Food Banking Op-Ed

An provocative article in this Sunday's post about food banking, a subject I got to be familiar with while doing a fellowship on hunger issues. The author's main point is that food banking is a distraction from the real problem of ending poverty with public policy. Point well taken, but I had a few objections. I felt like he generalized a bit too much about food banks. For example, the Oregon Food Bank, where I used to work, has a vibrant public policy department and sees policy work as part of its mission. Many other food banks do the same.

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Social Security: Where the Fire?

Candidates Cling to the Third Rail Maybe they think it will get them attention. Why else would presidential candidates as diverse as John Edwards and Fred Thompson raise the issue of Social Security, a program that almost no one among budget policy experts seriously believes is in imminent trouble? In "Edwards, Thompson Say U.S. Must Ward Off Crisis in Social Security Funding," Bloomberg.com reports the latest alarm sounded on the issue:

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CQ Out To Lunch On Budget Battles

CQ reports today that the Democrats' $11 billion compromise on appropriations might be picking up momentum. In evidence, they offer that the President did not mention appropriations in his weekend radio address and something about Sen. Jon Kyl not wanting domestic spending tied to war funding. Color me unconvinced. The more reasonable interpretation is that the Republicans haven't moved from their position of rejecting this compromise.

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Is the Food Exemption Worth It?

The exemption of food from the state sales tax is lauded and maintained because it mitigates the regressivity of the sales tax. This may in fact be the case, but it's a poorly targeted remediation that is a massive drain on state revenues.

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He's STILL President?

Don't We Deserve at Least Better Bull for the Duration? I woke up today and was struck by something I realize is true but nonethless have a hard time believing. George W. Bush is still president. Hasn't it been forever already? I suppose the thing that baffles me most is, why they don't at least fix the broken record emitting mind-mumbingly meaningless, if not self-contradictory, twaddle over at 1600? Has anyone listened to it recently?

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$11 Billion Cut Not Enough For Republicans

Before the House Republicans sustained the President's veto of the labor/hhs appropriations bill, Democrats had offered to cut $11 billion out of budget bills, half of the difference between their budget proposal and the President's. Roll Call is reporting that that offer has been rejected. House Republicans are rejecting a compromise offer from Democrats that would cut in half their proposed $22 billion increase to President Bush's budget, but it's unclear how long GOP leaders will be able to keep getting their Members to walk the plank against popular spending bills.

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Splitting the Difference or Just Hairs?

CongressDaily PM today ($): Democrats are proposing to cut $10.6 billion from their initial proposed spending bills. Even with the cuts, security-related spending Bush requested would rise 11 percent above the current year, while non-security domestic spending Democrats want would grow about 3 percent. Under the new allocations, Democrats would increase spending across most government agencies by $10.9 billion above last year; by contrast, the Defense bill Bush signed this week increases non-emergency funding by $39.7 billion from last year.

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Whatever Happened to SCHIP and the Farm Bill?

CongressDaily ($) is reporting that the two reauthorizations that have funding increases for human needs programs -the Farm Bill and SCHIP- aren't going anywhere anytime soon. Negotiations over SCHIP have broken down, and the Senate failed to close off debate on the Farm Bill. We'll have to wait until after Thanksgiving to try again.

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Would You Do Business With Lawbreakers?

Interesting article in the Washington Post earlier this week about a new investigation that is starting to develop a bit of a stir in Washington. Seems there are thousands of health-care providers who owe billions of dollars in federal taxes, but who continue to be paid by the Medicaid program - the health-care program for the poor. This came to light after a Government Accountability Office report was delivered to Congress this Wednesday. When I saw this, it reminded me of another GAO investigation I remember from earlier this year that found a similar problem with the Medicare program (see our coverage of that report from last March). What is similar between these two reports (aside from the tax cheaters) is that the Center for Medicare and Medicaid Services (CMS) - the government agency responsible for implementing these two programs - claims there is nothing they can do about this. To a certain extent, they might be right. Because of restrictions in law, CMS does not have explicit authority to deny health care providers from participating in either Medicare or Medicaid if they owe tax debts. In most cases, it would be illegal for the IRS to disclose those debts to the CMS - so they couldn't screen providers out anyway. The IRS can use a program called the Federal Payment Levy Program to satisfy tax debts by seizing some of the money paid to federal contractors, but Medicare officials have choosen not to participate in that program (this should probably change). But even that program won't help Medicaid. Medicaid payments are disbursed by various state agencies, and the IRS does not have a mechanism set up to automatically deduct money from those payments. These are all valid points, but doesn't mean we shouldn't do anything about it. The Federal government should not be conducting business or making payments (either federal assistance or contract payments) to individuals or entities who owe taxes to the government. Period. Hopefully Congress will take some steps to clear up the obstacles preventing the IRS, CMS, and other government agencies from working together to streamline payments to health care providers so the government can collect the revenues that are due.

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Review of Books On Health Care Costs

A good article on health care cost issues from the American Prospect. It's a review of three new books on health care that are broadening the debate over health care costs outside the context of the long-term fiscal challenge. For years health care policy people have focused on insurance as a cure for all that ails the health care system, overlooking the cost-inefficiencies of the delivery system. Only recently has there been a good discussion. This discussion is now having a spill-over affect on fiscal policy, which is pretty awesome.

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