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Sunday, January 31, 2010

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"Are we thanked? Are we praised?"

Maybe the goal for people running for public office should be to do what's right, not that which invites thanks or praise.

Republicans, if they have their way, will reduce services. The deficit constitutes 20% of the budget, and since what the budget consists of basically is health care and schools, if there is no new revenue, those things will be cut. Drastically.

"Roughly 75 percent of the budget goes to education, aid to local governments and health and human services. Cut health and human services, and the state can lose federal funding. Cut aid to cities, and property taxes rise. Cut higher education, and watch tuition soar."

I don't think anyone disagrees with this. It's a statement of the basic reality of the state budget. In fact, I think the author of the piece is holding back here; we have to understand that further cuts in health and human services are going to do a lot more than result than in the loss of federal funding.

Do we need two agencies to administer Health and Human Services? Is every service essential? Higher Ed is a maze of duplication. How about closing the completely non-essential St. Paul U of M campus, for example?

Outsourcing?

We don't have to cut services to save money, and now's the best time to clean house.

No doubt administration will take a hit but that just scratches the surface. And closing down a bunch of college campuses, not just St. Paul, would only scratch a little deeper.

Concerning outsourcing, a lot of health and human services money goes to private nursing homes. What could be done there is to find a lot of ways to merge and close them down. That's part of the duplication and waste people like to talk about in the abstract, but don't seem to want to consider in what it actually means for real people. But in this case, the result of duplication and inefficiencies is that we have our relatives nearby, closer to the communities in which they have always lived. And merger and consolidation means moving people into larger homes which may not exist now, and which raise their own issues concerning level of care. With the aging of the population and the slow economic recovery, this is an issue which is going to increase in significance, and a big reason health and human services costs are growing 20% a year.

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