Tuesday, January 17th, 2017 | Allison Rizzolo
Attracting large numbers of people to vote is important to all participatory budgeting (PB) processes. In doing so, it’s also important to attract residents who represent the demographics of a community.
However, voting is not the only participatory part of PB. When a diverse spectrum of residents participates in other parts of the (PB) process – when they show up for brainstorming sessions, when they volunteer to be budget delegates and develop project proposals – funded projects are more likely to meet the broad needs of the community, rather than the interests of a select few.
District 9 in Long Beach, California, introduced PB in 2014–15. In their first year, the district achieved a relatively high turnout compared with other communities in the U.S. and Canada. But organizers wanted to see greater participation throughout the PB process, not just in voting. They also wanted to boost participation from communities that were underrepresented in 2014-15, including Latino and low-income community members.
Organizers adjusted their outreach strategies, inviting members and leaders from these communities to serve on their district’s PB committee. New committee members helped identify locations for advertising about PB, including churches, grocery stores, restaurants and other community businesses.
Gary Hytrek, professor of geography at California State University Long Beach, has been the evaluator of the Long Beach PB process since its inception with graduate student Andres Temblador. He told us “these new outreach strategies worked to broaden overall participation.”
While voter turnout for Latino and low-income residents remained consistent from 2014-15 to 2015-16, participation across other stages of the PB process was higher. For example, there were more Latino budget delegates and low-income delegates and assembly participants in 2015-16.
In our recent report on PB, Gary reflects on the outcomes of a diverse PB process with broad participation:
We feel that this broader participation…is leading to a more diverse group of community members learning leadership skills, building connections with other participants and gaining trust in government. We’ve seen PB connecting community members with one another within District 9 and helping community members in the district build connections with residents of other parts of Long Beach. These types of outcomes are difficult to measure and take time to develop, but we feel confident that our focus on diversity in participation throughout the process is helping to build community in District 9.
Based on his team’s experience, Gary offers suggestions for other communities seeking to increase diversity and broaden participation in PB processes:
- PB organizers should prioritize getting leaders from a diverse set of communities to join their processes’ steering committees. Leaders who work with traditionally marginalized communities, who are often underrepresented in political activities, can have insights into where and how to reach people—as well as into how to mobilize them.
- PB processes must partner with organizations and businesses in the community. Community-based organizations and neighborhood associations are key collaborators in outreach and implementation. Processes can also benefit from reaching out to and partnering with local businesses for outreach, especially small businesses such as local restaurants.
- Outreach should be guided by research. PB evaluation that includes collecting demographic information on who participates in PB throughout the process and how they heard about the process is critical to helping inform and improve outreach strategies.
Read more stories about PB across the U.S. and Canada in our recent report, “A Process of Growth: The Expansion of Participatory Budgeting in the United States and Canada in 2015 – 16.”
Friday, January 13th, 2017 | Public Agenda
Progress Our States and Communities Are Making
On their own and in partnership with the White House, they have been giving us hope for the future, a top presidential adviser writes.
used his farewell address to issue 5 warnings about US democracy (Vox)
The president named five specific threats he said he felt American democracy was currently facing: economic inequality, racial tensions, polarization, foreign threats, and decaying democratic institutions. “How we meet these challenges to our democracy will determine our ability to educate our kids, and create good jobs, and protect our homeland,” Obama said.
democracy is bipartisan (The Hill)
The tremendous challenges that the United States and the world face can only be confronted through a mixture of vigorous democratic debate, as well as relearning the art of bipartisan cooperation and compromise. It was in this spirit that the International Republican Institute (IRI) and the National Democratic Institute (NDI) came together last month to host a bipartisan celebration of our common quest to help build the architecture of democracy worldwide.
Manigault joining Trump's White House staff to focus on public engagement (AP)
A memorable contestant in the first season of "The Apprentice," Manigault is expected to join President-elect Donald Trump's White House staff, according to two people familiar with the decision. Her job is expected to focus on public engagement.
Civic Participation Worldwide (Stanford Social Innovation
How civil society organizations can come together in the defense of civic space.
to Digestible Citizen Engagement (Bouldin Labs, via Medium)
The goal is not to make these decisions seem uncomplicated and obvious. It is important that citizens see that there are many factors in play and that supporting one area may mean making a painful cut someplace else. Part of building public trust is displaying complexity so that there is a shared understanding when cuts do need to be made. Presenting this complexity in a simple way will help citizens understand the tradeoffs and give actionable feedback about their preferences.
great wage experiment begin (Crain's New York)
Economists are smiling at the minimum-wage increases that have just swept across the country. It's not because they favor the measures, though most do. It's because they will now be able to settle one of the most contentious issues in their field: Do minimum-wage increases cost jobs or not? New York will play a key role in answering that question. The numbers are eye-opening. Nineteen states increased their minimum wages around Jan. 1—seven because they adjust their wage floors based on inflation; the rest because of new legislation or ballot measures. It is the largest number of increases ever when the federal minimum remained unchanged.
Research Needs a Policy Makeover (Education Week)
Carolyn Sattin-Bajaj, a professor at Seton Hall University, writes: Education researchers must engage in debates across the political spectrum. The recent emphasis in higher education on interdisciplinary, multi-method research has not included a similar push for the inclusion of multiple ideological perspectives. The tendency to work with scholars who concur on political and policy-related questions contradicts evidence about the value of diverse perspectives for improved decision making.
Diversity Is Needed for Ed. Scholars' Work to Be Relevant
On the cusp of Donald Trump's inauguration, Frederick M. Hess warns that policymakers could sideline education scholarship because of its left-leaning bias.
Graduation Rates Are Deceiving. Here Are 7 Things That Would Help (NPR)
High school graduation rates are improving, but an investigation into the numbers shows some of that is due to quick fixes. Policy experts respond with their suggestions for real progress.
Cabinet Nominees Who Could Affect Education (The Atlantic)
The U.S. Department of Education is not the only office with power over student-related policy.
Higher Education & Workforce Development
Gaps in New York's Free-College Plan (The Atlantic)
Critics worry that the students who need the most help might be among the least likely to receive it.
Transparency in Higher Education Will Help Improve Student Outcomes (U.S. Department of Education)
The Department announced a roadmap to support researchers in accessing appropriately protected student aid data for these kinds of studies. That includes partnering with the Federal Reserve Board through an “Advancing Insights through Data” pilot project to study student loan repayment plan selection and the relationships between income-driven repayment plans and outcomes like student loan defaults. They’re also working with researchers to better understand their needs and inform the creation of a privacy-protected, public-use microdata file from the National Student Loan Data System (NSLDS) that can facilitate valuable research and other studies of higher education. The Department plans to have conducted researcher engagement and announced the outcome of those discussions by October.
Colleges Rethink Remedial Education (KALW.org)
The California Acceleration Project is working with about two-thirds of the state’s 113 community colleges to create more accelerated remedial math and English programs, and shorten the amount of time students spend taking classes that don’t count for college credit.
Plan Would Create Many Jobs That Require Some College (Community College Daily)
Almost a quarter of the new jobs would go to people with postsecondary vocational certificates, industry-based certificates or some college but no formal degree, according to the analysis. More than a fifth (21 percent) of them would go to managerial positions for highly educated workers with two-year, four-year or graduate degrees. More than half would go to high school graduates or dropouts, but many of those jobs would require some formal or informal on-the-job training.
time to shake up traditional learning, employment pathways?
Traditional learning-to-employment pathways are becoming a thing of the past, and educators and employers should instead focus on supporting competency-based approaches to education, training and hiring. The case for a different focus comes from Innovate+Educate, a national nonprofit that works to create new employment pathways. The nonprofit released a new paper that makes the case for competency-based education.
Bipartisan Problem: The Sick Are Expensive And Someone Has To Pay (The
Wall Street Journal)
Congress has begun the work of replacing the Affordable Care Act, and that means lawmakers will soon face the thorny dilemma that confronts every effort to overhaul health insurance: Sick people are expensive to cover, and someone has to pay. ... If policyholders don’t pick up the tab, who will? Letting insurers refuse to sell to individuals with what the industry calls a “pre-existing condition”—in essence, forcing some of the sick to pay for themselves—is something both parties appear to have ruled out. Insurers could charge those patients more or taxpayers could pick up the extra costs, two ideas that are politically fraught.
Asked People What They Know About Obamacare. See If You Know The Answers. (NPR)
But many of those surveyed in a new NPR/Ipsos poll got it wrong. About half believed that the number of people without insurance had increased or stayed the same, or they said they didn't know what the law's effect has been on insurance coverage. That was a failure of communication on the part of the Obama Administration, says Bill Pierce, a senior director at APCO Worldwide, who advises health care companies on strategic communications. "They needed to use the president more," said Pierce. "If this was his number one achievement, and something he was proud of doing, it was the kind of thing that he needed to be out there and talking about all the time."
Chan on the ‘black box’ of rising costs, inconsistent care
(Stanford Medicine News Center)
A physician and economist, Chan aims to shed light on why costs and patient outcomes can vary widely, even from one hospital to the next in the same city.
Hard To Be A Small-Time Family Doctor These Days, New Data Shows (The
The price of health insurance just keeps going up. Until recently, though, a crucial part of how those prices are set was invisible to the public: the negotiations between doctors and insurance companies that determine how much patients are charged. The story of that contest, carried on fiercely behind closed doors for decades, is now partially in public view, and the new data contains tantalizing clues about where prices for health care really come from.
Failed Cure for Health Care Costs (Slate)
Online price-comparison tools were supposed to cut our medical bills. Here’s why they’ve failed.
Thursday, January 12th, 2017 | NICOLE CABRAL
Community college faculty have a number of conventional ways to take part in campus decision-making, including faculty senates, committees and councils. But too often, those conventional mechanisms for input or consultation still leave faculty feeling “out of the loop” and frustrated that the most important decisions seem to be made from above or outside. Faculty would like more productive, meaningful opportunities to engage with each other, administration and students.
Regardless of the changes college administration are seeking, it is now widely recognized that not even the best ideas will live long enough to thrive without the active engagement of faculty. Higher education reform work is ripe for more deliberative, dialogue-based forms of faculty engagement. The broader public engagement field offers some ideas and models that colleges may draw upon as they seek to bring faculty, and even the broader community, into decision making.
For the last three years, Public Agenda has partnered with the League for Innovation in the Community College’s (“the League”) on their Faculty Voices project. We have asked ourselves at each step of the way: What would it look like for faculty to explore and co-create more sustained, deliberative forms of participation?
We worked directly with community college faculty to hold conversations on increasing student success. We also created a set of resources, including the Choicework discussion guide “Expanding Opportunity for All: How Can We Increase Community College Student Completion?” and a facilitation toolkit called “Facilitation Challenges and Interventions: Video-Based Training for Facilitators”. All of these trainings, resources and tools are designed to enhance the ability of colleges to tap the insight, expertise and commitment of faculty as genuine partners in innovation on behalf of helping more students succeed.
We have also sought to bring in our engagement expertise from outside of higher education, itself anchored in deep experience with community problem solving.
Based on that experience, together with what we’ve learned in our partnership with the League, we believe that there are two approaches to broad-based public engagement that could be of particular value to community colleges committed to innovation: Participatory Budgeting and the Study Circle.
Participatory Budgeting (PB) is a democratic process that started in Brazil in the 1980s in which ordinary residents decide how to spend part of a public budget. Over thirty years later, PB has proliferated in several countries, including the United States. In the U.S., PB is among the fastest growing forms of public engagement in local governance. The process is not complicated, but it is intensive for both participants and for elected officials and their staff. Participants in PB meet to brainstorm ideas for projects to fund and develop project proposals. A broader group of participants then vote for projects. PB funds are then awarded to winning projects.
The process has been adapted for different contexts, including college campuses. For example, Brooklyn College and Queens College, both part of the City University of New York (CUNY) system, have recently implemented PB processes on their campuses. Brooklyn College has allocated $25,000 for the process and Queens College has set aside $5,000.
Our intern Janice, a Queens College student, participated in the PB process on her campus. She wrote of her experience, “Though this was only the first cycle, participatory budgeting as a tool for civic engagement at Queens College noticeably brought the community together. PB has the potential to build real student power and radically change the way CUNY allocates funds.”
Currently, at both Brooklyn College and Queens College, only students participate in the process. However, it would be would be groundbreaking to create a truly democratic process where everyone in the campus community could participate in making these budget decisions.
Another democratic process that would be a great fit for any college is the study circle process. Portsmouth Listens is an example of a study circle that can serve as a model. Portsmouth Listens is a deliberative engagement process that brings together citizens of Portsmouth, New Hampshire, to collaborate on issues affecting residents, including reducing bullying in schools and discussing the city budget with elected officials.
A core group of 8-12 people are responsible for deliberating like a jury or policy board on the issues at hand. These dialogues are facilitated by a neutral moderator. The group then conveys its insights to local legislators. This process works because legislators honor their resulting conclusions. Portsmouth Listens organizes citywide dialogues in which anywhere from seven to 30 such groups have worked with the same question.
The keys to success for these engagement processes have been that they are ongoing and sustained, and include a diverse group of people that are able to participate in different ways. In both examples, community building is at the core, which allows participants to gain trust in the process as well as each other. Most of all they are fun and interesting.
Leaders and officials support and value these forms of participation because they offer opportunities for “ordinary” people to be involved in real decision making. They are not just some throw-away effort from leaders to pacify the hopelessly disenfranchised and to create the illusion of public involvement kept at a safe distance from real decision making.
Both of these models of deliberative engagement can easily be adapted to college campuses. They would be particularly useful community colleges, offering faculty, administration and students more productive and meaningful opportunities to engage with each other and contribute to the decisions that affect their lives.
Tuesday, January 10th, 2017 | Allison Rizzolo
Last year, the number of communities in the U.S. and Canada using participatory budgeting (PB) swelled from 46 to 61, with 24 communities launching a brand-new PB process.
Much of the growth in PB in 2015-16 occurred in small cities and towns. Nine of the 24 new PB processes (38 percent) occurred in communities with populations under 50,000. In contrast, only 10 out of all 46 processes (22 percent) in the 2014–15 cycle took place in communities of that size.
Dieppe, New Brunswick, with a population of around 23,000 people, was one of these small towns launching a new PB process in 2015–16. While Dieppe has always had a relatively high rate of public participation in governance, like most communities, it tended to see the same people participating again and again.
In 2014, many candidates for local office ran on a platform calling for better public engagement. In response, a team of citizens led by Luc Richard, the town’s director of organizational performance, and Christine C. Paulin, a professor at the Université de Moncton, worked together with elected officials to implement PB. Christine, who also took on the evaluation of PB in Dieppe, told us “We saw the implementation of a PB process as a real, direct way to pilot these [candidate] commitments to public engagement.”
The effort to improve public participation through PB seems to have worked: three-quarters of PB voters who filled out surveys said that they had not worked with others on a community issue in the past 12 months. Dieppe also saw significant participation from young people. Christine said, “It seemed to us that PB helped young people realize that they could really make a difference in their community; it opened doors.”
In our recent report on PB, Christine offered some tips for other small towns interested in developing new civic engagement strategies or who are interested in experimenting with PB as part of those strategies:
- Use the prospect of a new engagement policy or law as a way to instigate a conversation about what more productive public engagement would look like and how to achieve it.
- City agencies should be engaged in the PB project development phase to help residents understand which project ideas are technically and financially feasible and which are not.
- When recruiting people to participate in PB or other engagement opportunities, supplement face-to-face appeals with broad media coverage, including ads and interviews on TV, radio and in newspapers—which may be less expensive in small towns than in big cities —as well as through social media.
- Involve citizens in legitimate governance roles to help sustain and improve PB.
Read more stories about PB across the U.S. and Canada in our recent report, “A Process of Growth: The Expansion of Participatory Budgeting in the United States and Canada in 2015 – 16.”
Friday, January 6th, 2017 | Public Agenda
Obama Leaves the Constitution Weaker Than He Found It (The Atlantic)
Even for those who admire the 44th president, the constitutional record is disturbingly mixed.
The U.S. might be better off without Congress — and a president (Wonkblog)
How we would redesign the U.S. government if we could start from scratch.
Paper: Pathways to Participation: Class Disparities in Youth Civic Engagement (City & Community)
Research finds that there is a growing class gap in levels of civic engagement among young whites in the United States. Our evidence suggests that a withdrawal of institutional investments in working class neighborhoods (and relative to middle class neighborhoods), along with an increase in population turnover and racial and ethnic heterogeneity, which has disproportionately impacted working class neighborhoods as well, may be important factors in understanding the growing class gap in civic engagement among white youth.
Participatory budgeting as a form of citizen involvement (The Daily Progress)
This is a two-way street. Officials must support ways for deep citizen engagement, making sure that they hear all voices — from the most privileged to the most needy. At the same time, we as residents must be present and educate ourselves in order to effectively advocate for what is needed in our neighborhoods. So, how can we effectively create a system that ensures that democracy is effective?
Participatory Budgeting in Action: An Interview With Filmmaker Ines Sommer (Truth Out)
Count Me In is a documentary that follows the first PB process in the city of Chicago. The film follows residents across different wards, including the 49th Ward that was the first to adopt PB. Brandon Jordan spoke with Ines Sommer, the director of the film, about what interested her in PB, Chicago's processes and what lessons PB offers for the US.
Growth, Not Forced Equality, Saves the Poor (The New York Times)
Eliminate poverty, but don’t worry so much about inequality. Enforcing the Voting Rights Act matters; equalizing possession of Rolexes does not. By Deirdre N. McCloskey, a professor emerita of economics, history, English and communication at the University of Illinois at Chicago.
Prosperity, Not Upward Mobility, Is What Matters (The Atlantic)
There’s too much focus on whether Americans can move up the economic ladder, and not enough on the basic question of their quality of life.
The Rise of a Bipartisan Tax Break for the Working Poor (Governing)
The earned income tax credit is a rare antipoverty program that has enjoyed a long history of bipartisan support among state and federal policymakers.
WSJ’s Daily Shot: The Financial State of America in Six Charts (The Wall Street Journal)
Rising rent and health-care costs are creating challenges for many Americans as wage growth fails to keep pace.
Quality Counts 2017: State Report Cards Map (Education Week)
Find state-by-state grades and summary data reflecting K-12 achievement, finance, and other indicators in this interactive map.
‘School choice’ or ‘privatization’? A guide to loaded education lingo in the Trump era (Washington Post)
We’re used to the politically charged language of the abortion wars. Education has its own version.
The New World of School Accountability (Governing)
As states craft new systems to identify low-performing schools, they should include a broader range of indicators.
9 Questions For The Nation's Top School Counselor (NPR)
Today, first lady Michelle Obama honored the 2017 school counselor of the year, Terri Tchorzynski of the Calhoun Area Career Center in Battle Creek, Mich.
Higher Education & Workforce Development
The In-and-Out List (Inside Higher Ed)
A look at what happened in 2016 and what's to come in 2017 with Inside Higher Ed's fifth annual in-and-out list.
Infographic: For-Profit Colleges by the Numbers (Center for Analysis of Postsecondary Education and Employment)
For-profit colleges were the fastest growing sector of higher education in the 1990s and 2000s, but their share of enrollment has since declined.
The Transfer Experience: a Student Perspective (The Chronicle of Higher Education)
Viewed one way, Andy Hedrick’s story is a positive one. He is one of the few students to start at a community college, transfer to a four-year institution and earn his bachelor’s. But Mr. Hedrick faced several obstacles on his path.
Colleges Must Prepare Students Better for Post-Graduation Jobs, Gallup Report Says (Los Angeles Times)
Career services needs to be more than just an office students visit their senior year, said Brandon Busteed, executive director of education and workforce development at Gallup. It needs to reach students when they're freshmen and incorporate mentors, internships and work experience.
New York takes a stab at debt-free college, covering tuition for families earning less than $125,000 (The Washington Post)
Any New Yorker accepted to one of the state’s community colleges or four-year universities will be eligible for free tuition provided their family earns less than $125,000 a year. The new initiative will be phased in over three years, beginning for New Yorkers making up to $100,000 annually in the fall of 2017, increasing to $110,000 in 2018, and reaching $125,000 in 2019. It would be a last-dollar program, meaning the state would cover any tuition left over after factoring in federal Pell Grants and New York’s Tuition Assistance Program.
Only 20 Percent Of Americans Support Health Law Repeal Without Replacement Plan (Kaiser Health News)
KHN reporter Jordan Rau writes: "The Republican strategy of repealing the Affordable Health Care Act before devising a replacement plan has the support of only one in five Americans, a poll released Friday finds. The Kaiser Family Foundation survey also disclosed that shrinking the federal government’s involvement and spending in health care — the long-sought goal of House Speaker Paul Ryan and other Republican lawmakers — is less important to most Americans than is ensuring medical care is affordable and available."
Repealing Obamacare affects everyone (CNN)
CNN's Tami Luhby traces how Obamacare repeal would affect disparate corners of health care, from Medicare beneficiaries to Americans who get their health care through their employers.
The Health Care Plan Trump Voters Really Want (The New York Times)
After listening to working-class supporters of Donald J. Trump — people who are enrolled in the very health care marketplaces created by the law — one comes away feeling that the Washington debate is sadly disconnected from the concerns of working people. Those voters have been disappointed by Obamacare, but they could be even more disappointed by Republican alternatives to replace it. They have no strong ideological views about repealing and replacing the Affordable Care Act, or future directions for health policy. What they want are pragmatic solutions to their insurance problems. The very last thing they want is higher out-of-pocket costs.
Patients don't trust health information technology (Fierce Healthcare)
More than 50% of consumers are skeptical about the benefits of healthcare information technologies, including patient portals, mobile apps and electronic health records. And fully 70% of Americans distrust health technology, up sharply from just 10% in 2014.
If we knew what things cost, they might cost less (Bloomberg View)
Unfortunately, transparency just isn’t working at the consumer level. There have been a flurry of state laws to mandate price disclosure to patients, and a blizzard of new apps and websites that let buyers compare prices. But they aren’t doing it. Study after study says that patients just don’t shop around based on price, like consumers usually do. That might be because services are so expensive that most patients will reach their deductible, and patients don’t believe purchasing cheaper services will lead to lower premiums in the future. Or it might be because of lock-in effects, in which people are loath to ditch their existing providers. But elsewhere in the industry, transparency seems to have a much bigger effect.
Thursday, January 5th, 2017 | Allison Rizzolo
As members of Congress begin the process for Obamacare appeal, it’s an uncertain and confusing time for many Americans. Patients, caregivers, doctors and nurses, medical administrators, employers and insurance companies are unsure what the future holds for the American health care system.
Below, we share some resources to help make sense of our choices as we prepare for an upheaval in health care. These include issue guides we’ve produced to inspire smarter thinking and better dialogue about our policy choices, reports that outline where the public stands and recent articles that have helped sharpen our own understanding. Do you have resources you’d like to share? We invite you to do so in the comments.
Resources from Public Agenda:
Health Care: A Citizens’ Solutions Guide
We produced this guide in 2012, so some of the numbers aren’t up to date, but the concepts still stand, especially as we again face big decisions regarding the structure of our health care system. This guide lays out 3 possible approaches: adopting universal health care, increasing choice and competition and making small adjustments. Explore the pros and cons of each approach and use the guide to spark better, non-ideological conversations and dialogue.
Curbing Health Care Costs: Are Citizens Ready to Wrestle with Tough Choices?
Everyday Americans are too often walled off from conversations about health care policy. Lawmakers and industry insiders worry that health policy is too complex for meaningful public input. We know that’s not the case. So how do everyday Americans think we ought to tackle rising health care costs? We asked this question in a series of focus groups, during which participants also had the opportunity to deliberate their choices with each other. The findings of those focus groups are summarized here.
How Much Will It Cost? How Americans Use Prices in Health Care
Americans are paying more and more for health care, due to the increase of high-deductible insurance plans and rising co-pays. At the same time, information about how much their care will cost is hard to find. Do Americans feel more information about health care prices can help them protect themselves and their families financially? Would they use that information to shop around? Do they think it’s fair to expect people to seek out health care price information? We summarize survey responses to these and other questions in this 2014 report. We’ve completed this study again and will be releasing an update to the findings in March.
As Republicans And Democrats Argue Over Obamacare Repeal, Facts Are Stretched (NPR)
Both sides are trying to position themselves as the protectors of Americans' health care, while branding the other party as a dangerous threat. As usual, the truth may be somewhere in between.
The Problems With ‘Repeal And Delay’ (Health Affairs)
The most likely end result of “repeal and delay” would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services. Congress should instead roll back elements of the ACA in the same legislation that moves U.S. health care more deliberately toward a functioning marketplace that is less dependent on federal coercion and control. This approach provides the best chance of constructing a replacement plan that moves decisively in a better direction without unnecessarily creating chaos during the transition.
Learning From CBO's History Of Incorrect ObamaCare Projections (Forbes)
Brian Blase argues that lawmakers should be cautious about how CBO scores Obamacare repeal legislation, given the budget office's record of missing on some of its health care predictions.
15 charts that show how Obamacare works now — and how Republicans would overhaul it (Vox)
These charts explain where Obamacare stands right now: who it covers, what is working and what needs a serious fix. They also show how Republicans envision changing the law, who the details would favor, and which people stand to lose coverage. Do you want to try slot games? Then mega-moolah-slot.com is for you!
Tuesday, January 3rd, 2017 | Allison Rizzolo
In Greensboro, North Carolina, it was up to the residents to convince their elected officials that participatory budgeting (PB) was a worthwhile innovation to try.
It can be a tough sell. PB, which enables residents to decide how to allocate public funds, is the fastest-growing form of public engagement in the U.S. PB can and has yielded many benefits, and it helps them be more responsive to community needs and improved their political prospects. Still, PB is very resource intensive, and some argue the budgets and projects devoted to PB are too insignificant to have a real impact on the public-leader relationship.
Yet as Greensboro faced shifting demographics and decreasing trust in government, community members saw PB as a real opportunity to turn things around.
Spoma Jovanovic, professor of communication studies at the University of North Carolina at Greensboro, was one of the Greensboro residents who led the grassroots efforts to bring PB to the city. She says that she saw PB as a chance “to bring about much needed positive change by tapping into the energy and creativity of people talking about and making public decisions to address community needs.”
Starting in 2011, Spoma and her fellow PB advocates devoted their efforts to build grassroots support and convince city leaders of the benefits of PB for Greensboro.
One of their most successful strategies was holding mock PB processes around the city, in churches, schools and a homeless shelter. Their efforts paid off: Greensboro adopted PB in 2015.
, Spoma provides suggestions for other grassroots advocates looking to bring PB to their communities.
- Be patient and persistent. Grassroots advocacy for PB can take time and may require several rounds of turnover among local elected officials.
- Try mock PB processes. Doing mock PB processes can demonstrate how the process works to residents, community-based organizations, elected officials and city staff. Mock processes can help people begin to understand PB’s potential value.
- Get city staff onboard. Inviting city staff to mock PB processes and conferences can help them understand what PB is, how it works and its potential benefits to the city and the community.
- Demonstrate to elected officials that it is in their interest to be involved in PB. Help elected officials understand how PB can help them build trust and improve their relationships with community members. Play best y8 games at the website. Y8 games online play the y8 games, relax, have fun.
More and more PB processes are taking hold as a direct result of grassroots advocacy. If you’re interested in promoting PB to your elected officials, check out our research in the benefits of PB and resources for evaluating PB. And share them with your elected officials!
12.23 Engaging Ideas - 12/23
Friday, December 23rd, 2016 | Public Agenda
Make a Pact: States Increasingly Problem Solve Together
They often fall under the radar, but compacts are becoming a top tool for managing interstate issues.
Harris, Pollster at Forefront of American Trends, Dies at 95 (The
New York Times)
Louis Harris, the nation’s best-known 20th-century pollster, who refined interpretive polling methods and took the pulse of voters and consumers through four decades of elections, wars, racial troubles and cultural revolutions that ran from tail fins to the internet, died on Saturday at his home in Key West, Fla. He was 95.
Tippett Thinks We Can’t Change One Another’s Minds (The
New York Times Magazine)
Q: You’ve suggested on your show, “On Being,” that people shouldn’t necessarily start a conversation with, say, someone of a different political affiliation by looking for common ground, because that means you’re already trying to influence the person. Is there a better way to have these conversations?
A: Even across a lot of our divides, we have a lot of shared questions. Part of my take on this historical moment is that globalization and our technologies are dazzling, but they have so quickly outstripped our ability to turn them to human purposes. What we are pointed back to right now is this human drama that is behind, for example, the Brexit vote and the American election.
the Minimum Wage Debate Ever Be Settled? (The Atlantic)
States are implementing new laws about worker pay. That will provide plenty of research fodder for economists who can’t seem to agree on whether or not raises are good or bad for workers.
Inefficient Health Care, Education and Housing May Be Damaging U.S.
Productivity (The Wall Street Journal)
Public and private spending on health, housing and education sectors have soared from 25% to 40% since 1980, a recent study says.
and Democrats generally agree that their parties do too little for
middle-income and lower-income people (Pew Research)
Partisans also are equally likely to say their parties have done too much for higher-income people: 45% of Republicans think this about the Republican Party, as do 43% of Democrats about the Democratic Party.
Schools Can Have the Great Principals They Need
Effective leadership can make a big difference in public education. States can do more to promote it.
Beef Up School Counseling Corps (Education Week)
A handful of states are reinvesting in their thinning ranks of school counselors in the wake of mounting evidence that counseling support can get more students through high school and into college.
should new teachers know before they set foot in a classroom?
States turn to the experts: Teachers themselves. Elly Eckhoff, 35, was among a group of veteran Missouri teachers who joined representatives of university teacher preparation programs and staff from the Missouri Department of Elementary and Secondary Education for a four-hour forum this fall as part of a state effort to change how teachers are prepared for the classroom and supported once they get there.
Classroom Where Fake News Fails (NPR)
Fake news is everywhere, and many Americans in this digital age struggle to sort fact from fiction. The fix: Teach them when they're young.
Higher Education & Workforce Development
the Educators Trying to Fix California's 'Broken' Remedial Education System (89.3
The old classes taught students to structure sentences into paragraphs and paragraphs into essays, mostly through workbooks. The new class gives remedial students college-level work. On a recent Thursday afternoon, instructor Leslie Tejada led a dozen students in her English 100 class in a discussion of one of the most talked about books this year, "Between the World and Me," by Ta-Nehisi Coates.
Stagnant Wage Premium (Inside Higher Ed)
The wage gap between college degree holders and workers without a degree has not grown in recent years, and a new study says the culprit is information technology's displacement of "routine" jobs.
Dangers of Echo Chambers on Campus (The New York Times)
Nicholas Kristof writes: It’s ineffably sad that today “that’s academic” often means “that’s irrelevant.” One step to correcting that is for us liberals to embrace the diversity we supposedly champion.
Transparency Is Nice. Just Don’t Expect It to Cut Health Costs. (The
Improved transparency isn’t working as well as hoped. Health care pricing apps and websites don’t always help patients spend less. That’s the conclusion from a study published this year in The Journal of the American Medical Association. The study found that price transparency did not reduce outpatient spending, even among patients with higher deductibles or who faced higher health care costs because of illness.
Payment Model That Prevents Unnecessary Medical Treatment
(Harvard Business Review)
As payers and providers in the U.S. health care system shift from fee for service to value-based approaches that pay providers for quality, they are turning to two models: One is procedure- and DRG-based bundled payments that pay one price for all the care related to treating a condition. The other is population-based “global” or “capitated” payments” such as accountable care organizations in which a provider is paid a fixed amount to cover all of a patient’s health needs for a specified period of time. The Center for Orthopedic Research and Education (or CORE Institute) is pioneering an approach that represents a middle ground. It addresses a central criticism of bundled payments: that the approach doesn’t prevent unnecessary care.
Obamacare, Then What? (The Atlantic)
Trump supporters in southern Pennsylvania say the Affordable Care Act has been a let-down. Here’s what they’d like instead.
Both Obama's Greatest Triumph and Worst Failure
That's according to a new Suffolk University/USA TODAY poll, which found that 23.5 percent of respondents named the ACA as the president's signature accomplishment in office, outpolling the economic recovery (21.9 percent.) But 26.7 percent of respondents also said that the ACA was Obama's biggest failure, topping the 15.3 percent who named the wars in Iraq and Afghanistan. Here's the topline: http://www.suffolk.edu/documents/SUPRC/12_21_2016_complete_marginals.pdf.
Thursday, December 22nd, 2016 | Allison Rizzolo
Thanks for visiting On the Agenda, the Public Agenda blog, in 2016! Here are the posts that most interested readers this year. Many of them come from our series on Key Talents for Better Public Participation – we hope you put those skills to work in 2017!
10) Cultural Competence and Engaging Youth: As they build coalitions and recruit participants, participation leaders should think explicitly about cultivating skills for cultural competency and boosting youth involvement.
9) Building Coalitions and Networks: Successful public participation is often built on the foundation of strong relationships among leaders and citizens.
8) Providing Information and Options: Issue Framing: If an issue is framed well, participation leaders will be better able to direct productive dialogue about the problem.
7) Managing Conflict: Understanding the basics of how to manage differences can go a long way toward improving public participation.
6) On Participatory Budgeting and Democracy, We Need Patience, Research And Clear Goals: We have some work to do before we can understand if and how PB is improving democracy in the U.S. and Canada.
5) Elevating Public Views to Rebuild Faith in Higher Education: We believe that efforts to boost college attainment will have the best chance of succeeding if they are informed by and responsive to the needs and perspectives of the American public. Do you agree?
4) Expanding Diversity in STEM Education: With the majority of Americans convinced that STEM skills are crucial for the nation's future, addressing barriers to diversity and expanding STEM opportunities for all students seems a critical goal.
3) Deepening Public Participation: Summary and Resources: Whether dealing with an immediate challenge or building long-term infrastructure, participation skills are a valuable asset for anyone’s proverbial toolkit.
2) Understanding the Debate on Charter Schools: A Nonpartisan Perspective: Given the tenor of public dialogue around the presidential transition, we’re likely to see even more division and emotion emerge around the already controversial topic of charter schools. That’s where we come in.
1) Ten Key Talents for Better Public Participation: Part 1: Throughout the summer (and fall), we shared a series on key skills to help local leaders engage citizens.
A number of our top blog posts this year weren’t even published in 2016! Here are posts from years past that remain interesting to our readers present-day.
Paying for Quality Over Quantity in Health Care: Why the Public Ought to Be Engaged: Engaging hospitals and doctors is crucial to making payment reform work for Medicare, and to proving to private insurers that it can work for them too. It's to policymakers' advantage to include patients in the conversation about payment reform as well. (February 2015)
Parent Involvement in Education - What Really Matters Most?: Just as there are different ways to understand parent involvement, there are also different ways to define student success. (September 2014)
Most Americans Think Government Should Do More to Fight Obesity - Or Do They?: The school lunch dispute is one of several that have emerged when governments try to take stronger steps to combat the country’s rising obesity rates. Is there an appropriate and effective role for government in improving what we eat and helping us maintain healthier weights? What are Americans’ views? (June 2014)
What are you interested in reading about in 2017? Leave your thoughts in the comments below, or tweet us at @PublicAgenda.
Tuesday, December 20th, 2016 | Allison Rizzolo
In most cities, participatory budgeting, or PB, is limited to capital funds: longer-term infrastructure projects such as schools, parks, streetlights and street repaving. Vallejo, California, is the first community in the U.S. to allow voters to propose projects that include services and programs along with capital projects.
PB was adopted in Vallejo 2012-13, shortly after the city declared bankruptcy in 2008. Officials looked to PB to rebuild trust between community members and public officials. They also designed their PB process to fund programs and services, which suffered the deepest cuts following the city’s bankruptcy.
Scholars suggest that, for PB to have significant social impacts in the U.S, the process ought to be applied broadly, beyond capital infrastructure projects. Is PB in Vallejo different from other communities for having funded services and programs?
We asked Alyssa Lane, who coordinates PB in Vallejo from her position in the city manager’s office to weigh in. Here’s what she says about the benefits of PB in Vallejo:
We have seen that the program projects give residents a sense of empowerment and a feeling of giving back to the community. The PB process has given those of us who work for the city better insight into the communities’ needs beyond physical infrastructure and revealed how community members’ diverse priorities align with one another. Additionally, PB brings forth ideas and priorities that may help guide community groups to set their spending priorities for years to come or to encourage them to pursue continued funding from other city, state or federal sources.
Using PB to allocate funding to programs and services has also had its challenges. In particular, it requires more resources – for a process that already is resource-heavy. There are also additional legal issues when PB is used to fund programs and services, especially for projects associated with minors, projects that require allocating funds to private individuals and projects that allocate funds to support programs or services on private properties. Finally, while program and service projects are important and benefit an identified group in need, sometimes they serve a much smaller proportion of the population compared with capital projects.
Based on her and her colleagues’ experiences, Alyssa offers advice for other communities considering including program and service projects in their PB processes:
- Before offering program and service projects, implementers need to sit down with all institutional partners—such as city agencies, school districts and community-based organizations that might be implementing these projects—to establish ahead of time what each is comfortable with and has the capacity to take on.
- The implementing city or district staff should also try to work with institutional partners on all program and service projects and avoid having to take on implementation of these on their own. Find institutional partners who have the right expertise and capacity.
- Processes should design criteria for program and service projects to include a metric for how many people the project would benefit. If the project is an after-school program or an internship program, does it benefit only a handful of kids or schools, or does it benefit many kids across many schools?
- Start small and scale up. Programs and services can be complicated to implement and administer, so PB sites should approach these types of projects in a spirit of experimentation.
Read full case studies about PB in Vallejo and in other communities in our report, "A Process of Growth: The Expansion of Participatory Budgeting in the United States and Canada in 2015 – 16."