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Next Step in Reform: Cost Control

The President & CEO of Associated Industries of Massachusetts (AIM), an employer association of 6,000 Bay State businesses and institutions, has an interesting piece in the Worcester Telegram & Gazette today that sets the goal line for reform. “We will know the reform works when the same employers who supported a 2006 reform that expanded coverage but did not control costs no longer suffer a sick feeling in the stomach every time they sit down to review premium increases with their health plans. We will know the reform works when employees no longer wonder whether they can afford rising deductibles. And we will know the reform works when the cost of health insurance ceases to be a structural impediment to […]

Causes of Boston's Bus Problems

Today’s Globe has an op-ed decrying the problems with the buses taking kids to the Boston Public Schools — they’ve been plagued with delays since school started. The article points out two potential causes of the problem — issues implementing a new routing software system and resistance/noncompliance by the drivers union. (Given that their union has seen fit to traffic in the coarsest forms of racially-charged attacks in the past, it can’t be ruled out.) Other issues, that might not be obvious to non-residents are: 1) Broad eligibility: Any elementary school child over a mile away from their school (or with an intervening major thoroughfare between them and school) is eligible. That’s a lot of kids. 2) Huge coverage area: […]

Feds giving a safety net to Massachusetts’s safety net hospitals?

Two of the most prominent “safety net” hospitals in Massachusetts are facing sizable budget gaps again this year, and are turning to the feds to bail them out. Boston Medical Center (BMC) and Cambridge Health Alliance (CHA) have long received, in part because of their emphasis on the under- and uninsured, greater political assistance in propping up their balance sheets. The desired Medicaid waiver amendment would be worth $86 million this year for CHA and $90 million for BMC. These institutions play an important role in Massachusetts, but the new slug of federal dollars undermines the viability of Massachusetts health reform by introducing new annual bailouts. A key accomplishment of the Massachusetts experiment was a deal to leverage public money […]

Ed Glaeser slips on a banana peel

Ed Glaeser is a brilliant economist and someone who cares deeply about local, state and federal policies that impact housing, segregation, crime, the growth of cities and the role of innovation in reviving urban landscapes. He has done a ton of work with us, spoken at Pioneer events, and we look to him as a leading intellectual — as does just about everybody. All that throat-clearing is necessary because in today’s Globe, Ed slipped on a banana peel. Looking to weigh in with a timely piece on what is becoming a key issue in the gubernatorial debate — the standards and MCAS debate — Ed makes four assertions that are questionable at best and wrong at worst. Here’s wrong assertion […]

Can Big City Superintendents Fix the Schools?

When Adrian Fenty was elected as the mayor of Washington DC, he worked relentlessly to gain control of the DC school board. After all, the DC public schools cost so much more than your average public school and they were among the nation’s worst performers. In 2007 he appointed Michelle Rhee as the Public School Chancellor, who immediately took some of the toughest actions one could imagine to turn around the schools, including mass principal and teacher firings, numerous school closures, strict accountability measures, and strong outreach to recruit new energetic teachers and lots more foundation funding for her school (and really district) “turnaround” efforts. Above are just some of the magazine cover and lead article pictures of Michelle Rhee. […]