Direct-care workers make up a low-wage, high-turnover workforce, but the demand is growing for long-term care by an aging U.S. population
What kind of work do you do? What is your income? Are you a man or woman? How many are employed at the firm where you work? Do you work full time or part time? Answers to these questions are key determinants of an individual’s likelihood of having health insurance, according to the October 2007 EBRI Issue Brief, published by EBRI.
Source: American Red Cross and Council for Excellence in Government, October 2007
From the press release:
The nation’s RQ (Readiness Quotient) -a barometer of the public’s preparedness for a weather emergency, natural disaster or terrorist attack-inched up nearly a point from 15 months ago, according to a report released today by the American Red Cross and the Council for Excellence in Government.
The nation’s collective level of preparedness has increased to 4.14 out of a possible 10, compared to 3.31 in June 2006. The survey found that the biggest gains were in the public’s level of preparedness awareness, but more work needs to be done to engage people in taking preparedness actions.
• National results
• Test Your RQ
• Online education module
• 2006 report
From the summary:
The future of disability in America will depend on how well this country prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades.
From the summary:
A growing number of states are adopting or considering a key corporate tax reform known as “combined reporting.” Most large corporations consist of a parent corporation and its subsidiaries; combined reporting effectively treats the parent and most or all of its subsidiaries as a single corporation for state income tax purposes.
Almost half the states with corporate income taxes have adopted combined reporting. Five states have enacted the reform in the last three years, and several others have seriously considered doing so. A major reason for states’ growing interest is their recognition of how badly corporate tax shelters that exploit the lack of combined reporting are eroding state corporate tax payments. Corporations have devised a wide variety of strategies to artificially shift profits to out-of-state subsidiaries. Combined reporting largely negates these strategies by enabling the state to tax a fair share of the profit shifted into a related, out-of-state corporation.
This report discusses some of the corporate tax-avoidance strategies to which non-combined reporting states are most vulnerable and explains how combined reporting can help a state preserve a strong and fair corporate income tax.
From the press release:
A new independent analysis of the nation’s Medicaid program by the accounting firms BDO Seidman/Eljay,LLC estimates states are underfunding the actual cost of providing seniors’ critical nursing home care by at least $4.4 billion annually, or, $13.15 per patient day – representing a dramatic 45% increase from 1999 ($9.05) through 2007. The new study also found that the states with the greatest disparity between the actual cost of providing quality care and Medicaid reimbursements are, in order of severity, Illinois, New Jersey, Wisconsin, Minnesota, Vermont, New Hampshire, Missouri, Delaware, Washington and Massachusetts.
The State & Local Finance Data Query System (SLF-DQS) allows flexible presentation of data from the Census of Governments State and Local Finance series. That series contains detailed revenue, expenditure and debt variables for the United States, each of the 50 states, and the District of Columbia for 1977-2004. The data are available by type of government: state, local, state and local totals, and local government detail. All data presented are state aggregates of finance data for the selected level of government. Users can view the data along different dimensions, in real or nominal dollars, and on a per capita or fraction of personal income, general revenues or total expenditures basis. This tool is useful for comparative, single state, or time series analysis.
From the summary:
Price transparency encourages consumers and others who make decisions on their behalf (e.g., employers, health plans, referring practitioners) to consider price alongside quality in their health care decisions. Governments, employers, and insurers have ratcheted up their interest in price transparency in an effort to improve outcomes and slow the rate of health care expenditures.
President Bush has said he will veto the appropriations bill that funds the Departments of Labor, Health and Human Services, and Education for the coming fiscal year if Congress sends the bill to him with funding at the level either the House or Senate has approved. The Administration says the funding provided in the House- and Senate-passed bills is “excessive” and “irresponsible” and has sought to portray them as part of a congressional plan that would constitute “runaway spending.” This short analysis finds these claims to be misleading or inaccurate.
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Local government spent $82 billion to provide sewer and water services and infrastructure in FY2005, up from $45 billion in FY1992. The local government share of spending on sewer is just over 95 percent, and the state share is just under 5 percent. The local government share of spending on water supply is over 99 percent. Total spending on sewer and water from 1991-1992 to 2004-2005 is $841 billion.
The trend is for greater spending levels. Factors contributing to the increased need for investment include: population growth and land use development; an aging water infrastructure that needs constant maintenance and rehabilitation; and climate change impacts that threaten water supplies from drought; reduced snow-pack; salt water intrusion on coastal aquifers from rising sea levels; increased storms, hurricanes and flooding that require infrastructure hardening.
Local government is the primary investor in public-purpose sewer and water. Costs and spending will increase dramatically over time, and the added costs from climate change impacts are not currently included in infrastructure financing discussions. The nation’s cities need more help from the federal government and greater access to private equity to address investment needs over the next 50 years.