Love my Garage

Thanks to Darwin Barton

Having a house is great. I love having a garage to park in, I love having separate room for my office and my husband’s “man cave.” I really love having a fenced in backyard for our dog and cat. I don’t love worrying about burglary, or fire, or flood. Life was most definitely a lot easier before I had any of these responsibilities. It’s funny that I so completely ignored my parents when they cautioned me to enjoy my “responsibility free” life when I was younger. I’m sure I’ll pass the same advice on to my future children, and I’m sure they will ignore it, just as I did. The one thing that saves my sanity is having a adt. This service allows me to worry at least a little less. I know my house is being monitored even in the event that I’m away when disaster strikes. While it obviously can’t prevent a fire, the service can ensure that the proper authorities are contacted when necessary. This is definitely another piece of advice I’ll pass on to my children—sign up for an alarm monitoring service!

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Natural Consequences

The justification for pushing people around like this is the NHS. Shouldn’t people have to pay for their own illnesses? Well, yes – that’s how personal responsibility works. But having an NHS removes the personal responsibility, and artificial attempts to inject it into the system are doubly illiberal and wrong.

The government (and the electorate, for that matter) forces people to be in the NHS. You have no choice in the matter, and you can’t opt out of it. Jamie Whyte put it well: “first the do-gooders conjure up the external costs by insisting that no one should have to pay for his own medical care, then they tell us that they must interfere with behavior that damages our health because it imposes costs on others.” This is perverse and illiberal. The tax would only affect the poor – rich people’s spending habits wouldn’t be dented. How easy it must be for doctors to pontificate about the need for a fat tax, knowing that such a tax would hardly affect them at all.

This creepy, controlling paternalism has plenty of fans in politics on both sides of the partisan divide. Doctors are the politicians’ enablers, lending the weight of their “expertise” to the nanny instinct of the political class in exchange for the feeling of being important. No amount of expertise – medical or otherwise – should give somebody the right to interfere with another adult’s choices. Nor should democracy be used as an excuse to violate the sovereignty of the individual. If fat people are costing the NHS money, that’s a mark against having an NHS, not against having fat people.

Sam Bowman is perfectly correct in noting that the problem with obesity is a mark against the NHS.  The NHS has essentially reduced people’s incentive to avoid unhealthy behavior and, unsurprisingly, people have engaged in unhealthy behavior.  If the NHS were abolished, people would revert to more healthy behaviors.  This is the basic economics.

However, regulating people’s diets and behaviors is the natural consequence of having the NHS.  If a government is going to dispense “free” health care, the only way to control costs is to limit health care and control individuals’ behavior.  If the government is going to provide something for you, it is eventually going to have to control you.  Government benefits and government control go hand in hand.

Therefore, if people do not wish to be controlled by their government, they must give up their benefits (and in this case pity can be offered to those in Britain because NHS is not opt-out, so there are likely some in Britain who are part of system they simply want no part of).  And if people desire certain benefits from the government, they must be prepared to cede control of themselves to the state.  Those are simply the natural consequences.

Don’t Restrictions on Freedom Affect the Quality of Life?

It is hard to believe that the Commission on the Measurement of Economic Performance and Social Progress would consider that freedom and personal responsibility have little relevance to the quality of life, but I haven’t been able to find any discussion of freedom or personal responsibility in their recently published report. The Commission, whose members include Amartya Sen and Joseph Stiglitz along with a list of other prominent academics, was established by the President of France, Nicolas Sarkozy.

The Commission’s report seems to have plenty to say about the limitations of GDP, and various issues concerning measurement of quality of life and sustainability, but the closest it comes to recognition that freedom might have some relevance to the quality of life seems to be in a sentence discussing freedom to exercise political voice. While it is good for people to be permitted to complain about restrictions on their liberty, it seems to me might be better if they had less restrictions on liberty to complain about. The authors give the impression that they consider that only the latter two words in the call for “liberty, egality and fraternity” are relevant to the measurement of social progress.

I would have been pleasantly surprised if the Commission’s report had endorsed the theme running through this blog that human flourishing must be a self-directed activity and that liberty is necessary for self-direction. (Some posts discussing these concepts are here, here and here.)

However that would have been too much to hope for. Although the relevance of rights is widely recognized in discussions about political institutions, the importance of the right to self-direction is often overlooked when it comes to discussions of the merits and demerits of alternative policies. Rights are routinely overridden when democratically elected governments consider that more important matters are at stake such as “social justice” or even the well-being of the people whose rights are infringed.

I had hoped, nevertheless, that the report would give some recognition to research findings that people value freedom. For example, it could have mentioned John Helliwell’s finding that people tend to have higher life satisfaction in countries in which a high proportion of the population are satisfied with their freedom to choose what to do with their lives (see NBER Working Paper 14720). The Gallup World Poll shows that satisfaction with freedom in France (82%) is somewhat higher than the U.K., but lower than in the U.S. (88%), Australia (91%) and Denmark (96%).

The fact that the vast majority of people in democracies tend to be satisfied with their freedom is related to economic freedom and civil liberties (as shown here). In addition, people would not be expected to feel that their freedom is being unduly restricted unless they are not permitted to do things that they actually want to do. But their sense of personal competence and self-respect must be weakened when responsibility for important aspects of their lives – such as family health care, education and saving for retirement – are taken out of their hands by paternalistic governments.

There is some survey information available to compare the extent that people in different countries feel that they have personal responsibility for what happens in their lives. Data from the World Values Survey shows that French people tend to feel that they have less control over their lives than people in the U.K., U.S. or Australia. The French also scored lower than people in the U.K, U.S. and Australia on the Gallup World Poll question asking whether respondents were proud of something they did yesterday. The Commission seems to overlook such matters.

I am sympathetic to the Commission’s view that more research should be done to assess the links between various dimensions of the quality of life. It is disappointing, however, that the Commission does not recognize freedom as an important dimension of the quality of life.