County Health Care Proposal

It’s Just My Opinion

By Harris R. Sherline

 

“Trust Me” (or Us)

 

Another health care proposal is now working its way through government, local government, that is. 

In a recent debate hosted by the Santa Barbara County Taxpayers Association, two County Supervisors, Salud Carbajal and Brooks Firestone, made the case for and against a proposal that would have our County government fund a health care plan for some 16,000 uninsured children.  The discussion was a graphic example of the differences between the Left and Right in the American political thought process of today.

The two Supervisors set the background for their discussion by pointing out that only $189 million of the County’s current $750 million budget is available for discretionary spending.  The balance is pass-through funding from various federal and state programs, such as welfare.

On the Left, Supervisor Carbajal offered the following rationale for having the County assume responsibility for providing health care for uninsured children:

·      There are approximately 16,000 children in Santa Barbara County who do not have health insurance and it is, or should be, County government’s responsibility to cover them.  The proposal initially targets only 500 children, with the expectation that it will expand to 5,000 or 6,000 over five years.  Since these children are not currently enrolled in any Federal or state plans, such as the Medi-Cal or the Healthy Kids programs, the County must do it.

·      The new plan will start in the next budget cycle by allocating $1 million to provide for the medical, dental and mental health care of 500 children (through age 18).  It would be modeled after the state’s Medi-Cal program for low-income patients, which has an approved list of health care providers who bill the state for their services.

·      The money to pay for children’s health care can be found by rethinking the County’s budget priorities and reallocating savings (cuts) from various departmental budgets.

·      The initial $1 million funding would be expanded over time, as more savings are identified by continuing to reassess the County’s budget priorities.

·      The County’s commitment would eventually be phased out, when the children are insured by state or Federal programs.

Salud Carbajal’s bottom line is that everyone in America should have guaranteed health care that is or should be the responsibility of County government, and that we must do this “for the children.”  We can’t afford to wait, he argued, citing the high cost of caring for them in hospital emergency rooms.

On the Right, Supervisor Firestone offered the following reasons why the County should not undertake this program:

·      Santa Barbara County does not have the money to assume any additional financial responsibilities.  Although the current year’s budget is balanced, the trend clearly shows a growing gap between expenditures and revenues, with outgo exceeding income by about $15 million in five years (fiscal year 2011-12). The shortfall will begin in the next fiscal year.

·      Eighty-seven percent of the County’s discretionary budget (General Fund) is provided by property taxes, and County records show that the revenue from this source is growing at a slower rate than previously, which means that over the next five years the budget shortfall will actually be greater than projected.

·      The idea of finding savings in various parts of the budget to pay for the program is unrealistic.  Not only is there no money available for the initial $1 million startup cost, but any savings that can be found in future years will be needed just to keep up with the growing gap between expenditures and revenues.  Furthermore, the proposal assumes that the initial $1 million cost of this program will increase to between $7 million and $9 million within five years.  So, if we are already anticipating a budget shortfall of some $15 million in that time frame, where is another $7 million a year for a health care program going to come from?

·      Projected costs in the County’s staff report for the children’s health care proposal have been significantly understated.  For example, no Cost of Living (COL) increases were included in the estimate.

·      The program will become a magnet that will attract people from other areas, who are likely to move to Santa Barbara County to take advantage of it.  This would add to the projected number of children who need coverage, thereby increasing the cost even more.

·      Both the federal and state (CA) governments are currently moving in the direction of providing universal health care coverage, so the County should not get involved only to discontinue its own plan when that happens.

Brooks Firestone’s bottom line is that the County simply cannot afford to take on another expense for which it does not have the money and that relying on savings by reordering budget priorities is unrealistic.  It won’t happen, he argues, because the County will be looking for every possible source of revenue and savings it can find just to keep up with the growth in expenditures that is already expected.

There is another issue involved in the County’s health care proposal that was not discussed at the meeting, which buttresses the case against it.

Modeled after California’s Medi-Cal program, the proposal conveniently ignores the fact that Medi-Cal is notorious for underpaying its health care providers, so much so that a great many doctors and other health care professionals do not accept these patients.   Supervisor Carbajal stated, for example, that the fee for a doctor’s office visit is about $30.00, a number that is probably less than a third of what is currently considered standard.

During the years I was involved with Santa Ynez Valley Hospital, there was only one local doctor who would accept any Medi-Cal patients at all (because of excessively low fees), other than the Chumash Indian Clinic, which was just getting started at the time.   

Even specialists who were called in to treat Medi-Cal patients in the Hospital’s ER often didn’t even bother to bill the state because they felt it wasn’t worth the hassle of trying to get paid, and inadequately at that.

The only way to fix this would be to increase the County’s fee schedule, which would just add to the need for additional funding.  And, more funding for the program would necessarily require more cuts elsewhere in the County’s budget.

By any measure, the idea is a loser.  For one thing, it relies on the “trust me” factor, which is invariably the fallback position of politicians and bureaucrats when they are trying to sell something to the public. 

Well, I don’t trust them!  And, apparently Brooks Firestone doesn’t either, which puts me in good company.  I don’t trust them to find appropriate cuts in the existing budget to fund this new program and, if they could, I don’t trust them to prevent those same cuts from creeping back into the budget.  I don’t trust them to control the costs of this new program, and I don’t trust them to phase it out when the federal and or state governments finally set up their own programs to fill the same need.

Contrary to what seems to be the prevailing thinking in government these days, we can’t have everything we want in life.  Like it or not, there are limits, and they are often set by what we can afford.

Here’s a novel thought: If the Board of Supervisors can find places to cut the County’s budget by reassessing their priorities, how about just returning the savings to the taxpayers who are providing the money in the first place?

It’s silly, I know, but, that’s just my opinion.

 

© 2007 Harris R. Sherline, All Rights Reserved