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01 / 05
How the Market Drives Costs

Blog Post | Motor Vehicles

How the Market Drives Costs

Why has the U.S. cost of living fallen in some areas but risen in others?

Summary: This article examines how the market economy drives down the cost of automobiles over time, making them more affordable and accessible to ordinary people. It compares the nominal and time prices of the top ten most popular cars in America in 2000 and 2020, and shows that Americans had to work fewer hours to purchase a car in 2020 than in 2000. It also highlights the improved quality and features of modern cars, and argues that such improvements are largely possible through the innovation and productivity facilitated by a free-market system.


One of the greatest features of modernity is that living standards tend to gradually improve rather than remain largely stagnant – as they did for millennia before 1750 or so. Today, ordinary people have access to goods and services that the royalty of centuries past would never have thought of. Air conditioning, air travel, cell phones, personal computers, automobiles, modern hospitals, antibiotics, GPS, the list goes on. This improvement is largely due to the robust market economy that, through competition, encourages innovation rather than stagnation and complacency. As new technology arises and productivity per person increases, access to goods and services spreads, and the overall wealth of society increases. 

There is much talk about U.S. economic stagnation, but, in many respects, we are better off than we were just over twenty years ago. One positive trend that’s often overlooked and underappreciated is the reduction in the length of time that blue-collar workers need to work in order to purchase a vehicle. 

The falling time price of automobiles 

The table below contains the names of the top ten most popular cars in America in 2020 according to Insurify, a company specializing in online insurance comparisons. It also contains the nominal prices for the base models from 2000 and 2020. The prices come from Autoblog.com, a popular American automotive news and shopping website.

As you can see, the price of cars has risen over the last two decades, reflecting a multitude of factors, including inflation, better technology, and safety features. Cars are no longer simply metal boxes with engines but impressive machines packed with advanced technology.

Over the same period, economic productivity, and by extension wages, have not only increased but outpaced rising car prices. According to measuringworth.com, a website of historical economic statistics, the average nominal compensation rate for manufacturing workers rose from 19.36 dollars an hour in 2000 to 32.54 dollars an hour in 2020. The table below shows the number of hours that a blue-collar worker needed to work to earn enough money to be able to afford each car in the years 2000 and 2020. These “time prices” were calculated by dividing the nominal price of the car by the nominal hourly compensation rate.

As shown by the data, Americans in 2020 had to work fewer hours to purchase a car than in 2000. Increases in productivity, which typically lead to higher wages, outpaced rising car prices. And, the cars for sale in 2020 were much higher quality than those in 2000, many of which had worse gas mileage, fewer safety features, and no air conditioning.

On average, Americans save 35 hours of work (almost a week) when purchasing a vehicle. Those working hours can now be used for other things, a perfect example of how free-market competition gradually improves living standards for all members of society.

Losing ground in some other areas 

Although Americans are seeing many improvements in the quality and quantity of products relative to their wages, the trend is not universal. In the automobile industry, the incentives are arranged in a way that drives competition and innovation. However, some industries are not as exposed to market forces, often due to a combination of excessive government intervention and insulation from fluctuations in supply and demand.

Mark J. Perry from the American Enterprise Institute, a think-tank in Washington, D.C., shows that dynamic in the healthcare sector. He notes that the cost of medical care services and hospital fees rose 128 percent and 220 percent respectively between 1998 and 2020. Meanwhile, the costs of cosmetic surgeries have increased at a far more gradual pace, with some even declining in price.

Perry argues that some of this disparity can be explained by the manner in which cosmetic surgeries, on the one hand, and medical care and hospital services, on the other hand, are paid for. He writes,

“One of the reasons that the costs of medical care services in the US have increased more than twice as much as general consumer prices since 1998 is that a large and increasing share of medical costs are paid by third parties (private health insurance, Medicare, Medicaid, Department of Veterans Affairs, etc.) and only a small and shrinking percentage of healthcare costs are paid out-of-pocket by consumers.”

In particular, he notes that out-of-pocket costs have gone from almost half of total healthcare costs in the 1960s to just under 11 percent in 2019. With the consumer paying only a fraction of the bill, health providers no longer have to keep prices low to stay competitive. Instead, they negotiate prices with insurance companies and the government, institutions which have a far smaller incentive to shop around for the lowest price or seek alternative solutions when faced with rising costs.

Cosmetic surgeries are financed differently–almost all costs are paid out of pocket by consumers. As such, there is a higher level of transparency as well as price sensitivity, and the services are cheaper.

A similar dynamic exists in the U.S. higher education system, where a large share of the cost is covered by third parties, such as private loan companies, government-backed debt, and taxpayer dollars. Again, time prices (i.e., nominal tuition prices divided by nominal blue-collar hourly compensation rate) show that Americans are working far longer to afford college attendance today than in the past. 

Source: US News, Human Progress.org

Some of the price increases can be attributed to universities providing additional services, such as excellent athletic facilities, better food and lodgings, etc. However, some of the price increases can also be attributed to the incentives that govern the higher education sector. Much like healthcare, a large portion of college funding comes from third parties, not consumers themselves. According to a 2016 paper published by the nonpartisan National Bureau of Economic Research,

“We measure how much changes in underlying costs, reforms to the Federal Student Loan Program (FSLP), and changes in the college earnings premium have caused tuition to increase. All these changes combined generate a 106% rise in net tuition between 1987 and 2010, which more than accounts for the 78% increase seen in the data.”

Furthermore, a 2016 paper published by Mahyar Kargar of the University of Illinois and William Mann of Emory University, which examined the effect of tightened lending standards for federal student loans, found that more restrictive policies resulted in net decreases in college tuition. That further supports the notion that the government, as a highly influential third-party lender, is largely responsible for driving up the cost of tuition because it creates artificial demand through excessive funding. Instead of being forced to compete for consumers with low out-of-pocket prices and high-quality education, university administrators face similar incentives to the healthcare providers (i.e., a large part of their revenue comes from third-party lenders such as the government, who are less sensitive to price increases). The authors conclude,

“Finally, the large average markup that we estimate suggests that a simple subsidy to consumers may not necessarily be the ideal financial aid design, and that policymakers should instead target barriers to competition in the form of large fixed costs.”

Policymakers should heed the above lessons. The market forces of competition and price sensitivity, combined with increasing productivity that leads to higher wages, allow living standards to rise. However, government policies and perverse incentives can shield service providers from market forces, undermining competition and eroding U.S. standards of living.

Blog Post | Air Transport

Flying Abundance (And Safety) Has Increased Dramatically

Get 10.8 flights from New York to London today for the time price of one in 1970 and be 80.4 times safer.

Summary: Since the Wright brothers’ pioneering flight in 1903, the aviation industry has made remarkable strides in safety, affordability, and accessibility. Comparing flight prices from 1970 to today reveals a staggering 90.8 percent decrease in the time price of flying, with transcontinental flights now affordable for the average person. Additionally, advancements in aviation technology have made flying dramatically safer today than it was in 1970, and are likely to improve flying safety in the future.


The Wright brothers launched the era of aviation on December 17, 1903, with a 12-second flight. Since then, aeronautical engineers and market innovators have made the experience safer, faster, and much more affordable.

For example, in 1970 the price for a roundtrip ticket from New York to London was $550. Blue-collar workers at the time were earning around $3.93 an hour in compensation (wages and benefits). This suggests a time price of around 140 hours.

Today, the ticket price has dropped to around $467. Blue-collar workers are now earning closer to $36.15 an hour, putting the time price at 12.9 hours. The time price has fallen by 90.8 percent: for the time required to earn the money to buy one flight in 1970, you can get 10.8 flights today.

Flying abundance has increased by 980 percent, compounding at an annual rate of 4.5 percent over the last 54 years. During this same period the global population increased by 4.3 billion (117 percent), from 3.7 billion to more than 8 billion. Every 1 percentage point increase in population corresponded to an 8.4 percentage point increase in flying abundance.

Now transcontinental flights are affordable for almost everyone. Free-market entrepreneurial capitalism isn’t about making more luxuries for the wealthy, it’s about making luxuries affordable for the average person.

While it is true that the 1970s flights may have had roomier cabins and better dining, flying today is dramatically safer. The Aviation Safety Network tracks airline accident data. Revenue passenger kilometer (RPK) is a standard metric used in aviation. Using this data, Javier Mediavilla plotted the ratio of fatalities per trillion RPK from 1970 to 2019 using five-year averages. The ratio decreased by 98.76 percent, from 3,218 to 40, during this 49-year range. Flying is more than 80.4 times safer today than in 1970, and safety has been improving at a compound rate of around 9.37 percent a year.

Considering both the time price and safety, flying has become 868 times more abundant since 1970 (10.8 x 80.4 = 868). If there had been no innovation in flying since 1970,  New York to London airfare would be around $5,059 today. Only the rich could afford transatlantic flights in 1970.

The 3,442-mile flight takes around seven hours. The supersonic Concorde could fly it in less than three. While there are no commercial supersonic flights available today, Boom Supersonic, a private company based in Colorado, aims to bring them back to US airlines by 2029. Perhaps spending half as much time on flights will allow people to use their most valuable resource for other value-creating activities.

This article was published at Gale Winds on 3/26/2024.

Nature | Noncommunicable Disease

New Car-T Cancer Therapy Is Now Made At One-Tenth the Cost

“A small Indian biotechnology company is producing a home-grown version of a cutting-edge cancer treatment known as chimeric antigen receptor (CAR) T-cell therapy that was pioneered in the United States. CAR-T therapies are used mainly to treat blood cancers and have burgeoned in the past few years.

The Indian CAR-T therapy costs one-tenth that of comparable commercial products available globally.”

From Nature.

Blog Post | Cost of Services

Vision Abundance Doubles on the LASIK Eye Surgery Market

The time price of LASIK eye surgery fell by over 50 percent since 1998.

Summary: Time price calculations show that LASIK surgery costs have fallen significantly since 1998. Advancements in LASIK technology, such as the transition to bladeless methods and personalized treatments, have enhanced both safety and efficacy. Dr. Gholam A. Peyman’s pivotal patent in 1988 laid the foundation for LASIK innovation, contributing to its increased affordability and accessibility, especially in countries like China and India.


This article was published at Gale Winds on 2/28/2024.

According to Market Scope, the typical cost for LASIK surgery in 2023 was $4,492. This is up slightly from the 1998 price of $4,360. Let’s calculate and compare the time prices to see the true price difference. Unskilled hourly compensation in 1998 was around $7.75, indicating a time price of 562.6 hours. Unskilled hourly compensation is closer to $16.15 today, indicating a time price of 272.1 hours. The time price has fallen 51.6 percent. You get 2.07 eyes corrected today for the time it took to earn the money to correct one in 1998. LASIK has become 107 percent more abundant.

LASIK is the acronym for laser-assisted in situ keratomileusis. Keratomileusis is the medical term for corneal reshaping. Clearsight.com reports:

LASIK technology has significantly advanced since its inception. The initial blade-based approach has been replaced by the bladeless method, using femtosecond lasers for increased precision. Wavefront and topography-guided technology now allow for personalized treatment, while sophisticated eye-tracking systems enhance the surgery’s accuracy and safety. The remarkable advancements have not only improved visual acuity but also enhanced the overall quality of visual perception, offering patients the ability to see the world around them more clearly and vividly.

While thousands of ophthalmologists and researchers from all over the world have been involved in advancing the technology, Iranian-born immigrant to the United States Dr. Gholam A. Peyman was awarded the key patent in 1988. He holds over 200 US patents, including for novel medical devices, intraocular drug delivery, surgical techniques, and new methods of diagnosis and treatment. In 2011, President Barack Obama awarded Peyman the National Medal of Innovation and Technology.

Continuous innovation in LASIK technology is making vision correction safer, faster, more precise, and more affordable. If you want to save some money and take a bit more risk, the procedure is around $1,600 in China and under $1,000 in India. China performs the most vision correction procedures on the planet.

Remember, the learning curve ordains that with every doubling of production, costs per unit fall between 20 percent and 30 percent. This is because we discover valuable new knowledge every time we perform the procedure.

As noted, since 1998, LASIK has become 107 percent more abundant in the United States, in contrast to hospital services, which have become 37.7 percent less abundant. Why the huge difference? LASIK has been relatively free to innovate. Perhaps more important, health insurance does not pay for this procedure, and LASIK is globally competitive. We also note that elective procedures have enjoyed much greater abundance growth than insurance-covered surgeries.

When entrepreneurs are free to innovate and compete, prices fall and quality increases. The opposite happens when governments and bureaucrats step in to protect the status quo. Imagine where we would be today if the manufacturers of eyeglasses had prevented the innovation of contact lenses? Or the contact lens industry had prevented LASIK?

Blog Post | Cost of Services

What Cosmetic Surgery Innovation Can Teach Us About Healthcare Costs

The average time price of 19 procedures has fallen by 50 percent since 1998.

Summary: Hospital services costs have surged, raising questions about the effectiveness of regulation and government intervention in the healthcare industry. To investigate the potential impact of free markets on cost trends, we examined the time prices of common cosmetic surgery procedures, which are elective and typically not covered by insurance. Our analysis reveals a significant decline in the relative time prices of these procedures, indicating increased abundance driven by innovation and market competition.


This article was published at Gale Winds on 2/21/2024.

The Bureau of Labor Statistics reports that since 1998, hospital services costs have increased 61 percent faster than average wages and far outpaced consumer price index inflation. This industry is highly regulated, and government restricts supply and subsidizes demand.

Would free markets help to reverse these cost trends? To answer this question, we looked at the time prices of 19 common cosmetic surgery procedures. These procedures are elective, and insurance companies typically don’t provide reimbursements. Cosmetic surgeons also have been relatively free to innovate, and cosmetic surgery centers are globally competitive.

The American Society of Plastic Surgeons annually publishes prices for a variety of procedures. We compared the nominal prices from 1998 to 2022 against the average hourly wage rates of unskilled and blue-collar workers. This gave us relative time prices over time.

The average time price fell by 50.3 percent over this 24-year period. For the time it took to earn the money to pay for one procedure in 1998, you could get over two procedures today. Procedure abundance has increased by over 100 percent. The time price of chemical peels and laser hair removal fell the fastest by 87.7 percent and 80.1 percent, respectively. However, two procedure costs increased: upper arm lifts increased by 6.7 percent and facelifts by 1.6 percent.

Bar chart displaying Nominal hourly wage rates from 1998 to 2022

The above analysis compares categories of wage earners over time, but what about individuals? We typically start as unskilled workers and then advance as we acquire more productive skills, knowledge, and experience. Categories remain constant while individuals are upwardly mobile. If we look at an unskilled worker who “upskilled” to a blue-collar worker, cosmetic surgery procedures have become dramatically more abundant.

From 1998 to 2022, nominal unskilled hourly wages increased by 102.8 percent, while blue-collar hourly compensation increased by 91.2 percent. The average between these two categories is 94.7 percent. If you started out in 1998 as an unskilled worker and moved up to a blue-collar worker, your nominal hourly compensation increased by 348.5 percent.

Comparing an upskilling worker’s hourly compensation to the prices of cosmetic procedures indicates that the average time price fell by 78.4 percent. These workers could get 4.63 procedures in 2022 for the time price of one in 1998. Personal cosmetic surgery abundance increased by 363.5 percent for upskilling workers, growing at a 6.6 percent compound annual rate, doubling every 11 years or so.