What Would an Adequate Pennsylvania Budget Look Like This Year?

What Would an Adequate Pennsylvania Budget Look Like This Year? A really good budget for Pennsylvania would begin addressing our long-term public investment deficit. It would provide new funds to: eliminate our worst-in-the-nation inequality in K-12 school funding; expand pre-K education to all three and four year-olds; make higher education more accessible, especially to students from low-income families; restore the funding that would allow the Department of Environment to better protect our air and water; provide new funding to repair roads and bridges and support public transit.   Continue reading

Ding Dong the Witch is Dead

Sam Brownback became governor of Kansas in 2010 just as Tom Corbett became governor of Pennsylvania. Brownback and Corbett, with the help of Republican majorities in their legislatures, embarked on an extremist Wizard of Oz economic agenda of cutting taxes, especially for large businesses, and reducing spending on education and human services. Spending as a share of the state’s economy dropped by 10% in our state. Faced with slow economic growth, stark budget deficits, and citizens who were demanding better public services, a bi-partisan majority in the legislature in Kansas this week stood up for common sense against Wizard of Oz extremism and, over Brownback’s veto, rolled back many of those tax cuts. Is this the year that state legislators in Pennsylvania also embrace common sense and reject extremism?   Continue reading

Pennsylvania’s Budget Choices This Year

As we head into what everyone hopes will be the last month of the Pennsylvania budget season, this is a good moment to take stock of where we are and what’s at stake in the decisions the governor and General Assembly will make this year. Doing so will also explain why the Pennsylvania’s Choice campaign is urging people to attend a tele-town hall on the budget at 7:15 on June 1, a budget rally at noon on June 5 in Harrisburg, and lobbying days later in the month. (More information and registration for these events can be found here.) Continue reading

It’s Not Just a Number but Lives–the CBO Score of the AHCA

Originally published at ThirdandState. The Congressional Budget Office (CBO) analysis of the Republican health care plan, the ACHA, released today shows the danger of Congressional action in advance of a serious analysis of the impact of legislation. Though it was touted as a new and improved version of the bill that failed in March, the CBO analysis shows the bill that passed the House is no better, and in some ways, far worse. The CBO estimates that, at the end of ten years, 23 million fewer Americans will have health insurance because of the legislation, which is one million less than the estimate of their earlier bill. Most of the lost health insurance created by the AHCA is the result of the slow repeal of the Medicaid expansion and the replacement of the federal entitlement to traditional Medicaid by a per-capita cap on federal funding of the program. These devastating… Continue reading

The Trump Budget

Originally published at Third and State.   President Trump’s budget is a triple betrayal of his campaign promises, of working people in Pennsylvania and around the country, and of a uniquely-American economic order that has created the shared prosperity that America once enjoyed and should enjoy again. The President is, first, betraying his promise not to cut Medicaid, Social Security, and the social safety net, that is, programs relied on by those left behind in a changing economy. In doing so he is, second, betraying the promise that America has made to working people to ensure that they have the important assistance to meet basic living standards: food on the table, a roof over their heads, and access to health care that millions of Pennsylvanians rely on. The budget proposal calls for a huge reduction in these vital programs in order to give massive tax breaks to the wealthy and… Continue reading

ACA Repeal Puts Pennsylvanians Who Work for Large Corporations At Risk

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

They Can’t Buy Us Off

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

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

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

hy Representative Thompson Should Vote No on the Health Care Bill

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

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

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