THE PIONEER BLOG

Jim Stergios

Federal health care mandate and the Commerce Clause

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Robert Levy, chairman of the CATO Institute, is a brilliant guy. He was talking today in Asheville about the fact that conservatives and liberals both abuse the interstate commerce clause in the US Constitution, for their own purposes. Liberals have used it to clamp down on everything from growing your own produce (in FDR’s time) to promoting any number of regulations on businesses, even those that only operate within a single state’s boundaries. Conservatives have been pushing, and continue to push, tort reform through federal action. Levy’s argument is that both abuse the commerce clause. But then he noted something I hadn’t thought of: What allows the federal government to establish a mandate to purchase health care insurance? Even though […]

Amy Lischko

Rethinking EMTALA

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On the drive in this morning I heard an interesting idea being tested in Fort Worth Texas (isn’t that one of the highest health cost cities in the country?).  See the link here http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html.     They are using EMTs as triage agents for patients who call 911 for an ambulance.  In many cases, the EMTs are telling patients, “you don’t need to go to the hospital.” If the patient insists on visiting the ER, and it is not an emergency, the EMT calls a cab.     Policymakers should re-think how EMTALA  (the Emergency Medical Treatment and Active Labor Act) gets operationalized and whether it needs some updating to encourage appropriate use of our scarce resources.   With the flu season upon […]

Jim Stergios

Just. Not. Smart.

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The Governor is now talking about layoffs. I suppose Pioneer is responsible for starting the discussion about headcount growth a year ago, when we suggested that the data is telling us that state government grew from 2004 to then by about 7500 positions. We said it in October 2008, January 2009 and then again in June 2009. Our view is that the addition of 1,100 safety net program positions during that period should be maintained but that an equivalent of the 6,400 new hires are not sustainable in the face of thousands of local layoffs and over a billion-dollar-plus structural deficit. That’s been the mantra over and over. Over the past five months or so we’ve been asking the state’s […]

Amy Lischko

Let the Patients Choose

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(Editor’s Note: Pioneer welcomes our Senior Fellow on Healthcare, Amy Lischko, to the blog. Amy will be writing on healthcare here from time to time, as well as working on research for Pioneer. Welcome.) It’s worrisome when the state tells us what kind of provider network we need.  Today’s Globe article “Insurer told to hold off in Mass.” highlights one of the reasons behind our increasing health care costs.  Carriers have often remarked that they have difficulty creating both tiered provider networks and narrow provider networks that offer lower costs.  Why can’t the state (via the Connector or DOI) allow Centene to offer these plans to consumers and let the consumers vote with their feet?  If no one signs up, […]

Steve Poftak

Running the Numbers, Stimulus Style

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You’ll forgive me for being a skeptic about job creation numbers. There’s a history there. So, the GOV’s announcement that Stimulus Act Spending had “created or retained 23,533 jobs” caught my eye. Reading the press release more closely, I saw this qualification: Stimulus spending has created or retained 8,792 full-time equivalents (FTEs), representing 23,533 individual citizens put to work. If we take the $1.9b already spent by the state on stimulus and spread it across the number of FTEs, that comes to a subsidy of over $200k for each preserved or retained full-time job. I don’t have a good frame of reference (and I’d be curious how other states are doing) but that strikes me as a pretty big number […]

Steve Poftak

Time to Activate the PAFNDAS

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UPDATE BELOW What’s that? Why, its the Patrick Administration Friday News Drop Alert System. We noticed the habit of shuffling certain pieces of news out the door late on Fridays and so have others. So, I note that as of 10 AM on Thursday, the Governor’s Office has not released his Friday calendar (to SHNS, that is). Yet, the centerpiece of transportation reform, a central authority — MassDOT, springs to life on Sunday, November 1. MassDOT will be governed by a five member board that will take on a massive array of responsibility — oversight of transportation policy in general and, through incorporation, will take over the responsibilities of the former Turnpike and MBTA Boards of Directors. But we still […]

Jim Stergios

Good news on charter performance

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From Marc Kenen of the Mass Charter School Association comes some good news. The new MCAS growth model analysis shows that charter public schools are producing very strong academic gains for their students statewide (see the data at the Boston Globe online): * In Grade 6, charters represented 9 of the top 10 growth districts in math and 6 of the top 10 districts in English; * In Grade 8, charters represented 7 of the top 10 growth districts in math and 4 of the top 10 districts in English; * In Grade 10, charters represented 5 of the top 10 growth districts in both math and English.

Jim Stergios

How is this for pushing hard, part 2

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Whitney Tilson passes on additional news from RI. Given that the state department of education certifies schools of education, RI Education Commissioner Gist also raised the minimum score required to get into RI teacher training programs. “cut score” required to enter the teacher training program at all RI colleges. We previously had the lowest cut score in the country, tied with Guam. To set the new cut score, she asked her staff to research who had the highest in the country, and learned it was Virginia. So she set our cut score one point higher than theirs. From Jennifer Jordan’s report in the Providence Journal: It’s going to get harder to become a teacher in Rhode Island. Education Commissioner Deborah […]

Jim Stergios

How is this for pushing hard to obtain Race to the Top Funds?

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In a recent post, I pointed to the new Commissioner of Education in RI, Deborah Gist, and her moves to remove seniority from decisions about teacher hiring and deployment. (Springfield, MA, is the only other place in the Northeast to be trying hard to address this issue. And while the contract in Springfield is great, I am not at all sure where implementation is.) Take a listen to the Dan Yorke show on WPRO for both Commissioner Gist’s view and NEA-RI Executive Director Bob Walsh’s reaction. Kudos to Dan Yorke for pressing his guests and his civility. Really great stuff. Note to the Chairs of the Education Committee, Marty Walz and Bob O’Leary: Lots of other states (even RI) are […]

Jim Stergios

Will the Gloucester mess impact the charter cap lift?

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Whether House Education Committee Chair Marty Walz was deflecting yesterday in noting that the decisions on the charter school caps may be further in the future, we can’t know. God knows she has a lot of people offering advice so a little break might be just what the doctor ordered. The discussion of the charter cap lift seems to be premised on what we need to take out of the charters to make a “compromise” palatable to opponents, such as the superintendents (who hate losing control) and the unions (who hate losing market share). Two principles any serious agreement must include are: (1) no loss in the per-pupil education amount, and (2) no weakening of the charter authorization process. And […]

Steve Poftak

Running the Numbers

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The Herald reports on Governor Patrick’s fundraiser today: the event has raised $600,000 for the governor’s re-election war chest, said Patrick spokesman Steve Crawford. He added 400 contributors are in the ballroom of the Westin Copley Place with about 140 more who donated $6,000 invited into the VIP lounge with Obama. Still, there are some empty seats. Let’s run the numbers. Each of the 400 contributors was supposed to max out to Patrick at $500, so that raises $200k. The 140 VIP contributors donated $6k, which breaks down into $500 for the GOV, $500 for the LG, and $5k for the party. So the VIPs raise $70k for the GOV, $70k for the LG, and a whopping $700k for the […]

Jim Stergios

Breaking News – RI Ed Commissioner on seniority

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From the Providence Journal: RI education commissioner Deborah Gist orders school districts to abolish seniority Sent: Oct 23, 2009 2:02 PM PROVIDENCE, R.I. — Dropping a bombshell on the state’s teacher unions, state Education Commissioner Deborah Gist announced Friday that districts must abolish seniority as a method of assigning teachers. Gist, in a letter to all superintendents Thursday, said the Board of Regents’ new Basic Education Plan, which takes effect in July, 2010, requires that highly effective educators work with students who have significant achievement gaps. Wow.

Steve Poftak

Committed to Maximum Transparency

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The above words are Governor Deval Patrick’s description of his administration. The practice has proven to be quite different (and I’m not the only one who thinks this.). In May, I asked the state’s Human Resource Department (HRD) for an update of an old layoff report that was used in 2004. They said no one knew what it was. I sent them an old copy, then they said it was a one-time report. I showed them it was a weekly report. They said it was discontinued. I asked for whatever they were using to track layoff counts now, then the conversation stopped. Next, I made an open records request, dated June 16, 2009. HRD did not respond, in violation of […]

Steve Poftak

Not Just Minutiae and Methodology

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UPDATE BELOW The Boston Globe has the power to set the agenda at times in this town. On Sunday, they released the results of a poll of the mayor’s race that suggested it was tightening a bit but still favored the incumbent by a wide margin. The opposite result probably would have gotten a lot more casual observers focussed on the race. David Bernstein of the Phoenix and the challenger’s campaign immediately took issue with the poll, noting that the sample appeared to consist of self-described ‘likely’ voters, not registered voters. My read is a bit more ambiguous. The source document, the UNH Survey Center’s full report, is not precisely worded. It refers initially to a sample of “553 randomly […]

Jim Stergios

Contrition about Attrition

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The Mass Teachers Association’s report Charter School Success or Selective Out-Migration of Low-Achievers? makes the claim, in short, that charter schools push out underperforming students, and as a result have higher MCAS scores. This has delighted some bloggers and all those who believe that there is no way to break the mold and improve the academic outcomes for disadvantaged students. Problem is that the argument is a heap of mullarkey. A lot of “attrition”? Let’s define attrition. Attrition is mobility. It’s when a student leaves a school. It does not mean that students drop out. Folks, when parents have choice, their kids will move around. And even parents without the ease of choice that charters provide move their kids around. […]