Showing posts with label Xingyuan Feng. Show all posts
Showing posts with label Xingyuan Feng. Show all posts

Wednesday, March 30, 2016

EFN Asia 58, Conference 2014 in Hong Kong, part 3

Continuation of notes made by Karthik Chandra during Conference 2014. The full 25-pages notes are posted in http://efnasia.org/wp-content/uploads/2015/10/EFN-Asia-2014-Conference-Report.pdf
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Day 1, November 6, 2014

(Photo, from left: Ken Scholand, moderator; Andrew Work, Barun Mitra, Thitinan Pongsudhirak)


Case Study of Hong Kong in IPRI
Michael Wong & Andrew Work
Lion Rock Institute (LRI)

• Hong Kong enjoys a special status and unique advantages. HK has legacy property rights regime rooted in the British colonial system and adds to it the economic dynamism from the Chinese.

• HK was a member of the British Commonwealth till 1997 and many HK laws are rooted in British laws. HK copyright law is one of the first in the world. After becoming the SAR under China, HK has a new IPR regime.

• HK has a mini-Constitution, which mandates that HK has to separately protect property rights in HK. This regime means that property rights recognized in HK are not automatically protected in mainland China.

• HK is also a signatory to various (international?) regimes/understandings. A comparison of HK with other countries in the IPRI rankings (and its individual subcomponents’ ranking) shows that HK is favourably ranked against several other countries like Singapore.

• One of the few countries HK is not exporting IP to is mainland China. This is because of the unfavourable IPR regime. Current developments related to new laws, etc. to PR laws – “secondary creations” issue? Issue of property rights protection versus right to freedom of speech. If done well, these IPR regime reforms can help bring in more foreign investments into HK, in the field of intellectual property.

• We also have to take note of the current developments, the “Occupy HK” Movement. This is taking place in the backdrop of certain inherent advantages and opportunities in HK. There are also definite and large threats and risks for HK – if China is not happy with the HK Movement’s demands they might deny easy access to Chinese markets.

China & Property Rights
Prof. Michael Feng, Institute for Public Affairs, China

• The Chinese Property Rights issue:

* There are certain misconceptions about the ‘Chinese Miracle’ especially that it is based on no human rights or poor human rights (for workers/labourers). But this is simply not true: the Chinese growth story includes in itself a major improvement in working conditions for the workers/labourers themselves.
* At the same time we have to take note of the other side of this story. For instance, the former World Bank Vice-President who happens to be from China had said that there is no need for property rights in China. The justification being that ownership is separate from management and good or successful companies now have different owners and managers. But this is a false argument as it does not realize that even in the example given (i.e. about well-run successful companies), the ownership is completely clear and well defined. Hence the benefits to owners too are well defined.

• The current Prime Minister Le Keqiang is an economist and has taken a six-fronted approach to economics:
* No stimulus (later modified to micro stimulus)
* No bail out, Structural reforms
* Opening up, Development economics
* (…sixth approach??)

Thursday, November 07, 2013

EFN Asia 31. Friends in the Asian Free Market Movement

* Note: this is a revised and expanded version of my posting last November 04. I added two photos, me and Barun, 2004 vs. 2013. Also expanded some stories.

During the Economic Freedom Network (EFN) Asia 2013 conference in Bangkok last October 21-22, two friends from the Japanese for Tax Reforms (JTR) came, Marc Abela and Hiroshi Yoshida. A third and young participant from JTR joined them.

Hiroshi is a long time friend since 2005, during the Atlas-FNF round table discussion on Hayek's “The Constitution of Liberty”. Hiroshi came with Mr. You then, the President of JTR. After that one-day event, the EFN Asia 2005 conference started, same hotel in Phuket, Thailand.  

It was my first time to meet Marc, who has been a friend since several years ago in facebook and ARBM Phuket yahoogroups.  I had a debate with him before re anarchy vs monarchy, friendly debate. I didn’t know that he’s a cool, always smiling guy.

Marc is also the convenor of the Mises Study Group in Tokyo. He's Canadian but has been working in Japan for about two decades now. And good news, he's planning to help organize a regional or international forum of free marketers in Tokyo soon.

Our photo, with (from left) Yo Kwong, formerly VP for Institute Relations of Atlas, Mr. You and Hiroshi Yoshida of JTR. During the Atlas Liberty Forum in Atlanta, Georgia, May 2008.

I miss Jo, really cool, warm and friendly lady. Last time I saw her was in November 2009, during the Atlas celebration of 20 years collapse of the Berlin Wall. She raised the funds for my trips during Atlas events in the US. She has resigned from Atlas in 2010.

In China, I have several friends there, from the Unirule Institute of Economics and CIPA in Beijing. Like Feng Xingyuan, Mao Shoulong, Liu Junning, Zhao Xu, others.

In India, many friends there too but the more prominent ones are Barun Mitra and Mohit Satyanand of the Liberty Institute in Delhi. Then Parth Shah of the Center for Civil Society (CCS), Bibek Debroy.

From S. Korea, great and cool friend, Chung-ho Kim, of the newly-formed Freedom Factory Ltd., a new think tank, came. He teaches Economics at Yonsei Univ. in Seoul. He used to be the President of the Center for Free Enterprise (CFE).

Photo, LRI Reading Club Salon 2013, October 19, Hong Kong.

After the farewell dinner of the Reading Salon, I have a photo with Andrew Work, the first Exec Director of the  Lion Rock Institute. Andrew and I were friends way back in 2004, first met him at the Mackinac Center in Michigan, leadership conference with Larry Reed. I was sponsored by Atlas then, along with Ellen Cain of FEF. Parth Shah and his wife, Mana Shah was also in that Mackinac conference.

Then we went to Chicago for the Heritage conference, then the Atlas conference.

First time I met Barun Mitra, April 2004 -- in my hotel room. We were roommates then. I did not have any idea who Barun Mitra was, only at the Atlas conference did I realize that he was a giant in the Asian free market movement. He has been in the free market movement for 2+ decades already, while I was in the international movement for only 1 month then.

So Andrew and Barun were among my early friends in the free market movement. I met them again that year in Hong Kong during the EFN Asia 2004 Conference. We are still around until now. The way we manage our life, it seems we are stuck in this passion until we grow old, for the long haul :-)

Now compare our faces, October 2013, at the Hong Kong airport. I told Madhu, Barun's wife and my friend in facebook, that I saw him 3x in 3 countries this year, she laughed and said all she saw were photos.

Barun and Xingyuan also have their own photo. In Asia, perhaps the oldest or the pioneer in the movement is Barun Mitra. Followed perhaps by Xingyuan, who started working with FNF Beijing under Rainer Adam, for about 7 years in the 90s. So Barun has been around for 3+ decades, Xingyuan for 2+ decades, me and Andrew and Simon Lee, LRI co-founder, for almost 1 decade.

I know that Parth Shah, Bibek Debroy, have been around ahead of us, maybe contemporary with Xingyuan. I miss Mohit Satyanand, a tall guy, frank and no-nonsense speaker and moderator. He was a panel moderator of EFN conferences from 2004-2006. I also saw him in 2005 during the IPN’s “Global Development Network” conference in London.

I met Feng and Barun 3x this year in 3 countries. First in S. Korea last May, in Seoul then Jeju, for the Jeju Forum for Peace and Prosperity where EFN Asia was a panel sponsor. Then I met them in Hong Kong last Oct 18-19, for the Reading Club Salon 2013 by the Lion Rock Institute. Then met them again in Bangkok, for the 3rd time this year.

Photo, Barun, me, Xingyuan, and Shoulong, inside the taxi from our hotel in HK to the HK Airport, to take our flight to Bangkok.

Wan Saiful Wan Jan is "new" in the Asia free market movement because he just moved in about 3 or 4 years ago from London where he worked for almost 18 years and was involved with the Conservative movement there. But IDEAS is the biggest, most dynamic free market think tank in the whole ASEAN. Or perhaps comparable in size with Freedom Institute in Jakarta, though I think IDEAS is more known globally than Freedom Institute.

I saw Wan 3x this year too. First in Korea along with Barun and Xingyuan, then in Manila two months ago when he attended a conference at De La Salle University (DLSU) and I dragged him to give an evening talk at my rotary club, where 4 other free marketers here in Manila came. Then met him again in Bangkok.

I am glad that Tricia Yeoh has migrated to IDEAS too, from Rakyat Institut. Tricia is a very articulate and intelligent lady, so IDEAS is being packed with more brains. Young and dynamic brains.

Another good friend from Pakistan is Zubair Malik whom I met in Hong Kong during the EFN Asia 2004 Conference. I would see him in all EFN conferences that I have attended. Zubair is also the President of the Pakistan Chamber of Commerce and Industry, elected last year. He travels a lot internationally, also within Pakistan, 

Another good friend from Pakistan is Khalil Ahmad of the Alternate Solutions Institute, a free market think tank based in Lahore. After the EFN 2006 conference in KL, I did not see him in other EFN conferences. Last time I saw him was in 2010 in Sydney, during the 4th Pacific Rim Policy Exchange sponsored by the Americans for Tax Reforms (ATR), PRA, IPA and IPN. 

There are many other friends from Asia that I did not mention above. I did mention about them in my previous articles on EFN Asia.

Meanwhile, I will see Rainer Adam and other key FNF officials next week here in Manila. FNF has lots of big, high profile events from November 7 to 11. I will join in some of these, including the Freedom Run on Nov. 10 morning, then the Freedom Awards that evening.

FNF has done a great job in spreading freedom in Asia. For many of us in the movement, if we look back a decade or so from now, FNF will appear as the great partner to many of us.  Also the LRI. Thanks again to Peter Wong, Exec. Director of LRI, for inviting me to the two Reading Club Salon of LRI, last year and this year.
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See also:

Monday, June 03, 2013

EFN Asia 22: Dealing with Economic Nationalism, Jeju Forum

Below is the Rapporteur's Report that I submitted to the organizers of the recently concluded Jeju Forum for Peace and Prosperity 2013. This is posted in the EFN Asia website.


○ Session Outline
Title
Dealing with Economic Nationalism
Session Code
5-A
Time
15:40 – 17:00
Room
A
Moderator: Wan Saiful WAN JAN
Presenter: SAM, Rainsy
Discussants: CHOI, Byung-il; FENG, Xingyuan; Pham Chi LAN; LIU, Junning;
Barun MITRA; Tricia YEOH

○ Key Points by the Presenter
- Economic nationalism is understandable. Early stage of development, there is a need to protect crucial new and small economies,
- Cambodia case, probably the poorest of the 10 member Asean countries. There is big disparity in economic development among members.
- Asean is creating a free trade zone but it raises lots of concern in Cambodia. It needs a period of time to adopt and prepare before liberalization.
- To compete successfully, country needs leadership. Not a matter of ideology but leadership with vision, that promotes national interest, any ideology can promote devt. No prospect for development bec leadership only wants to survive politically.
We need to put the house in order first before we face competition. Need physical and social infrastructure.
- Cambodia is a banana kingdom with gang and mafia of kleptocracy. One of the world’s most corrupt and underdeveloped countries.
- GDP growth of 6% or more is meaningless if the environment is destroyed, social fabric is destroyed due to prostitution and human trafficking, inequitable development.
- Free trade can be disruptive and destructive. Cambodia cannot face free trade and free market yet, it must have political democracy first.
- Korean ODA for Cambodia is a waste of Korean taxpayers money as human rights is not protected, the gangs and mafia are in power.

- Keyword:  political democracy, free market, Cambodia corruption, human rights violation, prostitution

○ Synopsis of Discussants
1. CHOI, Byung-il:
- Disagree with Mahathir that countries need protectionism. Economic nationalism is unsustainable.
- Many people in Korea complain of imported fish, other food, that we should be self sufficient, but forcing self-sufficiency in food, only few countries can survive.
- How to attain econ prosperity, invest in education, liberalize the economy. Good political leadership is also important.

2. Pham Chi LAN:
- Protectionist measures rose recently via technical barriers to trade (TBT). Tariffs are going down but various measures like health concerns, environment restrict trade.
- Vietnam been a member of the ASEAN since 1995, we experience trade deficit with Asean members plus North Asia, but trade surplus with EU.
- FDI about 80 percent coming from East Asia and South East Asia. But mainly for low cost, low tech industries, plus environmental problems.
- Asean initiative is good but not enough, E Asian countries need to open up their economies more for Vietnam exports.

3. LIU, Junning:
- Economic nationalism is a body of policies that protect certain local interests, requires the imposition of tariffs, restrictions of free trade, Intervention in the name of protecting “national interest”.
- Nationalism forces consumers to buy only local producers, trade protectionism, even nationalization of some foreign companies.
- Nowadays nationalism is omnipresent especially in dictatorships, currency control. It is costly to consumers because supply of capital, consumer goods becomes higher and costly.
- It appeals to national pride, suspicion, fear of foreign goods, but consumers lose. Case of high tariff on foreign made milk. Consumers endure high prices, low or bad, harmful product quality.

4. Tricia YEOH:
- Recent growth of Malaysia not at par with neighbors, cost of business is high due to corruption, bureaucracies
- 1971 New Economic Policy (NEP) to eradicate poverty, noble, but was meant to protect the Bumiputera, the local elites, the princess of the Earth. It engendered a culture of patronage and cronyism.
- Mahathir this morning said the need to protect automotive industry. Such protectionism actually is a waste of government money to protect local industries, bail out of around 69-70 billion Ringgit were lost.
- Government role has in the economy has been rising. Previously, private investments was high but since 1998 private investment was less than government investment.
- Government-linked corporations(GLCs) account for “approximately 36% and 54% respectively of the market capitalisation of Bursa Malaysia and the Kuala Lumpur Composite Index”. GLCs and GLICs are the major players in the economy.
- Malaysian economy is heavily dominated by government, in the areas which are privatised, select individuals are chosen to receive lucrative tenders and contracts.
- Cronyism results if government is dominant, give only to friends, monopolies in electricity, telecoms. There is need to remove barriers to trade, make the economy more competitive, control corruption.

5. FENG, Xingyuan:
- Trade benefits both players, allows efficient distribution of factors of production. The “infant industry” argument, we should not protect, we will only protect underdevelopment.
- Open markets and protection of property rights are key. Also stable currencies to protect foreign investors.
- Trade benefits even between unequal economies. President Obama was asking for “balance of trade” with China, meaning China should export less to the US. This is wrong. Trade surplus by China is used to invest and spend by citizens in the US, so deficit is compensated.
- US should ask instead that China should open up market in services.
- Trade ban campaign of Japanese goods last year, means banning our own development. Like manyJapanese companies are thinking of moving their investments out of China and go somewhere.
- Free trade is beneficial to all sides, both buyers and sellers, not only one side.

6. Barun MITRA:
- People trade, companies trade, governments don’t, but governments negotiate trade, and  negotiations take many years.
- India is not known for manufacturing, more for IT. Perhaps the only country manufacturing automobiles in the 40s after Japan, yet how many Indian car brands do we hear now.
- Today local car manufacturers survive only because of government support. The infant industry argument only resulted in cronyism.
- India believes industrialization inside, not export orientation, cronyism resulted and it  hurts our own poor people much more than other people
- IT not protected or subsidized, even completely neglected, and they prospered. About 80 percent of our IT products are for exports.
- Free trade is fair trade. Two sides agree, a win win situation, benefits both buyers and sellers. Economic nationalism is used by politicians to secure themselves. Losers are the people.

Sam Rainsy Reactions:
- If an economy is poor, unprepared, free trade is destructive. Need for a transitional period to produce positive effects first, before we open up the economy to free trade.
- Consider the social and political environment first, control corruption, farmers becoming landless under the name of trade liberalism.

Questions
1: Cambodia, how to develop it?
2: What is your vision for prosperity in Cambodia?

Sam Raimsy Answer:
- First, good leadership and second is education. Cambodia leadership is a mafia, a gang it can destroy a country using liberalism. From communism to democracy, become worse under a mafia.
- China and Vietnam, they are socialist but they have developed. They uphold national interest, they have long-term vision. Even non-democrats like Mahathir and Lee Kuan Yew but they have vision.
- Education, the war and dictatorships, 3 generations were lost, only low tech investments come. We need to catch up.

Barun Answer:
- Free trade to be effective and powerful, it has to be unilateral, nothing to negotiate. The most protected industries are also most inefficient, like agriculture.
- Pure unilateralism in trade allowed Indian IT to develop, without any government protection.

Xingyuan answer.
- Look also at HK, low taxes, free trade, there is economic prosperity

Choi answer
- Protectionism is understandable, to protect the weak, but consider the political economy.
- Beneficiaries of nationalism and protectionism are incumbent players.

Closing Remarks by German Ambassador to Korea, Rolf Mafael

- Building an internal market for asia will build prosperity.
- Germany case, global competitiveness, open economy allowed us to survive the recent global financial crisis
- Services sector need more liberalization in the EU. We have the same discussion and debate in Europe as you have here on economic nationalism.
- Our prosperity depends largely also to our trade with Asia.
- Priority is the WTO, multilateral negotiation.
- There are indeed social consequences to liberalization, like ensuring labor standards, but this was heavily opposed by many developing countries.
- If you step back, 1996-97 vs today, Asia has made big progress.
- When the EU-Korea FTA was negotiated, german car industry opposed, but who benefitted later? German car industry, they were able to enter Korean market better. Another beneficiary was the Korean car industry.
- Ultimately, customers won in both Korea and Germany. Liberalization will lead to more prosperity
 
○ Policy Implications
- Protection of human rights, controlling corruption, are key for poor economies like Cambodia.
- Economic nationalism and protectionism often results in cronyism and corruption, disadvantages the local consumers via higher prices, low quality products and services due to absence or limited competition.
- Economic liberalism will benefit consumers, will lead to peace and prosperity.
- Unilateral trade liberalization is one option that countries should consider to avoid cronyism, control corruption, directly benefit the people, consumers and producers alike.

○ Rapporteur
Name
Bienvenido “Nonoy” Oplas
Organization/Position
President, Minimal Government Thinkers Inc., Philippines
Mobile Phone
+63 915 8204616
e-mail

See also: 

Tuesday, November 13, 2012

EFN Asia 13: Welfare Populism and Poverty

* This is my article yesterday in the online magazine,
http://thelobbyist.biz/index.php/perspectives/less-government/item/122-welfare-populism-and-poverty
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State-mandated welfare populism or universal welfare, is creating more dependency and mendicancy rather than independence and self reliance. It is encouraging more corruption rather than curing it, expanding the spend-tax-borrow policy, bloating the public debt and the economic uncertainty that comes with it. Therefore, politicians and the public should avoid welfarism trap and steer government to focus on promulgating the rule of law, protecting property rights, making social and economic rules apply equally to all and not making favoritism and cronyism.


This is the main message in the two-days Economic Freedom Network (EFN) Asia 2012 conference last November 6-7, 2012, here at Crowne Plaza East Kowloon, Hong Kong. The event that attracted more than a hundred international and local participants was sponsored by the Friedrich Naumann Foundation for Freedom (FNF) and co-sponsored by the Lion Rock Institute (LRI), Hong Kong’s first and only free market institute. 
Among the speakers in the two-days conference were Wolf Dieter Zumpfort, Deputy Chairman of the FNF Board of Directors in Germany;  Abhisit Vejjajiva, former Thai Prime Minister, Rainer Adam, Regional Director of the FNF Southeast and East Asia, Bill Stacey, Chairman of LRI, and John Tsang, Finance Secretary of Hong Kong.
The various speakers have reiterated the importance of setting markets free – rich and poor, men and women, young and old, to have access to various employers and consumers of their skills and talent, products and services, in a competitive and non-monopolistic or non-oligopolistic environment. The role of government is to protect the property rights of the people, that the fruits of their hard work and efficiency, are protected and not forcibly taken away from them by bullies and cheats. This necessitates upholding the rule of law, that regulatons apply to all, exempts no one and no one can grant exemption from the limitations made by the law.
Thus, the law against killing, stealing, kidnapping, land grabbing, extortion and other criminal activities should apply and be strictly implemented. This equality before the law will act as the main incentive for people to become more industrious, responsible and self reliant.
Forcing equality in society via populist and welfarist policies – like high food subsidy, fuel subsidy, housing subsidy, healthcare subsidy, cash transfers – would tend to encourage dependency and mendicancy. Forcing equality of social outcome among the people regardless of their work and efficiency or lack of them, will distort markets, wreak havoc on the fiscal condition of governments, as what is happening now in many welfare states in Europe like Greece, Spain, Portugal and Italy.
Even in Hong Kong, according to local speakers, the government is treading slowly on more welfarist policies that were absent when this free trade economy was developing and has attained a highly developed economic status.

The European speakers in the conference also recognized that Hong Kong's generally free market and globalized economy coupled with the rule of law, is mainly responsible for its economic prosperity while Germany and many European economies are struggling with welfarism trap, massive unemployment, and the need to cut the expensive, huge debt generator welfare programs to help stabilize their economy.

Welfarism is being introduced more liberally in many Asian governments and economies recently. In Thailand for instance, they have rice subsidy, free computer tablets for first graders, and subsidy for first time car buyers. The latter alone cost the government $1 billion and the traffic has worsened further.
In Indonesia, fuel subsidy has further bloated the public debt. In China, there are calls for school free lunch, free school bus.
In S. Korea, there are free child care and universal school meal policy. If these and other new welfare programs are adopted, public spending will rise by around $520 billion more, which will need either new taxes and/or more borrowings. Existing welfare programs alone is projected to contribute to government spending of 45 percent of GDP and the public debt is projected to reach 216 percent of GDP.
In the Philippines, there are various welfare programs supposedly to help “fight poverty”. These include education and books for the poor, healthcare and medicines for the poor, housing and relocation for the poor, credit and tractors for the poor, and many of these do not seem to work as high poverty still persists, so they invented new welfare programs like cash transfer for the poor, and soon, pills and condoms for the poor.
In his keynote address, HK’s Finance Secretary John Tsang said that they are conscious of observing fiscal prudence for three reasons: it is in their constitution, they are aware of the huge public debt problem of many welfare economies, and it is part of their value system of not spending more than one’s income.
Wall Street Journal editor for Asia business, Joseph Sternberg, observed that Mr. Tsang has several new taxes on residential real estate transactions, like a 15 percent tax on foreigners real estate buyers, an increase in “special stamp duty”, and the possibility of the HK government imposing a capital gains tax on property soon.
All new taxes or hike in the rates of existing taxes are meant to expand government revenue to finance in part new welfare spending or expand coverage of existing welfare programs. Politicians, legislators and other policymakers cannot bind themselves and their successors. The itch to intervene, to subsidize and over-spend, is there, resulting in distortion in many sectors of the economy, high public indebtedness that results in high interest payment and siphons resources away from otherwise productive spending.
Rule of law is undermined when government mixes with businesses. Cronyism and nepotism is not far off when government becomes the regulator and industry player at the same time, even in the guise of protecting the poor from “market manipulation by private enterprises” demagoguery.
There were many other important points discussed during the conference. As the Philippine elections is coming closer, just six months away, reminding both the politicians and the voters that welfare populism is a costly policy that can create more dependency rather than independence, is an important task for concerned individuals and civil society leaders.
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Meanwhile, here are  more photos during the conference.
Below, the two guys whom I would consider as the "pillars" of the EFN Asia conference, Dr. Rainer Adam (left) and Dr. Wolf Dieter Zumpfort (right). Without their commitment to hold an annual EFN Asia conference, the network could have been more loose and have no regular regional and international networking.

Then my two photos from Xingyuan Feng's camera. Xingyuan has been a friend since 2004 and I see him every year in various regional and international conferences. Another friend in the picture is Shoulong Mao, another Chinese academic and free marketer, President of the Cathay Institute for Public Affairs (CIPA).


Monday, September 10, 2012

Fat-Free Econ 23: Penang Workshop on Markets in Healthcare

* This is my article today in TV5's news portal,
http://www.interaksyon.com/business/42796/fat-free-economics-healthcare-as-right-responsibility
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PENANG, Malaysia – Healthcare is a right and an entitlement, a public good that must be provided by the government at the highest quality and at the lowest or zero cost possible. And some people can sit back as this high social expectation and low personal obligation is supposed to be provided by the government.

That is a formula for high disappointment and social conflict, both in the present and in the future. While it is true that healthcare is a right, it is also a responsibility, a personal and parental, guardian, and civil society responsibility, with or without government assistance. Rights without responsibilities, entitlements without obligations, will encourage politically noisy but economically lazy citizens. And society cannot progress in such condition.

Our seminar on “Promoting Markets in Healthcare” ended Sunday. Participants from independent think tanks from China, India, Indonesia, Malaysia and the Philippines exchanged notes on how civil society and the private sector can optimally provide healthcare to the public at the least politics, least coercion and taxation possible. The event was sponsored by a new global think tank, the Emerging Markets Health Network based in London, and the Institute for Democracy and Economic Affairs based in Kuala Lumpur. Both are espousing free market and more individual freedom philosophy.

There were several presentations made by speakers from different countries. Liew Chin Tong, a member of the Malaysian Federal Parliament, observed that the federal government is acting like a businessman in healthcare, banking and many other sectors as the government owns many hospitals, including “private” ones. He said the role of the government is to be an enabler, to provide equal opportunity to the people especially the poor, and not as businessman.


Frank Largo, a fellow Filipino who chairs the Department of Economics of the University of San Carlos in Cebu City, said that while healthcare is often an emotional issue, not every case is an emergency, and there is a big role for market and civil society players and providers especially in non-emergency cases. That there is a big gap between curative and preventive healthcare, and that there is bias among many academics, especially health economists, for more government intervention in healthcare.

Dr. Debashis Chakraborty, an economics professor at the Indian Institute of Foreign Trade noted the role of public-private partnership in India in the provision of various healthcare services, the inefficiencies or even absence of government healthcare service in many rural and far flung areas. This provides big opportunity for civil society and market players in non-state provision of healthcare.

Philip Stevens, the founder of EMHN, noted that the National Health Service of the UK government is a healthcare monopoly and is showing various forms of inefficiency like long waiting period for patients, and lack of innovation, which is a common practice in situations where no competition exists.

Prof. Yu Hui of the Chinese Academy of Social Sciences and director of China Research Center for Public Policy, and Prof. Feng Xingyuan of the China Academy of Social Sciences and vice-director of Unirule Institute of Economics, made a joint presentation, “Development of Private Hospitals in China and Lessons for Other Countries”. Below are some of the presentations.


But while there are explicit announcements by the Chinese government to encourage the development of more private hospitals and other healthcare providers, the entrenched interests in the public health sector is making this far from attainable.


They suggested (a) competition for the sector, (b) equal inclusion of private hospitals in the Social Medicare Insurance scheme, (c) privatization of some state-owned hospitals, and (d) mobility of healthcare providers in terms of fair promotion, especially among health professionals in the private sector.

Dr. Chua Hong Teck, director of the Healthcare and Low Income Households, Performance Management and Delivery Unit under the Office of the Prime Minister, presented lots of data about the healthcare system in Malaysia (see below).


Healthcare is the fastest growing sector in the Malaysian government. This is a result of high expectations by both the public and policy makers, that healthcare should be provided to all citizens at the highest quality and at the lowest cost, free for the very poor, as much as possible. This is not happening of course, as the presence of private hospitals is rising, implying there is rising demand and expectations on public healthcare that are not met and provided.

The lower table shows that the number of beds in private hospitals was rising from 2000 to 2011,but the number of health professionals for the same period was declining. This implies one thing: physicians and other health professionals in private hospitals are over-worked or simply more efficient, producing more health services at lower manpower input, while those in public hospitals are underworked or simply bloated. I could be wrong but this is the most proximate explanation that I can see.

Dr. Chua said the following are the challenges for the non-state sector in healthcare: (a) enforcement of Private Healthcare Facilities Act of 1998 with regulations of 2006, (b) financing of these services and management of these facilities, and (c) ability to co-exist and compete with the public healthcare system.

I do not believe that it is possible to have real competition between private and public healthcare providers as favoritism is inherent in the latter. For one, the former is taxed while the latter is subsidized. Second, the former is regulated while the latter is the regulator.

High spending in public healthcare is among the major deficit generators and debt creators in many rich countries now. If a service is provided for free or at highly subsidized rates, expect the demand to be larger than the supply always. The result of such a wide gap between demand and supply is (a) healthcare rationing like long waiting period for non-emergency cases, or (b) generally poor quality delivery or provision of a service, or (c) continued bleeding of fiscal condition with sustained high borrowings to finance the system, or (d) all of the above.

If we recognize that healthcare is a right and a responsibility at the same time, then it should be recognized that those who want good quality healthcare must pay for it as much as possible. This will open up the discussion on the importance of preventive healthcare, that people own their bodies, not the government. So if people will abuse their body, no amount of government healthcare subsidy and borrowings will remedy the situation.

And secondly, recognize the need to deregulate private and civil society health insurance schemes. Government health insurance system like PhilHealth in the Philippines can be retained but people should not be coerced and obliged to become mandatory members and contributors to it. It should co-exist with private and civil society health insurance schemes in order to encourage more competition, more innovation, and more efficiency at least cost possible to the public.

The case of infectious diseases on certain occasions like the spread of leptospirosis during heavy flooding, and pediatric diseases like childhood cancer, can be a separate case where taxpayer-financed healthcare is justified.

Removing or reducing the fat and bureaucracies in government healthcare system is the way not only to help address the bleeding public debt problem in the Philippines and in many other countries, but also to inculcate the age-old dictum: rights and responsibilities, entitlements and obligations go together.
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See also:
EMHN 1: Forum on Promoting Markets in Healthcare, IDEAS-Malaysia, June 23, 2012
EMHN 2: IDEAS Forum in Penang, Malaysia, September 01, 2012
EMHN 3: Penang Workshop Report, September 10, 2012

Fat-Free Econ 8: Drug Price Regulation is Wrong, May 04, 2012
Fat-Free Econ 9: Drug Pricing Bureaucracy is Not Cool, May 11, 2012
Fat-Free Econ 18: Healthcare Corruption and Physician Entanglement, July 30, 2012

Fat-Free Econ 22: Three Years of Drug Price Control Policy, August 30, 2012