No CrossRef data available.
Published online by Cambridge University Press: 20 January 2020
In her essay “Anti-Competition Regulation,” Anne Fleming explores the history and political economy of “certificates of public convenience.” For most regulation, repression of competition is an unfortunate side effect—something to be traded off for a safer, healthier, and more equal society. But for certificates of public convenience, repression of competition is itself the goal. Free competition can yield bad results, for consumers or firms (arguments emphasize one or the other depending on the ideology of the time). Certificates cut to the heart of the problem by limiting new entry into a market only when, as one early statute put it, new entry would “promote the convenience and advantage of the community.”
1 Gallert, David Jacque, Hilborn, Walter Stern, and May, Geoffrey, Small Loan Legislation: A History of the Regulation of the Business of Lending Small Sums (New York, 1932), 234CrossRefGoogle Scholar.
2 Stevenson, Charles R., The Way Out (New York, 1932), 26–27Google Scholar.
3 For a general discussion of healthcare certificates of need, see Ohlhuasen, Maureen K., “Certificate of Need Laws: A Prescription for Higher Costs,” Antitrust 30 (2015): 50–54Google Scholar.
4 For Alabama, for example, see Ala. Code of § 22-21-260 (1975); and “Certificate of Need Review,” State Health Planning and Development Agency, n.d., http://www.shpda.state.al.us/boards/conrblisting.aspx?sm=b_a. In Iowa, “each council member shall be a person who has demonstrated by prior activities an informed concern for the planning and delivery of health services”; see Iowa Code §135.62(2)(a) (2017); and Heiman, Chad A., “Shifting Purpose: Why Iowa's Certificate of Need Law Is a Form of Economic Protectionism for Certain Iowa Health Care Providers and Should Be Repealed,” Iowa Law Review 104 (2018): 396Google Scholar. In Tennessee, six of nine members are healthcare providers; see Tenn. Code Ann. § 68-11-1604 (2013); and “Board Members,” TN Health Services and Development Agency, n.d., https://www.tn.gov/hsda/hsda-board-members.html. For Illinois, see Wolfson, Lauretta Higgins, “State Regulation of Health Facility Planning: The Economic Theory and Political Realities of Certificates of Need,” DePaul Journal of Health Care Law 4, no. 2 (2001): 274–75Google Scholar. In Michigan, seven of ten members are healthcare providers; see Public Health Code, Mich. Comp. Laws Ann. § 333.22226 (2003); and “Commission Overview and Members,” Michigan Department of Health and Human Services, n.d., https://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_5106-35111--,00.html.
5 Prominent federal certificate programs include those implemented by the Federal Communications Commission (see Communications Act of 1934, Pub. L. 73-417, 48 Stat. 1064); the Interstate Commerce Commission (see John J. George, “Federal Motor Carrier Act of 1935,” Cornell Law Quarterly 21 [1936]: 235–36); the Civil Aeronautics Board (see Civil Aeronautics Act of 1938, Pub. L. No. 75-706, 52 Stat. 973); and the Federal Power Commission (later known as the Federal Energy Regulatory Commission; see Natural Gas Act of 1938, Pub. L. No. 75-688, 52 Stat. 821).
6 See Heiman, “Shifting Purpose,” 406–8. In Oregon, the division must contact similar facilities for comment; see Or. Rev. Stat. § 431.120 (2015); Or. Rev. Stat. § 442.315 (2019); and “Oregon Health Authority: Public Health Division – Chapter 333,” Oregon Secretary of State, n.d., https://secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=1379. In Mississippi, the department must contact all healthcare facilities for comment; see Health Care Certificate of Need Law of 1979, Miss. Code Ann. §§ 41-7-171–41-7-209; and Title 15 Mississippi State Department of Health, Part IX Office of Health Policy and Planning – Subpart 91 Planning and Resource Development, https://msdh.ms.gov/msdhsite/_static/resources/7167.pdf. Missouri has an analogous requirement for new moving companies—specifically, that the state's Department of Transportation contact incumbent moving companies and invite them to object to a new application. See Sandefur, Timothy, “CON Job: State ‘Certificate of Necessity’ Laws Protect Firms, Not Consumers,” Regulation 34, no. 2 (2011): 42Google Scholar.
In her essay “Anti-Competition Regulation,” Anne Fleming explores the history and political economy of “certificates of public convenience.” For most regulation, repression of competition is an unfortunate side effect—something to be traded off for a safer, healthier, and more equal society. But for certificates of public convenience, repression of competition is itself the goal. Free competition can yield bad results, for consumers or firms (arguments emphasize one or the other depending on the ideology of the time). Certificates cut to the heart of the problem by limiting new entry into a market only when, as one early statute put it, new entry would “promote the convenience and advantage of the community.”Footnote 1
Fleming's history of these certificates takes us from their origins in state laws of the Progressive Era limiting competition in railroads and banking. She traces the appearance of similar statutes at the federal level in the 1930s, applied to highway transportation and telecommunications. After a close brush with invalidation during the twilight of the Lochner era, they remained viable at the federal level until the great deregulation of the 1970s and 1980s. Yet, as Fleming points out, the demise of certificates of convenience did not end when they fell out of fashion at the federal level; they persist in state law in many important sectors of the economy.
Fleming's history illuminates the rise and (partial) fall of a particularly problematic form of regulation, and for that reason alone it is a significant contribution. But the article does more than tell the story of certificates of convenience. Fleming speculates about the political and ideological forces that allowed their proliferation, precipitated their demise, and prevented them from being eradicated altogether. Her article is compelling, both because of what it says about markets and ideology and because of the contrast she draws between politics at the state and federal levels.
Certificates of need began in the states as a solution to “ruinous competition,” the notion that free competition results in inefficient and wasteful production or—to use an expression commonly invoked by industry—in firms cutting their own throats. The early history of certificates saw a particular emphasis on the “ruin” inflicted on firms, not consumers, by the invisible hand. It is no surprise that industry itself was the strongest proponent of legislation—in the form of certificates of convenience—that saved firms from themselves by limiting competitive entry.
Importing certificates to the federal arena would require something more than industry approval: an economic crisis, a New Deal, and the maturation of an economic school of thought that cast consumers as the primary victims of competition. Fleming notes that certificates proliferated at the federal level “when economic thinking on competition aligned closely with the self-interest of industry” (p. 711). That economic thinking identified consumers, not industry, as the primary victims of competition; where state certificates kept businesses from cutting their throats, federal certificates were touted as preventing “Americans from continuing to be ‘crucified on the cross of competition.’”Footnote 2
When one of these twin forces weakened in the 1970s—the Progressive Era idea that excessive competition could harm consumers—many of the federal certificate programs fell away. Yet at the state level, that ideological shift toward laissez-faire had a more modest impact on certificate laws. Today, state certificate requirements abound in healthcare, transportation, and banking.
Fleming's article raises, but does not entirely answer, the following question: Why were federal certificates more vulnerable to the ideological shift toward laissez-faire in the 1970s and 1980s than their state-level counterparts? Or, to ask it another way, why was industry more successful in retaining these certificates in the states than in federal law?
One possible answer among many is that state certificates of convenience tend to be administered through a process that amounts to industry self-regulation rather than through an administrative system overseen by bureaucrats. Take, for example, one of the most well-known and controversial state certificate programs still in effect: the “certificate of need” (CON) requirement most states impose on new hospitals.Footnote 3 These certificates are administered in many states by boards that include representatives from incumbent healthcare providers.Footnote 4 In contrast, federal certificates were typically issued by large agencies comprised of bureaucrats, not industry members, and operated under more public scrutiny than any given state board.Footnote 5
De facto self-regulation may have made state-level certificate programs stickier because it leads to especially tenacious industry opposition to deregulation. What is even more valuable than a bureaucrat reining in your competition? Holding the reins yourself. Additionally, states can save money by using volunteers from industry rather than state employees as regulators. Even in states where industry does not formally hold seats on a CON board, capture is rampant; some statutes even require states to reach out to competing firms for input in the CON review process.Footnote 6 Why would a state abolish a certificate program that costs it almost nothing, when doing so would wake the bear of industry opposition?
These speculations are beyond the scope of Fleming's essay, but they illustrate the value of her historical approach. By tracing the trajectory of certificates and the various influences on their popularity, she enables us to think more deeply about how and why some kinds of regulation endure ideological attack. Whether that endurance is a good thing is another question altogether.