Policy Wonk
Let’s talk about where we’re headed…
Jun 19

Kent GardnerMy 84 year-old mother has a bad back.  She’s way beyond surgery, and her doctors are just trying to manage the pain.  So every six weeks or so she goes back to the pain doc and he tries something else—a shot of cortisone this time, a nerve block the next, radio frequency ablation on the third visit (you’ll have to google it, I’ve got a word limit . . .).  There is always something else to try.

She’s weary of the pain and becoming convinced that her case is hopeless. Yet my frugal mother also worries about the cost—“I can’t believe that Medicare keeps paying for all of this.  I get these bills for thousands of dollars—but at the bottom, it says I owe $2.11.” As her son, I’m delighted that Medicare keeps paying and I hope that this process of trial-and-error eventually produces a solution.

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Jun 7

Charles ZettekConsolidating local governments in New York is a hot topic across the state.  Proponents maintain consolidation is a way to make local governments more efficient and less costly.  Opponents argue that services will be cut, local representation will be lost, and savings will be minimal at best.  Every week, I receive calls from local government officials across upstate  asking what is involved in studying how to share or consolidate services.  Almost invariably, the caller starts out by saying, “I’m not necessarily in favor of dissolving or consolidating, but I feel it is my responsibility to the taxpayers to look at every avenue to reduce our local taxes.”

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May 15

Kent GardnerI’ve been in a funk since the 2009-10 state budget passed. The state’s elected leaders entered the budget negotiations confronting a potential $20 billion deficit, up from the $14 billion estimated when the Governor released his original budget proposal. That is, the state would have run a $20 billion deficit in 2009-10 if spending and revenue continued without changing anything structural (like tax rates or spending formulae). The faltering economy could no longer satisfy the state’s addiction to ever-greater spending.

Given such a dire forecast, we all wondered how the state would manage to find the money to avoid a major reduction in spending. Imagine our surprise when the Legislature and Governor pulled a rabbit out of the budgetary hat and increased budgeted spending by $12 billion, nearly 9% more than in 2008-09.

Let’s pass on the many substantive decisions that led to this outcome.  What troubles me is what it reveals about Albany’s inability to cut spending when confronting the state’s most troubling financial crisis since the 1930s.  Other states, less dependent on the financial services sector, can reasonably expect revenue to bounce back when the economy rights itself. We can’t make that assumption in New York. Wall Street, the goose that used to lay those lovely golden eggs, is sick.  And when this goose recovers, the eggs it lays will be sadly normal.

The new budget achieves spending growth partly through the massive stimulus package passed by the U.S. Congress and partly through conventional tax increases. Of course, we know that the stimulus money will last only a couple of years.  What happens then? We can debate whether increasing the state’s top tax rate to nearly 9% from 6.85% is sustainable, and whether it is a large enough increase to chase the more footloose of financial services firms and high-net-worth taxpayers to Connecticut, Florida or Dubai.

Yet on this we can all agree:  Our addiction to new spending won’t be satisfied with this tax increase, either.  And, at some point, plugging the gap with tax increases will chase some geese away and strangle the rest.  We cannot continue to increase spending by increasing the level of taxation.  In the immortal words of economist Herbert Stein, “If something cannot go on forever, it will stop.”

Can we act before New York State confronts a crisis like that experienced by New York City in the 1970s?  In 1975, the credit markets shut down for New York City.  Like New York City at that time, the State of New York borrows money routinely. If the credit markets were to conclude that the state was in danger of defaulting on its debt, the state would face a cash flow crisis that would demand bold action.

The restoration of New York City’s finances took a very long time and significant assistance from the State of New York.  The Municipal Assistance Corporation (MAC) was founded to borrow on the city’s behalf, with the city’s sales tax revenue as security for the MAC debt. In addition, the state created the Emergency Financial Control Board to police the city’s finances and enforce sound financial practice.  New types of debt were created, each dedicated to a different revenue source.  Slowly, as a responsible and professional financial culture became established in New York City, the controls were loosened and the city regained its financial independence.  The last MAC bonds were retired in 2004.

Can New York State get its fiscal house in order before a federal bailout and federal oversight is our only salvation?  Frankly, I wonder.

What can be done?  Nearly a third of the state budget (if federal aid is included) goes to Medicaid. Another 19% goes to K-12 education. Servicing our considerable (and growing) debt takes another 4%. Local government costs are another piece of the puzzle-NYS has always been quick to shift the burden of government to the locals.  As an example, New York drives up the cost of local government by adopting policies that influence benefits for all public employees.

The forces opposing change are powerful. The teachers’ unions will oppose cutting education aid and changes to public employee benefits. Between them they have a substantial war chest-NYS United Teachers and the NYC United Federation of Teachers collect nearly $200 million in dues annually.  Health care workers and providers will oppose any cuts in Medicaid.  (I suspect that Harry and Louise-the faces of the ad campaign to scuttle Clinton era health care reform-have a condo in Manhattan and a summer place in the Finger Lakes!)  Public employee unions work together to oppose any changes in benefits like health care coverage.

Opponents to change can exercise their power through our dysfunctional political system.  As NYS legislators have to run for re-election every two years, they are always trolling for campaign funds.  In NYS, restrictions on campaign contributions are modest and enforcement is loose. Lobbyists are both effective and numerous. In NYS in 2003, lobbyists outnumbered legislators 24 to 1, twice the number in Illinois and Florida (which tied for second place).

Despite our economic woes, in the 2009-10 budget legislators scratched the itch to spend more. We know that this cannot go on forever.  Something’s gotta give!  This is the title of a conference, sponsored by the SUNY College at Brockport Department of Public Administration on May 19 (details at http://www.brockport.edu/pubadmin/gottagive.html). Join us!

Kent Gardner, Ph.D. President & Chief Economist
Published in the Rochester (NY) Business Journal May 15, 2009

Apr 23

Kent GardnerThe Rochester community confronts problems that will test the mettle of our leaders in coming decades. Our core challenges persist and others will emerge, yet help from external sources will become scarce. We are thrust back on our own devices, thus on the ability of our leaders to forge community solutions to community problems.

The City of Rochester will continue to struggle with its central economic problem: too many school dropouts and too many graduates who are ill-prepared for further schooling or a career. There is no challenge more difficult or more important.

  • Students who leave school without the tools to earn a living for themselves and their families face a lifetime of struggle.
  • The economy trades a contributor for a dependent.
  • The city’s economic vitality will be limited by an ill-trained workforce and a crime rate that is fueled by desperation, resentment, and disillusionment.

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Apr 10

Kent GardnerI’m in the third month of my high deductible health plan (HDHP) experience. And we’ve had some big bills to pay—I’m thinking that we may actually reach that family deductible early in the year. No surprises, though. I’ll let you know how it turns out. (If you’d like to read my earlier series on this subject, find the link to our blog site at www.cgr.org.)

A good friend sent me a column penned by someone who feels differently. The title tells it all: “I regret enrolling in an HSA.” Author Kelley Butler is having a major case of buyer’s remorse.

Kelley Butler is the editor of Employee Benefit News and her article can be found at http://ebn.benefitnews.com/news/regret-enrolling-hsa-2670271-1.html.

Kelley liked everything about her old health plan—except the price: “I knew we couldn’t afford the premiums we’d have to pay to keep our beloved PPO.” So she signed up for the high deductible health plan with a health savings account (HSA) and “hoped for the best.”

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Mar 13

Kent GardnerEvery day we see more evidence of the buckets of cash Congress has made available through the stimulus bill. Eager to see public dollars replacing lackluster business and consumer spending, our elected representatives have filled the pipelines of countless federal programs.

Public projects that were hopeless dreams in September have been reborn. One that has garnered particular attention in New York State is high speed rail.

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Mar 10

Charles ZettekIn unprecedented numbers, communities across the state are looking at the potential for consolidating government services, either through shared service agreements or outright merging of governments. Why? Because citizens have reached the point where the high cost of local taxes has motivated them to stand up and ask that governments reconsider in fundamental ways who should deliver services, and how.

Study after study makes it clear that consolidation is not a magic bullet for drastically reducing costs and can’t provide the 10% to 30% immediate savings that many taxpayers want. Rather, research suggests that consolidation realistically reduces total costs by 2% to 5%, which critics use to raise the question – why bother? Based on 10 studies over the past three years where the Center for Governmental Research examined shared services and consolidation in towns, villages, cities and school districts across New York, I suggest five reasons why consolidation should be considered.

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Feb 20

Kent GardnerAfter I made some cautionary comments on the pending fiscal stimulus plan on a local television news program, a friend said that I “sounded like a Republican.” I never did find out whether this was intended as a compliment or a criticism. Regardless of her intent, I found her comment troubling. Should caution have a partisan label?

I despair that elected officials seem to remember only half of a course in economics. We get more-or-less balanced policy in normal times because they remember different halves. Republicans remember 18th Century political philosopher Adam Smith proclamation that competition can harness initiative and build a stronger economy—yet forget Smith’s injunctions against concentrations of economic power. In this crisis, Democrats remember 20th Century economist John Maynard Keynes’ observation that public spending can stimulate the economy—yet forget that what we spend our money on and the amount of debt we incur matters rather a lot.

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Jan 23

Originally published in Rochester Business Journal
1/9/2009, 1/16/2009, 1/23/2009

Kent GardnerPart One

Early signals from our health insurer led us to expect another double-digit increase in our insurance premiums—perhaps a 15% hit. Frankly, I thought that we were just being softened up for something lower—If I were led to expect 15%, then a mere 11% bump should make me (relatively) happy. I was stunned when the final price of the most popular of our plans would go up 21% in 2009.

The big increase in price led us to explore cheaper plans, particularly a policy that includes a “Health Savings Account” (HSA). The discussion below refers to the specific plans we were offered by Excellus BlueCross BlueShield.

CAUTION: The remainder of this column discusses insurance premiums, deductibles, out-of-pocket maxima and other arcane health insurance jargon. Readers looking for lighter fare might prefer IRS Publication 17 or, perhaps, a William Faulkner novel.

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Jan 14

Albany parishes should find other uses for buildings after churches close

Bethany WelchRestructuring. Consolidation. Mergers. And now, layoffs. Those words have been used to describe the current state of affairs in the area’s Roman Catholic churches. Last week Bishop Howard Hubbard previewed the pain to come. He said that about 20 percent of the 190 worship sites will close or be reorganized across the 14 counties that make up the Diocese of Albany. Some of the lay staff who work at the parishes involved might lose their jobs. The decision on which churches will close is expected this weekend, but it is likely that urban parishes will suffer the most.

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