Archive for January, 2009

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.

The Bailout Congress

Monday, January 12th, 2009


In November, Bill Maher had a great line regarding the “financial fiasco”:

“New Rule: Hank Paulson must drop the $700 billion in bailout money from a plane and let everyone scramble for it on the ground. Sure, it’ll be chaos, but at least this way we have a chance of getting our money back.”

Yes, it’s a funny line. But, the satire does not need to stop with the
Paulson bailout.

Try this one. Since the 1970’s, every candidate for president, for the
House, and for the Senate has promised to deliver “energy independence”. That is, to reduce American dependence on foreign oil.

One part of the program was to establish some standard for gas mileage for a car manufacturer to meet. It was a standard for their “fleet” so the
company could still offer a range of cars. It sounds like a way to reduce
consumption of gas. However, the Congress then created an exemption for pick-ups. Later we find that the definition included the most gas-guzzling SUVs. Yes, a SUV is a “pick-up,” said the Congress.

And, then the Congress outdid themselves using the tax code. They gave an incentive for businesses and self-employed people to purchase gas-guzzlers. Thus, folks could take a 100% deduction of the costs immediately. For example, anyone purchasing a $75,000 SUV wrote off $75,000. In the highest tax bracket, that meant the federal government gave the owner $25,000 plus. And, the government borrowed the money from China to fund the giveaway for Americans to buy more gas-guzzlers.

Next, how about that foreign oil? Well, the Congress approves of going to war in Iraq to protect the foreign oil supply. World’s only superpower, you know. So, the federal government borrows more money from China to pay for that war. (Are we seeing a pattern here?)

And, guess what? The price of gas soared above $4 per gallon. Now few people want to buy such vehicles. Thus, the auto companies are losing money because they staked their success on gas-guzzling big-ticket vehicles. So what happens now? Well, the Congress says it has to bail out the auto companies. And, of course, to do that they have to borrow more money from China.

Maybe Bill Maher is actually on to something. Maybe throwing money from airplanes, or maybe from skyscrapers, should be discussed in Congress. All things considered, it might have cost America less.

In 1928, on his radio program, Will Rogers observed: “No nation in the history of the world was ever sitting so pretty. If we want anything, all we have to do is go and buy it on credit. So that leaves us without any economic problems whatever, except some day to have to pay for them,” he told America. “But we are certainly not thinking about that this early.” One year later, the stock market crashed big-time. Oh, yes, it rose to new records before finally settling to a new low in 1932. Stocks had lost 90% of their value.

Click here to contact your representatives in Washington, D.C.:

Our Elected Officials
. Tell them you want a bailout you can believe in.

– Byron


References:


“Real Time with Bill Maher,” HBO, November 14, 2008.
New Rules.

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.