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	<title>Arthur Laffer Archives - Show-Me Institute</title>
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	<title>Arthur Laffer Archives - Show-Me Institute</title>
	<link>https://showmeinstitute.org/ttd-topic/arthur-laffer/</link>
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		<title>WATCH: Taxes Have Consequences with Arthur B. Laffer, Jeanne Sinquefield and Brian Domitrovic</title>
		<link>https://showmeinstitute.org/article/economy/live-stream-taxes-have-consequences-arthur-b-laffer-jeanne-sinquefield-and-brian-domitrovic/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 23 Sep 2022 20:17:00 +0000</pubDate>
				<category><![CDATA[Business Climate]]></category>
		<category><![CDATA[Economy]]></category>
		<category><![CDATA[Regulation]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">https://showme.beanstalkweb.com/article/uncategorized/live-stream-taxes-have-consequences-arthur-b-laffer-jeanne-sinquefield-and-brian-domitrovic/</guid>

					<description><![CDATA[<p>On September 20, 2022, Show-Me Institute and Show-Me Opportunity hosted a discussion with Arthur B. Laffer, Jeanne Sinquefield and Brian Domitrovic about their upcoming book Taxes Have Consequences: An Income [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/economy/live-stream-taxes-have-consequences-arthur-b-laffer-jeanne-sinquefield-and-brian-domitrovic/">WATCH: Taxes Have Consequences with Arthur B. Laffer, Jeanne Sinquefield and Brian Domitrovic</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><iframe title="Taxes Have Consequences: Arthur B. Laffer, Jeanne Sinquefield and Brian Domitrovic" width="978" height="550" src="https://www.youtube.com/embed/m6Zg-WFNO2M?feature=oembed" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></p>
<p>On September 20, 2022, Show-Me Institute and Show-Me Opportunity hosted a discussion with Arthur B. Laffer, Jeanne Sinquefield and Brian Domitrovic about their upcoming book <a href="https://www.simonandschuster.com/books/Taxes-Have-Consequences/Arthur-B-Laffer/9781637585641" target="_blank" rel="noopener"><em>Taxes Have Consequences: An Income Tax History of the United States.</em></a></p>
<div class="eds-text--left">
<h3 style="text-align: center;"></h3>
<h1 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #0000ff;"><a style="color: #0000ff; text-decoration: underline;" href="https://www.youtube.com/watch?v=m6Zg-WFNO2M" target="_blank" rel="noopener">Watch a Recording of the Full Event Here</a></span></span></h1>
</div>
<p>&nbsp;</p>
<div class="eds-text--left">
<h3>About The Book</h3>
<p><img fetchpriority="high" decoding="async" class="eds-max-img alignright" src="https://showmeinstitute.org/wp-content/uploads/2025/09/httpscdnevbuccomimages3306608392004713466141original20220805-194643.jpeg" alt="Taxes Have Consequences: Dr. Arthur B. Laffer and Dr. Jeanne Sinquefield image" width="397" height="586" />Authors: Arthur B. Laffer, Brian Domitrovic and Jeanne Cairns Sinquefield</p>
<p>The definitive history of the effect of the income tax on the economy.</p>
<p>Ever since 1913, when the United States first imposed the income tax via constitutional amendment, the top rate of that tax has determined the fate of the American economy. When the top rate has been high, as in the late 1910s, the 1930s, 1940s, 1950s, and 1970s, the response of those with money and capital has been to curtail real economic activity in favor of protecting assets and income streams. Huge declines have come to the economy in these circumstances.</p>
<p>The most brutal example was the Great Depression itself. When the top tax rate has been cut and held at reduced levels—as in the 1920s, the 1960s, in the long boom of the 1980s and 1990s, and briefly in the late 2010s—astonishing reversals have occurred. The rich have brought their money out of hiding and put it to work in the economy. The huge swings in the American economy since 1913 have had an inverse relationship to income tax rates.</p>
<h3>About the Speakers</h3>
<p><strong>Arthur B. Laffer</strong> is the legendary founder of supply-side economics and economic advisor to President Ronald Reagan and Prime Minister Margaret Thatcher. He was awarded the Presidential Medal of Freedom by President Donald Trump in 2019.</p>
<p><strong>Jeanne Cairns Sinquefield</strong> helped pioneer index-fund investing as executive vice president and head of trading at Dimensional Fund Advisors.</p>
<p><strong>Brian Domitrovic</strong> is the author of five books, including the landmark history of supply-side economics <i>Econoclasts</i>.</p>
</div>
<p>The post <a href="https://showmeinstitute.org/article/economy/live-stream-taxes-have-consequences-arthur-b-laffer-jeanne-sinquefield-and-brian-domitrovic/">WATCH: Taxes Have Consequences with Arthur B. Laffer, Jeanne Sinquefield and Brian Domitrovic</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Missouri Shouldn’t Make Arizona’s Tax Mistake</title>
		<link>https://showmeinstitute.org/article/economy/missouri-shouldnt-make-arizonas-tax-mistake/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 04 Dec 2020 02:40:28 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/missouri-shouldnt-make-arizonas-tax-mistake/</guid>

					<description><![CDATA[<p>Arizona voters recently approved a proposition to impose a 3.5 percent surtax on high-income individuals and joint filers to increase education funding. This measure will raise the top income tax [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/economy/missouri-shouldnt-make-arizonas-tax-mistake/">Missouri Shouldn’t Make Arizona’s Tax Mistake</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Arizona voters recently <a href="https://www.forbes.com/sites/ashleaebeling/2020/11/04/arizona-voters-approve-massive-tax-hike-on-high-earners-could-your-state-be-next/?sh=f2f6da01f98f">approved</a> a proposition to impose a 3.5 percent surtax on high-income individuals and joint filers to increase education funding. This measure will raise the top income tax rate from 4.5 percent to 8 percent, which <a href="https://taxfoundation.org/arizona-proposition-208-education-funding/">changes</a> Arizona’s top rate from the fifth lowest in the nation to the eighth highest. Voters were clearly supportive of the education initiative, but funding it by way of an income tax increase may set the stage for bigger problems in the future. People have been moving to Arizona to escape high-tax states in recent years, but economists <a href="https://www.wsj.com/articles/tax-raid-in-arizona-11603149226">say</a> that this may change due to this income tax increase.</p>
<p>Economists Arthur Laffer, Stephen Moore, and Erwin Antoni <a href="https://static1.squarespace.com/static/5f47e743a0d5362e8970af42/t/5f86791339e5dd37971973cb/1602648340245/Prop%20208%20Study%20Moore%20Laffer%20Antoni%20Oct2020.pdf">predict</a> that this tax increase will mean the migration of 700,000 fewer people, 237,000 fewer jobs created, and a $25.5 billion reduction in personal income growth in Arizona over the next 10 years. These predictions are staggering, and while they are predictions, any negative effects even close to these would be detrimental to Arizona’s economy.</p>
<p>Despite the evidence of the <a href="https://showmeinstitute.org/publication/employment-jobs/weak-economic-growth-missouris-largest-cities-holding-down-statewide">negative</a> <a href="https://showmeinstitute.org/publication/taxes-income-earnings/how-earnings-tax-harms-cities-saint-louis-and-kansas-city">effects</a> of <a href="https://ssrn.com/abstract=3392080">income</a> <a href="https://www.nber.org/papers/w5055">taxes</a>, especially relative to other <a href="https://showmeinstitute.org/blog/taxes/missouri-doesnt-rely-on-property-taxes-as-much-as-other-states-is-that-a-problem">forms</a> of <a href="https://showmeinstitute.org/publication/taxes-income-earnings/income-taxes-vs-sales-taxes-welfare-comparison">taxation</a>, old habits die hard. State and local revenues are expected to take a hit from the pandemic and economic shutdown, so income tax increases may be on the minds of many lawmakers. In Missouri, we’re already seeing <a href="https://showmeinstitute.org/blog/economy/chesterfield-quick-to-demand-more-from-taxpayers">localities</a> <a href="https://www.columbiamissourian.com/news/local/revenue-struggles-challenge-columbia-in-pandemic-but-options-exist/article_2bf26370-0a4e-11eb-811c-2f59d4d78ab0.html">toying</a> with the idea of tax increases (though not necessarily income tax increases). Income tax increases have very real economic consequences and our state cannot afford them. In this case, Missouri shouldn’t follow in Arizona’s footsteps.</p>
<p>The post <a href="https://showmeinstitute.org/article/economy/missouri-shouldnt-make-arizonas-tax-mistake/">Missouri Shouldn’t Make Arizona’s Tax Mistake</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Virtual Town Hall with Art Laffer</title>
		<link>https://showmeinstitute.org/article/business-climate/virtual-town-hall-with-art-laffer/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Tue, 05 May 2020 10:00:00 +0000</pubDate>
				<category><![CDATA[Business Climate]]></category>
		<category><![CDATA[Economy]]></category>
		<guid isPermaLink="false">https://showme.beanstalkweb.com/article/uncategorized/untitled-2020-05-05-000000/</guid>

					<description><![CDATA[<p>On May 4, 2020, The Show-Me Institute hosted a virtual town hall on the topic of How to Reopen America with guest speakers Dr. Arthur B. Laffer and Senator Jim [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/business-climate/virtual-town-hall-with-art-laffer/">Virtual Town Hall with Art Laffer</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>On May 4, 2020, The Show-Me Institute hosted a virtual town hall on the topic of How to Reopen America with guest speakers Dr. Arthur B. Laffer and Senator Jim Talent.</p>
<p>You can watch the full discussion here:&nbsp;<a href="https://www.youtube.com/watch?v=4BorO19ELMc">https://www.youtube.com/watch?v=4BorO19ELMc</a></p>
<p>You can listen to the podcast here:&nbsp;<a href="https://bit.ly/2L5qkql">https://bit.ly/2L5qkql</a></p>
<p>&nbsp;</p>
<p>The post <a href="https://showmeinstitute.org/article/business-climate/virtual-town-hall-with-art-laffer/">Virtual Town Hall with Art Laffer</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Laffer&#8217;s Important Lessons For Growth, And A Note About Missouri</title>
		<link>https://showmeinstitute.org/article/subsidies/laffers-important-lessons-for-growth-and-a-note-about-missouri/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Tue, 08 May 2012 01:49:48 +0000</pubDate>
				<category><![CDATA[Corporate Welfare]]></category>
		<category><![CDATA[Economy]]></category>
		<category><![CDATA[Subsidies]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/laffers-important-lessons-for-growth-and-a-note-about-missouri/</guid>

					<description><![CDATA[<p>Last month, Art Laffer and Stephen Moore wrote in the Wall Street Journal about how high taxation destroys economic growth. As they put it, &#8220;Liberal utopias are losing the race [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/subsidies/laffers-important-lessons-for-growth-and-a-note-about-missouri/">Laffer&#8217;s Important Lessons For Growth, And A Note About Missouri</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Last month, Art Laffer and Stephen Moore wrote in the <em>Wall Street Journal</em> about how <a href="http://online.wsj.com/article/SB10001424052702304432704577349860656569348.html">high taxation destroys economic growth</a>. As they put it, &#8220;Liberal utopias are losing the race for capital. The rich, the middle-class, the ambitious and others are leaving workers&#8217; paradises such as Hartford, Buffalo and Providence for Jacksonville, San Antonio and Knoxville.&#8221; And they note, as we have noted so many times, that taxes on income are some of the worst you can levy if you want to keep people and capital in your state.</p>
<blockquote><p>In our new report <em>Rich States, Poor States</em>, prepared for the American Legislative Exchange Council, we compare the economic performance of states with no income tax to that of states with high rates. It&#8217;s like comparing Hong Kong with Greece or King Kong with fleas.</p>
<p>Every year for the past 40, the states without income taxes had faster output growth (measured on a decadal basis) than the states with the highest income taxes. In 1980, for example, there were 10 zero-income-tax states. Over the decade leading up to 1980, those states grew 32.3 percentage points faster than the 10 states with the highest tax rates. Job growth was also much higher in the zero-tax states. The states with the nine highest income tax rates had no net job growth at all, and seven of those nine managed to lose jobs.</p></blockquote>
<p>
There are many excellent analyses and anecdotes in <a href="http://www.alec.org/publications/rich-states-poor-states/"><em>Rich States, Poor States</em></a>. From state-specific stats to broader policy discussions, <em>RSPS</em> serves as a fine starting point for assessing our states&#8217; economic health.</p>
<p>But some <em>RSPS</em> history needs to be noted regarding the book&#8217;s specific discussion of Missouri&#8217;s <strong>&#8220;economic outlook&#8221;</strong> (<em>RSPS</em>&#8216;s forward-looking metric). Laffer and Moore&#8217;s observations about states without income taxes bears repeating — they have grown significantly in contrast to other income tax-reliant states — but from the perspective of policymakers and legislators here, the view <em>RSPS</em> paints of the Show-Me State is starting to diverge from the book&#8217;s own backward-looking<strong> &#8220;economic performance&#8221; </strong>metric.</p>
<p>How has Missouri done according to <em>RSPS</em>&#8216;s metrics over the book&#8217;s last five editions? Well, the state has risen to seventh from 25th of the 50 states in &#8220;economic outlook&#8221; over the last five years, even as its actual performance has languished by <em>RSPS</em>&#8216;s standards around 40th (roughly consistent with <a href="/2012/03/three-strikes.html">BEA and BLS statistics</a>).</p>
<p><img decoding="async" class="aligncenter size-full wp-image-37676" title="rsps" src="/sites/default/files/uploads/2012/04/rsps.PNG" alt="rsps" width="550" /></p>
<p>As the chart shows, the disparity between &#8220;where Missouri is going&#8221; and &#8220;where Missouri has been&#8221; has never been greater. I think that is a problem with <em>RSPS</em>&#8216;s &#8220;outlook&#8221; metric, <em>not</em> the policy Laffer and Moore advocated in the <em>Wall Street Journal</em>. More to the point, the state has continued to flail in growth, arguably in part because the state continues to cling to its income tax and tax credit system, rather than shifting to a more effective, and less destructive, taxing system that does not pick winners and losers and does not penalize income.</p>
<p>Unfortunately, that hugely important point could get clouded when people see Missouri&#8217;s &#8220;outlook&#8221; ranking, which only considers the impact of income taxes as fractional, evenly-weighted components among more than a dozen factors of varying real-life importance. Missourians across the ideological spectrum do not agree on much, but what they certainly do agree on is that Missouri&#8217;s economic status quo is unacceptable and is not improving. In substance, Laffer and Moore agree with that assessment, despite what <em>RSPS</em>&#8216;s &#8220;outlook&#8221; metric suggests.</p>
<p>The pathway to state growth that Laffer and Moore articulate is a clear one; Missouri is lacking only the political will and leadership to take it over the finish line. The outlook for finding that sort of political leadership, unfortunately, is decidedly more mixed, and while it remains mixed, Missouri&#8217;s economic performance will continue to suffer.</p>
<p>The post <a href="https://showmeinstitute.org/article/subsidies/laffers-important-lessons-for-growth-and-a-note-about-missouri/">Laffer&#8217;s Important Lessons For Growth, And A Note About Missouri</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Failing State Experiments: Taxing Their Way Into Poverty</title>
		<link>https://showmeinstitute.org/article/taxes/failing-state-experiments-taxing-their-way-into-poverty/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Wed, 08 Feb 2012 12:00:00 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/failing-state-experiments-taxing-their-way-into-poverty/</guid>

					<description><![CDATA[<p>Early in the morning of February 8, 2012, Jonathan Williams of the American Legislative and Exchange Council (ALEC) and Joseph Haslag, University of Missouri Professor of Economics, presented their thoughts [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/failing-state-experiments-taxing-their-way-into-poverty/">Failing State Experiments: Taxing Their Way Into Poverty</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Early in the morning of February 8, 2012, Jonathan Williams of the American Legislative and Exchange Council (ALEC) and Joseph Haslag, University of Missouri Professor of Economics, presented their thoughts and findings relating to the current and potential future of Missouri&#39;s economy to an enthusiastic audience in the Show-Me Institute&#39;s office in the Central West End of Saint Louis. Among the topics discussed were the impact of tax rates and regulation on economic growth and investor uncertainty. An in-depth audience Q&amp;A followed the presentations.</p>
<p><a href="http://www.showmeliving.org/files/20120208%20Williams%20Presentation.ppt" mce_href="http://www.showmeliving.org/files/20120208%20Williams%20Presentation.ppt">Jonathan Williams&#39; PowerPoint</a></p>
<p><a href="http://www.showmeliving.org/files/20120208%20Haslag%20Presentation.pptx" mce_href="http://www.showmeliving.org/files/20120208%20Haslag%20Presentation.pptx">Joseph Haslag&#39;s PowerPoint</a></p>
<p><a href="http://www.showmeinstitute.org/publications/essay/taxes/96-missouri-compromise.html" mce_href="http://www.showmeinstitute.org/publications/essay/taxes/96-missouri-compromise.html">The Missouri Compromise</a> &mdash; An essay on comparative tax rates and economic performance among states by Dr. Arthur Laffer</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/failing-state-experiments-taxing-their-way-into-poverty/">Failing State Experiments: Taxing Their Way Into Poverty</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Show-Me Newsletter: 2011, Number 1</title>
		<link>https://showmeinstitute.org/publication/taxes/show-me-newsletter-2011-number-1/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Wed, 03 Aug 2011 10:00:00 +0000</pubDate>
				<guid isPermaLink="false">http://showmeinstitute.local/publications/show-me-newsletter-2011-number-1/</guid>

					<description><![CDATA[<p>In this issue: Garry Kasparov speaks at the John Cook School of Business, co-sponsored by the Show-Me Institute. Chairman Crosby Kemper examines the free-market movement in light of recent developments. [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/publication/taxes/show-me-newsletter-2011-number-1/">Show-Me Newsletter: 2011, Number 1</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>In this issue:</p>
<ul>
<li>Garry Kasparov speaks at the John Cook School of Business, co-sponsored by the Show-Me Institute.</li>
<li>Chairman Crosby Kemper examines the free-market movement in light of recent developments.</li>
<li>A look at the recent state-wide victory to potentially eliminate earnings taxes in Kansas City and Saint Louis.</li>
<li>An article covering our recent open house in our Central West End office with keynote speaker Art Laffer.</li>
<li>Rebecca Bruchhauser details some New Year&#8217;s Resolutions for legislators who wish to grow the Missouri economy.</li>
<li>An overview of the recent flurry of Show-Me Institute publications.</li>
<li>Details on ways in which the Show-Me Institute&#8217;s message is being heard throughout Missouri.</li>
</ul>
<p>&nbsp;</p>
<p>The post <a href="https://showmeinstitute.org/publication/taxes/show-me-newsletter-2011-number-1/">Show-Me Newsletter: 2011, Number 1</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Show-Me Institute Open House &#8211; Keynote Speaker Arthur Laffer</title>
		<link>https://showmeinstitute.org/article/taxes/show-me-institute-open-house-keynote-speaker-arthur-laffer/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Sat, 22 Jan 2011 04:19:36 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/show-me-institute-open-house-keynote-speaker-arthur-laffer/</guid>

					<description><![CDATA[<p>Dr. Arthur Laffer discusses his essay &#8220;The Missouri Compromise,&#8221; which examines the effects of a state income tax on various states across the country, with a particular focus on Missouri [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/show-me-institute-open-house-keynote-speaker-arthur-laffer/">Show-Me Institute Open House &#8211; Keynote Speaker Arthur Laffer</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p>Dr. Arthur Laffer discusses his essay &#8220;The Missouri Compromise,&#8221; which examines the effects of a state income tax on various states across the country, with a particular focus on Missouri and the potential benefits of replacing the income tax with a revenue-neutral sales tax. Laffer&#8217;s essay can be found <a href="http://tinyurl.com/mocompromise">here</a>. </p>
<p>Laffer was the keynote speaker at the Show-Me Institute&#8217;s Open House, held Oct. 21, 2010.</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/show-me-institute-open-house-keynote-speaker-arthur-laffer/">Show-Me Institute Open House &#8211; Keynote Speaker Arthur Laffer</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>New Year&#8217;s Resolutions for Missouri Public Policy</title>
		<link>https://showmeinstitute.org/article/subsidies/new-years-resolutions-for-missouri-public-policy/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Sat, 01 Jan 2011 18:00:00 +0000</pubDate>
				<category><![CDATA[Corporate Welfare]]></category>
		<category><![CDATA[Subsidies]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/new-years-resolutions-for-missouri-public-policy/</guid>

					<description><![CDATA[<p>Year end is a time to reflect — and to think ahead. In the holiday spirit, the Show-Me Institute has compiled a list of five New Year’s resolutions for state [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/subsidies/new-years-resolutions-for-missouri-public-policy/">New Year&#8217;s Resolutions for Missouri Public Policy</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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<p>Year end is a time to reflect — and to think ahead. In the holiday  spirit, the Show-Me Institute has compiled a list of five New Year’s  resolutions for state officials, to promote better government for 2011  and beyond. Taken together, these policy changes have the potential to  propel Missouri’s income and job growth into the front ranks.</p>
<p>First,  lose weight. The Nov. 2 election showed that the overwhelming majority  of Missourians (and Americans generally) want smaller, less intrusive  government and reduced taxes. Missouri legislators should therefore  unite to kill pork barrel spending projects and make major spending  cuts.</p>
<p>Municipalities need to rein in runaway pension costs for  city employees, including firefighters and police. They should also  consider privatizing the provision of water, electrical power, and other  services. The Show-Me Institute has produced a wealth of research  demonstrating the benefits of privatization, which creates much-needed  cash through the sale of public-owned assets and contributes to  municipal revenues through the addition of new taxpaying entities in the  private sector. Research shows that privately owned utilities  consistently provide more efficient services than their public-sector  counterparts.</p>
<p>Second, stop meddling in other people’s business.  The Show-Me Institute has spotlighted the proliferation of needless  licensing requirements that do nothing to promote public safety in  businesses as different as home heating and air conditioning work (HVAC)  and African hair-braiding. Such requirements are often promoted by  established businesses as a means of inhibiting competition and choice.</p>
<p>Third,  give families real school choice. Our research has consistently shown  that education is improved when parents and students are given more  choices and traditional public schools face greater competition from  charter and virtual schools. Adjusted for inflation, we spend four times  as much for education in urban areas today as in 1960, but educational  achievement is no higher. Today, the Saint Louis and Kansas City school  districts spend more than $15,000 per pupil — more than all but the most  expensive private schools. Charter schools provide a real opportunity  for poor students stuck in failing schools. They also enable teachers  and administrators to innovate more freely, and force other public  schools to improve their performance in order to compete successfully.</p>
<p>Fourth,  halt the silly business of awarding specialized tax credits to favored  enterprises. In one of my op-eds about the inanity of tax credits for  favored industries, I pointed out that government policy should not  prefer filmmaking over, say, hog farming, “simply because one is  considered to be more glamorous.” Most of the local jobs created by  Missouri film productions like Up In the Air were both low-wage and  temporary — many lasting only a single day. Missouri should do away with  its development tax credit programs, which have a record of failing to  boost either income or employment — even if you do like George Clooney.</p>
<p>Last  but not least, repeal the state income tax and replace it with a  broader sales tax. The adoption of such a plan in 2011 would be the  single most important step that Missouri could take to move Missouri to  the front of the pack in terms of growth. The noted economist Arthur  Laffer, who spoke at the Show-Me Institute in October, observed that  during the past decade, the nine states without a personal income tax  have “outperformed those states with the highest personal income tax  rates by 26.5 percent, and have outperformed the U.S. average by 20  percent.” Even more impressive, those nine states “outperformed Missouri  by a whopping 41.5 percent.” Eliminating the income tax would encourage  people to work and save more, crucial factors for economic growth. A  broader sales tax can also be balanced with mechanisms that would  compensate those with lower incomes for any potentially regressive  effects.</p>
<p>In the past, it has often seemed that major changes  originate on the coasts and slowly make their way to the heartland. I  think that flow has been reversed during the past year and a half. I  believe that Missouri — and the heartland — will play a leading role in  our nation’s economic recovery. We will do so through a renewed  commitment to free enterprise.</p>
<p><em>Christine Harbin is a policy  analyst for the Show-Me Institute, an independent think tank promoting  free-market solutions for Missouri public policy.</em></p>
<p> </p>
<p>The post <a href="https://showmeinstitute.org/article/subsidies/new-years-resolutions-for-missouri-public-policy/">New Year&#8217;s Resolutions for Missouri Public Policy</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Implementing Pro-Growth Tax Policy Requires Rigorous Analysis</title>
		<link>https://showmeinstitute.org/article/taxes/implementing-pro-growth-tax-policy-requires-rigorous-analysis/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 24 Dec 2010 18:00:00 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/implementing-pro-growth-tax-policy-requires-rigorous-analysis/</guid>

					<description><![CDATA[<p>When the legislature reconvenes in January, the contentious issue of whether Missouri should repeal the state income tax will surely arise. At stake is not lost tax revenue, because proposals [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/implementing-pro-growth-tax-policy-requires-rigorous-analysis/">Implementing Pro-Growth Tax Policy Requires Rigorous Analysis</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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<p>When the legislature reconvenes in January, the contentious issue of  whether Missouri should repeal the state income tax will surely arise.  At stake is not lost tax revenue, because proposals for repealing the  state income tax also entail increasing the state sales tax in order to  keep state tax revenues at the same level. Rather, the issue at hand is  whether Missouri would be more prosperous with a more broadly based  sales tax instead of the combination of state sales and income taxes  that we have today.</p>
<p>Show-Me Institute scholars have researched  this issue extensively. Most recently, the institute’s chief economist,  Joseph Haslag, who is also an economics professor at the University of  Missouri–Columbia, cowrote an essay with Washington University economics  doctoral student Grant Casteel. The essay, available online at  showmeinstitute.org, shows that the Missouri economy would grow more  quickly if the income tax were repealed and the state sales tax were  increased instead.</p>
<p>Taxation is an added cost, so it tends to  discourage any taxed activity. In labor markets, an income tax increases  the cost of employees working and employers hiring. Because workers  subjected to an income tax receive lower wages than they otherwise  would, the income tax discourages some employees from working as many  hours as they might otherwise. Additionally, an income tax increases the  price of hiring a worker — an employer will have to pay more for the  same quality worker under an income tax system than he would otherwise.</p>
<p>By  contrast, a sales tax discourages consumption. So the question becomes,  will an economy grow faster if the state, through its tax policy, tends  to discourage employment or if it tends to discourage consumption?</p>
<p>In  their essay, Haslag and Casteel test several economic models of the  Missouri economy to show that, in the long-run, Missouri would be better  off with a higher sales tax. The additional tax on consumption would  encourage Missourians to save more than they do now, and the lack of a  state income tax would provide fewer disincentives to work. Combined,  those effects would result in a substantial economic growth windfall.</p>
<p>Previously,  Haslag has estimated that if the income tax were repealed, Missouri  would see $438.6 billion more in real GDP growth over a 25-year period.  This would result in more jobs and a higher standard of living for all  Missourians, a tangible benefit that should not be ignored.</p>
<p>The  essay by Haslag and Casteel, along with the estimate of increased  economic growth, together affirm the findings of prominent economist  Arthur Laffer: States with income taxes have slower-growing economies  than states without income taxes. Additionally, Laffer has found that  the 11 states that adopted personal income taxes in the past 50 years  have seen their economies deteriorate. In some cases, Laffer found, the  results have been catastrophic.</p>
<p>At the Show-Me Institute, we  strive to be as forthcoming as possible about our research methods.  Those who may question Haslag and Casteel’s findings can examine their  methodology in their essay. In fact, Haslag and Casteel go to great  lengths to explain the economic models and assumptions on which their  findings are built. We encourage others, especially those who argue that  an income tax is somehow better for Missouri, to do the same.</p>
<p>Economic  policy is too important for state officials to implement it without  rigorous analysis. We cannot let passionate rhetoric substitute for  sound research when the economic health of Missouri is at stake. When it  comes time for the General Assembly to consider changing Missouri’s tax  structure, we hope that legislators will pay close attention to the  analytic evidence presented, and disregard strong statements made  without any supporting quantitative research.</p>
<p>Legislators should  take note of the proven deleterious effect of income taxes in other  states and the substantial economic growth that could occur if the  income tax were repealed. It is time to consider changing the state’s  tax structure so that Missouri’s economy does not continue to fall  behind.</p>
<p><em>Audrey Spalding is a policy analyst for the Show-Me Institute, a Missouri-based think tank.</em></p>
<p><em><br /></em></p>
<p> </p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/implementing-pro-growth-tax-policy-requires-rigorous-analysis/">Implementing Pro-Growth Tax Policy Requires Rigorous Analysis</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>More Evidence Against State Income Taxes</title>
		<link>https://showmeinstitute.org/article/taxes/more-evidence-against-state-income-taxes/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 08 Oct 2010 20:15:47 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/more-evidence-against-state-income-taxes/</guid>

					<description><![CDATA[<p>On Tuesday, the Wall Street Journal ran an editorial by economist Art Laffer about the negative impact of state income taxes, and the statistics he cites are worth repeating: In [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/more-evidence-against-state-income-taxes/">More Evidence Against State Income Taxes</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p>On Tuesday, <a href="http://online.wsj.com/article/SB10001424052748703882404575520241519315372.html">the <em>Wall Street Journal</em> ran an editorial</a> by economist Art Laffer about the negative impact of state income taxes, and the statistics he cites are worth repeating:</p>
<blockquote><p>In the past decade, the nine states with the highest personal income tax rates have seen gross state product increase by 59.8%, personal income grow by 51%, and population increase by 6.1%. The nine states with no personal income tax have seen gross state product increase by 86.3%, personal income grow by 64.1%, and population increase by 15.5%.<br />
[&#8230;]<br />
Over the past 50 years, 11 states have introduced state income taxes exactly as Messrs. Gates and their allies are proposing—and the consequences have been devastating.</p>
<p><img loading="lazy" decoding="async" src="/sites/default/files/uploads/2010/10/laffer.gif" border="0" alt="[artlaffer]" hspace="0" vspace="0" width="443" height="351" /></p>
<p>The 11 states where income taxes were adopted over the past 50 years are: Connecticut (1991), New Jersey (1976), Ohio (1971), Rhode Island (1971), Pennsylvania (1971), Maine (1969), Illinois (1969), Nebraska (1967), Michigan (1967), Indiana (1963) and West Virginia (1961).</p>
<p>Each and every state that introduced an income tax saw its share of total U.S. output decline. Some of the states, like Michigan, Pennsylvania and Ohio, have become fiscal basket cases. As the nearby chart shows, even West Virginia, which was poor to begin with, got relatively poorer after adopting a state income tax.</p></blockquote>
<p>
These findings support the conclusions of a number of Show-Me Institute publications. In March, we published a <a href="https://showmeinstitute.org/publication/id.248/pub_detail.asp">policy study</a> showing that taxes have a negative impact on economic activity. I used that data to write an <a href="https://showmeinstitute.org/publication/id.249/pub_detail.asp">op-ed</a>. Show-Me Institute Chief Economist Joe Haslag and intern Abhi Sivasailam <a href="https://showmeinstitute.org/publication/id.216/pub_detail.asp">wrote last fall about the relative benefits of a sales tax versus an income tax</a>. Finally, policy analysts Dave and Jenifer Roland <a href="https://showmeinstitute.org/publication/id.203/pub_detail.asp">compared the economic growth of Missouri to Tennessee</a>, and found Missouri falling behind Tennessee, possibly because of Tennessee&#8217;s lack of an income tax.</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/more-evidence-against-state-income-taxes/">More Evidence Against State Income Taxes</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Missouri and the Show-Me Institute Featured in Rich States Poor States</title>
		<link>https://showmeinstitute.org/article/taxes/missouri-and-the-show-me-institute-featured-in-rich-states-poor-states/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 09 Apr 2010 00:44:18 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[State and Local Government]]></category>
		<category><![CDATA[Taxes]]></category>
		<category><![CDATA[Transparency]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/missouri-and-the-show-me-institute-featured-in-rich-states-poor-states/</guid>

					<description><![CDATA[<p>Dr. Arthur B. Laffer, Stephen Moore, and Jonathan Williams recently published the third edition of Rich States Poor States: ALEC-Laffer State Economic Competitiveness Index. In this edition, they devoted an [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/missouri-and-the-show-me-institute-featured-in-rich-states-poor-states/">Missouri and the Show-Me Institute Featured in Rich States Poor States</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p>Dr. Arthur B. Laffer, Stephen Moore, and Jonathan Williams recently published the third edition of <em><a href="http://www.alec.org/AM/Template.cfm?Section=Rich_States_Poor_States">Rich States Poor States: ALEC-Laffer State Economic Competitiveness Index</a></em>. In this edition, they devoted an entire chapter to a case study on Missouri, <a href="http://www.alec.org/am/pdf/tax/10rsps/rsps10-ch2.pdf">&#8220;The Missouri Compromise&#8221;</a> (PDF), in which they applaud the effort to eliminate state income taxes. From <a href="http://www.alec.org/AM/Template.cfm?Section=Rich_States_Poor_States">the publication</a>:</p>
<blockquote><p>As unlikely as it may seem, this middle-aged, middle-income, Midwestern state is pushing the envelope on its way toward fundamental tax reform. [&#8230;]</p>
<p>[A]lthough Missouri’s revenue replacement could prove difficult politically, the benefits from reform could be enormous if the process is administered well and the constitutional amendment is carefully crafted.</p></blockquote>
<p>
In their discussion, the authors cite <a href="http://www.showmeinstitute.org/scholar/id.25/staff_detail.asp">Prof. Joseph Haslag</a> and Abhi Sivasailam&#8217;s recent Show-Me Institute policy study, <a href="http://www.showmeinstitute.org/publication/id.216/pub_detail.asp">“Previous Estimates Overstate ‘Fair Tax’ Rates, Harms,&#8221;</a> in <a href="http://www.alec.org/am/pdf/tax/10rsps/rsps10-Appendices.pdf">the appendix</a>.</p>
<p>Laffer, <em>et al.</em>, also include a comparison of Missouri and Tennessee, and they provide evidence that Missouri would experience additional growth if it eliminated its personal income tax. From <a href="http://www.alec.org/am/pdf/tax/10rsps/rsps10-ch2.pdf">chapter 2</a>:</p>
<blockquote><p>During the past 10 years, if Missouri had just caught up with the average of the states with no income tax, the average Missouri resident’s income would be more than $12,000 higher. That is amazing. Taxes really do matter. [&#8230;]</p>
<p>The evidence is clear: States without an income tax outperform in every conceivable fashion than their higher-taxed brethren and have more tax revenues.</p>
<p>Given the data at hand, it is hard to imagine any more conclusive results from a cross-section time series of states that could be obtained in favor of Missouri’s tax proposal. Like many states in our current economic climate, Missouri needs help, and from the looks of it, a switch from onerous income taxes to broad-based sales taxes is exactly what the doctor ordered.</p></blockquote>
<p>
This echoes what <a href="http://www.showmeinstitute.org/scholar/id.59/staff_detail.asp">Jenifer Roland</a> and <a href="http://www.showmeinstitute.org/scholar/id.58/staff_detail.asp">Dave Roland</a> concluded in their 2009 policy study for the Show-Me Institute, <a href="http://www.showmeinstitute.org/publication/id.203/pub_detail.asp">&#8220;All Caught Up: How Tax Policy May Have Allowed Tennessee to Outgrow Missouri.&#8221;</a></p>
<p>The <a href="http://www.alec.org/am/pdf/tax/10rsps/rsps10-mo.pdf">state snapshot for Missouri</a> contains some good news and bad news. In 2008, Missouri&#8217;s personal income per capita cumulative growth is higher than the national average, but the state experienced negative net migration for the first time in a decade. This indicates that, when voting with their feet, people are choosing to locate outside of Missouri. On the 2010 ALEC-Laffer State Competitiveness Index, where 1 is the best and 50 is the worst, Missouri has an economic performance rank of 35 and an economic outlook rank of 15.</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/missouri-and-the-show-me-institute-featured-in-rich-states-poor-states/">Missouri and the Show-Me Institute Featured in Rich States Poor States</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Saint Louis: Home of the World&#8217;s Largest Laffer Curve</title>
		<link>https://showmeinstitute.org/article/taxes/saint-louis-home-of-the-worlds-largest-laffer-curve/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 09 Apr 2010 00:05:45 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Taxes]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/saint-louis-home-of-the-worlds-largest-laffer-curve/</guid>

					<description><![CDATA[<p>Dr. Arthur B. Laffer, Stephen Moore, and Jonathan Williams recently published the third edition of Rich States Poor States: ALEC-Laffer State Economic Competitiveness Index. In chapter 2, they write: Finally, [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/saint-louis-home-of-the-worlds-largest-laffer-curve/">Saint Louis: Home of the World&#8217;s Largest Laffer Curve</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p>Dr. Arthur B. Laffer, Stephen Moore, and Jonathan Williams recently published the third edition of <em><a href="http://www.alec.org/AM/Template.cfm?Section=Rich_States_Poor_States">Rich States Poor States: ALEC-Laffer State Economic Competitiveness Index</a></em>. In <a href="http://www.alec.org/am/pdf/tax/10rsps/rsps10-ch2.pdf">chapter 2</a>, they write:</p>
<blockquote><p>Finally, one attribute for which Missouri is probably most famous is its Gateway Arch in St. Louis. Admittedly, we have a special fondness for this architectural wonder: It’s the world’s largest Laffer Curve!</p></blockquote>
<p>
I hadn&#8217;t noticed it before, but it&#8217;s true!</p>
<p><img loading="lazy" decoding="async" src="/sites/default/files/uploads/2010/04/lafferarch.jpg" alt="Laffer Arch" width="500" height="524" /><br /><small>Illustration by Christine Harbin. Photo source: <a href="http://en.wikipedia.org/wiki/File:Gateway_Arch.jpg">Wikipedia</a>.</small></p>
<p>The post <a href="https://showmeinstitute.org/article/taxes/saint-louis-home-of-the-worlds-largest-laffer-curve/">Saint Louis: Home of the World&#8217;s Largest Laffer Curve</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Why a Sales Tax Is Better for Missouri than an Income Tax</title>
		<link>https://showmeinstitute.org/publication/economy/untitled-2009-12-18-060000/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 18 Dec 2009 18:00:00 +0000</pubDate>
				<guid isPermaLink="false">http://showmeinstitute.local/publications/why-a-sales-tax-is-better-for-missouri-than-an-income-tax/</guid>

					<description><![CDATA[<p>By most measures, Missouri is not a high-tax state. Its property and corporate tax rates are among the lowest in the country. It doesn’t have an inheritance tax. In a [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/publication/economy/untitled-2009-12-18-060000/">Why a Sales Tax Is Better for Missouri than an Income Tax</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p>By most measures, Missouri is not a high-tax state. Its property and corporate tax rates are among the lowest in the country. It doesn’t have an inheritance tax. In a study for the American Legislative Exchange Council (ALEC), economist Arthur Laffer, financial journalist Stephen Moore, and Jonathan Williams, director of ALEC’s Tax and Fiscal Policy Task Force, rank Missouri’s economic outlook at 23rd among states.</p>
<p>But all isn’t well. Missouri’s economic development and growth rates are chronically below average. During the past 10 years, employment has grown 8.8 percent nationally, while Missouri has boosted jobs by only 6 percent. In their study, Laffer, Moore, and Williams provide one explanation for the state’s lagging performance: Missouri’s personal income tax rates.</p>
<p></p>
<p>The post <a href="https://showmeinstitute.org/publication/economy/untitled-2009-12-18-060000/">Why a Sales Tax Is Better for Missouri than an Income Tax</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Reining in Medicaid</title>
		<link>https://showmeinstitute.org/article/transparency/reining-in-medicaid/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Thu, 06 Aug 2009 23:08:22 +0000</pubDate>
				<category><![CDATA[Free-Market Reform]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[State and Local Government]]></category>
		<category><![CDATA[Transparency]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/reining-in-medicaid/</guid>

					<description><![CDATA[<p>An article in the Springfield News-Leader reports that the number of people within Missouri&#8217;s Medicaid program has risen 5 percent during the last year. Given the current economic situation, more [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/transparency/reining-in-medicaid/">Reining in Medicaid</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p><a href="http://www.news-leader.com/article/20090805/NEWS01/908050446/1007/NEWS01/Missouri-Medicaid-rolls-see-large-jump">An article in the <em>Springfield News-Leader</em></a> reports that the number of people within Missouri&#8217;s Medicaid program has risen 5 percent during the last year. Given the current economic situation, more people are qualifying for Medicaid.</p>
<p>Legislators have suggested provisions to <a href="http://www.kaiserhealthnews.org/Daily-Reports/2009/August/05/Congress-Politics.aspx">further expand Medicaid</a>. From an article on <a href="http://www.kaiserhealthnews.org/Daily-Reports/2009/July/21/Medicaid-Tue.aspx">Kaiser Health News</a>:</p>
<blockquote><p>Currently, many low-income adults are not eligible for Medicaid, but they could be if Congress decides to &#8220;make income alone the determinant of Medicaid coverage. Under the health reform bill now being considered by the House, all non-elderly people earning at or below 133% of poverty — about $14,400 for an individual, and $29,300 for a family of four — would be eligible.&#8221; The House bill would have the federal government &#8220;pick up the entire cost of those newly covered under Medicaid — $438 billion over 10 years,&#8221; while a Senate finance draft version &#8220;would have the feds paying the additional cost for only five years, after which the states would have to pick up their typical share of existing Medicaid costs, which averages over 40%&#8221; (Tumulty, 7/21).</p></blockquote>
<p>
As Show-Me Institute intern <a href="/2009/08/laffer-on-health-care.html">Abhi Sivasailam said in an earlier blog entry</a>, economist <a href="http://online.wsj.com/article/SB10001424052970204619004574324361508092006.html">Arthur Laffer recently published an op-ed</a> in the <em>Wall Street Journal</em> about the proposed federal health care reform. The main cause of out-of-control spending in the existing health care system has been the &#8220;health-care wedge,&#8221; the distance that a patient/consumer has from the actual cost of a procedure. Medicaid exacerbates this wedge by completely separating the patient from any responsibility. The payment structure of Medicaid (which compensates for a lesser amount than some procedures cost) encourages doctors to order more tests than necessary in order to recoup costs. This cycle only raises taxpayer expenses and the cost of health care in general.</p>
<p>Regarding Medicaid, Missouri has relatively low expenditures compared to the rest of the country. Missouri spent <a href="http://www.statehealthfacts.org/profileind.jsp?cat=4&amp;sub=47&amp;rgn=27">$6.6 billion</a> on Medicaid in 2007, approximately 2.06 percent of what the United States spent that year. During the past 10 years, Medicaid spending in Missouri has grown at a slower rate than the national average, but it is still growing. Every dollar that Missouri spends sees some percentage of a match (based on a varying multiplier rate) from the federal government. In 2008, the federal government paid for 62.4 percent of Medicaid&#8217;s cost; in 2009, that percentage has jumped to 71.2. This creates an even larger wedge for states that have less of a responsibility for each enrolled individual, but are making payment decisions.  Some other states have already (or almost) run out of money to pay for Medicaid, including <a href="http://www.kaiserhealthnews.org/Daily-Reports/2009/July/15/Medicaid.aspx">New Hampshire</a>, <a href="http://www.allbusiness.com/government/government-bodies-offices-heads-state/10288921-1.html">Georgia</a>, <a href="http://www.highbeam.com/doc/1G1-100164445.html">Illinois</a>, and <a href="http://www.wapt.com/news/19803479/detail.html">Mississipi</a>. With compensation decreasing to a point lower than procedural cost, more doctors are refusing to accept new Medicaid and Medicare patients. It is apparent that Medicaid is not working, and Medicare is set to run out of money by 2017. Expanding Medicaid and creating a similar public option are not workable solutions.</p>
<p>One way to decrease the size of the &#8220;health-care wedge&#8221; is by encouraging the use of health savings accounts (HSAs), something that the Show-Me Institute has <a href="https://showmeinstitute.org/publication/id.82/pub_detail.asp">written</a> <a href="https://showmeinstitute.org/publication/id.64/pub_detail.asp">about</a>, and that Arthur Laffer <a href="http://online.wsj.com/article/SB10001424052970204619004574324361508092006.html">writes about in his op-ed</a>:</p>
<blockquote><p>A patient-centered health-care reform begins with individual ownership of insurance policies and leverages Health Savings Accounts, a low-premium, high-deductible alternative to traditional insurance that includes a tax-advantaged savings account. It allows people to purchase insurance policies across state lines and reduces the number of mandated benefits insurers are required to cover. It reallocates the majority of Medicaid spending into a simple voucher for low-income individuals to purchase their own insurance.</p></blockquote>
<p>
Health care vouchers and HSAs may be the best ways to fix the growing health care problem, and to rein in Medicaid before it becomes even more unsustainable than it already is.</p>
<p>The post <a href="https://showmeinstitute.org/article/transparency/reining-in-medicaid/">Reining in Medicaid</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Laffer on Health Care</title>
		<link>https://showmeinstitute.org/article/transparency/laffer-on-health-care/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Thu, 06 Aug 2009 22:37:36 +0000</pubDate>
				<category><![CDATA[Free-Market Reform]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[State and Local Government]]></category>
		<category><![CDATA[Transparency]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/laffer-on-health-care/</guid>

					<description><![CDATA[<p>Economist Art Laffer has recently released a study and published an op-ed in the Wall Street Journal evaluating the needs, prospects, and viability of health care reform proposals. Laffer agrees [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/transparency/laffer-on-health-care/">Laffer on Health Care</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Economist Art Laffer has recently released a <a href="http://www.lafferhealthcarereport.org/">study</a> and published an <a href="http://online.wsj.com/article/SB10001424052970204619004574324361508092006.html">op-ed</a> in the <em><a href="http://online.wsj.com/">Wall Street Journal</a></em> evaluating the needs, prospects, and viability of health care reform proposals.</p>
<p>Laffer agrees with reformists that the cost inflation of health care is unsustainable. He contends, however, that the plans currently on the table neglect the true source of these costs — the &#8220;health-care wedge&#8221; between the actual costs of providing care and the costs incurred by a patient. Laffer writes:</p>
<blockquote><p>When the government spends money on health care, the patient does not. The patient is then separated from the transaction in the sense that costs are no longer his concern. And when the patient doesn’t care about costs, only those who want higher costs—like doctors and drug companies—care.</p></blockquote>
<p>
Laffer&#8217;s research suggests that $1 trillion in government health care subsidies will thus do nothing to control costs, and will even serve to accelerate cost inflation. He proposes reform based on modifying the structure of incentives by encouraging personal responsibility:</p>
<blockquote><p>A patient-centered health-care reform begins with individual ownership of insurance policies and leverages Health Savings Accounts, a low-premium, high-deductible alternative to traditional insurance that includes a tax-advantaged savings account. It allows people to purchase insurance policies across state lines and reduces the number of mandated benefits insurers are required to cover. It reallocates the majority of Medicaid spending into a simple voucher for low-income individuals to purchase their own insurance. And it reduces the cost of medical procedures by reforming tort liability laws.</p></blockquote>
<p>
As I see it, the national health care debate is centered on three core values: cost, access, and quality. By focusing purely on expanding access to health care, we fail to honor our commitments to restraining cost and maintaining quality. It may be better, then, to look for proven tools that focus on cost reduction as a means to expanding access. This means not only considering the aforementioned proposals, but also pursuing continued deregulation of primary care, encouraging the health services sector to move away from fee-per-service incentive structures, and lowering the education and opportunity costs incurred by health care professionals.</p>
<p>Stay tuned for Laffer&#8217;s Missouri-specific health care report for the Show-Me Institute.</p>
<p>The post <a href="https://showmeinstitute.org/article/transparency/laffer-on-health-care/">Laffer on Health Care</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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