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84. Bob Luddy: Five Active Processes of Austrian Economics That Helped Me Build One of America’s Most Successful Entrepreneurial Businesses

Bob Luddy is founder and CEO of CaptiveAire (CaptiveAire.com), the US market leader in commercial kitchen ventilation systems. It’s a $500MM+ business with 1,000+ employees and a 40+-year success record. Bob explains to Economics tor Entrepreneurs how these principles of Austrian economics, applied as active processes, played a part.

Key Takeaways & Actionable Insights

Say’s Law

Say’s Law is a fundamental proposition in support of a production-driven market system as opposed to a consumption-driven view. It’s quite difficult to interpret and pithy summaries like “production creates its own demand” and “production precedes demand” don’t help entrepreneurs very much.

Bob Luddy doesn’t interpret, he applies. His application formula is this: new supply that is brought to market can solve problems that have not so far been solved. In that case, demand will result.

He gave this example: in the 1980s, many of the harmful effluents from cooking in a restaurant were escaping into the kitchen and sometimes even into the dining room. Those effluents could contain carcinogens, and at the very least, they’re very unpleasant. That was a problem – but it was the status quo.

So Bob thought, in Say’s Law mode: if CaptiveAire could solve that problem, and bring the solution to market at an acceptable price, demand (i.e., lots of customers) would follow. That turned out to be exactly right.

Implied in this formula, of course, is attention to market signals regarding unsolved problems, a problem-solution design process, and a communications and customer interaction capability to inform the market of the new solution. Say’s Law applies, but not in isolation from other entrepreneurial actions. Those actions, Bob tells us, include accuracy and completeness in solving the problem, since many competitors may be trying to address it at the same time. Small details can make a big difference in applying Say’s Law.

Subjective Value

Many podcast listeners have asked whether the concept of subjective value — which holds that it is the subjective and emotional evaluation by customers of an entrepreneurial offering that determines its market acceptance – applies equally in B2B markets as in B2C markets. Isn’t subjective value more relevant to consumers’ choices of fashion and food than it is to business customers’ choice of service es from vendors and suppliers?

Bob’s response: The subjectivity of value is very, very clear, and it’s reinforced in the market every single day.

He used the example of bringing an integrated ventilation system to a restaurant. CaptiveAire might be successful in explaining all of the problems it’s going to solve, its sustainability, and all relevant features and functions. Completion of a sale still comes down to the user subjectively assessing the exchange value, by asking “Am I willing to pay X amount of money to solve these problems?” The customer very well could say, “No, I’d rather live with some of the problems and depart with that much money.”

Bob emphasized the importance of communications in addressing the challenges raised in calibrating subjective value appraisal. A strategy of “solving all the problems” requires clear communications to the customer of how CaptiveAire solves the problems, so that the user can make a fully-informed decision. “If we don’t communicate well, the value of the product in the user’s mind may be lower. So part of the issue of getting a higher subjectivity of value is to have a full understanding of what the product does.” Clear communication is a component of value.

Comparative Advantage

There’s a big difference between competitive advantage and comparative advantage. Bob explains it this way: competitive advantage lies in striving to provide the same service and same solution in a better way than a competitor. Such an advantage may be achievable from time to time, but it is temporary and quite easily taken away by a hard working competitor. The market signals are clear and unobscured, telling the competitor where they must improve and the incentives to do so are compelling. No competitive advantage is sustainable over the long term.

Comparative advantage is different. It’s an unmatched capability, often built over time by accumulating unique knowledge and experience and applying them in a unique capital structure. Such an advantage is longer term, maybe not absolutely invincible, but very hard to overcome.

Bob cited an example outside of his field: winemaking in Napa Valley, California. “If you decided you wanted to make wine and compete with Napa Valley, it’s going to be a hard way to go.”

In the case of CapitveAire, “over time, we’ve been able to develop those design technologies, techniques, automated equipment and software, and when you marry all those things together and you integrate them, we gain a major comparative advantage. It’s very hard to overcome because it’s not one thing. It’s many things, and they’re all well thought out and have been developed over a number of years.”

Bob refers to on important element of CaptiveAire’s comparative advantage as “technique”. An example is “bending metal in real time and dynamically stacking it right up on the assembly line”, resulting in elimination of inventory, and very rapid turnaround time. It’s CaptiveAire’s unique methodology, developed over many years. Competitors can attempt to emulate but they fail. It’s a comparative advantage.

Opportunity Cost

The cost of any choice or decision includes its opportunity cost: what option must be declined or given up in order to make the choice you prefer.

Bob explains: Understanding opportunity costs means turning down opportunities that would divert resources, and, instead, focus on getting the best utilization out of your human resources possible, and making the most sustainable solutions, which are going to save time and money over a period of time. We make 10 major categories of products. No more. To keep those products at the right price, at a high level of performance and sustainability requires all of our time. So if we divert any of that time, opportunity costs might result in us failing at our most primary mission.

He gave the example of a line of business that required extensive customization. The benefit of customization is that each customer feels that they enjoy unique value. The opportunity cost is that it’s impossible to be all things to all people — it absorbs too much time and too many resources. CaptiveAire addressed the opportunity cost problem by replacing customization with software-enabled adjustability of certain key inputs like voltage and phase. They found that this solution could effectively address 95% of customer-requested flexibility. While competitors asked, “Just tell us what you want, we’ll figure it out” and spent resources on responding, CaptiveAire was able to stay focused on its core mission and core products and services.

Every opportunity that comes a firm’s way must be examined through the lens of opportunity cost. Austrians see opportunity cost as an active process — the same way they see value and resource allocation and pricing and many other elements of business.

Pricing

Pricing is a discovery process. At the same time, it’s an element of business strategy. Bob made a strategic decision at the outset to price “lower than the market,” while aiming for highest quality. The market informs CaptiveAire of what the pricing norm is, and therefore what “lower than the market” is. The discovery part is: how low to go to maximize unit sales and revenues. The second part of Austrian pricing theory is that producers choose their own costs. Bob chose to seek ways to keep costs low enough to sustain his pricing and quality strategy, which led him to the efficiencies, automation, speed, inventory-reduction, high technology, and opportunity-cost sensitivity that characterize CaptiveAire.

Price, cost, and profit are integrated in a strategic formula that’s tested every day by the customer’s willingness to pay the price of high quality.

Free Downloads & Extras From The Episode

Five Active And Integrated Processes Of Austrian Economics (PDF): Download PDF

Bob Luddy’s Effectuation Process (PDF): View Image

Entrepreneurial Life: The Path From Startup to Market Leader by Bob Luddy: View on Amazon

“The Austrian Business Model” (video): https://e4epod.com/model

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83. Clay Miller: An Entrepreneurial Journey to New Lands, New Organizational Designs and New Value

Key Takeaways & Actionable Insights

The entrepreneurial instinct can be sparked in K-12 and around the family dinner table.

An entrepreneurial culture is highly beneficial to society at the global, national, and local level. We should examine how well we nurture the entrepreneurial instinct in K-12 schooling and in the discussions we have with our kids at home.

Clay Miller got a Commodore 64 (you can look it up!) when he was 11 years old, and his interest in computing, software and writing code started there. He was a programmer at 11 years old (something that is more common today than it was when Clay was young) and developed a taste for programming and an aptitude and some skills. He learned how to jump over hurdles of software-writing complexity at a young age.

A mentor can reinforce a young person’s disposition towards entrepreneurship, and accelerate their progress.

A local tech entrepreneur took Clay under his wing and hired him for programming projects. Clay built accounting software and other products in this arrangement as a high school student. Observing and participating in this entrepreneurial environment at an early stage in life gave Clay the idea of entrepreneurship as a future pursuit. He started to take on consulting assignments while at college, although he wouldn’t yet identify tech entrepreneurship as a “career”. He was able to begin to make the transition from pure programmer to customer service entrepreneur. Starting early can influence a lifelong entrepreneurial journey.

There are many ways to accumulate knowledge, and entrepreneurship is a fast track to applicable knowledge.

Clay chose serving customers as a pathway as opposed to continued learning in school and a conventional corporate career path. Both paths are ways to acquire knowledge. Identifying the process you prefer for knowledge acquisition – school or entrepreneurship – is a valid choice. Entrepreneurship may be the quicker and more direct route. And entrepreneurial knowledge is often more applicable, and more rapidly applicable, for your own individual economic ends.

An entrepreneurial leap forward resulted from identifying and supporting a new emergent industry.

Clay took a job as a CTO in an emerging industry; organ and tissue transplants. This enabled him to experience economic growth at a higher level through the application of technology in a high-demand environment. He learned about fundraising and financing and shaping resource allocation based on the funding available. He learned about mass customization for a diverse customer base. He learned the role of the technical advisor vis-à-vis the CEO, enabling the executive suite to achieve its vision. Finding a growth industry can accelerate your individual development.

Transition from tech expert to global customer service entrepreneur.

Clay was initially a user of offshore outsourced technological services. He mastered the economics and logistics of this organizational arrangement. Quickly, he founded his own Asia-based outsourcing corporation, and added a significant innovation: the embedded outsourced CTO. Often, firms use outsourced technology services for the flexibility of dialing up and dialing down service intensity on demand. There is a downside to this flexibility, which is loss of continuity and accumulated knowledge, as contractors move on to other jobs. Clay performs the role of CTO for his clients, ensuring them continuity of strategy, and keeps his outsourced tech talent available in his own ecosystem, so that accumulated client knowledge is not lost and can be reapplied later in the cycle.

Perception-Decision-Action

Clay’s journey can be seen as an illustration of what psychologists call the PDA cycle – Perception, Decision, Action. Entrepreneurs perceive the world around them in a subjective manner, conditioned by their individual circumstances. In Clay’s case, those circumstances included exposure to technology, and some experimentation with it, at an early time in his life. Later, he made some decisions on best choices – e.g. between school and entrepreneurship – based on his perceptions. He acted, became a tech entrepreneur and then a customer service innovator. Every action changes the world, and so changes the entrepreneur’s (and the client’s) perceptions, leading to new decisions and new actions. Entrepreneurial success emerges from the process.

See our PDA graphic to further stimulate your thinking.

You might also enjoy reading this paper from our colleagues Nicolai Foss and Peter Klein on the language of opportunity. They say that opportunities do not exist in any objective fashion. They are not “out there” to be “seized”. Entrepreneurs create their own outcomes. Foss and Klein call their process B-A-R: Belief, Action, Results. See if you think B-A-R is different from P-D-A.

Free Downloads & Extras From The Episode

The Entrepreneur’s PDA Cycle: Download PDF

Foss & Klein’s Entrepreneurial Opportunities, Who Needs Them?: Download The Paper

“The Austrian Business Model” (video): https://e4epod.com/model

Start Your Own Entrepreneurial Journey

Ready to put Austrian Economics knowledge from the podcast to work for your business? Start your own entrepreneurial journey.

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82. David K. Hurst: Business School Fallacies and Acting Your Way to Better Thinking

At E4E, we believe that Austrian economics can guide business execs and entrepreneurs to better thinking about how to manage businesses that thrive. Business educator David K. Hurst blames neo-classical, Chicago School economics for the bad thinking that pervades business today.

Key Takeaways & Actionable Insights

Here’s how he phrased it in our @e4epod Episode #82:

I emerged from Chicago believing, or at least accepting, the basic assumptions which lay behind business education at that time, which was heavily influenced by what I came to understand was neoclassical economics. That is, it believed in greed as the primary motivation. It was all about individual self-interest and utility maximization, I think, was the word. It was heavily rationalistic in that it believes that we ought to behave like little mini scientists with everything based on evidence and data and then lastly, the focus was very much on equilibrium, that markets were self-equilibrating and that the natural condition in organizations was stable. Stability was the norm and change was something that you had to manage and that if things went awry, it was mainly because you weren’t following standard procedures. Management was essentially about allocating resources… It was nothing about innovation… and making sure things ran in a steady, linear, rational fashion.

When I got into the real world, I found that these principles were, well, wrong.

The right principles are those that Jesus Huerta de Soto includes in his Austrian theory of dynamic efficiency. David Hurst sums them up this way:

Of course the linear, stable, rational model is the way academics think businesses ought to run, if only they would listen to them, and the fact you can’t run them that way because the world is nonlinear. It’s dynamic.

Organizational Dynamism

To illustrate dynamism at work, David described a frantic time of disarray in a newly acquired company when a major project management problem arose, and sclerosis caused by hierarchy and central planning, multiple process manuals, traditional career paths and rigid job descriptions impeded a response.

Spontaneously, individuals on the front line formed small teams (they’d be called Agile today) to hunt down innovative and collaborative solutions to this and other challenges that arose. They were non-hierarchical, with no process manual, no reporting structure and no fixed operating plan.

Similar small, collaborative, horizontal teams multiplied to solve problems of business recapitalization, debt and cash flow management, innovation, pricing and many more. The business, after divesting unproductive divisions and products, became profitable, grew and thrived. There was improvement and it was, as David put it, non-linear.

New Organizational Theory: Boxes and Bubbles

David reflected on this experience and developed a theory to explain it. He observed that, in the dynamic crisis time, traditional hierarchy and procedure had faded into the background, and the spontaneous order of agile teams had taken the foreground. Both continued to exist.

I called them boxes and bubbles, boxes being the formal box structure which productive, large-scale organizations end up using, and bubbles were these soft, informal teams that we formed at a moment’s notice. They formed easy coalitions with each other and when they did the job, they burst. They disappeared and went back into the mixture out of which new bubbles could come.

The Theory Of Complex Systems

Applying complexity theory, David developed what he calls an organic approach to business management, modeled after natural ecosystems, such as a forest. Forests start off as weeds — small and fast — and end up as big and slow trees. Yet forests are dynamic: they renew themselves through fire, burning the obsolete, decadent growth to create the space into which new growth can come. At that stage, the forest starts to build a new community of fresh growth. It continues in an infinite loop, existing for indefinite periods of time.

David Hurst's Business Ecocycle Model

Austrian theory, of course, embraces the idea of complex systems. We know that any economic endeavor, any market, and any firm operates within a complex system of millions and billions of provider-customer exchanges, governed by the idiosyncratic subjective value scales of consumers and the entrepreneurs who strive to empathize with them and serve them. We know that these complex systems can’t be managed in any traditional, hierarchical, procedures-manual sense, and they can’t be predicted. We understand business cycles and adaptive behavior.

How Did Business Schools Come to Teach The Wrong Model?

How did the business schools get to teach their totally inadequate model?

They adopted this model in the late 1950s. Their goal was to come up with systems to produce economies of scale, how to produce more of the same. Like the steel business – very inefficient, highly polluting but facing tremendous demand for steel for rebuilding the world in the 1950s and there was no reason to change.

The theory that emerged was how to perpetuate this success. But nothing lasts unless it is incessantly renewed. Firms must innovate to maintain dynamic competitiveness. The organizational structure required to run something with economies of scale, a very mechanical, machine-like, productive hierarchy, is very poor at innovation because those are exactly the dynamics that you’ve got rid of in the pursuit of efficiency, in the pursuit of low prices.

The theory that businesspeople used to support them in this productive model was of course neoclassical economics. It appealed to them to explain why it was all about rationality and it was all about stability, keeping things the same.

The Uses of Knowledge

David tells us that Hayek became his guide.

It seemed to me that The Fatal Conceit applied to the corporate world, the mini socialist structures. I mean, when I graduated from business school, the Fortune 500 were the sort of last refuges of Stalinist bureaucracy. They were central planners, so Hayek’s critique applied to them. That’s the way they work. People at the top were dictators, that’s the word for it.

Businesses fall into what David refers to as a “power trap”, bureaucratic and rigid.

The boss would come and say, “Well, I want to do this deal so find me some assumptions that make it work.” Instead of getting evidence-driven strategy, you got strategy-driven evidence. It was totally inverted. The process was actually a process of power, and the structures are structures of power. It ends up with elites”.

The Organic Approach to Management

David described working with an entrepreneur in South Africa.

He was Austrian, but not an economist. He was a tool and die maker in Austria and he had come out to South Africa and he had set up a tool and die business to make fuel tanks for the automotive industry in South Africa. This guy was a wizard on the technology of stamping. It was just know-how, practical knowledge.

He wasn’t dealing in abstractions at all. It was all about practice and things emerged on the shop floor, “Oops. Okay, so that’s interesting.” He was continually experimenting, tinkering, and he was hugely successful because he had this extremely efficient, effective process. And he was not intellectual in the remotest. If you tried to ask him, “What principles are you operating by?” he wouldn’t be able to tell you and that was okay. It’s the power of practice and that the actions come first, and the words come later.

There is a space in my diagram, on the left-hand side, it’s all about acting your way into better ways of thinking and on the right-hand side, it’s about thinking your ways into better way of acting. The two are melded together. It’s a dance, if you will, between the two sides.

The way you come out of business school is thinking about the job of management like an engineer. You had this machine which required to be maintained, lubricated, fixed, parts replaced sometimes, but it was essentially a machine, a smooth running machine, and you think like an engineer.

I see the manager as a gardener. A gardener has engineering aspects, but they also have wilder aspects to them. The gardener creates the conditions in which, in the case of enterprises, people can grow. They grow people. That’s what it’s all about. I see this gardener as the one being able to conduct this dance. You need to dig up soil and replace it. You may need to tear down existing plants and put them on a bonfire and burn them, break out the chainsaw and saw. At other times, you need to supply structure, a lattice on which they can be trained and pruned and all that kind of stuff. The gardener seemed, to me, to capture this duality to the manager’s task.

Measuring Unmeasurables

Peter Drucker said that there a lot of unmeasurable things which are absolutely valid and are absolutely critical. Like Mises, he understood that measurement is always about the past. It’s always about what happened. He says,

The things that really matter are the unmeasurables that refer to the future.” The example he gives is the ability of the enterprise to attract young, high motivated people. He said, “If you can’t attract these people, eventually it’ll show up in the numbers, but it’s not something you’ll see in the numbers right now because it hasn’t happened yet. It’s straws in the wind.

How do you measure unmeasurables? Through Hayekian knowledge theory: getting everybody in the organization talking to each other about what’s happening, about what they’re seeing every day, because that’s where it’s happening, on the ground. This is all a part of acting our way into better ways of thinking, getting ideas, seeing the opportunities emerge out of what we’re doing, out of the action.

Free Downloads & Extras From The Episode

Austrian School vs. Neoclassical School: Download PDF

David Hurst’s ecosystem model (JPG): View Image

David’s book, The New Ecology Of LeadershipView on Amazon

David’s original HBR article on “Boxes and Bubbles”: Download The Paper

“The Austrian Business Model” (video): https://e4epod.com/model

Start Your Own Entrepreneurial Journey

Ready to put Austrian Economics knowledge from the podcast to work for your business? Start your own entrepreneurial journey.

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How Free-Market Entrepreneurship Is Transforming The Economics Of Healthcare In America.

Podcast Transcript: Conversation With Dr. Keith Smith of the Free Market Medical Association (fmma.org); September 1, 2020

Listen to the full episode here.

Hunter:

Dr. Smith, welcome back to Economics for Entrepreneurs.

Dr. Keith Smith:

Thank you. Thanks for having me again.

Hunter:

Since you were last here, you’ve become famous. You’ve appeared on several podcasts, including Econ Talk with Russ Roberts, where you were voted the number one most popular of 2019, which tells us that people are highly interested and highly motivated by what you have to say. We’ll try and add to that today. Last time you were here, we talked about Austrian economics and how it influenced you in setting up the Surgery Center of Oklahoma, but today let’s focus on thinking about a free market in healthcare and the role of entrepreneurship. That takes us to FMMA.org, which is the website of the Free Market Medical Association, the home of free-market medical services; tell us a little bit about that. You say you’re dedicated to bringing together buyers and sellers, which sounds to me like an economics-based view of the healthcare industry, so please tell us about FMMA and who are the buyers, and who are the sellers, and how are you going to bring them together better?

Dr. Keith Smith:

When I just think about the question, bringing buyers and sellers together, that is an indication of a truly dysfunctional set-up in the market – that that question should even be posed. Buyers and sellers together are typically what forms a market, and that mission of the FMMA, which is very tough work, bringing buyers and sellers together, really has to overcome much that has been thrown in between buyers and sellers. I think whenever we look at the Free Market Medical Association, we have to acknowledge that bringing buyers and sellers together is something that is meant to overcome all of the obstacles that have been placed between them. And Jay Kempton and I, the co-founders of Free Market Medical Association, we both know really good things happen when buyers and sellers talk directly and are haven’t succumbed to the Kool-Aid that all of the intermediaries that profit from buyers and sellers not talking directly have served them.

The buyers are basically anyone who is a patient or anyone who is likely to be a patient, which means everyone. In all likelihood, everyone in the world, certainly in this country is a buyer. Some patients are direct buyers. They pay with cash or their own personal funds. And then some people are indirect buyers who have an ombudsman or an intermediary or a proxy purchase for them. There are advantages and disadvantages when a proxy is involved, but Surgery Center of Oklahoma and all the other members of the Free Market Medical Association, we deal with proxy buyers as well as individual buyers spending their own personal funds and treat them all the same, afford the same price to them all. But a buyer is basically someone who has sticker shock.

Jim Epstein from Reason Magazine picked up on that early, that a buyer is someone who we would all characterize as an individual who actually cares what it costs, and there are a lot of people in the United States who receive medical services who could care less what it costs because they’re not paying the bill. They don’t have the sticker shock. So our focus in developing a free market must begin with those who actually care. Whether people know that they should care what it costs is kind of beside the point, because everyone should; to the extent that the government remains involved in the purchase of medical services to the degree that those services are unaffordable, everyone’s tax burden is much larger because there are so many patients and buyers out there who really don’t care what it costs, a shocking number in fact.

So a buyer in my mind, someone with sticker shock and a seller is someone who has medical services to offer on the marketplace, and a true seller is one who will attach a price to it and then allow the market to judge whether it’s a value or not.

Hunter:

So the idea of a free market seems obviously very attractive, but very, very difficult in today’s healthcare environment. You could call it the un-freest market that we experience. It’s the most regulated, the one most opaque as a result of special interest machinations. I think of the procurement committees and the formulary architects and so on. Take us a little bit further and tell us what we can achieve for the customer first, those buyers who have sticker shock, which is always the first concern of a market. What can we achieve for them?

Dr. Keith Smith:

The second part of this FMMA initiative is the actual soaring of the quality that is actually delivered. And that’s why this is such a great message – why I get up every day just anxious to tell anyone that’ll listen, this is a good news message. And we’re not really used to good news messages in the medical industry. All you hear is the spiraling cost and the sporadic quality. But what a market does, a true market, when someone says and declares in a marketplace of sticker shocked buyers, “Here is what I do and here is the price I believe should be attached to it,” they’re declaring their own value. And if they’re not any good, then they will not be chosen. People will not vote for them with private funds or the proxies will avoid them because their reputation is on the line as an advising buyer.

So whenever people are not good, whenever people are frauds in a marketplace, they are naturally culled. So the good news is when people who are awful at what they do enter a marketplace and succumb to the judgment that the marketplace ultimately delivers, then their absence in the marketplace means that the better, more high valued players are those who remain. And obviously there are all kinds of shenanigans where different individuals and institutions and corporations buy exemptions to the judgment of the market. But if the market is truly allowed to work, those who are awful get culled and those who provide value remain, and the result of that for the customer or the patient is not only a better price, but quality soars as a result. You see cheaper and better, and that’s a pretty easy argument to make, and I think it’s a very difficult argument to make on the other side. I mean, who doesn’t like cheaper and better?

Hunter:

Right. Jeff Bezos always says, “I don’t think anybody will ever ask me to not be as cheap and to deliver more slowly.”

Dr. Keith Smith:

It’s funny.

Hunter:

That’s right. Well, it’s looking forward. I love your analogy there that markets are good news. They’re good news for buyers, the patients, and they’re good news for the sellers because it lets them excel and then you go to one more step on your website and you talk about entrepreneurship as a route to the free market. And there are a couple of interesting quotes there, Dr. Smith. You say, “In medicine and healthcare, entrepreneurship involves the restoration of the physician-patient relationship.” You’ve hinted at it, but tell us more about what’s eroded today in that relationship and how entrepreneurship will restore it.

Dr. Keith Smith:

Entrepreneurship, depending on whose definition of it you’re looking at, is decision making in the facing of uncertainty, and whenever there are intermediaries in the room, there is less uncertainty. And I fault many physicians for inviting intermediaries into the room to lessen their uncertainty. Physicians will have a waiting room that is full only because they are in-network for some PPO or insurance plan. In Surgery Center of Oklahoma, our waiting room has patients in there who have chosen to be there. We’re not in anyone’s network. So whenever you have an acknowledgment of what entrepreneurship is, where you really embrace and acknowledge the extent to which you are willing to take risk and put yourself out there so that people can either embrace or reject you, by necessity, you have shoved all of the third parties aside who are more than happy to be in the waiting room and the examination room determining not only what fee is assigned to a service, but also what care can be rendered to a patient.

So all of that erodes and interferes with the relationship that a patient and a physician should have. Patients should feel confident when they go see their doctor that they have an unapologetic advocate. I think that many physicians are medical advocates. I think most physicians are. But in order to be a complete advocate and to be a financial advocate, I think that physicians have to more and more assume the role that other entrepreneurs assume and bear some risk, and sort of put their chest and shield out there in front of patients. I hear physicians sometimes say, “I just want to practice medicine. I don’t want anything to do with the business or the money side,” and all they’re doing with that cop out statement is abandoning their patients to the financial wolves, many of whom are happy to step in and make a living off of that physician abandoning that patient.

I don’t think there’s any willful neglect. I just think that we’ve grown up with a system that has exploded so that it’s very difficult to navigate. It’s very creepy. But it’s actually very simple to reject all of the third parties, assume the proper role of the businessman and the entrepreneur, which actually allows the physician to assume the role of financial advocate as well as medical advocate for the patient.

Hunter:

You would think that, on the surface at least, physicians and other producers in the medical system are ideally placed for entrepreneurship. They’ve got the potential and actuality of being one on one with customers. They’re empowered to make on the spot judgments and decisions. They’re a locus of trust as you said. They can allocate their own resources. Why do you think that physicians don’t think of themselves as entrepreneurs? What is the resistance? Did the system create it or is this something else?

Dr. Keith Smith:

I think it’s a couple of things. I think the system itself has become such a complex mess, and sometimes I’ve even wondered if that was intentional and deliberate, meant to drive physicians away from their rightful place, which frankly in the past they more than willingly assumed. I think also there may be a psychological component where the proper risk adversity that a physician brings to medical management of patients translates into the same risk adversity when it comes to assuming risk as a businessman. So the risk that a physician should tolerate running their practice from a financial side should be much higher than any risk that they would tolerate in the medical management of patients.

 

But I think that there is some sort of unspoken psychological attempt to make sure that risk is equal. There also is a lot of fear amongst physicians now, that they never know when they’re going to get that next letter from an insurance company that says they’ve been de-platformed and they’re no longer in a network and they’re not going to be seeing patients from XYZ PPO anymore. And at that point, they’ve become completely addicted to that flow of patients. Or the government entity that cuts them off, or worse the government entity that just says, “Oh, by the way, we’ve decided starting next month this is what you’re worth.” So there’s a lot of fear amongst physicians and it has become difficult for them to bare their chest and say, “I am going to take control of this and assume some risk in order to get control of my life and practice again.”

The fear that is out there, the arbitrariness and the unpredictability of the timing of decisions of regulatory agencies, insurance companies, the government, there are a lot of things that are out there that make it very difficult for the physician that decides to work in that system.

Hunter:

I wonder how you’re going to change that mindset, Dr. Smith. There are a few ways you can do it. You can demonstrate the alternative model, which is what you do at the Surgical Center of Oklahoma. You can educate, here’s what entrepreneurship is all about and we’re trying to do a little bit of that here on our new Economics for Business platform. Or you can actually train business management skills, entrepreneurial management skills. What do you think is the path to changing that mindset that’s based on risk and fear that you just described?

Dr. Keith Smith:

Well, we’ve demonstrated, I think, by example at Surgery Center of Oklahoma that you can practice in a way that does not involve third parties. You can practice in a way where you are not leveraged by government money and thrive. Not just survive, but really thrive. The other part is educating everyone. I think that as physicians begin to realize that they need to acknowledge the system that they’re in, and also I think as physicians see that other physicians are unplugging and really seceding from this sick system, and how happy they are, and how successful they are, that tends to get rid of many of the fears that are paralyzing for people who are right on the edge who are ready to make this move.

At Free Market Medical Association, what we’re trying to do is educate everyone that it’s doable, it’s possible, it’s being done, it’s being done increasingly by more and more of the folks who initially said it could not be done. And then trying to unlock the mother lode of sticker-shocked buyers and trying to get the self-funded proxy buyers to send that signal into the marketplace, which would overwhelm the ability of us free marketeers to supply what they’d demand. And that signal is, I believe, more powerful than anything that we can do by example in our facility or inside of FMMA. The signal, when the buyers demand that the marketplace and the sellers provide high value price transparent services, we will have a market. It will be off to the races, and I think that is what we’ll unlock the system, that’s what will bring the current system to its knees.

And it’s so powerful. Think about Murray Rothbard describing the market as both beautiful and powerful. And it will not take a huge number of like-minded free marketeers to bring what’s already a just disgusting, criminal, broken system to its knees.

Hunter:

Well, at FMMA.org, Dr. Smith, talking about pricing, you have an online search tool. You say it’s like the grocery store for healthcare pricing. Your members can post their free-market bundled cash prices as you call them, and shoppers can search by keyword, they can search by product code, they can search by drug name, search by physician names. So it sounds like you’ve got one side of the platform going. Tell us about the kinds of suppliers who are providing this pricing and then we’ll find out what you’ve learned about the demand side of, as you say, your buyers demanding that pricing. But tell us about the platform on the seller side to begin with.

Dr. Keith Smith:

Shop Health is the tab at FMMA.org that you’re talking about. This was Jay Kempton’s idea from the very beginning: that we would basically have what amounted to a shopping mall with multiple stores inside and every store was responsible for what they sold and the prices they placed on any of their goods or services, and all that was required to be part of this shopping mall was membership in the Free Market Medical Association. As a buyer, this website where you can look at all of these goods and services and prices is free. There’s no charge. There’s no amount you have to pay. There’s no membership fee that allows you to see pricing. That goes along with one of our tenets at the Free Market Medical Association that pricing is not a product. You should not have to pay to see the hidden pricing inside of the box. That is not a marketplace. That is something very different, and that is a very powerful tool that fuels the cartel-like arrangement which exists now.

I encourage people to see Shop Health as a huge shopping mall inside of which are different businesses, one of which is the Surgery Center of Oklahoma, and our prices are available for people to see there. It’s a radical concept because it’s free to the buyer and it’s very powerful. There are more and more patients that seek pricing like that available and visible at Shop Health and use that to leverage a better deal at their local, otherwise price gouging, hospital. That is a market at work. It’s beginning to work anyway when a price gouger who wants no part of what we are all about at FMMA has to succumb to a sticker shocked buyer who says, “Hey, match this, or I’m flying to Charlottesville, Virginia to see Dr. Bill Grant,” or “I’m flying to Austin, Texas to see Dr. Kelly,” or “I’m going to Surgery Center of Oklahoma.” There is a marketplace that is developing as in self-defense. The price gougers have to respond to Shop Health and the other price tools that are out in the marketplace.

Hunter:

It sounds like it’s beginning to happen on the buyer’s side. You want to unleash those buyers who will demand pricing transparency, but a lot of them, as you say, are cartelized and they’re special interests within the system. It’s not in their interest to have pricing transparency because there’s so much special interest take from the high prices. Can those individual patients be the trigger for unleashing the bigger buyers or is there another step that we’ve got to figure out?

Dr. Keith Smith:

I think there is a tipping point and I believe that individual buyers are not great enough in number to get this tipping point where it needs to be: to become so unstable that the whole system that’s just so sick comes crashing down. I think it is going to take the proxy buyers, it’s going to take the self-funded companies who ignore the advice of their self-dealing broker and consultant, who begin to question, “They told me I was very lucky. I just have a 15% increase in my health spend this year instead of the 30% increase everybody else had.” Increasingly, that sales technique that brokers and consultants use is falling on deaf ears. Very ironically, what the government has decided to do to the economy with the virus lock downs has caused some self-funded companies to sharpen their pencils and to look for different solutions because margins are tighter.

Companies whose margins are tighter who have not been self-funded are beginning to self-fund. Keeping in mind that self-funding is where companies buy medical services for their employees out of operating revenue and bear the risk rather than pay an insurance company to bear that risk and make a ton of money for doing so. So, when the proxy buyers, when the self-funded companies step away and quit succumbing to the Kool-Aid sold to them by the brokers and all the other intermediaries, the PPOs, all of those people that are just getting rich off of this current system, when the self-funded buyers walk away from them and look around, they will see this free-market solution is just shining right in front of them. The ticket to save gigantic amounts of money while simultaneously rendering better benefits to employees, while also ensuring that they receive even higher quality care.

That proxy buyer of self-funded companies, when unleashed, will be the reason we experience that tipping point and then everyone will benefit. The individual patients will benefit, because as the market develops and prices fall, prices will fall for everyone. Quality will go up for everyone. This rising tide is going to flood everyone’s fortunes higher and it’s very exciting to think about. I think that there have been times in the last 12 years since we put our prices online, I’ve wondered if I would see it. I am now more optimistic than ever that I’ll see it not just in my lifetime, I’ll see it in my career where the people in this country reject the government’s handling of this industry, selling and auctioning all of these factors to the cronies who have ponied up in Washington and we will see a true market emerge and a real rebirth of the great tradition of medicine that the United States has been known for for quite some time.

Hunter:

That’s a wonderful vision. As you say, it’s very exciting. It’s certainly wanted and greatly wished for. Can you have that influence in pharmaceuticals, Dr. Smith? For a layman like me, it seems like the pharmaceutical industry, or cartel, or nexus, is the most impenetrable barrier to thoughtful and discriminating buyers. It seems like there’s no buyer power. Can your self- funding buyers have an effect there?

Dr. Keith Smith:

I think that we’re beginning to see the breakdown of the grip that Big Pharma has on the industry. But we have to keep in mind that the FDA is largely funded by Big Pharma. So once people realize that the FDA is meant to regulate are those who fund the FDA, it’s not rocket science to take it from there and realize the FDA is not about to harshly regulate those who pay them the most in Big Pharma. So you work very hard to expose the middle men, like the pharmacy benefit managers. You work very hard to make people aware that large PPOs and insurance companies actually own their own pharmacy benefit manager intermediaries. I mean, you can extrapolate what that means.

But ultimately you run into the culprit, the ultimate culprit everyone has to keep in mind is the federal government. It’s Uncle Sam. I tell everyone we can bash the pharmacy companies, we can bash the PPOs, and they all deserve a good bashing. But Uncle Sam is driving the getaway car. None of these shenanigans are possible without Uncle Sam riding shotgun for all of this thievery. And the FDA, as Dr. Robert Higgs has pointed out, is truly a criminal organization, and unless there is a severe curtailing if not privatization of the FDA, I don’t think we’ll get a long way with Big Pharma. I think there will be some gains, because as the prices of actual medical services plummet, people will wonder, why do pharmaceutical products continue to accelerate in price, and that will put pressure on them. But the FDA is the real boogeyman and they are going to protect their clients with all they’ve got as long as they have that power.

Hunter:

What’s the role of the big insurance companies in your future vision of the free market, Dr. Smith? They seem to be on the side of the cartel as opposed to the side of the individuals. How do you think about them in the future?

Dr. Keith Smith:

Well, the insurance companies now, to quote Jay Kempton, are not insurance companies. We need insurance and we need insurance companies. We just need them to get back into the insurance business. All they are now are money handlers and money changers. So they make people pay to see the pricing in the box. They extend these false discounts and skim off the difference. So there is not really any assumption of risk by PPOs. One hospital administrator referred to a PPO not that long ago as an ATM for his hospital. In some markets, the PPOs are in control of the hospitals. In some markets, the hospitals actually own their own PPO. So all of these types of arrangements are a disaster and they have nothing to do with insurance or the assumption of risk. So as long as insurance companies will get back in the business of insurance, I’m all for them.

Of course, Obamacare made sure there really were only about four insurance companies left. There’s this 30% loss ratio which only the big boys could tolerate. So there was a vaporization of the smaller insurance companies. They all went out of business or there was this huge consolidation because they could not comply with that requirement in regulation that only the largest four or five could tolerate. People say, “That’s great. We need to force these insurance companies to make sure that 70% of all the premiums that they collect are paid out of medical expenses.”

Well, the huge insurance companies love that, and all the little ones went out of business. So regulations like that, they need to go away and then you see a whole bunch of insurance companies and then you have competition in the insurance sphere. And then you have real insurance, not what we have now.

Hunter:

So a lot of what we’re talking about on the negative side, Dr. Smith, is centralization. Centralization of regulation at the FDA and these big insurance companies that you just described and other forms of cartelization as you’ve talked about it. Taking a look at the Free Market Medical Association, it looks like you’re thinking in decentralized terms. You’ve got a very contemporary organization with local chapters that have significant autonomy. Your Shop Health infrastructure is a platform, so suppliers can upload their own products and buyers can do their own searches. Is this decentralized organization part of the future of the free market as you’re thinking of it?

Dr. Keith Smith:

Yes. And I think it’s consistent with F. A. Hayek’s concept of the knowledge problem. What’s going on in the market in Arizona is very different, in all likelihood, than what’s going on in the market here in Oklahoma. The response to challenges there, the response to consumer preferences there should be different. All that Jay Kempton and I have insisted on is that members adhere to the pillars, and that is basically that they adhere to the golden rule, that they adhere to mutually beneficial exchange and that they offer a service at a price to anyone who wants to buy at that price and not have multiple prices, and that people do not have to pay to see the price. So there are some very basic tenets at the Free Market Medical Association that we insist on, and that frankly, we’ve enforced in the past. But after that, the local chapters are free to respond to consumer preferences in their area as they see fit. One result of that has been for people like me and other members to benefit from the experience gleaned from encountering market challenges and difficulties in other states that we had not yet encountered.

And I know that if a certain issue comes my way that has faced Bill Grant in Virginia or the folks in San Antonio, an issue that I’ve yet to face, I’m already armed with the ideas of how I might respond or what the consequences for not responding might be. It’s a confederation if you will. It’s a very, very open-sourced organization, and everybody benefits from that.

Hunter:

It’s very Hayekian, as you say. General rules that apply to everybody. And it’s also what Jesus Huerta De Soto calls entrepreneurship, which is the creation of new information and then sharing it among everybody once you’ve created it. So your members are creating new information in their local areas and, as you say, everybody gets to benefit.

You’ve got an FMMA annual conference coming up, Dr. Smith. And I saw from that website that the theme is Mission Possible: Healthcare Entrepreneurship as the Antidote to the Broken Healthcare System. You talked a lot about that today and it’s more than Mission Possible, it’s Mission Exciting according to you and I’m excited by it. Who can attend? How do you attend? What should people expect from this annual conference? Tell us about the conference.

Dr. Keith Smith:

The conference is packed with just rock stars if you will, yourself and Peter Klein included. And it’s attendable virtually — free of charge. We also have a limited amount of in person availability based on the constraints we’re facing in this day and age. It’s very exciting. I wish of course that we could do it in person like we’ve done in all the past years, but I believe we’ve come to that place where those of us who say that you can place a price on the medical service you offer are not seen wearing a tin foil hat. If anything, the conversation has flipped. Those who are unable or unwilling to place a price on the service that they offer, and I mean a bundled service, so I mean if there are multiple individuals involved in rendering a care episode, they are expected to get together and provide a bundled price. And the light is shining brighter.

I think the accountability light is shining brightest on those who are unwilling or unable to do it. And I would argue no one’s unable. Anybody that’s not providing prices is unwilling. So the conversation has really changed. I don’t think I’m seen as a tin foil hat or crazy like people thought I was and characterized me 12 years ago when I put prices online. Now, if anything, it’s switched around. There are state and federal laws that are being considered to force people to post prices. And I’m not in favor of that, because I think that just provides the legislator, particularly the unscrupulous ones, an opportunity to sell exemptions. And I don’t believe anybody ought to be forced to do anything except by the market. I think the market forces people to do what is aligned with consumer preferences. You don’t need laws.

But if you think about the idea that we’ve come all the way from “it’s impossible to post prices for medical services” to “you’re going to be punished and you’re going to be fined if you don’t provide prices attached to medical services”, this argument, the whole narrative has changed. So this is not just Mission Possible, this is Mission Imperative. People are going to start to feel the heat from one source or another for not providing prices. My preference is they feel the heat from losing business. And in Oklahoma City, I’ll tell you that’s the case. But all over the country, I hope that everyone including the price gougers respond to the market pressure, not the pen of the legislator. But I think this is Mission Possible and it’s very exciting and I think more people acknowledge that. But it’s Mission Imperative. And there’s going to be a lot of pressure brought to bear on those who refuse to exit their price gouging roles.

Hunter:

Hopefully, it’ll become Mission Irresistible and Mission Inevitable.

Dr. Keith Smith:

Yes.

Hunter:

It sounds like you’re getting there, reaching that tipping point, or at least that the tipping point might be quite close. Well, congratulations on everything you’ve achieved so far, Dr. Smith. In anticipation of the future, just one more thing about the conference, what’s the date of that?

Dr. Keith Smith:

The date of the conference, the virtual day is the 11th of September and then the next day, the 12th of September is the live part that we’ll have here in Oklahoma City, which also will be viewable by the virtual attendees.

Hunter:

Excellent. Well, we’ll provide the appropriate links on our podcast page and we’ll use whatever social media reach that we have to get the word out. And as you said, everyone’s welcome. Anybody can attend. If you do attend, you’ll get to be part of a wave that is taking us to a better future in health care. So Dr. Smith, thank you very much for today. Thanks for all that you do and well look forward to the conference on the 11th and 12th of September. Thank you.

Dr. Keith Smith:

Thank you, Hunter. Thanks for having me on the show again and for your tireless efforts promoting all that’s going on. We are so appreciative.

Hunter:

It’s a good cause. Thank you very much.

 

81. Dr. Keith Smith: The Free Market Medical Association Brings Entrepreneurship to Medical Services

Dr. Keith Smith, co-founder of The Free Medical Association (FMMA.org), is an entrepreneur and free market warrior who is undaunted by the seeming scale of his innovation task: to bring to healthcare the kind of customer experience only entrepreneurial free markets can deliver (see “Pillars of the Free Market Medical Association” PDF).

He is laser-focused on the problem to solve.

(Full episode transcript available here.)

Key Takeaways and Actionable Insights

The aim is to bring buyers and sellers together.

As Dr. Smith explains, simply stating that there is a need to bring buyers and sellers together is an indication of dysfunction in the market for healthcare. Buyers and sellers talking directly with each other is what makes a market: willing buyer, willing seller, mutually agreed price.

Buyers are patients who care what healthcare costs. Today, they have sticker shock.

Buyers who care about price can be direct-buying individuals, and their proxy buyers, who can include self-funded employer health benefits systems, more and more of which are emerging. Innovations like Health Savings Accounts and high-deductible insurance policies are bringing more direct buying into the market.

Willing sellers should be complete and comprehensive advocates for the patient, across the whole range of their needs, including financial aspects.

The targeted customer experience is for patients to feel confident when they visit a doctor that they have an unapologetic advocate. Today, physicians are medical advocates, but to be a more complete advocate, physicians must think and act like entrepreneurs, bearing some risk in serving their patients. Many say, “I don’t want anything to do with the business side or the money side of medicine.” By doing so, they are abandoning their patients to the financial wolves, many of whom are willing to step in and make a living off the patient. It’s not so much willful neglect of the patient’s interests, as simply caving in to a system that has become extremely difficult to navigate.

A problem in healthcare is the dominant presence of intermediaries between the buyer and the seller.

Dr. Smith described the wide range of intermediaries, cartels and proxies that get in the way of a direct, transparent and mutually beneficial relationship between buyer and seller. Insurance companies are “money handlers and money changers”, keeping healthcare prices high, so they can offer false discounts and skim off the difference. There are brokers and consultants to employers, whom Dr. Smith calls “self-dealing”, who add a layer of costs. There is Big Pharma, the pharmaceutical industry that largely funds the FDA, making it inevitable that the regulator will protect the pharmaceutical companies and their business model and their pricing.

In the end, the “ultimate culprit” is the Federal Government. None of the financial abuse of the patient would be possible “without Uncle Sam riding shotgun for all of this thievery”.

A solution lies in decentralization, disintermediation and the application of Hayekian knowledge theory.

Dr. Smith alluded to F.A. Hayek’s concept of dispersed tacit knowledge in describing the FMMA’s decentralized approach. The Free Market Medical Association establishes local chapters, who follow a small number of “pillars” regarding price and value and mutually beneficial exchange, including equal pricing to all cash buyers of the same service. The chapters are completely free to respond to customer preferences in their own local market. These chapters create new knowledge based on their transactions and experiences in their local market, and can share it with all other chapters.

Austrian principles of decentralization, free exchange without intermediaries, and the recognition of the value-creating dispersed knowledge of patients and entrepreneur-practitioners are Dr. Smith’s starting point.

Free Downloads & Extras From The Episode

Pillars of the Free Market Medical Association: Download PDF

The Free Market Medical Association’s annual conference, “Mission Possible: Healthcare Entrepreneurship as the Antidote to the Broken Healthcare System”: FMMA Annual Conference

“The Austrian Business Model” (video): https://e4epod.com/model

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Meaning In Life Is Critically Important To Well-Being. Entrepreneurship Is A Key Route To Get There.

Podcast Transcript: Clay Routledge (Professor of Psychology, North Dakota State University and Director, Existential Science Laboratory) and John Bitzan (Director of the Sheila and Robert Challey Institute For Global Innovation And Growth at North Dakota State University) discussing entrepreneurship and meaning in life on the Economics For Entrepreneurs podcast,  August 25, 2020.

Listen to the full episode here.

Hunter Hastings:

Clay and John, welcome to Economics for Entrepreneurs.

John Bitzan:

Thanks for having us.

Clay Routledge:

Yeah, thanks.

Hunter Hastings:

Well, thank you both. You’ve given us a very uplifting subject today, which is the subject of meaning in life as it relates to capitalism and entrepreneurship. It’s something that you’ve studied and researched, and you’ve developed considerable expertise in it. So we’re looking forward to hearing from you. We always like to start with origin stories, John and Clay. So this is a podcast about entrepreneurial economics, but you’re not both economists, I don’t think. Clay, you’re a psychologist, I think.

Clay Routledge:

Yeah, that’s correct.

Hunter Hastings:

But you do focus some research on the study of entrepreneurship and innovation. So tell us your background and how you got to develop that particular focus.

Clay Routledge:

Yeah, that’s correct. My training is in psychology and specifically social psychology. So my background really is focused on human motivation, so what is it that inspires human to do the things that we do, what energizes our goals and our aspirations. And within that area, my specific area of expertise is in what’s called existential psychology, which is a pretty broad area, but it focuses on all sorts of questions that humans are uniquely positioned to ask, such as questions about the meaning of our life, why we’re here, what purpose we serve, what happens to us after we’re gone. So these kind of heavy philosophical questions. And what my research focuses on within that area is how those questions and related pursuits drive human behavior. And so you can kind of start to see hints as to why this might be important for economic variables and issues such as entrepreneurship because based on my work, there seems to be good reason to think that one of the major motives for our species is to live lives of meaning. We want to feel like we’re significant contributors to a meaningful world. And within that, we endeavor to do all sorts of things to make our mark, to have an impact on our families and our communities and a broader society.

And I see entrepreneurship as one specific domain within that. So that’s kind of the broad area of research that I’ve been doing for, not on entrepreneurship specifically, but just on meaning in life as a powerful human motive. I’ve been doing that work for over 15 years now. And my formal title is now Professor of Management at North Dakota State University in the Department of Management and Marketing. And I work with John, who will introduce himself shortly, at the Challey Institute.

Hunter Hastings:

Let’s have John introduce himself now. I read in your background, John, that you’re a business economist and a Professor of Management. And we know enough from our own E4E background with our professors that that can mean a lot of different things! So tell us about your work and how you connected with Clay on this intersection of psychology and economics.

John Bitzan:

I’m trained as an economist, not really a business economist, but an economist. And most of my research actually has been in the area of transportation economics. And if you’re familiar with the history of transportation in the United States, you know that the transportation industries were some of the most heavily regulated industries in the US until the 70s and early 80s. And so studying the problems in the industry and the huge improvements that have occurred with regulatory reform gave me a really good appreciation for the harm that can be caused by over-regulation. I also have taught courses in the College of Business in international business and international economics, and I think that it’s impossible to study global markets without noticing the huge role that economic freedom has played in elevating people out of poverty and making people’s lives better. And so a year ago, I got the chance to lead in an institute, the Challey Institute, that’s focused on looking for ways to unleash the power of the private sector to create economic opportunity. And so I jumped at the opportunity.

And since the institute was new – it included me and one administrative assistant – we needed to find a way to attract existing talent at NDSU to the Institute to start helping us do some of the research that we were interested in. And so we gave a small stipend to faculty that wanted to participate in our institute, and Clay was one of those faculty. And quickly, it became obvious to me that the stuff that Clay was working on was super interesting and very important as well and fit very well with the mission of the Challey Institute. And so Clay has been gracious enough to let me be involved in working on this new research with him. And so I’m along for the ride. He’s allowed me to come on for the ride, and I’m really excited about it.

Hunter Hastings:

We’re excited too to learn about this intersection of psychology and economics. We certainly believe in economics as action, and as entrepreneurial action specifically. On the producer side, we try to understand motivation because that’s a big part of what’s driving that action. So we’ve got a lot to learn from you. Let’s start at the beginning. And maybe, Clay, you want to start. I read the paper with the title Why Meaning Matters for Freedom and Flourishing. Please define meaning and how important it is for mental and physical wellbeing.

Clay Routledge:

Generally in the scholarly literature, meaning is defined as people’s perception of the coherence, significance, and purpose of their lives. What that means is at some basic level, all organisms are sense making. We need to make sense of our environment in order to navigate it. So we look for a world that has patterns and is predictable. Humans are distinct from other organisms in our higher level cognition. So in other words, we’re smart. We have the ability to reflect inwards, to reflect on the self in this higher level consciousness, which allows us to do all sorts of things that other creatures like my dog can’t do. And this includes have long-term goals and aspirations and to think about ourselves in the future. And so when we try to make sense of the world, we’re not just trying to make sense of our environment around us in order to survive and thrive. We’re trying to make sense of our own lives. We’re trying to find our place in the world where we function. And so as a result, our meaning making is very much focused on our desire to be significant, to play a role in society and to have a purposeful existence. That’s kind of generally what we mean by meaning in life.

And people seem to understand this. In research, looking at lay perceptions of meaning, you can just ask people generally, “To what extent do you view your life as meaningful?” And there’s quite a bit of consensus on what that means and what predicts that and how responses to that predict other outcomes. So people generally seem to have a good subjective sense of what it means to have a meaningful and purposeful life.

Hunter Hastings:

As part of meaning, Clay, in your paper, or John, you might to answer this, you talk about social bonds and work as vital for a sense of meaning. Can you expand on that point? Because clearly, entrepreneurship is a social activity, and we’re going to try and make that connection. So why are social bonds and work important for meaning?

John Bitzan:

Okay. I’ll start, and then Clay can add the stuff that I’m missing. I would say this. People want their lives to matter, and so people have a greater sense of meaning if they play an important role in the lives of others and society. You want to have a purpose outside of yourself, and that involves social bonds. So why am I motivated to go to work every day and give my best effort? Well, I know that I’m contributing to my family by doing that, and I know that I’m making a difference in the world by doing that. And when we talk about work, it could be paid work like I’m doing, or it could be somebody volunteering. It could be taking care of kids. I would say all those things facilitate meaning because they’re making a contribution to someone else beyond just making a contribution to your own welfare. It’s contribution to society, to family, to others.

Hunter Hastings:

In systems theory, we talk a lot about fitting in and contributing, so understanding how you fit in with others, that’s part of behavior, and then contributing to the system in a way that, as you say, can make a difference.

Clay Routledge:

Yes, I think that’s absolutely right. I mean, if you think about humans as a social species, we can’t survive very long on our own. That’s why historically you look at punishments like banishment as being almost a fate worse than death because people know they need each other to survive and thrive. So I think meaning is one way that you know that you’re in the game, that you’re doing something, that you’re making a valuable contribution to those around you.

Hunter Hastings:

You mentioned motivation, Clay. You make a specific point that meaning itself is motivational. And you also mentioned existential agency, and that’s the link to economics. There’s a sequence that connects the motivational power of meaning to economics. Tell us a little bit more about motivation as you see it, and then explain existential agency a little more because that’s a little bit of a difficult term to grasp.

Clay Routledge:

Historically, the research on meaning in life has really treated meaning as just another indicator of wellbeing. For example, people who see their lives as meaningful tend to live longer and healthier lives. The question is why? What does meaning have to do with being healthier? If you dig a little deeper, what you find out is that it seems to be the case that people who see their lives as meaningful are just more motivated to live healthy lives. The reason they live longer is because they make the types of choices that reduce the risk of mortality. They eat healthier. They exercise more. They avoid harmful things, so they’re less likely to abuse drugs and alcohol. In other words, it seems to be the case that when people feel like they have a purpose in life, that they matter, they want to take better care of themselves. That paves the way for thinking about meaning as a motivational force. If meaning generally motivates people, then it starts to make sense that you could think about how it might connect to economic issues.

That, in turn, leads to the existential agency component. Based on all this experimental research, including some work I’ve done, but others as well,  we are finding that when people are focused on what gives their life meaning, when they focus their attention or their awareness on what gives their life meaning, they’re just generally motivated. We wanted to capture that idea as a specific dimension of meaning. That’s where this kind of sequence comes into play: when people feel like their life is meaningful, they feel more agentic. What that means to us, or how we define existential agency, is the extent to which people believe that they have the ability, that it’s in their power, to pursue and maintain meaning in their life. So it’s that kind of agentic or motivational or self-regulatory dimension of meaning.

Hunter Hastings:

I can certainly see how that would connect, then, to entrepreneurship as a behavior. Let’s advance to the study that you recently conducted at Challey. I read from the summary of the study, which we’ll link to on the podcast page, that you were investigating the possibility, which you just described, that people’s beliefs about meaning and their existential agency may influence a range of economic beliefs. Tell us how you thought about the study, how you designed it, how you executed it, and then we’ll talk about the results.

John Bitzan:

Yes, we wanted to see whether existential agency and people’s own perceptions of meaning influence their views towards capitalism and entrepreneurship? Do they influence people’s views towards whether they think that capitalism and entrepreneurship can solve important problems? And do they influence people’s own entrepreneurial aspirations? We surveyed over 1,200 Americans, and we asked them a variety of questions, questions about their perceptions of meaning, and their existential agency. We asked them about their religious faith, perceptions of their social bonds and support, their income, their political affiliation, and a number of other demographic variables. We also asked them their general views toward economic freedom and, again, whether they think that capitalism and entrepreneurship can solve important problems like climate change, poverty, and automation. And then we also asked them about whether they wanted to become an entrepreneur themselves and how motivated they were to become an entrepreneur. We found that even after you control for age and income, political affiliation, and other demographic variables, that people that have more existential agency – i.e. a belief that you can maintain and obtain meaning in your life – were more like to have positive views towards capitalism and economic freedom, and they were also more likely to think that capitalism and entrepreneurship could solve important societal problems. And also they’re more likely to be motivated in their own entrepreneurial aspirations.

Hunter Hastings:

So we might say this kind of a macro component to that, and a micro component. Macro in the sense that I believe in entrepreneurship as an institution and capitalism as an institution. And then micro, in the sense that I think I might be an entrepreneur myself. Is it accurate to say it applies at both those levels?

John Bitzan:

Yes, that’s very accurate. Again, I would say that people who have existential agency, that means that they believe that they can maintain or obtain meaning in their lives, are more motivated to take actions that are likely to help them achieve that meaning in their lives. And one of those actions might be becoming an entrepreneur, which means that you can obtain meaning by serving your family by becoming an entrepreneur. You can solve important problems to help other people. You can employ people in your local community. At the micro level as you’re talking about, it motivates me to want to pursue my entrepreneurial aspirations. And, if I think that I can benefit and I can achieve meaning by taking certain actions, I’m going to support the systems that allow me to take those actions as well. And so those systems would be a free market economy or capitalism as an economic system.

Hunter Hastings:

Belief in meaning in life is important for sustaining economic freedom, which is another way to say the institution of free market practices.

John Bitzan:

Yes, that’s right.

Hunter Hastings:

One technical point here. I noticed that you established a score for existential agency. We are big believers here in qualitative research and that you might be able to rank things ordinally, but you might not be able to actually score them cardinally. How did you arrive at a score for existential agency? How do you think about it in your data?

Clay Routledge:

We have a questionnaire, which is an eight-item questionnaire of measures of existential agency. Subjects respond as you would in a typical survey, indicating  to what extent they agree with a series of statements that include things like, “I have the ability to pursue a meaningful life” or “I have the power to make my life meaningful” or “I’m responsible for discovering my life’s purpose”  or “When life feels meaningless, I’m capable of restoring a sense of meaning in life.” It’s those types of items. They indicate how much they agree with those statements. So the higher the score, the higher they are on existential agency.

Hunter Hastings:

So they’re scoring on a belief scale?

Clay Routledge:

Yes.

Hunter Hastings:

Got it. Another term that you mentioned in the paper, and I think we’ve used it as well, but I personally have a lot of trouble with it. John, you may have covered it in what you said earlier, but you said that meaning in life is associated with pro-social behavior. And presumably, the opposite is true. And we come across that term, pro-social, in a value system that we use as an analytical tool, the Rokeach Value System. Rokeach talks about pro social behavior. But what’s the definition of that? What exactly does it mean?

Clay Routledge:

I’m not sure there’s one single definition, but I can speak to how psychologists think of it, which is that pro-social motivation is generally considered motivation that isn’t just solely focused on your own wellbeing or your own life outcomes. So for instance, to focus on entrepreneurship, you could start a business, and if you say, “The only reason I’m starting this business is because I just want to make as much money as possible, and I don’t really care if this business is good for society or bad for society.” That would not be considered pro social from a social psychology point of view. But if you were to say something like, “Hey, I want to start this business, and of course I want to make money. I have to support myself. But also part of my motivation to start this business is to serve my community. There’s a need that I’ve identified in my community, and I think I can meet it…” Of course pro-social things can include other things that have nothing to do with business, like volunteering, philanthropy, and other activities. But generally, the idea is that you’re doing something that you think extends beyond your own individual self-interest to others.

Hunter Hastings:

That’s really helpful for us because we think about entrepreneurship as having a social component. It supports society. We think of that at the institutional level. We talk about entrepreneurship solving mal-adjustments in social arrangements and elevating society generally. But you’re also saying that that’s an individual or micro motivation for entrepreneurship, is to serve the society that you can see and be part of in your community, your village, your town, your social group, whatever it is. So again, it’s both macro and micro. Is that correct?

Clay Routledge:

Yes.

John Bitzan:

I agree with that too. One thing I’d like to add, too, is that you think about successful entrepreneurs are motivated to solve problems. I mean, what gives entrepreneurs the idea to start a business? They recognize the problem, and they solve that problem that helps other people. And so I would say by its very nature, entrepreneurship entails pro-social behavior because you have to empathize with others. You have to find a way to help someone else in order to develop and sell a product that’s going to make you successful as an entrepreneur. So you have to think about other people when you’re pursuing entrepreneurial activities.

Hunter Hastings:

One of the terms we always use is the ethic of entrepreneurship, and we define that ethic as a service ethic. I’m trying to help other people, as you said. I’m trying to make their lives better. I will profit from that after the event, but the ethic is service. Did you find anything about service? Or is that simply another complimentary way of saying the same thing, pro-social behavior?

John Bitzan:

We don’t specifically measure that, but I believe that that’s accurate, exactly what you’re saying. I think it’s very similar to the point that we’re making.

Clay Routledge:

Yes, I agree.

Hunter Hastings:

A further development of that idea is that social justice and entrepreneurship are entirely consistent. Effective entrepreneurship can’t be unjust, and what’s unjust can’t be entrepreneurial because of this ethic of service. Did any of your findings relate to that ethical or moral aspect when people say they believe in entrepreneurship and in free market capitalism? Did it touch on ethics and morals or not?

Clay Routledge:

That wasn’t a focus of our research, but as John mentioned earlier, we did ask people to what extent they think capitalism, and also more specifically to what extent they think entrepreneurship, can help solve major challenges in our society including things, as John mentioned, like climate change and poverty. We did get at it that way and found that the more existential agency people have, the more likely it is that they think that capitalism and entrepreneurship could help solve these societal ills.

Hunter Hastings:

In your summary paper of the two studies, you talk about current threats to meaning, freedom, and flourishing. One of the things you mention is that our current technology-driven affluent world creates some existential vulnerabilities. The foundations of our existential health are under stress. Please tell us more about that, what you’re seeing.

Clay Routledge:

I think that one issue – that of course other people have identified as well – is oftentimes when a society has a lot and is very comfortable, then people sometimes feel like they lack the ability to have a role in it or they don’t have the challenge or some way to directly see their contributions. Of course, I don’t think that’s inherently true. I think bigger problems actually are the way we sometimes educate young people and promote this idea that they don’t necessarily have a lot of control over their lives or they don’t necessarily have the ability to overcome the obstacles that they face, that all their problems are systemic instead of thinking about ways that they could take some control over their lives and make meaningful contributions. So I think a lot of these issues are cultural in nature, if that makes sense. They relate to a cultural world view that perhaps undermines existential agency.

Hunter Hastings:

That’s pretty alarming if it’s the case. Do you see a world that is declining in terms of its ability to empower citizens with existential agency? I mean, that might not be the right way to phrase it, but are we going downhill in existential agency?

Clay Routledge:

We don’t have longitudinal data on that. So we’re not in a position to be able to say that, compared to five years ago or 10 years ago or 20 years ago, existential agency is lower. My personal concern… and maybe John has other thoughts on this… is that in our culture, we often see a decline in faith in institutions. And it has been quantified, that among young adults, the percentage of people who think it’s essential to live in a democracy is declining. Support for socialism is increasing, and support for capitalism appears to be decreasing. Religious faith is in decline, and that’s not to say that that’s the only way that people can find meaning, but one thing we do know is that religiosity is correlated positively with meaning in life. And a lot of the world’s religions definitely emphasize the idea that people have ways that they can be part of something bigger than themselves and that they can matter and make a difference in the world. And so it seems like religious faith inspires people to feel meaningful and to be agentic. So to the extent that those kind of indirect markers of existential agency or what we might think of as correlates or predictors of existential agency, to the extent that those are under threat or uncertain, I think there are reasons to be concerned. But that might be just me.

Hunter Hastings:

John, do you have anything to build on that or add to that? Or are you more optimistic? What’s your point of view?

John Bitzan:

No, I actually agree. Clay and I have talked about this a lot, and I see the same concerns. I think either Pew research or Gallup were showing polls of young people valuing socialism more than capitalism or thinking that socialism was a better system than capitalism as a system. And that is something that kind of puzzled me. What is that the case? And so that’s actually one of the things that we talked about very early on in this research.

Hunter Hastings:

It might be interesting to run a longitudinal study like Pew and Gallup do, but on existential agency. That would be an interesting trend line.

John Bitzan:

Yes, I think so.

Hunter Hastings:

Your research also, or your publishing of it is very contemporary. And you said that, for example, a focus on meaning is especially important as we recover economically from the pandemic crisis. Why do you think it’s particularly important now? What caused you to make that remark?

John Bitzan:

Just because if you look at now, everything was essentially shut down by mandate from the government, and so the only way to have a true economic recovery is for sure going to rely on the private sector. Government can pass relief packages, and they can ease some short-term pain that businesses and individuals feel, but they can never replace the production and the innovation and entrepreneurship that drive our economy. And so I think that it’s really important to pay attention to making sure that the economic system that supports, that drives our economy, which is capitalism and entrepreneurship and making sure that people have entrepreneurial aspirations themselves, it’s really important that we focus on meaning. And if you look at even currently, there’s been a lot of contributions that have been made by businesses that have helped sustain our economy. So I think about healthcare companies developing faster tests for COVID, experimental treatments, working on vaccines. Distilleries have switched some of their production from producing alcohol to producing hand sanitizers. Some clothing companies have switched their production to making protective face masks. Restaurants have come up with innovative products like happy hour in a box, which is a pretty interesting idea as well.

And so I think that it’s really important… And Clay and I have talked about this as well, that we think it’s really important that a focus on meaning right now is especially important. So to the extent that there’s any policies that are put in place that either send direct or indirect messages to people that they’re unable to contribute to society or that they need to rely on the state to improve their situation, that’s likely to be especially damaging to meaning and existential agency and then resulting in less favorable views of economic freedom and entrepreneurship. We think that it’s really important. For example, policies that make it hard for companies to hire workers or give incentives for people not to work, like the supplements to unemployment insurance that pay people more to stay at home than to actually go to work, policies like that can be especially damaging, I think.

Hunter Hastings:

Absolutely. And you also made the point that the connection between meaning and entrepreneurship is particularly important for racial minorities. And you specified the black community. Can you comment on that please?

Clay Routledge:

I think in the… And John might know the numbers actually, but a number of reports have indicated that black-owned business have been particularly hard hit by the pandemic-related shutdowns. And so even just thinking about that as a vulnerability issue, it seems like black entrepreneurs in particular might be in a situation which they’re facing a lot of stresses and difficulties with their business. And one thing that we found in our own data was that the same relationship between existential agency and entrepreneurial motivation was present across different racial groups. So it wasn’t the case that it was just for one group or the other. This model seems to be the same across groups. And so we think that might be of importance as people face these particular challenges during the pandemic.

Hunter Hastings:

Certainly, more existential agency or more sense of it among those minority communities, you would think would be very helpful for them to make progress. Let me make one final point here about the statistics. I’m going to try some statistic speak here. I’m not really qualified for it, but you make a point that your study is correlative, so the connection between meaning and the belief in entrepreneurship and economic freedom could be bi-directional. It works both ways. My thought when I read that was: should we be encouraging young people to find meaning in life so that then they’ll pursue entrepreneurship; or should we encourage them to act entrepreneurially and therefore they’ll discover meaning? Which way around is it? How should we be educating and informing and helping young people in these things”?

John Bitzan:

I think one way to think about it… And I mean, it’s true that the relationship could be bi-directional, but I also think that they previous research that’s been done in psychology, and by Clay in particular, shows that there’s an important role played by meaning and existential agency in motivational behavior. So Clay’s talked about that already. This is consistent with the idea that existential agency and meaning are what leads people to have aspirations to become entrepreneurs, to value economic freedom.But then again, you could also see it being a self-reinforcing mechanism, that existential agency leads to valuing economic freedom, which in turns leads to more existential agency. But the short answer to your question is that I think that it’s important actually to give young people messages that they have the ability to contribute to something beyond themselves, that they can make a difference, and that they have an important role to play in society.

I think it goes along with what Clay was talking about previously, that oftentimes young people aren’t given that message, and again, to the extent that they are given the message to realize that they can make a difference beyond themselves, this is going to help them realize that they have the ability to maintain and obtain meaning in their life, and it’s going to make it more likely that they’re going to support economic freedom and aspire to be entrepreneurs themselves. Whereas if you try to encourage people to act entrepreneurial, it’s going to be difficult to convince them to do that if they don’t think that they can get meaning in their life. So why act entrepreneurially if it’s not going to make any difference at all? Therefore, I think the best thing, from my perspective, is to give the messages to young people that in fact they can play an important role in society and make a difference and a contribution to society.

Hunter Hastings:

Good, good.

Clay Routledge:

Yeah, I agree with that.

Hunter Hastings:

That’s very clear. Your work is very important and uplifting. It’s certainly added to our set of knowledge about the importance of entrepreneurship, this idea of existential agency. I tend to look with my entrepreneurship eye open, but the psychology eye closed. So I’ve learned to look in both directions now. Where do you think it might go next? Is this a series of studies? Do you have some more research in mind? What do you see in the future?

Clay Routledge:

This was kind of our first look at exploring these issues because honestly, there really hasn’t been much work linking these kind of existential questions to more economic issues. There is a little bit of encouraging data. For instance, there’s some work showing that the more people see their lives as full of purpose, that actually predicts future income and net worth. So there’s a little bit of correlational data out there, but really no one’s really dug into this connection, this motivational connection, and specifically one related to existential motive. So I think there’s a lot of different directions that we can go in. I think John and I are both motivated ourselves to do so.

John Bitzan:

Just to add to that, I mean, the stuff that Clay… And Clay is by far the leader in this….the stuff that he does in this area as an economist is super interesting to me. I mean, just to think about what motivates people, I mean, as an economist, that’s what excites me about economics, is to try to explain human behavior. And this is a really great way to think about what Clay has been working on.

Hunter Hastings:

And I think it’s much more productive than what they call behavioral economics, which is supposed to be chiding us because we’re not rational and we have the wrong biases and stuff like that. This is a kind of multi-disciplinary approach where by combining disciplines, you learn new things. You get new insights. And you point to better things in the future.

Thank you for the research. Thank you both for appearing today. And thank you for the Challey Institute. That’s a very exciting discovery. I didn’t know about it before. And thank you for NDSU. It’s not one of the universities that we’re often reminded about. You’re certainly doing some wonderful and great things up there. So thank you both.

John Bitzan:

Thank you. We hope we get a chance to talk to you again. Thank you.

Hunter Hastings:

Yeah, let’s stay in touch.

John Bitzan:

Sounds good. Thanks.