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If You Want to Run for Office…
/0 Comments/in Better Government, Blog, News /by Jim StergiosThis is a good year to do so. The Gallup numbers are no surprise (been in this range for a while), but the dissatisfaction with incumbents is, if anything, deepening. As regards Congress and Washington’s ability to get things done, this and other polls do suggest that the view that states should have a larger role in decision-making is gaining steam on both sides of the aisle. The findings include – 82% of Americans disapprove of the way Congress is handling its job. – 69% say they have little or no confidence in the legislative branch of government, an all-time high and up from 63% in 2010. – 57% have little or no confidence in the federal government to solve […]
Heroes of the MBTA
/0 Comments/in Blog, News /by Steve PoftakIt’s bloodsport in these parts to complain about the MBTA. But the latest MBTA scorecard makes one thing clear — their operations staff is doing a close to miraculous job keeping the system running in the face of massive deferred maintenance and dwindling equipment options. The Green Line is a prime example — in June 2011, their vehicles traveled an average of 3,663 miles between breakdowns, 33% below their goal. That’s just under 146 round-trips on the Riverside Line between failures. And the failures are having an impact, there was only a single extra vehicle above the required 150 available in June. The commuter rail has a similar issue, with just enough locomotives to provide service. Part of that is […]
Pension reform is reform-lite
/0 Comments/in Better Government, Blog, Blog: Pensions, News /byMore proof that those employed in Massachusetts’ public sector live in a parallel universe: The gentle – very gentle – reforms approved by the state Senate last week to head off a total collapse of the pension system are being portrayed as cruel and unusual punishment. Take a look at the specifics. The reforms, if adopted, would: – Raise the retirement age for most employees from 55 to 60. – Calculate pensions based on the top five earning years instead of the top three. – Raise the age for maximum retirement benefits from 65 to 67. And, to offset such draconian pain, the reform would cut contributions for some veteran employees and provide all pensioners with larger cost-of-living increases. Also, […]
Sidewalk Superintendent Series: Parking Spaces or Public Places?
/0 Comments/in Blog, News /by Steve PoftakA unwelcome phenomena in Boston is the use of public space for parking of vehicles on seemingly ‘official’ business. In a city where I’ve seen homeowners struggle for years to get approval for modest curb cuts, I marvel at the ability of these parkers to convert sidewalks and plazas into personal spots. Exhibit 1 is the John Adams Courthouse. Recently refurbished at an expense of $150 million, the redone courthouse has injected some liveliness into the previous moribund plaza between it and Government Center Plaza. New restaurants and outdoor seating have also helped. So what was the next logical step? Turn the brick plaza in front of the courthouse into a parking lot. Now diners get to sit next to […]
Is Cake Health the Answer to Our Health Care Cost Problem?
/1 Comment/in Blog, Blog: Healthcare, News /byI just stumbled upon a great app that is helping individuals become better consumers of health care AND understand the piles of health care related paper work sent to their homes. It is available at: CakeHealth.com If we are to move in the direction of more consumer driven health care, we will need LOTS more where this came from. BCBS of MA has mentioned an app they are developing to help control costs by directing patients to nearby hospitals with lower rates. So lets hope other local insurers get on board and make this information available to their members in some form in the future.
Examining Pension Talking Points
/1 Comment/in Blog, Blog: Pensions, News /byThe state Senate approved a pension reform package yesterday. Reviewing the Senate’s debate, there are two oft-repeated claims from reform opponents that are worth parsing. Claim 1: State employees pay for their own pension. Reality: This will be true only for some new employees and only if a number of assumptions hold up over time. Those assumptions include existing rates of salary increase and service time duration. The assumption with the biggest potential downside risk is the continued achievement of the 8.25% expected rate of return for the state pension fund over the career of these new employees. There is a considerable school of thought, within academia and the investment community, that the return environment will be lower in the […]
In New England, Massachusetts leads job growth – for state employees
/4 Comments/in Blog, Blog: Transparency, News /byI reached out about a month and a half ago to Governor Patrick’s office to see if they could help understand how, after bipartisan support for cutting state jobs through the recession, the state actually added to its payroll. As usual, despite numerous phone calls and e-mails, I was told someone would “be in touch” … and then nothing. While I still hold out hope that one day we’ll get an answer about how headcounts grew throughout round after round of supposed layoffs, it might be more practical in the meantime to compare the Commonwealth to its peers to better understand how other state governments have handled a reduction in income when it comes to their staffing levels. Massachusetts leads the […]
Patrick Admin’s Misdiagnosis on ACA Transparency
/2 Comments/in Blog, Blog: Healthcare, Healthcare, Transparency /byThis post was co-written by Michael Morisy. During this year’s budget debate, Pioneer asked many questions about the reality behind optimistic health care cost predictions which, if flawed, could leave the state facing a $900 million budget hole next year alone. The passage of the Patient Protection and Affordable Care Act (PPACA) could make things even worse down the line – if it survives judicial challenges. But as much as we’d like to share the state’s optimism, we have had an incredibly hard time getting answers to some basic questions about the underlying assumptions that the state may have about future health care costs. Back on April 9, we requested documents from the Massachusetts Health Connector that discuss the financial […]
Silliness Buried In the Casino Bill
/0 Comments/in Blog, News /by Steve PoftakThe coming casino debate has a whiff of anticlimax, as it appears that passage is all but assured, given the lack of elected opposition. However, there’s one detail of the bill that cries out for correction. As a principle, the bill calls for a referendum to be held in each potential host community for a casino. Solid reasoning, right? Except, buried deep in the fine print, is an exemption for communities greater than 125,000 in population. In those communities, only the ward with the potential site needs to vote its approval in an election. The impact of this provision sets a separate standard for Boston, Springfield, and Worcester from the other 348 municipalities in the state. In Boston, wards vary […]
What We Learned From Sal DiMasi
/0 Comments/in Blog, News /by Steve PoftakBarring a successful (or incredibly lengthy) appeal, Sal DiMasi will spend the next 8 years in jail. It’s a jarring sentence that will consume almost half of his expected remaining years. For many of his former colleagues, this should be sobering news. There have been a string of scandals facing politicians in state government. For the most part, these have resulted in relatively short jail terms, if any. DiMasi’s sentence will likely be viewed differently — its longer and he was no ordinary legislator. DiMasi was, at least on a dissenting vote basis, the most powerful speaker in recent memory. He managed to get resoundingly reelected as Speaker despite ethics questions hanging over his head. Even after the trial, sitting […]
Are ACOs designed to care for grandparents also good for their grandkids?
/0 Comments/in Blog, Blog: Healthcare, Healthcare /byThis op-ed ran in the Boston Business Journal Friday September 2, 2011. Boston’s Children’s Hospital was recently recognized as the nation’s top hospital for children by U.S. News and World Report. But what will Obamacare and Gov. Patrick’s “Phase II” state health reform, which move the health industry toward so-called accountable care organizations (ACOs) and alternative payment methods, have on world-class medical facilities like Children’s? An ACO is a network of doctors and hospitals that share responsibility for patient care. In theory, it’s like purchasing a car from a dealership; instead of buying each part yourself, an ACO brings together the different parts of patient care and ensures that the pieces work well together. Yet the reality isn’t so simple. […]
Boston’s Advanced Work Class Maze
/0 Comments/in Blog, News /by Steve PoftakIn Boston, school starts tomorrow (except for K1 and K2, which starts on Monday). For those newcomers to the Boston Public Schools, congratulations, you’ve survived the much-feared school lottery (see previous comments here, here, here, and here.) Many lottery survivors are again tested by the Advanced Work Class “AWC”) program. 3rd grade students are tested and those scoring highly enough are invited to participate in Advanced Work Class, described as “an accelerated academic curriculum for highly motivated and academically capable students” by the district. These classes are viewed as the gateway to the prestigious exam schools and there’s clearly a link. About half the exam school students come from the public school (a surprisingly low number, in my view), and […]
Does Your Doctor Know How Much That Costs?
/0 Comments/in Blog, Blog: Healthcare, Healthcare /byA local group (run by a former classmate of mine) is accepting entries for an annual contest that highlights stories of medical costs gone wild. The group Costs of Care’s mission is that: All doctors should understand how the decisions they make impact what patients pay. The prompts for the contest stress the importance of all stakeholders being more aware of the impact of decisions that we make in receiving our health care. Do you have a story about a medical bill that was higher than you expected it to be? Or a time when you wanted to know how much a medical test or treatment might cost? How about a time you figured out a way to save money […]
Let Walmart In!
/0 Comments/in Blog, News /by Steve PoftakOpposing Wal-Mart seems to be in vogue these days. Mayor Curtatone of Somerville is doing it, so is Mayor Menino. Menino, along with many community leaders, is opposing the expansion of Wal-Mart into Dudley Square. Their opposition is built on two objections – that Wal-Mart will damage the existing retail infrastructure in Dudley Square and that Wal-Mart is bad corporate citizen. But it’s a short-sighted attempt by government actors to tilt the playing field in favor of certain businesses. For one, the mega-marts are already here. The city has one – the Target in the South Bay Shopping Center (and Target’s masterful branding as the ‘good citizen’ compared to Wal-Mart is a whole separate story). But if you look at […]
Obama Admin Rethinking Massachusetts Model?
/4 Comments/in Blog, Blog: Healthcare, Healthcare /byThe summer has led to little news from the Legislature and Governor Patrick on the health policy front. Which, on the first day of September, left me to wonder whatever happened to the temporarily extended Massachusetts MassHealth 1115 waiver? Simply put, this waiver from the federal government allowed the 2006 health reform to become a reality. The waiver was last renegotiated by the Patrick Administration in 2008, and was extended until June 30, 2011. Quietly this summer, that deadline was pushed back twice, and was set to expire yesterday. I have just learned that the waiver was extended for another 30 days. So I am left to ask–what is the issue(s) holding up a longer term renewal? In a summer […]