Absent a national health care
policy, states have found ways to expand the reach of Medicaid by
covering more low-income, senior and disabled people and expanding the
list of covered services. Because of state action, 58 million
Americans now have health coverage they would not otherwise possess.
To push back on the states, the Bush Administration put forward several new Medicaid regulations
last year that, if implemented, will shift the burden and costs to
states. This will result in reduced benefits for millions of Americans
unless already cash-strapped states find some way to pick up the slack
- to the tune of $50 billion over five years.
It's counter-intuitive, but many US not-for-profit hospitals have
bigger profits than their for-profit counterparts. Last week, a Wall Street Journalarticle discussed
the growth of profits in the not-for-profit hospital sector and the
welcome attention this is garnering from federal policymakers. As
reported, the combined net income of the 50 largest not-for-profit
hospitals across the US increased nearly eight-fold from 2001 to 2006
to a staggering $4.27 billion. 77% of the 2,033 not-for-profit
hospitals in the US routinely make money, compared with 61% of
In one more example of lax federal agencies being empowered to block
tougher state protection of consumers, the Supreme Court ruled
yesterday that states are barred from protecting consumers from faulty
medical devices, such as breast implants, if the Federal Food and Drug
Administration (FDA) has already approved those devices.
States are facing hard budget times this year, with twenty states facing a combined budget shortfall
of at least $34 billion for 2009 -- and the President's proposed budget
would not only make them worse, but would disproportionately hurt many
of the most vulnerable populations in the country.
The statistics are shocking. The current mortgage crisis is expected to result in the foreclosure of 3 million homes. In Stockton, CA, one in every 27 homes has been hit by the foreclosure crisis. And, Countryside, the largest U.S. mortgage lender, just released
figures showing that foreclosures and late payments rose in December to
the highest on record. Calls to helplines by homeowners facing
foreclosure have skyrocketed. As a corollary, local animal shelters are seeing a sharp increase in intake due to owners having to surrender family pets when they lose their homes.
Given the experience of Senate filibusters against innovative policies proposed at the federal level, here at Progressive States we are inevitably cautious in our hopes based on Presidential candidate proposals.
Periodically, we hear elected leaders promoting what seems like a free
lunch: hand-over control of government services or government assets to
private industry and services will improve at a lower cost. Like most
promises of a free lunch, privatization of government services ”“ also
known as "contracting out" or "public-private partnerships"”“ has
rarely delivered on its promises, with most studies showing little gain
and often substantial losses for the public.
In the age of Google, citizens expect to be able to find core
information on the Internet about government operations, but as a major
new report being released today highlights, most states are failing on
The U.N. Intergovernmental Panel on Climate Change (IPCC), which shared this
year's Nobel Peace Prize with Al
Gore, recently released a
report detailing the negative environmental changes that will result from
climate change, including higher temperatures leading to increased deaths
from more severe heat waves, increased incidence of infectious
diseases, and severe damage to ecosystems. The IPCC report
warned that there were only eight years left to act to prevent the
worst effects of global warming.