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Responsibility:
Tom Sgouros
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Fri, 13 Jun 2008
What kind of government do you want?
As discussions about next year's state budget gets down to plastic
tacks painted to look like brass, it's worth putting our heads up from
the weeds for a moment to think about what our government should be.
For example, I would very much like to live in a world where my
government was more efficient. Wouldn't you? I wouldn't mind lower
taxes, but even more I'd prefer a government that could provide some
of the services friends of mine who live elsewhere get from their
governments. In Virginia, a friend who left here recently reports
that there is an extensive network of community swimming pools, with
youth teams that train and compete in them all summer. In Portland,
Oregon, a fabulous and cheap light rail system whisks people in and
out of downtown, creating new and prosperous business districts around
its stations. Further afield, in most of Europe, college tuition is
free or negligible, and a student's choice of university to attend is
limited only by his or her grades. And of course, in most of the rest
of the world, health care is paid for either by the government or a
state-run insurance pool
Ok, I live near a beach, so I can do without the swimming pools, but
transportation, college tuitions and health care are three of the
biggest expenses my family faces. (Well, the tuitions won't hit
us for a couple more years, but it's near enough to begin to scare
me.) In other places, government helps families with those expenses.
Why not here?
Yes, yes, I know. Here in the land of the free and the home of the
brave, you're a sissy or a communist if you so much as murmur a faint
longing for the easier life better government services might provide.
Well, here's news: Oregon and Virginia are part of the US, and Great
Britain pretty much invented cut-throat industrial capitalism, and
they still manage the transport, tuition and health care hat-trick.
In truth, people here get so worked up about government spending that
we have created a state government completely unable to deal with
important problems. A better RIPTA, for example, could save us all
millions, improving air quality and traffic while providing a cheaper
way to get around, but it would require investment up front, so it
doesn't happen. Investments in education and our environment could
pay back even more, but are off the table, too, as are little savings
we could find, like in the processing of welfare applications. A
sensible, single-payer, health care system could save you and me and
every business in the state tens of millions of dollars or more, but I
don't see any prominent politician advocating for that, either. At
best we get advocates for tiny little half-measures, like Lt. Governor
Elizabeth Roberts's health care package.
What's worse is that come July 1, after all the cuts you've heard
about, next year's budget is not going to be balanced. There are a
number of places in the budget where the anticipated cost savings
simply will not happen. For example, yes it is true that home care is
a more economical way to care for poor elderly and disabled patients,
and regulations that encourage it are a good thing. But it is not
true that $67 million of that savings can be realized in a single
year, which is what the governor put on the table when he proposed the
new regulations. To put that in perspective, that's a 10-15% cut in
service. Home care is cheaper, but that's a big savings, and from
testimony at budget hearings, it's not at all clear that the state has
a real plan to achieve it. Home care is irrelevant to many of the
patients in Medicaid-paid long-term care because they no longer have
homes to which they could return, and haven't for decades. Will we
wheel them down to the curb and leave them?
There are also personnel savings anticipated that probably will not
come to pass. Some of these, like the furlough days, likely won't
happen because the unions haven't agreed to them (at least not yet)
but others simply won't happen. For example, if you retire from state
service after next September, you won't get free health care. (This
was a part of the supplemental budget passed last month.) Naturally,
most state departments are experiencing a rush to the exits by people
who have a choice about when to retire. So the cost of that health
care is going to spike up, which will probably erase most or all of
the anticipated savings.
From my seat in the bleachers, it looks like we're going to get huge
and unprecedented budget cuts this year, along with property tax
increases to make up for lost state aid, and my bet is that next year
we're going to have a big deficit again because lurking in the savings
estimates of this awful budget are going to be lots of little presents
just like these.
Oh, and one more thing: remember that all this is being done in the
name of lowering your taxes.
21:38 - 13 Jun 2008 [/y8/cols]
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