Posts Tagged 'safety net'

Schwarzenegger and the budget crisis: it’s easy to target those least able to fight

Los Angeles Times, August 1, 2009

Schwarzenegger and the budget crisis: easy to be hard

Funny, isn’t it, that when the governor scours the state budget for waste, fraud and abuse, he only seems to find it in programs for the old, the young, the poor and others unable to raise campaign funds or muster political opposition.

Like those seniors and disabled people in the state’s In-Home Supportive Services program. IHSS allows them to stay out of nursing homes or other facilities far more expensive for them, their families and ultimately the state and its taxpayers. Clients don’t get direct state payments, just basic care such as meals and changes of clothes and linens. But beware; there could be hundreds of seniors scurrying from county to county under assumed names, trying to rack up as many sponge baths as possible. So California will now crack down by fingerprinting them.

Or those CalWorks recipients, who probably just signed up for welfare to get job training. Well, there are no jobs out there right now, so they must be abusing the system. We showed them — by cutting funding for job training. And then there are the people raking in all that subsidized Medi-Cal and Healthy Families care. They just want to get the state to pay for cheap preventive care so it doesn’t have to pay for expensive emergency care. Nice try. We’ll cull recipients by centralizing the eligibility process, because everyone knows it’s better to run government from Sacramento rather than closer to home.

California had to cut. But there’s a double irony at work. First, the point of the social safety net is to be there when it’s most needed — to ensure that during times of widespread unemployment and financial distress, the people on the edge can avoid falling into an abyss; that’s vital to them, of course, but good for the rest of us too, because it costs more to retrieve the fallen than to keep them out of the abyss in the first place. And second, after they are cut, human service programs get branded as wasteful and fraudulent and get cut again, because they don’t have a California Teachers Assn. or a California Chamber of Commerce standing up for them.

Certainly there are instances of waste and fraud in government. Fingerprinting IHSS providers, who are paid with taxpayer funds, makes some sense. But fingerprinting the home-bound clients? If that’s not an example of new wasteful government spending, it’s hard to know what is.

Meanwhile, instead of cracking down on tax fraud, California is furloughing its tax workers, who will have less time and fewer resources to collect taxes owed. It’s retaining redundant Cabinet offices, which oversee fully staffed state agencies. And in the name of erasing waste, fraud and abuse, it’s leading a devastating march through the path of least political resistance.

The War on Medi-Cal

SF Gray Panthers July 2009 Newsletter

The War on Medi-Cal

Written by a SF Gray Panther member and plaintiff in an upcoming suit against termination of important Medi-Cal benefits.

Nine years ago MediCal saved my life. I was diagnosed with thyroid cancer and could not pay for my care. MediCal covered two surgeries, two hospital overnights, and examination consultation with a prominent oncologist, and the coordinative work and monitoring laboratory work of my primary care provider.

In the course of the Bush years, MediCal has fallen on evil days. MediCal recipients are finding it terminally difficult to find doctors—specialists or primary care providers—to treat them; and in the medical profession and in the media MediCal is increasingly viewed as an encumbrance. The State of California proposed to cut the program in two areas: 10% deduction in reimbursement to providers and the exclusion from coverage of “optional” categories of  MediCal treatment.

Cutting 10% in medical reimbursement would hasten the flight of doctors and other health professionals and cripple pharmacies, diagnostic laboratories and public hospitals. It is equally disheartening to read the list of “optional benefits”: adult dentistry, acupuncture, audiology and speech therapy, chiropractic, optometric and optician services, podiatry, psychology and incontinence creams and washes. For instance a biannual optometric examination is the only chance most people get to be screened for glaucoma, retinitis or macular degeneration. The distinction between optional and essential does not make medical sense.  Who decided that—someone in the Bush administration?

It should come as good news for those who have a partiality for agitation that more than mere hand-wringing has taken place in the community of those who deplore the cuts. In April 2008 the Independent Living Center of Southern California and a coalition of other groups, including the San Francisco Gray Panthers, sued the state in federal court to block the 10% provider cuts. The suit was won but was appealed in February of this year. Attorney Lynn Carman of the MediCal Defense Fund argued that for a state to run a poverty health program, the program must measure up to federal health standards, and that further emasculation of MediCal would render it disfunctional. The appeals court has yet to issue a ruling.

As regards the cuts in optional treatment, the Gray Panthers have filed a preliminary restraining order in a separate but complementary suit.

My escape nine years ago from a slow, quiet, and below the radar death has acquired for me visionary American themes. To be deprived of the triad of rights in the Declaration of Independence, to fail of protection of the cruel and all too usual punishment for being poor, to come short of equal treatment under the law: all these themes call up the words of Martin Luther King Jr. to the effect that, “Of all forms of inequality, injustice in health care is the most shocking and inhumane.”

Let us not accept the unacceptable  Let us insist on health justice for all.

Excerpted from a letter to the Berkeley Daily Planet by Anne Richardson, an East Bay Medicare/MediCal recipient and a San Francisco Gray Panther.

Read “Schwarzenegger Pushing Murderous Health Cuts” on the SF Gray Panthers website.

Rejection of California budget sets stage for even larger spending cuts

World Socialist Web Site, June 25, 2009

Rejection of California budget sets stage for even larger spending cuts

By Kevin Martinez and Joe Kishore
25 June 2009

The California legislature failed to get the two-thirds vote needed to pass a Democratic Party proposal to address the state’s $24 billion budget deficit. Democrats will now enter closed-door negotiations with Governor Arnold Schwarzenegger on a compromise that will include even more massive cuts in social services.

Discussions between the two parties have been ongoing for the last several weeks, much of it in secret and with no public input. Both sides have already agreed that draconian cuts in basic social programs are necessary.

To offset some cuts, however, Democrats had proposed a variety of mainly regressive tax increases, which require the support of a two-thirds majority in the legislature. This proposal failed as expected on Wednesday, largely along party lines. The Democrats control both houses of the state legislature, but do not have a two-thirds majority.

A proposal advanced by Schwarzenegger calls for $16 billion in budget cuts. These include eliminating the state welfare program; shutting down Healthy Families, the health insurance program for 930,000 children; closing 220 state parks; and ending Cal-Grants, which provides aid to poorer students to attend college. Schwarzenegger is also proposing a 5 percent pay cut for state workers, in addition to a 10 percent pay cut already announced.

Public education will be singled out for a large share of the budget cuts. About $5.3 billion would be taken from K-12 education and community colleges over next year, on top of the billions in cuts that have already been enacted.

The so-called “alternative” proposed by the Democrats was a slightly less severe program of $11 billion in budget cuts. The Democrats propose cutting $4.5 billion from K-12 education, $2.8 billion from higher education, and $2.6 billion from health and human services.

Democrats also proposed $2.2 billion in tax increases, including a 9.9 percent levy on oil extracted in California, a $1.50 per pack cigarette tax and a $15 registration fee for vehicles. In an accounting move designed to save $1 billion, Democrats have proposed pushing state workers’ paychecks back one day from June 30 to July 1, the start of the next fiscal year.

Senate President Pro Tem Darrell Steinberg, a Democrat from Sacramento, told the Pasadena Star News, “We present a budget where everybody feels some pain; every part of the safety net takes a cut.”

In fact, both Democrats and Republicans are determined to make the working class pay for the crisis. No matter what compromise is now reached, either through a combination of borrowing from local governments, accounting maneuvering, tax levies, or selling off state assets, a massive attack on the social infrastructure of California is underway.

The Democratic Party accepts the argument that the only way to fix California’s budget deficit is to strangle what remains of public education and the social safety net. Senator Gloria Romero, a Democrat, told The Los Angeles Times, “When someone tells us ‘No new cuts,’ I say, ‘Look, don’t tell me that.’…There is the sense that we must do what we must do to keep California solvent.”

Indeed, the proposed tax increases were largely for show. Even before the vote, Democrats acknowledged that they would not pass. Last week Schwarzenegger responded to a question about what kind of fight he expected over the tax increases by responding, “Well, what is being said and what is being done, as you know, are sometimes two different things.”

The Mercury News commented: “Schwarzenegger was suggesting that Democrats were posturing on their $2.1 billion in tax proposals, putting on what he calls Kabuki theater for their constituents before he expected them to relent to the reality that Republicans will never agree to taxes as part of the solutions lawmakers must find to close the $24.3 billion deficit.”

The budget crisis takes place against the backdrop of the economic collapse of California, the most populous state in the US and, if measured as an independent country, the eight largest economy in the world.

According to government officials, the state will be insolvent by July 28, which has prompted Governor Arnold Schwarzenegger to threaten to bring the government to a “grinding halt” and stop borrowing to cover the state’s expenses.

The state comptroller, John Chiang, has warned that without a new budget the state will begin issuing “IOUs” in place of cash to social service agencies, private contractors and state vendors. The state’s cash crunch, Chiang said, is unlike anything “seen since the Great Depression.”

Recent figures point to a continued deterioration of the state economy. Unemployment in California soared to 11.5 percent for May, the highest level since World War II. The April unemployment figure was 11.1 percent, compared to 6.8 percent in May 2008. A more complete measure of unemployment, including those forced to work only part time, shows that more than one in five Californians is unemployed or underemployed.

California, accounted for one out of every five jobs lost last month. Out of a population of 37 million people, 2.1 million Californians are officially unemployed, 885,000 more than last month.

The state has been hit particularly hard by the collapse of housing prices, which have wreaked havoc on the real estate market, construction, and other financial related industries. With several major ports on the Pacific Ocean, California is also heavily dependent on world trade, which is falling rapidly.

California saw a decline of 33.8 percent of personal income tax receipts in May. The decline in revenue will mean a new round of austerity measures to balance the state budget, since the state collects half of its revenue from personal income taxes.

The state is under intense pressure from Wall Street to impose concessions. Moody’s Investor Service has threatened California’s general obligation debt with a “multi-notch” downgrading if the state legislature failed to produce a balanced budget before going bankrupt. The state is currently at an A2 credit rating, which are just five notches above speculative status.

A downgrade will mean that the state will face sharply higher interest rates for borrowing, if it is able to gain credit at all.

The Obama administration has responded to the economic meltdown of California by repeatedly refusing federal assistance. Instead, the administration, speaking on behalf of the most powerful sections of the financial elite, is making California an example for other states to follow as they enact austerity budgets.

By abandoning the richest and most populous state to its own devices, the Obama administration has directly contributed to the crisis now unfolding. Trillions are handed out to private banks, but when it comes to the world’s eight largest economy on the verge of bankruptcy, no money is available.

As California collapses, executives at Goldman Sachs and other banks are anticipating record bonuses, returning to business as usual. No faction of the political establishment so much as suggests that those who are responsible for the economic crisis—the wealthy corporate and financial elite—should be made to pay for it.

On the contrary, the budget crisis in California is being used a template to enact cuts to social services all across the country. The ruling class is determined to seize on the economic crisis to restructure class relations in the United States.



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