reduced by 9.6 percent over this period. By contrast, it has fallen just 1.6 percent for workers in the United States.

There is no economic reason why people should value higher income more than increased leisure. Since its population began to decline, Japan has managed to have a substantial rise in per capita income and also a substantial increase in leisure for an average worker. This does not look like an economic disaster.

It’s also worth noting that these data do not pick up benefits of a smaller population like less crowding and less pollution. Other things equal, a smaller population means less time wasted in traffic jams and fewer people packed in at beaches or museums. If you face a years-long wait to get admitted to one of the more popular national parks, because they have limited places, think of what the situation is would be if the U.S. had twice as many people.

Similarly, other things equal, a smaller population means less pollution. Sure, we can adopt cleaner technologies that offset the impact of a larger population, but does anyone think that we will have cleaner technologies simply because we have more people?

Tokyo used to be a city where the cost of housing was ridiculous. Now it is touted as one of the most affordable major cities in the world. There is much more to this story than just population. Toyko has been very good at pushing policies that facilitate housing construction. But for any given housing stock, more people will mean higher prices.

On the point about fewer workers to support retirees, it’s worth noting that even modest gains in productivity growth swamp the demographic impact of a smaller ratio of workers to retirees. There can be problems associated with shifting resources, but that was also true when the baby boom generation was growing up and governments had to massively expand the school system to accommodate millions of new students.

Expanding the school system was certainly a problem back in the 1950s and 1960s. Similarly, there will be problems associated with the growth of Medicare and Social Security, but on the economic side, they will be manageable. As far as the politics, who can say? But that is a political problem, not an economic one.

Why Our Elites Worry About a Shrinking Population

Even if there is little basis for most people to be worried about the consequences of a declining population, there is a different story from the standpoint of our elites. The leader of a country has standing in the world based in large part on the size of their country’s economy.

This is one where it is not per capita that matters, but the absolute size. The world listens much more to the president of the United States than the prime minister of Norway because the U.S. economy is 50 times the size of the Norwegian economy, even though Norway has a larger per capita income. From the standpoint of politicians seeking to maximize their power, more people are definitely better.

This also applies to a much larger group of people who have the job of working for or advising government officials. Working in a high-level position for the president of the United States is a big deal. The same is not true for a minister in Latvia’s government.

It goes further. You can become a very prominent writer or academic by dealing with political battles in the United States, that is not the case with political analysts in Estonia. These people also have an interest in seeing a growing population. It makes the subject of their work more important.

In short, there is a clear divide in how people are impacted by a shrinking population. For most ordinary people, it is not a big deal and could well turn out to be a positive development. But for the elite types that get their views published in major media outlets, a declining population is definitely bad news.

Look for lots more stories about the horrors of a shrinking population.

This is a line endlessly repeated in the media. Somehow, we face a terrible risk if people decide to have fewer kids. While this is the accepted wisdom in elite circles, there is remarkably little basis in reality for this view.

The latest piece pressing this line was a column in the Washington Post by Catherine Rampell headlined “Americans are having too few kids. The GOP made the problem worse.” The piece then points out that Republicans have opposed policies, like paid parental leave, subsidized child care, and expanded child tax credits that make it easier for families to raise kids.

To be clear, these are good policies, which reasonable people should support both to help parents and improve the lives of children. At this point, there is plenty of research showing the benefits to children, especially those from low- and moderate-income families, from these sorts of programs.  

However, the question is whether we should support these policies because we need more people. Rampell tells us:

“As other countries have discovered, a population that fails to replace itself can face serious challenges. For instance, all else being equal, a shrinking workforce can lead to stagnant or declining living standards, because workers power the economy.

“Likewise, a shrinking contingent of young people means fewer workers are available to care for the growing elderly population and pay for its retirement benefits. Already, the typical American senior receives more Social Security and Medicare payments than they paid into the system. As the ratio of retirees to working-age Americans grows, this problem will worsen.”

This story is not well supported by the evidence. Countries that have declining populations can manage to do just fine in terms of improving living standards.

This point is well demonstrated by Japan, everyone’s favorite story of a country with a declining population. Japan’s population has been declining since 2005. Its population is roughly 2.5 percent lower now than it was 19 years ago.

That’s a fairly rapid decline, but the Japanese probably have not noticed they are suffering as a result. Per capita income in 2023 was 11.9 percent higher than in 2005. That’s not as good as the 23.7 percent growth in the United States, but better than many countries with stable or even increasing populations.

And this income figure is not giving us the full picture. Japanese workers have chosen to take a large share of the gains from productivity growth in the form of more leisure. Workweeks have gotten shorter and vacations have gotten longer over this period. According to the OECD, the length of the average work year for a Japanese worker has been reduced by 9.6 percent over this period. By contrast, it has fallen just 1.6 percent for workers in the United States.

There is no economic reason why people should value higher income more than increased leisure. Since its population began to decline, Japan has managed to have a substantial rise in per capita income and also a substantial increase in leisure for an average worker. This does not look like an economic disaster.

It’s also worth noting that these data do not pick up benefits of a smaller population like less crowding and less pollution. Other things equal, a smaller population means less time wasted in traffic jams and fewer people packed in at beaches or museums. If you face a years-long wait to get admitted to one of the more popular national parks, because they have limited places, think of what the situation is would be if the U.S. had twice as many people.

Similarly, other things equal, a smaller population means less pollution. Sure, we can adopt cleaner technologies that offset the impact of a larger population, but does anyone think that we will have cleaner technologies simply because we have more people?

Tokyo used to be a city where the cost of housing was ridiculous. Now it is touted as one of the most affordable major cities in the world. There is much more to this story than just population. Toyko has been very good at pushing policies that facilitate housing construction. But for any given housing stock, more people will mean higher prices.

On the point about fewer workers to support retirees, it’s worth noting that even modest gains in productivity growth swamp the demographic impact of a smaller ratio of workers to retirees. There can be problems associated with shifting resources, but that was also true when the baby boom generation was growing up and governments had to massively expand the school system to accommodate millions of new students.

Expanding the school system was certainly a problem back in the 1950s and 1960s. Similarly, there will be problems associated with the growth of Medicare and Social Security, but on the economic side, they will be manageable. As far as the politics, who can say? But that is a political problem, not an economic one.

Why Our Elites Worry About a Shrinking Population

Even if there is little basis for most people to be worried about the consequences of a declining population, there is a different story from the standpoint of our elites. The leader of a country has standing in the world based in large part on the size of their country’s economy.

This is one where it is not per capita that matters, but the absolute size. The world listens much more to the president of the United States than the prime minister of Norway because the U.S. economy is 50 times the size of the Norwegian economy, even though Norway has a larger per capita income. From the standpoint of politicians seeking to maximize their power, more people are definitely better.

This also applies to a much larger group of people who have the job of working for or advising government officials. Working in a high-level position for the president of the United States is a big deal. The same is not true for a minister in Latvia’s government.

It goes further. You can become a very prominent writer or academic by dealing with political battles in the United States, that is not the case with political analysts in Estonia. These people also have an interest in seeing a growing population. It makes the subject of their work more important.

In short, there is a clear divide in how people are impacted by a shrinking population. For most ordinary people, it is not a big deal and could well turn out to be a positive development. But for the elite types that get their views published in major media outlets, a declining population is definitely bad news.

Look for lots more stories about the horrors of a shrinking population.

This week the Federal Trade Commission (FTC) voted to ban noncompete clauses in most employment contracts. These clauses, which are now widely used, prohibit workers from working for another employer, or setting up their own business, for several years after quitting a job. These clauses are very common in employment contracts for veterinarians.

I mention this because we had direct experience with a vet who would have been precluded from setting up his own practice by one of these clauses. As it turned out, his employer made a mistake in writing the contract, so they weren’t able to enforce it. As a result, he was able to set up his own practice and treat our dogs.

This mattered because he was an extraordinarily good vet, who could think outside the box. One of the dogs he treated was Olive, a senior Doberman who had a rough life before we adopted her.

Olive had a number of health issues in the three years we had her, starting with heartworms when we adopted her. But she was able to run and play and enjoy life for most of that time.

Anyhow, she developed a malignant heart tumor at one point, which was causing her to cough constantly and was making her very weak. Our vet said that he could not save her from the tumor, but he did prescribe a type of mushroom, which apparently slowed the growth and alleviated the symptoms.

Olive had more than three full months in which she was able to enjoy playing with us and our other dogs. We were very happy for this.

We then adopted another Doberman, Noodle, with health issues. We originally took her to another vet (long story) who told us she had serious kidney failure. She said that Noodle might just have a few weeks or maybe as long as a year. (My wife is convinced that the “as long as a year” was a throwaway line to make me feel better.)

Anyhow, we took her to our regular vet who also recognized the serious kidney failure. He prescribed a probiotic, which apparently helped clean out her system, taking stress off the kidneys.

Noodle lived for three full years, most of it in good health. She also ran and played with our other dogs.

I could go on with more tales about our vet, but the point here is the benefit of banning noncompete agreements. If our vet had been bound by one of these agreements, he either would have been forced to practice in another place, or not work as a vet for a couple of years. Olive, Noodle, and his other patients would have suffered hugely as a result.

The issue goes well beyond our vet and veterinarians more generally. This is a basic issue of the benefits of competition and a market economy. If we think competition is a good thing, then we should value measures that enhance competition.

Noncompete clauses prevent workers from switching to jobs where their skills are more highly valued or from establishing their own businesses. The FTC’s vote was a victory not only for the workers who would otherwise be bound by these agreements, but a big win for the economy and society at large.   

 

 

This week the Federal Trade Commission (FTC) voted to ban noncompete clauses in most employment contracts. These clauses, which are now widely used, prohibit workers from working for another employer, or setting up their own business, for several years after quitting a job. These clauses are very common in employment contracts for veterinarians.

I mention this because we had direct experience with a vet who would have been precluded from setting up his own practice by one of these clauses. As it turned out, his employer made a mistake in writing the contract, so they weren’t able to enforce it. As a result, he was able to set up his own practice and treat our dogs.

This mattered because he was an extraordinarily good vet, who could think outside the box. One of the dogs he treated was Olive, a senior Doberman who had a rough life before we adopted her.

Olive had a number of health issues in the three years we had her, starting with heartworms when we adopted her. But she was able to run and play and enjoy life for most of that time.

Anyhow, she developed a malignant heart tumor at one point, which was causing her to cough constantly and was making her very weak. Our vet said that he could not save her from the tumor, but he did prescribe a type of mushroom, which apparently slowed the growth and alleviated the symptoms.

Olive had more than three full months in which she was able to enjoy playing with us and our other dogs. We were very happy for this.

We then adopted another Doberman, Noodle, with health issues. We originally took her to another vet (long story) who told us she had serious kidney failure. She said that Noodle might just have a few weeks or maybe as long as a year. (My wife is convinced that the “as long as a year” was a throwaway line to make me feel better.)

Anyhow, we took her to our regular vet who also recognized the serious kidney failure. He prescribed a probiotic, which apparently helped clean out her system, taking stress off the kidneys.

Noodle lived for three full years, most of it in good health. She also ran and played with our other dogs.

I could go on with more tales about our vet, but the point here is the benefit of banning noncompete agreements. If our vet had been bound by one of these agreements, he either would have been forced to practice in another place, or not work as a vet for a couple of years. Olive, Noodle, and his other patients would have suffered hugely as a result.

The issue goes well beyond our vet and veterinarians more generally. This is a basic issue of the benefits of competition and a market economy. If we think competition is a good thing, then we should value measures that enhance competition.

Noncompete clauses prevent workers from switching to jobs where their skills are more highly valued or from establishing their own businesses. The FTC’s vote was a victory not only for the workers who would otherwise be bound by these agreements, but a big win for the economy and society at large.   

 

 

I have been complaining for years about the media’s coverage of the economy under Biden, but this NPR piece deserves a Pulitzer for awful reporting. It tells us that most students are unaware of the measures President Biden has put in place to reduce the debt burden faced by former students.

At one point it tells listeners:

“NADWORNY: Well, they’re not giving up on this issue [student debt relief], which is kind of amazing to hear, you know, after that tape from Elena.”

Actually, it is totally amazing that a serious news outlet would be surprised that the Biden administration is trying to tell people about programs that would benefit them. NPR apparently does not know about the most important program that would benefit almost all borrowers who are seriously burdened by debt.

President Biden made the already existing income-driven repayment plan far more generous. Under the new structure he put in place, a single individual who earned less than $32,000 a year would pay zero towards their student debt. If they earned $40,000 a year, they would pay $60 a month.

While it is astounding that NPR could do a major piece on the burden of student debt without mentioning Biden’s income-driven repayment plan, it has good company in doing awful reporting on this issue. In the last year, the New York Times has done two major pieces on student debt and college costs without ever mentioning the income-driven repayment plan.

I have been complaining for years about the media’s coverage of the economy under Biden, but this NPR piece deserves a Pulitzer for awful reporting. It tells us that most students are unaware of the measures President Biden has put in place to reduce the debt burden faced by former students.

At one point it tells listeners:

“NADWORNY: Well, they’re not giving up on this issue [student debt relief], which is kind of amazing to hear, you know, after that tape from Elena.”

Actually, it is totally amazing that a serious news outlet would be surprised that the Biden administration is trying to tell people about programs that would benefit them. NPR apparently does not know about the most important program that would benefit almost all borrowers who are seriously burdened by debt.

President Biden made the already existing income-driven repayment plan far more generous. Under the new structure he put in place, a single individual who earned less than $32,000 a year would pay zero towards their student debt. If they earned $40,000 a year, they would pay $60 a month.

While it is astounding that NPR could do a major piece on the burden of student debt without mentioning Biden’s income-driven repayment plan, it has good company in doing awful reporting on this issue. In the last year, the New York Times has done two major pieces on student debt and college costs without ever mentioning the income-driven repayment plan.

While noncompete clauses were originally only included in contracts for highly paid workers, for example, lawyers at a large firm might be limited in their ability to leave and take their clients with them, they have become much more widespread in recent decades.
While noncompete clauses were originally only included in contracts for highly paid workers, for example, lawyers at a large firm might be limited in their ability to leave and take their clients with them, they have become much more widespread in recent decades.

I am not ordinarily a celebrant for the state of the economy, but the media have been so over the top in pushing the economic doom story during the Biden presidency, that I feel the need to put some reality into the picture.

One of the central lines among the doomsayers is that we are spending a larger share of income on housing and that for many it has become altogether unaffordable. I will agree that housing is a serious problem. In fact, I recently authored a piece in a new collection on the issue, which I would encourage everyone to read. We need to build more housing and especially more affordable housing.   

But acknowledging that housing is a serious problem is not the same as saying it is an unprecedented crisis, and many of the things that have been asserted in the media are simply not true. For example, it is not true that homeownership is no longer part of the American dream for young people. In fact, homeownership rates for young people are above their pre-pandemic level.

It’s true that the run-up in mortgage interest rates since the Fed began hiking in March 2022, coupled with rising house prices, has made the cost of buying a home prohibitive for many new buyers, but few expect rates to stay this high for long.  

Mortgage rates are highly cyclical, they go up when the Fed raises rates in an effort to slow the economy. The current rates of near 7.0 percent are high compared to the 3.0 percent rates we saw during the pandemic, but they are not high by historic standards. In 1981, they peaked at over 18.0 percent.

I don’t recall reporters at the time writing pieces as though 18.0 percent mortgage rates would persist for the indefinite future. I am not sure why they feel the need to write that way about the current 7.0 percent rates.

Another aspect of the manufactured housing crisis story is that we are spending higher shares of our income on housing, with a record number of people spending more than one-third of their income on housing. This share has been dubbed as a crisis point by some.

It is certainly true that we are spending a much larger share of our income on housing than in prior decades, but a big part of that story is that we are spending a much smaller share on other things. The graph below shows the share of disposable income going to food, clothes, and household furnishings since the late 1940s.

 

Source: National Income and Product Accounts, Table 2.3.5 and author’s calculations.

As can be seen, there has been a sharp reduction in the shares of all three. This is especially striking with food. In 1947 we spent 23.0 percent of our income on store-bought food. This had fallen to just 7.1 percent last year. The share of income going to buy clothes fell from 10.3 percent to 2.6 percent. The share for buying household furnishings dropped from 5.5 percent to 2.5 percent.

These declines freed up income to go to other areas, and one area that extra income went to was housing. The houses we live in today are on average much larger than the ones we lived in 75 years ago. They are also far more likely to have air conditioning and relatively clean sources of heat. (Coal furnaces were still common in the late 1940s.) They are much better protected against fires and less likely to have harmful chemicals like asbestos and lead.

As a result of reduced spending in other areas, and the higher quality of the housing we live in today, the share of our income going to housing now exceeds 34.0 percent, on average. (This figure includes “owner equivalent rent,” the money that a homeowner would be paying to rent the home they live in.)

Given the 34.0 percent figure is an average, it is hard to see the one-third level as a crisis. Rather, we probably need to recalculate what share of income going to housing costs presents an unmanageable burden.

None of this should be taken to mean that we don’t have to do things to make housing more affordable. We need to ease up restrictions that block both new construction and the conversion of empty office space to residential. And we should ensure that a substantial share of these new units are affordable.

We can also take short-term steps to improve affordability, like limiting vacation rentals and having moderate rent control. A vacant property tax is also a good way to get more units on the market. It will also be good when Jerome Powell and the Fed get over their inflation fears and start to ease up on interest rates.

We have a serious shortage of housing in the country due to a sharp plunge in construction in the decade following the collapse of the housing bubble. We were gradually getting back to more normal levels of construction when the pandemic broke out. If we can sustain higher levels of construction for several years and convert many of the offices that are currently vacant, due to the explosion in people working from home, we can lower housing costs.

But it is helpful to look at the issue with clear eyes. The biggest reason housing has grown as a share of our income is that we are spending so much less on other necessities. That is a good thing.

I am not ordinarily a celebrant for the state of the economy, but the media have been so over the top in pushing the economic doom story during the Biden presidency, that I feel the need to put some reality into the picture.

One of the central lines among the doomsayers is that we are spending a larger share of income on housing and that for many it has become altogether unaffordable. I will agree that housing is a serious problem. In fact, I recently authored a piece in a new collection on the issue, which I would encourage everyone to read. We need to build more housing and especially more affordable housing.   

But acknowledging that housing is a serious problem is not the same as saying it is an unprecedented crisis, and many of the things that have been asserted in the media are simply not true. For example, it is not true that homeownership is no longer part of the American dream for young people. In fact, homeownership rates for young people are above their pre-pandemic level.

It’s true that the run-up in mortgage interest rates since the Fed began hiking in March 2022, coupled with rising house prices, has made the cost of buying a home prohibitive for many new buyers, but few expect rates to stay this high for long.  

Mortgage rates are highly cyclical, they go up when the Fed raises rates in an effort to slow the economy. The current rates of near 7.0 percent are high compared to the 3.0 percent rates we saw during the pandemic, but they are not high by historic standards. In 1981, they peaked at over 18.0 percent.

I don’t recall reporters at the time writing pieces as though 18.0 percent mortgage rates would persist for the indefinite future. I am not sure why they feel the need to write that way about the current 7.0 percent rates.

Another aspect of the manufactured housing crisis story is that we are spending higher shares of our income on housing, with a record number of people spending more than one-third of their income on housing. This share has been dubbed as a crisis point by some.

It is certainly true that we are spending a much larger share of our income on housing than in prior decades, but a big part of that story is that we are spending a much smaller share on other things. The graph below shows the share of disposable income going to food, clothes, and household furnishings since the late 1940s.

 

Source: National Income and Product Accounts, Table 2.3.5 and author’s calculations.

As can be seen, there has been a sharp reduction in the shares of all three. This is especially striking with food. In 1947 we spent 23.0 percent of our income on store-bought food. This had fallen to just 7.1 percent last year. The share of income going to buy clothes fell from 10.3 percent to 2.6 percent. The share for buying household furnishings dropped from 5.5 percent to 2.5 percent.

These declines freed up income to go to other areas, and one area that extra income went to was housing. The houses we live in today are on average much larger than the ones we lived in 75 years ago. They are also far more likely to have air conditioning and relatively clean sources of heat. (Coal furnaces were still common in the late 1940s.) They are much better protected against fires and less likely to have harmful chemicals like asbestos and lead.

As a result of reduced spending in other areas, and the higher quality of the housing we live in today, the share of our income going to housing now exceeds 34.0 percent, on average. (This figure includes “owner equivalent rent,” the money that a homeowner would be paying to rent the home they live in.)

Given the 34.0 percent figure is an average, it is hard to see the one-third level as a crisis. Rather, we probably need to recalculate what share of income going to housing costs presents an unmanageable burden.

None of this should be taken to mean that we don’t have to do things to make housing more affordable. We need to ease up restrictions that block both new construction and the conversion of empty office space to residential. And we should ensure that a substantial share of these new units are affordable.

We can also take short-term steps to improve affordability, like limiting vacation rentals and having moderate rent control. A vacant property tax is also a good way to get more units on the market. It will also be good when Jerome Powell and the Fed get over their inflation fears and start to ease up on interest rates.

We have a serious shortage of housing in the country due to a sharp plunge in construction in the decade following the collapse of the housing bubble. We were gradually getting back to more normal levels of construction when the pandemic broke out. If we can sustain higher levels of construction for several years and convert many of the offices that are currently vacant, due to the explosion in people working from home, we can lower housing costs.

But it is helpful to look at the issue with clear eyes. The biggest reason housing has grown as a share of our income is that we are spending so much less on other necessities. That is a good thing.

I was a bit surprised to see a piece on Marketplace radio telling listeners:

“In 1947, U.S. workers got about two-thirds of the income from their labors. ‘Now, they’re getting something that is just a little bit over half. And so they’re getting less of the pie,’ said Erica Groshen, who used to head the Bureau of Labor Statistics and is now at Cornell.”

I was surprised because it’s not true. There have been ups and downs in the labor share of income over this period, but there is no downward trend. In 1947, it was 67.7 percent of net value-added in the corporate sector. In 2023, it was 67.8 percent of net value in the corporate sector. Here’s the picture.

Source: NIPA Table 1.14 and author’s calculation.

As can be seen, there is some rise in the labor share in the sixties and seventies, which is sustained in the eighties and nineties. The labor share then falls back to its late forties level in the first two decades of this century. (This calculation comes from NIPA Table 1.14, Line 4 divided by Line 3.)

It’s true that the typical worker has seen their share of the pie fall, but this is mostly from upward redistribution within the wage distribution. A much larger share of wage income is going to high-end earners, such as CEOS and other top execs, Wall Street types, well-situated STEM workers and protected professionals like doctors and dentists.

This upward redistribution is a huge issue, but we should be clear that most of the story on the before-tax side was highly paid workers pocketing more, not an increase in the profit share. On the after-tax side, because the corporate tax rate has fallen sharply, corporations are taking home a larger share of the pie.  

I was a bit surprised to see a piece on Marketplace radio telling listeners:

“In 1947, U.S. workers got about two-thirds of the income from their labors. ‘Now, they’re getting something that is just a little bit over half. And so they’re getting less of the pie,’ said Erica Groshen, who used to head the Bureau of Labor Statistics and is now at Cornell.”

I was surprised because it’s not true. There have been ups and downs in the labor share of income over this period, but there is no downward trend. In 1947, it was 67.7 percent of net value-added in the corporate sector. In 2023, it was 67.8 percent of net value in the corporate sector. Here’s the picture.

Source: NIPA Table 1.14 and author’s calculation.

As can be seen, there is some rise in the labor share in the sixties and seventies, which is sustained in the eighties and nineties. The labor share then falls back to its late forties level in the first two decades of this century. (This calculation comes from NIPA Table 1.14, Line 4 divided by Line 3.)

It’s true that the typical worker has seen their share of the pie fall, but this is mostly from upward redistribution within the wage distribution. A much larger share of wage income is going to high-end earners, such as CEOS and other top execs, Wall Street types, well-situated STEM workers and protected professionals like doctors and dentists.

This upward redistribution is a huge issue, but we should be clear that most of the story on the before-tax side was highly paid workers pocketing more, not an increase in the profit share. On the after-tax side, because the corporate tax rate has fallen sharply, corporations are taking home a larger share of the pie.  

It is much more acceptable in policy circles to talk about ways to make tax and transfer policy more progressive than ways to structure the market to prevent the distribution of income from being so unequal in the first place. I always harp on this failure, since it seems much easier to keep rich people from getting so rich in the first place than to try to tax away their money once they have it.

Unfortunately, there is little place in policy circles for this sort of discussion. We can speculate on the reason for the lack of interest but there can be little doubt that we could structure the market in ways that generate much less inequality.

There would be far fewer great fortunes in a financial sector that is subject to financial transactions tax similar to the sales taxes that people pay when they buy clothes and food in most states. We would have many fewer top executives earning millions and tens of millions a year if our corporate governance structure was not so corrupt.

Our doctors and other high-end professionals would earn paychecks much more like their counterparts in Europe and Canada if the free traders applied the same logic to their services as they do to trade in manufactured goods. And Mark Zuckerberg and Elon Musk’s stakes in Meta and Twitter would be worth much less if they didn’t enjoy the special protection against defamation suits that we give social media platforms with Section 230.  

Then there is my favorite: government-granted patent and copyright monopolies. Large segments of the economy, most importantly prescription drugs and computer software, are almost completely dependent on this form of government intervention. Many of the country’s great fortunes, most notably centibillionaire Bill Gates, depend on these monopolies. More recently we created at least five Moderna billionaires by allowing the company to have control of a vaccine that the government paid to develop.

The proponents of these government-granted monopolies always argue that they provide incentives to innovate and do creative work. That is true, but also not the issue. The question is whether these monopolies are the best way to provide incentives. They are not the only way.

This is most clear in the case of prescription drugs. The U.S. government already spends well over $50 billion a year supporting biomedical research through the National Institutes of Health (NIH) and other government agencies. Few question the value of this research, and in fact the pharmaceutical industry is its biggest proponent. Obviously, valuable research can be supported by direct public funding, outside of the patent system.

However, most of NIH’s funding goes to support basic research, with the instances where it funds the development and testing of a new drug being exceptions. That is by design, NIH deliberately leaves the downstream work to be done by the industry. This does not have to be the case. There is no intrinsic reason that later stage development and testing cannot also be supported by public funding, instead of government-granted patent monopolies, as was the case with the Moderna vaccine.

We are not about to switch from patent monopoly supported system to a publicly funded system overnight, but we can try to find situations where we can experiment with alternative funding mechanisms and compare the outcomes side by side.[1] We actually have a very good opportunity for such a test with Covid boosters.    

Drs. Peter Hotez and Maria Elena Bottazzi, along with their colleagues at Baylor College of Medicine and Texas Children Hospital, developed a Covid vaccine, Corbevax. This vaccine has now been administered to well over 100 million people in India and Indonesia, protecting them against serious illness and death from Covid.

Corbevax was developed on an open-source model. This means that the process for producing the vaccine, as well as the data on safety and effectiveness, is entirely open and available to anyone. That means anyone in the world with the necessary manufacturing facilities can produce the vaccine. As a result, the vaccine is cheap, selling for around $2.50 a dose in India and Indonesia.

It would be desirable to have the Corbevax vaccine available in the United States. While it would likely cost somewhat more here, due to higher costs for labor and other items, we’re probably talking around $5 a shot. That compares to over $100 a shot for boosters of Moderna and Pfizer, by far the dominant vaccines in the U.S. (Most people don’t see this price tag, since insurers or the government are picking up much or all of the tab for the boosters, but we do ultimately pay this cost through one pocket or another.)

In addition to the far lower price tag, Corbevax also has the benefit of not being an mRNA vaccine. Instead, it uses a much older protein-based technology. Many of the people that still have not gotten a Covid vaccine are distrustful of mRNA technology. Whether or not these fears are well-grounded, they are keeping people from getting a vaccine which could protect them against Covid. At least some of these people may take advantage of the opportunity to get a vaccine that is not based on mRNA technology.

The FDA Obstacle

The reason that Corbevax is not available to people in the United States is that the Food and Drug Administration (FDA) will not allow it to be distributed here. The FDA is demanding that to get approved, the vaccine go through a full clinical trial to demonstrate its safety and effectiveness.

As it well knows, a full clinical trial at this point would be extremely difficult and expensive.[2] Since the overwhelming majority of people in the country have either already been vaccinated and/or been infected, it would be necessary to have an extremely large sample, likely hundreds of thousands of people, to demonstrate the effectiveness of Corbevax at this point. Note, this is entirely an issue of establishing effectiveness. At this point, there is little question that the vaccine is safe, with over a hundred million doses given and very few instances of adverse effects.

The alternative to a full clinical trial is a bridging study. This is designed to show that the Corbevax boosters give patients target levels of antibodies against the latest strain of Covid. This is the same process that Moderna and Pfizer go through when they have gotten their boosters approved. The FDA has resisted allowing Corbevax to be approved through this channel claiming that it is a fundamentally different technology.

That is true if the comparison is with the mRNA vaccines, but the FDA has given approval to a Novavax Covid vaccine, which uses a similar protein-based technology. (The Novavax vaccine is not widely available due to manufacturing problems.) There seems little downside in approving the Corbevax vaccine, if it can meet the FDA’s standards for determining effectiveness in a bridging study.  

The FDA’s Stubborness Is a Big Deal

It would be great if a cheap non-mRNA booster were widely available. As noted before, some people resist getting the vaccine out of fear of the mRNA technology. This will give people a non-mRNA option. There are also people who have bad reactions to the mRNA vaccines (I am definitely in that category – knocks me out for at least a day), who would definitely prefer a non-mRNA option.

But the biggest issue here is the prevention of a serious test of alternatives to the patent monopoly system of financing drug and vaccine development. We pursue this route for developing drugs and vaccines because the pharmaceutical industry works hard to stifle any consideration of alternatives. This is a huge issue not only for public health but also as an economic matter.

As a public health matter, it is entirely this system of government-granted patent monopolies that creates the problem of expensive drugs. It is rare that a drug is actually expensive to produce and manufacture. Drugs are expensive because we give drug companies monopolies over an item that is essential for people’s health, or even their life.

To take a couple of recent examples, the retail price for Imatinib, a leukemia drug, is over $2,500 per prescription. The generic version sells for $13.40, less than one percent of the patent-protected price. The patent protected price for the prostate cancer drug Xtandi is $125 a capsule. A generic version is available at $7.50 a capsule or 6 percent of the patent-protected price.

The most dramatic case of patent monopolies being an obstacle to saving lives was in AIDS pandemic. Initially, the only treatment for AIDS was AZT, which slowed the advance of the disease, but did not cure it and generally lost effectiveness over time. In the early 1990s, the drug companies developed a triple cocktail of drugs that proved effective in keeping AIDS under control and allowing patients to live normal lives. They were selling it for around $15,000 a year.

That was expensive even in the United States, but it was a tab that insurers or the government could afford, even if most patients would have trouble paying it out of pocket. However, this sum was totally out of reach in Sub-Saharan Africa, where the per capita income for many countries was less than $1,000 a year. While the drug companies clearly incurred substantial expenses in developing the drugs, once they were developed, they were relatively cheap to produce.

This was proven when Cipla, a huge Indian generic manufacturer, agreed to make the drugs available at a cost of $1 a day. As a result, millions of lives were saved since this was a price that even low-income countries and international aid organizations could afford to pay.

Patent Monopolies on Prescription Drugs are a Huge Economic Issue

Even beyond their enormous health consequences, patent monopolies on drugs have enormous economic consequences. We will spend close to $650 billion this year on prescription drugs. We would likely be paying less than $100 billion if these drugs were sold in a free market without patent monopolies or related protections. The difference of more than $500 billion a year comes to almost $4,000 a year for an average family. It is more than half the size of the military budget. It is real money by almost any standard.

And, it goes into the pockets of the drug companies, making their top executives, their shareholders, and some highly employees very wealthy. This redistribution of income from the rest of us to a relatively small clique of people in the pharmaceutical industry has nothing to do with the free market. It is the result of a government policy on granting monopolies and related protections.

This massive upward redistribution could perhaps be justified if it were the only way to finance the sort of breakthroughs we have seen in recent decades that have radically and improved people’s lives. But as I have argued, there is good reason to think that we could pay for the development of new drugs and vaccines through alternative mechanisms.

That is why the FDA’s role in blocking Corbevax is such a big deal. This would be a very clear way to demonstrate to the public that we don’t need patent monopolies to provide incentives for developing new drugs and vaccines.

We could look to have direct funding to support the development of drugs and vaccines for other diseases, where the final product was also available on an open-source basis and sold as a cheap generic. The industry could continue with its patent-monopoly supported research, they would just have the risk that whatever they ended up developing may be competing with a generic that is every bit as good and selling for less than one percent of the price they want to charge.

This mechanism for funding would also remove the enormous incentive to lie that patent monopolies create. When drug companies can sell drugs at markups of many thousand percent, they have a powerful incentive to push their drugs as widely as possible, as was the case with the opioid crisis.

Also, we could finance research that is is not dependent on finding a patentable product. In many cases, nutrition or environmental factors may play an important role in health. As it is now structured, the pharmaceutical industry has no incentive to research this possibility, since they won’t stand to earn back their research costs by finding treatments along these lines.

Corbevax: A Foot in the Door

There is a huge amount at stake in a move away from the patent monopoly system of financing the development of prescription drugs. With all the problems of the current system, it has led to many important breakthroughs. If we are to go a different route, we need evidence that it can be equally effective.

The Corbevax vaccine provides one such example. If it were widely distributed and people could see the benefits, then we might be able to build the case for more support and experimentation in this direction. That sounds like a great path if the goal is to improve public health and reduce inequality. However, this likely sounds very bad from the perspective of the pharmaceutical industry, and apparently also the FDA.  

 

 

 

 

[1] Two decades ago, Doctors Without Borders launched its Drugs for Neglected Diseases Initiative. Working on an open-source model, this project has developed thirteen treatments that have benefitted hundreds of millions of people, spending less than what the pharmaceutical industry claims it costs them to develop a single drug.   

[2] There were clinical trials done in India to demonstrate the safety and effectiveness of Corbevax.

It is much more acceptable in policy circles to talk about ways to make tax and transfer policy more progressive than ways to structure the market to prevent the distribution of income from being so unequal in the first place. I always harp on this failure, since it seems much easier to keep rich people from getting so rich in the first place than to try to tax away their money once they have it.

Unfortunately, there is little place in policy circles for this sort of discussion. We can speculate on the reason for the lack of interest but there can be little doubt that we could structure the market in ways that generate much less inequality.

There would be far fewer great fortunes in a financial sector that is subject to financial transactions tax similar to the sales taxes that people pay when they buy clothes and food in most states. We would have many fewer top executives earning millions and tens of millions a year if our corporate governance structure was not so corrupt.

Our doctors and other high-end professionals would earn paychecks much more like their counterparts in Europe and Canada if the free traders applied the same logic to their services as they do to trade in manufactured goods. And Mark Zuckerberg and Elon Musk’s stakes in Meta and Twitter would be worth much less if they didn’t enjoy the special protection against defamation suits that we give social media platforms with Section 230.  

Then there is my favorite: government-granted patent and copyright monopolies. Large segments of the economy, most importantly prescription drugs and computer software, are almost completely dependent on this form of government intervention. Many of the country’s great fortunes, most notably centibillionaire Bill Gates, depend on these monopolies. More recently we created at least five Moderna billionaires by allowing the company to have control of a vaccine that the government paid to develop.

The proponents of these government-granted monopolies always argue that they provide incentives to innovate and do creative work. That is true, but also not the issue. The question is whether these monopolies are the best way to provide incentives. They are not the only way.

This is most clear in the case of prescription drugs. The U.S. government already spends well over $50 billion a year supporting biomedical research through the National Institutes of Health (NIH) and other government agencies. Few question the value of this research, and in fact the pharmaceutical industry is its biggest proponent. Obviously, valuable research can be supported by direct public funding, outside of the patent system.

However, most of NIH’s funding goes to support basic research, with the instances where it funds the development and testing of a new drug being exceptions. That is by design, NIH deliberately leaves the downstream work to be done by the industry. This does not have to be the case. There is no intrinsic reason that later stage development and testing cannot also be supported by public funding, instead of government-granted patent monopolies, as was the case with the Moderna vaccine.

We are not about to switch from patent monopoly supported system to a publicly funded system overnight, but we can try to find situations where we can experiment with alternative funding mechanisms and compare the outcomes side by side.[1] We actually have a very good opportunity for such a test with Covid boosters.    

Drs. Peter Hotez and Maria Elena Bottazzi, along with their colleagues at Baylor College of Medicine and Texas Children Hospital, developed a Covid vaccine, Corbevax. This vaccine has now been administered to well over 100 million people in India and Indonesia, protecting them against serious illness and death from Covid.

Corbevax was developed on an open-source model. This means that the process for producing the vaccine, as well as the data on safety and effectiveness, is entirely open and available to anyone. That means anyone in the world with the necessary manufacturing facilities can produce the vaccine. As a result, the vaccine is cheap, selling for around $2.50 a dose in India and Indonesia.

It would be desirable to have the Corbevax vaccine available in the United States. While it would likely cost somewhat more here, due to higher costs for labor and other items, we’re probably talking around $5 a shot. That compares to over $100 a shot for boosters of Moderna and Pfizer, by far the dominant vaccines in the U.S. (Most people don’t see this price tag, since insurers or the government are picking up much or all of the tab for the boosters, but we do ultimately pay this cost through one pocket or another.)

In addition to the far lower price tag, Corbevax also has the benefit of not being an mRNA vaccine. Instead, it uses a much older protein-based technology. Many of the people that still have not gotten a Covid vaccine are distrustful of mRNA technology. Whether or not these fears are well-grounded, they are keeping people from getting a vaccine which could protect them against Covid. At least some of these people may take advantage of the opportunity to get a vaccine that is not based on mRNA technology.

The FDA Obstacle

The reason that Corbevax is not available to people in the United States is that the Food and Drug Administration (FDA) will not allow it to be distributed here. The FDA is demanding that to get approved, the vaccine go through a full clinical trial to demonstrate its safety and effectiveness.

As it well knows, a full clinical trial at this point would be extremely difficult and expensive.[2] Since the overwhelming majority of people in the country have either already been vaccinated and/or been infected, it would be necessary to have an extremely large sample, likely hundreds of thousands of people, to demonstrate the effectiveness of Corbevax at this point. Note, this is entirely an issue of establishing effectiveness. At this point, there is little question that the vaccine is safe, with over a hundred million doses given and very few instances of adverse effects.

The alternative to a full clinical trial is a bridging study. This is designed to show that the Corbevax boosters give patients target levels of antibodies against the latest strain of Covid. This is the same process that Moderna and Pfizer go through when they have gotten their boosters approved. The FDA has resisted allowing Corbevax to be approved through this channel claiming that it is a fundamentally different technology.

That is true if the comparison is with the mRNA vaccines, but the FDA has given approval to a Novavax Covid vaccine, which uses a similar protein-based technology. (The Novavax vaccine is not widely available due to manufacturing problems.) There seems little downside in approving the Corbevax vaccine, if it can meet the FDA’s standards for determining effectiveness in a bridging study.  

The FDA’s Stubborness Is a Big Deal

It would be great if a cheap non-mRNA booster were widely available. As noted before, some people resist getting the vaccine out of fear of the mRNA technology. This will give people a non-mRNA option. There are also people who have bad reactions to the mRNA vaccines (I am definitely in that category – knocks me out for at least a day), who would definitely prefer a non-mRNA option.

But the biggest issue here is the prevention of a serious test of alternatives to the patent monopoly system of financing drug and vaccine development. We pursue this route for developing drugs and vaccines because the pharmaceutical industry works hard to stifle any consideration of alternatives. This is a huge issue not only for public health but also as an economic matter.

As a public health matter, it is entirely this system of government-granted patent monopolies that creates the problem of expensive drugs. It is rare that a drug is actually expensive to produce and manufacture. Drugs are expensive because we give drug companies monopolies over an item that is essential for people’s health, or even their life.

To take a couple of recent examples, the retail price for Imatinib, a leukemia drug, is over $2,500 per prescription. The generic version sells for $13.40, less than one percent of the patent-protected price. The patent protected price for the prostate cancer drug Xtandi is $125 a capsule. A generic version is available at $7.50 a capsule or 6 percent of the patent-protected price.

The most dramatic case of patent monopolies being an obstacle to saving lives was in AIDS pandemic. Initially, the only treatment for AIDS was AZT, which slowed the advance of the disease, but did not cure it and generally lost effectiveness over time. In the early 1990s, the drug companies developed a triple cocktail of drugs that proved effective in keeping AIDS under control and allowing patients to live normal lives. They were selling it for around $15,000 a year.

That was expensive even in the United States, but it was a tab that insurers or the government could afford, even if most patients would have trouble paying it out of pocket. However, this sum was totally out of reach in Sub-Saharan Africa, where the per capita income for many countries was less than $1,000 a year. While the drug companies clearly incurred substantial expenses in developing the drugs, once they were developed, they were relatively cheap to produce.

This was proven when Cipla, a huge Indian generic manufacturer, agreed to make the drugs available at a cost of $1 a day. As a result, millions of lives were saved since this was a price that even low-income countries and international aid organizations could afford to pay.

Patent Monopolies on Prescription Drugs are a Huge Economic Issue

Even beyond their enormous health consequences, patent monopolies on drugs have enormous economic consequences. We will spend close to $650 billion this year on prescription drugs. We would likely be paying less than $100 billion if these drugs were sold in a free market without patent monopolies or related protections. The difference of more than $500 billion a year comes to almost $4,000 a year for an average family. It is more than half the size of the military budget. It is real money by almost any standard.

And, it goes into the pockets of the drug companies, making their top executives, their shareholders, and some highly employees very wealthy. This redistribution of income from the rest of us to a relatively small clique of people in the pharmaceutical industry has nothing to do with the free market. It is the result of a government policy on granting monopolies and related protections.

This massive upward redistribution could perhaps be justified if it were the only way to finance the sort of breakthroughs we have seen in recent decades that have radically and improved people’s lives. But as I have argued, there is good reason to think that we could pay for the development of new drugs and vaccines through alternative mechanisms.

That is why the FDA’s role in blocking Corbevax is such a big deal. This would be a very clear way to demonstrate to the public that we don’t need patent monopolies to provide incentives for developing new drugs and vaccines.

We could look to have direct funding to support the development of drugs and vaccines for other diseases, where the final product was also available on an open-source basis and sold as a cheap generic. The industry could continue with its patent-monopoly supported research, they would just have the risk that whatever they ended up developing may be competing with a generic that is every bit as good and selling for less than one percent of the price they want to charge.

This mechanism for funding would also remove the enormous incentive to lie that patent monopolies create. When drug companies can sell drugs at markups of many thousand percent, they have a powerful incentive to push their drugs as widely as possible, as was the case with the opioid crisis.

Also, we could finance research that is is not dependent on finding a patentable product. In many cases, nutrition or environmental factors may play an important role in health. As it is now structured, the pharmaceutical industry has no incentive to research this possibility, since they won’t stand to earn back their research costs by finding treatments along these lines.

Corbevax: A Foot in the Door

There is a huge amount at stake in a move away from the patent monopoly system of financing the development of prescription drugs. With all the problems of the current system, it has led to many important breakthroughs. If we are to go a different route, we need evidence that it can be equally effective.

The Corbevax vaccine provides one such example. If it were widely distributed and people could see the benefits, then we might be able to build the case for more support and experimentation in this direction. That sounds like a great path if the goal is to improve public health and reduce inequality. However, this likely sounds very bad from the perspective of the pharmaceutical industry, and apparently also the FDA.  

 

 

 

 

[1] Two decades ago, Doctors Without Borders launched its Drugs for Neglected Diseases Initiative. Working on an open-source model, this project has developed thirteen treatments that have benefitted hundreds of millions of people, spending less than what the pharmaceutical industry claims it costs them to develop a single drug.   

[2] There were clinical trials done in India to demonstrate the safety and effectiveness of Corbevax.

The New York Times did a classic “the economy is awful” story by highlighting the fact that 1.3 million homeowners might not be moving because of the large gap between current mortgage rates and the rate they would have to pay on a new mortgage. While this is clearly a problem, the flip side is that millions of people were able to refinance their mortgages at an extraordinarily low rate from the start of the pandemic in March 2020 until the Fed began raising rates in March of 2022.

According to the New York Fed, more than 14 million homeowners refinanced their homes in this period. This is saving these families thousands of dollars a year in interest payments. Perhaps I missed it, but I don’t recall seeing any pieces on how these homeowners are much better off today as a result of these savings. These savings are not picked up in our standard measures of income. Also, according to advanced economic theory, 14 million is a larger number than 1.3 million.

The piece also hugely exaggerated the likely duration of this sort of lock-in story telling readers:

“But today’s challenge may be more lasting. That’s because 30-year mortgage rates get locked in for, well, 30 years, and because rates below 3 percent are unlikely to be seen again anytime soon.”

The piece puts the current gap between the market rate for new mortgages and the rates on existing mortgages at 3.2 percent, with current mortgage rates around 6.7 percent. Part of the recent rise in mortgage rates is due to a run-up in interest rates on long-term Treasury bonds. The 10-year rate now stands close to 4.4 percent, as opposed to a bit less than 3.0 percent before the pandemic.

However, part of the run-up stems from an unusually large gap between mortgage rates and the interest rate on Treasury bonds. Usually this is around 1.75 percentage points. It currently is around 2.3 percentage points.

We are likely to see improvements on both fronts in the near future. The Fed is likely to lower interest rates at some point this year and Treasury yields will fall in anticipation of rate cuts. (The Treasury rate had been under 3.8 percent as recently as December.)  

It is not entirely clear why the gap between mortgage rates and Treasury rates has widened so much, but it is reasonable to think that it will not persist indefinitely. If we see Treasury rates fall under 4.0 percent and the gap between mortgage rates and Treasury rates return to something like its long-term average, then it is very plausible that we will see mortgage rates below 6.0 percent in the not distant future.

That will still be higher than the 3.0 percent rate that many homeowners were able to lock in during the pandemic but would mean a considerably smaller gap than we now see. In any case, it is highly unlikely that anything like the current gap will persist for thirty years or anything close to it.

The New York Times did a classic “the economy is awful” story by highlighting the fact that 1.3 million homeowners might not be moving because of the large gap between current mortgage rates and the rate they would have to pay on a new mortgage. While this is clearly a problem, the flip side is that millions of people were able to refinance their mortgages at an extraordinarily low rate from the start of the pandemic in March 2020 until the Fed began raising rates in March of 2022.

According to the New York Fed, more than 14 million homeowners refinanced their homes in this period. This is saving these families thousands of dollars a year in interest payments. Perhaps I missed it, but I don’t recall seeing any pieces on how these homeowners are much better off today as a result of these savings. These savings are not picked up in our standard measures of income. Also, according to advanced economic theory, 14 million is a larger number than 1.3 million.

The piece also hugely exaggerated the likely duration of this sort of lock-in story telling readers:

“But today’s challenge may be more lasting. That’s because 30-year mortgage rates get locked in for, well, 30 years, and because rates below 3 percent are unlikely to be seen again anytime soon.”

The piece puts the current gap between the market rate for new mortgages and the rates on existing mortgages at 3.2 percent, with current mortgage rates around 6.7 percent. Part of the recent rise in mortgage rates is due to a run-up in interest rates on long-term Treasury bonds. The 10-year rate now stands close to 4.4 percent, as opposed to a bit less than 3.0 percent before the pandemic.

However, part of the run-up stems from an unusually large gap between mortgage rates and the interest rate on Treasury bonds. Usually this is around 1.75 percentage points. It currently is around 2.3 percentage points.

We are likely to see improvements on both fronts in the near future. The Fed is likely to lower interest rates at some point this year and Treasury yields will fall in anticipation of rate cuts. (The Treasury rate had been under 3.8 percent as recently as December.)  

It is not entirely clear why the gap between mortgage rates and Treasury rates has widened so much, but it is reasonable to think that it will not persist indefinitely. If we see Treasury rates fall under 4.0 percent and the gap between mortgage rates and Treasury rates return to something like its long-term average, then it is very plausible that we will see mortgage rates below 6.0 percent in the not distant future.

That will still be higher than the 3.0 percent rate that many homeowners were able to lock in during the pandemic but would mean a considerably smaller gap than we now see. In any case, it is highly unlikely that anything like the current gap will persist for thirty years or anything close to it.

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