Change Is Coming, Higher Education

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent GardnerIn 1940, fewer than one in twenty Americans had a college degree. Now it’s better than one in four[1]. Fueled by a flood of American soldiers returning from WWII’s European and Pacific theaters, the GI Bill sparked an explosion in college enrollment that continues to this day.

Higher education boosts productivity and pay. The earnings gap between those with and those without a college degree is dramatic. According to the Census, individuals 25 or older with bachelor’s degrees earned nearly $22,000 per year (80%) more than those with only a high school diploma.

But what does college cost?

College pricing rivals health care in opacity—most students receive some form of “aid.” Just as in buying a car, few pay the “manufacturer’s suggested retail price.” Bloomberg Businessweek reports that 94% of students in NYS private colleges & universities receive some form of financial aid[2]. Even in public colleges, two-thirds receive aid (in addition to the outright state support to the institution).

The College Board conducts an annual survey and reports that published tuition grew 52% from 96-97 to 11-12 while tuition net of aid (including federal tax credits) rose 22% over the period, suggesting that colleges and universities are increasing the “sticker price” at the same time that aid is also rising.[3] Using the College Board’s figures on net tuition and fees, students beginning four year degrees in 2011 will pay an average of $52,000 in tuition over four years in private schools and about $10,000 in public schools. Many pay more and many pay less, of course. Consider, too, the cost of room and board—another $35-40,000—and foregone earnings. Read more »

Irreconcilable Differences: The Problem of Health Care

Posted by & filed under CGR Staff, Journal of the Monroe County (NY) Medical Society.

Kent GardnerHealth care is different from other goods and services.

  • As a wealthy society, we aren’t willing to limit access to care based on ability to pay (at least entirely).
  • Caveat emptor—let the buyer beware—fails in the face of complexity: The patient (the “buyer”) is often incapable of understanding what is appropriate or necessary and must rely on the provider (the “seller”) for essential advice.
  • The pace of technological change outstrips our capacity to set limits on what constitutes adequate care.
  • Public policy, operating through payment schema and regulation, is a blunt instrument, influencing the marketplace in both intended and unintended ways. Read more »

Deferred Maintenance on our Nation’s Fiscal House

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent GardnerOur nation’s fiscal house is held together with duct tape and Crazy Glue. The porch roof is teetering—left unrepaired, it may collapse onto our economy at the end of the year. And our home’s foundation has a crack in it. While this structural gap between revenue and spending—largely caused by Baby Boom retirements—won’t be dramatically worse next year, the crack will get larger and larger until we make major repairs.

Taxmaggedon

A wide array of tax cuts are due to expire at the end of 2012. As the Bush White House couldn’t muster the 60 votes required for a permanent tax change, the 2001 tax cuts were passed using the Senate’s arcane “reconciliation” procedure, which forced a 10 year “sunset” provision. (The vote was 50-50 with Vice President Dick Cheney casting the tie-breaker.) Unable to reach consensus on much of anything in 2010, the President & Congress kicked the can down the road another 2 years. In February, the 2 percentage point reduction in the payroll tax rate originally passed in 2010 was extended to the end of the year.

So, what happens if Congress & the President don’t do a deal? Read more »

Let’s be Globally Competitive—for Workers

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent Gardner

During the Olympics we freely show unabashed pride in our native sons and daughters. The Rochester region cheers Jenn Suhr’s triumph over her longtime Russian rival in the pole vault and Abby Wambach’s soccer gold against Japan. Yes, some of the U.S. Olympians are transplants, immigrants to our nation. But most were born here.

While a burst of nativism is excusable during the Olympics, anti-immigration sentiment doesn’t serve our economy well. Asked by local businessman Dutch Summers to explore why Canada’s Golden Horseshoe—anchored by Toronto—has prospered and grown while Upstate New York has languished, we concluded that immigration policy is a powerful contributing factor. Read more »

“Affordable” Care Act Won’t Be—If We Can’t Control Cost

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent GardnerThe Supreme Court—through the actions of tie breaker Chief Judge John Roberts—has resolved the constitutionality of the Patient Protection and Affordable Care Act (ACA). In the best tradition of the court, his Solomonic ruling declares that the law is within the powers of Congress. Good law? Bad law? “Not my problem. It’s constitutional.” He also applied the “duck” test to the Administration’s “penalty”—if it looks like a tax and quacks like a tax, it’s a tax.

The constitutional sideshow behind us, let’s get back to the Main Event: Health care remains an unaffordable, inequitable mess. ACA addresses some of the coverage problems built into the American health insurance model, but it will inevitably create some inequities of its own.

Cost is still an enormous problem. In fact, the law will increase the share of GDP spent on health care. ACA’s supporters are eager to report the Congressional Budget Office (CBO) finding that the law will not increase the deficit. First, remember that this is a forecast built on complex models, loaded with assumptions. The CBO finding is an estimate, not a measurement. Read more »

Long Live the Drachma

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent GardnerGiven a conflict between “good for us” or “good for me,” people generally pick the second. That proposition, obvious as it is, underlies most of economics. Thank goodness, human beings often rise above self-interest in ways that redeem human society.

But politicians shouldn’t push their luck. Consider what the European Union is asking of the Greeks. The austerity imposed as a condition of the bailout goes beyond expecting Greeks to behave like Germans, which would be heroic enough. No, the Greeks are expected to do penance for their past profligacy, the “sackcloth and ashes” Full Monty.

Kidding ourselves

Reluctant to think ourselves selfish, we have a remarkable capacity to convince ourselves that “good for me” is also “good for us.” That capacity for self-delusion is evident in results from the Pew Global Survey: Respondents in Britain, France, Germany, Greece, Spain, Italy, Poland and the Czech Republic were asked to identify the “hardest working” people of Europe. Seven picked the Germans. The Greeks picked themselves. For the title, “least hardworking,” five picked the Greeks, but the Greeks fingered the Italians.

Is it any wonder that the Greeks’ penance is insincere? Or that support for austerity among voters proved to be so tenuous in Sunday’s election? Read more »

Merci, Jacques et Marie

Posted by & filed under CGR Staff.

Kent GardnerThe French have voted with their hearts and picked Francois Hollande as President. And who can blame them for wanting to be more like Italy and less like Germany? More Roman Holiday and less The Spy Who Came In from the Cold?

We should be grateful to the French. We need exemplars—countries whose policies we embrace and countries whose polices we avoid. France seems determined to set a bad example, if they expect Hollande to follow through on his promises. This is a nation that hasn’t run a budget surplus in 35 years, where labor costs have been rising in the face of blistering global competition, and where the public sector controls more than half of the economy. Hollande promises to hire more public sectors workers, raise the marginal tax rate to 75%, and reverse Nicholas Sarkozy’s feeble encroachment on the entitlement mindset of the French worker. Read more »

Tax Reforms Starts with Simplification

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent GardnerThere is nothing like the IRS Form 1040 and NYS Form 201 to get you in the mood for tax reform.

We need a simpler system. Complexity is expensive by itself—we spend money simply keeping records and paying professionals to figure out what we can and can’t claim. The Taxpayer Advocate’s Service (TAS) of the National Taxpayer Advocate (appointed and funded by Congress) estimated in 2010 that taxpayers spend 6.1 billion hours filling out taxes each year (down from an estimated 7.6 billion hours in 2008, probably courtesy of tax software). 60% of Americans pay someone else to complete their tax forms. In 2008, TAS put the total cost of compliance at $163 billion, about 11% of total tax receipts. Read more »

Notes from a Distant Land—and What We Have in Common

Posted by & filed under CGR Staff, Rochester Business Journal.

Kent GardnerOn assignment out here in Arizona, I’m led to compare it to my adopted state of New York. First, there’s the weather: no snow, warm temps, bicycle-friendly year-round. Out here, of course, that’s a normal winter.

The big city dominates state politics. Here the city is Phoenix. With two-thirds of the state’s population, the Phoenix metro area carries a big stick. Arizonans living elsewhere complain that they have but a small, quiet voice in state political circles and that the interests of Maricopa County (Phoenix, Tempe, Scottsdale, etc.) rule. We’ve got our big city, of course: New York City alone accounts for just over 40 percent of the state’s population. Add in Long Island and Westchester and Rockland counties, and metro New York’s share rises to 61 percent. Read more »