If we allow the profit motive to be the only motive, then we and our society are doomed.
We are already seeing the shape of that doom, in our health care, our government, and our industry.
|Isn’t this blasphemous?|
Dear God, is this us???
Mish opens his piece describing how last October 2012, he took a standard prostate cancer test and came up positive. What follows is his no-nonsense journey of beating his cancer. The whole piece is a must-read; here is the link.
(Refreshingly, Mish doesn’t inflict the needless emotional bullshit on us. I’m sure he felt scared out of his wits, and I’m sure he had quite a few dark-nights-of-the-soul, especially as he had only recently lost his wife. I have nothing but compassion for him as a human being—but as a reader, I’m so glad he didn’t roll around in the emotional muck, which is such the fashion today.)
The thing that struck me about Mish’s piece was how one of his doctors, the surgeon who performed the initial biopsy, wanted to do surgery right away. Mish adopted a wait-and-see approach, coupled with a cocktail of drugs, to see if this counteracted the cancer. And rather than another biopsy, Mish wanted more and more-frequent blood tests. The surgeon, “Dr. G.”, insisted on biopsies instead of blood tests—he wanted to perform surgery so badly that he effectively gave Mish an ultimatum: My way (biopsies/surgery) or the highway.
Mish walked on Dr. G., concluding that Dr. G. was interested in the fat fees he would receive for performing biopsies and eventual surgery.
Mish was right—but then again, Dr. G. was being exceptionally rational, according to our current Neoliberal paradigm: It paid him (and rather well at that) to perform surgery, regardless of whether there were other options for his patients. And it was a drain on his resources to have a patient such as Mish on his client list: Mish was wary of losing his prostate, which well might mean losing his ability to perform sexually, as well as possible urinary incontinence. Hence Mish’s reluctance to dive right into surgery without exploring all the other options. Such a patient, for Dr. G., was a waste of time, and time is his main resource.
So his ultimatum to Mish was ruthlessly “efficient” in the paradigm of Neoliberal economics: If Mish stayed with Dr. G., then Dr. G. would make money through the surgery. If Mish walked, Dr. G. would be unburdened from having to spend time on a non-performing patient; “non-performing” in the sense of not being a billable client.
Of course, this flies in the face of what a doctor ought to be: A healer. A professional whose interest is to cure his patients of their disease, howsoever that cure may come about, be it surgery, drug cocktails, or whatever other treatment is available and scientifically reasonable.
Yet Dr. G., far from being a weird outlier of a greedy surgeon hungry for fees, was being the ultimate Neoliberal Man: Rationally prioritizing profits over care. He is in fact a common exemplar of the medical-insurance business. He’s the norm, not the exception.
Now for something completely different:
Newsweek magazine ran a piece a few days ago, where it reported a study carried out by Paul C. Light and others, which concluded that the Federal government overspends $300 billion a year on private contractors. The money-quote:
In theory, these contractors are supposed to save taxpayer money, as efficient, bottom-line-oriented corporate behemoths. In reality, they end up costing twice as much as civil servants[.]According to the Neoliberal paradigm, the private sector is supposed to be ruthlessly efficient—yet this “ruthless efficiency” was bilking the government—ultimately bilking us, the taxpayers—of $300 billion a year: Roughly $1,000 a year for every man, woman, and child in America.
Could you have used an extra $1,000 last year? Me, I wouldn’t have minded getting an extra grand. But I didn’t get this extra money. It went instead to an “efficient” private contractor that bilked the government.
The Neoliberal paradigm might sell the illusion that it’s all about “ruthless efficiency”—but it’s not. Neoliberal economics is in fact all about the pursuit of Return On Investment (ROI): Profits as a ratio of income to capital. That’s it. That’s all Neoliberal economics really is, at its core: Maximizing ROI, and creating the social conditions where that maximization might occur with the least amount of societal or governmental interference.
There are essentially three ways to improve ROI:
- Sell more units than previously.
- Sell each unit at a higher price (or lower cost) than previously.
- Reduce your capital while maintaining your sales.
There’s nothing wrong with pursuing profits. Quite the contrary, our very modern existence is a byproduct of this relentless pursuit of ROI. Think of the computer you are using to read this very essay—infinitesimally cheap and light-years better than the computer made a mere twenty years ago, or even ten years ago. The second way of improving ROI—lowering the cost of each unit sold—is in fact the great efficiency engine of Neoliberalism from which we have all benefitted. Efficiency and progress is a byproduct of Neoliberalism’s pursuit of ROI—and a very welcome one at that.
But to apply the Neoliberalist Paradigm to all facets of our lives and our society is creating the mess we have today.
Look at how our government is being bilked—because the Neoliberalist Paradigm is not “efficient”: It’s just looking to maximize ROI, that’s all. Contractors, when selling to the government, will maximize their ROI not by being “efficient”, but by selling more to the government. And if they can’t sell more to the government, then they will sell more expensively: $250 hammers, trillion-dollar planes—whatever it takes to maximize ROI. Thus why private contractors are being rational per the Neoliberalist Paradigm—and thus why private contractors are a complete disaster when working for the government, ultimately forcing us taxpayers to foot the bill for these “efficiencies”.
Likewise with other industries, and other sectors of our society: The Neoliberal Paradigm is being implemented where it has no business being implemented. And far from improving our lives, it is making our society more inefficient.
Consider health care, and the example of Mish Shedlock: ROI is being relentlessly pursued by all the participants in the disastrous American health care system. Insurers, Big Pharma, doctors, the big health care providers: If you analyze each and every one of the participants in the health care nightmare, as I analyzed Dr. G. above, you will find that each and every one of them is rationally chasing ROI—and the result is a complete mess. For obvious political reasons—if only to prove that they are trying to help people—the government is (inefficiently, ineffectively) sticking its nose in this tussle, creating even more inefficiencies, ultimately hurting the people even more.
I wrote about the results of the health care inefficiencies brought about by the Neoliberal Economic Paradigm here. It pissed off a lot of people, but no one refuted the data. The data can’t be refuted because it’s true. The data shows how the health care nightmare actively hurts the American people.
Apart from government and health care, the Neoliberal Economic Paradigm is being aplied to all sectors of our society—and its effects have been the same: High ROI which benefits the few, while destroying industries which benefit us all.
After all, it was the Neoliberal Economic Paradigm which destroyed American industry, in the guise of “globalization”.
It sounded so wonderful—“globalization” this and “globalization” that—but what it ultimately was was closing American factories and exporting manufacturing jobs for the sake of improving ROI, and leaving the American economy a hollow shell.
The whole point of “globalization” was the improvement of ROI by way of reducing capital, and/or reducing production costs. How was capital reduced and production costs lowered? By closing factories in America, and exporting whole industries to Third World and developing countries so as to exploit the cheap labor there.
Today, there is no healthy civilian manufacturing in America. The only heavy industries that are thriving are the defense industries—which by law have to be in America. All other manufacturing jobs? Gone—globalization took ‘em all. The third driver of ROI maximization took ‘em away. The only jobs left for the American working classes are low-paying, low-skill service-related occupations—especially health care.
This shit’s still going on, by the way: It’s no accident that the last five years have experienced anemic—not to say non-existent—growth. Profits? Oh they’re up—just ask the banksters or the health care industry. They’re ROI has been outstanding, as they cut and cut and cut costs—jobs. Outstanding last five years.
But real, honest-to-goodness, meat-and-potatoes growth?
There won’t be any real growth in America—not if we continue indiscriminately applying the Neoliberal Economic Paradigm. We have to realize that Neoliberalism is a tool—just like a lever, a gun, or a power drill: A great tool, but highly specialized, useful for only certain tasks, and very dangerous if misapplied to all tasks.
|A great and noble tool—|
but would you use it
to caulk tile?
Yet I recognize that the profit motive cannot be the only motive for a thriving, healthy society. In fact, the profit motive should be a subordinate goal, both for individuals and for society as a whole.
For individuals, satisfaction and happiness in life ought to be achieved through personal relationships, leisure, and work—not merely money. Money ought to be the byproduct of work, not the end in itself.
For a society, industries should be harnessed for the common good, not let loose like wild horses, fingers crossed and hoping for the best. Wild horses cannot pull a stagecoach—they might have the energy, but they certainly do not have the organization. This isn’t to say we should have managed industries—but we most definitely should have a coherent industrial policy, whose aim is to provide us with goals that we as a society can all agree upon.
As a conservative—as someone looking to live in a stable society with a reduced government, where extreme poverty is anathema, and yet where anyone can achieve their maximum potential irrespective of their birth or station—we should be reëvaluating our common good. Reëvaluating those things which Americans all agree are important, and worth protecting: Freedom of speech, freedom of worship, freedom from fear, freedom from want.
Unrestricted Neoliberalism is hollowing out the United States. We have a chance to turn it around—but we as a nation have to wake up to what Neoliberalism is, and is not: It’s a great tool—but it is not and cannot be an end in itself, and it cannot be applied to every situation.
If we do not put the reins on Neoliberalism—and put those reins on soon—then we as a society are doomed. And it will be reflected first in our economy—as we are seeing now.