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Building hospitals, clinics and medical universities and training and deploying medical professionals would add an entire layer of middle and upper middle class citizens to the economy. But providing these medical services to the existing working population would raise the cost of labor in China, as would providing a social retirement program. I have advocated imputing a cost to the provision of these services by China, adding that cost as a tariff on their exports to the USA, and rebating it as they provide the services. Neither Wall Street, the CCP nor WalMart are likely to favor such action and it would only occur as a result of fundamental change in the US political scene. Come the day!

As the Dutch said while fighting the Spanish: "It is not necessary to have hope in order to persevere."
by ARGeezer (ARGeezer a in a circle eurotrib daught com) on Wed Dec 23rd, 2009 at 02:15:18 AM EST
[ Parent ]
ARGeezer: But providing these medical services to the existing working population would raise the cost of labor in China, as would providing a social retirement program.

I suspect this is elementary economics, but could you unpack that relationship for me?  You're saying companies will have to pay higher wages if workers have state-supported health insurance/services and/or a social retirement program?

La Chine dorme. Laisse la dormir. Quand la Chine s'éveillera, le monde tremblera.

by marco (cowannar at gmail punkt com) on Wed Dec 23rd, 2009 at 03:14:29 AM EST
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Well, the money for health care has to come from somewhere. Infrastructure could be built from existing savings, but, over time operations and maintenance have to be paid for. China is a sovereign nation with its own currency, so it could just "print money." But that would trigger domestic inflation--over time.

Governments are not Santa and social benefits aren't made by elves. We need to understand that these things cost money and have to be sustained through taxes and/or user premiums. Chinese goods are so cheap partly because workers get no benefits--no retirement, no health care and often rather shoddy schools, as recent earthquakes show. Lots of what is spent is wasted on graft to local party elites. There is little reason to expect that a scaled up health care industry would be built more efficiently. One would hope that it might be run more efficiently, but possibly in vain.

But the ongoing costs of health care and retirement will eventually increase the cost of exports. The US and Europe have been uncompetitive wrt manufacture of consumer goods in no small part because of the total absence of any benefits to Chinese labor. China has a vast pool of potential industrial labor still in the countryside, so, in effect, Malthus rules and wages tend to subsistence. China has begun to see that the lack of any rules on environmental pollution has to be dealt with and are likely focused there and do not want to be distracted by other expensive programs.  

From the point of view of the elites, workers are a disposable, renewable commodity, little different from pigs and chickens raised for market. They would object to the characterization, but the fact is western elites envy them their lack of restraints. The attitudes of some "overseas" Chinese of the business class that I knew or knew of in LA were completely compatible with that characterization.  

As the Dutch said while fighting the Spanish: "It is not necessary to have hope in order to persevere."

by ARGeezer (ARGeezer a in a circle eurotrib daught com) on Wed Dec 23rd, 2009 at 11:56:23 AM EST
[ Parent ]
Suprisingly, these arguments aren't a million miles away from republican claims that governemtn stimulus created employment aren't "real jobs".

Have the neolibs got to the chinese ?

keep to the Fen Causeway

by Helen (lareinagal at yahoo dot co dot uk) on Wed Dec 23rd, 2009 at 04:35:11 AM EST
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Our elites benefit from cheap Chinese labor and so do not wish to bring the downside to public attention. The problem is not with the facts but, rather, with the frame. We have either to do without health care or pay for it. Western economic elites want to use China and India as bogymen and as explanations as to why we cannot afford the benefits we have.

That is a very large part of the whole point of globalization. The fact of a low cost producer puts pressure on higher cost producers. The public and the vast majority of economists have been taught that this is just how economics work and that bringing politics into the equation is WRONG. Of course this is absurd and the existing arrangements are the RESULT of politics that favor elites and that then disguise the fact that politics are even a part of the equation.

It is a measure of the task ahead that enough of the public must be re-educated to support sensible, available solutions, such as Hudson, Stiglitz and others have suggested, or see themselves in the same condition as the Chinese worker today faces. The next generations really can all live in shipping crates sitting in open sewers unless we awaken.

As the Dutch said while fighting the Spanish: "It is not necessary to have hope in order to persevere."

by ARGeezer (ARGeezer a in a circle eurotrib daught com) on Wed Dec 23rd, 2009 at 12:09:47 PM EST
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