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77 IRET Policy Bulletin 1 (1999)

handle is hein.taxfoundation/iretpbul0036 and id is 1 raw text is: July 12, 1999
No. 77
AN ECONOMIC ANALYSIS OF THE PUBLIC PROVISION
OF GOODS AND SERVICES WITH APPLICATIONS TO
HEALTH CARE AND EDUCATION
Introduction
A great deal of current political discussion among all parties has to do with saving Social
Security, shoring up Medicare and increasing funding to public schools. Most of the discussion
centers around which particular tax/transfer scheme will produce the best results, while the deeper
question of why these services are provided or funded by government rather than private markets
is left unasked. It is important to recognize, however, that economic science has developed adequate
criteria with which to gauge the probable success or failure of various publicly provided programs.
The purpose of this paper is to provide a working understanding of these criteria and to apply them
to two policy areas: education and health care. The results suggest that widely accepted beliefs
concerning the public provision of these goods come into question when economics is brought into
the discussion.
The central problems that any economic system, capitalist (market directed) or
non-capitalist (government directed) must deal with are what to produce
(allocative efficiency) and how to produce it (productive efficiency).
The Central Problems of Allocative and Productive Efficiency: Whether or not to Build a
Bridge; If So, How Best to Build It
Economists often characterize the world as one in which wants are unlimited while the means
of achieving those wants are scarce. Scarcity dictates that choices must be made: producing more
of some goods means producing less of others. The cost of each choice then is the foregone
alternative, which is the good or goods that were not produced. In fact, the economic problem of
Institute for         IRET is a non-profit, tax exempt 501(c)3 economic policy research and educational
Research                organization devoted to informing the public about policies that will promote
on the                      economic growth and efficient operation of the market economy.
Economics of           1730 K Street, N.W., Suite 910 * Washington, D.C. 20006
Taxation             (202) 463-1400 . Fax (202) 463-6199 e Internet www.iret.org

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