Tuesday, November 3, 2009

A modern world-system?



Immanuel Wallerstein created a huge stir in the 1970s with the publication of The Modern World-System: Capitalist Agriculture and the Origins of the European World-Economy in the Sixteenth Century (1974).  The book is an intellectual masterpiece, synthesizing a vast range of fundamental literature on the economic history of Europe and the world.  You could look at the book as the first serious and extended effort to theorize globalization -- a term that barely existed at the time of publication. Or you could look at it as a general theory of colonialism -- an account of the pathways and influences through which the metropole dominated and exploited the periphery. It is worth looking back at this work today to tease out some of the guiding assumptions about history, sociology, and globalization it reflected.

The concept of "world system" is itself a key component of our current understanding of globalization, in that it captures the idea of causal interconnectedness across the globe among major organizations, firms, populations, and states.  Wallerstein observes that earlier social scientists had usually centered their analysis at the level of the political unit -- the nation-state; whereas his own approach is different:
This book makes a radically different assumption.  It assumes that the unit of analysis is an economic entity, the one that is measured by the existence of an effective division of labor, and that the relationship of such economic boundaries to political and cultural boundaries is variable, and therefore must be determined by empirical research for each historical case.  Once we assume that the unit of analysis is such a "world-system" and not the "state" or the "nation" or the "people", then much changes in the outcome of the analysis. (xi)
But what, more exactly, did he mean by a system?  Did he imagine something analogous to a mechanical system in which the relations among the parts were governed by a few simple laws?  He seems to suggest this possibility when he asks the question, "What do astronomers do?  As I understand it, the logic of their arguments involves two separate operations.  They use the laws derived from the study of smaller physical entities, the laws of physics, and argue that ... these laws hold by analogy for the system as a whole.  Second, they argue a posteriori.  If the whole system is to have a given state at time y, it most porrobably had a certain state at time x" (7).  Here he seems to suggest that social systems are tied together by the working of governing laws -- a particularly unconvincing starting point.

But Wallerstein's practice as a sociologist is far more defensible than this language would suggest.  He was in fact sensitive to causal heterogeneity, contingency, and variation in the systemic relations he meant to capture -- particularity as well as universality.  So he doesn't actually treat the modern world system as if it were analogous to a set of gravitational objects governed by fixed laws of nature.

I think the clue to an answer to his working definition of a system is found in his definition of scope in terms of an "effective division of labor": a set of regions constitute a system in his framework if there is significant exchange and dependence among various of the regions for products, people, knowledge, skills, and resources from other regions.  If Europe, Asia, or the Americas had been "autarkic" in 1700 -- that is, if one or more of these continental regions had been a closed economy and society making no substantial use of products, knowledge, resources, or people from other regions -- then there would not have been one "world system" but rather several independent macro-regional systems.  And Wallerstein explicitly affirms this point late in the book:
By saying that in the sixteenth century there was a European world-economy, we indicate that the boundaries are less than the earth as a whole.  But how much less?  We cannot simply include in it any part of the world with which "Europe" traded.  In 1600 Portugal traded with the central African kingdom of Monomotapa as well as with Japan.  Yet it would be prima facie hard to argue that either Monomotapa or Japan were part of the European world-economy at that time.  And yet we argue that Brazil (or at least areas of the coast of Brazil) and the Azores were part of the European world-economy. (199)
So in postulating the concept of world system as a framework for analysis of the modern period (let's say 1700), Wallerstein is laying a few important cards on the table; he is indicating his judgment that there was significant and necessary exchange among virtually all accessible places on the planet.  There were economically meaningful movements of resources, people (emigrants and slaves), crops (cotton, sugar), finished products, and ideas throughout the system of places defining the system of transport and trade.  This in turn implies that we cannot properly understand the workings of the regional economy without taking into account its exchange relations with other regions -- or in other words, we need to place the regional economy into the system of international division of labor in which it is located.  And in fact, historians like Ken Pomeranz make a substantial case for the empirical accuracy of that judgment (see for example The Great Divergence: China, Europe, and the Making of the Modern World Economy and The World That Trade Created: Society, Culture, And the World Economy, 1400 to the Present).

If we begin with this assumption -- the idea of the substantial interdependence of continental regions in the early modern period -- then we are naturally drawn to the question, what were the terms of trade?  Was exchange among regions mutually beneficial, as trade theory would have it?  Or was it extractive and exploitative, as the theory of colonialism would have it?  This is where Wallerstein makes substantial use of the core-periphery framework in his analysis.
The periphery of a world-economy is that geographical sector of it wherein production is primarily of lower-ranking goods ... but which is an integral part of the overall system of the division of labor, because the commodies involved are essential for daily use.  The external arena of a world-economy consists of those other world-systems with which a given world-economy has some kind of trade relationship ... what was sometimes called the "rich trades." (199-200) 
Wallerstein was particularly interested in interconnections between places that were the expression of power and commerce.  Core and periphery are linked by relations of subordination -- military and economic domination, leading to the persistent disadvantage of the latter in favor of the former.  These features define the "general attributes of a colonial situation" (5).

This analysis lays a theoretical and historical foundation for a theory of globalization.  Wallerstein writes late in the book:
One of the persisting themes of the history of the modern world is the seesaw between "nationalism" and "internationalism." I do not refer to the ideological seesaw ... but to the organizational one.  At some points in time the major economic and political institutions are geared to operating in the international arena and feel that local interests are tied in some immediate way to developments elsewhere in the world.  At other points of time, the social actors tend to engage their efforts locally, tend to see the reinforcement of state boundaries as primary, and move toward a relative indifference about events beyond them. (147)
Where has the effort to theorize globalization gone in the thirty-five years since Wallerstein's book appeared? A particularly important contemporary voice on this subject is that of Saskia Sassen.  Her recent A Sociology of Globalization (2007) represents a current cutting-edge effort to provide a vocabulary and set of theoretical premises in terms of which to understand the global interconnectedness that characterizes the contemporary world. And she wants to provide a sociology of these processes -- that is, she wants to provide a theoretical vocabulary and a set of hypotheses about the causal mechanisms that are involved that are adequate to the problem of describing and explaining the workings of this system. One thing this means is providing a framework within which the empirical details and structures of global networks can be investigated.  Another key point in her approach is her attention to differentiation across institutions and mechanisms.

A deeply important part of her analysis is her effort to overturn the assumption of "linearity" and hierarchy among levels of analysis -- the line of thought that assumes that neighborhoods are encompassed by cities, which fall within regions, which fall within states, which fall within international relations.  She argues repeatedly and effectively that this linear scheme doesn't work for today's global relationships.  The local neighborhood may be implicated in extra-national relations of immigration, crime, and trade that make it a global place.  More importantly, what she calls "global cities" have crucial relationships at many levels in these supposed hierarchies -- local, national, and supra-national.  So the question of scale cannot be defined within a simple hierarchy of relationships of locality, nationality, and globality.  (Significantly, Wallerstein opens his treatment of the modern world system by wrestling with this issue -- a discussion that he frames in terms of the idea of the appropriate unit of analysis in considering colonialism.)

Sassen is particularly interested in the networks of communication, finance, and service organizations that constitute the fabric joining what she calls "global cities" (link; see also an earlier posting on regional interdependence). But in this book Sassen broadens considerably the angle of view in order to consider social networks at many levels of scale, including sub-national as well as supra-national.

Sassen makes an important point about international economic power that has a Wallerstein-like feel to it but that would probably not have been true in 1700 or 1970.  This is her view that there has been an important process of "de-nationalization" that has removed traditional powers of the state and placed them in the scope of international economic and finance institutions that are significantly controlled by large economic actors and firms. We sometimes refer to this process as one of "liberalization"; Sassen makes the point that the construction of the new supra-national regulatory regimes is an extended historical process that can be studied in detail.  She refers to the result of this process as the global corporate economy.  One of Wallerstein's key arguments is that nations in the periphery were dominated and controlled by an economic system run by European nations. Sassen argues for the reality of a world system of regulatory arrangements that subordinates the sovereignty of even previously hegemonic nations to a non-democratic set of institutions and rules that implicitly favor one set of economic actors over others.  But Sassen's inference from this fact about international economic power is less about north-south exploitation and more about the rising likelihood of global exploitation of all ordinary citizens by powerful extra-national economic forces that are beyond the reach of democratic processes (what she refers to as the "democratic deficit").

Sassen's book warrants a close reading.  It proposes a significantly different way of conceptualizing the meaning of globalization, and one that will suggest many new research agendas.

(The Minard trade map above is borrowed from the fascinating blog Cartographia.  The blog has many great discussions of some very interesting maps.)

Sunday, November 1, 2009

Assurance game




How does a group of people succeed in coming together to contribute to a collective project over an extended period of time?  For example, what leads a group of unemployed workers to travel to the capital to lobby for an extension of unemployment benefits, or a group of expatriate Burmese people in London to attend demonstrations against the junta?  What motivations are relevant at the individual level? And what circumstances are most conducive to creating and sustaining collective action?

Purely self-interested egoists won't make it -- that is the message of Mancur Olson's Logic of Collective Action: Public Goods. The maximizing egoist will reason that the activity will either succeed or fail independent of his/her own participation.  If it succeeds then he will enjoy the benefits of cooperation; and if it fails he will have avoided the wasted costs of participation.  Either way the egoist does better by refraining from participation.  So collective action in pursuit of a public good is all but impossible within a society of rationally disinterested egoists.  As Amartya Sen observes in "Rational Fools" (link),  "The purely economic man is indeed close to being a social moron." 

But we know that this conclusion does a bad job of describing real social life.  People in villages, communities, political parties, religious organizations, public television audiences, and ethnic groups do in fact often succeed in getting themselves organized and mobilized in pursuit of a public good for the group.  Often the level of mobilization is below the level that would be optimal for production of the good for the population; often it is fairly straightforward to identify the symptoms of incipient free-riding; but ordinary social experience and history alike are replete with examples of voluntary collective action.

Many theories can be articulated in order to account for the spontaneous occurrence of collective action.  People may be irrational; they may be motivated entirely by non-utility considerations; they may be governed by norms of solidarity beyond their rational control; they may be disciplined by grassroots organizations that punish defectors; there may be an evolutionary basis hard-wired into the human cognitive-deliberative system that favors cooperation; or, for that matter, there may be a hard-wired impulse towards punishing defectors from common projects that tips the balance of utility calculation for would-be free-riders.

But here is a factor that seems to be a credible observation about social motivation and that still makes sense of the behavior in deliberative terms.  Many real social actors seem to be what might be called "conditional altruists": they are willing to contribute some effort or personal resource to a collective project if they have grounds for confidence that a reasonable number of other members of the group will contribute as well. (Jon Elster explores the idea in The Cement of Society: A Survey of Social Order.)  And it isn't that these actors make a calculation error along the lines of the fallacy of unanimity -- "I want the benefits of the collective action, and it won't occur without me."  Instead, they seem to reason in ways that would please a communitarian: "I'm a member of this group, I believe that other members will do what's good for the group, and I'm willing to do my part as well."  This is a fairly explicit willingness to sacrifice the benefits of free riding.  But the conditional part is important as well: the conditional altruist is calculating about the likelihood of success in the collective undertaking, and is willing to participate only if he/she judges that enough other people will contribute as well to make the undertaking feasible.

Conditional altruism thus attributes a common moral psychology to social actors, which we might refer to as the "fairness factor."  Individuals are willing to factor collective goods into their calculation of the costs and benefits of action, and they have some degree of motivation to act in accordance with a proposed collective action that would benefit them even if they could evade participation.  They are disposed to act fairly: "If I benefit from the action, I should take my fair share of creating the benefit."  (Allan Gibbard's Wise Choices, Apt Feelings: A Theory of Normative Judgment offers an effort to bring together the evolutionary history of the species with a philosopher's analysis of moral reasoning.)

If fairness or conditional altruism are real components of human agency (for all or many human beings), then we can identify a few factors that are likely to increase the likelihood of cooperation and collective action.  Measures that increase the actor's assurance of the behavior of others will have the effect of eliciting higher levels of collective action.  And it is possible to think of quite a few social circumstances that have this effect.  A shared history of success in collective action is clearly relevant to current actors' level of assurance about future cooperation.  Shared history can be made more powerful in the present through the currency of songs, stories, and performances that highlight earlier successes (Michael Taylor, Community, Anarchy and Liberty).  Researchers who study peasant village communities emphasize the importance of face-to-face relations among villagers; individuals know a good deal about the past behavior of their neighbors, which can provide a better basis for predicting their future cooperative behavior (Robert Netting, Smallholders, Householders: Farm Families and the Ecology of Intensive, Sustainable Agriculture). And members of small, stable communities also know that they will need to interact with each other long into the future -- increasing the cost of non-cooperation today (Robert Axelrod, The Evolution of Cooperation: Revised Edition).

What is particularly interesting about this topic is the fact that actual social outcomes show a wide range of variations in the degree of self-interest and fairness that seems to be present.  Some groups seem to act more like Mancur Olson egoists; others (like Welsh coal miners) seem to act as though they have a very high "solidarity and fairness" quotient.  So no single answer to the question of collective action seems to work: "people are rational egoists," "people are altruists," or "people are conditional altruists."  Rather, a given opportunity for collective action seems to display a mix of all these styles of reasoning.  These variations could be the result of several independent factors: differences in the formation of individuals' moral psychology (emphasizing individualism or community from infancy); differences in current institutional settings (arrangements that make future interactions seem more likely to each participant); even potentially differences in personality or the genetic basis of decision-making across individuals.

I'm sure that there is work in experimental economics that probes the boundaries of this feature of practical reasoning.  Ordinary social experience informs us that people have different levels of willingness to undertake sacrifice for a group's projects.  And having a more nuanced empirical understanding of how people behave in the settings of potential cooperation and collective action would help refine our understanding of the thought-processes and styles of reasoning through which individuals decide what to do. Here is an interesting paper by Ernst Fehr and Klaus Schmidt titled "The Economics of Fairness, Reciprocity and Altruism – Experimental Evidence and New Theories."

Friday, October 30, 2009

Causal realism for sociology



The subject of causal explanation in the social sciences has been a recurring thread here (thread). Here are some summary thoughts about social causation.

First, there is such a thing as social causation. Causal realism is a defensible position when it comes to the social world: there are real social relations among social factors (structures, institutions, groups, norms, and salient social characteristics like race or gender). We can give a rigorous interpretation to claims like "racial discrimination causes health disparities in the United States" or "rail networks cause changes in patterns of habitation".

Second, it is crucial to recognize that causal relations depend on the existence of real social-causal mechanisms linking cause to effect. Discovery of correlations among factors does not constitute the whole meaning of a causal statement. Rather, it is necessary to have a theory of the mechanisms and processes that give rise to the correlation. Moreover, it is defensible to attribute a causal relation to a pair of factors even in the absence of a correlation between them, if we can provide evidence supporting the claim that there are specific mechanisms connecting them. So mechanisms are more fundamental than regularities.

Third, there is a key intellectual obligation that goes along with postulating real social mechanisms: to provide an account of the ontology or substrate within which these mechanisms operate. This I have attempted to provide through the theory of methodological localism (post) -- the idea that the causal nexus of the social world is constituted by the behaviors of socially situated and socially constructed individuals. To put the claim in its extreme form, every social mechanism derives from facts about institutional context, the features of the social construction and development of individuals, and the factors governing purposive agency in specific sorts of settings. And different research programs target different aspects of this nexus.

Fourth, the discovery of social mechanisms often requires the formulation of mid-level theories and models of these mechanisms and processes -- for example, the theory of free-riders. By mid-level theory I mean essentially the same thing that Robert Merton meant to convey when he introduced the term: an account of the real social processes that take place above the level of isolated individual action but below the level of full theories of whole social systems. Marx's theory of capitalism illustrates the latter; Jevons's theory of the individual consumer ss a utility maximizer illustrates the former. Coase's theory of transaction costs is a good example of a mid-level theory (The Firm, the Market, and the Law): general enough to apply across a wide range of institutional settings, but modest enough in its claim of comprehensiveness to admit of careful empirical investigation. Significantly, the theory of transaction costs has spawned major new developments in the new institutionalism in sociology (Mary Brinton and Victor Nee, eds., The New Institutionalism in Sociology).

And finally, it is important to look at a variety of typical forms of sociological reasoning in detail, in order to see how the postulation and discovery of social mechanisms play into mainstream sociological research. Properly understood, there is no contradiction between the effort to use quantitative tools to chart the empirical outlines of a complex social reality, and the use of theory, comparison, case studies, process-tracing, and other research approaches aimed at uncovering the salient social mechanisms that hold this empirical reality together.

Wednesday, October 28, 2009

Fair prices?




We live in a society that embraces the market in a pretty broad way. We accept that virtually all goods and services are priced through the market at prices set competitively. We accept that sellers are looking to maximize profits through the prices, quantities, and quality of the goods and services that they sell us. We accept, though a bit less fully, the idea that wages are determined by the market -- a person's income is determined by what competing employers are willing to pay. And we have some level of trust that competition protects us against price-gouging, adulteration, exploitation, and other predatory practices. A prior posting questioned this logic when it comes to healthcare. Here I'd like to see whether there are other areas of dissent within American society over prices.

Because of course it wasn't always so. E. P. Thompson's work on early modern Britain reminds us that there was a "moral economy of the crowd" that profoundly challenged the legitimacy of the market; that these popular moral ideas specifically and deeply challenged the idea of market-defined prices for life's necessities; and that the crowd demanded "fair prices" for food and housing (Customs in Common: Studies in Traditional Popular Culture). The moral economy of the crowd focused on the poor -- it assumed a minimum standard of living and demanded that the millers, merchants, and officials respect this standard by charging prices the poor could afford. And the rioting that took place in Poland in 1988 over meat prices or rice riots in Indonesia in 2008 are reminders that this kind of moral reasoning isn't merely part of a pre-modern sensibility.  (For some quotes collected by E. P. Thompson from "moral economy" participants on the subject of fair prices see an earlier posting on anonymity.)

So where do contemporary Americans show a degree of moral discomfort with prices and the market? Where does the moral appeal of the principles of market justice begin to break down -- principles such as "things are worth exactly what people are willing to pay for them" and "to each what his/her market-determined purchasing power permit him to buy"?

There are a couple of obvious exceptions in contemporary acceptance of the market. One is the public outrage about executive compensation in banking and other corporations that we've seen in the past year. People seem to be morally offended at the idea that CEOs are taking tens or hundreds of millions of dollars in compensation -- even in companies approaching bankruptcy. Part of the outrage stems from the perception that the CEO can't have brought a commensurate gain to the company or its stockholders, witness the failing condition of many of these banks and companies. Part is a suspicion that there must be some kind of corrupt collusion going on in the background between corporate boards and CEOs. But the bottom line moral intuition seems to be something like this: nothing could justify a salary of $100 million, and executive compensation in that range is inherently unfair. And no argument proceeding simply along the lines of fair market competition -- "these are competitive rational firms that are offering these salaries, and therefore whatever they arrive at is fair" -- cuts much ice with the public.

Here is another example of public divergence from acceptance of pure market outcomes: recent public outcries about college tuition. There is the common complaint that tuition is too high and students can't afford to attend. (This overlooks the important fact that public and private tuitions are almost an order of magnitude apart -- $6,000-12,000 versus $35,00-42,000!) But notice that this is a "fair price" argument that would be nonsensical when applied to the price of an iPod or a Lexus. People don't generally feel aggrieved because a luxury car or a consumer device is too expensive; they just don't buy it. It makes sense to express this complaint in application to college tuition because many of us think of college as a necessity of life that cannot fairly be allocated on the basis of ability to pay. (This explains why colleges offer need-based financial aid.) And this is a moral-economy argument.

And what about that other necessity of life -- gasoline? Public complaints about $4/gallon gas were certainly loud a year ago. But they seem to have been grounded in something different -- the suspicion that the oil companies were manipulating prices and taking predatory profits -- rather than an assumption of a fair price determined by the needs of the poor.

Finally, what about salaries and wages? How do we feel about the inequalities of compensation that exist within the American economy and our own places of work? Americans seem to accept a fairly wide range of salaries and wages when they believe that the differences correspond ultimately to the need for firms to recruit the most effective personnel possible -- a market justification for high salaries. But they seem to begin to feel morally aggrieved when the inequalities that emerge seem to exceed any possible correspondence to contribution, impact, or productivity. So -- we as Americans seem to have a guarded level of acceptance of the emergence of market-driven inequalities when it comes to compensation.

One wonders whether deeper resentment about the workings of market forces will begin to surface in our society, as unemployment and economic recession settle upon us.

Saturday, October 24, 2009

Comparative life satisfaction


We tend to think of the past century as being a time of great progress when it comes to the quality of life -- for ordinary people as well as the privileged. Advances in science, technology, and medicine have made life more secure, predictable, productive, educated, and healthy. But in what specific ways is ordinary life happier or more satisfying for ordinary people in 2000 compared to their counterparts in 1900 or 1800 -- or the time of Socrates, for that matter?

There are a couple of things that are pretty obvious. Nutrition is one place to start: the mass population of France, Canada, or the United States is not subject to periodic hunger, malnutrition, or famine. This is painfully not true for many poor parts of the world -- Sudan, Ethiopia, and Bangladesh, for example. But for the countries of the affluent world, the OECD countries, hunger has been largely conquered for most citizens.

Second, major advances in health preservation and the treatment of illness have taken place. We know how to prevent cholera, and we know how to treat staph infections with antibiotics. Terrible diseases such as polio have been eradicated, and we have effective treatments for some kinds of previously incurable cancers. So the basic health status of people in the affluent twenty-first century world is substantially better than that of previous centuries -- with obvious consequences for our ability to find satisfaction in life activities.

These advances in food security and public health provision have resulted in a major enhancement to quality of life -- life expectancy in France, Germany, or Costa Rica has increased sharply. And many of the factors underlying much of this improvement are not high-tech, but rather take the form of things like improvement of urban sanitation and relatively low-cost treatment (antibiotics for children's ear infections, for example).

So living longer and more healthily is certainly an advantage in our quality of life relative to conditions one or two centuries ago.

Improvements in labor productivity in agriculture and manufacturing have resulted in another kind of enhancement of modern quality of life. It is no longer necessary for a large percentage of humanity to perform endless and exhausting labor in order to feed the rest of us. And because of new technologies and high labor productivity, almost everyone has access to goods that extend the enjoyment of life and our creative talents. Personal computing and communications, access to the world's knowledge and culture through the Internet, and ability to travel widely all represent opportunities that even the most privileged could not match one or two centuries ago.

But the question of life satisfaction doesn't reduce to an inventory of the gadgets we can use. Beyond the minimum required for sustaining a healthy human body, the question of satisfaction comes down to the issue of what we do with the tools and resources available to us and the quality of our human relationships. How do we organize our lives in such a way as to succeed in achieving goals that really matter?

Amartya Sen's economic theory of "capabilities and realizations" supports a pretty good answer to these questions about life satisfaction (Development as Freedom). Each person has a bundle of talents and capabilities. These talents can be marshalled into a meaningful life plan. And the satisfying life is one where the person has singled out some important values and goals and has used his/her talents to achieve these goals. (This general idea underlies J. S. Mill's theory of happiness as well in Utilitarianism.)

By this standard, it's not so clear that life in the twenty-first century is inherently more satisfying than that in the eighteenth or the second centuries. When basic needs were satisfied -- nutrition, shelter, health -- the opportunities for realizing one's talents in meaningful effort were no less extensive than they are today. This is true for the creative classes -- obviously. The creative product of J. S. Mill's or Victor Hugo's generation was no less substantial or satisfying than our own. But perhaps it is true across the board. The farmer-gardener who shapes his/her land over the course of a lifetime has created something of great personal value and satisfaction. The mason or smith may have taken more pride and satisfaction in his life's work than does the software programmer or airline flight attendant. The parent who succeeded in nurturing a family in 1800 County Cork may have found the satisfactions as great or greater than parents in Boston or Seattle today.  (Richard Sennett explores some of these satisfactions in The Craftsman.)

So we might say that the chief unmistakable improvement in quality of life in the past century is in the basics -- secure nutrition, improved health, and decent education during the course of a human life. And the challenge of the present is to make something meaningful and sustaining of the resources we are given.

Thursday, October 22, 2009

Cooperation



How important is cooperation in a market society?

First, what is cooperation? Suppose a number of individuals occupy a common social and geographical space. They have a variety of individual interests and things they value, and they have outcomes they'd like to bring about. Some of those outcomes are purely private goods, and some can be brought about through private activities by each individual.  These are the circumstances where private market-based activity can bring about socially optimal outcomes.

But some outcomes may look more like public or common goods -- for example, greater safety in the neighborhood or more sustainable uses of resources.  These are outcomes that no single individual can bring about, and -- once established -- no one can be excluded from the enjoyment of these goods.  (Public choice theorists sometimes look at other kinds of non-private goods such as "club goods"; see Dennis Mueller, Perspectives on Public Choice: A Handbook.)

Further, some outcomes may in fact be private goods, but may be such that they require coordinated efforts by multiple individuals to achieve them efficiently. An example of this is traditional farming: it may be that the yield on one individual's plot is greater if a group of neighbors provide concentrated labor on weeding this plot today and the neighbor's plot tomorrow than if each of us do all the weeding on our individual plots. The technical conditions surrounding traditional agriculture impose a cycle of labor demand that makes cooperation an efficient strategy.

This is where cooperation comes in. If a number of the members of a group agree to contribute our efforts to a common project we may find that the total results are greater -- for both common goods and private goods -- than if we had each pursued these goods through individual efforts. Cooperation can lead to improvement in the overall production of a good for a given level of sacrifice of time and effort.  This description uses the word "agree"; but Robert Axelrod (The Evolution of Cooperation) and David Lewis (Convention: A Philosophical Study) observe that many examples of cooperation depend on "convention" and tacit agreement rather than an explicit understanding among participants.

So cooperation can lead to better outcomes for a group and each individual in the group than would be achievable through entirely private efforts.

Cooperation should be distinguished from altruistic behavior; cooperation makes sense for rationally self-interested individuals if appropriate conditions are satisfied.  A cooperative arrangement can make everyone better off.  So we don't have to assume that individuals act altruistically in order to account for cooperation.

So why is cooperation not ubiquitous? It is in fact pretty widespread. But there are a couple of important obstacles to cooperation in ordinary social life: the rational incentive that exists to become a freerider or easy rider when the good in question is a public good; and the risk that cooperators run that the endeavor will fail because of non-contribution from other potential contributors. There is also often a timing problem: it is common for the contribution and the benefit to be separated in time, so contributors are even more concerned that they will be denied the benefits of cooperation. If Mr Wong is asked to weed today in consideration of assistance from Mr Li in harvesting the crop four months from now, he may be doubtful about the future benefit.

The basic logic of this situation has stimulated a mountain of great social science research and theory. Garrett Hardin's "tragedy of the commons" (Managing the Commons) and Mancur Olsen's The Logic of Collective Action: Public Goods and the Theory of Groups set the negative case for thinking that cooperation is all but impossible to sustain.  Elinor Ostrom's Nobel-prize winning work on common property resource regimes documents the ways in which communities have solved these cooperation dilemmas (Governing the Commons: The Evolution of Institutions for Collective Action). Douglas North essentially argues that only private property and binding contracts can do the job (The Rise of the Western World: A New Economic History). And Robert Axelrod has made the case for the rational basis of cooperation in The Evolution of Cooperation: Revised Edition. He argues that there are specific conditions that enhance or undermine cooperation and reciprocity; essentially, participants need to be able to reidentify each other over time and they need to have a high likelihood of continuing to interact with each other over an extended time. (His analysis is based on a series of experiments involving repeated prisoners' dilemmas.)

A market can "simulate" cooperation through enforceable contracts; so, for example, a peasant farming community could create a legally binding system of labor exchange among households.  And organizations can create quasi-binding agreements for cooperation through "memoranda of understanding" and "inter-governmental agreements" -- written agreements that may not be enforceable through legal remedies but nonetheless create a strong incentive for each party to fulfill the obligations of cooperation.  However, quite a bit of the opportunities for cooperation seem to fall outside the sphere of these formal and semi-formal mechanisms for binding agreements.

Informal cooperation needs some kind of institutional or normative setting that encourages compliance with the cooperative arrangement.  So there has been an energetic debate in the past twenty years over the feasibility of non-coercive solutions to cooperation problems; this is an area where the new institutionalism has played a key role.  And in the real world, we do in fact find numerous sustainable examples of informal cooperation.  Individuals work in community gardens; foundations join together in supporting urban renewal projects; villagers create labor-sharing practices.  But it is an interesting question to consider: are there institutional reforms that we could invent that would allow us as a society to capture more of the benefits of cooperation than we currently realize?

Monday, October 19, 2009

Paying for health



A person's income determines his/her access to many things he wants and needs: food, clothing, transportation, housing, entertainment, and the internet, for example. And people who have higher income are able to consume more of all of these categories than people with lower income, if they choose to. More affluent people shop for food at Papa Joe's or Whole Food; live in larger and more luxurious homes; buy their clothing from boutiques rather than Penny's or the thrift shop; and drive multiple handsome cars. Poor people can't afford the luxury end of these forms of consumption. And in some way our culture has judged that these sorts of inequalities of consumption are a legitimate and fair part of a market economy; if you judge that inequalities of income are justifiable (perhaps with some limits on extremes), then you pretty much have to support the idea of inequalities of consumption as well.

But what about goods that have a price but that are essential to living a decent human life? Food certainly falls in this category; if 30% of society could literally not afford to purchase enough calories to provide 2200-2900 calories per day for adults and 1800 calories for children, then we would probably have a different idea about the fairness of a market for food -- the principle that says "to each according to his/her earning capacity" doesn't seem very convincing in circumstances where it leads to malnutrition or starvation. In other words, if the normal workings of a market economy left a significant segment of the population without the ability to purchase enough food for subsistence, we would surely judge that this isn't a fair or socially just way of distributing income and food. And there is an important point to be noted here: there is hunger in America, and the system of producing goods and income isn't fully satisfying the subsistence needs of the whole population. (This is exactly what makes it compelling that our government needs to provide food assistance for the very poor, through food stamps or targeted income supplements.) So there is an important issue about the justice of current actual distributions of such basic goods as food, clothing, or shelter across the U.S. population.

But push a little deeper and consider the "market for health care". Supporting one's current healthy status is a costly effort; repairing the body in times of traumatic injury or serious illness is even more costly; and our society leaves a lot of the allocation of health care services to private purchasing power. Health insurance is the primary vehicle through which many Americans provide financially for their health care needs. Some people have insurance provided or subsidized through their employers; some families purchase health insurance through the private market; and many families lack health insurance entirely. Upwards on 47 million Americans are uninsured, including 20% of adults and 9% of children (CDC link). And this includes a wide range of Americans, from the extremely poor to the working poor to the solidly middle class.

It is clear that access to doctors, hospitals, nurses, and prescription drugs is a critical need that everyone faces at various points in life. It is obvious as well that one's future ability to live and work productively and to enjoy a satisfying life is conditioned by one's ability to gain access to health care when it is needed. It is also clear that uncertainty about the availability of health care is a major source of anxiety for many, many people in U.S. society today. So it is self-evident that decent health care is one of our most basic and unavoidable needs.

So what do people do when they lack health insurance and serious illness or injury occurs? This isn't a mystery anymore; families go into debt to doctors and hospitals, they face bankruptcy, they find some limited sources of free care (free clinics, pro bono doctors' services), and they forego "optional" treatments that may well extend the length or quality of life. And it is evident that this pattern results in very serious harms and limitations for people in these groups. People who have the least access to health care through our basic institutions may be expected to live shorter lives and to suffer more.

And what about people at the high end of the income spectrum? How do they relate to the problems of health? Here too the answers are fairly well known: they are able to seek out the best (and most expensive) specialists, travel to national centers for specialized treatment, and undergo advanced diagnostic tests that are not covered by insurance. (Here is a news story from CNN on boutique health care.) The affluent aren't able to assure their health through expenditure -- but they can certainly improve their odds.

In other words, ability to pay influences the quality and extent of health care that an individual or family is able to gain access to; and the health status of the family is affected by these variations in quality and access. So, to some meaningful extent, our social system places health care in the category of a market good.

But here is the question I'm working around to: what does justice require when it comes to health care? Is it right to look at health care as just another consumption good like shoes -- affluent people wear Gucci and poor people wear Dollar Store, but everyone has his/her feet covered? Or is health care in a special category, too closely linked to living a full human life to allow it to be distributed so unequally? (Norm Daniels has spent most of his career looking at this issue, from the points of view of philosophy and concrete policy reform. See Just Health: Meeting Health Needs Fairly for some of his findings.)

It seems a bitter but unavoidable truth that there are very substantial inequalities in the provision of health care in our society. One person's likelihood of surviving a devastating cancer may be significantly less than another person's chances, simply based on the second person's ability to pay for premium health care services. Further, it seems unavoidable that these extreme inequalities are flatly unjust in any society that believes in the equal worth of all human beings. And where this seems to lead is to the conclusion that some system of universal health insurance is a fundamental requirement of justice.

 
Design by Free Wordpress Themes | Bloggerized by Lasantha - Premium Blogger Templates