Economists have argued that monetary policies a combination of low interest rates and either more government spending or less taxes can bring effective demand closer to potential output, reducing unemployment and idle capacity in the process.

There has, however, generally been more agreement on monetary policy than on fiscal policy. Many believe that an increase in government deficits generates expectations of future taxes, and so weakens the demand generating impact of these deficits. Although few argue that this renders fiscal policy totally powerless, the debate is more on the degree of effectiveness of fiscal policy.

The current outlook for the world economy – and for the US economy in particular - is disconcerting and worrisome. There is little doubt that the massive fiscal stimulus and the very expansionary monetary policy that accompanied it, was successful in leading to a recovery in output in late 2009 and early 2010. But the recovery is now losing steam.

Arguing that there should be continued short term fiscal stimulus, but, at the same time, that governments should announce serious medium term fiscal retrenchment which will have to include tax increases, raises the question of why consumers who are being told they will be hit by higher taxes in the near future would spend much more today. And continuing to use the balance sheets of the Fed and the ECB also seems to have reached its limit.

Yet there is no reason to believe that the underlying potential of the world economy to grow rapidly is less than it was. Technological know-how is increasing and the diffusion of that know-how is easier than it has ever been. Moreover the world seems to be awash in financial resources and savings that could finance the capital accumulation needed to translate technical know-how into growth.

The problem seems to be a lack of sufficient effective demand to make it happen, at least in many of the critical economies. Could it be, therefore, that effective demand is hampered by the degree of income concentration at the top, that started to increase in the 1980s, and continues unabated?

The top 1 percent of Americans got a little more than 8 percent of total income in the late 1970s, they now have 24 percent of income – a breathtaking increase. Median incomes have hardly increased over the last three decades.

In China, a very different economy, something similar has happened. While the income distribution by percentile statistics are less reliable, partly due to overlap between private and public control over resources in the large state and local enterprise sector, the share of wages has fallen to less than 40 percent of GDP.

When there is such concentration of income a the top, demand has to be propped up, either by extremely low interest rates, irresponsible subprime mortgage practices and staggering credit card debt, as was the case in the US for most of the last decade and has notably been emphasized in Raghuram Rajan’s recent book entitled “Fault Lines”, or by excessive focus on export markets, as happened in China over the same period.

Insufficient demand at “normal” interest rates and sustainable household debt was not a problem when a large and growing middle class shared in the fruits of productivity growth. It was then easier for macroeconomic policies to fine tune the economy and balance aggregate demand and supply.

Deteriorating income distribution may, however, have created a new, more structural problem for macroeconomic management. Some will argue that the US seems to suffer from excess consumption, not insufficient demand, as reflected in its current account deficits.

But the question is whether there can be enough effective demand in the US economy, without the record low interest rates and the fiscal deficits which create other problems, such as asset bubbles and too much debt. In China the question is whether internal demand can be strong enough for the economy not to need large trade surpluses.

Less inequality in income distribution may not only be ethically desirable – it may be a necessary condition to resolve global macroeconomic fragility and ensure more sustained growth. It is time to analyse income distribution also with a macroeconomic policy perspective.

The writer is Vice President and Director, Global Economy and Development, at the Brookings Institution

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