September 23, 2008 18:35 |
by Agnes Kant
Agnes Kant is leader of the Socialist Party of the Netherlands
In
the discussion of the usefulness of introducing the market into
the public sector ideological arguments have long prevailed, especially
on the part of its supporters. The neoliberal belief in an unbridled
free market, which will, by means of greater efficiency and more
competition, make services cheaper, blinds these supporters to the
market's social price. They forget, also, to add the market's financial
costs to the bill: spending on advertising, tendering, the costs
of negotiation, profits to be paid out and the increased costs of
monitoring. These form the forgotten 'hole in the pocket' through
which the market leaks money.
The question of whether introducing the market into the public
sector is advisable should not be the subject of an ideological
discussion but should be answered by means of an analysis of the
facts and by pragmatic consideration. To what do the market and
liberalisation lead? What are the public interests involved and
how are they best secured? The public good, that which is of importance
to all of us, rests on five pillars: democratic legitimacy, morality,
the long term perspective, recognition of the coherence of things,
and the general interest. These five pillars are nothing to do with
the market, and are therefore not guaranteed by the market. I would
go further: they can even be harmed if the market is brought into
the public sector.
Look at the results of the introduction of the market, at the experience
of this process to date, and you will unfortunately see the examples
needed to demonstrate this. Public services have, through the introduction
of the market, been put at a distance by the frequent refusal of
the state authorities to take responsibility for the public sector
on the grounds that they have already withdrawn from their provision.
How often have we, during discussions about public transport or
homecare, heard from members of the government that "I can't
say anything about that". Democratic legitimacy suffers and
dies as a result. Responsibility for personnel is, for example,
laid squarely at the door of unions and employers. The Dutch Secretary
of State for Health, Jet Bussemaker, says that she can do nothing
to stop the undermining of working conditions in homecare. Housing
associations can no longer be influenced. The government knows nothing
about the amount spent on advertising in the energy sector and refuses
to admonish the energy corporations for the fact that they have
massively increased tariffs whilst at the same time collecting more
profits.
The introduction of the market leads to an erosion of morality.
Take, for instance, the rapid increase in the highest level of salaries
in the public sector - while the executives take home hundreds of
thousands, ordinary workers are asked to do the same amount of work
for less money. What's disgusting is the announcement in annual
reports of homecare organisations of the extent of executive salaries
- they are greater than those of the Prime Minister - the 'necessity'
being to conform to salaries current at that level of the labour
market. If a homecare provider for which the highest-paid executives
earn hundreds of thousands annually puts employees under pressure
to accept reductions in the already shameful wage of €1100
per month, any idea of moral standards is certainly out the window,
especially as at the very bottom of the wage ladder you can see
just the opposite effect. Competition on prices in the public sector
is fought out on the backs of the workers. Experienced homecare
workers are being replaced by cheaper labour, or forced to accept
wage cuts; postal workers who in the past were able to support their
families must now work for piece-rates, which means that all they
have left is a junk-job.
'Financial incentives' and 'market-think' are alien to the public
sector. Workers in this sector have a strong intrinsic motivation.
They have chosen to do something meaningful for other people. It
is disastrous for the job motivation of such people if you then
let financial incentives loose on them - if the police officer must
achieve his 'target' and prove this with vouchers, or the homecare
worker is obliged to clock in and clock out for each contact with
a client. For them it isn't a matter of production, but of people.
Making the pursuit of profit and competition over prices the new
target for the public sector also puts long-term interests in jeopardy,
as has been acknowledged by the Dutch Research Council for Government
Policy (WRR). The public sector must serve the general interest
and take the broad view. The general interest is not served by having
three postal workers delivering to the same address, it is not served
by having cleaning firms running homecare, it is not served by energy
corporations operating on a Europe-wide scale and it certainly isn't
served by a health care sector in which selling is given more importance
than curing or caring. The general interest would be, on the other
hand, served by a government which ensures that good long-term homecare
makes expensive nursing home care unnecessary, that publicly-owned
energy corporations encourage sustainable energy, that good quality
public transport services are available and the problem of traffic
congestion dealt with, by a government which improves the environment
and strengthens social bonds. The broad view, in other words.
Apart from the failure of the market to defend those five pillars
of the public interest, it is to say the least open to debate whether
market organisation has really improved the relation between price
and quality in the public sector. The market does after all create
its own costs, for example through the creation of new forms of
bureaucracy. An example of this in the Netherlands is provided by
the system in health care known as Diagnosis Treatment Combination,
under which health insurers and health care providers are obliged
to negotiate over prices. These negotiations involve costs. The
market needs supervision, so that spending on inspection and monitoring
has grown markedly. The market demands executive salaries which
conform to market rates, company cars conforming to market-determined
standards and golden handshakes conforming to market practices and
levels. In order to prevent wild west scenarios, the state must
therefore spend hundreds of millions of euros in setting up supervisory
systems, indicators, promoters, tendering procedures, systems for
maintaining quality, and other bureaucracies. These costs are not
taken into account when the effects of market practices are assessed.
The same goes for the enormous sums which participants in the liberalised
market spend on increasing their market share and their sales returns.
In order to compete, they also need money for advertising and PR
and to finance the paying of dividends to keep investors happy.
This spending, which will eventually have to be coughed up by the
'consumer' and the taxpayer, is also forgotten when government comes
to do its calculations. A few examples: profits of energy corporations
in the Netherlands have, since the liberalisation of 2000, risen
from € 295 million to € 3.7 billion. The total costs of
tendering by all Dutch state authorities amounted in 2006 to €
771 million. And while everyone in the country has seen his or her
electricity bill increase, energy corporation Nuon last year spent
€ 76 million on advertising and PR. The costs for tendering
of homecare provision are running at over € 40 million per
annum.
The Ministry of Economic Affairs has conducted an 'enquiry' into
the consequences of market organisation in the public sector. It
was immediately subject to the widespread criticism that it was
like asking the butcher to inspect his own meat. In fact it isn't
worth calling an enquiry: it's nothing more than an inventory, with
the market's costs left totally out of the picture.
It is therefore high time for a truly independent parliamentary
enquiry into the effects and the costs of market organisation in
the public sector, in order that we can learn lessons for the future.
In the meantime we shouldn't merely plough on with more market organisation,
but instead examine where the market has had negative consequences
and put these to rights, or reverse the liberalisation itself. Better
to admit your mistakes while something can still be salvaged.
Agnes Kant was elected leader of the Socialist
Party of the Netherlands in June, 2008, when long-standing leader
Jan Marijnissen stood down. She was previously party spokeswoman
on health care. This article first appeared in the Dutch daily newspaper
De Volkskrant on 9th September and was translated by Steve McGiffen.