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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.

80. Clay Routledge and John Bitzan: Entrepreneurship Brings Meaning and Purpose to Life

The entrepreneurial life is a life of meaning and purpose. We believe that strongly, and our belief is anchored in the ethic of entrepreneurship: to serve others, making their lives better, and thereby improve one’s own life, making an entrepreneurial profit, both economic and psychic.

In episode #80, we review some deep research support for this linkage between entrepreneurship, free-market capitalism, and meaning in life.

(Full episode transcript available here.)

Key Takeaways and Actionable Insights

An intersection between psychology and economics.

Clay Routledge is a social psychologist, with a focus on human motivation: what gives us the energy to pursue our goals and aspirations.

John Bitzan is an economist who has taught courses on international business and international economics. He fully understands the huge role played by economic freedom in elevating people out of poverty and making lives better. He now leads the Challey Institute (full name: Sheila and Robert Challey Institute for Global Innovation and Growth) that is focused on looking for ways to unleash the power of the private sector to create economic opportunity.

John and Clay collaborated on the research we discuss on E4E #80.

What is meaning and why is it important?

Meaning is defined as people’s perception of the coherence, significance and purpose of their lives. We are all trying to find a place in the world where we function, and we have a desire to be significant, to play a role in society, and to have a purposeful existence.

And people understand this about themselves. They have a good subjective sense of what it means to have a meaningful and purposeful life. They have a greater sense of meaning if they play an important part in the lives of others. Meaning embraces a contribution to someone else — to family, to community, to society — beyond just making a contribution to your own welfare.

The strong link between meaning and motivation.

People who see their lives as meaningful tend to live longer and healthier lives. Why? Because they are more motivated to live healthy lives. They make the choices that reduce the risk of mortality. They eat healthier, exercise more, avoid harmful behaviors like drug and alcohol abuse. When people have a purpose in life, they take better care of themselves.

Meaning is a motivational force. And that’s how it connects to economics.

Existential agency, capitalism, and entrepreneurship.

According to Clay and John, existential agency is the extent to which people believe they have the ability — it’s in their power — to pursue and maintain meaning in their lives. And people’s beliefs about meaning and existential agency influences a range of economic beliefs.

Clay and John researched the connection between people’s beliefs about existential agency and their views towards capitalism and entrepreneurship, both on the macro or institutional level regarding their role in solving important problems, and on the micro or individual level of their own entrepreneurial aspirations. They researched over 1200 Americans and asked questions including both their general views towards economic freedom and their motivations to become an entrepreneur.

The survey revealed that people who have more existential agency, i.e. a greater belief that they can obtain and maintain meaning in life, were more likely to have positive view towards capitalism, about entrepreneurship, and more likely to be motivated to start or run their own business.

It’s not self-interested, it’s pro-social.

Clay also emphasized how much meaning in life and existential agency are associated with pro-social beliefs, attitudes, and behaviors. For these people, motivation is not focused solely on their own wellbeing and their own life outcomes. Part of the motivation is to serve a community and serve society. Entrepreneurs are motivated to solve problems for others: entrepreneurship is pro-social. It can solve the major challenges of society, including macro problems like climate change or poverty.

The existential vulnerabilities of our current world.

The opposite of existential agency is the feeling of a lack of ability to play a meaningful role, or to take on a meaningful challenge or to see the opportunity to make a direct contribution via one’s own efforts.

Clay and John worry that young people are being educated to believe they have no control over their lives, and don’t have the ability to overcome obstacles that they face. They are told that problems are systemic, and discouraged from thinking about ways they could make a meaningful contribution, or make a difference. They are indoctrinated with a cultural world view that undermines existential agency. Symptoms include a decline of faith in capitalism and its institutions, and a sympathy for socialism.

A focus on meaning is especially important now, when people are told that they need to rely on the state to improve their situation, and are provided with negative work incentives via supplemental unemployment payments that make not working a better financial choice than working.

And Clay and John emphasized that the meaning-motivation axis applies to all social groups, including minorities. It’s important that we give all people — especially the young and minority groups — the message that they have the ability, through the agency of entrepreneurship and the institutions of free markets, to make a difference, contribute to something beyond themselves, and play an important role in society.

Free Downloads & Extras From The Episode

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Clay Routledge on Why Meaning Matters For Freedom And Flourishing: Download Paper

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

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Entrepreneurship Brings Us Optimism For The Future, Despite The Depredations Of Government.

Jeff Deist recently argued the case for economics over politics in his talk “Markets vs. Mobs.” I believe markets will prevail, and here’s why.

Our resource is not “science” but knowledge. It accumulates, perhaps at an exponential rate. Mises.org is one of the great consolidators of knowledge, attracting many more people than ever before (620,000 unique visitors per month, 1.5 million page views per month). If we can multiply those numbers by ten times we might start to make a dent in the universe.

Austrian or classical liberal knowledge has been associated with great advances in economics, higher average standards of living, and civilization, including enlightened government (Gladstone). But we don’t need to look backward; rather we need to market our ideas in a better fashion for the future. Jeff Deist talks about successful “2 percent movements.” With 6 million mises.org visitors per month, we’d be in 2 percent territory. We don’t need great men, just a great knowledge repository with great communication and sharing.

Mises and Huerta de Soto say that socialism is an intellectual error. That means it is correctable, via superior ideas and the right knowledge. So far, we have spent most of our efforts fighting in the wrong channels—academia and politics—where we have already lost. Business is a new channel to try. Technology may be another—blockchain is one area of technology associated with liberty and individual sovereignty, and complex systems theory is a modern update of spontaneous order. Gaming could be another (so-called agent-based simulations rely on individual freedom of action for their “agents”). All of these fields have quite well-developed libertarian groups embedded in them.

And I will continue to believe that Austrian entrepreneurship can be one of our best vehicles. Professor Per Bylund and others have established the idea of the ethic of entrepreneurship. Contemporary researchers indicate that a belief in free markets and entrepreneurship is associated with meaning in life. De Soto calls entrepreneurship the most intimate and essential characteristic of man: his ability to act creatively. Society thrives when individuals pursue entrepreneurial creativity. Entrepreneurs resolve social maladjustment.

The changes required in institutions can be created entrepreneurially. Connor Boyack provides examples in the institution of education, and Robert Luddy pursues the same goal with his private academies. Kartik Gada of ATOM sees a future where technology rather than people is the source of tax revenues, which will change the relationship between people and government.

Government (or what we call the state) is the great problem. But perhaps even that is vulnerable. In Eastern philosophy there is the concept of the eternal cycle, in which, when systems become overly bureaucratic or otherwise sclerotic, any crisis that comes along can result in a creative renewal that overturns the bureaucratic managers responsible for the sclerosis. Fund manager Mark Spitznagel refers to this in The Dao of Capital, using the analogy of the forest. When the forest floor becomes overgrown, and the wrong species have become dominant in the wrong parts of the forest, strangling new and creative growth, a crisis like a fire comes along, destroying the maladjusted species and the dead undergrowth, and releases the creativity of new growth among agile and adaptive species. In his analogy, the conifers wait patiently in the acid, rocky soils to which they have been pushed by the aggressive angiosperms, waiting patiently and adaptively for the fires that are sure to come:

For the conifers, their roundabout strategy allows them to withdraw to inhospitable places, all the while producing innumerable pine cones loaded with seeds that can be expediently dispersed by the wind to other remote areas, giving rise to a phalanx of patient, long-living warriors awaiting the next rout in the ongoing battle between conifers and angiosperms. While conifers growing on the rocks may appear to be nature’s outcasts, theirs is truly the false humility of the Daoist manipulator-sage. They withdraw to where others cannot go and then act when conditions suddenly shift and an opportune moment arises, such as after a wildfire….fire is friend, not foe, to the patient conifer.

Spitznagel’s analogy should give us confidence in the economic future of the West, despite the depredations of the state.

This article first appeared at mises.org.

Per Bylund Introduces The Austrian Business Model.

Podcast Transcript: Conversation With Economist Dr. Per Bylund; August 11, 2020

Listen to the full episode here.

Hunter:

Per, welcome again to Economics for Entrepreneurs.

Per:

Thanks for having me on again, Hunter.

Hunter:

You’re very generous in the consulting help that you give to entrepreneurs and all kinds of businesses and in your student teaching, so you’re shaping the next generation of business leaders and innovators and you gave two presentations at Mises University 2020. We’ll highlight some of the content today and we’ll link to those lectures on YouTube, which are accessible to everybody. One was called Austrian Economics and Business, and the second one was How Entrepreneurs Built the World. We’ll cover the essence of both of them today, but I’m going to start by laying out a proposition that it sounds to me like you’re putting the final touches to something we can call the Austrian Business Model. Is that correct?

Per:

I think so. That’s a pretty accurate way of putting it, I think. I mean, what I did in my lecture was basically talk about how first mainstream economics is not very helpful for businesses and business owners and those starting new businesses. Even though there is a subject and usually a course called Managerial Economics, what you learn there is simply to maximize curves and to put marginal revenue equal to marginal cost and things like that, and when you don’t really have those numbers and you don’t have equations in your business it’s not very helpful at all.

Per:

And then economics tends to not look inside the black box that is the firm, they just assume that there are firms. So it’s not strange that it’s not very helpful, but Austrian economics is different. We look at human beings and human action, and that is what is going on within a business and their businesses in a sense of organized action towards a specific end and the businesses try to satisfy their customers. And how do you do that? Well, we have plenty of answers to that in Austrian economics.

Per:

So an Austrian Business Model would simply be a way of structuring your business and following guidelines to make sure that you avoid errors and mistakes.

Hunter:

Good. So we could call a business model applied theory, applied theory to generate what you called in one of your lectures unceasing innovation and improvement at the level of the firm on behalf of the customer, obviously. We could call it process logic for continuous and sustainable value generation which then results in revenue generation and profit for the firm.

Hunter:

One of the interesting things in your lecture was you said that experienced entrepreneurs are generally Austrian even if they don’t know it and successful businesses are Austrian by definition. So the Austrian Business Model works, you would say.

Per:

Yeah, exactly. And what I mean by that is simply what I’ve learned from experience that talking to experienced entrepreneurs they have learned how the economy works, how the market economy works, and they have learned how to avoid the common mistakes and how to structure your business so that you have the greatest chance of survival. And the way they’re doing that is pretty much the same thing as we do in Austrian economics, but we do it in terms of theories. So we generalize it and we have general ideas and rules in a sense for how the economy works. Well, by applying those we can help businesses succeed to a much greater extent. And there’s, of course, a golden opportunity here because you have all these experienced entrepreneurs and business leaders who have this gut feel or this intuition that they’ve generated through just accumulating experience, but they don’t really have a terminology or words for it. They don’t have it well formulated, but we do in Austrian economics. We have the theory so we can provide them with this language and such things as putting the customer first, that value is subjective and what that means, the implications for the business, and so forth. So there’s a lot that we can really learn from each other, both practitioners and Austrian theorists.

Hunter:

Good. That’s exactly what we’re trying to do here. The place to start, you’ve mentioned it already, but it strikes me that it represents one of the true differences of applying Austrian economics in businesses, this understanding of value as subjective, and it creates a very different perspective on value because it takes place in the mind of the customer. It’s an experience of the customer, so that the true locus of value generation is in the customer’s domain when they use an experience the entrepreneur is offering.

Hunter:

So let’s start there. What are the business model implications for entrepreneurs of subjective value?

Per:

Well, that’s what we said. I mean, value is really created in consumption, so it’s only in the use of a product or service that you actually get the value from it. That’s why we consistently talk about not entrepreneurship as value creation, but it’s value facilitation. So the only thing you can do as an entrepreneur is to provide a good or an experience to a customer, and then what the customer makes of it is really out of your hands. You can’t really do much about it. What you can do is sort of nudge the customer in one direction or the other and try to help them figure out that there is something valuable to them on their own terms from using your product. But that’s all you can do. So value in that sense is personal and it’s subjective, so you can’t really put it in any type of objective measurement.

Per:

So we talk about profit in dollars, for instance, but the value of having something is it’s not… You can’t express that in dollars. You can’t express that in anything else and mainstream economists, when they teach these things they talk about utiles as a sort of measurement of utility you get from something. I mean, it’s like having a fancy meal with a loved one in a restaurant, for instance. I mean, if you get great service and a great meal and a great atmosphere and everything, the whole package there, what is that worth to you? Well, it’s worth to you… The whole experience is worth some degree… You get a good feeling inside, and you have a memory that you can live off for a very long time and so forth. Of course, you might be able to pay a certain dollar amount for it, but the value to you is your experience. It’s really nothing else.

Per:

So we have to understand this when we run a business, when we start a business, and when we study businesses, too, that what you’re doing is trying to help them get the best experience possible. So the customers should experience something that they value on their own terms, whether or not they can actually put the actual words on it.

Hunter:

Right, and that’s something that tends to be neglected in business school and their models, which are very mathematical. They look at things objectively, they try to engineer the results in terms of numbers, and they miss that subjective value description that you’ve just so eloquently made.

Hunter:

So we start the model there, and then you mentioned that we help the entrepreneur think about understanding the customer and their subjective value, and then they can create a value proposition. So let’s describe what a value proposition is in the Austrian Business Model.

Per:

Well, sure. It’s the complete offering. It’s the complete experience that the customer gets out of what it is you’re offering. And there are many, many ways you can tweak this, of course, but how do you tweak it? Well, the only way of doing this is to know who the customer is to begin with, and it includes all aspects of what it is you’re offering. It’s a time and place, and it’s the price, and it’s the type of language used just introducing it. It’s the actual quality of the thing or the service, and it’s how you follow up on it and how you treat your customer. And all of these things are really part of it. And whether it’s valuable or not, that’s completely in the customer’s own eyes.

Hunter:

Yeah. And this picture of the, I call it the longitudinal multifaceted variable of the experience. It’s really complex. You’ve also mentioned that to think of it through the customer’s eyes, it’s always relative. They’re always thinking, “Well, where else could I get a better experience?”, and it’s always comparative: “What else could I spend the same amount of dollars on?” So the entrepreneur is always going to be thinking about those two elements of the experience, relative and comparative.

Per:

Exactly. And that’s where you try to find your own niche as an entrepreneur and try to provide something unique that is really, really valuable to a certain subset of the market. I mean, in mainstream business, and we talk about market segments and so forth and you’re supposed to find your beachhead market and all of these things, but it’s really important that you really understand the customer and what type of experience they might enjoy and that they might get extra value from. It might be a really, really narrow one or it might be a broad one, and depending on what you want to do as an entrepreneur and how you think that you can get the most value out of it for yourself and provide [inaudible 00:10:35] value, you might choose one that is really specific for just a few customers, but really valuable to them, or you can provide something that is sort of general and not super valuable to anyone where you rather compete on price. But what you are selling is always the complete experience. So if you’re doing something, let’s call it shallow. I mean, this doesn’t sound all that good, but if you have a shallow offering, meaning that basically you just sell stuff and you don’t provide a whole lot of additional experience, no fluff, you don’t provide an experience.

Per:

So any type of retail would be this type of business, like a Walmart or something like that. You don’t go to Walmart because of the experience. You don’t consider paying extra when you go to Walmart because you get special treatment or you get superb customer service or anything like that. You’re just interested in getting the product and getting out of there. That’s basically what you’re doing. So they’re catering to a lot of people who are price sensitive, but they’re not treating you as king, as I said, customer, whereas in other more highly priced retail stores or grocery stores, they might greet you in a different way. They might have music on and all these things, but you’re also paying for it. But it’s a much more narrow market segment, where this segment specifically really value that it is super clean, that they always have a certain number of each product available, that they only have products of a certain quality or a certain brand or whatever it might be. And everything that is part of this experience is part of what you’re selling. So for Walmart it’s keep prices low, but don’t give anything extra like that. But for other goods, pricing might be part of the thing or it might be part of the offering.

Per:

So luxury sports cars, for instance, or yachts or something like that, they might sell those for a price that is really ridiculously high not simply because the cost of production is high because the cost of production might not be high, but because it excludes those who are not rich enough and thereby makes the product much more valuable to those who can afford it. And so the price itself can be part of the experience and part of the good that they’re offering.

Hunter:

Yeah. I think of places like Louis Vuitton stores, which my wife occasionally takes me to, and that’s a totally different experience than Walmart. The prices are extremely high. There’s very little inventory, but the decor of the store is meticulously designed and the members of the staff, of which there are many, are highly, highly trained. They treat you like you’re a member of the elite, and it’s an experience itself. Even if you don’t buy there, it says something about the Louis Vuitton brand. So those are kind of the two ends of the spectrum that you’re talking about.

Per:

Yeah, exactly. That is an interesting example, too, because it’s so obvious that they are catering to one of the two entering. So when you and your wife enter, they might cater to her as the person who gets the experience and makes the decision to buy, but not as much to you even though you might be the one writing the check, right? So you need to know as a business owner what type of customer will I target and what is the actual value to them? Is it usually a couple where one has the income and the other makes the purchases or is it a different constellation? You need to know these things because that’s how you position your offering and how you… You mentioned the decor in the store and things like that, how this works, how it looks, how it feels for the customer. The whole experience is really important.

Hunter:

Right. And it highlights another point you always make, Per, that in designing these value propositions and delivering them, the two firms aren’t competitive. It’s possible that you can buy handbags in Walmart but Walmart and Louis Vuitton, while they’re both retailers and they’re both selling handbags, they’re not competing. They’re designing totally unique value propositions for different people at different times in different states of demand. So we don’t think so much of firms competing with each other as firms designing unique experiences.

Per:

Yeah, exactly. That’s exactly what they’re doing.

Hunter:

Good. So we’ve mentioned another element which is different in the Austrian Business Model and that’s pricing, and this is fundamental and you covered it in your lecture where we’re taught traditionally in the business school to think about cost plus pricing. We’ve mentioned it before in the podcast, but let’s cover it again in the sense that that’s the wrong way to think about it, that the customer decides what the price is that they’re willing to pay for the experience you’re offering and then the entrepreneur chooses the price. Can you go over that again for us because it’s really important?

Per:

Yeah. Yeah. I would love to. And you mentioned the cost plus method of pricing and this is sort of one of my pet peeves, and I really, really hate that concept. It’s actually a good reason to not get an MBA at all because they teach that stuff. It really balances out any type of value you might get from any of the other courses because they teach you this BS, really. So I mean, the way to think about it is that when you start a business or when you pivot a business, you need to figure out who the customer is, which we already talked about, and how valuable the experience might be to this customer. From there, you can guesstimate a price that they will be willing to pay for this. And this probably shouldn’t be as much as possible as we often teach it and as economic models suggest. It should be a price that helps you sell the product.

Per:

We already talked about how the price is part of the offering, right? So the price could be really high if that adds to the product, or the price should at least be much lower than the value for the consumer. So the consumer… Well, of course, as you already mentioned, look at the balance, the trade off, okay? What type of value do I think I get from this company for this money compared to what they can get for my money elsewhere? And that’s perfectly subjective from their own point of view, and the entrepreneur needs to figure out what type of price is the best price for my niche or for my market segment, for my preferred customers. And then from that price, you need to figure out how am I supposed to produce something that gives them this experience, this value, where I can still keep my costs per unit produced lower than the price that I can charge for this. So in a sense, the only thing you can do as an entrepreneur is to choose the cost structure of your business. You don’t do anything else.

Per:

If you figure out who the customer is, because you already have an idea of what you want to produce and what you’re good at, perhaps, or what type of market do you want to be in and all of those things, but when you have figured out who to cater to, who is your customer, then it’s pretty straightforward in a sense that what makes these customers find real value in the experience. Well, that’s where you need to go. And then that gives you an indication of what price they’re willing to pay, and your job is to get them the experience at a cost that is lower in price. And, of course, the difference between those two, that’s your profit.

Hunter:

Yep. And there’s a surprising implication of that, Per, which you covered at Mises University 2020, which is to make those costs, to assemble the cost structure that they want, the best thing for the entrepreneur to do is rely on market prices, which means buying the components, the resources outside of the firm, and then just focusing on inside the firm the things that only that firm can do uniquely. So you got to make it inside, and that has huge implications for organizational design. So take us through that use of market prices for us, please.

Per:

Right. So one way that I think a lot of entrepreneurs… It’s a mistake that they make is that do you want to control everything? You want to make sure that you have things in house, because if something happens then you need to be able to just redirect resources or make sure that you have this guy on the staff so that you can use them more or whatever it is. And we all feel this, and this is sort of a human instinct to whenever something is uncertain we go for control. Well, control is pretty worthless. When you’re dealing with value generation and trying to create an experience of value to others, you will do this under uncertainty. There is no other way. And control is pretty worthless in this case. What you need to do is figure out how can you contribute as much as possible to whoever is on the other end; that is, your customer. So what you need to do is bear that uncertainty and make sure that you are focusing on where you contribute to value.

Per:

So the implication of this is to keep as little as possible in house. And this sounds counterintuitive simply because you want to control as many bits and pieces as possible so that you don’t stand at the end with only half a product or can’t complete your production and you can’t offer the customer everything that you wanted and so forth. But the thing is that the market has this fantastic mechanism for allocating resources toward the greater benefit for consumers, and it’s the price mechanism. And it sounds like very abstract economic theory and it is, but if you apply it what this means is that the more stuff in your business you can put on others and thereby contract them out, you outsource to others who are experts in those areas, the easier it is for you to focus on your core contribution. And today, most startups you wouldn’t hire an accountant. You also wouldn’t hire an IT guy. That’s not the first thing you do because this just seems like a waste of money. But if you really want to be in control of your books, if you really want to be in control of your technology, that’s where you should go. But now it’s become so obvious to all businesses that no, you’ll have an accountant and you just send your receipts that way and they take care of it, right? And the same thing was with IT.

Per:

You can buy consultant hours or you can buy services from there, and you might even get some service with the hardware when you buy it and things like that. That’s the way to think about your business, and that means that you don’t have to… The more you outsource you don’t have to struggle with or deal with potential problems with all those parts because you have already outsourced those problems in a sense to others and you’re just paying the bill.

Hunter:

Yeah. And it seems like today, the world is catching up with that kind of applied Austrian theory because the interconnectivity that you can get through the internet to global supply chains and other kinds of suppliers and buying in resources that others have made, and so on. That’s very contemporary, so Austrian economics was ahead and will keep ahead with this business model of new thinking about organizational design.

Per:

Yeah. And it’s really fantastic when you have a really good theory that is universally applicable and it’s not really sensitive to different times of civilization or the market or the economy or the world, of course, but it always applies. It is held in very general seemingly abstract terms, but it should be always applicable. And then that’s the case with Austrian economics, and that’s why [inaudible 00:24:14], like you said, it’s valuable to apply it over and over again because it provides insights into any of these situations even if the situations are different.

Hunter:

Yep. And technology enables more and more application, right? If that’s the right way to say it. The internet wasn’t around when Carl Menger wrote his principles, but today you can apply them in an internet-powered world.

Per:

Oh, exactly. And I mean, the more information and communication technology we have the closer we all are, meaning that we can outsource more and more, meaning that we can do less and less and focus more and more narrowly on our value contribution.

Hunter:

Which brings us to the next point. It’s overlapping, but it’s about Austrian capital theory which says that your capital structure should reflect the way in which you best serve the customer, and the assets that do that will be the ones that generate your customer revenue, and you should be constantly inspecting them and perhaps changing them up as customer preferences change. So you got to examine your assembly of assets and keep inside the ones that are most contributing to customer service. Is that the right way to think about it?

Per:

Yes, it is. And I mean the way you use resources right now, you bought them for a reason, you put them in place for a reason, and so forth, so the best approach to adopt an Austrian Business Model when you’re already up and running a business is to think about it probably in terms of investing and divesting. So when you’re buying new, if it’s machinery or computers or moving to a new location, whatever it is, all of these investments, you should think as an Austrian would think of the customer first. How does this contribute to the consumer’s value experience and can I do this differently so that I contribute even more to the consumers’ value experience? Because if you can change up your business by investing in different types of capital, which just means any type of resources but basically [inaudible 00:26:33] labor and you can enhance the consumer’s experience by doing this, it’s not impossible to raise the price. You can very easily sell your product, let’s say, and it’s a next-generation enhanced type of product so you can raise the price there, but you should always direct everything using your own customer, that targets customer, as your guiding star. That’s where you should always direct everything you do by that person’s value experience.

Hunter:

Right. And just one last point on that, Per. The other thing that strikes me that Austrian economic theory makes us think about is the dynamics of the economic situation, and there’s no equilibrium. Things are always changing, and the entrepreneur and the firm that they’ve set up need to be set up for those dynamics. Everything is going to change all the time, your competitor, your consumer, your environment, and so setting up for dynamics is one of the pieces of direction that Austrian economics can help with.

Per:

Absolutely. I mean, it’s important to be agile and be flexible and be able to adjust to changing circumstances, and it’s your job as an entrepreneur to figure out what those changes might be. So it might not be wise probably ever to maximize resource usage at any point in time. Sometimes you might need to do that in order to satisfy your customers but maybe temporarily, but it’s often a good idea to have additional resources, have a plan for pivoting your business because you expect something to happen. So as an entrepreneur, you should always think ahead and think of how can I satisfy customers in a better way. That’s your job as an entrepreneur. You’re not supposed to run the business as much as figure out how this business can satisfy the consumer in a better and better way.

Hunter:

Yeah. I recall Jeff Bezos at Amazon saying that now his job is thinking three to five years ahead and leave the everyday execution of the business model to others.

Per:

Exactly. And I mean in Austrian economics, we distinguish very clearly between the roles of the entrepreneur and the roles of the manager. It doesn’t mean that you as an entrepreneur has to do only the entrepreneurial things and you should never manage. It could be the same person, but those are two different roles with two different purposes and two different goals that they’re trying to achieve.

Hunter:

So let me sum up the elements of the business model that we’ve covered, and then perhaps I can ask you to summarize the implications for business people and entrepreneurs.

Hunter:

So we’ve said that the model is distinctive in its understanding of value, in helping entrepreneurs construct a value proposition, to design a production capability that delivers that value proposition. We recognize that values and experience and delivering end to end completely in depth that extended experience. We’ve got a differentiated understanding of pricing. That cost is an entrepreneur’s choice after the customer has chosen the price, and we’ve talked about the implications for organizational design and embracing and managing for change. So we’ve got the elements of a model. Let’s have you talk about the implications for people in business from this new way of looking at things.

Per:

One is to always think about the customer and then really be obsessed with the customer. Another is in entrepreneurial terms to think of how can you best serve the customer, and that should be a decision for the whole business and, of course, all the parts, too, but the whole business. Can this business and all those investments made in this business serve customers in a better way doing something else? Well, then you should probably pivot the whole business even if you are in a profitable situation, even if you have a reputation, and so forth. If you can do something much better elsewhere, if you can do something much better for a different customer segment, whatever it is, maybe you should consider doing that. And that’s sort of the role of the entrepreneur in the whole market system is to direct resources to the better value experience for customers.

Per:

So it’s really your job as an entrepreneur to do this, to figure out how to best serve consumers overall by figuring out which consumer do you with your special skills and expertise can satisfy in the best way possible. And then in the business, of course, when you have already established what the business’s goal is and how the business satisfies consumers, then you have management of this sort of collection of resources and employees. And in that business, the role of management is really to try to strengthen the value proposition, trying to tweak it one way or the other, trying to tweak all the parts, figure out some changes here and there, make some adjustments in order to make sure that what you’re offering is as highly valued as possible. It’s not really about pivoting the business anymore when you’re doing it.

Per:

So the role of the manager is really to take the idea from the entrepreneur and try to make as much as possible out of it. And of course, part of this is efficiency, trying to operate as efficiently as possible. Don’t use any resources that you don’t actually need, don’t have any waste, [inaudible 00:32:52] cut that off, don’t have extra overhead. And those sort of efficiency things that managers do are also important, especially for profitability, but those are important only after you have as an entrepreneur figured out what the actual value is.

Per:

So there are plenty of implications by applying Austrian economics in the business, and it allows you to think about the business in a different way and it also takes all those parts fit together in a very different way. And we talked about before the role of the price mechanism in the economy actually has a role in determining what we as scholars would call the boundaries of the firm, meaning simply how many different things are included in the firm that are under the manager and how many are you buying from others in the marketplace? Excuse me. And very often, this is sort of whatever the manager feels like, but also economics teaches us that well, no, you should probably use the price mechanism as much as possible because that gives you an indication of both where your actual value contribution is because if you can outsource all these other things that is not your value contribution. If you can do those things more effectively and cheaper than others can do in the marketplace, then maybe you should get into that business instead of that business that you think that you are in now. And it allows you to focus on where you contribute real value and get rid of all the other things so you don’t have to try to solve so many problems all the time, but only focus on your actual contribution.

Hunter:

Good. Excellent. Well, thank you, Per. As a team with your help and input, we’re going to try and capture the Austrian Business Model in a graphic. We don’t do mathematical models, but we do graphic models that help people with process and design and decision making and, as you say, resource allocation, organization, management, principles, and so on, and we will provide a first version of that along with the release of this podcast and we’ll attempt to refine it with the input of all of the economics business community.

Hunter:

So thank you for helping us to think this way, and it’s really exciting to see how the Austrian Business Model, the application of Austrian theory in business, is going to help our community of entrepreneurs succeed. So thank you as we started out for your generosity in helping with that. We appreciate it very much. Thank you.