Lecture: Role of Government Chapter 19 Outline


Government Involvement in US



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Lec6 RoleGovernment

Government Involvement in US

  • The Veterans Administration & Champus
    • Largest public provider of health care in US.
    • Provide care for veterans
    • Retired military personal and dependants.
  • Food and Drug Administration
    • Started in 1906
    • Regulates drugs quality.

Government Involvement in US

  • Mandated Health Insurance Benefits.
    • Insurance industry is regulated at the state level.
    • Tradition role is to ensure solvency of insurance companies.
    • Mandate insurance benefits.
      • In 1970, 48 mandates in 1991 1,000, in 1997, 600 new ones.
      • Often are due to special interest groups.
    • Some research has found that they prevent insurers from offering low-cost alternatives.

Government Involvement in US

  • Tax Policy
    • Employer contribution to health insurance not part of taxable income.
    • Individual payments for health insurance and care can be itemized and deducted if amount large enough.
    • HAS
    • These subsidies do not promote equity, go to those who can afford the most health care.

Government Involvement in US

Government Failure

  • What is the extent and form of government involvement?
  • Hard to agree on objectives, choose from different policy instruments, and select the correct value of these instruments.
  • These difficulties could lead to government failure.

Government Failure

  • Economists tend to treat government as a benevolent despot who knows what is good for the economy and regulates accordingly
  • Theory of Local Capture:
    • Some argue that politicians are like everyone else, they want to maximize how many votes they get.
    • So instead of doing what is good for the economy, may do what is good for some special interest group.
    • May reward voters with monopoly profits, or public goods (common to build a hospital in your name in developing countries, beneficial regulation

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