Tag: Utah

Changing the System

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The Ogden Standard Examiner had a great guest commentary by the chairwoman of the Weber County Democratic Party. LaFray Kelley asks a good question:

Why should the presence or absence of an ex-Massachusetts governor on the ballot for president have any influence on your judgment over how well your local state legislators have done in representing your interests? It’s obvious when you think about it: Who’s on the ballot for president has nothing at all to do with how your state and local elected representatives are doing.

Unfortunately she fails to recognize that there is an answer to her question that is worth considering about our political culture. The presence or absence of an ex-Massachussetts governor may have no bearing on how our local or state elected officials are doing, but because of our high interest in Utah regarding this particular ex-governor his presence or absence does effect our general interest in casting a ballot at all in November. The problem is that our political culture is biased towards the highest levels of government when it comes time to perform our civic duties.

Ms. Kelley quite accurately states that our votes are more likely to affect the outcome of local and state races and that those races have a greater impact on our lives.

The message here is simple: Exercise your right to vote for whomever you want for president, but recognize your votes for state and local candidates are far more important — and have far more impact. These are the votes where you have a civic duty to closely examine the issues and the candidates. It is especially important to find out about nonincumbent candidates, so you understand what your choices are. This admittedly will take extra effort, but that effort is perhaps the most important duty you will exercise as a citizen.

While I fully agree with Ms. Kelley on her conclusions I am forced into skepticism regarding her motives for two reasons. First, the party she represents is the party that most clearly espouses the attitude that promotes the top-down approach to government, especially in social issues. Second, her timing is off. If we really want to change the system we should be starting at the precinct caucus meetings and during the primary season. By putting her commentary out after the state conventions she has assured that there are very few primaries available to consider non-incumbent candidates. For the most part, our only options are for the general election in November and the vast majority of us can choose between an incumbent (not changing the system) who is a Republican, or a non-incumbent (who she has just touted as the avenue for change) who is a Democrat like her.

Such timing undercuts the level application across parties that any argument for change should have because change is not just changing parties, it is changing the political system by examining the candidates and issues before your choices are whittled down to one or two. That truly is “perhaps the most important duty you will exercise as a citizen.”

Tags culture, parties, Utah

National State

Fortune 535

Post author By David
Post date May 13, 2008
No Comments on Fortune 535

Check out the Sunlight Foundation’s Fortune 535. It gives numbers of the net worth of each member of Congress based on congressional reporting requirements. Some of the numbers won’t be very surprising, but others will probably make you take a second look. In any case, make sure you do more than just look at the final number. For example – I looked at the Utah congressional delegation and saw that Sen. Bennett was the richest of the 5 ($5 million) and Rep. Bishop was the poorest ($16,000). Another glance shows that there’s more to the story. Rep. Bishop started his congressional career 6 years ago with a net worth of negative $55,000 and Sen. Bennett has seen his net worth drop by $43 million over the last decade (losing nearly 90% of his original worth).

I’m not trying to argue who is a good guy, or a bad guy. Nor am I trying to stir up pity for either of them. They just make a good illustration of the need to look deeper than any one number to get a better picture of the intersection of money and political figures.

Tags change congress, money, Utah

National

Delving Into “Six Steps”

Joe Jarvis is a doctor and a candidate for the Utah legislature. I was very interested in exploring the six steps to bring about true health-care reform in Utah that he outlined in the Salt Lake Tribune. He has been kind enough to answer some of my questions and I want to share what I have learned from him and from digging into his sources.

Health underwriting

Every critically ill or injured person will be treated in our health system whether they have health insurance or not.

The realization that doctors and hospitals are obligated under the law to treat people in need should really change the way we look at the issue of universal coverage and the underwriting process. It deserves to be one of the areas we look at to make fundamental change to improve our health care system.

Unsafe hospital practices

Another cause of inefficiency in the system. Dr. Jarvis pointed me to studies by the Institute of Medicine demonstrating the statistical results of accidents and poor industry practices. (I say statistical to make it clear that the above link does not lead to grotesque images of hospital injuries.)

Inappropriate care

Inappropriate care seems to be the symbol of all that is wrong with our system. It appears to be a direct result of a medical industry that is being controlled by the insurance industry which is more interested in avoiding legal repercussions than in keeping people healthy

Perverse incentives

Dr. Jarvis quoted an article from the Wall Street Journal on April 5. I was unable to find that article to confirm the numbers he quoted (“if everyone in America went to the Mayo Clinic, our annual health-care bill would be 25 percent lower (more than $500 billion) and the average quality of care would improve.”) I did find an article from April 7th in the Wall Street Journal, More Choices Drive Cost of Health Care, that appeared to be the same except that it had different numbers ($50 billion saved over 5 years). (Follow the link here to see more than the free preview.) While I could not verify the numbers he quoted, the concept that we must eliminate the perverse incentives that drive the health care system is sound.

Market-based health policy

Dr. Jarvis argues that “health care is not subject to market forces, such as a lowered price increasing demand. No one ever had an appendectomy because the price was right. The occurrence of illness and injury primarily determine demand for health services.” While I would agree with him in the case of an appendectomy there are services (lasik, orthodontics, or well child checkups for example) where demand will rise as prices fall. Besides that, the WSJ article cited above indicates that many people, fueled by a “more is better” attitude, will indulge in available health services that are unnecessary. This would probably not be the case if they had to pay more than a token amount for those extra procedures. Also, at times when the patient is not the driving force behind extra procedures the findings are that

More office visits, hospital stays and diagnostic procedures likely indicate poor coordination among doctors and facilities that can lead to worse care and outcomes.

So far I am not convinced that real market forces do not have a significant role to play in radically improving our health care system.

Benefit denial

I had never previously considered the cost associated with claim denials, but Dr. Jarvis provided some eye opening data. In his article he stated that “Claims costs are at least 10 percent higher in Utah than would be optimally efficient.” He was gracious enough to allow me to look through the data he used to arrive at that figure and answer my questions to help me understand what I was seeing.

Here’s what I learned; the claims cost is the percentage of the insurance company’s revenue that is spent in evaluating and denying claims – it does not count the cost of claims paid, just the cost of processing the claims. The 10% figure is a bit misleading. Let me try to clarify the numbers. The most efficient insurance provider in Utah is apparently the Public Employees Health Plan (PEHP) which spends nearly 4% of revenue in processing claims. The data from the other major health insurance providers (IHC, Blue Cross, Altius, and UHC) shows that they spend between 12% and 19% of revenue on the processing of claims. To put that in perspective, PEHP spends 1 of every 25 dollars in claims processing while the other providers spend between 1 in 8 and 1 in 5 dollars. That is 3 to 5 times higher than optimal. It is a difference of 10% of their revenue but it is not evidence that they spend 1.1 times the optimal amount on claims processing.

Conclusion

Even where I do not fully agree with the details of Dr. Jarvis’ claims about these six steps I do agree that all six of these steps are important issues to address if we are to come up with a decent approach to improving health care in our state. I also agree wholeheartedly with Dr. Jarvis that the system requires a major overhaul, not just some tinkering if we are to avoid the looming crisis in the health care system.

Tags connections, free markets, health care, Utah

State

House Members on the Task Force

Post author By David
Post date April 12, 2008
No Comments on House Members on the Task Force

I wrote to the co-chairs of the HB133 Task Force asking for a full list of the task force members. David Clark responded with a list of all the task force members from the House. My current list of task force members is now:

David Clark
Roger Barrus
Brad Daw
Merlynn Newbold
Patrick Painter
Jackie Biskupski
David Litvack
Sheldon Killpack
Merlynn Newbold
Plus non-voting members Wayne Niederhauser and James Dunnigan

Now if Senator Killback would respond with the last two senators I would have a full list.

Tags health care, Utah

State

High Priced Entertainment

I have to say that SUPERDELL events sound very entertaining.

Fear not, my fundraising events will be worth their ticket if merely for entertainment value to the sceptics:). We are going to have some serious fun in Utah. I’m already working on my first event. I’m looking for acrobatic aircraft, base jumpers, powered skydiving pilots, helicopters, race cars, monster trucks, pyrotechnics . . .

For anyone who would go for the entertainment value, just remember the cost of admission is going to fund a political campaign so you’ll probably get an earful from the radio and an eyeful from the TV for your investment. And these would come from a candidate who has not said one word about an issue in his campaign.

Tags Utah

culture State

Secular Theocracy

Sometimes the truth stings – and Jeremy nailed it:

“We’ll soon have a new law (because you know that our big-government-loving governor will sign it) that will make us feel good, will give us a new source of revenue via law enforcement, and will give the finger-waggers another reason to rag on parents.”

Its not just the governor…it is all of our Republicans. These jokers stick us with more and more nanny government year in and year out yet Utahns keep going back to them.

Sorry Reach but any Republican who complains about too much paternalism in our government isn’t assigning the guy in the mirror enough of the blame. We need more libertarian minded leaders in both parties.

It used to be that I would hear people suggest that Utah is a theocracy and I would think they were just bitter because Utah is so politically resistant to secularism. Tonight I have concluded that what we have would qualify as a theocracy. It’s not a theocracy dictated by the LDS church as many would suggest (that’s what made me resist the idea for so long). Instead it is a theocracy based on an informal secular religion focused on enforcing kid- and family-friendly laws lest anyone face the possibility of making a wrong choice. While it is not dictated by the dominant faith of the state it is very palatable to many followers of that faith.

As I have watched our big-government Republican legislature I have clung to the notion that the state Republican party was out of touch with the residents of Utah and that they stayed in power because the state Democrats were too closely tied to the DNC to approach the majority of Utah citizens on some crucial issues. My new theory is that I am out of touch with the majority of Utah citizens and that most of them actually want the kind of government we have here – one that will do anything possible to “prevent” anyone from making any really bad choices (especially where children are involved), one that will solve our health care crisis since the LDS governor of Massachusetts has shown that it can be done, and one that will lead the way in fixing the global warming crisis so that they can drive everywhere they go knowing that the crisis has been averted by their wonderful government regulations.

RJ: That is an S.U.V; Humans ride in them because they are slowly losing their ability to walk.

Penny: Jeepers, its so big!

Lou: How many humans fit in there?

RJ: Usually, one.

(from Over the Hedge)

Tags environment, government, parties, theocracy, Utah

State

Face to Face

I was privileged to attend a meeting with our Lieutenant Governor this morning and I enjoyed meeting a few of those who have provided ideas to blog about as well as valuable feedback. It was quite enjoyable.

While we were talking with Lieutenant Governor Herbert (is there any legitimate way to shorten that title?) I came to appreciate even more the crucial need to keep the lines of communication open between government officials and voters. One thing that I really liked the sound of is a program called Be Ready Utah. The whole premise of the program is to be prepared to address emergency situations effectively at the ground level before larger levels of government (county, state, federal) are able to organize and lend a hand. I like that idea – in fact that should be the basic premise behind most of the functions that we expect of the government (think education).

What disappointed me was that I had never heard of this valuable program. I even went to website of the state government and discovered that there are no apparent links to the program (I found it by searching for the title of the program and close wasn’t good enough). Other issues we discussed, such as transportation and education, illustrated how we can suffer from poor communication between government and citizens (think back to the voucher debate).

I think that serious bloggers (meaning those who are blogging about serious topics of public interest) have the potential to enhance those lines of communication at every level of government – especially if we can come together in promoting a robust discussion of the important issues being addressed by our civic leaders.

Tags communication, Utah

State

One Party State

Most people are probably not yet aware that the state legislature is in session yet and already our unbalanced government is drawing flack from both sides of the political spectrum. From the left we get complaints about a task force to study merit pay for teachers. I like the idea of merit pay, but the task force being proposed is highly questionable as it is overwhelmingly composed of legislators rather than educators and citizens. It goes so far as to pay the legislators on the task force, but not the other members of the task force. It is so loaded with legislators that if they were to split the legislators proportional to the makeup of the legislature they would have 9 Republican legislators and one (likely Republican) governor’s designee who can simply dictate the outcome of the study against the other 3 Democratic legislators and 6 professional educators – this assumes that they put 3 Democrats on the task force – which is not guaranteed.

From the right we have complaints that our state laws governing the use of campaign funds are too lax. It seems like the simplest of common sense that campaign donations should not be used on other campaigns or for personal use unrelated to active campaigning. It’s nice that we have laws to require full disclosure of any gift over $50, but that’s no excuse to allow campaigning to be used as a source of personal income.

You really should visit the original articles to get the full extent of both issues. Nice start to the political year.

Tags campaigns, money, Utah

State

Health Care Assistance

When I wrote about declining enrollment for CHIP in Utah I did some research on the requirements for CHIP. I learned that even though I am fully employed – meaning I make a comfortable living – my kids would be eligible for CHIP if I did not have the option of insurance through my job. More interestingly I learned that there is another program, Utah’s Premium Partnership for Health Insurance (UPP), which my family would qualify for if I chose a traditional insurance plan. (Actually, my company just switched insurance and I could have enrolled in a traditional plan that would have allowed me to have my full premiums paid – partially by my company and the remainder by the state.) This program helps pay the costs of health insurance premiums for working families.

As I looked at the requirements for UPP it shows some interesting biases that are not good for our health care system. The one that makes the least sense is that they explicitly will not cover High Deductible (HD) plans that qualify for Health Savings Accounts. This essentially discourages people from using the best vehicle we currently have for becoming cost conscious and driving down the real costs of health care. If they wanted to encourage people to get the kind of insurance that is better for the whole system they would give the same amount of money – deposited directly into an HSA – for those who have an HD insurance plan as they give for comparable coverage under a traditional insurance policy. Of course the rules would be the same for qualifying plans whether they were HD or traditional.

Tags government, health care, HSA, Utah

culture State

Bureaucracy in Action

This is what happens when we expect government bureaucracy to manage something rather than leaving things in the hands of individuals.

Loving couple. Loving home. Steady jobs. No criminal history. Kids like them and the birth mother wants it.

Despite all that, Michael Valez and Michael Oberg are wading upriver through the state child protection system to be able to take care of four kids belonging to Valez’s niece. . .

To the state, it’s a simple matter of the law, which says that to adopt or be a foster parent, you must be legally married or single and not cohabitating. Officials asked for clarification of a judge’s directive that Valez have custody of the children, requesting that the court take custody or grant custody to the state’s Division of Child and Family Services.

The rules governing DCFS are quite reasonable – I don’t think that they should be running around placing kids in unstable situations such as with a couple that has decided that they should move in together to save rent. On the other hand we are faced with the question – who is responsible for raising these kids? Is it the state (DCFS) or the mother? I would argue that too often the state is given precedence over the parents and it is only rarely justified. I think that cases like this, where DCFS is actively trying to help the mother to prepare herself to resume raising the children (as they ought to), should make it that much easier to admit that primary responsibility lies with the mother and therefore her wishes, not to mention the wishes of the children, should take precedence over "the rules." (Maybe if there was a criminal history to consider I would change my mind.)

Luckily reason has prevailed (so far) –

On Friday, the courts took custody, then turned around and granted Valez temporary custody of the children.

"The judge said, ‘I see absolutely no reason why the kids can’t stay where they’re at,’" Valez said.

If only this were the case all the time.

Tags adoption, children, family, reactions, Utah