Banishment

Today I am in Florida giving a seminar to a group of Federal judges on the law and economics of Federalism and Crime.  One of the surprising things that I discovered in my research is that cities, counties, and even most states can legally banish criminals from their borders.  I say most states because, for example, the Georgia state constitution makes banishment illegal.  Georgia judges, however, have found a way around the law they have imposed "158-county" banishment.  (If you guessed that Georgia has 159 counties give yourself two points.)

Banishment is a particulary noteworthy example of a negative spillover – banishment benefits the state doing the banishing but only at the expense of other states.  I will suggest to the Federal judges, therefore, that state banishment should be illegal.

There are some arguments for banishment from a city or county.  Banishment, for example, can remove a criminal from negative peer influences.  Whether the advantages outweigh the spillovers is an open question but city and county banishment should be left to the states because the state government can internalize the city/county spillover.

The Kerry Joke

John Kerry this week has been abjectly apologizing for his statements on Iraq and education.  According to Kerry he intended to critique President Bush:

Do you know where you end up if you don’t study, if you aren’t smart,
if you’re intellectually lazy? You end up getting us stuck in a war in
Iraq.

But what he said was:

You know education, if you make the most of it, you study hard, you do
your homework, and you make an effort to be smart, you can do well. If
you don’t, you get stuck in Iraq.

The irony is that the joke he intended to make is a lie but what he actually said may be the truth.  The disaster in Iraq was created by a bunch of highly educated intellectuals but the soldiers fighting in Iraq do have less education than the young men and women who have stayed home.  According to historian David Kennedy, quoted in the October issue of the Atlantic, 50 percent of 18-24 year olds in the general population have some college education compared to only 6.5 percent of the same age group in the U.S. military.  (Kennedy’s figures are contested by others.)

American political correctness extends to more than women and minorities and as in those areas it prevents discussion of important but uncomfortable truths.

Intellipedia

In 2004 in my post on the reorganization of the intelligence services, Decentral Intelligence Agency, I wrote:

The implicit model of the 9/11 Commission is command and control –
move all the information from the roots of the tree to the top of tree
and then one all-encompassing-mind will evaluate it and make the right
decision. Does that model sound familiar? Sure it does, that’s the
model of economic planning that is currently lying on the ash-heap of
history. It’s the model that Mises and Hayek subjected to withering criticism in the socialist calculation debate of the 1930s…

An intelligence-Czar faces exactly the same problems. So what can be
done? The intelligence agencies need tools that can spread information
rapidly and widely and that are open to anyone with information whether
they are at the bottom or the top of the hierarchy…Sound familiar?
Yes, blogs and wikis are the right idea. And no I am not being flip.

Today, I am delighted to learn of the creation of Intellipedia.

The CIA and other U.S. intelligence agencies have created a new computer
system that uses software from a popular Internet encyclopedia site to gather
input on sensitive topics from analysts across the spy community, part of an
effort to fix problems that plagued prewar estimates on Iraq.

The new system, called "Intellipedia" because it is built on open-source
software from the Wikipedia Web site, was launched earlier this year. It is
already being used to assemble intelligence reports on Nigeria and other
subjects, according to U.S. intelligence officials who discussed the initiative
in detail for the first time Tuesday….

The system allows analysts from all 16 U.S. intelligence agencies to weigh
in on debates on North Korea’s nuclear program and other sensitive topics,
creating internal Web sites that are constantly updated with new information
and analysis, officials said.

…[Officials] stressed that disseminating material to the widest possible
audience of analysts is key to avoiding mistakes like those that contributed to
erroneous assessments that Iraq possessed stockpiles of banned weapons and was
pursuing a nuclear arsenal.

Thanks to Carl Close for the pointer.

Gas Guzzling Grapes?

It may look like we are eating Chilean grapes, he [Pollan] argues, but in fact, once we
consider transportation costs, we are guzzling petroleum. Economics offers a
clearer view of what is going on. We do need to save energy, but it is difficult
for a central planner (or for that matter a food commentator) to identify what
is waste, relative to the costs of eliminating it….If fuel becomes more expensive, we’ll likely adopt peak-load
energy pricing, and drivers may scrap their SUVs for hybrids. But we probably
won’t plant grapes in our backyards. While we must conserve energy, we cut back
where it makes the most sense; grape-shipping is not the place to start. Global
trade does involve transportation costs, but it also puts food production where
it is cheapest, again saving energy by economizing on costs of labor,
irrigation, and fertilization, relative to the alternatives.

That’s the ever-wise Tyler reviewing the Omnivore’s Dilemma in Slate.

How to Use a Condom Optimally

The NYTimes has an excellent article on how foreign aid is often more about aiding local companies than aiding foreigners.  It’s a familiar story but told with a wry look at condom production in Alabama where for decades billions of condoms have been manufactured for USAID and other programs despite the fact that costs are much lower on the world market.

A central theme in the article is the contrast between the waste of foreign aid dollars and the plight of the poor, low-skilled workers who make the US condoms.  Here, however, is a way to square the circle.  The US plant typically produces about 450 million condoms a year at a cost of 5 cents each.  Condoms could be bought on the world market at 2 cents each so if the plant shuts down USAID can save $13.5 million dollars a year.   The US plant employs 260 people so every one of those employees could be paid a one-time quitting bonus of $51,923, equivalent to several years of salary of the lowest paid workers.  USAID would be indifferent in year one and would have more to spend on foreign aid in every subsequent year.  My bet is that the workers would jump at the chance to be bought out.  So there you have it, that’s how you use a condom optimally.

Towards a Better Press Corps

The Washington Post has another story today on Wal-Mart’s plan to offer lower pharmaceutical prices.  Today’s piece is far superior to the one I criticized earlier but the following sentence did catch my eye:

But the additions have not quelled skepticism of the program. In a
statement early this month, the National Community Pharmacists
Association, a trade group representing independent pharmacists, called
the rollout an "attempt to gain maximum public relations value while
providing minimum value to patients."

Ok, you don’t need a PhD in Public Choice to see the issue.  Nevertheless the "skepticism" expressed would have been better put into context had the sentence been written:

In a
statement early this month, the National Community Pharmacists
Association, a trade group representing many pharmacists in competition with Wal-Mart, called
the rollout an "attempt to gain maximum public relations value while
providing minimum value to patients."

A Natural Disaster Does Not Increased Measured GDP

It’s common to be told that a problem
with the GDP statistic is that natural disasters increase measured GDP. Sadly, even some textbooks say this but as a
general matter it’s false. The broken
windows fallacy is a fallacy for measured as well as real GDP because the money
spent on new windows would have been spent on other goods and services.

Imagine that you are your friends are going to see a jazz
concert but on your way to the concert you have a little disaster, a fender
bender. Instead of seeing the show, you
and your friends have a miserable time waiting for the tow truck to come to
have your car fixed. Spending on the tow
truck and the auto repair counts as
GDP but it does not add to GDP
because it is counter-balanced by a decrease in spending on jazz, wine and cheesecake. Nothing Tyler says (see above) about
gross substitutability changes this fact.

Consider a bigger disaster, the 9/11 attack. First, the point already mentioned, the
resources used in the cleanup count as GDP but don’t add to GDP to the extent
that they would have been employed on other projects. Now it is true that some of the workers could
work overtime which they otherwise would not – this would tend to increase
measured GDP more than real GDP since leisure is not measured in the national
income and product accounts. Even this
factor, however, must be balanced against the overwhelming fact that the
destruction of the twin towers meant that tens of thousands of the most
productive people in the United States were forced into unemployment or death. Since GDP can also be measured as the sum of wages, rents, interest etc.
the immediate effect of all the unemployed and dead was to reduce GDP. Similarly, Hurricane Katrina has destroyed
more jobs in New Orleans than it
has added (and not all the added jobs represent real additions) hence the
Hurricane reduced measured and real GDP.

Also it is not true, as some sources claim, that destroyed
resources don’t count in the NIPA statistics – firms and the government count at
least some (but not all) destroyed resources as depreciated capital and thus measured Net Domestic Product automatically decreases with a disaster.  (n.b. corrected from earlier where I had said GDP instead of NDP).

Tyler asks “if a new hotel is
built, why should the gdp consequences depend on whether the lot had always
been vacant or a previous hotel on that lot was destroyed by a storm?” Answer: it doesn’t. In neither case can you assume that GDP goes
up. GDP is analogous to an individual’s
expenditures on goods and services. If Tyler buys a new CD does that raise Tyler’s
expenditures? Not if it doesn’t raise
his income. If all you did to measure
GDP was to count new hotels, new shopping malls, new spending then you would
far over-estimate GDP. GDP is a net
concept you have to count all expenditures precisely because some of the new
spending is offset by reduced spending elsewhere in the economy. It’s only after you have totaled that you can
calculate the increase in GDP.  (Note also Tyler’s error, if the new CD doesn’t represent a net increase in expenditures it can’t increase income on net either.)

If you follow through on the false logic you will
find yourself saying crazy things like crime increases GDP because of the money that people spend on locks. Of course, locks count as GDP but if people
weren’t buying locks they would be buying other goods so locks don’t add to GDP. GDP measures production it doesn’t measure
how production contributes to happiness.

There are plenty of problems with the GDP statistic and Tyler and I agree
that it’s conceivable that through a Keynesian effect or intertemporal substitutability
of labor that GDP could rise from a natural disaster but for this to work is
has to outweigh all the effects that I have listed and this is unlikely. Thus what we should teach our undergrads is
that measured and real GDP falls with a natural disaster.

My Gap Shorts Make the FT

Economists and bounty hunters would appear to have little in common.
Duane “Dog” Chapman is a tattooed ex-convict with his own reality
television show, currently threatened with extradition to Mexico for
apprehending a US rapist there. Alex Tabarrok wears Gap khaki shorts
and is interested in tort reform. Only one of them is an economist.

That’s Tim Harford writing in the Financial Times

I wonder if I can get an endorsement deal out of this?

Pumping Neurons

So I’m in the local Best Buy and I see that the Nintendo DS has Brain Age on display, it tests your "brain age" with a series of mental exercises.  Heh, I’m up for a workout so I run the game which does things like show you the word blue but written in red and you are supposed to say the color (not the word).  The store is noisy, however, so the damn microphone isn’t picking up my answers.   It gives me a brain age of 95!  What the #$$!%!.  So I run the game again and this time I’m shouting into the machine, blue, red, no I said red damn it, green, green, green…  Well, I managed to get my brain age down some but by now people were looking at me real funny.

    Anyway, if you want to try some of these exercises you can now join an online gym and workout at home.  The Washington Post has a brief review of some of the sites including MyBrainTrainer, Happy-Neuron and Brain Builder.  Of course, you know my recommendation for the best website to improve your brain power.

Incentives for Organ Donation

In an important editorial the Washington Post advocates giving points in the current organ allocation system to people who have previously signed their organ donor cards.  I have long argued for such a system (see Entrepreneurial Economics and here) and am an advisor to Lifesharers an organization that is implementing a similar system privately.

The decision to pledge organs could be linked to the chance of
receiving one: People who check the box on the driver’s-license
application when they are healthy would, if they later fell sick, get
extra points in the system used to assign their position on the
transplant waiting list (other factors include how long you have waited
and how well an available organ would match your blood type and immune
system).

Thanks to Dave Undis for the pointer.

Why is Medicine so Primitive?

The practice of modern medicine is surprisingly primitive.  My doctor only recently started to provide printed prescriptions instead of the usual scrawl.  Incorrectly filled prescriptions can be serious and computer printed prescriptions are an obvious response yet even today only one in four physicians use some form of electronic health records and only one in ten really use electronic records to follow a patient’s entire history.  My credit card company knows far more about my shopping history than my physician knows about my medical history.

Medicine is primitive in another way.  The number of treatment regimes supported only by tradition and authority is very high.  Here’s a recent example:

For the past 30 years or so, doctors have routinely given pregnant
women intravenous infusions of magnesium sulfate to halt contractions
that can lead to premature labor.

…[a] team reviewed 23 clinical trials worldwide involving 2,000 women who
had received the drug to quell contractions. They found that it did not
reduce preterm labor and that more babies died when their mothers took
the drug than in a control group where the mothers had not been given
it.

…Grimes and Nanda estimate that about 120,000 American women receive mag
sulfate each year for premature contractions, and they say some
evidence suggests it may be associated with 1,900 to 4,800 fetal deaths
annually in the United States.

This would be a shocker except for the fact that stories like this are common – by some accounts a majority of medical procedures are not supported by serious scientific evidence.  Indeed, what are we to make of a profession where evidence-based medicine is only a recent and still far from accepted movement?

Why is medicine so primitive?  One reason is that medicine is the largest area of the economy still dominated by artisanal production.  I will be blunt: We need assembly line medicine, medicine that is routinized, marked and measured. As I have argued before I would much prefer to be diagnosed by a computerized expert system than by a physician. The HMOs, Kaiser in particular, have done good work on measuring the effectiveness of different procedures but much more needs to be done to bring medicine into the twentieth century let alone the twenty first.   

Rent Seeking Kills

It’s illegal to offer compensation for a transplantable human organ.  As a result of the price control there is a shortage of organs and thousands of unnecessary deaths.  None of this is news to readers of this blog.  The price control on organs, however, kills in another less well recognized manner.  The reduced supply of organs raises their value.  Organ donors can’t capture that value so who does?  Transplant centers.

    Transplant centers are artificially high profit centers because they capture some of the rents generated by the shortage of organs.  As a result, there are too many transplant centers in the United States and each center performs too few transplants.  Practice makes perfect so when a transplant center performs only a few operations a year lives are lost.

Medicare requires that transplant centers perform 12 transplants a year to be certified but many programs are in violation of that standard with little consequence.  Medicare is even thinking of reducing the standard from 12 per year to 9 in 30 months.  As one specialist says "I wouldn’t take my car to be serviced by someone who repaired nine cars over the past three years.  Would anyone do that?"

This Washington Post article has more on the excess number of centers although it doesn’t draw the connection between the organ shortage and the incentive to build a center.  Here’s some data, from the article, on centers local to Washington.

Transplants