VIAGRA AND THE WEALTH OF NATIONS
What popped into your mind when you first read the headlines about
Viagra? Well, I thought about that, too. But as a typical, fun-loving
economist I also found myself wondering how the Commerce Department
would account for the wonder drug in its estimates of the gross domestic
product -- and from there wandered into a reverie about the meaning of
economic progress.
Government statisticians will, of course, have no difficulty slotting
Viagra into their estimates of ''nominal'' G.D.P., the sum total of all
the money spent in the economy. Viagra's contribution will simply be the
total amount that people spend on the pills, or, equivalently, the
profits earned and wages paid in the drug's manufacture and
distribution. What's more, we can be pretty sure that Viagra's numbers,
while music to the stockholders' ears, will make very little difference
to the national totals. The new drug's spectacular sales are small
change in an $8 trillion economy. And besides, most of the spending on
this new product will come at the expense of spending on other things --
say, romantic vacations and candlelight dinners.
But nominal G.D.P. doesn't tell us much. Most of the time, the
economic number we care about is ''real,'' or inflation-adjusted,
G.D.P., which is supposed to measure the purchasing power as opposed to
the dollar income of the economy. Basically, nominal G.D.P. is converted
into real G.D.P. by dividing it by a price index -- a ''deflator'' --
that is supposed to measure the average cost of goods and services sold
in the economy.
So far, so good. But what happens with the introduction of Viagra, or
Propecia, or whatever the next big thing may be? Statisticians can't
compare the prices of these drugs with what they were last year because
they weren't around last year. So inevitably, estimates of the deflator
take account only of the goods that have been around for at least a
little while.
So what? Well, this year some men can buy something they wanted
pretty badly -- or baldly, in the case of Propecia -- and they can get
it at a reasonable price. Last year they couldn't buy what the pills
provide at any price, and probably would have gladly spent far more at
clinics or in therapy to get lesser results. So surely, in some sense,
the nation's purchasing power has increased because of the availability
of those pills.
Yet the numbers you see on real G.D.P. don't reflect that increase --
and they never will. Eventually Viagra will be in the index, and as its
price falls in the face of competition, the deflator will fall and
measured real income will rise. But at no point will the statistics ever
capture the big payoff, the one that happened when Viagra became
available for $10 a, um, pop.
How could the statisticians get this right? It would have to involve
a subjective evaluation: each person would have to be asked, and would
have to answer truthfully, the question ''How much money would you have
spent last year (with your ever-growing bald spot and that other
problem) to be as satisfied as you are now?'' Averaging over the
population, we would come up with a true measure of the change in the
cost of living, and we would deflate G.D.P. by that.
In fact, where they can, the statisticians do try to do something
more or less along these lines, adjusting the price of automobiles and
many other products by imputations for improved quality. But nearly
everyone admits that the imputations fall well short of capturing the
real improvement in living standards. Officially, the median family in
1996 had only slightly higher real income than it did in 1973; in
reality, that median family would be extremely upset if forced to go
back to a 1973 standard of living (no VCR, no microwave, no A.T.M.'s).
So what's the moral? Should we smugly assume that the official
statistics understate economic progress, that the New Economy is
speeding us to a new age of economic bliss? Not so fast. For one thing,
it is by no means clear that our age of technological marvels is any
more marvelous than the age our parents, grandparents or
great-grandparents lived in.
Viagra is only the latest in a long line of medical miracles --
antibiotics, smallpox vaccine, anesthesia -- just as the Internet is
only the latest in a line that goes back to the fax machine, the
telephone and the telegraph. While the statistics do understate today's
true rate of economic progress, they always have.
But there is a deeper point. The value of Viagra is not a
dollar-and-cents issue. Rather, it is a psychological question -- what
we are really asking is how much better off the drug makes people feel.
But isn't that true of economic progress in general? And once you put it
that way, you have to wonder whether we are really making that much
progress after all.
Consider: According to the official statistics, the median family in
1947 had almost exactly the same purchasing power as the 20th-percentile
family -- just a little ways above the poverty line -- of 1996. And the
statistics surely understate the true increase in purchasing power. Does
that mean that most people in 1947 were poor? Well, they didn't feel
poor. Conversely, the 60th percentile in 1996 officially had about the
same real income as the 95th percentile in 1947, and again this surely
understates the real progress.
Does this mean that most Americans are now upper middle class? They
don't feel that way.
In other words, as soon as you try to think seriously about how to
measure Viagra's effect on the nation's wealth, you realize what a
dubious enterprise such comparisons are. I have nothing against
calculating real G.D.P. as accurately as possible; we need that number
for all kinds of purposes. But the rather vulgar case of Viagra reminds
us that, in the end, economics is not about wealth -- it's about the
pursuit of happiness.