Robert Whitcomb: Out-of-State Healthcare; Lethal Bags; Merge 2 Cities

Robert Whitcomb, Columnist

Robert Whitcomb: Out-of-State Healthcare; Lethal Bags; Merge 2 Cities

Robert Whitcomb PHOTO: Bill Gallery (billgallery.com)
Out-of-State Healthcare; Lethal Bags; Merge 2 Cities

 

Southern New England in May might be one of the most beautiful places in the world, with flowering trees everywhere and the smell of new leaves and wet earth in a fresh, clean breeze. But the speed with which the flowers blow off the trees lends a bit of melancholy to the scene.  We have colorful tree drama twice a year – now and in October – and both dramatize the transience of life.

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I got a chuckle out of Jodi Bourque’s argument that Lifespan should be allowed to build a (redundant-for-the-market) obstetrics unit at its Rhode Island Hospital, next door to Care New England’s Women & Infants Hospital, because, she suggests, Rhode Islanders would prefer care from Lifespan because it’s based in Providence. Ms. Bourque, Lifespan’s associate general counsel, was alluding to the plan for Boston’s huge Partners HealthCare to take over Care New England, which owns Women & Infants.

 

But it’s almost inevitable that some other big out-of-state system, such as Boston-based CareGroup Inc., the parent of Beth Israel Deaconess Medical Center, will soon take over Lifespan itself!

 

Merger impact
Women & Infants, which is highly regarded from a clinical standpoint, faces excess capacity as the number of its patients continues to decline. Adding another obstetric facility –right next to W&I! -- in Rhode Island makes little sense except, perhaps, as a way for Lifespan to get into one of the better insured parts of healthcare and/or develop another way to steer customers (patients) to Lifespan facilities.

 

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Plastic bags kill a lot of animals, especially creatures that live in the water. Until DuPont or some other chemical company comes up with a completely nontoxic and rapidly decaying material out of which to make plastic bags their sale should be banned. The Trump administration has little  to no interest in protecting eco-systems, so such bans will have to be implemented state by state, community by community, as has happened in some New England places.

 

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Central Falls, RI
Congratulations to Central Falls.  Moody’s Investors Service, touting financial progress in Rhode Island’s smallest city, raised the city’s bond rating by a notch and says it may well achieve an investment-grade rating within 12-24 months. The city is on schedule to complete its court-ordered post-bankruptcy recovery plan by June 30.

 

Now all eyes turn to a couple of proposed projects. The most important by far is to build a train station in Pawtucket to serve it and Central Falls with MBTA (and maybe eventually Amtrak?) rail service. It now appears that this $40 million project, funded by federal, state and local money, will probably go forward, with completion by sometime in 2019.

 

What a boon this would be to the two old mill towns! It would attract business and by making more accessible the inexpensive housing in them, could lure people from very expensive Greater Boston. Actually, for that matter, it would help make northern Rhode Island more part of Greater Boston than it already is.

 

The project, by taking cars off the road, would also reduce traffic congestion on Route 95 and some local roads.

 

The other project is the Pawtucket Red Sox plan to build a baseball stadium surrounded by a public park, on the site of the Apex store in downtown Pawtucket. A carefully financed public-private project could lure a lot of people into both Pawtucket and Central Falls from a wide two-state region and pay for itself in more property- and sales-tax revenue. But we still don’t know the financial and many other details of this still rather vague plan. The public is quite properly leery of such raids on the taxpayers as Hartford’s infamous new $71 million Dunkin’ Donuts Park – another slam at the finances of what used to be called “the Insurance Capital of the World’’.

 

Once Central Falls fully has its act together, it, Pawtucket and the state should work together to merge the two cities. Central Falls is far too small to be a separate jurisdiction. The cities should seek the economies of scale that would come from a merger.

 

 

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President Trump can’t be faulted for  being overly concerned with details or for diving into research and  coherence, and so it’s hard to know his real views on many topics.  He also tends to agree with the last thing some real or purported expert told him.

 

But in any case, kudos, at least for now, for his apparent openness to two key changes. One is that he says he’d consider supporting raising the federal gasoline and diesel tax to help fund repair of America’s decayed transportation infrastructure. The federal tax on gasoline is 18.4 cents a gallon, and the diesel-fuel tax 24.4 a gallon. The tax was last increased in 1993! No wonder our roads and bridges are in such bad shape. Such an increase would not be enough to pay for all the needed work that has been put off for so long, and so further public-private spending will be needed.

 

The outlays should include a big increase in outlays for mass transit, which changing demographics and residential patterns require.

 

Amtrak, for one, needs much more work to meet the needs of its surging customer base.  We’ll get plenty of inconvenient reminders of the decrepitude of much of its infrastructure this summer as the system starts on much overdue work at New York’s Penn Station, the nation’s busiest train station. Travelers going through that catacomb are warned to expect weeks of disruption this summer.

 

The Northeast Corridor, by far Amtrak’s busiest  and most lucrative route, has a $28 billion backlog of needed repairs. And yet Congress keeps underfunding it, even as members from lightly populated states demand that the railroad continue to run  money-losing trains through their jurisdictions. In the current fiscal year, Amtrak only gets about $1.4 billion in subsidies from the Feds. (Still, that is 10 times the amount of money that the government is spending this year to pay for the Trump family’s protection and its vacation and business trips….)

 

Failure to address decay on the Northeast Corridor could seriously hurt the economy of the stretch between Boston and Washington – the single most important area in the United States, including both the nation’s financial capital (New York) and its political capital, as well as such technological, educational and medical centers as  Greater Boston and Philadelphia.

 

It’s not even a matter of raising the quality of the route to European or East Asian high-speed train standards. It’s a matter of maintaining, or slightly improving, the substandard service we have now.

 

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The other good idea that the president broached was breaking up the big banks and going back to a version of the Glass-Steagall Act of 1933, which separated consumer and investment banking to try to prevent a recurrence of something like the Great Crash of 1929. Jettisoning Glass Steagall in the late ‘90s to please Wall Street bankers helped fuel the grotesque speculation and fraud by financial institutions that led to the Great Crash of 2008 and the Great Recession, from which we are still recovering (and whose long-term effects helped elect Donald Trump). The president told Bloomberg News that “I’m looking at that right now. There’s some people who want to go back to the old system (Glass Steagall) right? So we’re looking at that.’’

 

Of course, Mr. Trump, like the Clintons, has many friends in the hyper-arrogant, hyper-rich and hyper-powerful world of Wall Street banks,  and so perhaps the idea that he’d really go after the big banks is naïve. But we can hope.

 

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President Obama
In other fat-cat news comes word that Barack Obama is getting a $400,000 fee to talk for an hour next September at a conference sponsored by financial-services firm Cantor Fitzgerald. That report followed news stories indicating that he’s spent much of his time since leaving office with very rich people in fancy resort areas. He and his wife also have a $65 million two-book contract. (At least writing books requires real work and not just yakking in front of a bunch of rich people.)

 

That the former president and his predecessor presided over a massive bailout of big banks, and that no bank big shot went to prison during his tenure for the assorted frauds they perpetrated, rankles, especially now that Mr. Obama  is about to make a big killing off them, as did Hillary Clinton.

 

We’ve come a long way in the annals of American greed since Harry Truman refused to be paid for speeches he gave after leaving the presidency because he thought it would demean the presidency. Increasingly public service is a servant of private profit. It is a brazenly selfish age and the gap between the political elites, which include the economic elites, and the working class  keeps widening.

 

Class, not race, is increasingly the great social divider. Some day we’ll reach a breaking point. Meanwhile, Barack Obama will join his rich pals and swim in as much materialism as he can. Or maybe, just maybe, he’ll do something to improve the world.

 

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Donald Trump fawns over murderous dictators. Of course, America has to deal with nasty regimes. But why praise them?

 

There are a few possible explanations for Mr. Trump’s remarks. One is that associating with thugs makes our very insecure and intensely narcissistic leader feel stronger himself. Another is that he’s afraid of them. A third is that someone as immoral and sleazy as Donald Trump just looks at everything as a possible deal – a transaction for which he might get credit. Along with this is the idea that nations are simply big versions of his own corrupt enterprise – the Trump Organization – and don’t have moral principles. If that is Mr. Trump’s view, it’s difficult to see how America can continue to lead the shrinking “Free World’’.

 

He is putting into doubt the basic principles of American foreign policy, principles, which for all their sometimes awkward implementation, have been a light to the world.

 

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For some years after Tim Berners-Lee invented the World Wide Web, in 1990,  the Internet was promoted as a liberating and democratizing force that would undermine dictatorships and promote a more humane world. But crooks and dictatorships have learned how to pervert cyberspace to cheat and mislead people and to suppress democratic movements. As Ronald Deibert, a professor of political science at the University of Toronto and director of the university’s “Citizen Lab,’’ told a Dartmouth College audience the other day, dictatorships are increasingly using cyberattacks against human-rights advocates, journalists and lawyers to reinforce their power and destroy reformers’ influence.

 

He noted, “The capacity to connect (the world) has outpaced our ability to secure (internet) systems. There is a lack of basic, effective security policies, lots of misinformation … low Internet capability and insecure devices, especially in the developing world. ... We used to think the Internet would empower us, but now we are seeing the opposite. And a culture of paranoia seems to be spreading.”

 

This comes as U.S. citizens’ knowledge of history and of how their government works seems to be rapidly declining, in part because of the inadequacies of our education system. This makes more and more Americans (and others in the West) more vulnerable to demagogues, who expertly use the Internet to achieve and consolidate their power. Citizens need training in civics and a lot of history lessons. As the old saw goes: “If you don’t know where you came from, you can’t know where you’re going.’’

 

 

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Brown & Sharpe
I’m just starting on the book, but I do want to express my admiration for Gerald Carbone and the Rhode Island Historical Society for creating Brown & Sharpe and the Measure of American Industry, about the company’s historic role in American high technology. The company’s measuring devices, machine tools and precision machinery set world standards and indeed the company was a sort of early version of Silicon Valley high technology.

 

Brown & Sharpe, now part of Hexagon AB, of Sweden, is now gone from Rhode Island, as is the labor strife that characterized too many of its last years in the state. But Brown & Sharpe’s history provides a highly edifying study of the New England economy, and the “Yankee ingenuity’’ that continues to drive it.

 

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Many Republicans won’t like this idea but Puerto Rico,  despite its  current bankruptcy, should become a U.S. state. Its ambiguous status as a U.S. “commonwealth’’ has led to fiscal and administrative chaos. And making Puerto Rico a full state would be good for U.S. security by  clarifying  and strengthening the U.S. presence in the Caribbean.

 

Puerto Ricans have been American citizens since 1917 and many of its citizens have fought in our wars. And yet Puerto Ricans can’t vote for president or for U.S. representatives or senators. Yes, it is true, they can vote for governor and the commonwealth’s legislature. But they unfairly are not fully represented in the two branches of government that enact many of the laws that affect them. That’s, well, un-American.

 

I said that many Republicans would oppose statehood because Puerto Rico  would almost inevitably be  dominated by the Democrats, at least to start. But that’s not a good reason to block a change that would be both fair and good for our security. And it’s hard to predict how the politics would work out over the long run.

 

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As Rhode Island Gov. Gina Raimondo looks forward to her re-election campaign next year – a campaign to be based on her administration’s economic-development efforts – a lot of the discussion will  center on how much of the stronger state economy stemmed from her actions and how much from the strong regional economy and the economic cycle. Meanwhile, in Massachusetts, economic growth is slowing, but there’s little to suggest that the generally very prosperous state will not re-elect the very popular Republican Gov. Charlie Baker next year, probably by a landslide.


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