Saturday, May 30, 2020

Tyler Cowen Says "The Regulatory State Is Failing Us" on COVID-19

From Conor Friedersdorf of The Atlantic Monthly. Excerpts:"
"Friedersdorf: What are the most significant failures of America’s regulatory state as it relates to the pandemic?

Cowen: Let me give you a few examples:
  1. New York state regulations, until very recently, forced nursing homes to accept COVID-19-positive patients being discharged from hospitals. Nursing homes, especially in the northeast, have been an epicenter for COVID-19 casualties. By law, they were forced to accept more than 4,500 COVID-19-positive patients, often without proper PPE for their staff.
  2. The Centers for Disease Control and Prevention developed its own test procedures early on, but those proved to be faulty and based on contaminated materials. At the same time, the CDC legally prevented Americans from pursuing other testing options. That is a major reason America fell behind in the testing race, and with its late start, America was not able to buy up enough testing materials before those items became very scarce.
  3. One particular method of COVID-19 testing has been up and running in Washington State, supported by the governor, local officials, and the Gates Foundation. This testing has been saving lives, and it does not endanger anyone. The FDA recently shut down such testing on the basis of a sheer technicality, and scientists find this decision baffling.
  4. The World Health Organization, our own CDC, and Dr. [Anthony] Fauci all told Americans that masks were ineffective and not important. It turns out masks can help a great deal in limiting virus transmission, and later the WHO reversed its stance. The American government is still sending mixed signals.
  5. One Texas entrepreneur offered to gear up his factory, early on, to make masks in great quantities. The Department of Health and Human Services let his offer lie fallow, as the agency was too slow, uncertain, and tied up in bureaucracy."
"as for PPE, regulations have done more to discourage supply than to boost it, and here I would cite required permits for mask factories, procurement failures, trade restrictions, and anti-price-gouging laws, which limit supply. Give hospitals more money and let them bid for masks."

"Regulation should be more goal-oriented, and less prescriptive in terms of the details. It should be easier to exercise judgment to meet particular worthy ends, rather than being hamstrung by restrictions and details. Regulation should recognize that emergency situations will come along when very fast action will be needed. Our current regulatory state is not built around those ideas, and its culture is accordingly complacent, and compliance- and process-oriented rather than success-oriented. These days, the American public sector just isn’t very good at getting things done."

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