Should we pay people for getting infected? Should we increase fines for rule breakers? Incentives are key for controlling epidemic & getting it wrong can backfire. So far, the government has shown poor judgment. A thread.
#EconTwitter #EpiTwitter #COVID19 theguardian.com/world/2021/jan…
People must be encouraged to do the right thing & protect themselves and others. This involves mix of stick and carrot, such as fines for rule breaking and income support for self-isolating. I lay out the case for such measures here: economicsobservatory.com/externalities-…
There are two types of subsidies; payments tied to behaviours and those tied to health outcomes. In simple terms, if we pay people to reduce exposure then they have stronger incentives to comply. Similarly, we can impose fines for endangering others.
Alternatively, we can pay based on outcomes, differentiating between healthy & infected people. This is morally problematic, but the theory is clear. If you want to go down that route, you must fine those who get infected, not pay them. More details here: inet.econ.cam.ac.uk/research-paper…
So what to make of idea to pay £500 for a positive test? It is a payment for outcome (not behaviour) & with wrong sign. With limited fines for rule breakers, new policy is giving incentives to get infected. Already many people flout rules & giving £500 bonus is wrongheaded.
But once infected, we want to give people support to stay home. How? Getting serious about enforcing social distancing rules. Legislation for self-isolation and fines have been in place since September, but not seriously implemented. gov.uk/government/new…
According to police guidance, "enforcement was only to be used as a last resort". This must change. news.npcc.police.uk/releases/indep…
In conclusion, we want to pay people who ARE infected without paying people to GET infected. This means introducing steep penalties for those who break the rules and enforce them. This helps ensure that becoming infected never becomes an attractive option.
Last, an important note. Most people do the right thing, protecting themselves and others. They don't want to become infected and a payment will not change this. But many people don't play along and these are the ones causing harm. We need to help them do the right thing.
One last thought. It would make sense to tie fines for rule breaking directly to receiving the £500 payment. In general it’s difficult to know whether people intentionally break rules, but by receiving the payment your confirm that you’re infected. So the fine should be larger.

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More from @toxvaerd1

9 Jan
The health-wealth tradeoff of lockdowns is still hotly debated. Here are some thoughts that may help untangle the issues. 1/17 #EconTwitter #EpiTwitter
Figure courtesy of @luismbcabral
Let's start with concept of tradeoffs. With aggregate societal wealth and health on the axes, we can show all combinations that we can achieve though different policies. All points in purple region are feasible, those outside it are not. Which point should we choose? 2/17
Since society values both health and wealth, from any starting point, we want to move in North-East direction. When making a move, we say that there is a tradeoff if gaining more health necessarily means giving up some wealth. 3/17
Read 17 tweets
12 Nov 20
I've been trying for some time to find a killer metaphor for why it's worth taking a short-term economic hit to better control the epidemic and thereby improve both future health and increase future economic prosperity. 1/5
#EconTwitter #EpiTwitter
Most people immediately recognise static tradeoffs such as "more of one thing means less of another thing". That's why the infamous "lives versus the economy" has gained such traction in the public debate. 2/5
Right now we face important "inter-temporal" tradeoffs. This means we must trade off costs and benefits today versus costs and benefits tomorrow. The epidemic and the economy are both dynamic objects, changing over time as we act in different ways, and they are intertwined. 3/5
Read 5 tweets
11 Nov 20
The UK government is flying blind, introducing policies without proper prior assessment of their likely impact on the epidemic or the economy. This is now completely clear. Below I'll go through what we now know.
#EconTwitter #lockdown 1/15
On Oct 18, I wrote a long thread about the misalignment between disease control advice received by the government from SAGE and the economic advice received by the Treasury. 2/15
I pointed out that disjointed advice was just not useful and that integrated economic-epidemiological analysis was badly needed. These are very complicated issues and we cannot afford to wing it and hope for the best. 3/15
Read 16 tweets
11 Nov 20
The Danish Economic Council’s recent report contains an entire 100 page chapter on economics and epidemiology, complete with self-contained intro to epi models and a review of the new literature. #econtwitter @t0nyyates @DORsSekretariat @DalgaardCarl 1/3
In addition, it contains a number of different policy experiments and a very thorough discussion of the interaction of the economy and the virus. This is seriously impressive policy work and a model for how things can be done. 2/3
Notably, this body is set up to give unbiased, un-politicised advise to guide policy and inform the public. There’s no reason we cannot have a body doing that kind of valuable work in the UK. Who will step up and back such an initiative? 3/3
Read 4 tweets
1 Nov 20
I think they made two early tactical errors that made it difficult to formulate a comprehensive strategy. (1) lack of early and widespread random texting meant they didn’t understand the scale of the problem. They had only dim idea of speed of spread and of asymptomatic ratio.
(2) by design, they set up silos of expertise that seem to have had minimal mutual communication and coordination. Each would give independent advice on different aspects, and each largely ignoring effects of recommendations on other domain.
I do not want to ignore the tactical missteps as I think they are sufficiently legio to explain many of our problems, even if we disregard the apparent lack of strategy.
Read 8 tweets
1 Nov 20
In discussing control measures, many people think in terms of intratemporal tradeoffs (health vs wealth), while most economists think also about the intertemporal tradeoffs (health AND wealth today vs health AND wealth tomorrow). 1/17

#EconTwitter #EpiTwitter #lockdowns
I think the latter are more important than the former, but very difficult to articulate in a punchy way. What also complicates things is that we face intertwined disease and economic dynamics. 2/17
Leaving aside disease dynamics, shocks to the economy have complicated effects. Amplification effects can lead shocks to one part of economy to influence other parts and then back again. Propagation effects mean that shocks have additional impact over time. 3/17
Read 17 tweets

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