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The politics of rescuing state governments or letting them go to hell

by: Pan

Mon Jun 07, 2010 at 6:35 PM EDT


Counting on Medicaid Money, States Face Shortfalls

This is the title of an article in today's New York Times that details a severe issue that, if not addressed very soon, will have multiple political effects. I'll quote from some of the most important parts of the article and then talk about some of the effects I believe are likely in races for different positions.  

Pan :: The politics of rescuing state governments or letting them go to hell
Having counted on Washington for money that may not be delivered, at least 30 states will have to close larger-than-anticipated shortfalls in the coming fiscal year unless Congress passes a six-month extension of increased federal spending on Medicaid.

Governors and state lawmakers, already facing some of the toughest budgets since the Great Depression, said the repercussions would extend far beyond health care, forcing them to make bone-deep cuts to education, social services and public safety.

Gov. Edward G. Rendell of Pennsylvania, for instance, penciled $850 million in federal Medicaid assistance into the revenue side of his state's ledger, reducing its projected shortfall to $1.2 billion. The only way to compensate for the loss, he said in an interview, would be to lay off at least 20,000 government workers - including teachers and police officers - at a time when the state is starting to add jobs.

"It would actually kill everything the stimulus has done," said Mr. Rendell, a Democrat. "It would be enormously destructive."

There are are other quotes from or references to the urgent concern of Republican Governors Schwarzenegger of California and Douglas of Vermont, Republican Mayor Bloomberg of New York City, Democratic Governor Paterson of New York, and Michael Bird, federal affairs counsel for the National Council of State Legislatures.

The first electoral issue is that any combination of biting tax or fee increases and brutal service cuts from state and municipal governments will sour voters even further on incumbent politicians, almost certainly causing more losses, including some surprising upsets, of incumbents from both parties. Undoubtedly, this would extend to Federal races - as it should, because the Federal government would have failed to meet the need for a new rescue package for state and municipal governments.

The second issue is that the lost jobs from layoffs of government workers (teachers, firefighters, police officers, social workers, God only knows who else) would worsen the economy palpably, leading to even more damage to incumbents.

As we all know, state and municipal governments are already doing very poorly around the country - undoubtedly, along with the generally weak economy and high unemployment, one of the reasons that incumbent Governors (and, I'm guessing, state legislators) are much more likely to be defeated in reelection bids this year. Failure to infuse state budgets with Federal money for their Medicare programs would surely amplify this effect.

Governors and state lawmakers were caught largely by surprise by the House's removal of the appropriation. Over the previous 10 months, the Medicaid money had been included in separate bills passed by each chamber, and President Obama had wrapped the extension into his executive budget proposal.

"There was every reason to think they'd get together," Mr. Rendell said.

But in recent weeks, Republicans and conservative Democrats began to complain that the proposed spending would add to the deficit because it was not "paid for" with new revenues or other cuts. Their success in reducing the size of the bill reflected a deepening debate in Congress, and on the campaign trail, about the long-term consequences of using deficit spending to slay the recession.

To get a conference report with restored Medicaid money in it - which Harry Reid favors - through the House, some Representatives who wouldn't vote for it the first time would have to take the political risk of being labeled as spendthrift deficit-busters. And of course the Senate, which plans to start consideration of the bill this week (that is, the bill itself, not yet a conference report), would be blamed by deficit hawks for taking the initiative to reinsert such a fix.

Of course, should they fail to get this through, a lot of them risk losing their seats because - correct me if you have data to prove me wrong - as much as the voters care about deficits, they care more about jobs, taxes, and services.

Democratic aides in both the House and Senate said state officials had not pressed their case forcefully enough.[...]

Republican governors in particular, the aides said, had been reluctant to petition for relief while the party's leaders in Congress were scorching Democrats for driving up the national debt.

"Governors need to make it clear that it is vital that their states receive this money, instead of blasting Congress for 'out-of-control spending,' " said a senior Democratic aide in the House, speaking on the condition of anonymity because he was not authorized to talk about the issue publicly.

Republican Governors have less room to be nihilists than do the members of the minority party in Congress. Some of them may not care much about poor people, but they have the responsibility to actually administer states and are accountable to the voters. Therefore, in times of emergency, even a hypocritical posturer like Governor Jindal of Louisiana begs for Federal help. We've seen this again and again recently. When there's a flood, tornadoes, or a huge industrial accident, Republican Governors give the "tax and spend liberals" sloganeering a rest and put their hands out.

But the political problem for many of them in this situation is greater than mere hypocrisy. Because though as Governors, they desperately need this money, as long as extremist Tea Partiers and Club for Growthers control their party, they will get Hell for publicly lobbying for a Medicare rescue package if and when they run for Federal office - or even for reelection.

So to recap, what we see here is the bitter fruit of insincere Republican posturing, irrational extremism among the Republican rank and file, Blue Dog reelection positioning, and the White House (and possibly Nancy Pelosi, depending on how you interpret her comments in the article) enabling premature deficit hawkery.

Some of the politicians who have put the country at another precipice have to risk political damage by voicing what Governor Douglas of Vermont, a moderate, very reasonably states (quote below). To paraphrase Benjamin Franklin, if the politicians who could lose an election over a deficit but know that shafting state governments in a budget emergency is unacceptable don't hang together, we will all hang separately.

"I'm very concerned about the level of federal spending and what it would mean for the long term," said Gov. Jim Douglas of Vermont, a Republican and chairman of the National Governors Association. "But for the short term, states need this bridge to sustain the safety net of human services programs and education."
 
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Meanwhile, in Britain...
Ironically, the Times also features an article about the United Kingdom - Cameron Warns Britons of Austerity - in which the new government there seems to present an attitude quite similar to that of the right-wing deficit hawks in this country: Anti-stimulus and in favor of greater hardship for the people, despite some attempts to rhetorically soften the blow with the following claim (point and counterpoint below):

Mr. Cameron tried to soften the blow by saying that the cuts would not disproportionately affect the vulnerable. Mr. Clegg told The Observer newspaper over the weekend that Britain would not face "a repeat of the 1980s" and the budget cuts of the Margaret Thatcher years.

Dave Prentis, the general secretary of Unison, a union that represents many public service workers, nonetheless told the Press Association news agency that Mr. Cameron's speech was "a chilling attack on the public sector, public sector workers, the poor, the sick and the vulnerable, and a warning that their way of life will change."

I have to wonder whether the British have exchanged one kind of fuckups for another kind, and whether the Liberal Democrats may soon regret agreeing to be part of a coalition with the Conservatives. Perhaps the British, rather than lamenting as many Americans do that we have two lousy parties, will being to lament that they have three bad ones.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


All the European countries are passing
austerity measures b/c they do not want to end up like Greece. While the UK's dept to GDP ration and yearly deficits aren't in as dire straights as most of the Southern European economies they still are not great, and this could create pressure on the Pound in the future if they are not addressed.

One idea that has gone on mentioned in this post is the thought that perhaps British government spending rose too fast over the past the decade and it might need some parring back.

Also does anybody seriously think that had Labour won they would not have cut spending?


[ Parent ]
I don't know
I don't know what Labour would have done.

But I think this is a very poor time for austerity. The economy is very weak and needs more stimulus in the short term.

The problem is that, like the grasshopper in the Aesop fable, governments tend to be profligate in good times and cut back in bad times, when prudent economic practices would dictate exactly the reverse - to save money for a rainy day and then spend it.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


[ Parent ]
Good post Pan
Pan, great post. I read the story in the Times today and was thinking a lot about this too.

I think this is a HUGE problem for NYS. New York State spends over $50 billion a year on Medicaid. That is more than California and Texas COMBINED! It represents over a third of the NYS budget. Add to that the $50 billion match the county and local govs in NY have to throw in and that is a tremendous amount of money.

To put it another way if NYS only spent as much as CA (a state with almost twice the population as NY) did on medicaid each year NY's entire current fiscal year $9 billion budget deficit could be erased and the state would have enough money left over to hire over 400,000 teachers (not that they could ever use that many since NYC DOE only has 80,000 teachers employed)!

Without the federal dollars states like NY are in real trouble and will have to make some VERY hard choices.

If federal $$ went away or were cut back in NY and deep cuts were made there could be real fallout. Either taxes on both the state & local level would have to go up, which would further fan the Tea Party Movement and tax revolt that dislodged Dem county exs in Nassua and Westchester or Medicaid will have to be cut enraging 1199 and SEIU the 2 most powerful unions and special interest groups in the state.

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and another thing...
Read this article in the WSJ by Artur Laffer:
http://online.wsj.com/article/...

He argues that tax revenue and economic activity in 2010 will be inflated because individuals and corporations would want to get everything booked in 2010 before rates go up in 2011.

If that's true budget deficits and revenue shortfalls next year could be through the roof.

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[ Parent ]
Sounds like right-wing propaganda to me


[ Parent ]
True
Laffer is a right wing economist. He came up with the Laffer Curve which Reaganomics was based off of. But I think he makes a valid point about the move of taxable revenue into 2010 from 2011 which means governments around the country could have shortfall in 2011.

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[ Parent ]
If businesses did that
they may have actually saved the economy.  By propping up spending in 2010, it might result in more jobs in 2010 and increasing consumer spending resulting in a recovery that will continue into 2011 and onward regardless of taxes.  If businesses had waited until 2011, then we might have had a longer recession.

[ Parent ]
If he's right
We're in for very bad times, because if you combine all of what he's predicting with an effort to balance the budget, that could bring a depression.

Then again, he was (is?) a supply-sider, and though I surely am no economist, having lived through two periods of "Voodoo Economics," I have the conviction based on empirical data that supply-side is bullshit. Cutting taxes for the highest income levels doesn't magically reduce the deficit. Plus, I understand that this claim is not borne out in any kind of open-and-shut way:

It shouldn't surprise anyone that the nine states without an income tax are growing far faster and attracting more people than are the nine states with the highest income tax rates. People and businesses change the location of income based on incentives.

From what I've read, there's actually little evidence that rich people move out of places like New York City in any significant numbers when taxes are raised here.

Thanks for the link and for your comments and compliments.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


[ Parent ]
Same deal with California.
Study after study shows that few rich people and businesses leave the state because of high taxes. It's more the low income people that leave.

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[ Parent ]
I disagree
Obviously tax rates effect economic activity. If we had a 100% tax rate no one would work and the Govt would raise no revenue. Likewise if we had a zero percent tax rate there would be a lot more economic activity but the govt would also take in zero tax revenue. This is the essence of the Laffer curve. That the optimal tax rate for the govt to take in the most revenue while keeping economic activity going is somewhere in the middle.

The question is what is the tipping point. While small tax increase on the rich might not make much of a difference at some point you do hit a tipping point which causes a reaction and change in behavior as a result.

Case in point. I know people in NYC who choose to rent rather than buy. They make good income (but are hardly rich for NYC). Do to the high state and local tax rates (over 10% combined) they fall into the AMT because their state tax deductions are so large. As a result they are ineligible to deduct the cost of a mortgage from their taxes make purchasing a home prohibitively expensive for them.

The point is taxes do effect economic activity. The debate between Dems and Reps has always been whats the optimal place to set those rates.

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[ Parent ]
This will not effect all incumbents equally
"Of course, should they fail to get this through, a lot of them risk losing their seats because - correct me if you have data to prove me wrong - as much as the voters care about deficits, they care more about jobs, taxes, and services."

Especially at the federal level. The Democrats have all 3 elected levers of power, the vast majority of increased unemployment and taxes will be blamed on the party in power.

On another note, and not to get too into policy, but I think that such a policy of continued bailouts for state governments has the potential to create a system of very perverse incentives in regards to the federal state relationship. If this aid doesn't have a set experiation date, when does it end? Surely it cannot continue forever given the coming Baby Boomer triggered tsunami that will hit the federal balance book in the coming decade. State government spending grew much faster than inflation over the past decade and it has to get back inline with revenues at some point.


I agree that it would hit Democrats more severely at the Federal level
Also, I don't think anyone is proposing indefinite bailouts of state and local governments. If they were, I would definitely consider the issue you raise as a problem.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


[ Parent ]
I'm not entirely sure why public schools and Medicaid aren't totally federalized for purposes of spending
I mean really, the biggest problem is that all the states (with, if I remember correctly, the exception of Vermont) have balanced budget amendments, they're simply not allowed to spend more than they have the money for and when the times are bad, the revenues drop which forces them to make a lot of draconian cuts to programs like Medicaid, even though it's in these times that a program like Medicaid is most useful.

Federalizing Medicaid would take a huge burden off state budgets and would make it so that more people could actually be covered by the program and with better benefits than they would be otherwise.

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24, Male, Democrat, NM-01, Chairman of the Atheist Caucus, and Majority Leader of the "Going to Hell" caucus!


[ Parent ]
This is worth considering
But I can easily foresee a problem with all the states depending on the Federal government for education funding:

The lower-population states will get disproportionate funding, due to their disproportionate representation in the Senate, while behemoths like California, Texas, New York, and Florida are pretty likely to get shafted.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


[ Parent ]
also each state has different Medicaid rules and requirements.
And what to you do with states like New York where nearly 1 out of 5 people get Medicaid? (Of course after Gov Patterson's reforms it will soon be 1 out of 4)

If it fair for states that have less waste, more efficiency and better private healthcare alternatives in their Medicaid system to be fully subsidizing a system like NY.

Under the current system with the partial match it is left up to each individual state to decide how to design their system and spend their money. So if NY decides to spend 1/3 of their state budget on Medicare (to the detriment of their transportation and educations system not to mention their taxpayers wallets) that is their choice.

The question is would replacing Medicaid with some sort of National Single Payer Health Insurance system be better for states like NY?

The problem with Obamacare IMHO is that it has the potential of further exasperating the problems a state like NY has by making private insurance more expensive and dumping more people on to the overburden state medicaid roles.


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[ Parent ]
Any state by state info available?
It doesn't seem to be in the article. And AFAIK, news on general shortfalls don't break out the medicaid component.

So it's difficult to break out the impact on specific Gov/State legislative races.


Dems need to take the vote
The ads for them as deficit busting big government liberals are already written and in the can. If they don't vote for state aid, they'll make the economy worse instead of better in November. Take the vote. You'll be glad you did.

I couldn't agree more
But there are always some Congressional Democrats who are afraid to stand up for things they'll get criticized for, by association, anyway. And some of them may be right that, if the legislation would pass anyway, they're better off not having their name on it. The problem is, too many cowards prevent the legislation from passing at all - or, in this case, severely damage it - with much worse consequences for all concerned.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


[ Parent ]
Also people are more attuned to what goes on at the local level
So problems at state and local level govt are often time deflected towards the federal level. How many times have we heard people asking the President or Presidential candidates questions about their local schools (or something which the Federal Govt has very little control of).

By increasing state aid it takes pressure off of states to raise taxes and cut services which could decrease the potency of the tea party's argument.

Its hard to have a tax revolt if your local state and county govt is not raising taxes and cutting spending.

Of course moving the burdens from pay as you go states to borrow as much as you need Federal Govt could have longer term negative effects on the economy.


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[ Parent ]
It is time for the R word...
I know everyone hates it, but seriously we need to consider rationing Medicare and Medicaid.  Medicare and Medicaid coverage needs to be rationed.  During a time of austerity, which is coming back into style after being away for decades, there is no way to avoid instituting some form of rationing of government services like Medicare.  Rationing would save the programs from complete collapse, which I think the electorate actually wants in terms of Medicaid since it is largely viewed as a welfare program.

Now some village idiot in Wasilla is going to get on her Facebook page and say Ryan_in_DelCo is a soldier of the anti-Christ for calling for death panels or some other mindless BS that she facebooks.

23, male, center-right cynical Republican, PA-7


The president has called for efficiencies
that positively affect health outcomes or at least keep them the same. Computerized medical records shared between all health professionals on a case are obvious, and the president is fond of saying that those will help prevent different doctors from ordering the same test over and over. There are also some expensive treatments and medications that don't improve outcomes, most of the time, and should be avoided where unnecessary.

Any time a politician talks about limiting spending on Medicare, it's politically dangerous, but I think if voters believe that they're getting better care for less, they'd take it. Right now, I'm pessimistic that they would trust that would happen, and as you said, there are a lot of insincere posturers lying in wait for any Democrats who seek to improve the efficiency of health care delivery.

I think that the period when the imperfect, non-single-payer health care reform law is being phased in is potentially a time of political danger for the Democrats, as well as to Republicans who seek to repeal a law that hasn't yet fully gone into effect.

"I'm not a member of any organized political party, I'm a Democrat!"
--  Will Rogers  


[ Parent ]
Means testing would be better idea, IMO
It is rationing but rationing by another, more politically correct, name. A simple question should be, do people with a net worth over 300k need the government to be paying the vast majority of their health care cost? Does such a person require full social security benefits? This would be the easiest means to pare entitlement spending. AARP would almost definitely throw a temper tantrum, but something needs to be done.  

[ Parent ]

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