The High Cost of Dying

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

Kent GardnerMy mother died in October at age 92. It has yet to become real to me—I reached for my phone to tell her how lovely her funeral had been. I’m sorry she missed it. One of my browser’s home pages remains set to our ongoing Scrabble game on Facebook. She’s winning. And always will be.

A child of the Depression, she’d tucked a newspaper clipping tucked into her papers that suggested ways to cut the cost of a funeral. When my sister & I sat down with the funeral director, I handed him the clipping and said, “We’re under orders!”

Read more »

Rochester: “City of the Arts”

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

Kent Gardner Question: Which city has the largest concentration of professional musicians in the nation? If you guessed Nashville, you’d be right.

But Rochester’s in second place. Among all metro areas with at least half a million employed, Rochester leads San Francisco and Portland, both recognized for their music scene.

And Austin—“The Live Music Capital of the World”—clocks in at #16. Musicians may flock to Austin for SXSW and Austin City Limits, but many of them live right here.

Many of the nation’s professional musicians learned their trade right here, too. Among roughly the same group of large metros, Rochester colleges and universities graduate more musicians per capita than anyplace but Boston.

Much of the credit goes to the Eastman School of Music, routinely ranked one of the globe’s top music schools. In addition to frequent performances by faculty luminaries like the Ying Quartet and lutenist Paul O’Dette, Eastman’s three principal venues bring the best musicians in the world to our ears. But the spillover from Eastman’s riches is vast. The Hochstein School of Music & Dance is the largest community music school in the nation (for a comparably-sized city). Read more »

New Evidence on Minimum Wage Hike

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

Kent GardnerIn November 2015, I wrote a column titled, “$15 Minimum Wage is Uncharted Territory,” discussing New York’s minimum wage law and speculating on its effects. Given how early we are in the process, however, we know very little currently. New York is not the first jurisdiction to attempt to address low wages legislatively, however. We’re now receiving reports from the territorial explorers in Seattle. And the news, while unsurprising, is disappointing to those who hope to help low wage workers by passing a higher minimum wage.

Low and stagnant incomes at the bottom of the income distribution and the growing gap between high and low wage workers are serious problems for families with low incomes and for the economy. These trends are also potentially destabilizing for society. Read more »

Bearing One Another’s Burdens: The Challenge of Health Insurance (Part 1)

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

Kent Gardner“Who sinned, this man or his parents, that he was born blind?” Asked of Jesus by the religious authorities of the day, this question haunts many conversations about social welfare and health policy. Self-reliance—that people should “get what they earn”—is embedded in America’s cultural mythology. In some subtle way, people in poor health must be responsible for their condition and simply have to pay when illness strikes.

This is the moral question underlying health policy: Who should bear the cost of caring for the sick? That we are neither wholly blameless or nor wholly guilty for the state of our health is the Gordian knot we labor in vain to untie. We know that smoking often causes lung cancer and obesity can trigger diabetes. But not all lung cancer comes from smoking and diabetes has other triggers. We’re not willing to deny care to victims of either disease. We admire self-reliance but also sense the injustice in “blaming the victim” for diseases and conditions that have no known link to personal decisions (and some that do). As the Republican Congress and the Trump Administration seek to unwind Barack Obama’s Affordable Care Act (ACA), this “who pays?” question takes center stage. Read more »

Bearing One Another’s Burdens: The Challenge of Health Insurance (Part 2)

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

Kent Gardner Last week we looked at how the Affordable Care Act and the Republican replacement plan changed health insurance for those of us who buy insurance either through our employers or on the individual market. This week we’ll look at how the ACA and the new plan change access to health insurance for people with low income.

Medicaid expanded under ACA

The ACA expanded Medicaid in two ways. First, it added adults in poverty to the program, not just poor children and their parents. Before the ACA, low-income adults without dependent children were ineligible for Medicaid in 26 states—the cost of doctor visits, hospital stays, prescription drugs—all had to be paid in cash. The ACA also pushed Medicaid eligibility up to 138% of the federal poverty line (FPL) for everyone (although some states, like New York and California, were already there). For context, the FPL for a single adult is $12,060 and, for a family of 3, $20,420.

At least until a group of states took the matter to the Supreme Court, which ruled that Congress could not require the Medicaid expansion, even though most of the cost was shared among all federal taxpayers. Currently, 19 states have chosen not to expand Medicaid eligibility. Read more »

“New” Internet provider—same pricing & service?

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

Kent Gardner “Welcome to a New Day!” proclaims Spectrum’s website. Like the (probably not) Chinese proverb, “May you live in interesting times”, being “new” may not be a good thing. Spectrum is the spawn of Time-Warner Cable (TWC) and Charter Communications. Do we expect that two market-dominating cable providers to produce a consumer-friendly child?

Don’t make the mistake of thinking that economists, fond as we are of markets, blindly favor the interests of business. No, we like markets because we distrust business. The 18th century’s Adam Smith noted that “People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public.” When competition reigns in a free market economy, the competitors police one another and protect consumers. Read more »

Promoting Effective Local Government in NYS

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

Kent Gardner Just over a week ago, the tranquil Village of Cherry Creek voted, by a 2-1 margin, to dissolve. Located about 20 miles northeast of Jamestown in Chautauqua County, the village was formed in 1893 to offer residents more “urban” services than were offered in the town, now including street lights, water, sewer and sidewalks. In 1900 the village was home to 700 with another 1,000 in the Town of Cherry Creek outside the village. It was a self-contained community with a successful cannery, foundry, and flour mill plus a business district with a bank, hotels, churches and other establishments. Nearly everyone who lived in Cherry Creek, worked in Cherry Creek. Read more »

Excelsior Scholarships are a Shotgun Solution to NYS Workforce Challenge

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

Kent Gardner Governor Andrew Cuomo, channeling the presidential campaign positions of Bernie Sanders and Hillary Clinton, has proposed eliminating college tuition for all families with income below $125,000. I was a tenured SUNY college professor in a former life—shouldn’t I be cheering Governor Cuomo’s call for free tuition for the children of nearly three-quarters of New York’s families?

But I’m not. Let me try to explain. Read more »

Trump: The Movie

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

Kent GardnerTrumpMario Cuomo noted that “we campaign in poetry but govern in prose.” Trump’s campaign was hardly poetry—it was more like a sensationalist novel, with racy sex, clichéd dialogue and improbable plot twists. Now Trump & Co. are writing the screenplay for a movie and doing casting. And we wonder—some with hope and some with fear—whether the movie will be true to the book.

With Congress firmly in Republican hands, the policies reflected by Trump’s cabinet choices are steeped in Republican orthodoxy. While Trump may love a brawl, he can’t make America great again without winning votes in Congress. Read more »

My Search for Long Term Care Insurance

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

My father & his 1940 Packard Kent Gardner

“Charles, why are there a dozen bowls of water in the backyard?” she asked. “The dogs are thirsty,” Dad explained. He always was a soft touch—dogs could always hustle the last bite of cookie. Now he was seeing friendly dogs everywhere. As he sank further into Parkinson’s dementia, however, the hallucinations turned to bouts of paranoia. Mom hid both kitchen knives and new door locks to prevent his wandering. As his problems with eating, sleeping, toileting, and medications worsened, her health began to decline. She couldn’t continue.

At a friend’s suggestion, she called someone who connected weary caregivers to willing “live-ins.” Lesya, a Ukrainian who’d left her young daughter in the care of others to make a better life in America, moved in the next day. Mom didn’t ask many questions. She didn’t check for Lesya’s green card. She paid in cash. A year later, pneumonia sent Dad to the hospital and he died soon after. Read more »