| | | Economists have tremendous influence over policy these days, and, as
an economist, that generally makes me proud. But, precisely because of
my discipline's considerable clout, it is important to understand its
limitations. When it comes to the particulars of governing in a democracy,
the economist's view of the world can be narrow and reductive. As University
of Virginia political scientist Steven Rhoads has pointed out (in a book
aptly titled The Economist's View of the World), the single-minded attention
to incentives and the pursuit of self-interest that characterizes economic
analysis can be a great strengthbut it can also be a fatal flaw. What Rhoads is getting at becomes clearer when one considers that policymaking
is not simply about providing technical solutions to the problems of governance.
It is also about taking symbolic actions that express the people's values
and beliefs. A policy's costs and benefits may pale next to its communicative
impact, as any good politician instinctively knows. Yet, what might be
called the expressive content of public actionthe message to the
political community conveyed by the letter of a law, the behavior of a
bureaucracy, or the public utterances of a political leaderhas no
place in the conventional economic model. For example, we punish criminals not simply to deter crime but also to
signal our collective abhorrence of their offending acts. And, conversely,
we sometimes mitigate or forgo punishmenteven though doing so might
blunt the deterrent effectin order to show mercy or to do justice.
Whatever one may think of capital punishment (and I oppose it), the political
viability of this practice will never hinge on whether, in fact, it deters
murder. The more compelling argument against the state-sanctioned killing
of criminal offenders begins by asking, "What manner of people are
we, who destroy human life in public rituals of revenge?" This, most
decidedly, is not a question about incentives. Or, to take another example, consider the rightward drift of the welfare
debate that ended with Congress passing, and President Clinton signing,
the Personal Responsibility and Work Opportunity Reconciliation Act of
1996. This shift was driven primarily by the desire of many Americans
to state, in unequivocal terms, what society can require of public assistance
recipients. For most people, such beliefsabout who deserves to be
helped and how we should separate public from private responsibilitieshave
very little to do with analytical judgments. Indeed, even among experienced
analysts, one often finds the influence running in exactly the opposite
directionfrom basic value commitments to conclusions about cause
and effect. Another political scientist, Lawrence Mead of New York University, has
raised a complementary argument that warrants mention here. In Beyond
Entitlement, which appeared over a decade ago, Mead made a persuasive
case that many dependent people are too dysfunctional to become self-reliant
without substantial and autoritative government intervention in their
lives. He has recently edited a collection, called The New Paternalism:
Supervisory Approaches to Poverty, where a number of social scientists
examine how the authoritative approach might be made to work in areas
ranging from teen pregnancy to illicit drug use. This book is full of
innovative policy ideas that deserve further attentionand not one
of these eleven essays makes any use of economic analysis. The reason for this seeming anomaly is clear. Economics starts from the
assumption that individual preferences are given. The "new paternalism,"
on the other hand, makes it a principal objective of policy to alter individuals'
views about how to live their lives. Most economists, and many others
besides, are uncomfortable with this sort of thinking. This is understandable,
and caution is in order whenever government fiat threatens to usurp individual
autonomy. Yet, given the array of social maladies in this country, some
usurpation is unavoidable. That is, the expressive content of public action
can also serve a pedagogic functionby showing disadvantaged citizens
how better to lead their lives. This, too, is a consideration that is
missing from the economist's conceptual tool kit. In at least one important policy area, evidence is starting to demonstrate
that such "authoritative governance" may in reality be more
important than the incentives with which economists are typically concerned.
In the early l990s, some welfare analysts developed an enthusiasm for
the so-called "family cap." The idea was to withhold incremental
benefits from women already on the rolls who had additional children to
discourage them from getting pregnant again. The idea was tried on an
experimental basis in a number of states. In New Jersey and Arkansas,
where systematic evaluations have been undertaken, the results were inconclusive.
There were many technical problems with the implementation of these experiments,
but at neither site could evidence be found of any impact on pregnancy
among the women subject to the family cap provision. A more authoritative intervention was undertaken in the small, semi-rural
community of Elmira, New York. There, in 1977, some 400 mostly low-income
expectant mothers were enrolled in an experimental program designed to
test the impact on mothers and children of regular home visits by professional
nurses. For some of the women, visits occurred weekly for six weeks after
their baby was born and then twice each week until the twenty-first postnatal
month. The nurses followed a detailed protocol during the 90-minute visits,
focusing on personal health and effective parenting concerns. A major
objective was to help mothers use a reliable method of contraception,
and at this the program succeeded admirably. Compared to a randomly selected
control group of similar women, those visited by the nurses had a 42 percent
lower pregnancy rate during the four-year period after the delivery of
their first child. Beneficial effects from the home visits on both mothers
and children were found in a follow-up study conducted in 1992, 15 years
after the program had been initiated. Similarly impressive effects of
nurse visitations are being observed among inner-city mothers in Memphis,
in a still-ongoing study that began in 1990. The success of home visitation seems to be due to the fact that the nurses
got the message across that becoming pregnant again is not desirable.
As The Washington Post reports: "The old strategy has been to say,
`If you want to avoid a second baby, here's a condom and how to use it.'
The directive approach says, `You shouldn't have another baby, and here
are ways to prevent it.'" One thing is clear. You can't get that
kind of message across with economic incentives. |