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Public Choices, Public Goods, and Healthcare: Microeconomics Study Notes

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Public Choices and the Political Marketplace

Introduction to Public Choices

Public choices are decisions that affect many people or society as a whole, often made by political leaders or public servants. These choices allocate large quantities of scarce resources and shape key aspects of economic life.

  • Public Choice: A decision with widespread consequences, such as tax policy, government spending, or regulation.

  • Government's Role: Governments exist to establish property rights, provide nonmarket allocation mechanisms, and redistribute income and wealth.

  • Government Failure: Occurs when government actions lead to inefficiency, either through overprovision or underprovision of goods and services.

The Political Marketplace

  • Key Decision Makers: Voters, firms, politicians, and bureaucrats.

  • Voters: Express demand for policies through votes and campaign contributions.

  • Politicians: Supply policies to attract votes.

  • Bureaucrats: Seek to maximize their department budgets and provide public goods/services.

Political Equilibrium

  • Definition: A state where the choices of all groups (voters, firms, politicians, bureaucrats) are compatible, and no group can improve its position by changing its choice.

  • Median Voter Theorem: Politicians tend to propose policies that appeal to the median voter, similar to firms positioning products to attract the largest market share.

  • Asymmetry in Political Gains: Winners are often concentrated and receive large per-capita benefits, while losers are diffuse and suffer small per-capita losses (e.g., U.S. sugar growers receive $40–$60 per American).

Classification of Goods

Excludability and Rivalry

Goods and services are classified based on whether they are excludable (can prevent non-payers from using them) and rival (one person's use reduces availability for others).

  • Excludable: Only paying consumers enjoy the benefits (e.g., private security, farmed fish, ticketed concerts).

  • Nonexcludable: Impossible or costly to prevent anyone from benefiting (e.g., police services, ocean fish, broadcast TV).

  • Rival: One person's use decreases the quantity available for others (e.g., a can of soda, a fish).

  • Nonrival: One person's use does not reduce availability for others (e.g., national defense, broadcast TV).

Four-Fold Classification of Goods

Excludable

Nonexcludable

Rival

Private Goods Examples: Can of Coke, farmed fish

Common Resources Examples: Ocean fish

Nonrival

Club Goods Examples: Netflix, cable TV, bridges

Public Goods Examples: National defense

  • Private Goods: Rival and excludable.

  • Public Goods: Nonrival and nonexcludable; can be consumed by everyone simultaneously.

  • Common Resources: Rival and nonexcludable; difficult to prevent use, but use by one reduces availability for others.

  • Club Goods: Nonrival and excludable; accessible to members, but not to non-members.

Public Goods and the Free-Rider Problem

The Free-Rider Problem

Public goods create a free-rider problem because people can benefit without paying, leading to underprovision if left to private markets.

  • Free Rider: Someone who enjoys benefits without paying for them.

  • Result: Absence of incentive to pay leads to too little production of public goods by private firms.

Valuing Public Goods

  • Value of Private Good: Maximum amount an individual is willing to pay for one more unit.

  • Value of Public Good: Maximum amount all people are willing to pay for one more unit (sum of individual marginal benefits).

  • Total Benefit: Dollar value placed on a given quantity of a good.

  • Marginal Benefit: Increase in total benefit from a one-unit increase in quantity; diminishes as quantity increases.

Marginal Social Benefit and Cost

  • Marginal Social Benefit (MSB): The sum of all individuals' marginal benefits at each quantity of the public good.

  • Marginal Social Cost (MSC): The cost to society of providing one more unit, determined as for private goods.

  • Efficient Quantity: Achieved where .

Efficient Provision and Political Competition

  • Private provision leads to underproduction due to the free-rider problem.

  • Government provision, funded by taxation, can achieve the efficient quantity.

  • Political competition (e.g., between parties) tends to drive proposals toward the efficient quantity, as parties seek to maximize votes (principle of minimum differentiation).

Principle of Minimum Differentiation

  • Competitors (political parties or firms) tend to make themselves similar to appeal to the largest group (median voter or consumer).

  • Example: Fast food chains offering similar menus.

Inefficient Overprovision and Bureaucratic Incentives

  • Bureaucrats may seek to maximize their budgets, leading to overprovision of public goods if unchecked.

  • Rational ignorance among voters (choosing not to acquire costly information) can enable bureaucratic overprovision and create deadweight loss.

The Economics of Healthcare

Why Governments Provide Healthcare

Healthcare is underprovided and unfairly distributed in a purely private market due to information problems, uncertainty, and affordability issues.

  • Market Failure in Healthcare: Arises because people underestimate benefits, underestimate future needs, and some cannot afford care.

  • Marginal Social Benefit (MSB) > Marginal Benefit (MB): The social value of healthcare exceeds what individuals perceive, leading to underprovision in the market.

Healthcare Market Outcomes

  • Competitive Market Equilibrium: Quantity provided is less than the efficient quantity, creating deadweight loss.

  • Unfairness: Only those able and willing to pay receive care; the sick and aged may be excluded.

Public Policy Approaches to Healthcare

  • Universal Coverage, Single Payer: (e.g., Canada, UK) Government buys healthcare for all; quantity supplied is fixed, but may be less than efficient. Patients face zero price, leading to excess demand and waiting lists.

  • Private and Government Insurance: (e.g., U.S.) Mix of private insurance, government programs, and out-of-pocket payments. Quantity provided may exceed the efficient quantity, also creating deadweight loss.

  • Subsidized Private Insurance (Obamacare): Government provides subsidies to make insurance affordable, increasing coverage.

Vouchers as an Alternative

  • Vouchers: Tokens for purchasing specified goods (e.g., health insurance). Advantages include flexibility, control over total public spending, and increased competition among providers.

Key Terms and Concepts

  • Government Failure: Inefficiency resulting from government intervention (overprovision or underprovision).

  • Free Rider: Someone who benefits from a good without paying for it.

  • Marginal Social Benefit (MSB): Total benefit to society from one more unit of a good.

  • Marginal Social Cost (MSC): Total cost to society of one more unit of a good.

  • Efficient Provision: Achieved when .

  • Deadweight Loss: Loss of total surplus due to inefficiency (under- or overprovision).

  • Principle of Minimum Differentiation: Tendency for competitors to become similar to appeal to the largest group.

  • Rational Ignorance: Choosing not to acquire information when the cost exceeds expected benefit.

Sample Review Questions

  1. Government failure occurs: (C) Either with overprovision or underprovision.

  2. A good that is rival and nonexcludable is a: (D) Common resource.

  3. A drawback of the political system is its vulnerability to: (B) Small concentrated groups with large potential gains.

  4. Public goods are: (D) Nonrival and nonexcludable.

  5. A free-rider problem creates: None of the above (it leads to underprovision, not overproduction or efficient outcome).

  6. Efficient provision of a good or service requires: (A) (or for public goods).

  7. Healthcare suffers from people: (A) Underestimating benefits.

  8. White-collar workers have what advantages over unskilled workers in the health insurance market? (A) Low loading fees and large benefits from pre-tax premiums.

Summary Table: Classification of Goods

Type of Good

Rival?

Excludable?

Examples

Private Good

Yes

Yes

Can of Coke, farmed fish

Public Good

No

No

National defense, broadcast TV

Common Resource

Yes

No

Ocean fish

Club Good

No

Yes

Netflix, cable TV, bridges

Key Equations

  • Efficient Provision of Public Good:

  • Marginal Social Benefit (Vertical Summation):

Additional info: Where figures were referenced but not shown, explanations were expanded to clarify the concepts (e.g., vertical summation of marginal benefits, deadweight loss from under- or overprovision).

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