Friday, April 07, 2017


Politics and IQ

Are smart people Left-leaning?  There is some recent evidence to say so, though the correlation is weak.  A paper by Michael Woodley is therefore of interest ("Problematic constructs and cultural-mediation: A comment on Heaven, Ciarrochi and Leeson (2011)").

He surveys the literature and shows that the findings go both ways.  On some occasions Leftists score highest while on others conservatives do.

He resolves that the way I do -- by saying that high IQ people are quicker to figure out what is currently socially acceptable and say that.  At the moment being conservative is likely to bring a ton of abuse ("racist") down on your head so it is no wonder that smart people claim to be Leftist

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US healthcare: most people don't know what they're talking about

The article below is good at debunking some myths about U.S. healthcare.  It points out factors that distort the national averages.  It skips over the big one, however.  National averages are a poor guide to the health of most Americans.  America has two big minorities that tend to have poor health and which therefore drag down the national averages. If the statistics for whites only are extracted, they show average health levels that are among the world's best

US healthcare is famous for three things: it's expensive, it's not universal, and it has poor outcomes. The US spends around $7,000 per person on healthcare every year, or roughly 18% of GDP; the next highest spender is Switzerland, which spends about $4,500. Before Obamacare, approx 15% of the US population were persistently uninsured (8.6% still are). And as this chart neatly shows, their overall outcome on the most important variable—overall life expectancy—is fairly poor.

But some of this criticism is wrongheaded and simplistic: when you slice the data up more reasonably, US outcomes look impressive, but being the world's outrider is much more expensive than following behind. What's more, most of the solutions people offer just don't get to the heart of the issue: if you give people freedom they'll spend a lot on healthcare.

The US undoubtedly spends a huge amount on healthcare. One popular narrative is that because of market failures and/or extreme overregulation in healthcare, prices are excessively high. So Americans with insurance (or covered by Medicare, the universal system for the elderly, or Medicaid, the government system for the poor) get the same as other developed world citizens, but those without get very poor care and die younger. A system like the NHS solves the problem, according to this view, with bulk buying of land, labour, and inputs, better incentives, and universal coverage.

But there are some serious flaws in this theory. Firstly, extending insurance to the previously-uninsured doesn't, in America, seem to have large benefits. For example, a recent NBER paper found no overall health gains from the massive insurance expansion under Obamacare.* A famous RAND study found minuscule benefits over decades from giving out free insurance to previously uninsured in the 1970s. In fact, over and above the basics, insuring those who choose not to get insurance doesn't ever seem to have large gains. Indeed, there is wide geographic variation in the life expectancy among the low income in the US, but this doesn't even correlate with access to medical care! This makes it unlikely that the gap between the US and the rest is explained by universality.

To find the answer, consider the main two ingredients that go into health outcomes. One is health, and the other is treatment. If latent health is the same across the Western world, we can presume that any differences come from differences in treatment. But this is simply not the case. Obesity is far higher in the USA than in any other major developed country. Obviously it is a public health problem, but it's unrealistic to blame it on the US system of paying for doctors, administrators, hospitals, equipment and drugs.

In fact in the US case it's not even obesity, or indeed their greater pre-existing disease burden, that is doing most of the work in dragging their life expectancy down; it's accidental and violent deaths. It is tragic that the US is so dangerous, but it's not the fault of the healthcare system; indeed, it's an extra burden that US healthcare spending must bear. Just simply normalising for violent and accidental death puts the USA right to the top of the life expectancy rankings.

This is what we'd expect if we approached the topic more honestly, and dug into the detail of healthcare stats. You might think—you might think!—that this is what international healthcare rankings like those from the WHO or the Commonwealth Fund do. Not so. The WHO just looks at a corrected life expectancy measure, but not one corrected for any of the factors which attempt to isolate the impact of healthcare. The Commonwealth Fund's is a mix of high level aggregate measures like physicians per capita and a survey asking people around the world questions like whether "Doctor or other clinical staff talked with patient about a healthy diet and healthy eating". Neither are useless, but they are not the real deal.

Academic papers that drill down into the detail find that the US does well in cancer survival, heart attack and stroke survival, and successfully medicating those with long-term conditions such as diabetes. In fact, when the Commonwealth Fund did this sort of analysis themselves decades ago, the US ranked among the best of countries. This is partly because the US has much more advanced equipment, partly because it funds more costly treatments in general, and partly because it funds the newest treatments, when their marginal costs are often stratospheric. This may subsidise medical research for everyone else.

Now this is not to say the US system works well. The fact that the US spends vastly more than everyone else, and only does a bit better, if that, makes the system pretty unimpressive. But it's important to understand why. The UK really does have "death panels" that refuse treatments because they're extremely costly relative to their tiny impact. The USA has a system where most people can buy—are even subsidised through the tax system to buy—insurance that is as extensive as they like, paying for ever more expensive and marginally beneficial therapies. Eventually you're spending a fifth of your GDP on it.

Maybe if the US government straightened things out—scrapped the incentives that push people to get too much healthcare and deregulated the system to increase competition and push down costs the US would spend a more rational share of its income on health. I think this is pretty likely. But I bet the gap wouldn't go away fully. Americans just have a lot of cash, and want to spend an increasing share of it on their wellbeing as they get even richer. As long as the system is mostly open, I'd expect that to continue.

SOURCE

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Levin: Progressivism, Statism 'Is a Poison for Power'

Talking about the judicial branch of government on his nationally syndicated radio talk show program, host Mark Levin suggested that the leftists would use the court to gain power, saying that progressivism, statism “is a poison for power.”

“[P]rogressivism, or as I call it, statism, but either way, is a poison,” stated Mark Levin. “It is a poison, and it is a poison for power.”

Levin’s comments come as Judge Neil Gorsuch awaits confirmation this week in Washington DC.  Below is a transcript of Mark Levin’s comments from his show:

“You need to know, and I know you do, that progressivism, or as I call it, statism, but either way, is a poison. It is a poison, and it is a poison for power.

“And you’ll learn all about it and a heck of a lot more in “Rediscovering Americanism,” but I want to stay on this.

“The leftists decided, the statists decided more than 100 years ago that the key institution that would be used to alter the American landscape, the constitutional landscape, the American culture with rugged individualism, the American psychology of freedom would be the courts.

“First, you needed an all-powerful president, and then you need an all-powerful president who would change the judiciary. And that’s exactly what happened – in big chunks, starting in the 1900s, the early 1900s, and then a massive leap with Franklin Roosevelt. “And it’s never stopped.”

SOURCE

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Benign neglect:  How Hong Kong prospered

The power of do-nothing government

Hong Kong could easily be described as the most neoliberal country in the world — a paragon of neoliberal success.

The story of Hong Kong’s growth is both long and fascinating, and could not be done justice in a mere blogpost. But there is one man who is worth mentioning, who has much responsibility for making Hong Kong into what it is today, and yet is all too often forgotten.

John J. Cowperthwaite is not likely a name that you will remember from your history lessons. In fact, it is not likely a name that you will remember at all. He is arguably one of history’s most unsung heroes, and that is a great shame, for he was absolutely instrumental in not only taking Hong Kong’s economy from strength to strength after the Second World War, but also in showing the world that laissez faire economics is workable and brings results.

Milton Friedman said “it would be hard to overestimate the debt that Hong Kong owes to Cowperthwaite”. But he was by no means a self-important man. He had a reputation for being shy, and as an appointed civil servant, he owed no favours to anyone. He arrived in Hong Kong in 1946 as the Assistant financial secretary, with instructions to “come up with a plan for economic growth”. But he came up with no plan, and yet the economy grew. It grew astoundingly. In the decade that he was financial secretary, wages rose by 50% and the percentage of those living in poverty in Hong Kong plummeted from 50 to 15%.

What did this son of a Scottish tax collector do to propel so many into prosperity? The answer is that he didn’t do anything. When a British executive approached Cowperthwaite to ask him to develop the merchant banking industry, Cowperthwaite politely palmed him off and told him that he had better find a merchant banker. Similarly, when a legislator suggested to Cowperthwaite that the government should prioritise the development of promising industries, Cowperthwaite refused and asked how the government could possibly know which businesses had potential and which did not.

Cowperthwaite flat out refused to collect most economic statistics, from fear that doing so would give bureaucrats and legislators an excuse to meddle in the economy. Of course, this caused upset in Whitehall, and when they commanded a group of civil servants to go over and see just what the hell was going on, Cowperthwaite sent them home as soon as they arrived. Yet still from 1945 to 1997 Hong Kong ran a surplus every financial year – surprising all involved because the surpluses were not planned. Rather, they arose as a result of the market being left free.

It was slightly unfair of me to state that John Cowperthwaite “didn’t do anything”. For though his success was largely down to his non-interventionism, ensuring that there was no intervention was backbreaking work. People were always trying to tinker with the economy. But Cowperthwaite maintained: “in the long run, the aggregate of the decisions of individual businessmen, exercising individual judgment in a free economy, even if often mistaken, is likely to do less harm than the centralized decisions of a Government; and certainly the harm is likely to be counteracted faster.”

Today Hong Kong has a GDP per capita at 264% of the world's average, which has doubled in the last 15 years. The World Bank now rates the “ease of doing business” in Hong Kong as the best in the world. It has no taxes on capital gains, interest income or earnings from abroad. Its overall tax burden is just half of that of the United States. Its people are rich and its government small, and for this reason, it makes a fitting cover for our latest paper, but for this reason also, we should be thankful to John J Cowperthwaite.

SOURCE

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For more blog postings from me, see  TONGUE-TIED, EDUCATION WATCH INTERNATIONAL, GREENIE WATCH,  POLITICAL CORRECTNESS WATCH, AUSTRALIAN POLITICS, and Paralipomena (Occasionally updated),  a Coral reef compendium and an IQ compendium. (Both updated as news items come in).  GUN WATCH is now mainly put together by Dean Weingarten. I also put up occasional updates on my Personal blog and each day I gather together my most substantial current writings on THE PSYCHOLOGIST.

Email me  here (Hotmail address). My Home Pages are here (Academic) or  here (Pictorial) or  here  (Personal)

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