16  October 

Public Policy

Discussing Social Policy:

Health and Welfare Policy 

Administrative Items for Class

THE PUBLIC POLICY TOOLKIT

Policy Actor Issues to Health and Welfare Policy

_______________________________________________ 

POLICY ACTORS

Official

     Primary and Supplementary

Unofficial

 

LOWI's Policy Types:  

  • Regulatory

  • Self-Regulatory

  • Distributive

  • Redistributive

 

HEALTH AND WELFARE POLICY

 Strong Private Sector Orientation in Health Care           =  PRIVATE

Plus

Government - Public Policy Involvement     (Entitlements)                 

Plus Integration of both PRIVATE and Public             = A  hyBRID

 PRIV-BRID

Evaluating Health Care

         HOW DOES A NATION EVALUATE GOOD HEALTH CARE?  

 

HMO

Third Party Providers

Who are some Health Policy Subsystem (PRIV-BRID) Actors?

HHS

CDC

Child Health

AARP

Linking Health with Welfare

POLICIES ARE RARELY IMPLEMENTED SEPARATE 

FROM OTHER POLICIES

First - More Priv-Brid  from Churches and Family to Gov't involvement

Second - How do you define "in need?"   Poor?  Bad Luck?  Race or Gender?

Third - If the latter - then the rights issues from earlier get involved  

                    Old/Continuing minorities - African American            

                    New Minorities - Women, Children, Sexual Orientation, Disability, Widow(er)s

 

 

Questions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

"I don't want to abolish government. I simply want to reduce it to the size where I can drag it into the bathroom and drown it in the bathtub."   - Grover Norquist

WELFARE

Poverty in America

Who are the Poor?   

    Feminization of Poverty and Child Poverty

Complexities in Data   

How do we decide how "poor" is officially poor (below the poverty line?) (Inc, Asts)

Current Welfare and Health Policies

         Medicaid  - Poor

         Medicare - Elderly 

Unemployment  

What do the poor need - Resources or Opportunities?

Reform  and Stereotypes

1996 – FEDERALISM WRIT LARGE!   TANF 

AFDC now becomes PRWORA

Actors in the "Welfare Policy Sub Government"  Official?  Unofficial?

 

 

 

 

$19,806 OR Income distribution OR  Assets OR race/gender/ age (cdf.org)

Gini coefficient, income distribution by country  Source: http://en.wikipedia.org/wiki/Gini_coefficient 

Table 1. Population of Children Under Age 18, in Poverty and in Selected Household Relationships
Total Population 266,218,000 Population of Poor 36,529,000 (13.7%)
Total Population Under 18 70,650,000 Population of Poor Under 18 14,463,000 (20.5%)
Total Population of
Males Under 18
36,199,000 Population of Poor
Males Under 18
7,248,000 (20.0%)
White 28,573,000 White 4,593,000 (16.1%)
Black 5,724,000 Black 2,192,000 (38.3%)
Other 1,902,000 Other 463,000 (24.3%
 http://www.nccp.org/  AND

Source:    Poverty Fact Sheet Series - Poverty Facts About Children HYG-5704-98

Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income. The United States measures poverty by an outdated standard developed in the 1960s. [More detail...]

Children in Tennessee, by Income Level

 

In Tennessee, there are 858,044 families, with 1,383,323 children.

Low-Income Children: 42% (575,552) of children live in low-income families (National: 39%), defined as income below 200% of the federal poverty level.

http://www.nccp.org/state_detail_demographic_low_income_TN.html 

Children in Tennessee, by Income Level

 

In Tennessee, there are 858,044 families, with 1,383,323 children.

Poor Children: 19% (269,525) of children live in poor families (National: 18%), defined as income below 100% of the federal poverty level.

http://www.childrensdefense.org/site/PageServer 

OTHERS? _________________________________

         SSI - OASDi - FICA - 10:1 ...... 3:1....2:1

         Social Security      - Brief History - Trust Fund

          one in six Americans receives monthly Social Security benefits  http://www.ssa.gov/history/reports/briefhistory.html

President Bush and Vice President Cheney have told audiences that Social Security faces an $11 trillion shortfall if nothing is done to fix the current system. But they fail to mention that this is over the course of the “infinite future." Over the next 75 years -- still practically a lifetime -- the shortfall is projected to be $3.7 trillion.

The "infinite" projection is one that the American Academy of Actuaries says is likely to mislead the public into thinking the system "is in far worse financial condition than is actually indicated," and therefore should not be used to explain the long-term outlook.

http://www.factcheck.org/article302.html

 

 

   http://www.centrists.org

 

 

 Elderly Politics    - AARP

     Entitlement Spending Categories as Percent of GDP, 1962-2012    

http://www.aarp.org/research/assistance/entitlement/aresearch-import-398-INB58.html

 

Social Security + Medicare + Medicaid as Percent of GDP Under Various Scenarios

http://www.whitehouse.gov/omb/budget/fy2006/outlook.html

Shares of aggregate income for the lowest and highest income quintiles, by source, 2002
Shares of aggregate income for the lowest and highest income quintiles, by source - two pie charts linked to full text descriptions.

 

 

 

Social Security Deficit and Payroll Taxes

The percent of taxable payroll is the portion of an employee’s payroll tax that goes toward Social Security and is currently set at the rate of 12.4 percent, half of which is paid by the employer and the other half by employee. Over 75 years, the Trustees estimate the actuarial deficit is 1.8 percent of taxable payroll. This means that for the system to be completely solvent over the next 75 years, without adjusting benefits, payroll taxes would have to go up to 14.2 percent immediately. And to be solvent for the "infinite future," the $10.4 trillion shortfall equals 3.5 percent of taxable payroll, or a tax increase to15.9 percent of wages.

 

 

 

 

 

  Where the Health Money Goes

 

 

 

Health Data-Healthlinks

 

  DIGITAL DIVIDE

         Old v. New 

         Elites and Masses  

        New players - Women's Health - A subset of gender equality...

GENDER EQUALITY

“Equality of Rights under the law shall not be denied or abridged by the United States or by any state on account of sex.” 

Rights and Economics

Work Force and the Earnings Gap  ($0.76 v. $1.00)  not direct but cultural

“White”   “Pink” and “Blue” collar jobs…REALLY?

 THE GLASS CEILING and COMPARABLE WORTH  

EDUCATION POLICY

HISTORY

Local Control of Education 

Increasing Federalism Issues (State and National Govt)

INCREASING COMPLEXITY as culture demands greater amount of and access to education  3Rs ----K-16 and beyond (Grade 24)

 Actors

Increasing Economic, Ideological and Cultural Context burden system

The Whole Student

Funding complex education goals.

Financing Local and Property Tax Based v. Income Tax or other revenue streams

ISSUES

The culture of Education (and Educators) in America…(v. Japan)

Testing and Scoring – Grade School Tracking through to the SAT  

Teaching Values in Education

Race in Schools

Teacher Competency – Standards and Pay

Attendance in Schools

International Comparisons

School Choices (Type and Payment)

Ø  TYPE

o    Charter

o    Magnet

o    Private/Parochial

o    Montessori

Ø  PAYMENT

o    Vouchers

o    Revenue –Sharing

 

 

 

 

 

_____________________________________________

ABORTION

1965 - Griswold v. CT                                        

1971 - Roe v. Wade                                          

1989 - Webster v. Reproductive Health Services  

1992 - Planned Parenthood of PA v. Casey  

Tuesday - Partial Birth Abortion Ban Legitimated in Senate - Prez Bush to sign

Sexual Harassment - Acts or a "hostile work environment"

 

1.    The British Social Welfare system Good Starts.____________  

2.  Burger King recalling (ON ITS OWN) the child toys in its Kids Meals because of a choking hazard. __________________

3.  Burger Kings being forced to recall the toys by the US Consumer Product Safety Commission (CPSC).  ______________

4.   State of Tennessee funding to build the extension to Interstate 140 into the Smoky Mountains, connecting onto 321 between Maryville and Walland, TN. ___  

5.   US Congressional funding of school aid to rural Tennessee.  _____________________  

6.   The US Social Security system. ____________________________

7.  The American Association of University Professors (AAUP) code of ethics for instructors in higher education._______

President Bush signs into law the Corporate Tax Credit bill, and consults with the Secretary of the Treasury about the revenue implications of this bill, and then speaks with reporters from CNN and FOX News on the campaign trail in Ohio about how this bill will impact the election.  

8.  Official Primary _____________

9.  Official Supplementary ______________

10.  Unofficial __________________________ 

WHAT KIND OF ACTORS ARE THESE INSTITUTIONS?