No comments

About That Letter About Larry

  By 2017 DA Race, Philadelphia, Politics

  There is a letter from 12 “former Assistant DAs” calling on voters not to vote for Larry Krasner on the grounds that he has never been a prosecutor, that he has been misleading in criticizing the culture of the District Attorney’s office, and that our safety will be at risk. Not only do I not find the letter plausible, for a number of reasons, large and small, the more I read it and learn about those who signed it the more appalled by it I get. To start with the big reasons. First, we don’t need to take Larry Krasner’s word for the problems in the DA’s office. There is plenty of independent evidence. We know that mass incarceration, especially of black men, is a serious problem across America and the rate of incarceration in Philadelphia is among the highest in the country. We know that the Philadelphia DA’s… Continue reading

No comments

ACA Repeal Puts Pennsylvanians Who Work for Large Corporations At Risk

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts, US

The disastrous implications of the GOP health care bill are becoming ever more apparent, especially for those who get their insurance from large national corporations. Under the bill, even if Pennsylvania does not opt-out of the federal essential benefits regulation, large multi-state employers could choose to deny Pennsylvanians coverage for pre-existing medical conditions or particular conditions, such as pregnancy. Or they could impose annual or lifetime limits on coverage. Over 62% of Pennsylvanians have employer-based coverage, one of the highest rates in the country. Millions of Pennsylvanians get their insurance from large, multi-state corporations that also operate in states that are likely to opt-out of the federal essential benefit rule. So all of these scenarios could happen: Someone from Pittsburgh who works for Wal-Mart gets pregnant and discovers that pregnancy is not covered by Wal-Mart’s health insurance. When she leaves, she is responsible for the entire bill. A pregnancy with… Continue reading

No comments

On the AHCA Vote

  By ACA, Health Care

HARRISBURG – Marc Stier, Director of the PA Budget and Policy Center, made the following statement following today’s passage of the American Health Care Act by the U.S. House: “Today the Republican controlled House of Representatives passed legislation that will strip health insurance from 1.3 million Pennsylvanians, will lead to the pre-mature death of 3,250 Pennsylvanians for lack of health insurance, and will threaten the health insurance of five million Pennsylvanians with pre-existing conditions. If the the health care exchanges survive, premiums for older adults will skyrocket, making health insurance unaffordable for most Pennsylvanians between the age of 50 and 64. “This legislation was never about improving health care. It was about giving $500 billion in tax breaks to the very wealthy and to big insurance and drug companies. “We are grateful that all of Pennsylvania’s Democratic members of Congress and four of its  Republican members of Congress in Pennsylvania… Continue reading

No comments

They Can’t Buy Us Off

  By ACA, Health Care, PBPC Blog posts

We are hearing today that the Trump administration is “buying off” support from members of Congress for the bill to repeal the ACA by adding more money for one thing or another. The latest is a plan to add $8 billion to the $130 billion already set aside for the high-risk pools to provide coverage for those with pre-existing conditions. A new report from the Center for American Progress shows that — as we have been saying — this is far less money than needed to provide insurance to everyone with pre-existing conditions. At a minimum, 54,000 Pennsylvanians would be eligible for a high risk pool. Even if they pay $10,000 a year — which many could not afford — the state would need $1.4 billion a year to provide insurance for them. But the AHCA, even with the addition $8 billion over ten years, would only give Pennsylvania $498 million a year. PA… Continue reading

No comments

Trump is Wrong: the AHCA Will Make Health Insurance Unaffordable for Those with Pre-Existing Conditions

  By Health Care, PA Budget and Policy Center, PBPC Blog posts

President Tump discovered not too long ago that Health Care is hard. So it’s no wonder he doesn’t always get things right. He said on CBS’s “Face the Nation” Sunday, “Pre-existing conditions are in the bill. And I mandate it. I said, ‘Has to be.’” Wrong. In the last day, two respected organizations, Consumers Union and AARP, confirmed what we said two weeks ago:  the AHCA will make it impossible for many people — if not most people — with pre-existing conditions to afford health insurance if their state opts out of the ACA rules that guarantee people with pre-existing are offered insurance at the same rates as those without them. A million people in Pennsylvania are threatened if, as seems likely, the Republican-dominated General Assembly were to vote to make Pennsylvania one of those states. The Republican plan calls for high risk pools to cover people with pre-existing conditions. But… Continue reading

No comments

hy Representative Thompson Should Vote No on the Health Care Bill

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts

Rep. Glenn Thompson’s Background, Consequences for Constituents Are Reasons to Vote “No” on GOP Health Care Bill Given his personal history in human services, and the demographic makeup of the 5thCongressional district, Congressman Glenn Thompson has long been an advocate for older Pennsylvanians – not just seniors but those in the 55 to 65 age bracket as well. And that must make the upcoming vote on the Republican replacement of the ACA so difficult. As a loyal Republican, Thompson has reason to support it. But the bill is, in many ways, terrible for older Pennsylvanians, including many of his constituents in the 5th district. So the concerns of his district and his own history very much point in the other direction. The threat to seniors and near-seniors come from a number of directions. To begin with the threat to seniors: the per-capita cap  Medicaid expenditures will cost Pennsylvania $18 billion… Continue reading

No comments

The New Version of the GOP Health Care Bill Is Even Worse Than the Last One

  By ACA, PA Budget and Policy Center, PBPC Blog posts, Pennsylvania, US

Marc Stier | 04/26/2017 Blog Having failed to enact a plan that would lead 24 million Americans and 1.1 million in PA to lose health insurance, the House Republicans have returned with a new amendment, proposed by Representative Tom MacArthur (R-NJ), which would lead to larger losses.   Though this new proposal is being touted as a compromise between moderate and far-right Republicans, in reality, it is a surrender to the demands of those on the right who have repeatedly rejected the notion that the risks of illness should be shared by all of us, young and old, healthy and sick. The new proposal would place the burden of health care on those who, because of their age or medical condition, find that burden most difficult to bear: It allows states to opt-out of the rule that prohibits insurance companies from charging people with pre-existing medical conditions more. It allows states… Continue reading

No comments

Health Care Again

  By Health Care, PA Budget and Policy Center, PBPC Blog posts

Originally published at Third and State April 21, 2017.  News reports indicate that, as many of us had feared, the Republicans in Congress and President Trump have not given up on their effort on health care, not only to repeal and replace the ACA but to institute a per capita cap on Medicaid spending. The new plan, as we will explain in a moment, is even worse than the last one. But before we get to the details, we need to stop and ask, “why are we here again?” Knowing the answer to that question is critical to understanding what the Republicans propose. Why Health Care: Avoiding the Loser Label There are basically two reasons the Republicans are seeking a mulligan on health care. The first is that Trump and the Republicans promised to repeal the ACA and don’t want to look like losers to their hard-core, right-wing voters and… Continue reading

2 Comments

Larry Krasner for DA

  By 2017 DA Race, Elections, Philadelphia, Politics

I generally don’t get involved in electoral politics now. But I’m going to make one exception this year and tell you that I plan to vote for Larry Krasner for DA. And the reason I’m making the exception is that I’m not just a little with him. I feel the same way about him that I did about Helen Gym two years ago and a really special candidate for city council at large in 2007. He is the only candidate I see who can look at the DA’s office with fresh eyes and stop and think about how it can contribute to the well being of the city as opposed to tinkering around the edges of an on-going operation. He’s the only candidate who understands the rot in the PPD and who is willing to do the hard work (and absorb the punishment he will receive for doing it) in… Continue reading

No comments

Facts, Not Hysteria, About the Soda Tax

  By Budget analysis, PA Budget and Policy Center, Philadelphia, Sugary Drink Tax

Originally published by the Philadelphia Business Journal on April 20, 2017. Also at Third and State.  Co-authored by Diana Polson. The reaction of the beverage industry to the Philadelphia soda tax continues to be self-centered, hysterical, and dubious. Before looking at their claims, let’s keep in mind something very important: every tax has some negative consequences for some businesses. And, yes, it is a shame if some business absorbs some costs and a few people lose jobs as a result. But public policy has to be driven by the consequences for all of us. So, the question is not whether an individual business is hurt by the Philadelphia soda tax, but whether the city and its citizens benefit on the whole. We think the answer is clearly yes, not just because of the investment in Pre-K education and community recreation centers made possible by this tax, but because of the… Continue reading