• Clear sky
  • 68°
    Clear sky

sponsored by Edina Realty

  • Comment

How Republicans misunderstand health care costs

Posted: January 16, 2013 - 11:59pm

Congratulations! The cost of your health insurance is increasing.

What? You don’t think that’s a reason for celebration? Good, you’re avoiding a mistake that’s far too common among economic analysts, especially Republicans.

Academic studies and news media regularly report that in recent decades the middle class has been stagnating economically. Conservative and libertarian analysts often downplay these stories by saying that while wages for people in the middle of the economic spectrum may look flat, their total compensation has been rising steadily.

So, for example, Michael D. Tanner of the Cato Institute, trying to present a more optimistic economic picture, recently observed that “incomes among lower- and middle-income workers have been shifting from cash wages to non-cash benefits such as health insurance and pensions.” Count those benefits, he added, and “inequality may not be growing at all.” A recent study reported that median household income had risen only 22 percent from 1979 to 2007. An article in National Review, the conservative magazine where I work, responded by noting that using a broader measure of income raised that number to 46 percent. That broader measure counted health benefits.

Excluding such benefits when measuring inequality, writes Ron Haskins, a conservative scholar of social policy, “is roughly equivalent to estimating the size of a city by counting the names in the phone book, but ignoring all names that begin with ‘R,’ ‘S,’ and ‘T.’”

Conservatives are right that trends in total compensation look better than trends in wages. But that’s not a reason for complacency. It’s a problem. What the numbers mean is that increases in health-care costs have depressed wage growth, and sometimes kept wages from rising at all.

If there’s a consensus among health economists about anything, it’s that employer-provided health benefits come out of wages. If health insurance were cheaper, or the marketplace were structured so that most people bought health coverage for themselves rather than getting it with their jobs, people would be paid more and raises would be higher.

If people consciously decided to spend most or all of their pay increases on health care, that would be one thing. They don’t. Current policies elaborately disguise how much health coverage costs people. Because the federal government taxes wages but not health benefits, employers provide more of the latter and less of the former than they otherwise would. Most people have no idea how much money they have forgone in wages because of those benefits. They never see the money.

Health benefits are, of course, valuable to people, and the increase in their cost over the last generation - which those statistics on rising compensation show - partly reflects that medicine can do more than in the past. It also reveals a lot of waste and inefficiency, however, rather than increased well- being.

The less people’s wages rise, the less they feel they’re getting ahead, regardless of what’s happening to their health premiums. During the middle of the last decade, conservatives talked about “the Bush boom” and wondered why it wasn’t more widely appreciated. One reason: Wages were flat even as compensation rose. Because conservatives didn’t see the importance of cash wages, they misunderstood the politics of the economy. Flat or slowly rising wages have probably also reduced public support for useful reforms such as freeing trade and cutting corporate-tax rates.

The research that conservatives cite, in other words, doesn’t show that wage stagnation is nothing to worry about. It helps explain a troublesome trend. If you ignore the role of health costs in suppressing wage growth, you might be tempted to rely too much on other explanations, such as a technology slowdown or the decline of unions. The data also make clear that reducing health inflation would go a long way toward boosting wages.

President Barack Obama’s health-care law is supposed to bring costs down, although there is reason for skepticism. Conservatives have their own ideas, but Republican politicians haven’t done much to advance them, partly because they haven’t paid much attention to the link between health costs and wages. (In fairness, Democrats sometimes get this link wrong, too.)

Conservatives shouldn’t say that the wage-stagnation problem is an illusion because health benefits have been rising. They should say, instead, that the problem is real and that surging health costs are a major cause. The American dream isn’t to pay ever-higher health premiums.

Ramesh Ponnuru is a Bloomberg View columnist, a visiting fellow at the American Enterprise Institute and a senior editor at National Review.

  • Comment

Comments (3)

Add comment
ADVISORY: Users are solely responsible for opinions they post here and for following agreed-upon rules of civility. Posts and comments do not reflect the views of this site. Posts and comments are automatically checked for inappropriate language, but readers might find some comments offensive or inaccurate. If you believe a comment violates our rules, click the "Flag as offensive" link below the comment.
captron
25926
Points
captron 01/17/13 - 09:51 am
5
1

WOW ! Healthcare costs have been rising out of control ?

Now there is a news flash for some.

Does that mean healthcare costs incurred by those uninsured individuals that show up at the hospital ER are NOT going to be FREE much longer ?

There should be a law , No wait there is !

Never mind.

Thank goodness someone is " spending that political capital "

JamesBond
5347
Points
JamesBond 01/17/13 - 10:36 am
5
1

Republican Governors Change Mind On Obamacare

Arizona governor "finger-wagging" Jan Brewer, Susan Martinez (R-NM) and Brian Sandoval (R-NV) have all changed their minds and are now accepting Medicaid dollars from the government. Oh my...it is is the end of democracy and the end of our freedoms!!!

southie11
20856
Points
southie11 01/17/13 - 10:45 am
5
1

James Bond

Those governors used Obamacare as an issue to run against, and now they are using it to govern. Go figure.

Back to Top

Spotted

Please Note: You may have disabled JavaScript and/or CSS. Although this news content will be accessible, certain functionality is unavailable.

Skip to News

« back

next »

  • title http://spotted.brainerddispatch.com/galleries/541988/ http://spotted.brainerddispatch.com/galleries/544118/ http://spotted.brainerddispatch.com/galleries/544138/
  • title http://spotted.brainerddispatch.com/galleries/544128/ http://spotted.brainerddispatch.com/galleries/543013/ http://spotted.brainerddispatch.com/galleries/544108/
  • title
My Gallery

CONTACT US

  • Switchboard 218-829-4705
  • Report News 218-855-5860
  • Advertising 218-855-5835
  • Classifieds 218-855-5898
  • Circulation 218-855-5897
  • View the Staff Directory
  • or Send feedback

ADVERTISING

SUBSCRIBER SERVICES

SOCIAL NETWORKING