Archive for the ‘Fiscal Stimulus’ Category

Fix the Nursing Crisis!

Monday, January 19th, 2009

Here is an eye-opening forecast by the Robert Wood Johnson Foundation:

“The nursing shortage in the United States is intensifying: it is expected to triple over the next 13 years, leaving a shortfall of 340,000 nurses in 2020.”

For the U.S. to get itself back to “even” or “normal”, an EXTRA 34,000 nurses would have to graduate and get licensed each year. Somewhere there’s another forecast that said 1.5 Million nurses would be leaving the workforce in the next ten years and that only 1 Million new nurses would be trained. In that scenario, there is an urgent need for an EXTRA 50,000 nurses each year.

Today, the media is reporting on trillion dollar proposals for bank bailouts, fiscal stimulus, and throwing borrowed money at the American people via tax “rebates.” Wouldn’t you feel better to have a list of specific, concrete goals for worthwhile, valuable projects in front of you?

The politicians’ catchphrase is “shovel-ready.” By that, the idea is to jumpstart the “economy” by funding only projects like roads that can be started the next day (or month). “Shovel-ready” is some kind of red herring requirement. It just takes our focus off the big picture. Who says that the U.S. shouldn’t try to catch up? And catching up can also take a few years.

Back to the shortage of nurses . . . a dramatic push to save the medical system would seem to be a very popular, visible, and valuable program. The existing nursing schools report turning away qualified applicants simply due to lack of space. There are plenty of American men and women want nursing as a career. But lack of teaching staff and facilities and money is the cause of the crisis. And, the crisis is going to worsen each year.

This is a completely understandable situation. Perhaps the whole world has heard of the baby boom . . . except the U.S. Congress. The baby boom has been common knowledge for years so the nursing shortage is no surprise. First, the baby boomers expanded the number of nurses. Second, the baby boomer generation is a big generation, and they’re retiring. Third, these retired boomers themselves will create their own huge demand for medical care.

This week, Barack Obama is sworn in as president. In 1960, John Kennedy was sworn in as president. Both are known for their eloquence. John Kennedy stated his goal to put an American on the moon within ten years. I’d like to hear Barack Obama set a goal to train an extra (that’s extra) 340,000 nurses within ten years.

Click here to contact your representatives in Washington, D.C.:
Our Elected Officials. Tell them you want a stimulus package you can believe in.

–- Byron

References:


Charting Nursing’s Future, Robert Wood Johnson Foundation, April, 2008.
The Age Quake.

Fix America First!

Friday, January 9th, 2009


There are about 600,000 bridges in the United States. The most recent
inventory by the federal government states that 25% of them are either
structurally deficient or functionally obsolete. That’s over 150,000 bridges which need major repairs or which need total replacement. A bridge lasts about 50 years.

There are over 4 millon miles of highways in the U.S. Note that the
interstate system has only 46,000 miles, a fraction of the total land
transportation “system.” According to the American Society of Civil
Engineers, over two-thirds of roads are in poor or mediocre condition (TRIP 2005), “resulting in $54 billion per year wasted on repairs and operating costs.” That’s waste! That’s $54 BILLION that’s thrown away due to the bad structural condition of the roads. It’s as if fixing the problem would cost just about nothing as the “waste” would stop.

Let’s skip all of the mind-numbing statistics. The above two paragraphs
tell us that the U.S. is in bad shape when it comes to bridges and
highways. It’s accepted as reasonable that state and federal governments collect a user fee on each gallon of fuel to maintain the system. However, that fixed charge per gallon has not been increased to keep up with the rising costs over the years. So, the fees buy less each year, and the bridges and highways deteriorate, and you, whether commuter or long-haul truck driver, suffer. Plus, in this era of demand for “fiscal stimulus,” bridges and highways are a great investment. It almost looks like we’d get our money back by fixing the problems as quickly as possible.

In a letter to Speaker Pelosi, the American Society of Civil Engineers
said: “Among those needs are over $50 billion a year in additional surface transportation funds, which would go toward correcting the nearly $100 billion in lost productivity every year due to traffic congestion. As those automobiles sit in traffic, the condition and safety of our nation’s bridges continues to worsen, costing an estimated $140 billion to repair all bridge deficiencies.”

How much planning does it take to start re-surfacing? It’s “shovel-ready” today! Once started, why stop? In the Sun Belt, the work can continue year-round. Tougher projects like bridges are also ready to go, but just need funding. Meantime, the new engineering projects can be put to blueprints. And, the full program will be a dynamic growth engine for at least 5 years.

A 50% increase in the per gallon user fees would put us on the road to
dramatic improvements. The total catch-up will take several years. However, the extra work and jobs will start immediately. That increase would be about ten cents per gallon. The alternative seems to be that the U.S. falls further into the hole . . . a national pothole.

This “infrastructure” program fits nicely into the “fiscal stimulus” being
put together today. Construction is not just a bunch of folks running
paving equipment. It means equipment gets manufactured, engineers are busy, and the office staffs and computers are whirring. First, it is an
investment where Americans get the benefits. Second, it requires no
borrowing of money. Third, all the jobs go to Americans.

Fixing America first is a great way to go.

Click here to contact your representatives in Washington, D.C.:
Our Elected Officials. They understand shovels.

– Byron


References:


Bridge Inventory: Total and Deficient (See page 19).


Highway Mileage by State ( See page 18 ).

Testimony of The American Society of Civil Engineers
( See page 8 )
.


American Society of Civil Engineers’ Letter to Speaker Pelosi.

American Reconstruction

Monday, December 1st, 2008

Typical working Americans are reeling from the decline in
jobs, income, and savings. Our country is now setting a new
record in the number of people receiving foodstamps. It’s
at 30 Million people qualifying for a welfare benefit now.

Second, the Medicaid medical safety net is covering
65 Million. This program alone represents a fortune in
taxpayer expenditures.

Third, one in 10 mortgage holders was either delinquent on loans in September or in foreclosure. In this fragile American economy running on credit, it is clear that the men and women who lose their jobs
simply cannot pay the mortgage.

Fourth, there are over 10 million people unemployed. That’s what’s used by the media to report the official “unemployment rate” of 6.7%. But that’s not the best measure. Here’s why. Remember, if you mowed a lawn for your brother-in-law last month, and he gave you $10, you are counted as “employed” by the government. Are you just working a half-time job when you need and seek full-time work? What if you have given up finding a job? The “unemployment rate” does not count you as unemployed.

The Labor Department does have another statistic that includes all of the unemployed and underemployed. Today it’s at 12.5%. My rule of thumb is to double the traditional measure to get to the American “misery rate.” Thus, there are over 20 million men and women who have been jettisoned from the workforce.

What’s the way to lift this burden on millions and millions of people in these dire straits? What’s the best way to drastically reduce the government pay-outs?

JOBS! Put these people to work, and they won’t need food
stamps, Medicaid, and the unemployment insurance benefits.
Solving the JOBS PROBLEM is a win-win-win approach.

Jobs should be the primary goal of any fiscal stimulus package
which Congress creates. And, that can also be the goal
of state and local governments. They just don’t get enough
bang for the buck when they give away tax credits. That’s
a proven fact.

If the federal government is determined to “borrow and spend,”
then wouldn’t we like to have full confidence that we Americans
get something worthwhile? Something of permanent value?

The only way to do that is to guarantee that the money
is all spent in the U.S. and employs Americans. That will
create jobs. Second, to get a benefit of truly lasting value,
the first and best solution is to repair and re-build infrastructure.
“Infrastructure” means physical, visible, long-lasting
improvements. That includes highways, railways, bridges,
water systems, and sewers. There has been a growing backlog
for years. And, it’s so democratic. Infrastructure benefits everybody.

Example 1: I am personally familiar with a small town which
has water lines 105 years old. When it was built, the life
was estimated to be 110 years. Goodness! What would life be
like if you couldn’t get water out of your faucet? What if
you couldn’t flush your toilet?

Example 2: Who can tell me what it costs to commute to work on roads and streets that feel like washboards? Ever break an axle or a shock absorber? I have. And, during your daily commute, your vehicle itself vibrates, shortening its life.

Example 3: How about that bridge in Minnesota that collapsed? The backlog of bridge repair and replacement is huge. When will the
next collapse occur?

In summary, if some work is done sooner than absolutely necessary, then that’s okay, too. It’s not frivolous make-work. Better sooner than later. Better safe than sorry. Building infrastructure is the way to get America moving.