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Tuesday, June 27, 2017

Senate healthcare bill costs 15 million their health insurance next year, 22 million by 2026

One consequence of electing the popular vote loser is that the official winners act as if they have a mandate for the most extreme version of their policies. Thus, we have proposed legislation, the misleadingly titled Better Care Reconciliation Act, that will not only roll back Obamacare's expansion of Medicaid, but impose further large cuts on the program in addition. In total, the Medicaid cuts will come to $772 billion through 2026.

As a result primarily of ending the individual mandate, the Congressional Budget Office (CBO) estimates that 15 million fewer people will be insured in 2018 than would be the case with current law. As healthier people remove themselves from the individual market, this will cause increases in insurance premiums and the likelihood of further collapse of the market. As Tierney Sneed points out, there will be some premium reductions in the individual market, but this will be due to the plans being much less generous and having higher out-of-pocket costs. Tellingly, the CBO report judges that low-income people will not buy insurance under these circumstances. As a result, by 2026 there will be 22 million fewer people without insurance.

On the revenue side, of course, the Republican bill cuts taxes on the rich by $541 billion.

It's hard to know where to begin. The chutzpah of such a gigantic transfer from the poor to the rich staggers the imagination. As with everything surrounding Trump, this is completely surreal.

The good news is that it's not a done deal. Three Republican Senators (Collins, Paul, and Heller), one more than McConnell can afford to lose, are currently opposed to the bill in the Senate. Republican governors who have expanded Medicaid (Sandoval of Nevada and Kasich of Ohio), plus Baker of Massachusetts (which expanded Medicaid under former Governor Deval Patrick) have also come out against the bill.

It's no secret, then, what to do. Keep the pressure on your Republican Senators. If there is no vote this week, you'll have the opportunity to see them over the July 4th recess as well. The stakes have never been higher.

Cross-posted at Angry Bear.

Monday, June 19, 2017

Video series for "Rethinking Investment Incentives"

As regular readers will recall, I contributed to the Columbia Center for Sustainable Investment's book, Rethinking Investment Incentives: Trends and Policy Options (Columbia University Press, 2016). Now, the editors have put together a series of video teasers for most of the individual chapters, all of which can be seen here.

As I wrote before, the book offers the perspectives of numerous experts in the field, and you can get quick overviews of the chapters from the teasers. These include the authors of chapters on theoretical analyses of location incentives; overviews of incentive use in the United States, the European Union, and the rest of the world; and control policies both subnational and supranational. I hope you find them of interest!

Saturday, June 10, 2017

Kansas Republicans abandon Brownback; raise taxes over his veto

Remember Kansas's great tax-cutting experiment under Governor Sam Brownback? (Me, sarcastic?) As always in Arthur Laffer and Stephen Moore La-La Land, cutting taxes leads to economic nirvana. Except when it doesn't, and it didn't in Kansas.

I recently wrote about the idiocy of Investor Business Daily's criticisms of California, and Paul Krugman carried the ball further, citing me and bringing in a comparison with Kansas (Brownback and Jerry Brown both took office in 2011). As Kansas cut taxes and California raised them, Kansas managed to raise employment by 5% from 2011 to 2017, whereas California's job growth was a rather more impressive 15% over the same period. As it turns out, Kansas's problems weren't limited to poor job growth.

As Alexia Fernandez Campbell points out at, one major change "eliminated taxes on owner-operated businesses, known as pass-throughs." This created an incentive for people to switch from being employees to being separate businesses providing exactly the same services. Tax avoidance reduced tax revenue by an estimated 1.7%, while the total reduction in tax revenue was 8%. With losses of this magnitude, Kansas ran into persistent budget trouble. For this, it was rewarded by Standard & Poors with credit downgrades in 2014 and 2016. By contrast, California saw its credit upgraded by the rating agencies several times. Both states now have an AA- rating from S&P, which is the fourth-best rating but below average for U.S. states.

By this week, the Republican-supermajority Kansas Legislature had had enough. Overriding Brownback's veto, the legislature passed a repeal of most of Brownback's tax cuts, including the pass-through provision mentioned above. Hopefully the state will now be able to begin repairing its six-year fiscal nightmare.

Do I have to tell you that Laffer and Moore are the main advisers behind Trump's tax plan, too?

Wednesday, May 10, 2017

Consumer Reports: Obamacare reduced bankruptcy rate

A new article at suggests that the Patient Protection and Affordable Care Act* (PPACA) played a substantial role in the decline of annual personal bankruptcies that we have seen since the high of 1.5 million in 2010.

As I showed several years ago, international bankruptcy data support the oft-heard claim that medical bills make up one of the biggest, if not the biggest, causes of personal bankruptcy. That is, if the United States has a bunch of medical bankruptcies and other countries don't, all other things equal you would expect the U.S. to have a higher overall bankruptcy rate than other countries. And the only article I was able to find on this showed that it was true: In 2006, the U.S. had a rate (6000 per million population) that was twice Canada's (3000 per million), which in turn far outstripped #3 Germany (1200 per million). The U.S. and Canadian rates have long been the highest because they had the most debtor-friendly bankruptcy systems, so debtors took advantage of it when they could.

Canada and the U.S. had similar rates in 1982, but thereafter the U.S. rate increased substantially more rapidly than Canada's did. As this period was also marked by U.S. health care costs outstripping those of other OECD countries, this is definitely evidence that medical bills were contributing to the higher U.S. bankruptcy rate.

Now, as suggested by Consumer Reports, the increase in insurance coverage rates and the many consumer protections due to the Affordable Care Act are contributing to a falling bankruptcy rate. Certainly, part of the fall is due to the passing of the worst part of the Great Recession, but the numbers are still striking.

A chart showing how the number of personal bankruptcy cases dropped after the ACA was introduced.

As the article points out and the chart above emphasizes, protections that surely reduced bankruptcy rates were contained in even the initial phase of the ACA. In 2011, the Obama administration rolled out the ban on yearly and lifetime limits, guaranteed coverage for pre-existing conditions, and implemented the rules allowing adult children to remain on their parents' policies until they were 26. By the time all ACA provisions were in effect in 2014, there was already a decline of over 600,000 bankruptcies per year. In the next two years, bankruptcies declined by a further 160,000 per year.

With the possibility that the American Health Care Act (AHCA) could reverse many of those protections, the conclusion is inescapable that medical bankruptcies will once again increase. Just how much, of course, depends on the particulars after (and if) the bill goes through the Senate, but this new study shows us just how much we have gained, and how much we have at risk.

* I use the full name of the law because both the patient protection and affordability aspects of the legislation contributed to this outcome.

Consumer Reports has not responded to my request for permission to use the chart. I will remove it if so requested.

Cross-posted at Angry Bear.

Friday, April 28, 2017

European Union ends relocation subsidies

This isn't actually news, but it's news to me, and it's something you need to know. Greg LeRoy sent me an article by James Meek in London Review of Books (20 April 2017) that he'd been sent by a friend, documenting more EU-permitted job piracy by Poland that preceded the case I discuss at length in my book, Investment Incentives and the Global Competition for Capital. There, I criticized the European Commission's Directorate-General for Competition for approving a 54.5 million euro subsidy for Dell to move from Ireland to Poland in 2009. During my January 2011 book tour, I took a lot of flak from DG Competition when I presented there, with several staff pushing back on my criticism of this decision.

As the LRB article pointed out, there was another case involving Poland, where Cadbury received state aid of about $5 million (14.18 million zloty when the zloty was worth about 0.35 USD) in November 2008 to move from the Somerdale, United Kingdom, to Skarbimierz (the LRB gives a much bigger number, but from unspecified "Polish government figures," so I cannot find a way to compare it with the EU's case report). This case is only listed in the EU's Official Journal, where it is reported as having been notified under the General Block Exemption Regulation. As this regulation is intended for uncontroversial cases, that makes it evidence, though hardly proof, for a relatively smaller rather than larger aid amount. For my purposes, the amount is less important than the fact that we have another documented relocation subsidy.

What's the big "news"? In Meek's article we read, "In 2014, too late for Somerdale, the EU recognised its error and banned the use of national subsidies to entice multinationals to move production from one EU country to another." Just like that.*

Okay, I'm abstracting from the political process. But it's pretty clear what happened. As I reported in Investment Incentives and the Global Competition for Capital, when Dell moved to Poland, all of Ireland was up in arms, including government officials and Members of the European Parliament. The European Parliament made its displeasure known. What the Somerdale case shows us is that there was at least one other country on the wrong end of a relocation subsidy, strengthening further the political pressure for state aid reform.

As I said, Commission staff believed they made the correct decision in the subsequent Dell case, and the rationale would have been exactly the same for Cadbury. The move sent economic activity from somewhere with high per capita income to a place with a far lower per capita income. They saw this as an overall increase of efficiency within the European Union. As I argued, though, even if that were the case, the decision wasn't good for intra-EU solidarity, and it undermined support for policies promoting the growth of the EU's poorer regions ("cohesion" policy in EU-speak). In light of the 2014 policy change, we know that arguments aligned to mine were the ones that carried the day politically.

This shouldn't come as any surprise: People generally don't like job piracy when they know about it. If you've read Chapter 5 of my book Competing for Capital, you know that it's basically not allowed for states to use federal funds (Community Development Block Grants, Small Business Administration, etc.) to engage in job piracy. But in each program's case, the reform happened only after one or more such incidents (many of them reported to me by Greg LeRoy during my research) had taken place, leading to demands for change.

Moreover, individual states know how to prevent job piracy within their own state. As of 2013, 40 states had shown their ability to write anti-piracy rules (p. iii). But they don't hesitate to use relocation subsidies when it comes to raiding other states. They can't seem to help themselves since they all need investment, and nothing stops other states from providing incentives. In fact, all multi-state anti-piracy agreement in the U.S. have failed, and even the most promising recent attempt (Kansas/Missouri) failed to get off the ground.

Only the federal government can stop states from stealing jobs from one another, but don't hold your breath on it happening anytime soon even though the negative-sum nature of inter-state border wars is easy to see. It's heartening to me to see the European Union has finally changed its policy, given that I have written mostly positive things about state aid control over the years. It's great for the glaring exception to be gone.

*For the technically inclined, this is embodied in a ban of relocation subsidies under the General Block Exemption Regulation, and in the Guidelines for Regional Aid 2014-2020, which classifies a relocation aid (paragraph 122) as "a manifest negative effect," "where the negative effects of the aid manifestly outweigh any positive effects, so that the aid cannot be declared compatible with the internal market" (paragraph 118).

Cross-posted at Angry Bear.

Thursday, April 13, 2017

How wrong is IBD on California? Let us count the ways

Investor's Business Daily has a hit piece out on California, as you can tell from the headline, "Taxifornia does it again." Here's the first paragraph of the editorial*, to give you a good flavor of it:
California's far-left government has done it again. Not realizing its real problems are excessive spending on misplaced priorities, excessive taxes, too much debt and a far-too generous welfare state, its legislature working in cahoots with Gov. Jerry "tax-and-spend" Brown has pushed through the largest tax hike in state history.
Amazingly, the editorial does not mention regulations once, though it did get around to the "job-killing $15-an-hour minimum wage" recently passed, along with the proposal for a single-payer health insurance system. I guess that counts as massive self-restraint on the editors' part.

The article calls California "the highest-tax state in the union." If that's so, it's just another example of the false claim (popular also with Arthur Laffer and the conservative American Legislative Exchange Council) that high taxes always mean bad policy outcomes. (FWIW, according to Forbes, California only has the sixth-highest state and local tax burden.)

So what have been the consequences of all of California's tax increases? According to IBD, "Since 2004, California has lost more than 1 million people, representing a $26 billion net income loss." Of course, no one has actually been lost. California's population grew by almost exactly 4 million between 2004 and 2016, from 35.25 million to 39.25 million. What IBD's editors are referring to is net interstate immigration and even there, the analysis is a little squirrely. From 2004 to 2008, the state had net interstate emigration of over 100,000 per year, with a low point of 288,000 net loss in 2006 (you know, during the housing disaster), but in every year since 2009, the number has been under 100,000 per year. Of course, interstate immigration is only one element of population change, and IBD conveniently omits the rest.

And the $26 billion alleged income loss due to interstate out-migration over that time period? A rounding error in an economy which grew from $1.8 trillion (2004) to $2.2 trillion (2015) annually in real 2009 dollars. I'm not even going to bother searching for their unlisted source.

The article further claims that because of taxes, over 10,000 firms, including Toyota, "have either fled the state or reduced their investments." Of course, Toyota has been replaced in its Fremont factory by Tesla, the most valuable auto company in the United States by market capitalization (yes, I agree: it does need to make profits sometime to maintain this). Again, we need to look at the bigger picture. California hit its pre-recession peak employment in January 2008 at 16,949,800 (6.1% unemployment rate), went below 16 million employed and over 12% unemployment in the worst of the Great Recession, but in December 2016 reached 18,376,600 employed with just a 5.2% unemployment rate. So something more than offset all the companies that "fled," I guess.

Of course, not everything is hunky-dory in California. As Woody Guthrie sang in 1940, "you won't find it [California] so hot, if you ain't got the do-re-mi." It's just as true today. California has persistent problems with a shortage of affordable housing, with studies rating it as having the highest housing costs in the country. But that means, contrary to the tax-doomsayers, that it is low-income people moving out and higher income people moving into the state, the opposite of what we'd expect if the anti-tax hype were true.

All in all, the editorial is Exhibit 538 in pressuring states to cut taxes, pretending you can provide infrastructure, education, and training without tax revenue, and that you can create prosperity by creating low-wage jobs.

* Thanks to a non-blogging friend for pointing out this editorial.

Friday, March 31, 2017

Tax Justice Network Taxcast, March 2017: Brexit and Tax Havens; Losses to Tax Avoidance

Will Brexit harm the City of London's tax haven? With weak regulation, money laundering, and satellites like BVI, Cayman Islands, and Jersey, everyone knows it's already a tax haven. The UK is threatening to be more of a tax haven if they don't get their way on other issues in the Brexit negotiations, but the EU will be vigilant on this issue, in John Christensen's opinion. He notes that the General Agreement on Trade in Services (GATS) does not guarantee trade in most financial services. He says UK suffers from finance curse (like the resource curse increasingly studied in political science). He predicts that the EU will find it easier to regulate financial services after the UK is gone.

The cost of the financial crisis was $6.5-$14.5 trillion, according to calculations by Gerald Epstein, of the University of Massachusetts, Amherst. The bailout enabled finance to make profits far beyond what was justified based on the risk banks took on prior to the bailout. Economic rent has been generated through excess compensation, drawing more top graduates into the sector. Private credit/GDP over 90% or so leads to lower economic growth. The U.S., UK, and Iceland all had been at 200% of GDP.

"Overcharged? The High Cost of High Finance" is the name of the report.

Listen to the entire broadcast here: