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Bob Luddy Is A CEO Who Applies Principles Of Austrian Economics In His Business Every Day.

One of the things that I really like about the Austrian economists, regardless of the subject, they work hard to get to the truth of the matter. So they’re not hung up in formulas or things that happened in the past or general beliefs. They’re looking for the truth and the best methodology, and that’s the methodology we use in CaptiveAire, and it’s proved to be tremendously successful.

Podcast Transcript: Conversation With Bob Luddy of CaptiveAire; September 22, 2020

Listen to the full episode here.

Hunter:

Bob, welcome back to Economics for Entrepreneurs.

Bob Luddy:

It’s my pleasure to be here today.

Hunter:

You were our guest very early in our series of podcasts, in episode number four. You talked to us about specialization, which is important for entrepreneurs: choosing your specific target customer and your specialized market and becoming uniquely superior in your offering in that market. You’ve done that with your company, CaptiveAire. It’s the out-and-out leader now in commercial kitchen ventilation systems, which your website calls a complete solution of fans, heaters, duct work, and HVAC equipment. But you also talked to us about systems thinking, selling solutions, customer service, cashflow management, and a host of other things that are really elemental to your success and others too.

You mentioned briefly in that discussion that you’re a student of Austrian economics. Austrian economics has been a companion for you on the road to success. You apply the principles of economics directly in your business. You actually contribute time and resources to teaching everybody in your company some of those principles, both executive management and employees. So we’re going to talk today about how Austrian economics is applicable in business and some of the specific principles you’ve applied.

So I thought I’d start with Say’s law, Bob. You summarize it to me as supply creates demand, and every business wants to create demand, obviously. But tell us how you interpret Say’s law, because it’s not all that easy, and then we’ll talk about how you’ve applied it.

Bob Luddy:

The way I interpret Say’s law is if you bring a new product or service to market, the assumption is that you’re bringing a product to market that someone needs at a price that makes sense. So that’s the underlying assumption. But when new supply comes on the market, it may solve existing problems that are not currently being addressed, or it could be a new piece of clothing that’s attractive, and you may not need it, but you’re compelled to buy it because it’s an attractive offering. In our case, we’re primarily dealing with engineering. So the products we bring to market, while they have to be aesthetically acceptable and pleasing, they’re primarily solving problems within the restaurant or commercial building.

If we can bring products to market that solve those problems in the simplest way possible, at the best possible price, we’ve got a good chance of both creating new markets and also attracting customers from existing suppliers.

Hunter:

So that would imply that the typical words that get used in business writing, which are that firms create demand, are not quite right. It  sounds like identifying potential problems, then making the production leap, you design and produce, and then demand is a result of that. Is that a good way to summarize it?

Bob Luddy:

Yes. That’s exactly correct. I can provide some examples in our kitchen ventilation business. If you went back to the 1980s, many of the harmful effluents from cooking in a restaurant were escaping into the kitchen and sometimes even into the dining room. So that’s a serious problem because those effluents could contain carcinogens, and at the very least, they’re very unpleasant. That was the state of the art. So my thought was, if we could solve that problem at an acceptable price, we’re going to have a lot of customers. That turned out to be exactly right.

Bob Luddy:

Now, you might say other people did the same thing, other companies, and that would be true. But our vision and our target of how to solve that problem was superior to theirs, is that it’s really just that simple. So it’s not just a matter of solving the problem. It’s solving it with an acceptable idea, technology, or service, and also, again, it applies at an acceptable price, not at any price.

Hunter:

Right. But you’ve got to produce, right? Do you take that entrepreneurial risk that you’ve identified the problem correctly, you’ve designed the solution correctly, but you’ve got to produce before you create the market result, or you create the reward?

Bob Luddy:

I can give you countless examples of competitors that had some methodology of solving the problem, which we deem to be either deficient or actually didn’t solve the problem. So many people take a stab at this. But it’s only the ones who have a more precise vision of what’s acceptable to the market. So there’s market risk – that’s Say’s law – and there’s the uncertainty, so to speak, as to whether your product will win and actually create a new market. We know the greatest example of all time: the iPhone literally created a new market. In that case, they did it at a relatively high price. So that would break the CaptiveAire rule, whereas we try to be the low-cost producer. So visions can vary pretty widely. But in the end, the entrepreneur has to be very correctly aligned with that user.

Hunter:

You used a great term there, Bob, which I’ve never heard before, but it’s very evocative. You said precision vision, getting to a precise vision. How have you learned to do that over the years? How do you get to that precision? What’s the secret?

Bob Luddy:

Well, for example, just kind of a mundane product that people don’t maybe put a lot of thought into, but duct systems are fire protection systems, and they tend to be difficult to install and not as effective as they should be. So we developed a duct system that could be put together like an erector set. It’s got a good set of instructions. It actually ships like an erector set. Over time, we were able to buy highly automated equipment. It can produce this at a very low price. So we have price. We have quality. We have sustainability. We have ease of installation. We have guaranteed fire protection with the assumption that it’s installed correctly. All those bases are covered within the product design manufacturing process and installation.

Bob Luddy:

That’s supposing that we had seven of eight requirements, perfect, but one not. If a competitor was able to perfect that last requirement, we might be out of business. So that’s where I came up with the term, you have to be fairly precise and understand all the requirements, meet all those requirements, and meet them in the best way possible, based on technology that exists today.

Hunter:

I was reading an analysis the other day that said… It used the term small details, and it said, “In today’s customer experience, small details are not only important. They’re critical.” Because service and competition are so good these days that it’s the small details that make all the differences. Would you agree with that?

Bob Luddy:

We stress that continuously. So pretty much, you could look at any of our manufacturing engineers, managers, et cetera, and they are very engaged in the very fine details of everything that we do. Many times managers get to a level where they feel like the details are left for other people, so to speak. That’s a completely wrong headed idea because it’s the small details that usually trip you up. So we put a very high focus on those details.

Hunter:

In all that process, when you’re talking about production and design, Bob, what’s the role of feedback from the customers? Is that something that’s going on all the time, or is it something you actively go out and collect with a piece of research? How do you feel about customer feedback?

Bob Luddy:

First, we do our research to ascertain what the problem is. Then we determine how we’re going to solve it. Then once we put together the product, we put it into what we call a beta. So we go to some select customers and saying, “Let’s install this unit in your restaurant and see if it solves your problem.” Then over time, we widen that beta because as you get a wider beta, you get more commentary, and you can figure out some nuance that potentially could have been missed. So we found that to be a very effective process.

Bob Luddy:

But keep in mind in engineering, the end user or the customer, they can be very clear as to what their problem is, but they don’t know the solutions. So if you are able to bring a solution to them that solves those problems, they’re going to intuitively know, is this a good solution, an acceptable solution, or are there some things about it that are not acceptable? So it’s very important to get that user commentary because no matter how brilliant your engineers are or how well thought out your process, nuance is going to be missed, and that brings us back to the point of details are extraordinarily and absolutely important.

Hunter:

But the feedback is to a beta product. It’s not to a survey question or asking an opinion. You’re getting feedback, and it’s feedback about a specific product, not a concept or idea.

Bob Luddy:

For the most part, I find surveys and small groups, et cetera, to be not very useful because all you’re going to learn from them is a status quo. If we’re doing our job correctly, we better know the status quo.

Hunter:

Let’s move to another subject, which is subjective value. It’s one of the core elements of Austrian economics, understanding the value created by the customer. But we tend to associate it, I think more easily with consumer businesses. In fact, at the outset, Bob, you talked about fashion. We understand that people have different subjective tastes and attitudes to fashion, or their attitudes to food might be different. Some like fresh nutrition and others like fast food. Those are subjective values. I think a lot of our entrepreneurs have a little difficulty in dealing with subjective value in business to business. But that’s your space. So tell us about your understanding of subjective value and how it’s helped you.

Bob Luddy:

Mises made some comments about this. So for example, if we bring an integrated system to a restaurant, and if we were successful in explaining all of the problems it’s going to solve, the sustainability of it, then it still comes down to the user saying, am I willing to pay X amount of money to solve these problems? The user very well could say, “No, I’d rather live with some of the problems and depart with that much money. So Mises makes it pretty clear that’s where the decisions are going to be made.

Bob Luddy:

So our strategy is we solve all the problems. We clearly communicate to the user how we solve this problems, and then they make the decision. Now, if we don’t communicate well, the value of the product in the user’s mind may be lower. So part of the issue of getting a higher subjectivity of value is to have a full understanding of what the product does. But in the end, even if we think we’ve established a good price point, and we solved all the problems, the user can just simply say, “I’m not willing to pay that amount of money to solve those problems.”

Bob Luddy:

So the subjectivity is very, very clear, and it’s reinforced in the market every single day. It could be that if the user said, “That’s simply too much money for the problems you’re solving,” he’s sending us back to the drawing boards to say, “Yes, you have an acceptable solution, but the price is wrong. You’re going to have to figure another technology.” So I think the same concept comes into the industrial world and commercial world just as it does in fashion or food or anything else.

Hunter:

Sometimes the trouble that people have thinking that way, Bob, is you’re often not dealing with a single decision-maker, a single buyer. It’s not an individual. It might be a procurement committee, or it might be a decision that has to go up the hierarchy. So people are confused about, whose subjective value is it? Is it the CFO who signs off on the cost, or is it the engineer who signs up on the functionality, or is it the owner who signs off on the decision itself? What’s your experience about dealing with multiple customers in one sale?

Bob Luddy:

Yeah. You’ve just brought up a very important challenge for the entrepreneur. Anything that goes to committee is going to be a challenge. People tend to default to the status quo. So if you have a new type of solution immediately, a committee is going to feel more comfortable even with a poorer current solution. So within groups of that nature, you have to have an advocate, even if it’s going to be a committee decision. I’ve seen cases where you have eight people on a committee. You completely convince seven, and the eighth one is just dead set against making any change or doing anything differently.

Bob Luddy:

We had that occurred recently, and thankfully, we were able to win the day. But that’s a big challenge for entrepreneurs. I gave you an example. There was a company some years ago that had a new type of street sweeper. Of course, they were going to sell it to government. They were convinced that it was vastly superior to what was on the market, and I think they were probably right. But nobody in government ever bought the solution, and they went out of business.

Bob Luddy:

So it’s a prime example where a company says, “Well, we have the right solution at the right price.” People are going to line up a door and buy it is simply not true. You have to convince those buyers or decision-makers that this is the best choice. That is a formidable challenge, even with the best product and best pricing. So it should be always on the mind of the entrepreneur.

Hunter:

You said something really interesting, that communicating better actually raises the value of your offering. I think one of the things that we Austrians believe is that communications – call it advertising, call it marketing, call it sales, whatever you call it – is part of the offering. It sounds like you agree with that. Is that right?

Bob Luddy:

It’s absolutely imperative, particularly with new technologies that users do not understand. In the case of the iPhone, since it was so intuitive, and say since they are good marketeers, they were able to pull it off. But many products that we buy, we don’t have a full understanding of the technology, all the things it can do, and the future value to us. So if we’re not informed, we’re going to make a lot of bad decisions. So I think an effective entrepreneur has to be able to communicate with the user what the advantages of this product are and why they should buy it, and failure to do so essentially devalues their product in the marketplace.

Hunter:

One of our contributors here, Bob, Dr. Mark Packard has divided this subjective value process into components that take place over time. So he says that your customer first anticipates value. So you do the communication. They’ve got to say, is there something in it for me? It’s kind of an absolute judgment. Then they make a relative judgment compared with other choices. Then they make what he calls the exchange value judgment. You called it, do they part with the money? Then they have the actual experience. They use the product and service, and then they assess it afterwards and say, did it meet my expectations? Did it function properly? Is that helpful, do you think in thinking about your relationship with a business-to-business customer?

Bob Luddy:

Absolutely. You’ll probably notice with a lot of consumer products, when you open the box, there’s a little note in there, and it says, “You just made a great choice.” So they’re continuing to reinforce the value of their product. In that regard, if we hear even the minor’s complaint from a user, we take immediate action to make sure that’s resolved. In some case, it could be a software issue that could be corrected. It could be misuse of the product, any number of things. But we’re very tuned into after the fact, and we use the word sustainability in the context that we want our products to last 20 years or longer.

Bob Luddy:

There’s very few manufacturers today that talk about a 20-year lifespan. In some cases, we even have limited warranties that are 20 years. So the idea of having a permanent relationship with the user is very important in this whole process, and very often, manufacturers think in terms of, once they bought it, I’m done with them. I’m moving on. We’re the exact opposite of that. We want that customer for life. Even the most minor thing they’re not happy with, we’re going to fix it, and we’re going to resolve it.

Hunter:

Yes – small details. Talking about Apple, it reminds me about one of the innovations they introduced, which was the beauty of the box and what they call the unpacking experience. So as you said, you get this beautiful box, and you open it, and there’s a so carefully constructed, and there’s communications in there. I bought a pretty industrial product the other day on Amazon. It was shipped to me. It was the same thing. It was in a beautiful box, and you unloaded it, and it had this great piece of communication in there and had the little Apple-like indents in the polystyrene. So you pick everything up carefully. It was beautifully done. Does that come to your business, the unpacking or delivery experience? Is there anything there for-

Bob Luddy:

Oh, absolutely. Maybe not as much in the end packing, although we try to ship things in the most upscale way possible. It comes in if the outside crate is all messed up or the box is a problem. Immediately, you’re going to have a poor perception of that product. But we also are very conscious of aesthetics. So you can have a high function product with poor aesthetics, and just right out of the gate, the user’s going to say, “Well, this is just a piece of junk. They’re going to have a very poor perception of it.” So aesthetics count, and you’ve just iterated how that box counts a lot, even though it has nothing to do with the product. Again, you’re pointing to the details. People fail on these details.

Bob Luddy:

If you look at very complex systems that we’re engaged in, the smallest detail can shut that system down. One short wire out of place can cause a major problem. So if anybody involved with that product is not into the fine details and not executing at a very high level, we’re not going to be as successful as we should be.

Hunter:

I want to turn next to comparative advantage, Bob. We’ve had Dr. Peter Klein and Dr. Per Bylund and others on the podcast. They stress the difference between competitive advantage – I can perform better than my competitor – and comparative advantage, which is something more inherent in the company itself and its leadership. So how do you think about comparative advantage?

Bob Luddy:

I think of competitive advantage as essentially ephemeral for the most part. So you can gain advantage, but it’s very hard to hold that advantage in a highly competitive market. Whereas comparative advantage, you have a very distinct advantage that’s much longer term, maybe not absolutely invincible, but very hard to overcome. So outside of our field, I would say, if you looked at Napa Valley making wine, if you decided you wanted to make wine and compete with Napa Valley, it’s going to be a hard way to go. In our case, over time, we’ve been able to develop those design technologies, techniques, automated equipment software, and when you marry all those things together and you integrate them, we gain a major competitive advantage. It’s very hard to overcome because it’s not one thing. It’s many things, and they’re all well thought out and have been developed over a number of years.

Bob Luddy:

Whereas the competitive advantage is something that can be again, ascertained and overcome in some period of time. So you can gain these advantages, but they’re going to be ephemeral. So the goal of the entrepreneur should be to try to gain a long-term comparative advantage if possible. In many businesses that’s really difficult. In very competitive businesses, you’re lucky to gain a competitive advantage much less even thinking about every gaining comparative advantage.

Hunter:

Let me pick out one word you used there because it’s a fascinating one, and it’s a place where you can perhaps get comparative advantage over time. You call the techniques. Unfold that a little bit for us, Bob. What’s a technique, and how do you gain advantage with techniques?

Bob Luddy:

Well, for example, we have to bend a lot of sheet metal for a product. The way it’s been traditionally done is manufacturers will bend a lot of metal, and they’ll have it ready to go. So when the product comes in, they’ll pull the bent metal off the shelf, and then they’ll assemble it. Well, that requires a lot of storage anticipation of what you’re going to sell – a laundry list of challenges. So over time, we were able to buy automated equipment that will bend that metal in real time and dynamically stack it right up on the assembly line rate to be assembled and all that’s done in hours.

Bob Luddy:

So we can have a very rapid turnaround time. We eliminate all the inventory. We eliminate all the losses for inventory put together that can’t be used, and then we get into the actually assembly of that product, and we have our own unique methodology of assembly that doesn’t require traditional manufacturing jigs and devices. It’s what I call self-jigging. So it’s coming off these high-speed machines, is hitting that line, and then we have a whole series of techniques of how the product is assembled.

Bob Luddy:

So in a matter of hours, it’s the end of the assembly line ready for checkout, and it’s going to be shipped. All that has taken many, many years to develop, but that gives us a very strong competitive advantage that’s not easy to overcome. Many companies have tried it. But they don’t get all the details right, and they may miss some important steps. So it’s very hard to replicate. So I would consider that more than a competitive advantage, it’s a comparative advantage.

Hunter:

Do you design your way to those techniques on a drawing board, Bob, or do you just work your way towards them through trial and error and learning? How do you develop techniques?

Bob Luddy:

Actually, it’s both. So we design our way through initially design. We build prototypes. We revise the design, and we get that product ready for our production process. But once we get in production, we find components that are less sustainable than we wanted. We find a better technique. We may find a component that we could design better. So it’s in a constant state of renewal, looking for again, a better way to do it. We call it Kaizen from the Japanese word for continuous improvement. So our engineers are very connected to those assembly lines, and they’re also very connected to the field, primarily through software-delivered data, which is being fed to them all day long. Any minor problems are aware of, and they’re working on to fix them. So yeah. Our whole team is totally engaged in that process.

Hunter:

One of the techniques I know in Kaizen on continuous improvement is to identify what the Japanese call waste, either wasted time or wasted effort or wasted energy, and then you eliminate the waste. Is that part of the process?

Bob Luddy:

Absolutely. Yeah. That waste could be human, it could be time, could be components, could be any number of things. That’s a constant that we’re working on that process, and our design engineers and our manufacturing team, they’re all on the same team, and they’re working very closely together. Even though we are radically decentralized company, we’re tied together with software, with visits, with telephones. So we function like we’re all in the same building, but in fact, we’re all over the country.

Hunter:

Is the software feeding back from operating machinery and the restaurant or from inspections and people or both?

Bob Luddy:

All the above. So we get inspection reports. We have real-time data being fed from restaurants that will give us any aberration in performance. It also allows the engineers to look at restaurant operations and see if that equipment is performing the way it was designed. Field service is constantly feeding back any concerns they have to the manufacturing plants on a daily basis. Sales teams have software that they communicate with us. If a customer has any complaint, any issue, it’s tabulated on a software program. So the engineer in charge is very cognizantly aware of when, how often this happened. So the information we receive is extremely good, but more importantly is we’re working on it every day.

Hunter:

Do you call it big data? That’s a fashionable term these days.

Bob Luddy:

We don’t use a lot of the conventional terms. We just call it data.

Hunter:

Information.

Bob Luddy:

Yeah. Information.

Hunter:

I’ve got one more item on my list here, and that’s opportunity cost. You said that’s one of the concepts that you apply. I know that I personally have a little bit of difficulty in thinking of that through in application. I understand that the concept is that any choice that, say, your customer makes has an opportunity cost, which is they reject something else, or they don’t take another course. That sounds a bit theoretical. How does it apply in your business?

Bob Luddy:

Well, I’ll give you an example. We bought a make-up air company (see CapitiveAire website for technical explanation) in the year 1999. These companies and the controls for air coming into the building, being heated or cooled, there tended to be a lot of customization from engineering, sales reps, customers. That customization requires an enormous amount of engineering, and it’s fraught with problems because you buy a new component, you don’t know if it’s going to work under the right terms and conditions. There’s endless number of problems. So we decided in 1999, we would move toward what we call high standards. So we would a very high standard product that would suit 95% of all users. There’s flexibility within the ordering software to customize voltage and phase and certain aspects of the product. But it’s all done in software. Whereas our many of our competitors same time said, “We can be all things to all people. You tell us what you want, and we’ll figure out how to make it.”

Bob Luddy:

Most of those companies, 20 years later don’t exist any longer. So it’s an important thing to understand that opportunity costs also means turning down opportunities, getting the best utilization out of your human resources possible, making the most sustainable solutions, which are going to save time and money over a period of time. Companies tend to get these things wrong. So we’re more in the range of, we call it a category killer. We make 10 major categories of products. To keep those products at the right price, at a high level of performance and sustainability requires all of our time. So if we divert any of that time, i.e. opportunity costs, onto something, it better be something really important, or we’re failing at our most primary mission.

Hunter:

Is that an active piece of analysis, Bob, every time you look at something like that, a new opportunity that you also look at the downside, you look at the opportunity cost? Do you actively make that AB decision?

Bob Luddy:

Absolutely. Every single time.

Hunter:

So opportunity cost is an active process for you.

Bob Luddy:

Yes. Entrepreneurs, you’ve heard the term serial entrepreneur, which I don’t like. I think it’s very bad because we’ve been at this business for 44 years. While we’re really good, we’re not as good as we want to be after 44 years. So what does that tell you?

Hunter:

That you always keep going?

Bob Luddy:

That there’s always ways of improving, and the higher you get in perfection, the more and more opportunity costs. The more opportunities arise that you can get to another higher level. That’s not necessarily intuitive because people think in terms of where they want to arrive, and we don’t look at it in those terms. We just know where we’re at today, and we have laundry lists of things that we want to correct and resolve for the long term.

Hunter:

That’s an active list that you keep?

Bob Luddy:

Yes. Yeah. Well, we have long lists of things. If I went to our engineer in charge, he might have a list of 50 items that they’re working on at any given time. He’s got a lot of engineers working on these processes and products. A lot of them are, back to your word, details. They’re small details that make that product perform better, more sustainably, more useful to the end user but unlocking kind of scientific information is a slow arduous process. But every time you make that breakthrough, that product becomes more viable, and it’s gonna have a higher perception with the user. That’s pretty much how we operate the business.

Hunter:

That’s very impressive. I’m going to try and squeeze in one more topic, Bob, if you’ll bear with me. You might not be able to do it justice, but it’s one that entrepreneurs, especially B2B entrepreneurs, I think have a real challenge with, and that’s pricing: getting the price right. You always quote Bill Peterson on this topic whom you’ve mentioned before is as a mentor. So distill for us in just a few minutes, as I say, we might not be able to do it full justice, your experience about price and pricing.

Bob Luddy:

From the very beginning, my idea was that we would price under the market, which would be our primary means of gaining market share. Very interesting, if you went back into the 1980s, very often, people were telling me you’re leaving money on the table. I said, what does that mean? Well, you could charge the customers more money and get away with it. I would continuously say, “That’s just not how we operate.” We want to have the best price we can bring to that user, gain market share and grow as a company. If you fast forward 35 years later, we are still the low-cost producer. We have the highest market share, and virtually no manufacturer can get to our price because we spent 35 years figuring out how to do it. Again, we talked about our comparative advantage.

Bob Luddy:

I hear people make comments where price is not that important. Value is what counts. So my retort to that, which maybe came from Peterson, well, why put prices on anything, just go to the store, buy what you need and put it on the credit card. Well, that undermines their argument very quickly. So when Peterson said, “Price tells us a lot about the product, and it informs us and helps us make a decision if we want to pay that price for that particular product.” So I would say, of the most important strategies for CaptiveAire over a 44-year period, price is number one. Now, obviously, it has to be connected to quality execution service and so on. But pricing is a primary strategy, and our senior engineer and myself, we do all the pricing. We have an ultra short way of pricing, all the products that takes virtually no time and is definitely accurate.

Hunter:

So one of the statements that Dr. Bylund and others have made is that the entrepreneur doesn’t choose the price. The market chooses the price, and the entrepreneur chooses the cost so that you make a profit based on the price that the market gives you. So it sounds like maybe you are in that process. When you say you’re going to price under the market, that means the market’s telling you what that price level is, and then you choose your cost. But would you agree with that, or is that too facile?

Bob Luddy:

Yes. Now, most manufacturers couldn’t price the way we do if they didn’t have a comparative advantage. So we actually price based on cost, which if you go to B schools, they’ll tell you that doesn’t make any sense. As a matter of fact, many of the things they tell you in B school we don’t use as it may not make sense to other people. But us, if we can price based on costs and have a defined profit level, we don’t want to try to make more than that, even though the market may allow it because we’re looking very long term at growing the business every single year.

Bob Luddy:

So this is kind of back to a Peter Drucker argument. Yes, we could price higher, but we would have lower sales. So what does Drucker say? You should price as high as you can, but still have the highest amount of sales possible within the market. There’s obviously no formula for that. My strategy is more simple. We’re going to price based on cost. We’re going to continue to drive costs down, and therefore, we are going to be the low-cost producer, and most of the time, we are going to be the low-cost producer.

Hunter:

But you’ve achieved that without any compromises in quality and service, obviously.

Bob Luddy:

Now, in most cases, our quality is vastly superior to what people could buy. People have what I call bad buying habits. They just keep buying from the same user. So you may have a better product. But until you convince the user you have a better product. You’re not making sales. But our strategy is we’re going to have the best product, the best service, most sustainable, and the lowest price, and that attracts a large volume of customers.

Hunter:

Then you referred earlier to the integration that makes that possible. Every element is so integrated that you can have that combination.

Bob Luddy:

It took us 20 years to fully integrate kitchen ventilation systems. It’s taken another 20 years now here in 2020. We can fully integrate the mechanical systems in a restaurant or most commercial buildings. So it’s taken a long period of time to get there. But futuristic integration is absolutely critical, and even the smallest detail you miss in that integration are very, very critical and may allow a competitor to take the business away. So our long-term commitment is full integration, continuous improvement, Kaizen, figuring out ways and means of driving down price, and that’s where I would say the value proposition comes in. But just to announce that you have the best value in the market, well you know the answer to that. The user will make that determination.

Hunter:

The value is always in the customer’s mind, not in your proposition.

Bob Luddy:

Absolutely. I think manufacturers and developers, people get that very confused. They think in terms of absolute value. We think in terms of subjective value. That puts a burden on us. We have to convince the user, and we have to be right, to begin with, that this is the best value they can buy in the market today.

Hunter:

Bob, you’ve been very generous with your time today, and we really appreciate it. There are so many lessons to learn from your long experience and your great achievement, and we thank you for showing us how these concepts of Austrian economics can be applied in business, and that’s what we’re trying to do with our new economics for business platform is to share those connections between theory and practice, and you’ve shown us how it’s done. So we thank you very much for your time today.

Bob Luddy:

Can I add one last comment?

Hunter:

Yeah, please do.

Bob Luddy:

One of the things that I really like about the Austrian economists, regardless of the subject, they work hard to get to the truth of the matter. So they’re not hung up in formulas or things that happen in the past or general beliefs. They’re looking for the truth and the best methodology, and that’s the methodology we use in CaptiveAire, and it’s proved to be tremendously successful versus when I went into B school, so versus going to B school and learning certain things, and then spending your whole life trying to apply those principles, some of those principles are going to be good, and some of them are going to be, as Dr. Bill Peterson would say, the conventional wisdom is either wrong, or it’s going to be wrong.

Bob Luddy:

So it’s wrong we have to change it. But we also have to aware that someone else may have a better way of doing it. But we’ve got to be paying attention to the market. The Austrians do an excellent job at that, and that’s why I think Austrian economics is critical to every single entrepreneur.

Hunter:

We’ve developed this tagline for our project, Bob. We call it Think Better, Think Austrian.

Bob Luddy:

I love it.

Hunter:

Distilling  that, how do you think better I think is one of our challenges. We’ve got to help people to do that. So as you said, getting to the truth, a lot of that is Carl Menger’s first sentence. Everything is cause and effect. Is that one of the ways you get to the truth?

Bob Luddy:

Absolutely. Clayton Christensen made this comment in his book, the Christensen Reader. If you look at the technology companies that were founded around the same time as CaptiveAire, so these are companies that are well financed, smart individuals, good technology. Virtually every one of them is gone today. Just a couple of exceptions. Either they’re gone, they merged, they were bought out, or they went bankrupt. What does that tell you? They simply did not look ahead. They were enamored with the technology they had. When someone came along with a better technology, they were gone.

Hunter:

There’s a great example of that, I always think, which is Bill Gates at Microsoft when he made the pivot to the internet. That was a really bold decision. It was forward-looking. It was controversial, but he was the boss, so he could make it happen. But that’s one example why Microsoft is right up there now today with Amazon and Apple and so on.

Bob Luddy:

They definitely have pivoted over the years. They’re one of those companies, one of the few that did survive for that reason.

Hunter:

Well, we’ll continue to try and figure out how to think better and think Austrian, and your example will be the leading one, Bob. So again, thank you very much for your time today.

Bob Luddy:

Hunter, it was a pleasure to be with you today.

Hunter:

Thank you.

 

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

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

Key Takeaways & Actionable Insights

Say’s Law

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

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

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

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

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

Subjective Value

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

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

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

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

Comparative Advantage

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

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

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

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

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

Opportunity Cost

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

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

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

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

Pricing

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

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

Free Downloads & Extras From The Episode

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

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

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

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

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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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34. Peter Klein on Pricing

Pricing is fundamental to business success – to generating transactions, to cash flow and to profitable operations. There’s a lot of uncertainty for entrepreneurs in the pricing process, and economics is a good source of clarity. In fact, Peter Klein tells us that economics used to be called price theory, recognizing this fundamental role of pricing in economic exchanges.

Key Takeaways and Actionable Insights

Austrian economics offers a special way of thinking about pricing that is helpful for entrepreneurs. Here is a 12-point list of pricing fundamentals.

The Process of Pricing Discovery

Click to download the full PDF.

1. Consumers set prices. This insight establishes the right entrepreneurial mindset: the entrepreneur can’t control pricing and shouldn’t try to. It only leads to  frustration. Act on the basis of the consumer as the determiner of market prices.

2. Consumers don’t set or negotiate the price in every transaction. They are the determiners in the medium and long term. If sufficient numbers of them don’t feel they experience value at the price they’re asked to pay, they won’t buy and the entrepreneur will not be able to generate the revenue that’s called for in their business model. They’ll have to change their price, or their offering or their valued proposition.

3. A price holds only for one transaction. Just because it was the right price to get one consumer to transact at one moment in time and one context, does not mean it will hold for the future. Just because it is the sticker price or asking price does not mean the consumer has no alternative but to pay it.

4. That’s why Austrian Economics sees pricing as a dynamic and creative discovery process. The entrepreneur is charged with discovering the price the consumer is willing to pay now, in the future, in different circumstances and different contexts.

5. Price discovery goes further – to the design of specific packages of product / service and experiences. What will the consumer pay for the product now, with no waiting? What will they pay for same-day delivery? What will they pay for the product / service in a special physical location – is a newly-released movie in a luxury theater valued more than a 3-month old movie on a streaming service? Is a coffee in a cafe where the consumer can sit for a while more valued than a take-away cup?

6. The creativity and dynamism of pricing extends to promotions and discounts, including coupons, loyalty bonuses and time-based offers (10% off until midnight!)

7. The key to getting this creative and dynamic discovery process right is a deep knowledge of the consumer and their individual preferences. Senior discounts might be effective when they’re offered at a time of day that works for the retired seniors and not for working people. Coupon offers are effective for people with the time and inclination to collect and clip them, but wasted on consumers who feel too busy for such efforts. The smart entrepreneur exercises price segmentation.

8. The same principles apply to B2B pricing, although it might not be apparent in the entrepreneur’s subjective experience. The entrepreneur might feel that a retailer or wholesaler or customer to whom he or she is selling makes a take-it-or-leave-it offer on the price they are willing to pay. But the creative dynamism of discovery applies – the entrepreneur experiments with different packages of service levels, contract duration and other variables to find the right value combination that works best for both parties.

9. Once prices are discovered, the entrepreneur assembles resources to facilitate a profit at the prevailing price. This process is fundamental to Austrian price theory, yet the opposite of the typical business school scenario of cost-plus pricing. Business schools often get things backwards.

10. Entrepreneurs discover many ways to manage costs in the supply chain to meet the price the market dictates. One we talked about was channel management. For example, in the burgeoning Direct To Consumer (DTC) business model, entrepreneurs have eliminated the costs of doing business with physical wholesalers and brick-and-mortar retailers. Often the consumer is willing to pay an unchanged price. Alternatively, the entrepreneur can offer greater value via a lower price, as is the case with Warby Parker in the eyeglasses business, as well as many other innovative DTC brands.

11. The key to this process is simply to treat what accounting defines as “costs” as prices that are upstream from the entrepreneur. All prices can be discovered, negotiated or re-channeled. It may not seem that way to the entrepreneur who is buying from a seller with asymmetric negotiating power. But the dynamism, creativity and innovation of the price discovery process is always available and always on the entrepreneur’s side. The only prices we know are historical. All prices in the future are to be discovered and creatively negotiated.

12. Sometimes the creative solution is for buyers to organize themselves in a way that brings new negotiating power. Peter Klein used open source software as an example – users who are uncomfortable with the sticker prices of Microsoft or Oracle create an alternative service with an alternative price.

In summary

A price is the outcome of a single transaction – it does not necessarily hold for future transactions.

Prices are determined by the consumer – in the medium to long term.

Ultimately, the consumer also determines prices further up the value chain because all intermediate prices must contribute towards a cost-of-goods that is less than the price the consumer is willing to pay.

Entrepreneurs take control when they consider pricing as a dynamic, creative discovery process. Creativity spans pricing segmentation (different prices for different customers on different occasions in different contexts), pricing objectives (one transaction, multiple transactions, long term loyalty, etc) and product-service-price repackaging.

In all cases, deep knowledge and understanding of customers and vendors yields the understanding that informs effective creativity and discovery, and experimentation yields new knowledge.

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