Showing posts with label decentralization. Show all posts
Showing posts with label decentralization. Show all posts

Wednesday, January 06, 2016

BWorld 36, What if the Philippines splits into many new island-countries?

* This is my article in BusinessWorld yesterday.


This piece will attempt to provide an outlook for the Philippines many decades from now, a view different from articles and analyses seeking to explain what happened during the previous year and what to expect for the next.

In particular, this will be an outlook of the Philippines if it splits up into many new, small island countries.

There are two reasons for considering this view, however unthinkable it may be for some.

First point: There are dozens of other small countries with very small populations and small land areas yet they continue to exist as a country, and even become prosperous and wealthy. (See Table)


Second point: After traveling over land and sea for the past two weeks in several provinces and islands outside Luzon -- Oriental Mindoro, Panay Island (Aklan, Capiz, Iloilo, Antique provinces), Guimaras, and Negros Occidental -- I have come to realize that their growth potentials could be unleashed by they are allowed to set their own “national” policies -- from international trade and taxes to local programs and subsidies.

In the table, columns 2 and 3 show how some countries -- despite the small size of their land areas and populations -- persist, and even thrive, as nation-states, thanks to their own airports, seaports, education and health care facilities.

Columns 4 and 5 show their level of economic wealth and Internet connectivity. These are among the indicators of their prosperity despite their size. Column 6 shows the wide variety or divergence of income tax policy. At least four of these small countries have zero income tax while some have rates ranging from 39% to 44%.

Consider these four Asian economies: Hong Kong, Singapore, Brunei and Bhutan. Despite their small land area and population, they have food security, fiscal and energy sustainability, dependable infrastructure, and high Internet connectivity. They can manage on their own.

Why can’t the Philippines’ individual islands do the same?

Hong Kong will not be as dynamic and rich if it was just one of the many provinces of China. British colonialism has diversified and isolated it from the bureaucratism of China, before and after the communist takeover in 1949. Hong Kong for instance, could set a low income tax of only 17% vs. China’s 45%.

Singapore will not be as dynamic and rich if it was just one of the many states of Malaysia. Singapore opted for secession, not federalism. Singapore could set its own lower income tax of only 20% vs. Malaysia’s 26%.

Brunei too, would not have become as dynamic in energy development if it was just one of the many states of Malaysia or Indonesia. It is too far from Kuala Lumpur or Jakarta, and getting exploration and development permits alone from these national capitals would already be a bureaucratic headache. Brunei also has an income tax of zero vs. Malaysia’s 26% or Indonesia’s 30%.

Bhutan has its unique geography and cultural life that allows it to slowly prosper. It set its own income tax of 25% vs India’s 31%.

The economic potentials of current Philippine provinces and islands will be larger if their political and business leaders are given the chance to act as national leaders, not as provincial leaders beholden to the high officials and policies of the national or central government in Metro Manila.

A break up into many small countries does not mean animosity among them. Singapore’s secession from Malaysia did not result in any armed confrontation between them. Trade and freer mobility of goods and people/services has cemented friendship and long-term economic partnership between them.

There are many avenues for inter-country cooperation within the region. Like the Association of Southeast Asian Nations (ASEAN), the ASEAN Economic Community, Regional Comprehensive Economic Partnership, Asia-Pacific Economic Cooperation, World Trade Organization, membership at the Asian Development Bank (ADB) and World Bank, and so on. Presidents, Prime Ministers, Cabinet Secretaries or Ministers regularly see each other, several times a year.

With the continued expansion of the Philippine government especially at the national or central agencies, there is little chance that it will agree to a significant income tax cut, or reduction of various taxes, fees, royalties, penalties and mandatory contributions.

On the contrary, it will only be thinking of ways to retain those multiple taxes, if not raise them further. The “fiscal tragedy of the commons” can only worsen in the coming years, not reduce or lessen.

One way to break this tragedy is to create economic competition among many countries, or, in this case, islands.

For instance, it is possible that some island states can have an income tax rate of 32% or higher, but it is also possible that other island states can have zero to 10% income tax and attract lots of entrepreneurs, professionals, and workers from other islands and other countries around the world.

The perspective of having new, many small countries out of the Philippines’ many islands and provinces, is not short-term; it is long-term. Its viability or nonviability should be explored by local scholars and actors from various sectors of the country. It is a good way to start the new year.

Bienvenido S. Oplas, Jr. is the head of Minimal Government Thinkers, and a Fellow of the South East Asia Network for Development (SEANET).
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Monday, October 07, 2013

Lion Rock 9: Federalism, Decentralization and George Clinton

The Reading Club Salon 2013 of the Lion Rock Institute is fast approaching, this coming October 19, 2013 to be held in Hong Kong. I will be there. Among the readings of the participants to this theoretical roundtable discussion are the Anti-Federalist Papers. 

A paper I checked today is Paper 14: Extent of Territory Under Consol-idated Government  Too Large to  Preserve Liberty or Protect Property written by George Clinton (1739-1812), Vice President of the US (1805-1812) and NY Governor (1801-1804), aka Cato. This was published October 25, 1787.

Among the arguments made by G. Clinton or “Cato” was this.

You must risk much, by indispensably placing trusts of the greatest magnitude, into the hands of individuals whose ambition for power, and aggrandizement, will oppress and grind you. Where, from the vast extent of your territory, and the complication of interests, the science of government will become intricate and perplexed, and too mysterious for you to understand and observe; and by which you are to be conducted into a monarchy, either limited or despotic; the latter, Mr. Locke remarks, is a government derived from neither nature nor compact.
Political liberty, the great Montesquieu again observes, consists in security, or at least in the opinion we have of security; and this security, therefore, or the opinion, is best obtained in moderate governments, where the mildness of the laws, and the equality of the manners, beget a confidence in the people, which produces this security, or the opinion. This moderation in governments depends in a great measure on their limits, connected with their political distribution.
Top of Form

In short, NEVER trust big and expansive government and the persons administering it. They will make rules and laws that are too complicated for us but will provide loopholes for their friends. Moderate or limited government can provide us security because its coercive power is limited, limited to equal application of laws to all.

He also wrote,

The strongest principle of union resides within our domestic walls. The ties of the parent exceed that of any other. As we depart from home, the next general principle of union is amongst citizens of the same state, where acquaintance, habits, and fortunes, nourish affection, and attachment. Enlarge the circle still further, and, as citizens of different states, though we acknowledge the same national denomination, we lose in the ties of acquaintance, habits, and fortunes, and thus by degrees we lessen in our attachments, till, at length, we no more than acknowledge a sameness of species.

Cool. That is why forced collectivism by a central or national government often begets suspicion, disapproval and discontent . The sentiment by people in the provinces who dislike "Imperial Manila" collecting lots of taxes and fees from them, telling them what are prohibited and which ones are not.

Centralism -- economic central planning and centralized politics and government -- disrespects individual diversity and spontaneity.

Interesting to note that John Locke has influenced both the Federalists (Alexander Hamilton, James Madison, et al) and the Anti-Federalists (George Clinton, et al). Clinton aka Cato, has mentioned Locke several times in that paper.

Thursday, June 27, 2013

UHC 15: On DOH Plan to Recentralize Healthcare

The quest for government-initiated and centralized universal health care (UHC) can be dizzying for all sectors -- patients/public, private healthcare professionals and providers, government health agencies, the legislature and everyone else. This is because when government centralizes or almost  monopolize healthcare, competition, price differentiation, market segmentation and service innovation is often sacrificed or killed.


A famous physician, expert and consultant on UHC and NCDs, also a friend, Dr. Tony Leachon, posted this story from GMA News the other day, in his fb wall,


In a speech during the Department of Health's (DOH) 115th anniversary celebration, Aquino said his administration is determined to attain its goal of universal healthcare for all Filipinos by 2016….
"Last year mayroon tayong Sin Tax, mayroon tayong Responsible Parenthood, ngayon naman ho ay pakikiugnayan ng mas hindi masalimuot ang ating pakay," he added. Aquino, in his speech, said his government was able to enroll some 20 million more Filipinos to the national health insurance program during his first three years in office.
He also boasted of his administration's efforts to expand benefit packages for Filipinos suffering from heart diseases, aside from those with "catastrophic diseases" such as breast cancer, prostate cancer and acute leukemia.
The president likewise pledged to build more new health facilities in far-flung regions of the country, and the rehabilitate old hospitals.
"Hindi tayo titigil hangga’t may mga kababayan pa rin tayong ni hindi nakakakita ng espesyalista sa tanang-buhay nila. Kaya naman sa huling dalawang taon ng ating administrasyon—binawasan ho ako ng isang taon, siguro ‘yong writer ko po ay gusto na ring lumipat ng trabaho—target nating i-upgrade at gawing mas moderno ang 7,325 na mga ospital, klinika, at pagamutan," he said. DOH Secretary Enrique Ona, meanwhile, said his department will propose a law that will facilitate the efficient delivery of health services to distant towns in the country. 
"Kami ay nahirapan nang husto na ipaabot sa ating local health units 'yung tulong ng DOH kasi devolved ang ating health system down to the towns. Sabi namin, pag-aralan on how we can improve the devolution of healthcare," he said in an interview after the event. 
He likewise said he wants a legislation that will "improve the governance" of public hospitals under the DOH.

Among the comments raised by Doc Tony's friends were the following:

(a) Do not neglect the human resource aspect of modernizing health facilities, otherwise we willl have ghosts running our hospitals.
(b) Maldistribution and unemployment of healthcare professionals are serious issues.
(c) There is an over-supply of nurses and there is maldistribution of doctors, maybe even an under-supply of physicians.
(d) Start an Advanced Practice Nursing/ Nurse Practitioner program. Can be piloted with a very good nursing program. It will provide job security and provide additional primary care providers especially in underserved areas.
(e) "Hindi tayo titigil hangga’t may mga kababayan pa rin tayong ni hindi nakakakita ng espesyalista sa tanang-buhay nila." -- Why do the people need to see a specialist? Specialist in what? Why can't they be seen by primary care physicians or nurses? If nurses are trained to render primary care... agree ako jan.

I commented that the move now by the DOH is towards more nationalization and recentralization of public healthcare. But centralized programs often result in centralized expectations and centralized disappointment. Then I asked Doc Tony since he has worked in both private and public hospitals and other healthcare facilities, what are the efficient incentive systems that encourage HC professionals to provide really caring service to patients, so they get well and become economically productive.

Doc Tony replied that HC professionals should be compensated well to stay with a well planned career plan.

That is precisely my point. Very often in government hospitals and HC facilities, the doctors are paid flat rate, whether they see 20 or 200 patients a day, the pay is the same. So the tendency is to provide quickie prescription, little or no patient counselling, then call the next patients after 3 or 5 minutes. When government centralizes, nationalizes and monopolizes healthcare, service differentiation, market segmentation and service innovation is often sacrificed or killed. Government service is meant to uniformize, harmonize and monotonize the public, and sub-optimal health outcome is the result.

In the food sector, there is zero government carinderia or restaurant, zero government supermarket or talipapa, zero or little government farms, and yet people are eating. There are various products for various people with various budget and needs. Service innovation, price differentiation and market segmentation allows the various food producers/sellers to meet with certain food consumers.

In contrast in the health sector, (1) there are tens of thousands of government rural and barangay health centers, (2) tens of thousands of government-sponsored botika, (3)hundreds of government hospitals (DOH, LGUs, PGH, AFPMC, etc.), (4) there are free medicines and entitlement programs for the poor, (5) drug price control policy, (6) mandatory price discounts to senior citizens and persons with disabilities (PWDs), (7) government health insurance monopoly, and health problems are not declining but rising. Expectations rise, disappointment and discontent rise. Centralization and monopolization is wrong.

In another thread, there are good experiences in private-provided healthcare like the case of Dr. Meo Santos-Cao. She said, 
when I had my practice here in Laguna (up to 2006). I did not even register as provider with PhilHealth. I always made sure that this fact was clear to my patients. They paid me directly, usually before discharge from the hospital, but sometimes upon post-hospitalization check-up in my clinic if they had difficulty raising money. And since I didn't have to wait for 3-6 months for PhilHealth to pay me, I always charged much lower than other MDs here.  
I practiced general med. I did minor surgeries, checked on pregnant women and assisted normal deliveries. While it's customary for those services to be provided by specialists (surgeons and OB-Gyne), I had no qualms doing those because I was capable, had training and licensed to practice. In so doing, I gave patients an alternative to expensive services of specialists. In 2005, OBs charged 15k for a normal vaginal delivery, part was paid for by PhilHealth and the bulk out-of-pocket. Whereas, I charged only 6k for the same service, all out of patient's pocket. Malaki pa rin ang natipid ng pasyente. The important point here is that patients must know that they have options and that they cannot be held hostage by the prevailing system. Bottom line pa rin, as Marco pointed out, patient and provider must agree on the service and its cost.

I like the stories that Doc Meo shared, it's about private contract between a service provider (her as a physician) and service consumer (the patients) with no tertiary or external intervention (the state like PhilHealth, especially). The result is fine. If the patients are not happy, no need to rally or demonstrate in the streets to demand that the state should regulate Dr. Meo Cao or whoever. They simply refuse to come back, tell their friends that Dr. Cao is a lousy doctor. But this did not happen, they keep coming back, meaning they are happy with the services provided by Dr. Meo Cao.

Another physician friend also shared that "...with unjust compensation, doctors would opt not to operate lalo na kung difficult cases, the new Philhealth scheme doesnt take into account case difficulty. Di ka na properly compensated, mas malaki pa risk sa license mo, pagod ka pa. I dont think this is in the best interest of the patient. It takes forever for Philhealth to pay the MD and hospital, and only an instant to disqualify patients na may minor delinquencies sa continuity ng payment."
http://funwithgovernment.blogspot.com/2011/10/philhealth-watch-9-physicians-talk.html


On another note, I changed the subject of this thread from "Socailized Healthcare" to simply UHC. See also:

Saturday, January 21, 2012

Decentralization 10: Devolution, Federalism and Subsidiarity

I posted my paper, Decentralization 9: Ben Diokno Says Recentralize, in the CORRECT Movement (Constitutional Reform & Rectification for Economic Competitiveness & Transformation Movement) group in facebook because that group is advocating "evolving federalism" plus two other issues, economic liberalization and Parliamentary form of government. The exchange has expanded into a long discourse.

Below are the exchanges -- with explicit permission from Carlos Tapang and implicitly from Paul Alli (Paul is a friend way back in the 80s in UP, Carlos I have met 2 years ago) -- minus the comments from Orion Perez, the main convenor of CORRECT Movement. He does not want his comments to be publicized.


  • Nonoy Oplas 

    The subsidiarity principle is very radical, it says that if the smallest social unit can do a task, no need to give it to the higher social or political unit. The smallest social unit in society is the individual, then the household. If an individual can do a task by himself, like taking care of his/her body and health, then there will be no or little need for govt healthcare program, especially for non-communicable diseases (NCDs).

    22 hours ago · 



  • Paul Alli There is a much more cogent reason why decentralization is necessary- the unequal development of regions.
    21 hours ago ·  ·  1

  • Nonoy Oplas But that is why Ben Diokno shot down in his presentation, he said that decentralization is a failure in reducing inequity bet and among regions and LGU localities, that is why he is arguing that the natl govt should do that job, not the LGUs themselves.
    20 hours ago · 

  • Paul Alli Because of corruption among LGU officials. There should be a check and balance bet natl govt and local govt. One sad case is Samar.
    20 hours ago · 

  • Nonoy Oplas 

    Yes, corruption is endemic in both national and local governments. That is why I argued in my paper that we need less and small government, both at the national and local levels. Government should focus on stamping out criminality, protect private property rights and the citizens from killers and other criminals. But government, both national and local, veered into so many sectors and areas, because that's where corruption and extortion can be maximized, like controlling "illegal gambling", "Illegal drugs", "Illegal prostitution", etc.

    19 hours ago ·  ·  2

  • Carlos C Tapang 

    This is very good discussion. I think we should think of government power in terms of points being allocated instead of "areas of responsibility". The problem with thinking in terms of area of responsibility is that those in the national government can claim that because the whole country is their responsibility, it is OK for them to meddle in local affairs. This is the part of centralization that is bad, in my opinion. If we think in terms of power points to be allocated, there should be not so many points allocated to the central government, because otherwise there would be no points left to each of the regions or provinces. Allocate only 10% of the power points to the central government, and give 90% to the LGUs. What this means in practice, with regards to taxation, for example, is that the central government should collect only as much as 10% of the total tax revenue. For each taxpayer, the local government can tax say 9% max, and the national government only 1%.

    15 hours ago ·  ·  1

  • Carlos C Tapang 

    Our situation in Pinas is the opposite of what is desirable: 90% of the power points is concentrated in the central government, 9% to local governments, and 1% to each individual.

    We experience this power on a daily basis. Observe how even the lowest government official behave towards citizens. Go to the local SSS office and see how many people line up for service at any one time. When you finally reach the end of the long line and are finally able to talk to a clerk, observe how the clerk feels more important than you are. Compare that to the behavior of a bank teller in a well-run bank. The government clerk feels no compunction to demand a requirement that you forgot to do, like filling up another form, or getting the signature of somebody else. It does not matter how minor the missing paper is, it must be with you; if not, you either go fill that silly piece of paper and go back to the other end of the line, or worse, come back some other time.

    We have to deal with the central government in most that we do. If we want to buy land, the title gets registered all the way to Manila. If we want to start a business, our corporation papers gets filed with the central government and not the local government. The central government is like a bad CEO who doesn't know how to delegate, who can't trust anybody else to do something well, so he does everything himself, to the detriment of the whole company.

    14 hours ago · 

  • Nonoy Oplas 

    I think local govts are more notorious in imposing stupidity than the central or national govt. Take makati city. So many NOs, Donts, Prohibitions. Buendia and its long blocks is now "No Jaywalking". They say they want people to commute and walk, to leave their cars at home to reduce traffic, but they make crossing streets hard and bureaucratic, penalty is P200 and you have to get your ID at a far out office. Ayala ave is "No loading here, walk to the next block" and "No unloading here, walk to the next block" (about 250 meters away).

    These may seem trivial but if you are subjected to these types of inanities and stupidity every day, you won't be happy. I don't think a central govt would think of this type of stupidity, but a local govt can. That's why I'm never a fan of decentralization or devolution or even federalism/autonomy if such will mean worse bureaucracies at the local levels.

    12 hours ago · 

  • Carlos C Tapang 

    Let's look at this more closely. At some point, yes, we can say that some traffic rules are just silly. The question is whether you prefer such silly traffic rules to come from the central government (in which case all traffic rules in Pinas would be uniformly silly), or from the local government (in which case there is no uniformity and one locality can have silly rules and people disobey them all the time and get a away with it, while another locality has simple rules and people seem tame enough).

    Here's one reason why you want it local and non-uniform: the word is competition. As Orion has just written about, competitition is what will slowly drive local laws and ordinances to parity. I took a taxi once from Pasay to Cubao, and the driver asked permission, before we got started, to avoid Makati roads. I asked why, and the answer was because of the silly traffic rules that you mentioned. People will avoid localities with silly rules and very high local taxes. Businesses, when locating their branches, certainly look at how rational local governments are, among other things.

    The funny thing about local autonomy and uniformity is that, the more local autonomy we have, the more the LGUs tend towards uniformity, because of competition. Here in the US there is variety in certain local ordinances: there are subtle differences among cities, and glaring differences among states. But there are certain things like how easy it is to set up a corporation that trends towards uniformity: there is clearly competition on which state it is easiest to setup a corporation. It used to be that Delaware was the easiest state to setup a corp. Now most states have changed their laws to make it even easier to setup shop. Here in Washington I can setup a corp in less than a day, and less than $200, without ever going to a state government office (I just visit the secretary of state website).

    Of course, there are certain things that will always be different among localities, and this then is what would give them their own character. Our ideal should be not one color for all of Pinas, but rather an array of bold colors to start with, which would gradually dissolve naturally into pastel colors, with each locality having its own natural color.

    11 hours ago ·  ·  2

  • Carlos C Tapang 

    Instead of micro-managing the different localities, the central government should be limited in what it can do. The central government should be limited, as much as possible, to only enforcing simple rules on local government, rules that should be written in the constitution. For example, the Bill of Rights should be uniformly applicable everywhere, and there can be no local ordinance or rule that can contradict any section of the Bill of Rights. Another example of a simple rule that the central government can and should enforce on all localities is a lmit on taxation: the constitution should limit local income taxes to a maximum of, say, 10% or less. Of course, the same constitution should also limit what the central government can collect, which should even be less (as a percentage of individual income, but not necessarily as a percentage of total govt revenues) than what the LGUs are allowed to collect.

    11 hours ago ·  ·  3

  • Paul Alli 

    Decentralization, federalism and local autonomy are concepts meant to free up the potential of local regions to develop itself without much assistance from the national govt. In fact, by virtue of local autonomy parts now of Mindanao, esp ARRM, is moving on its own. But despite this, there is still glaring poverty in the area because of warlordism. We have to recognize the fact that Philippines have unequal development brought forth by colonialism and feudalism. The structures of feudalism still prevails in some areas, and some has been masked by corporatism- or stock distribution e.g hacienda luisita- in order to circumvent modernization of regions. If we really need to get Free Market principles going, federalism shouldl be implemented on a nation-wide scale making regions or LGUs compete among themselves by enticing investors, tourists, transient class, and businessmen to locate or relocate or even travel to better places, be it under a Parliamentary form or Presidential form. I am reminded of my 7 year stay in America. I can always choose to locate in different states offering the best opportunities in life. I moved around from coast to coast searching for the American dream. I ended up now working out here in Samar to develop the coconut industry.

    4 hours ago ·  ·  1

  • Nonoy Oplas It's unfortunate that Orion equates disagreement or agnosticism with federalism aka region-based decentralization as "extremist and knee-jerkishly dogmatic and narrow-minded interpretation...".

    My concept of subsidiarity is that if things can be done by the individual and households, them as the smallest social and political unit in society, then don't give it to higher political units -- barangay, city, province or federal governments. Take healthcare, do we need any local or national govt to remind people that over-drinking, over-smoking, over-eating is bad for one's health? Preventive healthcare in this case won't need govt, local or national, autonomous or federal, it purely falls on the level of the individual, the household and civil society. Even healthcare financing can be done at the personal and household or enterprise level too, people getting their private health insurance. To insist that we still need govt even in simple cases like preventive healthcare, local or national, for me is wrong. Privatization of certain functions, not just decentralization or devolution, is more economical as this will enhance more personal and parental/guardian responsibility.


I left the CORRECT Movement fb group today. Below is my last comment to the group before I clicked "Leave Group". Nonetheless, I thank Orion for the opportunity to exchange notes with him and many of his followers in the said movement.

Orion, a few months ago, I already asked you if you will accommodate people here who only believe in free market, and is/are indifferent on the 2 others -- federalism and parliamentarism. You said fine, so I stayed. Until now, I remain indifferent and agnostic -- someone who neither believes or disbelieves on something, simply indifferent -- about those federalism and parliamentarism. I don't agree with your defiinition of agnosticism of "does not know". For me, neither believe nor disbelieve. Sa tagalog, wala akong paki, ang paki ko lang ay economic liberalization and less government.

From your points above, there is clear message of your intolerance to agnosticism to the 2 other programs of CORRECT, like repeated use of "knee jerkish dogmatism".  Fine. If being in this movement means obedience to all 3 advocacies so as not to be labelled as knee-jerk dogmatism, then this group is not for me. Thank you.
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