{"id":9422,"date":"2009-07-20T01:21:44","date_gmt":"2009-07-20T01:21:44","guid":{"rendered":""},"modified":"2009-07-20T01:21:44","modified_gmt":"2009-07-20T01:21:44","slug":"the-complete-blindness-to-longterm-consequences","status":"publish","type":"post","link":"https:\/\/calitics.com\/index.php\/2009\/07\/20\/the-complete-blindness-to-longterm-consequences\/","title":{"rendered":"The Complete Blindness To Long-Term Consequences"},"content":{"rendered":"<p>Robert Cruickshank <a href=\"https:\/\/calitics.com\/diary\/9421\/not-with-a-bang-but-a-whimper\">pretty well covers<\/a> the disaster that will be the upcoming budget &#8220;deal&#8221; between legislative Democrats and Arnold Schwarzenegger. &nbsp;By the way, this is BEFORE the Yacht Party tries to enact a few more goodies for the privilege of letting Democrats vote for $26 billion in cuts, gimmicks and raids on local government. &nbsp;We&#8217;ll see a big sigh of relief from lawmakers over the next few days that will be wholly unwarranted.<\/p>\n<p>Particularly galling is the <a href=\"http:\/\/www.sacbee.com\/politics\/story\/2033296.html?mi_rss=State%2520Politics\">targeting of city and county budgets<\/a> to cover the state gap. &nbsp;By siphoning off almost $1 billion in gas tax funds slated for cities and counties, not one pothole in California will get filled this year. &nbsp;With the loss of $1.7 billion in redevlopment funds, not one project like affordable housing will get initiated. &nbsp;And by taking $1.3 billion in local property taxes, lots of city and county employees, particularly in public safety, will end up out of work. &nbsp;It&#8217;s really <a href=\"http:\/\/www.ocprogressive.com\/diary\/814\/sacramento-to-rob-local-governments-three-ways\">robbery<\/a> on a pretty grand scale, and it will offset any economic recovery through stimulus funding throughout the state.<\/p>\n<p>One of the major consequences of this cuts-only budget will be, paradoxically, <a href=\"http:\/\/www.latimes.com\/news\/local\/la-me-cuts19-2009jul19,0,5553190.story\">higher costs for individuals and the state<\/a>. &nbsp;When you eliminate or severely restrict social services programs, those individuals who rely on them will have to go elsewhere for those services. &nbsp;The alternatives are more expensive for everyone.<\/p>\n<blockquote><p> Irene Steinlage has trouble walking, getting dressed, making her bed, taking a bath. She has stayed in her Folsom home with the help of a health aide, one that Gov. Arnold Schwarzenegger says the state can no longer afford.<\/p>\n<p>The governor&#8217;s plan to take away such care is meant to save money. But it could end up costing California more by forcing the 85-year-old, who has Parkinson&#8217;s, osteoporosis and other ailments &#8212; and thousands like her &#8212; into nursing homes. <\/p>\n<p>&#8220;I couldn&#8217;t possibly afford a nursing home,&#8221; Steinlage said. So the state could be saddled with a Medi-Cal tab that is triple the cost of her home care worker, who receives $10.40 an hour five days a week [&#8230;]<\/p>\n<p>Others say the experience of governments that have closed gaping deficits with deep program cuts suggests that the price of doing so is hefty. <\/p>\n<p>&#8220;It&#8217;s pay now or pay later,&#8221; said Nicholas Freudenberg, who co-wrote a study of the long-term effects of service reductions made in the aftermath of New York City&#8217;s fiscal crisis of 1975. <\/p>\n<p>His 2006 study, published in the American Journal of Public Health, found that less than $10 billion in cuts to healthcare, education and law enforcement in New York City over four years led to at least $54 billion in additional costs over a 20-year period, using 2004 dollars and adjusted for inflation. Consequences included higher rates of HIV, a worsened tuberculosis epidemic and a spike in homicides. <\/p>\n<p>&#8220;Those potential epidemics that are being seeded by Gov. Schwarzenegger&#8217;s cuts will not come in his term or the terms of people who are making these decisions,&#8221; Freudenberg said. &#8220;It will be several years down the line.&#8221;<\/p><\/blockquote>\n<p>The sick thing is that the Governor, and maybe even some in the Yacht Party, know this. &nbsp;The consequences of program cuts are easily seen. &nbsp;Eliminating the Poison Control System, for example, means that people calling the emergency number (many of whom don&#8217;t need to see a doctor based on poison accidentally swallowed) will instead go to the ER, and many of those visits will be from people on Medi-Cal, leading to higher costs. &nbsp;Cutting adult day care will send many into nursing homes, at a higher cost to the state. &nbsp;Losing Cal Works welfare funding will send children into foster care, at a higher cost. &nbsp;Cutting the meager drug treatment and vocational training in prisons almost assures an even higher recidivism rate, at a higher cost.<\/p>\n<p>This is not a difficult calculation to make. &nbsp;We fund social services programs not only because we have an obligation in a developed society not to see people dying on the street, but because we can create programs that get people back to self-sufficiency at a lower overall cost. &nbsp;There is only one reason not to fund such programs &#8211; because an arrogant and entitled right wing refuses to fund these government obligations in the short term, preferring apparently to pay more in the long term. &nbsp;There has been enough money in the last few budgets to produce massive corporate tax cuts, but not enough to get someone with a chemical dependency the treatment he or she needs. &nbsp;There&#8217;s been enough money to protect California&#8217;s unique status as the only oil-producing state not to charge corporations for taking our natural resources out of the ground, but not enough to provide long-term care services that relieve the burden of nursing home funding over the long term. &nbsp;There&#8217;s enough money to keep in place useless enterprise zones that create nothing but tax giveaways, but not enough to keep the state from becoming the first in the nation to <a href=\"http:\/\/www.kaiserhealthnews.org\/Daily-Reports\/2009\/July\/17\/States-Friday.aspx\">put poor kids on a waiting list for affordable health insurance<\/a>.<\/p>\n<p>We hear about the &#8220;generous social services programs&#8221; in California that simply had to be cut, but they&#8217;ve been reduced to the point where they are almost unanimously the worst in the nation. &nbsp;<em>That<\/em> depresses the business climate, <em>that<\/em> moves bodies out of the state, <em>that<\/em> alienates the public. &nbsp;And Arnold Schwarzenegger knows this, and he did it anyway, to keep a promise to what little of his base he has left.<\/p>\n<p>Ultimately, this system isn&#8217;t designed to produce good budgets. &nbsp;Without a media that cares, no amount of activism or public pressure can be brought to bear on a shameless and unaccountable minority. &nbsp;If you need proof of the need for a complete rethinking of how to structure government in California in the 21st century, look at the last seven months.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Robert Cruickshank <a href=\"https:\/\/calitics.com\/diary\/9421\/not-with-a-bang-but-a-whimper\">pretty well covers<\/a> the disaster that will be the upcoming budget &#8220;deal&#8221; between legislative Democrats and Arnold Schwarzenegger. &nbsp;By the way, this is BEFORE the Yacht Party tries to enact a few more goodies for the privilege of letting Democrats vote for $26 billion in cuts, gimmicks and raids on local government. &nbsp;We&#8217;ll see a big sigh of relief from lawmakers over the next few days that will be wholly unwarranted.<\/p>\n<p>Particularly galling is the <a href=\"http:\/\/www.sacbee.com\/politics\/story\/2033296.html?mi_rss=State%2520Politics\">targeting of city and county budgets<\/a> to cover the state gap. &nbsp;By siphoning off almost $1 billion in gas tax funds slated for cities and counties, not one pothole in California will get filled this year. &nbsp;With the loss of $1.7 billion in redevlopment funds, not one project like affordable housing will get initiated. &nbsp;And by taking $1.3 billion in local property taxes, lots of city and county employees, particularly in public safety, will end up out of work. &nbsp;It&#8217;s really <a href=\"http:\/\/www.ocprogressive.com\/diary\/814\/sacramento-to-rob-local-governments-three-ways\">robbery<\/a> on a pretty grand scale, and it will offset any economic recovery through stimulus funding throughout the state.<\/p>\n<p>One of the major consequences of this cuts-only budget will be, paradoxically, <a href=\"http:\/\/www.latimes.com\/news\/local\/la-me-cuts19-2009jul19,0,5553190.story\">higher costs for individuals and the state<\/a>. &nbsp;When you eliminate or severely restrict social services programs, those individuals who rely on them will have to go elsewhere for those services. &nbsp;The alternatives are more expensive for everyone.<\/p>\n<blockquote><p> Irene Steinlage has trouble walking, getting dressed, making her bed, taking a bath. She has stayed in her Folsom home with the help of a health aide, one that Gov. Arnold Schwarzenegger says the state can no longer afford.<\/p>\n<p>The governor&#8217;s plan to take away such care is meant to save money. But it could end up costing California more by forcing the 85-year-old, who has Parkinson&#8217;s, osteoporosis and other ailments &#8212; and thousands like her &#8212; into nursing homes. <\/p>\n<p>&#8220;I couldn&#8217;t possibly afford a nursing home,&#8221; Steinlage said. So the state could be saddled with a Medi-Cal tab that is triple the cost of her home care worker, who receives $10.40 an hour five days a week [&#8230;]<\/p>\n<p>Others say the experience of governments that have closed gaping deficits with deep program cuts suggests that the price of doing so is hefty. <\/p>\n<p>&#8220;It&#8217;s pay now or pay later,&#8221; said Nicholas Freudenberg, who co-wrote a study of the long-term effects of service reductions made in the aftermath of New York City&#8217;s fiscal crisis of 1975. <\/p>\n<p>His 2006 study, published in the American Journal of Public Health, found that less than $10 billion in cuts to healthcare, education and law enforcement in New York City over four years led to at least $54 billion in additional costs over a 20-year period, using 2004 dollars and adjusted for inflation. Consequences included higher rates of HIV, a worsened tuberculosis epidemic and a spike in homicides. <\/p>\n<p>&#8220;Those potential epidemics that are being seeded by Gov. Schwarzenegger&#8217;s cuts will not come in his term or the terms of people who are making these decisions,&#8221; Freudenberg said. &#8220;It will be several years down the line.&#8221;<\/p><\/blockquote>\n<p>The sick thing is that the Governor, and maybe even some in the Yacht Party, know this. &nbsp;The consequences of program cuts are easily seen. &nbsp;Eliminating the Poison Control System, for example, means that people calling the emergency number (many of whom don&#8217;t need to see a doctor based on poison accidentally swallowed) will instead go to the ER, and many of those visits will be from people on Medi-Cal, leading to higher costs. &nbsp;Cutting adult day care will send many into nursing homes, at a higher cost to the state. &nbsp;Losing Cal Works welfare funding will send children into foster care, at a higher cost. &nbsp;Cutting the meager drug treatment and vocational training in prisons almost assures an even higher recidivism rate, at a higher cost.<\/p>\n<p>This is not a difficult calculation to make. &nbsp;We fund social services programs not only because we have an obligation in a developed society not to see people dying on the street, but because we can create programs that get people back to self-sufficiency at a lower overall cost. &nbsp;There is only one reason not to fund such programs &#8211; because an arrogant and entitled right wing refuses to fund these government obligations in the short term, preferring apparently to pay more in the long term. &nbsp;There has been enough money in the last few budgets to produce massive corporate tax cuts, but not enough to get someone with a chemical dependency the treatment he or she needs. &nbsp;There&#8217;s been enough money to protect California&#8217;s unique status as the only oil-producing state not to charge corporations for taking our natural resources out of the ground, but not enough to provide long-term care services that relieve the burden of nursing home funding over the long term. &nbsp;There&#8217;s enough money to keep in place useless enterprise zones that create nothing but tax giveaways, but not enough to keep the state from becoming the first in the nation to <a href=\"http:\/\/www.kaiserhealthnews.org\/Daily-Reports\/2009\/July\/17\/States-Friday.aspx\">put poor kids on a waiting list for affordable health insurance<\/a>.<\/p>\n<p>We hear about the &#8220;generous social services programs&#8221; in California that simply had to be cut, but they&#8217;ve been reduced to the point where they are almost unanimously the worst in the nation. &nbsp;<em>That<\/em> depresses the business climate, <em>that<\/em> moves bodies out of the state, <em>that<\/em> alienates the public. &nbsp;And Arnold Schwarzenegger knows this, and he did it anyway, to keep a promise to what little of his base he has left.<\/p>\n<p>Ultimately, this system isn&#8217;t designed to produce good budgets. &nbsp;Without a media that cares, no amount of activism or public pressure can be brought to bear on a shameless and unaccountable minority. &nbsp;If you need proof of the need for a complete rethinking of how to structure government in California in the 21st century, look at the last seven months.<\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[32,117],"tags":[7379,7307,5716,3357,60],"class_list":["post-9422","post","type-post","status-publish","format-standard","hentry","category-32","category-117","tag-7379","tag-7307","tag-5716","tag-3357","tag-60"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack-related-posts":[],"jetpack_shortlink":"https:\/\/wp.me\/p6Pvhz-2rY","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/posts\/9422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/users\/54"}],"replies":[{"embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/comments?post=9422"}],"version-history":[{"count":0,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/posts\/9422\/revisions"}],"wp:attachment":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/media?parent=9422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/categories?post=9422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/tags?post=9422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}