Showing posts with label Wishard Hospital. Show all posts
Showing posts with label Wishard Hospital. Show all posts

Wednesday, November 4, 2009

Parting Thought on School Referenda

Last night on WXNT, radio host extraordinaire Abdul Hakim-Shabazz, Marion County Libertarian Party Chair Tim Maguire, and I read the tea leaves on the Wishard and school ballot referenda and dissected in every conceivable way what it all means. Are referenda's a good way to govern? Is the property tax outrage of 2007 gone? Do property tax initiatives fail in low turnout years? How much does organization and money help proponents?

All fair questions, but during the discussion last night I mistakenly stated that the Superintendent of Franklin Township Schools had threatened to take away bus transportation if the referendum failed. I confused him with the Superintendent of Beech Grove, and I wanted to apologize for my error.

But now it makes more sense why Beech Grove's referendum passed and Franklin's didn't. Abdul offered that there are fewer non-parents in Beech Grove. I agree. But I am adamant that it's always easier to stomach an increase if you have the impression of being able to"earmark" it or "control" it as a voter. We don't cut blank checks to government, but we will cut one for a good cause, which is also why Wishard won with close to eighty-four percent approval. (Kudos to Matt Gutwein and the proponents of Wishard. They ran such an impressive campaign that they demolished my prediction of 74% approval).

Also, while we all know objectively that dollars are fungible goods that can be moved in a budget from line A to line B with quickness, it's easiest to sell a tax increase if people can do a cost-benefit analysis of the per day benefit versus the per day cost. This is why Sally Struthers tells you that you can feed an entire village for $.42 cents per day. If she told you to send $150, you wouldn't do it as readily.

In Beech Grove, the increase would be $117 per $100,000 of assessed value. For that average person, that's less than $.50 per day for to and from transportation to school. What parent wouldn't pay this instead of buying the gas and having to rejigger their schedules?

But another thing that matters is the groundshaking that occurs from events predating the referenda. I've had colleague after colleague in Franklin tell me they are getting absolutely socked. That's not a hospitable climate for any referendum for any cause. As I said last night, if you have a history of budget-busting items like "the palace" in Franklin (as critics term the high school), you shouldn't expect anybody to give you the benefit of the doubt when you really are in a pinch.

Superintendents of Indiana, take heed. You can't cry wolf and expect not to get devoured if you haven't been a good shepherd over the taxpayers' dollars.


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Sunday, November 1, 2009

Wishard Hurts Self With One-Sided Shell Game

As I said on Abdul in the Morning on Friday, I'm expecting the Wishard referendum to pass. I cast my vote weeks ago in favor. But I would be lying if I didn't tell you this process has made me a bit queasy.

On policy debates, there are two components: the policy merits and what I'll call the debate and information distribution process. Unfortunately, the latter can often overshadow or complicate the former, and this happened here.

Here's what I know.

First, nobody can read the Wishard referendum language without thinking that it is insanely one-sided in its phraseology. Perhaps this is just human nature, but I think most people assume when you have to bias so markedly the question that the drafter must think a fair phrasing would result in a different outcome to the question. That suggests fear, which makes people wonder, "What aren't you telling us?"

Second, nobody can guarantee that no taxes will need to be raised over the next thirty years to cover the bond service on a new Wishard. Nobody can even tell you no property taxes will need to be raised in the next thirty years. While I am reluctant to second-guess HHC CEO Matt Gutwein (after all, he is, by far, one of the smartest guys I know, and he's 4-0 before the United States Supreme Court), I think he did his cause a disservice by repeatedly stating with certainty something that can't be said with certainty. Fortunately, he has changed his approach. Though he repeatedly stated during his presentation to the Washington Township Democrat Club about six weeks ago that no tax increase would accompany the construction, here's what he said this week at the Rotary:

"The level of risk that the property taxpayers are taking in Marion County is a very small level of risk, and I don’t think at all it is disproportionate from what the county receives from Wishard."

Matt should have just said, "In life there are no absolutes. We will have the authority to tax you for this hospital. But it's not going to happen and here's why...."

Third, by the time we get to the time where any tax increase will be needed, none of the principals who helped push this will be in elected office or at HHC. For those who are so inclined, there will be nobody to "hold accountable," and I don't suspect saying "I told you so" through their dentures would be all that satisfying.

Fourth, too many people in my party act like if we get money from the federal government, it's not really money. If we get to build a new Wishard because the government is subsidizing bonds, it's not like we found the money in a parking lot. Also, if IU has to absorb the cost of demolishing or renovating the the old hospital, that is a cost as well that will likely be passed on through even higher tuition for students.

Fifth, Wishard tells you that if something happens to its revenue stream, (which is likely during the lifespan of these bonds), that it can avoid a tax increase by diverting some of its operating budget. But Wishard never told us (nor could it at this point) what services it would have to cut that it is currently offering.

Sixth, I was not surprised that every other hospital in the city supports a new Wishard. This ensures that low-income or no income patients aren't in their pristine new buildings. If there is racism in this process, Amos Brown, it's not just that white guys don't want to pay to build a hospital for "the indigent" (code for "a lot of brown and black folk"). It's that the other hospitals don't want to live without a place where they can ship what they perceive as their undesirables.

Seventh, Wishard acts like if this referendum didn't pass, it would have to close. It acts like if the refendum doesn't pass, any police officer shot in the future will die. This isn't true. Wishard could continue to renovate by shifting some of its apparently easy to shift general revenue into incremental renovation.

Eighth, I really am starting to see the power of the "Indianapolis construction complex," an alliance of construction companies, engineers, architects, law firms, government agencies, and the building trades, that seems to always make sure there is a major construction project going on at every moment in Indianapolis. It is an unstoppable juggernaut.

So, why, you may ask, iPopa, do you support the hospital?

Because, without inking a deal now, we will pay more in the future to keep Wishard up and running. Because I do not believe any tax increase will occur for the first decade, and then it won't be more than a nominal increase for the value provided, even if the total cannot be capped, and because I strongly believe what I said about the other hospitals. They will not absorb a Wishard overflow.

Further, if HHC did divert revenues later to offset what would be lost by foregoing the Obama bonds, care would suffer. HHC has numerous community-based treatment centers that would probably be the first thing on the chopping block. Only through new construction will indigent care in Indianapolis stay strong, and I view it as an indicator of our humanity how well we care for our sick. Plus, this project will create desperately needed construction jobs.

Finally, though I love the Colts, I'm just glad this time the Indianapolis Construction Complex is on the side of something a bit more noble than grown men playing a game.


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