Higher GDP, lower quality of life

J.D. Vance writes in response to Tucker Carlson’s critique of an excessively economic-focused conservatism:

Tucker Carlson’s monologue heard round the world is interesting on its own terms. In it, he argues against a conservatism that consistently prizes commercial interests above those of everyone else. I encourage you to watch or read it in full. Yet the response on the right is as interesting as Carlson’s monologue itself, for it reveals a discomfort among some conservatives for balancing the tensions that exist in our coalition and in our ideology. …

Our economy has not produced fewer dead children and more living parents in America, at least not in the section of the country where I live. The opioid epidemic, in particular, has ravaged whole communities — driving down life expectancy, depriving children of their parents, and parents of their children. The human cost of this crisis is simply incomprehensible. In states such as Ohio, West Virginia, and Kentucky, countless children are growing up with parents in jail, incapacitated, or underground. Yes, they live in a country with a higher GDP than a generation ago, and they’re undoubtedly able to buy cheaper consumer goods, but to paraphrase Reagan: Are they better off than they were 20 years ago? Many would say, unequivocally, “no.”

Some economic libertarians might say that these problems are the consequence of bad individual choices, and I wouldn’t entirely disagree. I grew up in a family plagued by addiction, and I saw some bad choices. Yet bad choices simply aren’t enough to explain the crisis — people have always made bad choices, and the familial, neighborhood, and economic contexts in which they live can exacerbate or improve them. Others might admit that it’s not all bad choices, that bad policy plays a role, but oddly the bad policy they point to is almost always the negative incentives of the welfare state. Again, they have a point — our welfare state is far from perfect, especially when it comes to encouraging work and family formation — but there are many other policies at play here.

To keep the focus on the opioid epidemic, the Los Angeles Times’ reporting on the role of the pharmaceutical industry is both excellent and disturbing. It chronicles the ways in which some companies gamed our regulatory system to obtain approval and patent protection for highly addictive drugs. Those companies then knowingly lied about the safety of those drugs to doctors and patients. Some commentators have framed their problem with Tucker’s argument as promoting “government intervention” when that same intervention is the problem. But if you want to protect a community from drugs that can take hold of a person’s mind and destroy whole neighborhoods soon thereafter, you need some government intervention.

This raises a fundamental question with which so many of Tucker’s critics refuse to even engage: What happens when the companies that drive the market economy — and all of its benefits — don’t care about the American nation’s social fabric? What happens when, as in the case of a few massive narcotics sellers, they profit by destroying that fabric?

Surely our response can’t be: “Well, the market will take care of it.”

We are ruled by mercenaries who feel no long-term obligation to the people they rule.”

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