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Welcome to episode thirteen of the Building Local Power podcast.
In this episode, Christopher Mitchell, the director of ILSR’s Community Broadband Networks initiative, interviews Stacy Mitchell, co-director of the ILSR and director of the Community-Scaled Economies initiative. The two discuss the environment for small businesses in the United States, especially noting the fact that the rate of small business creation is at one of its lowest rates since the early 1970s.
Additionally, Stacy and Chris talk about how the issue of small businesses and incentivizing their creation is a bipartisan issue that greatly benefits local economies.
For the report that Stacy referred to this week, check out our report, Monopoly Power and the Decline of Small Business from August 2016.
Report: Monopoly Power and the Decline of Small Business
Yale Law Review Journal’s “Amazon’s Antitrust Paradox” by Lina Khan
The Economic Innovation Group’s “Dynamism in Retreat: Consequences for Regions, Markets, and Workers“
“Anansi Boys” by Neil Gaiman Available from an independent retailer here: https://www.neilgaiman.com/works/Books/Anansi+Boys/.
Let me just ask you to remember to rate our program, the Building Local Power podcast, on iTunes or wherever you find it. Tell your friends to blog, tweet, do Facebook posts, tumble with it. Do whatever you need to do to get the message out there, please, to share this discuss.
Now, Stacy. Let’s get back into this. Why aren’t new firms being created?
What we see a lot of is that big companies game government in ways that result in regulation that doesn’t impede their behavior, but puts a lot of problems in the way of small businesses. Really, as you said, it’s a question of how does government either support a dynamic and diverse economy or not? It’s not a matter of more or less regulation.
Then one of the other drivers is that the buy local movement has, for various reasons, heavily benefited bookstores. When people think about the kinds of community businesses that are important to them, bookstores have been sort of like the local food movement, the other real focal point of those efforts. Independent bookstores have benefited. There’s also a new generation of bookstore owners who are figuring out this new territory and how to be successful in the current market.
That said, Amazon is now incredibly dominant in the book business. The reason that Borders failed and that Barnes & Noble is quite shaky right now is because Amazon’s got a lot of market power. When independent bookstores, they’ve done fairly well in recent years, but when they look to the future, they’re quite concerned about where things are headed.
We’ve done a lot of interviews with small manufacturers and they are very concerned about consolidation in the retail sector, that there are so few chains, and Amazon is so dominant. What they all talk about, when you hear them describe the role of independent retailers, it’s clear that they’re like this keystone species for the whole industry. That the health of the independent retail part of the industry is so critical to those new products having a chance to be discovered by consumers in the first place. Just to give you a statistic, you’re about three times more likely to discover a new book that you didn’t know about, but that you’d like to read, if you’re browsing in an independent bookstore than if you’re shopping at Amazon.
The PBMs, what’s astonishing to me is that the PBMs own their own mail-order pharmacies. The largest PBM, CVS Health, owns the second-largest chain of chain pharmacies, CVS. What these companies do is that they use their contracts with independent pharmacies. They basically go to independent pharmacies and they say, “You have two choices. You can either be in the network and be one of the pharmacies that’s covered by this big insurance plan, but in order to be in the network, we’re going to set these reimbursement rates that basically leave you barely getting by or, in fact, losing money on the prescriptions that you dispense.”
You’re stuck between this rock and a hard place as an independent pharmacy. The reason that these companies do that, of course, is that they just want to steer all the business to their pharmacies, to their own mail order, or in the case of CVS, to the CVS chain.
The analysis that we did a couple of years ago that I think is really eye-opening is that we looked at the state of North Dakota. North Dakota doesn’t allow chain pharmacies to operate in the state. A state only has independent pharmacies. This is a law that goes back to 1963. It’s unique in the United States, but it’s similar to laws in a lot of European countries.
It offers this great and sort of unusual test case to look at, “Well, what happens in a market where there are only independents?” We’re trained to imagine that that would be not very competitive. It wouldn’t be good for consumers. It might be high-priced and bad service. All these stereotypes we have about small businesses in our head.
It turns out that North Dakota has among the lowest prescription drug prices in the country and they have very high levels of health care service. They also have a lot of pharmacies. They have more pharmacies per capita than any other state in the country. You can go to these tiny town in North Dakota with 500 people and there will be a pharmacist there, often the only professional health care provider in the community.
The reason that independent pharmacies are so healthy in North Dakota is because unlike pharmacies, they still have to deal with the PBMs, but because there is no other chain in North Dakota, it basically levels that negotiation playing field. The PBMs have to really negotiate with independents instead of just handing them this take-it-or-leave-it contract that is going to ultimately destroy their business, such as what we’ve seen happen in all the other states.
Also, what was most striking is that in previous recoveries, new business formation has been happening all across the country. What they found now is that there are only five metro areas where there’s significant new business growth. All the other metro areas are not seeing that. In fact, in 60% of all metros right now, there are more business deaths than there are business births. In history, we’ve never seen that before. It’s really a remarkable shift and one that, particularly for the reason of job creation, but lots of other reasons, is quite alarming.
I’m just curious if you have any reactions to that because I think it’s one thing if you have people being like, “Well, that’s just because Obama hated businesses.” I really want to be clear that I think we would root the problems with small-business formations in the deficiencies of both parties, really.
On the other hand, there are areas, and I think banking is an excellent example, where the mess that we find ourselves in right now where we have a handful banks that own most of the market, where we’ve lost one out of every four community banks in the last seven years, that kind of consolidation has been driven both by Republicans and Democrats. It was Bill Clinton that passed the two major banking laws that really shifted banking policy and gave the upper hand to Wall Street banks.
There’s a lot to like about Dodd-Frank, the financial reform bill that was passed in the wake of the financial crisis. I like the Consumer Financial Protection Bureau. I think it’s done a lot of good things. The law certainly closed off some of the worst shenanigans on the part of Wall Street banks. I don’t want to paint it with one brush, but it also didn’t really address the issue of consolidation. It didn’t break up these big banks. At the same time, it created new compliance obligations for community banks that has made it a little bit more difficult to stay in business. I think when you look at banking it’s really clear that powerful wings of each party have played a significant role in causing that consolidation and not really addressing the problem.
Then the other thing that I’ve been reading, and again is deep in the weeds, is a book called, Virtual Competition, by two legal scholars, Maurice Stucke and Ariel Ezrachi. It’s a really fascinating book about how the new world of online commerce and the various ways that the internet has altered business, how in that world there are lots of things that make it seem to us very competitive, but in fact, is a kind of veneer that hides all sorts of ways in which that market is much easier for collusion, and behavioral discrimination, and all kinds of things to actually work against competition and harm consumers.
We encourage you to subscribe to this podcast, and all of our other podcasts, on iTunes, Stitcher, or wherever else you get your podcasts. You can also sign up for our monthly newsletter at archive.ilsr.org.
Thanks to Dysfunction_AL for the music, licensed through Creative Commons. The song is “Funk Interlude.”
I’m Lisa Gonzalez from the Institute for Local Self-Reliance. Thanks again for listening to Episode #13 of the Building Local Power podcast.
Like this episode? Please help us reach a wider audience by rating Building Local Power on iTunes or wherever you find your podcasts. And please become a subscriber! If you missed our previous episodes make sure to bookmark our Building Local Power Podcast Homepage.
If you have show ideas or comments, please email us at [email protected]. Also, join the conversation by talking about #BuildingLocalPower on Twitter and Facebook!
Audio Credit: Funk Interlude by Dysfunction_AL Ft: Fourstones – Scomber (Bonus Track). Copyright 2016 Licensed under a Creative Commons Attribution Noncommercial (3.0) license.
Follow the Institute for Local Self-Reliance on Twitter and Facebook and, for monthly updates on our work, sign-up for our ILSR general newsletter.
4.9
9595 ratings
Welcome to episode thirteen of the Building Local Power podcast.
In this episode, Christopher Mitchell, the director of ILSR’s Community Broadband Networks initiative, interviews Stacy Mitchell, co-director of the ILSR and director of the Community-Scaled Economies initiative. The two discuss the environment for small businesses in the United States, especially noting the fact that the rate of small business creation is at one of its lowest rates since the early 1970s.
Additionally, Stacy and Chris talk about how the issue of small businesses and incentivizing their creation is a bipartisan issue that greatly benefits local economies.
For the report that Stacy referred to this week, check out our report, Monopoly Power and the Decline of Small Business from August 2016.
Report: Monopoly Power and the Decline of Small Business
Yale Law Review Journal’s “Amazon’s Antitrust Paradox” by Lina Khan
The Economic Innovation Group’s “Dynamism in Retreat: Consequences for Regions, Markets, and Workers“
“Anansi Boys” by Neil Gaiman Available from an independent retailer here: https://www.neilgaiman.com/works/Books/Anansi+Boys/.
Let me just ask you to remember to rate our program, the Building Local Power podcast, on iTunes or wherever you find it. Tell your friends to blog, tweet, do Facebook posts, tumble with it. Do whatever you need to do to get the message out there, please, to share this discuss.
Now, Stacy. Let’s get back into this. Why aren’t new firms being created?
What we see a lot of is that big companies game government in ways that result in regulation that doesn’t impede their behavior, but puts a lot of problems in the way of small businesses. Really, as you said, it’s a question of how does government either support a dynamic and diverse economy or not? It’s not a matter of more or less regulation.
Then one of the other drivers is that the buy local movement has, for various reasons, heavily benefited bookstores. When people think about the kinds of community businesses that are important to them, bookstores have been sort of like the local food movement, the other real focal point of those efforts. Independent bookstores have benefited. There’s also a new generation of bookstore owners who are figuring out this new territory and how to be successful in the current market.
That said, Amazon is now incredibly dominant in the book business. The reason that Borders failed and that Barnes & Noble is quite shaky right now is because Amazon’s got a lot of market power. When independent bookstores, they’ve done fairly well in recent years, but when they look to the future, they’re quite concerned about where things are headed.
We’ve done a lot of interviews with small manufacturers and they are very concerned about consolidation in the retail sector, that there are so few chains, and Amazon is so dominant. What they all talk about, when you hear them describe the role of independent retailers, it’s clear that they’re like this keystone species for the whole industry. That the health of the independent retail part of the industry is so critical to those new products having a chance to be discovered by consumers in the first place. Just to give you a statistic, you’re about three times more likely to discover a new book that you didn’t know about, but that you’d like to read, if you’re browsing in an independent bookstore than if you’re shopping at Amazon.
The PBMs, what’s astonishing to me is that the PBMs own their own mail-order pharmacies. The largest PBM, CVS Health, owns the second-largest chain of chain pharmacies, CVS. What these companies do is that they use their contracts with independent pharmacies. They basically go to independent pharmacies and they say, “You have two choices. You can either be in the network and be one of the pharmacies that’s covered by this big insurance plan, but in order to be in the network, we’re going to set these reimbursement rates that basically leave you barely getting by or, in fact, losing money on the prescriptions that you dispense.”
You’re stuck between this rock and a hard place as an independent pharmacy. The reason that these companies do that, of course, is that they just want to steer all the business to their pharmacies, to their own mail order, or in the case of CVS, to the CVS chain.
The analysis that we did a couple of years ago that I think is really eye-opening is that we looked at the state of North Dakota. North Dakota doesn’t allow chain pharmacies to operate in the state. A state only has independent pharmacies. This is a law that goes back to 1963. It’s unique in the United States, but it’s similar to laws in a lot of European countries.
It offers this great and sort of unusual test case to look at, “Well, what happens in a market where there are only independents?” We’re trained to imagine that that would be not very competitive. It wouldn’t be good for consumers. It might be high-priced and bad service. All these stereotypes we have about small businesses in our head.
It turns out that North Dakota has among the lowest prescription drug prices in the country and they have very high levels of health care service. They also have a lot of pharmacies. They have more pharmacies per capita than any other state in the country. You can go to these tiny town in North Dakota with 500 people and there will be a pharmacist there, often the only professional health care provider in the community.
The reason that independent pharmacies are so healthy in North Dakota is because unlike pharmacies, they still have to deal with the PBMs, but because there is no other chain in North Dakota, it basically levels that negotiation playing field. The PBMs have to really negotiate with independents instead of just handing them this take-it-or-leave-it contract that is going to ultimately destroy their business, such as what we’ve seen happen in all the other states.
Also, what was most striking is that in previous recoveries, new business formation has been happening all across the country. What they found now is that there are only five metro areas where there’s significant new business growth. All the other metro areas are not seeing that. In fact, in 60% of all metros right now, there are more business deaths than there are business births. In history, we’ve never seen that before. It’s really a remarkable shift and one that, particularly for the reason of job creation, but lots of other reasons, is quite alarming.
I’m just curious if you have any reactions to that because I think it’s one thing if you have people being like, “Well, that’s just because Obama hated businesses.” I really want to be clear that I think we would root the problems with small-business formations in the deficiencies of both parties, really.
On the other hand, there are areas, and I think banking is an excellent example, where the mess that we find ourselves in right now where we have a handful banks that own most of the market, where we’ve lost one out of every four community banks in the last seven years, that kind of consolidation has been driven both by Republicans and Democrats. It was Bill Clinton that passed the two major banking laws that really shifted banking policy and gave the upper hand to Wall Street banks.
There’s a lot to like about Dodd-Frank, the financial reform bill that was passed in the wake of the financial crisis. I like the Consumer Financial Protection Bureau. I think it’s done a lot of good things. The law certainly closed off some of the worst shenanigans on the part of Wall Street banks. I don’t want to paint it with one brush, but it also didn’t really address the issue of consolidation. It didn’t break up these big banks. At the same time, it created new compliance obligations for community banks that has made it a little bit more difficult to stay in business. I think when you look at banking it’s really clear that powerful wings of each party have played a significant role in causing that consolidation and not really addressing the problem.
Then the other thing that I’ve been reading, and again is deep in the weeds, is a book called, Virtual Competition, by two legal scholars, Maurice Stucke and Ariel Ezrachi. It’s a really fascinating book about how the new world of online commerce and the various ways that the internet has altered business, how in that world there are lots of things that make it seem to us very competitive, but in fact, is a kind of veneer that hides all sorts of ways in which that market is much easier for collusion, and behavioral discrimination, and all kinds of things to actually work against competition and harm consumers.
We encourage you to subscribe to this podcast, and all of our other podcasts, on iTunes, Stitcher, or wherever else you get your podcasts. You can also sign up for our monthly newsletter at archive.ilsr.org.
Thanks to Dysfunction_AL for the music, licensed through Creative Commons. The song is “Funk Interlude.”
I’m Lisa Gonzalez from the Institute for Local Self-Reliance. Thanks again for listening to Episode #13 of the Building Local Power podcast.
Like this episode? Please help us reach a wider audience by rating Building Local Power on iTunes or wherever you find your podcasts. And please become a subscriber! If you missed our previous episodes make sure to bookmark our Building Local Power Podcast Homepage.
If you have show ideas or comments, please email us at [email protected]. Also, join the conversation by talking about #BuildingLocalPower on Twitter and Facebook!
Audio Credit: Funk Interlude by Dysfunction_AL Ft: Fourstones – Scomber (Bonus Track). Copyright 2016 Licensed under a Creative Commons Attribution Noncommercial (3.0) license.
Follow the Institute for Local Self-Reliance on Twitter and Facebook and, for monthly updates on our work, sign-up for our ILSR general newsletter.
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