MORE ARTICLES
Losing Local Labor: Retaining Workers Remains a Massachusetts ChallengeApril 30, 2024 - 10:49 am
Outmigration and the Labor ForceApril 25, 2024 - 11:44 am
Study Finds Obstacles to Search for Opioid SubstituteApril 25, 2024 - 9:11 am
Annual Massachusetts Outmigration Hits 39,000, Up 1,100% Over The Last Decade: BU StudyApril 24, 2024 - 1:00 pm
Hoover at Stanford’s Stephen Kotkin on Stalin’s Tyranny, WWII, & the Cold WarApril 24, 2024 - 12:33 pm
Superior Court Judge Invalidates “Equity Theft” Law as UnconstitutionalApril 23, 2024 - 1:04 pm
Tax Man Confounded: Why High Rates Haven’t Yielded Higher RevenueApril 23, 2024 - 12:58 pm
Massachusetts’ Workforce Growing Older and More Diverse, Remains Highly EducatedApril 18, 2024 - 9:26 am
Johns Hopkins’ Ashley Berner on Educational Pluralism & DemocracyApril 17, 2024 - 2:53 pm
Why the secrecy? Pioneer Calls for Open Meetings Dealing with Steward’s Impact on Patient Care.April 16, 2024 - 1:59 pm
Lessons from Massachusetts Health Care Reform (Romneycare)
/0 Comments/in Blog, Blog: Healthcare, News /byLast month marked the first anniversary of the federal healthcare law; this week the fifth anniversary of Massachusetts’ own health reform. President Obama likes to tout the federal effort as paralleling the Massachusetts’ reform, but the fact is that Obamacare has created a lot of uncertainty for states across the country, including Massachusetts. For example, will Massachusetts now have two individual mandate penalties? Will we shift close to 100,000 individuals from the new healthcare exchange to Medicaid? What are the implications of the federal law for the cost picture in already expensive Massachusetts? Obamacare is of little benefit to Massachusetts beyond pouring billions more dollars into the Massachusetts healthcare industry, which is likely to push the cost of care even […]
Permitted to Succeed? Part One
/0 Comments/in Blog, News /byMayor Menino’s new budget proposal included the intriguing commitment to create a “one-stop shop” for small business permitting. The state has long strived to create these kind of permitting shops, prompting one state official to muse that it might be worth putting together a guide to all the “one stop shops” in state government. To some extent, the city has consolidated some of those functions at 1010 Mass Ave., but a quick review of the city’s permitting literature reveals that there is significant consolidation to be done. With different agencies located at 1010 Mass Ave., City Hall, 26 Court St., and other locations, a true one-stop shop will require a lot of consolidation. Physical co-location is a great first step, […]
Municipal Healthcare Endgame?
/0 Comments/in Blog, News /byI would never underestimate the negotiating guile of the major labor unions, but it does appear we are reaching the endgame stage of the municipal healthcare debate. After a negotiated consensus reform several years ago to put municipal workers into the GIC failed to get a strong level of acceptance, it was clear that something more had to be done. A number of Mayors (including Menino) advocated for control over plan design, even threatening a ballot referendum (hope Denise Provost can stop them!) The Governor’s budget (see Section 6, here) put in place a somewhat vague process to (eventually) force workers into the GIC. The House Ways and Means Budget was much more explicit (see section 46, here), providing clear […]
It’s not what you say, it’s how you cloak it
/2 Comments/in Better Government, Blog, News /byIt has been said before, but it bears repeating: Control the language of the debate and you control the debate. Witness President Obama’s studious effort to take control of the debate Wednesday in his speech on how he would slow the runaway federal budget deficit. Like most politicians who want to raise taxes, the president will do almost any rhetorical tap dance to avoid saying the word unless it takes the general form of, “tax breaks for the wealthy” or “unaffordable tax cuts for millionaires and billionaires.” We have as many euphemisms for raising taxes as Eskimos have for snow. Unions insist that “revenues” must be on the table in any debate on deficits. Gov. Deval Patrick talks about preserving […]
Governor Deval Patrick’s Missing Chapter on Transparency
/0 Comments/in Blog, Healthcare, News, Transparency /byGovernor Deval Patrick’s new autobiography, “A Reason to Believe: Lessons from an Improbable Life”, is an inspiring story, detailing his rise from Chicago impoverishment to his current job as governor of the Commonwealth. While frank about his personal heroes and inspirations, the book skims over his political battles and the decisions he faced in his first term. Even health care reform, of which Massachusetts has in many ways been an early adopter and champion, received negligible mention. Unfortunately, while his personal story is remarkable, his policies haven’t been a very open book. On vital issues of both local and national importance, I’ve seen pushback, opacity and silence. Starting in January of this year, working with the Pioneer Institute, I’ve filed […]