Showing posts with label Texas. Show all posts
Showing posts with label Texas. Show all posts

TEXAS LONE STAR FORUM
By F. Scott McCown

When the legislative session began in January, Texas faced a crisis. The state was short roughly one-fourth of the money needed simply to do what it was already doing. The Center for Public Policy Priorities was part of a broad coalition that pushed for a balanced approach to the problem -- one that used the Rainy Day Fund in combination with targeted cuts and new revenue.

Others pushed for a cuts-only approach that slashed things like the number of teachers and payments to nursing homes. Initially, the House proposed a devastating cuts-only budget. In the end, with a slightly improved revenue projection and various one-time measures, the Legislature largely funded the Senate’s modestly better, but still damaging budget.

Texas is growing twice as fast as the nation. In the most recent decade, Texas’ child population growth accounted for over half of the child population growth in the entire country, making our state’s education system critical to our country’s future.

Contrary to any spin you’ve heard, the Legislature actually cut spending on public education. And the money the state is spending won’t go as far because of enrollment growth and higher costs.

How does Texas turn this around? We’ll need more than a stronger economy to solve our revenue problems. While the Great Recession created a larger revenue crisis than usual, Texas has spiraled downward yearly with one round of cuts in important services after another because our revenue system doesn’t produce the money we require to meet our needs.

Honest budgeting won’t be enough. The right and the left have criticized the Legislature for using accounting gimmicks, diverting dedicated money, and relying on one-time measures. In reality, though, if our elected officials stopped these budgeting practices immediately, it would mean less money, not more, for Texas priorities. That conservative elected officials feel compelled to resort to these practices even in the face of withering criticism is strong evidence of our state’s desperate need for revenue.

Pitting our priorities against each other is not the solution either. Texas is already one of the lowest spending states in the country, with over three-fourths of everything we spend going to education and health and human services. Saying we could easily pay to educate our kids if we didn’t have to provide grandma health care is as helpful as saying we could easily provide grandma health care if we didn’t have to educate our kids.

Of course, the “shrink-the-government folks” are clever enough not to attack grandma directly. Instead they attack Medicaid. But Medicaid is very efficient, beating the cost of private health insurance.

So when people say we wouldn’t have a problem if we just spent less on Medicaid, what they really mean is we wouldn’t have a problem if we just denied more people health care. Certainly our nation must figure out how to keep people healthier for less money, but providing fewer people health care is not the answer.

If a stronger economy, honest budgeting, and pitting priorities against each other aren’t the answer, what is? Texas must modestly increase taxes. No one is suggesting that Texas become a high tax state, but Texas must raise the money needed to invest in education and other building blocks of a strong economy. As a group, Texans pay low taxes, and as a percentage of our economy our contribution has been falling.

This is not a question of living within our means. Texans have the resources in our trillion-dollar economy to meet today’s needs and build a prosperous future. But until we fix our tax system, we can’t make important investments for the common good.

The issue isn’t whether to increase taxes, but how. Our state’s major tax is a sales tax on goods -- a tax designed for yesterday’s economy when we sold more goods and fewer services. The business tax is also flawed -- redesigned in 2006 to help pay for a property tax cut, it instead leaves us $10 billion per biennium short. And our state has tax giveaways and loopholes galore.

Between now and the 2013 legislative session, Texans must square our shoulders and do two things. First, we must solve some technical problems -- how do we modernize the sales tax, reform the business tax, and address tax giveaways and loopholes so we have a smart and fair tax system that produces adequate revenue. Second, we must work together to build the public will for a tax increase. There’s no other answer. Texans can handle both the truth and the task.
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McCown is executive director of the Center for Public Policy Priorities.
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Copyright (C) 2011 by the Texas Lone Star Forum. 7/11



TEXAS LONE STAR FORUM

By Margery Engel Loeb and Camille D. Miller

Texas is home to world-class medical schools and institutions that are known far and wide for their state-of-the-art treatment and expertise. However, many Texans, and especially Texas women, do not have easy access to this remarkable resource.

Some of the health care reforms, now being considered in Congress, hold the key that will open the door. We can look forward to a world in which more women and their families have coverage than at any time in our nation’s history. In Texas, there has long been bipartisan, grassroots support for health care for women and children.

For Texas women, and the 21 million women across our nation without health insurance, that will be a truly life changing -- and in many cases, lifesaving -- moment.

Imagine a system in which, for the first time ever, women won’t be charged up to 45 percent more than men for identical coverage, and maternity and reproductive health will be part of a basic care package.

The reforms will also include coverage of important preventative tests like mammograms. And they will put a stop to the shameful practice of denying health coverage because of “pre-existing medical conditions” such as breast cancer and pregnancy, or evidence of “uninsurability” such as being a victim of domestic violence.

The inclusion of women’s health needs is so essential to the health of all Americans that the deans of 39 of America’s 50 schools of public health -- including the deans at University of North Texas and Texas A&M -- have endorsed a scientific, data-driven report by Columbia University’s Mailman School of Public Health stating that such treatments and services should be part of any national health plan.

According to the report, “a well-woman standard of care -- one that includes access to comprehensive care and services essential to reproductive health -- will ensure that women can attain good health, maintain it through their reproductive years, and age well.”

By ensuring coverage of prevention and basic health services like maternity benefits, the proposed reforms will create a system that provides not just “sick care” but true health care for women and ultimately for all citizens of our nation.

In these tough economic times, such changes can’t come soon enough to Texas. According to a report released recently by Families USA, a nonpartisan consumer advocacy group, family health care premiums for Texas workers rose about four and a half times faster than earnings from 2000 through 2009. That troubling figure may help explain why Texas also has the highest number of residents in the nation lacking health coverage (26.3 percent).

In fact, according to an analysis of U.S. Census data by experts at Baylor University, the counties with the six largest Texas cities ranked the worst in the nation in terms of working-age people without insurance. Houston’s Harris County tops the list with 37.6 percent of working-age adults under 65 lacking health coverage. Dallas County is a close second with 33.3 percent uninsured. Bexar, Travis, Tarrant and El Paso counties don’t fare much better.

Texas has the infrastructure, the innovation and the expertise to provide top-quality care for all of its citizens. Now all that’s needed is for our elected officials to help Texas live up to its world-class reputation for cutting-edge medical care by ensuring that Texans have affordable access to that care. In doing so, they will be making history for women and putting the keys to good health into the hands of all Americans.
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Loeb, a member of the Women Donors Network and on the steering committee of their "Moving Forward" initiative on reproductive and other health issues, lives in Victoria. Miller, president/CEO of Texas Health Institute, lives in Austin.
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Copyright (C) 2009 by the Texas Lone Star Forum. 10/09