If one of the principal purposes of taxation is the promotion of social
progress and harmony, are tax dollars collected at increasing marginal rates
in the United States effectively employed to meet these objectives? Are
we as taxpayers getting our money's worth, considering the rising tax burden?
In an interesting 1995 paper, V. Tanzi and L. Schuknecht question the value
of the enormous growth in government expenditures among industrialized nations
after 1960. They conclude that "...various government performance indicators
suggest that the growth in spending after 1960 may not have brought about
significantly...greater social progress. The group of countries with 'big
governments' - those that increased spending the most - did not 'perform'
better than the ones with 'small governments'..." 16 Significantly,
they also conclude that "for the period up to 1960, a reasonable claim
can be made that the increased public-sector spending (on education, health,
training, etc.) had led to measurable improvement in social indicators." 17
Their conclusion is probably warranted for "free" compulsory schooling,
which has raised the number of school years completed from what it might
otherwise have been. (This leaves aside the issue of the quality of education
produced by the public school monopoly.)
Perhaps it is also true that government spending has largely smoothed business
cycles and thus worked to reduce unemployment. Certainly, we have not again
experienced the levels of joblessness recorded during the Great Depression.
Even so, "full employment" now is considered to be an unemployment
rate in the 6 percent range, rather than the 4 percent target enshrined
in the 1946 Employment Act. Currently, the United States is experiencing
a "tight" labor market, with unemployment below 5 percent. The
size of the budget, the deficit and public debt in the United States are
sufficiently large to have eliminated the use of fiscal policy as a tool
for economic stabilization. In Europe, where governments are much larger
in a fiscal sense, fiscal policy not only is ineffective but unemployment
rates are two or more times that in the United States.
Despite the trillions of dollars thrown at the problem, not much progress
has been made in eliminating poverty in America. In 1960, 22.2 percent of
the population lived below the poverty level. Great Society spending programs
reduced that rate to 11.4 percent by 1978, but thereafter it rose again.
In 1993, 15.1 percent of the population was classified as impoverished.
Public
Spending and Social Indicators. Most researchers measure social
progress with such indicators as the infant mortality rate, the death rate,
life expectancy, literacy and educational attainment, the unemployment rate
and how equitably income is distributed. Social harmony may be measured
by the amount of criminal activity in society.
Various social indicators are presented in Table III for some years
between
1870 and 1995. The achievement in social progress is remarkable. Infant
mortality and the death rate show a continuous decline over the past 12-plus
decades, and life expectancy and years of schooling show an upward trend.
But it is clear that the rate of social progress was much more rapid in
the earlier decades, when government was smaller, than in the later ones
when government was much larger. In 1960, 144 more infants per 1,000 live
births survived than in 1870 (170 deaths per 1,000 in 1870 compared to 26
in 1960) and the death rate was reduced by more than 50 percent. Over that
90-year period average life expectancy increased by 27 years.
Since 1960 these social indicators have improved, but at a much less rapid
rate. Infant mortality was reduced from 26 per thousand live births to 8.5
between 1960 and 1992. The death rate fell from 9.5 to 8.8 per 1,000. Life
expectancy grew by 6.1 years.
If social harmony is measured by the absence of crime, we live in a much
less harmonious society today than in the past. As a proxy for social disharmony,
the number of persons imprisoned per 100,000 population is revealing. The
rate of imprisonment (not criminal activity, necessarily, but related) did
not change much from 1940 to 1980, but it has since grown so substantially
that today more than twice as many people per 100,000 population are behind
bars as in 1980. While the causes of crime are arguable and controversial,
whatever its cause, government has not done a very good job of curtailing
it.
Public
Spending and Public Health. Communicable diseases were the
main killers of people up until about 1930. For example, in 1870 tuberculosis,
diphtheria, typhoid, measles and smallpox were responsible for 27 percent
of the deaths in Massachusetts. 18 In 1900, 44 percent of deaths in the United
States resulted from tuberculosis, typhoid, scarlet fever, diphtheria, whooping
cough, measles and influenza. 19 The influenza outbreak of 1918 alone was
responsible for a third of the nation's deaths that year. It was so severe
that life expectancy fell from 50.9 years in 1917 to 39.1 years in 1918. 20
By 1960 these diseases caused 4.8 percent of deaths and now are responsible
for only a tiny fraction. Certainly, government played an important role
in the eradication or reduction of communicable diseases, promoting and
paying for clean drinking water, sanitation facilities, public health programs
and mass inoculations. But it is important to note that private medicine
and research were the source of the cures, not government. In 1929 we spent
only 3.5 percent of our GNP on health care. Of the $3.6 billion expended,
only $600 million was from public funds and almost none went to medical
research. Not until 1940 did government spending on medical research reach
$3 million, and this was prompted by the imminence of war.
The perception of a large government role in medical research and care for
the elderly and indigent is a post-1960 phenomenon. Medicare and Medicaid
began in 1966. The National Institutes of Health, the principal source of
funding for medical research, was established a few years later.
Cancer and heart disease are today's main disease killers. In 1900 almost
24 percent of deaths were from these diseases. By 1960 they were the cause
of 70.6 percent of deaths and in 1993 of 65 percent. Enormous expenditures
are made to treat these diseases and to fund curative research. There has
been some progress, but the death rate from cancer and heart disease has
only declined from 671 per 100,000 population in 1960 to 572 in 1993. 21
Some scientists say that the life span of humans could be as much as 150
years if heart disease were controlled and cancer cured. Biotechnology and
genetic engineering offer the tantalizing prospect of eliminating genetically
based diseases and of dramatically advancing organ transplantation techniques.
Perhaps this is a realistic dream, perhaps not. But based on past performance,
it is important to note that massive public funding of medical research
and high expenditures on health care produced sharply diminishing returns
to social progress after 1960.