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Insurance

Is the FDA obsolete?

Is the FDA obsolete?

How can Underwriter Laboratories work so much faster to "approve" electrical devices as safe? It's because they are relied on by insurance companies that are insuring the liability of the products. Their incentive is to find any safety issues before a consumer sues over it.

Millions of people every year in the U.S. suffer from not having drugs sooner. Who is taking their suffering into account when following the current FDA process for drug approvals?

Worried about drug testing results in an FDA-less country?

Require companies to post an insurance bond to pay possible claims if the drug turns out to be bad. Insist on a transparent process via a third-party provider that is sufficiently underwritten, just like current insurance underwriting works.

At that point, people and Doctors can compare how much that third-party provider charged the drug company to insure the drug and do a quick proxy risk calculation accordingly.

If a company can make a convincing case that their drug is safe enough to avoid claims to their insurer, then it'll be a quick approval process and be on the market quickly.

If it's a dubious and/or highly risky drug, their insurer is going to be incentivized to either require a lot of extra honest studies to prove it's safe or pay a lot more money to offset the risk of claims.

If you insist on government involvement in the drug market, at least align the incentives for the participants with something more useful than the FDA's current "Don't ever approve a drug that has any chance of harm, no matter how much good it would do!"

"Every drug for cancer and other serious life-threatening illnesses that the Abigail Alliance has pushed for earlier access to in our eight-year history is now approved by the FDA! There is not one drug that we pushed for earlier access to that did not make it through the clinical trial process. Many lives could have been saved or extended, if there had been earlier access to these drugs!"
-Frank Burroughs, Founder of the Abigail Alliance

Market Substitutes For Unemployment Insurance

David Henderson at Econolog talks about the myth of market failure in regards to unemployment insurance. He makes some excellent points and there are more in the comments.

Something not addressed is that unemployment insurance has a superior substitute good.

To understand what a substitute good is, you might consider that attendance at plays goes up when movie prices go up, or sales of margarine go up when butter is less expensive, or cheaper cell phones lead to a drop in people purchasing plain old telephone service.

A substitute good for unemployment insurance is "safe" investments. It would be difficult to pay someone else enough to support you AND monitor that you lost your job and can't get another one through no desire of your own (the inherent moral hazard) and have them be able to pay you more in benefits than if you took your unemployment insurance premiums and simply invested them safely.

Essentially, you are self-insuring. You are the most efficient at that, because no moral hazard exists when you have perfect information on your own motivations and desires.

The next best option is a mutual assistance society that is run by people who know the members and can decided on benefits. That means there isn't a faceless bureaucrat deciding if someone deserves benefits, but rather someone in a much better position to determine exactly what is really needed and exactly how much work the someone is able to do in return for their benefits.

There are still some mutual assistance societies, but many of them vanished when the government "took over" their market and drove them out by using mandatory taxes and deficit spending to under price them. The ones that remain tend to have another primary function.

For example, the LDS church (among many other things) functions as a private welfare society. In their example, they reduce the inherent moral hazard in the situation by having those seeking welfare interviewed by the volunteer leader of their local congregation to determine exactly what help they need, but more importantly what they REALLY need (not money to eat out, or to live in a mansion), and what they themselves can contribute. It's not unusual for an LDS member on welfare to clean up the church grounds or work at a welfare farm if they are able to while seeking new employment, while someone sick may not be asked to do anything at all.

That sort of differentiation and local personalization is what a federal government program is unable to match.

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