Marginal Returns of Regulation – Econlib
Healthcare regulations are a hot topic of debate, with many questioning whether heavy regulation is necessary for high-quality healthcare. In a recent post by Kevin Corcoran, frequent commentator Steve raises an interesting point: “Is there a health care system in the world that would be regarded as first world quality that does not have health care heavily regulated? Is it just a coincidence that in the countries where health care is not heavily regulated that health care is generally poor?”
At first glance, one might dismiss Steve’s comment as falling prey to the Bandwagon Fallacy, which assumes that something is true simply because many people believe it. However, it’s important to note that just because an argument contains a logical fallacy does not necessarily invalidate the argument itself. This is known as the Fallacy Fallacy.
Steve’s argument echoes a common sentiment among economists – the idea that if there were a better way to do something, people would already be doing it. This concept is illustrated in the “$20 bill on the sidewalk” joke, where two economists debate the existence of a $20 bill on the ground. The joke highlights the notion that genuine profit opportunities are scarce and quickly seized upon in a market system.
When considering healthcare regulation from an economic perspective, it’s essential to acknowledge the role of incentives. In a market system, individuals are incentivized to seek out profit opportunities, as the benefits of their actions directly impact their own bottom line. However, legislators and regulators do not operate under the same economic incentives. While their intentions may be noble, they do not reap the same rewards for creating value in the healthcare system.
Furthermore, there is a phenomenon known as diminishing marginal returns from regulation, where each additional unit of regulation yields diminishing benefits. Renowned economist Ronald Coase noted that government intervention can reach a point of negative marginal returns, where additional regulation only serves to hinder rather than help.
It’s likely that the healthcare industry, like many others, has surpassed the point of diminishing marginal returns in terms of regulation. While some level of regulation is necessary, the sheer volume of regulations in place may be hindering rather than helping healthcare outcomes. By reevaluating and potentially removing unnecessary regulations, we may be able to improve healthcare outcomes and create a more efficient system.
In conclusion, Steve’s question raises important considerations about the role of regulation in healthcare. By examining the incentives at play and the concept of diminishing marginal returns, we can begin to understand the complexities of healthcare regulation and work towards a more optimal system.



