Why College Tuition is Out of Sight: The Federal Government - John C. Goodman

Our health care system and our system of higher education have a lot more in common than you previous column at Forbes, in both systems a third-party payer pays a good portion of the bill, leaving consumers and producers with perverse incentives to take advantage of it. The financing of both systems is dysfunctional. There is much waste and inefficiency. And low-income families are the least well served.
might think. As I explained in a

Here is what I wrote two years ago:

We spend about twice as much as other developed countries as a fraction of national output. Yet our results are mediocre. Public and private spending is growing much faster than our income ? putting us on a course that is clearly unsustainable. It appears we are buying quantity instead of value. Outcomes vary wildly from state to state. And programs that target the poor seem to be backfiring instead.

I asked readers to guess whether I was writing about health care or higher education? I could have been writing about either.

Loyal readers already know that health care spending was proceeding moderately until the advent of Medicare and Medicaid. Amy Finkelstein showed that in the first ten years Medicare had no impact on the health of the elderly. And fifty years after the fact, we are still arguing about whether Medicaid affects the health of the poor. Yet this massive infusion of federal spending fueled health care inflation that has been barreling along ever since. The same thing appears to have happened in education. According to economist Richard Vedder, the explosion in college costs began about the same time as the cost explosion in health care with the Higher Education Act of 1965.

Vedder was the first economist to demonstrate that federal tuition loans were fueling spiraling tuition costs and his work was largely ignored. But a new study by economists at the Federal Reserve Bank of New York finds that Vedder was right all along. As summarized in the Wall Street Journal:

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