U.S. Congress begins to restore competition to the drug industry

The U.S. Congress is starting to make important, uniquely bipartisan progress in the effort to combat rising prescription drug prices by injecting greater competition into the marketplace. On April 4, the House Committee on Energy and Commerce approved a series of bills on drug pricing. Two address issues that the Washington Center for Equitable Growth has identified as contributing to prescription drug costs. The first, H.R. 965, known as the CREATES Act, would neutralize a strategy that prevents generic companies from obtaining regulatory approval to sell their products, and the second, H.R. 1499, addresses pay-for-delay patent settlements where the branded company pays the generic company to keep its product off the market.

The rapid and sometimes astronomical increases in prescription drug prices in recent years are a serious problem for our health care system, our economy, and the well-being of millions of Americans. The system of developing and marketing drugs is complex, and solving this challenge is hard. Restoring competition to the equation is part of the answer, but prescription manufacturers engage in a series of practices intended to delay competition without any real justification. These practices both increase drug costs and reduce companies’ incentive to innovate.

Generic drugs—drugs that are essentially identical to the original branded product—are an important source of competition that lowers prescription drug costs. By smoothing the safe, timely entry of generics into the marketplace, the Hatch-Waxman Act, enacted in 1984, created a pathway for the approval of generic drugs. And generics save consumers a significant amount of money, whether in direct payments or in insurance premiums. The Government Accountability Office in 2018 cited comprehensive studies by IMS Health, a health care information services company, that estimated more than $1 trillion in total savings to the health system from the use of generics in the years 1999–2010.

Unfortunately, companies have devised artful strategies that undermine the intent of the law by delaying or preventing entirely the introduction of generics to compete with their products. I discussed several of them in testimony on March 7 before the House Judiciary Committee’s Subcommittee on Antitrust, Commercial, and Administrative Law. The bills passed by the Energy and Commerce Committee would counter two of the tactics discussed in that testimony.

H.R. 965, the Creating and Restoring Equal Access to Equivalent Samples, or CREATES Act of 2019, introduced by Reps. David Cicilline (D-RI), Jim Sensenbrenner (R-WI), Jerrold Nadler (D-NY), Doug Collins (R-GA), Peter Welch (D-VT), and David McKinley (R-WV), would, according to the committee press release, “establish a process by which generic manufacturers could obtain sufficient quantities of brand drug samples for testing thereby deterring gaming of safety protocols that brand manufacturers use to delay or impede generic entry.” The bill passed the committee unanimously.

H.R. 1499, the Protecting Consumer Access to Generic Drugs Act of 2019, introduced by Rep. Bobby Rush (D-IL), would, the press release states, “make it illegal for brand-name and generic drug manufacturers to enter into agreements in which the brand-name drug manufacturer pays the generic manufacturer to keep a generic equivalent off the market.” The committee approved this bill by voice vote.

The unanimous committee support for these two bills was the result of substantial bipartisan collaboration. H.R. 1499 is the first legislative proposal that Republicans and Democrats have agreed on to address pay-for-delay patent settlements. And H.R. 965 addresses concerns that Energy and Commerce Committee Republicans have expressed about previous versions of the CREATES Act.

There are a number of additional strategies for constraining prescription drug prices that need to be considered. But this is a unique opportunity for bipartisan achievement. If these two bills pass the House and continue to enjoy strong bipartisan support, it will be a clear signal that the time has arrived for serious action to restore the role of competition in controlling prescription drug prices.

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Brad DeLong: Worthy reads on equitable growth, April 5–11, 2019

Worthy reads from Equitable Growth:

  1. Best thing of the week—a must-see: an incredibly engaging interview with 2017 Equitable Growth grantee, Alexander Hertel-Fernandez of Columbia University, who discusses his research on worker and management preferences for specific aspects of labor organization.
  2. I confess, I do not understand why Jeff Miron and Dean Baker disagree with Equitable Growth Executive Director and chief economist Heather Boushey’s tame observation that more information relevant to societal well-being is better than less. Read Vox’s Emily Stewart, “GDP: Democrats Want to Know Who’s Benefiting from the Economy’s Growth,” in which she writes: “Democrats are pushing for the BEA to produce a new metric, the ‘income growth indicator,’ to be reported quarterly and annually with GDP numbers starting in 2020 that would show who is and isn’t benefiting from economic growth.”
  3. Methinks this oldie-but-very-goodie from Equitable Growth 2014 grantee Jesse Rothstein at the University of California, Berkeley does go a little bit too far in its enthusiasm for the fact that the Earned Income Tax Credit is in the U.S. tax code. In fact, there are pluses and minuses, and the EITC is in the tax code not because of rational reasons but because Sen. Russell Long (D-LA) chaired the Senate Finance Committee back in the day. Read Rothstein’s “The Earned Income Tax Credit,” in which he writes: “The Earned Income Tax Credit is a federal refundable tax credit designed to encourage work, offset federal payroll and income taxes, and raise living standards. … The EITC has grown to be one of the largest and least controversial elements of the U.S. welfare state, with 26.7 million recipients sharing $63 billion in total federal EITC expenditures in 2013. The placement of the EITC within the tax code has three important effects.”

Worthy reads not from Equitable Growth:

  1. Who says that workers are paid anything like their marginal products? Luck and market power seem, to me, to be much more important than anything that could be called net social value of the work. As I often say, a skilled worker is an unskilled worker with a good union. Read Paul Campos, “Talent Is Not Scarce,” in which he writes: “Existing social hierarchies, and especially the compensation structures that undergird them, require the constant denial of the fact that almost everyone is easily replaceable at any time. After all, if there are 500 people standing at the ready who could do just as good or better a job than Chairman Smith or President Jones or Senior Executive Vice President for West Coast Promotion Johnson or Distinguished Professor of the Newly Endowed Chair for the Worship of Capitalism Cowan, then why do these people get treated and most of all paid as if they were as unique as unicorns, as precious as Vermeer portraits, as irreplaceable as Billy Shakespeare or Willie Mays? Because if we didn’t treat them (us) in that way, that would mean the entire structure of our society is radically unjust, root and branch. And that can’t be true, obviously.”
  2. Rather than saying, with Stigler, that industrial policy is too dangerous because it is too vulnerable to rent-seeking, more economists should be writing papers like this. Read Reda Cherif and Fuad Hasanov, “The Return of the Policy That Shall Not Be Named: Principles of Industrial Policy,” in which they write: “Industrial policy is tainted with bad reputation among policymakers and academics and is often viewed as the road to perdition … Yet the success of the Asian Miracles … stands as an uncomfortable story … We argue that one can learn more from miracles than failures. We suggest three key principles … (i) the support of domestic producers in sophisticated industries, beyond the initial comparative advantage; (ii) export orientation; and (iii) the pursuit of fierce competition with strict accountability.”
  3. Noah Smith believes that if we found enough research universities in small cities, then we will have a booming economy elsewhere than on the coasts for both industrial-policy and private-entrepreneurship reasons. Read his “Universities and Colleges Can Revive Declining Rural America,” in which he writes: “Big cities aren’t the only places to benefit from knowledge industries—college towns also thrive in the new economy … College Station, Texas … Even small towns like Pikeville, Kentucky, home to the modest University of Pikeville, are doing well … Government money that gets routed to college towns via state subsidies and federal research grants, then spent locally [on] … tuition fees … university research … attracting smart people to the region, and drawing in private investment … harness the forces of knowledge-industry clustering to increase the wealth of an entire region. There’s a good chance that these forces can be harnessed to revive parts of the rural United States. It’s worth a shot.”
  4. If you believe—as so many do—that one important source of the disaster of 2008–2010 was that economies had too much potentially insecure debt, you should be petrified today. Read John Authers and Lauren Leatherby, “Financial Crisis: Decade of Deleveraging Debt Didn’t Quite Work Out,” in which they write: “This was the decade of de-leveraging that wasn’t. A decade ago … there was agreement … [that] too much debt had caused the crisis, and so there must be a huge de-leveraging. It has not worked out like that … Companies, particularly in the United States, took advantage of the rock-bottom interest rates meant to bail out banks to go on their own borrowing spree. And the world found a new borrower of last resort. Ten years ago, China had been enjoying phenomenal economic growth for two decades, and largely avoided debt to fund it. No more. China’s debt has ballooned, transforming the geography of global debt in the process. It’s now bipolar, revolving around the U.S. and China.”
  5. ALAS! Parents appear to value not schools that teach their children, but rather schools in which their children can rub elbows with the right kind of people. This could help make school choice a recipe for disaster. Read Atila Abdulkadiroglu, Parag A. Pathak, Jonathan Schellenberg, and Christopher R. Walters, “Do Parents Value School Effectiveness?”, in which they write: “School choice may lead to improvements in school productivity if parents’ choices reward effective schools and punish ineffective ones. This mechanism requires parents to choose schools based on causal effectiveness rather than peer characteristics … [But] parents prefer schools that enroll high-achieving peers … We find no relationship between preferences and school effectiveness after controlling for peer quality.”
  6. University of California, Davis economic historian Eric Rauchway continues his long twilight struggle against the Obama administration’s claims that it did better with its crises than FDR did with his in the Great Depression-ridden 1930s. I’m with Eric here: Roosevelt knew less about how the economy worked and what to do, yet in retrospect did much better given the state of things when he took office. Read Eric Rauchway, “The New Deal Was on the Ballot in 1932,” in which he writes: “During the 1932 campaign, Franklin Roosevelt explicitly committed himself to nearly all of what would become the important programs of the New Deal. In the months before his March 4, 1933, inauguration, he made his proposed policies even clearer. Yet many Americans have forgotten this clarity of purpose … One historian [Roger Daniels] recently declared, ‘The notion that when Franklin Roosevelt became president, he had a plan in his head called the New Deal is a myth that no serious scholar has ever believed.’ Outgoing president Herbert Hoover (and voters and politicians and diplomats at the time) knew better.”
  7. The China shock is not the only shock American manufacturing has experienced. Yet New England politics did not turn nativist in the 1960s. What was the difference? No Fox News? Read John F. Kennedy, “New England Industry and the South,” in which, in 1954, he wrote: “The southward migration of industry from New England has too frequently taken place for causes other than normal competition and natural advantages.”
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JOLTS Day Graphs: February 2019 Report Edition

Every month the U.S. Bureau of Labor Statistics releases data on hiring, firing, and other labor market flows from the Job Openings and Labor Turnover Survey, better known as JOLTS. Today, the BLS released the latest data for February 2019. This report doesn’t get as much attention as the monthly Employment Situation Report, but it contains useful information about the state of the U.S. labor market. Below are a few key graphs using data from the report.

1.

The quits rate continued to hold steady at a high rate of 2.3%, reflecting worker confidence about finding another job.

2.

Hires stayed constant in February while job openings declined, so the ratio of hire-per-job opening increased in spite of its downward trend.

3.

As job openings declined in February, the ratio of unemployed workers to openings increased, but notably remains below 1 unemployed worker per opening.

4.

The Beveridge Curve continues its upward trend, hovering around the levels of the early 2000s expansion.

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Weekend Reading: “Disaggregating Growth” edition

This is a weekly post we publish on Fridays with links to articles that touch on economic inequality and growth. The first section is a round-up of what Equitable Growth published this week and the second is the work we’re highlighting from elsewhere. We won’t be the first to share these articles, but we hope by taking a look back at the whole week, we can put them in context.

Equitable Growth round-up

The March 2019 jobs report was released today, and you can check out analysis and charts from Equitable Growth’s Raksha Kopparam and Kate Bahn here.

Women’s Equal Pay Day on April 2 coincided with a recent court victory for pay transparency, as Equitable Growth’s Raksha Kopparam and Kate Bahn noted. On March 5, a judge ruled in favor of a lawsuit to reinstate the requirement that large employers must report pay data by gender and race to the U.S. government’s Equal Employment Opportunity Commission. The Obama administration originally introduced the requirement in 2016, but the Trump administration had reversed it in 2017. The rule is now back in place.

Somin Park of Equitable Growth highlighted the valuable research done by Janet Currie, an economist at Princeton University and member of Equitable Growth’s Steering Committee, on the importance of early childhood experiences for adult outcomes. Currie’s research finds that children’s early years affect their educational attainment, criminal behavior, probability of having a job, and earnings, and that early childhood programs such as Head Start can help improve these outcomes.

Every week, Brad DeLong, a professor at the University of California, Berkeley and Equitable Growth columnist, blogs about worthy reads from both within Equitable Growth and around the web. You should check out this week’s edition if you’re interested in how to cut the child poverty rate in half or how national income inequality is contributing to regional economic disparities in the United States, among other topics.

Alexander Hertel-Fernandez, a professor at Columbia University and Equitable Growth grantee, presented new research at Equitable Growth on April 4 on what workers want from labor organizations. Equitable Growth compiled relevant research that it has published on unions and firms’ monopsony power in prelude to his presentation.

Links from around the web

Three members of Congress—Senate Minority Leader Chuck Schumer (D-NY), Sen. Martin Heinrich (D-NM), and Rep. Carolyn Maloney (D-NY-12)—sent a letter to Bureau of Economic Analysis Director Brian Moyer last week urging his agency to report how gross domestic product growth is distributed across the income distribution. Their letter notes that the 2019 appropriations law encourages the BEA to report income growth for each income decile, starting no later than 2020. They ask how soon the agency can start and request a response by April 12. Equitable Growth has been a longtime supporter of reporting GDP growth across the income distribution. [Vox]

President Trump has threatened to shut down the U.S.-Mexico border, and USA Today reports that a border shutdown, if implemented, would have a significant impact on the economy. It could bring U.S. auto manufacturing to a halt and put U.S. factories at risk of shutting down, since important supply chains are deeply integrated between the United States and Mexico. There also would be food shortages and price hikes, particularly for avocadoes, tomatoes, and berries. About 5 million U.S. jobs depend on border trade. Mexico would be at risk of falling into a recession if there is a prolonged border shutdown, since 37 percent of Mexico’s GDP depends on border trade. [USA Today]

Choosing a college major is one of the most consequential decisions that a young person will make. The Washington Post’s Andrew Van Dam highlights new research showing that students often choose their majors for sub-optimal reasons. Students are influenced by factors such as the time of day they’re taking a class and whether they’re taking a certain class the same semester that they need to choose a major. On top of that, 37 percent of college students end up switching majors. [Washington Post]

Technology platforms that classify their workers as independent contractors instead of employees, such as Uber Technologies Inc., Lyft, Inc. and Handy.com, are trying to ensure that they can keep things that way, according to Noam Scheiber of The New York Times. If these companies had to classify their workers as employees, it is estimated that their costs would rise by 20 percent to 30 percent, since they would have to pay at least minimum wage, pay for overtime, and more. These platforms have successfully lobbied Texas and other states to continue to classify their workers as independent contractors. Lyft went public last week, and Uber plans to go public later this year. [New York Times]

Sen. Ron Wyden (D-OR), the top Democrat on the Senate Finance Committee, has proposed an overhaul of the U.S. tax system that would more heavily tax wealth. Under current law, people are taxed on the appreciation of their assets only when they are sold, at a lower rate than for other forms of income. Under Wyden’s plan, people would be taxed on gains in the value of their assets every year even when they have not been sold, and at the same rate as other income. [Wall Street Journal]

Friday Figure

Figure is from Equitable Growth’s “Disaggregating growth” by Austin Clemens and Heather Boushey.

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Equitable Growth’s Jobs Day Graphs: March 2019 Report Edition

Earlier this morning, the U.S. Bureau of Labor Statistics released new data on the U.S. labor market during the month of March. Below are five graphs compiled by Equitable Growth staff highlighting important trends in the data.

1.

The employment rate for those in their prime working years is at pre-Recession levels, but is still below its high 20 years ago.

2.

Unemployment for African American workers is lower than it’s been in 20 years, but continues to be much higher than that for White workers, demonstrating the structural barriers that still exist.

3.

Unemployment rates are significantly lower for workers with a Bachelors degree or greater, representing polarization in the labor market.

4.

More workers are working part-time voluntarily than involuntarily, as a tighter labor market gives more workers the opportunity to choose their employment status

5.

The pace of wage growth decreased slightly in March, but is still approaching healthy levels as it has trended up over the past year.

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Brad DeLong: Worthy reads on equitable growth, March 29–April 4, 2019

Worthy reads from Equitable Growth:

  1. This is brilliant. It has, I think, the implication that a lot of people in rich areas are not benefitting from the region’s wealth—which is what David Autor found in his Ely Lecture. Read Robert Manduca, “National income inequality in the United States contributes to economic disparities between regions,” in which he writes: “In 1980, just 12 percent of Americans lived in metropolitan areas with a mean family income more than 20 percent higher or lower than the national average. By 2013, more than 30 percent did. Today a handful of metros—cities such as San Francisco and Washington, DC—have mean family incomes 40 percent or 50 percent greater than average and more than double the average incomes in many rural areas … Most previous research has emphasized the role of income sorting … I show, however, that a much bigger portion of the growing disparities is due to rising income inequality at the national level.”
  2. Halving child poverty is attainable, and remarkably cheap, says Janet Currie, in “We can cut child poverty in the United States in half in 10 years.” She argues for: “Means-tested supports and work incentives … [m]ore universal benefits … a combination of work incentives, economic security programs, and social inclusion initiatives … [expanding] the Earned Income and Child and Dependent Care tax credits, while adding a $2,000 child allowance to replace the current Child Tax Credit … an increase in the minimum wage, and a nationwide roll-out of a promising demonstration program called ‘Work Advance.’”
  3. Why it is that “stress” is so debilitating in the long run is something I have never understood—especially since the forms of stress we face are not those that ought to induce a fight-or-flight use-up-the-organism’s-resources response. Is it that our brains are just too good at making long-run peril real and then transmitting that to the rest of the body? But it is clear that, here in America, “race” appears doubly poisonous. Read Kyle Moore, “Linking racial stratification and poor health outcomes to economic inequality in the United States,” in which he writes: “Racial disparities in life expectancy and incidences of sickness … are only partially explained by differences in access to economic resources … I investigate the role that stress plays in increasing the risk of hypertension and inflammation among older black and white Americans’ exposure to potential psychosocial stressors in excess of economic resources that could mitigate or offset the effects of those stressors—modifying an approach taken by the American Psychological Association.”
  4. A very nice look indeed at the current state of our broken antitrust system—including an excellent retrospective on the historical process by which we got here. Read Andrew I. Gavil, “Crafting a monopolization law for our time,” in which he writes: “If Section 2 is to be an effective tool for policing and deterring anti-competitive conduct in today’s economy, then it will need to be adjusted for the needs of our time. But first it is important to understand how Section 2 became so limited in scope … Choosing the language of the Sherman Act, the Congress of 1890 turned to common law, which had long prohibited ‘unreasonable restraints of trade’… [into] a statute that included prohibitions of concerted action (Section 1), as well as monopolization, attempts to monopolize, and conspiracy to monopolize (Section 2).”
  5. Pay transparency is perhaps the most powerful anti-pay-discrimination tool there is in America as it is today. Read Raksha Kopparam and Kate Bahn, “A judicial victory for pay transparency in the United States in the run-up to Women’s Equal Pay Day,” in which they write: “It’s important to consider the importance of a judge’s ruling last month that reinstated the collection of pay data by firms who report their employment practices to the EEOC to boost pay transparency … On March 5, 2019, the judge … order[ed] the EEOC to collect pay data in the next EEO-1 report … The ruling could not have been more timely. Just one case in point: In a survey of employees at large technology firms, 60 percent of respondents said that their employer either banned or discouraged discussion of wages.”

Worthy reads not from Equitable Growth:

  1. Noah Smith’s plan for reviving rural and small-city America is to spend a fortune establishing research universities that will attract graduate students from abroad. A good many of them will then settle where they went to school. And they will then figure out how to use local factors of production to generates value in the world economy, and so revive the area. But that would require boosterish elites in the South, in the prairie, and in the Midwest. And part of the social pathology for those regions is that they do not have boosterish elites. Read Paul Krugman, “Getting Real About Rural America,” in which he writes: “Nobody knows how to reverse the heartland’s decline … Rural lives matter—we’re all Americans, and deserve to share in the nation’s wealth … But it’s also important to get real. There are powerful forces behind the relative and, in some cases, absolute economic decline of rural America—and the truth is that nobody knows how to reverse those forces. Put it this way: Many of the problems facing America have easy technical solutions; all we lack is the political will. Every other advanced country provides universal health care. Affordable childcare is within easy reach. Rebuilding our fraying infrastructure would be expensive, but we can afford it——and it might well pay for itself. But reviving declining regions is really hard. Many countries have tried, but it’s difficult to find any convincing success stories … Southern Italy … the former East Germany…. Maybe we could do better, but history is not on our side.”
  2. Paul Krugman makes the point, which I believe is correct, that we should not be fearing robots and Artificial Intelligence yet—that, while they may (and while I think it highly likely that they will) pose society very hard problems of income distribution in the future, there is no sign that they are at work yet on any significant scale. Our income-distribution problems today are generated by our politics, and by the resulting economic mismanagement that our politics has produced. Read Paul Krugman, “Don’t Blame Robots for Low Wages,” in which he writes: “Participants just assumed that robots are a big part of the problem—that machines are taking away the good jobs, or even jobs in general. For the most part this wasn’t even presented as a hypothesis, just as part of what everyone knows … So, it seems like a good idea to point out that in this case what everyone knows isn’t true … We do have a big problem—but it has very little to do with technology, and a lot to do with politics and power … Technological disruption … isn’t a new phenomenon. Still, is it accelerating? Not according to the data. If robots really were replacing workers en masse, we’d expect to see the amount of stuff produced by each remaining worker—labor productivity—soaring … Technological change is an old story. What’s new is the failure of workers to share in the fruits of that technological change.”
  3. I would not say that new technologies were “geared toward maintaining the role of human labor in value creation.” I would say that new technologies required microcontrollers—and the human brain was the only available microcontroller—and software ‘bots to manage materials and information flows—and the human brain provided the only available ‘bot hardware. In the future—but not yet now—it may become that neither of these are the case. Read Daron Acemoglu and Pascual Restrepo, “The Revolution Need Not Be Automated,” in which they write: “For centuries after the Industrial Revolution, automation did not hinder wage and employment growth because it was accompanied by new technologies geared toward maintaining the role of human labor in value creation. But in the era of artificial intelligence, it will be up to policymakers to ensure that the pattern continues … In the past three decades, the accompanying changes needed to offset the labor-displacement effects of automation have been notably absent. As a result, wage and employment growth has remained stagnant, and productivity growth anemic.”
  4. In a time of bubble, raising interest rates and restricting the lending of regulated institutions may be counterproductive if there are unregulated institutions as well. This is an old lesson. We forgot it and relearned it yet again in the 2000s. Read Itamar Drechsler, Alexi Savov, and Philipp Schnabl, “How Monetary Policy Shaped the Housing Boom,” in which they write: “Between 2003 and 2006, the Federal Reserve raised rates by 4.25 percent. Yet it was precisely during this period that the housing boom accelerated, fueled by rapid growth in mortgage lending. There is deep disagreement about how, or even if, monetary policy impacted the boom. Using heterogeneity in banks’ exposures to the deposits channel of monetary policy, we show that Fed tightening induced a large reduction in banks’ deposit funding, leading them to contract new on-balance-sheet lending for home purchases by 26 percent. However, an unprecedented expansion in privately securitized loans, led by nonbanks, largely offset this contraction. Since privately securitized loans are neither GSE-insured nor deposit-funded, they are run-prone, which made the mortgage market fragile. Consistent with our theory, the re-emergence of privately securitized mortgages has closely tracked the recent increase in rates.”
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Evolving worker and management attitudes toward labor organizations: The Equitable Growth context

NEW YORK CITY – MAY 5 2016: Striking Verizon workers gathered with members of other unions and labor leaders in front of Verizon’s Wall St headquarters.

Tomorrow, April 4, Alexander Hertel-Fernandez, a Washington Center for Equitable Growth grantee and assistant professor of international and public affairs at Columbia University, will present at an Equitable Growth seminar his new research examining worker and management preferences for specific aspects of labor organization. This research, based on original survey data, explores what workers want from labor organizations, including not only traditional unions but also alternatives that exist in other countries and are being discussed in the United States.

Research on why wages in the United States have been stagnant for several decades, how unions give workers negotiating power in labor markets, and how the decline in union membership has affected economic inequality has always been an important priority for Equitable Growth. In advance of tomorrow’s seminar, we have collected here a combination of working papers, columns, and other materials from our website that provide context for Hertel-Fernandez’s presentation.

In 2018, Equitable Growth hosted a seminar presentation by Suresh Naidu, associate professor of international and public affairs and economics at Columbia, on important new research he and his colleagues would soon publish on the relationship between union membership and economic inequality. In their working paper, “Unions and Inequality Over the Twentieth Century: New Evidence from Survey Data,” Naidu, Henry S. Farber and Ilyana Kuziemko of Princeton University, and Daniel Herbst, now of the University of Arizona, concluded that extensive survey data over a long sample period suggests that unions have had a significant, equalizing effect on the income distribution.

In 2015, “The steep path forward for unionization,” by former Equitable Growth Senior Policy Analyst Nick Bunker, discussed the impact of the decline of unionization on economic inequality and the prospects of a rebound for unions. Relying on a number of research papers, it noted that a resurgence would likely reduce inequality, but that the path forward would be steep. Looking at history, it suggested that if a resurgence were to occur, it would likely be the result of a sudden, surprising development in the economy.

In 2017, in “The challenging and continuing slide in U.S. unionization rates,” Equitable Growth Executive Director and chief economist Heather Boushey reported on annual Bureau of Labor Statistics data pointing to a continuing decline in U.S. union membership. In 24 years, union membership among workers had been nearly halved. She cited not only changes in the economy but also how difficult employers can and do make it to organize a union and deliver a first contract.

Also in 2017, former Equitable Growth Research Assistant Matt Markezich—in “Why is collective bargaining so difficult in the United States compared to its international peers?”—delved into the question of how union membership and coverage in the United States compare to those of other developed countries. As of 2016 (or the most recent data, depending on the country), the United States ranked next to last or dead last in union membership and coverage, which includes both union members and nonmembers covered by union contracts, among the member nations of the Organisation for Economic Co-operation and Development. (See Figure 1.) Among the reasons for higher levels of union coverage in other countries are more union-friendly legal frameworks and, in some cases, the administration of social insurance by unions.

Figure 1

In “Understanding the importance of monopsony power in the U.S. labor market,” Equitable Growth economist Kate Bahn considered the potential fallout from the Supreme Court’s 2018 decision in Janus v. American Federation of State, County, and Municipal Employees. She predicted that this landmark ruling could significantly weaken public-employee unions and, combined with the deterioration that had already occurred among private-sector union membership, further weaken workers’ bargaining power and contribute to monopsony. Some economists believe monopsony has played a significant role in wage stagnation in the U.S. economy.

Also in 2018, Equitable Growth published a working paper by Mark Stelzner of Connecticut College and Mark Paul of New College of Florida, in which they constructed an economic model to show how workers and employers interact in an economy where firms hold monopsony power (monopoly power for firms in the labor market). The paper, “How does market power affect wages? Monopsony and collective action in an institutional context,” showed that workers’ collective action and efficient contract bargaining could reduce firms’ power to extract rents by keeping wages low. In a separate column for Equitable Growth, Paul and Stelzner wrote that collective action has this impact because it neutralizes, to some degree, the wage-setting power of firms. They added, however, that unions’ ability to counteract firms’ monopsony power depends on the legal framework that is established by government and interpreted by the courts.

Finally, in 2017, as part of Equitable Growth’s In Conversation series, Heather Boushey sat down with David Weil, now the dean of the Heller School for Social Policy and Management at Brandeis University. They talked about Weil’s research on the fissured workplace, the influence of monopsony power, and the rise of interfirm inequality. “What’s driving inequality,” Weil said, “comes back to the fissured workplace. It comes from the consequence of shifting the wage-setting problem to all these other entities and kind of getting out of that fairness bind that employers otherwise have to deal with differently.”

The modern labor market is marked by fundamental and interrelated challenges such as monopsony, the fissured workplace, and reduced union membership—all of which tend to suppress wages. In helping us understand how workers’ and management’s attitudes toward labor organizations are evolving, Hertel-Fernandez’s presentation can help government, society, and, above all, workers and their families confront these changes and restore workers’ power to achieve the wage increases and working conditions they deserve.

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Economist Currie’s research on early childhood care and education highlights the need for a national childcare policy

Recent months have seen the blossoming of more concrete ideas for addressing the pressing problem of a lack of access to high-quality, affordable childcare and education—an issue that has not been treated as a national priority in recent decades. A growing body of new research is reshaping how we think about the importance of early childhood and highlights that quality, affordable childcare and education is not just good for families but also for the U.S. economy as a whole.

At the core of the problem are the costs of childcare, a huge burden on many families, especially in single-parent households. The average cost to provide center-based, licensed infant childcare is $1,230 per month—nearly a fifth of the median family’s income—and even more for high-quality childcare. In more than half the states, a year of childcare costs more than the average annual cost of public college tuition. And the rising costs aren’t explained by rising quality: A federal study found that only 10 percent of childcare in the United States was considered high quality. In an era of high income and wealth inequality, the steep costs shut out low- and middle-income families and block their children from fully developing their human capital, while those at the top have the resources to safeguard the best environment for their children.

Lack of access to affordable, high-quality childcare also is a problem for the U.S. economy as a whole. Research shows that rising childcare costs drive women out of the workforce, as parents come to depend more on informal childcare arrangements that are less reliable. Princeton University economist Janet Currie’s work in particular sheds light on another important aspect of the problem of high childcare costs—the importance of early childhood care and education for the children and their future outcomes. Our nation’s failure to deal with childcare means we miss out on a critical stage of human capital development, thereby depriving the United States of future workforce productivity.

Currie, a member of Equitable Growth’s Steering Committee, has made major contributions to shaping what we know about the role of childcare as a broader piece of an economic growth story. She is a pioneer in the field of human capital, known for her innovative research on public policy issues related to child health and well-being. In her work, Currie finds that early childhood programs—including both childcare and preschool—have significant short- and medium-term benefits, often larger for disadvantaged children. Research shows that small-scale model programs, such as the Perry Preschool Project and the Carolina Abecedarian Project, improve educational and earnings outcomes and reduce crime and the use of safety-net programs in later life.

There also is Currie’s research looking at the impact of larger-scale programs such as Head Start, the biggest federal experiment providing wrap-around childcare for disadvantaged children. Currie’s study with economists Eliana Garces, formerly at the European Commission, and Duncan Thomas at Duke University tracked children who were enrolled in Head Start many years after their participation and found lasting positive effects on educational outcomes and criminal behavior from the intervention, contradicting a series of studies that found immediate gains in test scores “fade out” in the early elementary school years.

Still, Head Start has fallen short of producing results on par with small-scale interventions such as the Perry Preschool Project because serving a relatively small number of children with intensive services delivered by well-trained staff hasn’t proven to be easily scalable. Amid a debate on the effectiveness of Head Start and how to best design the program, Currie and health economist Matthew Neidell at Columbia University looked “inside the black box” of Head Start, finding that the program participants had higher reading scores, especially those in poor counties and where Head Start spending was higher. Head Start programs that targeted funds toward services for children over other services, such as programs for parents or community development, also saw reduced behavioral problems and grade repetition among the children. More recent research supports Currie’s initial findings.

More broadly, Currie’s research has improved our understanding of early childhood and its impact on child and adult outcomes—a relatively new area of research for economists—showing that it matters for the U.S. economy. In a 2011 summary co-authored with Columbia University economist Douglas Almond, Currie lays out the research showing that the impacts of prenatal environments aren’t confined to health outcomes in adulthood, but also extend to economic outcomes such as the likelihood of being employed and the level of income earned, based on the late British epidemiologist David Barker’s idea that prenatal conditions may have lifelong impacts—the “fetal origins hypothesis.”

In a 2017 sequel to their first summary, Currie and Almond, with economist Valentina Duque at the University of Sydney, expanded their review to include the latest research on the postnatal early childhood environment, concluding that events in the first 5 years of a child’s life have significant long-term impacts on adult outcomes. Child and family characteristics measured when a child enters school are as important in explaining future outcomes as more traditional factors such as years of education. Currie found in an early paper that children’s test scores at age 7 explain 4 percent to 5 percent of the variation in adult employment and more than 20 percent of the variation in wages.

Childcare as a federal policy issue was largely relegated to a “welfare” issue after President Richard Nixon vetoed a 1971 bipartisan bill to create a universal childcare system. This also was about the time that women with children began joining the workforce in much greater numbers. Today, as the lack of access to affordable childcare creates near-universal stress on families’ work-life balance, policymakers are catching on to the urgency of the issue. Sen. Elizabeth Warren (D-MA), who is running for the 2020 presidential nomination of her party, recently released a proposal to subsidize the cost of childcare to make it free for low-income families and cost no more than 7 percent of household income for all families.

And many states and localities have been expanding access to publicly funded pre-Kindergarten in recent years, though there is great variation in the scale and allocation of funds. Oklahoma’s program, which serves roughly 3- and 4-year-olds in the state, is implemented within the existing public-school district system, while other states such as New York use a “mixed-delivery model,” where community-based and school sites provide pre-Kindergarten services with a blend of public and private funding.

The bottom line: Research done by Currie and other economists highlights the importance of early childhood years for child well-being and future economic outcomes across the United States. Affordable, high-quality early childhood care and education is a critical need for families, as well as our future workforce. Policymakers should ensure that the renewed interest in early childhood care and learning is sustained and translated into well-designed and implemented programs.

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A judicial victory for pay transparency in the United States in the run-up to Women’s Equal Pay Day

Women’s Equal Pay Day tomorrow marks the day when women will have worked—three extra months—in order to earn an equivalent paycheck to what the average man earned in the prior year alone. It is a symbol of the continuing gender wage gap that hinders economic equality for millions of women in the U.S. workforce. Over the past few decades, various legislation has been introduced to promote pay equity such as increasing paid family leave, promoting apprenticeship programs in male-dominated fields, and protecting workers’ rights to unionize. Sociologist Sarah Jane Glynn’s report on gender wage inequality summarizes a majority of these measures and policy recommendations. Of these proposed policy measures, one in particular has recently earned a major win: pay transparency.

Measures undertaken to collect data on pay collection make that data transparent—such as those again being undertaken by the U.S. Equal Employment Opportunity Commission—and are oftentimes the only way to hold businesses accountable for pay discrepancies between groups of women and men, as well as white and nonwhite workers. That’s why, on Women’s Equal Pay Day, it’s important to consider the importance of a judge’s ruling last month that reinstated the collection of pay data by firms who report their employment practices to the EEOC to boost pay transparency.

Since 1996, the Equal Employment Opportunity Commission has required companies with more than 100 employees to report the gender, racial, and ethnic breakdown of their employees through the EEO-1 report. In 2016, the Obama administration expanded these reporting requirements to include data for 12 pay bands for each of the EEO-1 job categories. This additional data requirement would subject employers to EEOC scrutiny or self-correct any gender pay inequities, as these data are not available to the public and thus can’t be accessed by employees. In 2017, President Donald Trump halted these expansions.

In July 2017, the Trump administration announced that it would not be requiring pay data in the next EEO-1 report, stating that there would need to be a review of the efficiency of collecting such data. But shortly after the halt, the National Women’s Law Center and other organizations filed a lawsuit against the Office of Management and Budget, stating that “employers can simply state they are an equal opportunity employer with little chance of being held accountable.” In addition, “the agencies charged with addressing workplace discrimination … could use this information to look for trends and strengthen enforcement efforts.”

On March 5, 2019, the judge presiding over this case ruled in favor of the National Women’s Law Center, ordering the EEOC to collect pay data in the next EEO-1 report. This win reinstates the pay-data-collection practices in the EEO-1 report, providing workers and employers with the information necessary to ensure more equitable wages.

The ruling could not have been more timely. Just one case in point: In a survey of employees at large technology firms, 60 percent of respondents said that their employer either banned or discouraged discussion of wages, which means workers are unable to determine themselves whether they are potentially receiving discriminatory pay. Yet, according to the National Labor Rights Act of 1935, it is illegal to ban discussions of wages in the workplace. The fact that companies can nonetheless prevent pay discussions in the workplace is an indication of why required reporting to the EEOC is so important to maintaining worker bargaining power and pay transparency.

As Equitable Growth has written before, there is evidence that increasing pay transparency leads to more equitable practices and may also boost productivity. Research shows that access to financial information about one’s employer leads to better pay outcomes and better information about pay practices in public-sector work and, in turn, leads to a less-unequal wage distribution. In addition to these positive monetary benefits for workers, pay transparency also may increase collaboration and productivity. Recent research by Ph.D. candidate in Industrial Organization Eric Sheller and Director of the Social/Personality Graduate Program at the University of Nebraska Omaha finds that employees both appreciate pay transparency and subsequently declare more organizational commitment.

But more research is needed to understand the impact of increased transparency on organizational pay practices and how this impacts gender and racial wage gaps. One of the reasons there is a dearth of research is that there are few examples of pay transparency that researchers can study. States and cities have begun their own efforts to collect pay data and implement pay transparency laws. In 2013, for example, the city of Boston launched an effort to collect and anonymize data from employers to understand the mechanics behind the gender wage gap in the city. Following this effort, Massachusetts in 2018 passed an Equal Pay Act that barred employers from banning salary discussions among employees, among other provisions.

In addition, the following states have passed similar measures to improve pay transparency and combat the gender wage gap: California, Colorado, Connecticut, Delaware, Illinois, Louisiana, Maine, Maryland, Michigan, Minnesota, New Hampshire, New Jersey, New York, Oregon, and Vermont, as well as the District of Columbia. Federal efforts to improve data on pay practices will increase our understanding of the importance of transparency for equitable pay.

These new pay transparency practices will not only address gender and racial wage gaps but also will increase productivity in the workplace, maintain worker retention, and contribute to economic growth when workers are paid fairly. With a number of states, and now the EEOC, leading this reform, chances are that Women’s Pay Day in the future will fall more and more close to the beginning of each year.

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Weekend reading: “Follow the wealth” edition

This is a weekly post we publish on Fridays with links to articles that touch on economic inequality and growth. The first section is a round-up of what Equitable Growth published this week and the second is the work we’re highlighting from elsewhere. We won’t be the first to share these articles, but we hope by taking a look back at the whole week, we can put them in context.

Equitable Growth round-up

This week, Equitable Growth released a fact sheet on causes and consequences of the gender wage gap—as well as policy solutions to close the gap. This summary is based on a 2018 report for the Washington Center for Equitable Growth by sociologist Sarah Jane Glynn and a 2017 paper by Cornell University economists Francine Blau and Lawrence Kahn. Some of the major causes of the gap include occupational and industrial segregation, outright discrimination, deunionization, and educational disparities. The fact sheet proposes reforms to close this pay gap, including but not limited to pay data collection, universal paid leave, child care access, and affirmative action plans.

Equitable Growth grantee and University of Chicago economist Manasi Deshpande published her working paper “Disability and distress: The effect of disability programs on financial outcomes” with co-authors Tal Gross and Yalun Su in the Equitable Growth working paper series this week. Deshpande summarizes their paper in a column for Equitable Growth’s website. Their paper provides the first empirical evidence of the role of disability insurance programs in reducing financial distress.

In the most recent addition to Equitable Growth’s “Competitive Edge” blog on market competition and antitrust enforcement, Howard University law professor Andrew I. Gavil discussed how Section 2 of the Sherman Antitrust Act of 1890 must be adjusted to address contemporary challenges in market concentration. While Gavil argues that historical references provide a framework for antitrust enforcement today, he concludes that the law must be updated to reflect the competitive challenges of today’s economy.

Equitable Growth grantee and Harvard Sociology Ph.D. candidate Robert Manduca this week delved into the data from his recent paper on how growing economic inequality in the United States contributes to economic disparities across regions. In addition to tracking how these regional disparities have increased over the past 40 years and noting that the rise of the super wealthy in a handful of metropolitan areas has been particularly responsible, Manduca concludes by advocating for investments in efforts to reduce inequality—both across the income distribution and across regions.

Equitable Growth Research Advisory Board member Janet Currie discussed the findings of a report she recently co-authored for the U.S. Congress on the state of child poverty in the United States and the best path forward for dramatically reducing it. On top of pointing out the contributions of existing social programs to keeping child poverty lower than it would otherwise be, Currie argues for several packages of evidence-backed investments in child health, education, income support, and other programs that have the potential to reduce child poverty by half over the next decade.

Equitable Growth Dissertation Scholar and The New School doctoral candidate in economics Kyle Moore highlighted some of the findings of his empirical research on the effects of economic disparities across race on health outcomes, especially for African Americans. Before concluding with directions for his future research, Moore discusses two preliminary findings of his work: notably, that older black Americans are more likely to face stress than their white counterparts, and that the combination of stressors and limited resources has a particularly negative impact on health outcomes. You can see a full recording of his seminar on this topic here.

In his weekly “Worthy Reads” column, University of California, Berkeley economist and Equitable Growth columnist Brad Delong highlights recent research and writing in economics from Equitable Growth and other economists. This week, Brad highlighted Equitable Growth’s recent report on net worth taxes authored by economist Greg Leiserson, myself, and research assistant Raksha Kopparam. He also points to analysis by Economic Policy Institute Director of Research Josh Bivens on the difficulties of predicting wage growth with measures of labor market slack.

Links from around the web

Brentin Mock discussed a new study from economists Dionissi Aliprantis and Daniel Carroll at the Federal Reserve Bank of Cleveland on the historical and contemporary causes of the massive current levels of racial wealth inequality. The authors argue that this disparity is largely caused by racial income inequality and less so by historical factors. Nevertheless, Economic Policy Institute economist Valerie Wilson points out that closing the wage gap should be a part of a larger economic strategy to level the economic playing field for black workers. [citylab]

Loren Berlin at the Urban Institute published an interview this week with Ohio State University economist, Equitable Growth grantee, and executive director of the Kirwan Institute for the Study of Race and Ethnicity Darrick Hamilton on the economics of shrinking the racial wealth gap. Specifically, Hamilton explains the rationale behind his proposal for baby bonds, or trusts set up by the federal government when a child is born and managed by the federal government until the child becomes a young adult. [next50]

In response to recent proposals for a net wealth tax and a higher upper rate in the income tax, Harvard University economist Larry Summers and University of Pennsylvania lawyer-economist Natasha Sarin published an op-ed arguing that closing loop-holes and broadening the tax base are the best ways to increase tax receipts from the mega-rich. Despite their core argument, Summers and Sarin agree that all these recent proposals are part of an important discussion on the best methods to use tax policy to reduce growing inequality and increase government revenues. [boston globe]

Friday Figure

Figure is from Equitable Growth’s, “We can cut child poverty in the United States in half in 10 years

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