Friday, August 26, 2011

No HCR, No Jobs

I win drinks in bars sometimes by betting on the answers to two questions. First, what nation in the world "lost" the most jobs between 1990 and 2005? Second, what nation in the world leads in the value of manufacturing products? (Yes, I have fussed about this before, it's true)

The answers are the U.S. and China, but not in that order. China lost by far the most manufacturing jobs between 1990 and 2005, and the U.S. still leads the next largest manufacturing economy by a full 25%.

Think about it: in 1990, a "factory" in China was a large shed with 1,200 workers with sewing macihines, sitting beside a pile of patterns, cloth, and scraps. Today that factory is 100 times as productive, but it only has 30 employees tending modern and lightning fast machines.

The same thing has happened in the U.S., in industry after industry. As we increased our output, we "lost" jobs to increased productivity. We didn't ship those jobs to China; China lost even more jobs than we did.

The difference is that China more than replaced its lost jobs with new jobs, in new industries. Until recently, the U.S. has always been able to do that, too. What has changed?

The problem is both obvious and hard to see: it's health care costs. The U.S. has produced quite a few new service sector jobs, jobs at the lower end of the pay scale, jobs that don't usually come with health benefits.

But those "good" jobs, the ones that President is looking for? Health care costs have driven a wedge between what employers pay and what they get in terms of productivity. Wages for workers in many industries has been flat, or nearly flat, in real terms since 1990. But total compensation, especially health care costs on the best jobs, has increased at a rate of more than 3% per year on average. (Census Report in 2008)

Employers paying more, workers seeing no increase in take-home pay: a constantly increasing wedge being driven into job growth. More than all of our productivity growth has been sucked into the voracious maw of health care costs. Until we break the connection between jobs and health care, there is no way for the U.S. to begin to recover job growth.

Unfortunately, the fiasco of HCR in 2009 made this problem worse, not better. Our HCR law created a complex, expensive system with no cost controls. And since insurance cannot cost less than the care it covers, this implicit but very real tax on job creation is hamstringing the recovery.


Innovation rules said...

I have touted a version of the total compensation argument for decades. Why is this not pervasive in the press and analysis?

As to health care, no one ever mentions that every country that has socialized medicine also institutes some form of no fault insurance or tort reform.

We humbly suggest that if government privatized health care and education, including their smothering regulations, that costs would immediately fall at least 50%. That number is very achievable given existing research; this is not rocket science.

Leon said...

It's really an untold story... how the healthcare bill's mandates, taxes, uncertainties and regulatory demands have been a huge headwind to Main Street business and job formation.

It likely gets worse.