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Rightsize:%20Government%20Budgets%20in%20the%2021st%20Century

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Rightsize: Government Budgets in the 21st Century Council of State Governments January 20, 2012 * The Government People Want Functional Streamlined Constantly ... – PowerPoint PPT presentation

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Title: Rightsize:%20Government%20Budgets%20in%20the%2021st%20Century


1
RightsizeGovernment Budgets in the 21st Century
  • Council of State Governments
  • January 20, 2012

2
(No Transcript)
3
The Government People Want
  • Functional
  • Streamlined
  • Constantly improved
  • Lower- and-lower priced
  • Personalizeable
  • Not just left or right

4
Outline of Presentation
  • Waste is a Terrible Thing to Mind
  • A New Twist
  • An Ounce of Prevention
  • Talkin bout de-Regulation
  • Providing Some Backbone
  • The Life Raft

5
Waste is a Terrible Thing to Mind
6
Comprehensive Efficiency Reviews
  • Texas first in the nation
  • 4 Billion the 1st year
  • National Performance Review Clinton/Gore)
  • 108 billion 1st year
  • Our experience
  • Consistently 5

7
The Basic Approach
8
The Basic Approach
9
Savings Examples
  • Employ technology to fight Medicaid fraud
  • Implement Reverse Auctions
  • Calibrate salt spreaders to reduce road costs
  • Eliminate most free postage for prisoners
  • Consolidate agency mail service
  • Combine duplicative commissions
  • Consolidate highway pipe types
  • Require doubled-sided printing
  • Eliminate blank
  • report pages

10
A New Twist on Human Services
  • 19th Century Model
  • Discovery of the Asylum
  • Insane Asylums
  • Poor Houses
  • Orphanages
  • Penitentiary
  • Year in the State Pen
  • vs.
  • Year at Penn State

11
Corrections
  • Divert non-violent offenders
  • Pretrial detention
  • Misdemeanor reform
  • Habitual-offender laws (3 strikes)
  • Alternatives to incarceration
  • Re-entry services
  • Drug treatment

12
Similar Issues MHMR, Juvenile Services,
Long-Term Care
  • More Effective
  • Less Expensive
  • Less Effective
  • More Expensive
  • Prevention
  • Smaller facilities
  • Promote home- and community-based care
  • Individually-targeted
  • Aftercare
  • Evidence-based
  • Intervention arises due to crisis
  • Overemphasis on incarceration
  • Especially Large facility
  • One-size-fits-all
  • Inattention to community/family connections

13
Up Next Education
  • Distance Learning Technologies
  • Improve outcomes
  • Especially for current lower-performers
  • Will transform role of schools, need for and use
    of facilities, nature of debate (e.g., vouchers,
    home-schooling)
  • Lower cost

14
An Ounce of Prevention
  • Government intervention usually post-hoc
  • Ideology
  • False economy
  • We know better
  • Policing
  • Health care

15
Proactive Cheaper
  • Fall prevention
  • Dental checks for expecting mothers
  • Investment in chronic disease research

16
We Need More Research
  • Early Childhood Ed reduces downstream costs
  • What would reduce the costs of Early Childhood
    Ed?
  • Parenting Instruction?
  • Book Rx?
  • Get Parents a GED?
  • Whats the chicken/Whats the egg?

17
Talkin bout de-Regulation
  • False dichotomy
  • More regulation
  • Less regulation
  • Best example
  • (as usual)
  • Policing

18
One Regulatory Taxonomy
  • 15 Hostile compliers
  • 30 Hesitant compliers
  • 30 Clueless (inhabitants of the parallel
    universe)
  • 15 Spontaneous compliers
  • 10 Industry leaders

19
Cheaper Regulatory Strategies
  • Performance Tier
  • Compliance (instead of enforcement)
  • Target bad actors
  • Netherlands
  • British Commonwealth
  • WA State
  • IRS
  • Wisconsin

20
Providing Some Backbone
21
Providing Some Backbone
A few of the things we use the most are the ones
we love the least, like Facebok, which according
to ForeSee Results holds an approval rating close
to that of the IRS. BusinessWeek 8/16/10
22
Government as Backbone
  • Post Office
  • Public Apps Package services
  • Private Apps Ad/coupon packages
  • Public Employee Health Care Plans
  • Private apps on public background
  • FEHBP
  • Connecticut municipal pool
  • Health exchanges?
  • A Counter-Intuitive Public Pensions?

23
The Life Raft
  • Cut services or raise taxes?
  • Grandparents or grandchildren?
  • Public vs. Private?
  • ROI

24
Questions?
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25
Public Works LLC
www.public-works.org
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