My standard for success is quality of life. Capitalists usually choose GNP.
Of course, there are different judgments about what "quality of life is".
A fundamental feature of capitalism is economic liberty, which by itself
I find to be a worthwhile quality.
But other aspects are independent of the economic system, eg, social
liberty, social safety net. These can be ensured by governance, & so
are rather independent of the economic system.
A society is essentially a cooperative endeavor. So, to design a competitive economy to fuel more effective cooperation would be a classically dumb move except for one thing: a cooperative economy requires effective, corruption-free government; and we humans have yet to invent such a thing.
People not running businesses often don't know that capitalism is very
much about cooperation. Sure, sure, companies compete with one
another, but they also cooperate with others, employees, & stockholders.
A healthy balance of competition & cooperation function best in the real world.
So, for now, capitalism's free-market, which needs less regulation, serves a purpose. It work fairly well on products which can be seen and compared by well-informed consumers spending their own money. But none of those factors are possible in services. That's why fraud, of both the legal and illegal varieties, rules the financial services industry.
First, I'll say that I favor useful regulation, ie, that which promotes honesty, transparency,
& competition. Financial services are are pretty good market. Yes, I've seen some fraud,
but the biggest problem I've found is ham fisted incompetent government regulation.
In lending, I've seen.....
- The fed gov push banks to foreclose on loans rather than renegotiate them.
This isn't just with Fannie Mae & Freddie Mac (which the fed created & controls),
but also private sector lenders, eg, RBS (British gov owned), Citizens NA.
- The fed requires that when a loan is renegotiated, the borrower must
immediately pay income tax on forgiven principal & even on any interest waived.
The latter is particularly onerous because the borrower has no gain, just a future
expense not incurred. This makes refinancing impossible for many borrowers.
- The fed has not just encouraged risky loans (eg, via PMI), but even required
such lending (eg, Community Reinvestment Act).
Health care services are different for a couple reasons....
- Consumers are poor buyers, eg, ignorant of the service, stressed.
- The system has been corrupted by a myriad of laws which require free service
to some, with others subsidizing it, preferential treatment for insurers over
consumers in bargaining price, dysfunctional tort system to handle malpractice,
& imposition of a massive bureaucracy.
- Rapidly escalating technology & associated costs, with commensurate expectations.
- Obamacare's throwing a monkey wrench into the works.
I expect that single payer will be the political solution to this.
Let's just hope that it allows for a private sector option, rather
than what Hillary proposed when Bill was Prez (making private
care illegal).
For healthcare, the competitive free-market is simply the wrong tool for the job. Some of the problems:
-- consumers don't know what services they need
-- insured consumers don't care about the cost of the services they receive
-- care providers easily justify over-charging deep-pocket insurance companies
-- lawyers easily justify representing clients in malpractice fraud against deep-pocket insurance companies
-- as long as they aren't paying more of it than their competitors, fraud benefits the insurance companies by adding to the industry's bottom line
-- drug companies find it more profitable to create drugs that manage symptoms for a lifetime rather than those which cure the disease
- Some consumers understand the service. But it's a problem that so many don't,
particularly their own insurance policies.
- Drug companies must compete with others, so a drug cures rather than manages
symptoms would have the patients beat a path to their door. But we do need
regulatory reform in this area. Laws have driven companies like Pfizer out of my
state, meaning that more & more research will happen overseas.