The Good News About the Comptroller Vote

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The vote in the New York State Legislature as to who will replace Alan Hevesi as Comptroller was not unanimous. It wasn’t 212 to zero. It wasn’t even strictly along party lines. Moreover, according to press reports, different legislators had different opinions, and some even expressed them in the legislative chamber, and then voted based on those opinions. I didn’t think of this at first, because the media did not focus on it. News outlets instead discussed the result of the vote. Thinking about it, however, it is almost stunning, given that this is the New York State Legislature we are talking about, that it might have been a real vote. This may be an aberration, but if it is a sign of things to come, then it is good news.

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Who Gets A Choice?

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As should be no surprise to those who read my essays last year, I’m in favor of citizens having a choice in public and publicly financed services, such as health care and education, whenever possible. On egalitarian, not “right wing” grounds. And with some of his proposals in this year’s budget, Governor Spitzer has attempted to take a step in that direction. But the devil is in the details. More charter schools would provide more choices, but only for some. A tuition tax deduction would, in a very insignificant way, subsidize alternatives for those affluent enough to afford them on their own. The best news for choice in education in the proposed budget, in fact, could be a policy that has nothing to do with it directly.

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New Principles, But Only So Far

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Is the purpose of public spending, and the tax revenues we must pay to fund it, to provide public services and benefits? Or to provide a fortunate few with a steady job? In the progressive era it was the former, but today it seems to be the latter. Every time a public employee, or the employee of an organization that receives a large share of its funding from the government (such as the health care industry), decides to spend his or her money a slightly different way, they both create and destroy jobs, and force private sector workers to make adjustments to satisfy their needs. But in New York State, when the needs of the public have shifted, the tendency has been to keep people on staff where they were no longer required, either raising taxes further to cover needs elsewhere, or forcing public service recipients to do without. Thus in the 1990s school districts elsewhere in the state were at least “held harmless” or even given more money as their enrollment shrank, even as New York City’s share of state school aid remained low as its enrollment grew. Hospitals also had “hold harmless” formulas, to keep up their share of state health care funding up as health care shifted to clinics. As I said when I ran for state legislature, the political division has broken down into representatives of producers of public services, vs. representatives of those who did not require public services and do not want to pay for them in taxes, with no one speaking for the consumers of public services. Until now.

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Are We One State?

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In the mid-1990s, at the tail end of a severe recession and a time of fiscal crisis, the incoming Pataki Administration, with the consent of the legislature, cut state school aid to New York City while increasing it to other school districts around the state, including those that were far more affluent and spent far more money. During my adulthood nothing any level of government has done has had as great an effect on my family and those of my contemporaries as that decision, and nothing will until our generation does or (more likely ) does not get Social Security. This year, the incoming Spitzer Administration says that we must be “one state.” Even so, Governor Spitzer has proposed eliminating $350 million in municipal aid to New York City, and redirecting it elsewhere. He calls the policy “a major expansion of aid to distressed cities, towns and villages across the state. ‘A resurgence of the Empire State cannot occur without a resurgence of our cities, particularly those in the Upstate region,’ Spitzer said. ‘Investment and jobs will flow only to those areas that are safe and vibrant places to live and work.’” If we are “one state” New York City residents can’t complain about money going where it is most needed, can we?

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A “Day One” View of the Budget Proposal

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Thanks to a sick child that resulted in an early morning return from work, I’ve had a chance to spend a couple of hours going over the budget documents presented by Governor Spitzer — in one case before computer problems made the full five-year plan inaccessible. There is much to like, including a simplification of the school funding formula that if enacted might make it more difficult for the rest of the state to slash New York City’s share of state education funding in the next recession, and a slowdown in Medicaid growth focused in several areas where New York’s spending has been most egregious. There is more emphasis on the health needs of children, and the need for a turnaround in declining upstate cities.

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The Main Event

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Tomorrow the main event of the Spitzer Administration begins: the first state budget. State government provides relatively few public services and benefits directly, but through the state budget and related rules, it finances and controls the services and benefits provided by local government and by private entities such as the health care system. For those concerned with services and benefits, and the taxes required to pay for them, the state budget is the policy. And the first state budget will be Governor Spitzer’s best opportunity to change the longstanding fiscal priorities of the state, priorities that have provided increasing rewards to a shrinking number of organized interests while disadvantaging everyone else. For the losers, including the future and those who plan to be here during it, he’s the best hope we’ve got.

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The Disappearance of Inconvenient Facts

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Bad news has arrived from Rochester, from where the President and Chief Economist of the Center for Governmental Research e-mails that the organization has “no plans” to repeat its 1999 and 2004 analyses of the balance of state revenues and expenditures among regions of New York State. “It is rather a monumental undertaking, unfortunately.” The Center’s reports showed that even in the early 1990s, when New York City was reeling in a deep recession with one million people on welfare and substantial reductions in public services, the State of New York took much more revenue out of the city than it spent here. And later in the decade, when the city’s economy was booming but its poverty rate was still over 20% and its schools still under-funded, the State’s net redistribution of fiscal resources out of the city increased. While the Center’s reports didn’t change the fact that of other areas of the state resent, and feel free to work to the disadvantage of, the city and its people whenever possible, their inconvenient facts did somewhat diminish the 30-year river of black bile flowing our way from virtually every other part of the state. If new ones aren’t coming, those living elsewhere could be free to go back to asserting, absent evidence, that New York City residents are a bunch of undeserving freeloaders who need to be put in their place.

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More Details on Nursing Homes

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In my prior post, I had mentioned that although New York State’s Medicaid spending per beneficiary on nursing home services was in 2004 35% higher than the average of 38 states that have reported plus the District of Columbia, the actual difference was higher if certain anomalies are excluded. You can see this in the attached spreadsheet, which tabulates data for nursing homes by state and category of recipient. (The Datamart I provided a link to in the prior post allows all kinds of cross-tabulations). For aged beneficiaries, New York State’s nursing home spending for each beneficiary was actually 59% higher than the average of available states in 2004. In the past, when I merely tabulated the aged and (collectively) other nursing recipients, I had believed that New York State’s Medicaid spending per beneficiary on the disabled, such as the mentally retarded and ill, was low. More detailed data show that was a mistake. In reality, New York States spending per beneficiary on the disabled was 49% higher than average. The anomaly is below.

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Medicaid By State for 2004: Preliminary Observations

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The data on Medicaid beneficiaries and expenditures by state and type of service from the federal Centers for Medicare and Medicaid Services is not out yet, and for the usual reason. Twelve of the states, including the adjacent states of Massachusetts and Pennsylvania, haven’t finished their homework and completed their quarterly data submissions for that year. Even so, with the New York State budget to be released shortly and Medicaid likely to be a big issue, I’ve decided to compile the data that is available. The attached spreadsheet was downloaded from the Medicaid Statistical Information System (MSIS) State Summary Datamart located here: http://msis.cms.hhs.gov/, with the help of the helpful Research, Statistics, Data & Systems group at that organization. The program they have set up there is so easy to use that even I can use it. Micro-data is also available for even more in depth analysis, which makes me wonder why we haven’t seen detailed analyses of our Medicaid system being undertaken and published — aside from biased reports from the health care industry itself.

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NY State to NYC: You Don’t Deserve It, or You Don’t Need It, or We Don’t Have It

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The New York State Department of Labor has released Current Employment Survey data for December. And it appears that school districts in the rest of the state celebrated the Court of Appeals decision in Campaign for Fiscal Equity case, which held that New York City had been shortchanged by the state school aid formula by billions of dollars over the decades but also that the Court would allow this practice to continue without doing anything about it, in the usual way. By putting more people on the payroll to be “held harmless” later in any reorganization of the way state school aid works. From December 2005 to December 2006, local government elementary and secondary school employment rose by 2,300 in the part of New York State outside New York City, but fell by 800 in the city. During the entire 1990 to 2006 period, December public school employment is up by 9,800 in the city, a decline relative to enrollment growth, and up by 68,700 in the rest of the state. In that time, local government employment as a whole is down 18,600 in New York City but up 106,600 in the rest of the state. A spreadsheet is attached, and just for interest’s sake, and to give people some idea of the state’s priorities, I’ve included a tabulation of “shared sacrifice in tough times” that shows how local government employment changed in New York City and the rest of the state from 1994 to 1996, and from 2002 to 2004.

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