Senator Elton and Isabel
off the record
a VIP policy letter
from
Senator Kim Elton
Room 115, State Capitol, Juneau, AK 99801 * 465-4947 Phone * 465-2108 FAX

Edition # 193                   Please feel free to forward                 January 31, 2005

  Capitol Undercurrents      
Time to start prescribing a health fix
 
Gov. Flip-Flop or Pork Chop?-Thursday Gov. Murkowski told the oil industry he would consider appeals from the industry on his decision to aggregate satellite North Slope oil fields in a way that would raise taxes on the industry by about $147 million in FY 06 at projected oil prices. His statement may open the door to a full or partial retreat from his unequivocal statement during the State of the State Pork Chopaddress that he was making the changes by regulation. Oil industry honchos denounced his decision in strong language, saying it potentially hurts investment decisions and was done without their knowledge or input. The governor cracked the door to a potential flip-flop at a meeting with the Support Industry Alliance. At that meeting he also mentioned he felt "a little bit like a pork chop being thrown into the wolf cage"-apparently a reference to appearing in front of a group whose members had stridently criticized his decision to put the bite on them.
 
Getting personal-The governor's $147 million bite out of the oil industry prompted choruses of outrage at volumes not often seen and verbiage not often heard. BP's Alaska honcho told the Support Industry Alliance the increased tax on oil is equal in magnitude to the cost of 40 new wells a year or what it costs to lease a corporate jet for 100 years-a sharply personal and not-veiled-at-all reference to the governor's continued desire to replace his turboprop for a jet. It's one thing to whisper these kinds of personal jabs sotto voce in the boardroom but quite another to do it publicly.
 
Lost in translation-The State of Washington's secretary of state (Sam Reed) abruptly pulled the Chinese language component of his official web site following complaints from the state's Chinese community. His site allows visitors to view the site in different languages but the Chinese translation was way off, reports the Seattle Times. For example, a statement about his proposing "statewide mandates to restore public trust" was translated as "Swampy weed suggests whole state order recover open trust."
 
Good on ya-Rep. Mike Hawker, a veteran of the POMV (Percent of Market Value) battle last year that would have inflation-proofed the permanent fund differently and caused some legislators to drool over the possibility of tapping into left-over fund earnings for state spending, challenged the revenue commissioner's Jan. 21st description of POMV being a revenue-raising measure. He reminded the commissioner that last year permanent fund managers kept telling lawmakers that POMV was to protect the permanent fund not a device to tap into earnings for spending.
 

Phone: (907) 465-4947
Fax: (907) 465-2108
Mail: Sen. Elton, State Capitol
Juneau, AK 99801
Email:
Senator.Kim.Elton
Jesse.Kiehl
Paula.Cadiente
Web:
http://elton.akdemocrats.org
     Elected Alaska officials are lucky private sector employers remain at our feet rather than going for our throats when it comes to containing health care costs.
     It's the private sector employers, after all, who are the ones paying state taxes or fees (thanks to y'all, whether you're a multi-national oil company or a mom 'n pop who's barely making it and shuddered a couple years ago when business license receipts were tripled). An ever-higher proportion of those taxes and 'fees' are being spent by government on skyrocketing costs directly related to providing health care. These employers increasingly see their tax dollars diverted from better educating a work force or improving public infrastructure to covering runaway governmental health care costs.
     And let's not forget that responsible private sector employers who struggle to maintain adequate health insurance for their employees (thanks to y'all for providing that family safety net) have fewer investment dollars that lead to job growth.
     Ry Cooder sings a-Woody Guthrie written?-song that proclaims "taxes on the farmers feeds us all". The lyrics then suggest we're in big trouble if farmers take a rest. Well, when it comes to State of Alaska taxes, it's the private sector employers who feeds our state government coffers. We don't tax individuals. We tax business. And business has been remarkably patient with our inattention to exploding health care costs.
     A warning to readers: stop here if you think I have a solution to the health care crisis buried at the end of the column. I don't-just a suggestion.

     One of the reasons for our inattention to health care cost containment is complexity. Crafting a fiscal plan is like cooking oatmeal but fashioning an affordable health care system that protects workers, retirees and families at a fair cost is as difficult as preparing confit of duck. If policy makers can't boil the oatmeal what in the world makes us rash enough to think of fancy duck dishes that take patience and time.
     Complexity-that's the best excuse to avoid the crisis. But it's not good enough.
     If, in Alaska where taxes on business feeds us all, private sector employers let us get away with the "it's too tough" excuse for avoiding health care issues they're letting us get away with something they wouldn't let their own executives get away with. If they struggle for solutions in their businesses, they should demand solutions from us.
     I certainly don't mean to suggest that the governmental solutions mimic solutions practiced by some businesses-businesses like WalMart that provide 'thong'-like health benefits for active employees (which pushes some of their employees into publicly subsidized health care) instead of 'longjohn' health plans. Nor should we emulate businesses that retroactively change pension plans because they feel they can't afford skyrocketing health costs (again, pushing pensioners into publicly subsidized health care). But we need to begin the immense chore of health care cost containment. We just need to do it in a way that guarantees health care promises made to all employees-private sector and public sector-are kept.
     Again, I don't have a plan that gets us to a great solution. But I've gotten to the point where I can identify some of the problems. And I do believe the best start is involving some Alaskans outside the Capitol. 
     Inside the Capitol we deal with concepts and ideas that need leavening by those dealing with reality. While I viscerally believe that drug costs are screwy, that the way many companies advertise prescription drugs too often borders on the immoral (including the schemes where major drug companies write certain doctors a check and too often those doctors then write prescriptions), that we let pharmaceutical companies keep generics off the market through the use of specious tactics, and that drug companies suppress bad news from drug trials doesn't mean we don't try to work with responsible elements of the industry. While I viscerally believe some health care corporadoes, like the perps who ran the HealthSouth or Columbia/HCA frauds, game their bottom lines to enrich themselves at the expense of patients from womb to tomb or government-funded Medicaid and Medicare, that doesn't mean we can't work with the majority of providers to make the system better.
     Frankly, if we don't work with industry, they've proven they can stop any reforms suggested at the federal, state or local level.
     The solutions are slippery. I believe we need to work on all fronts-fraud, drug costs closer to the Canadian price lists, insurance plans that cover preventative services, reviewing certificate of need processes, protecting hospital 'profit centers' while encouraging competition to hold down costs, and a host of other issues. As state leaders we also need to work with our congressional delegation to deal with the FDA and other national issues.
     And we need to start working on these issues now. If we don't, the only 'reforms' will be initiatives to take costs out of the system by shifting the economic burdens to workers, and their families through 'reformed' retirement plans or higher co-pays. That makes as much sense as switching to nothing but leg warmers when the cost of longjohns goes up.
     That's an idea that should leave Alaskans shivering.
 

 

 
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