Progressive Thinking

Seven major Wisconsin health insurers are projecting large rate increases for 2016, ranging from 10% to 32%. Increases are a sign that Governor Walker and the State Legislator’s complete inaction on health insurance rates will cost Wisconsin.

STATEWIDE - Preliminary health insurance premium rates released this week by the U.S. Department of Health and Human Services show that seven major Wisconsin health insurers projecting large rate increases for 2016, including major for-profit companies such as UnitedHealthcare.

Rate increases range from 10% to 32% for these seven companies. The proposed rates were released because under the transparency provisions of the Affordable Care Act proposed rate increases over 10% must be made public.

The projected rate increases are a sign that Governor Walker and the State Legislator’s complete inaction on health insurance rates will cost Wisconsin consumers dearly in 2016.

According to a report released by Citizen Action of Wisconsin in April, there are a number of decisions the Walker Administration and the Legislature have made that are increasing health insurance rates in Wisconsin.

First, the Walker Administration's failure to implement robust rate review may be increasing premiums from 4-17%. Although the Affordable Care Act requires Walker’s Office of the Commissioner of Insurance to review premiums increases over 10%, the agency has yet to find a single rate increase excessive since this provision of the law went into effect in 2011.

Second, failure to accept enhanced federal funds for BadgerCare is shifting higher cost consumers onto private insurance, raising premiums for everyone else. Research from the Rand Corporation projects that states which refuse expanded Medicaid dollars have rates 8-10% higher.

Third, the Walker Administration made the decision to allow substandard health plans to continue to be sold in Wisconsin. A Rand Corporation report found that this practice keeps healthy people who already had insurance when the health care law went into effect out of the risk pool, raising premiums by as much as 10% for everyone else.

“It is stunning that health insurance costs seem to have fallen off the public agenda in Madison,” said Robert Kraig, Executive Director of Citizen Action of Wisconsin. “The preliminary 2016 health insurance premium increases ought to be a wakeup to policymakers that moderating health care costs should be one of the top priorities of state government. In the new health care environment, those states that take full advantage of the tools provided by health care reform will have lower costs than those that do nothing but try to sabotage reform. ”

Last week, the Joint Finance Committee took action to strip away teacher standards, leaving education leaders and state citizens up in arms and more concerned then ever about the future of education in Wisconsin. Senator Vinehout writes about the importance of highly qualified teachers and calls on the public to contact legislators about this issue.

MADISON - “I’m counting on you,” Tracy from Mondovi wrote me.

“The architects of the Joint Finance Committee’s education budget package wrongly assumes that anyone can teach by allowing those with minimal qualifications and little more than a high school diploma to educate our children. Their action will degrade the quality of teaching in Wisconsin and represents a race to the bottom.”

Tracy was one of many constituents who recently contacted me about a big change in the state’s teaching standards.

In late night budget action, after freezing the school revenue limit and allowing no increase in aid, the Republican majority voted to strip away teaching standards.

As State Superintendent Tony Evers described in his statement, the changes “would require the Department of Public Instruction to license anyone with a bachelor’s degree in any subject to teach English, social studies, mathematics, and science.” Private schools or public schools would decide “that the individual is proficient and has relevant experience in each subject they teach.”

In addition, the state would be required to issue a teaching permit for “individuals who have not earned a bachelor’s degree, or potentially a high school diploma, to teach in any subject area, excluding the core subjects of mathematics, English, science, and social studies. The only requirement would be that the public school or district or private voucher school determines that the individual is proficient and has relevant experience in the subject they intend to teach.”

At the heart of this proposal is a complete disregard for the profession of teaching.

Proponents of this proposal assume that because you know something, you can also teach it. Any parent who has tried to assist a child with their math homework knows there is a big difference between knowing and teaching a subject.

Teaching shapes young minds for future learning. A great teacher has an impact on a youngster that lasts a lifetime. A poor teacher can have the same effect. The fifty-something who says “I can’t do math” might have been told as a youngster “you can’t do math.”

Learning comes differently to each of us. Part of the process of teaching is finding the unique learning style of each child and tailoring the lesson to allow each child to succeed. Knowing the content is the beginning, not the end of teacher education.

It’s been a long time since I took college classes to be educated as a teacher. But the lessons I learned follow me into every town hall meeting.

I thank the professors in the School of Education for the lessons they instilled in my intensive two-year teacher-training program. What I do in a public setting is effective because I consciously put in practice what I learned long ago.

Teachers know it is not just what you know but how you act that makes the difference for students mastering new knowledge or entirely turning off to a subject.

As Mr. Ryan, from Prescott, wrote to me, “Education preparation includes not only the history and psychology of education over time, it also includes opportunities for aspiring professionals to learn best practices, current theory, apply and collect data to develop proven methods, and much more. Moreover, it includes the most important aspect...live, in-person, human interaction and collaboration, …with all the attention placed on accountability, why in the world would legislation be put forth that moves the state of Wisconsin to the back of the line in terms of teacher training and preparation?”

Why indeed? Do we want Wisconsin to lead the nation in a lack of standards for teachers? International research tells us high standards for teachers and intensive teacher education result in the best outcome for students.

We need a widespread public outcry to stop what’s happening in this budget.

As Tracy told me, “I’m counting on you.” But to stop the race to the lowest standards and below national average funding for local schools, I need Republican legislator’s votes. They need to recognize, as the Pepin Superintendent wrote, “No one who votes for this budget can claim to support public schools.”

Everyone in Wisconsin has a stake in providing the best education possible for the generations to come. Now is the time to get involved. Your grandchild’s future depends on your action.

MADISON - Action taken today by the Republican-controlled Joint Finance Committee cuts $250 million from our UW campuses. While this is $50 million less than the $300 million cut Gov. Scott Walker had originally proposed, it is still a devastating cut to higher education in Wisconsin.

Wisconsin will become one of only six states in the nation to cut funding for its public universities. As a result students and returning adults will find it more difficult and more expensive to get the classes they need to graduate.

According to Sen. Dave Hansen (D - Green Bay), “Had the Legislature and the Governor focused their energy on creating jobs like they promised instead of giving billions in tax breaks to the wealthy and millions in taxpayer giveaways to their special interest friends, Wisconsin wouldn’t be one of the worst states for job creation and Wisconsin families wouldn’t have to endure the increased costs they will now have to bear in order for their children to graduate from a UW school."

While our neighbors are using the increased revenue from their improved economic performance to increase funding for their universities, under the current leadership Wisconsin continues to fall further behind.

It is time for the Governor and Legislative Republicans to admit their agenda of placing corporate profits before the needs of average Wisconsinites has failed and to take back our $400 million in federal tax dollars like our neighbors have done and use it to restore affordability for Wisconsin’s UW students and their families.

Wisconsin lawmakers tweaked Gov. Scott Walker's plan to expand the state's Family Care program and wrap the IRIS program into it on Wednesday, ignoring advocates for the elderly and disabled who have balked at the plan. Change made to allow ADRCs to be operated by out-of-state corporations.

MADISON - Republicans on the Legislature's budget committee Wednesday backed some but not all of Gov. Scott Walker's sweeping proposals to overhaul the state's long-term care system for elderly and disabled people.

The Joint Finance Committee voted 12-4 along party lines to clear the way for major changes to Family Care and IRIS (Include, Respect, I Self-Direct), two programs that care for tens of thousands of vulnerable individuals outside nursing homes. They also made significant changes to the Aging and Disability Resource Center (ADRC) program.

The action ignored much of the testimony at recent hearings. Advocates for the elderly and disabled have said the budget proposal could force vulnerable people into turmoil by eventually requiring them to change doctors, care workers who visit their homes, or even the group homes where they live.

They also have pointed to problems that the state encountered after a separate change that shifted to a single statewide provider of medical rides. An audit released earlier this month confirmed complaints about "no-show" and late arrivals for nonemergency medical rides by the contractor, MTM Inc.

Family Care provides long-term care outside nursing homes to some 41,000 elderly and disabled people throughout Wisconsin using state and federal money. Lawmakers backed Walker's proposal to expand Family Care by Jan. 1, 2017, to the state's eight remaining counties without it, including Dane County.

In the biggest change to Family Care, the proposal approved Wednesday would aim to combine both long-term care and ordinary medical care. The program would even seek to coordinate the state program with federal Medicare coverage — an effort that critics said would be difficult to achieve without the consent of patients.

Lynn Breedlove, a leader of the Wisconsin Long-Term Coalition, said he remained concerned that the proposal would shift the system to large out-of-state insurance companies and away from its current network of regional nonprofits that provide most of the care.

"Let's be clear, this new plan is just the governor's proposal in sheep's clothing," Breedlove said. "Thousands of people expressed opposition to dismantling the current system, but the Legislature is doing it anyway."

“Wisconsin ranks 8th in the nation for the quality of our long-term care due in large part to the success of our community-based Family Care program," said Senator Dave Hansen (D - Green Bay). "It makes no sense to change it over to a for-profit system unless you are a politician who places the pursuit of corporate profits over the lives of everyday Wisconsinites."

The IRIS Program is a Medicaid Home and Community-Based Services (HCBS) which allows adults with long term care needs to self-direct, including hiring their own caregivers, which is not currently available to the same degree in Family Care. The budget proposed would effectively eliminate the IRIS program, requiring the 11,000+ participants to enroll in Family Care if they wish to continue receiving long-term care.

“IRIS has proven to be a strong, family supporting plan for those that are elderly, disabled, and otherwise unable to live on their own without support of their community and family. We heard over and over again at the four public hearings around Wisconsin how IRIS was a lifeline for those that contribute in our communities working and volunteering, without IRIS those doors close, we know this works and anything short for a full repeal is not acceptable for our most vulnerable adult communities,” said Senator Jon Erpenbach (D-Middleton).

The ARDC program operates like efficient, locally based one-stop shops for people with disabilities. Under the budget proposal, functions of ADRCs could be operated by different for-profit entities that may no longer be local, creating barriers to access.

"ADRC’s open their doors to our frail elderly and their families, helping guide them in their own communities when tough decisions need to be made, working to keep people in their homes for dignity and cost savings. It is incredible that Governor Walker ever thought his plan was a decent idea for Wisconsin,” said Erpenbach.

Recent action taken by majority party members on the Joint Finance Committee on funding for public education provided limited additional revenue to public schools while opening the door for expansion of private vouchers. It will take dollars away from public schools.

ALMA, WI - “Our number one priority gotta to be make (sic) sure that we make K-12 schools, public education in the state, a priority to make sure they’re held whole,” said Governor Walker on April 23rd, as quoted by Wisconsin Radio Network.

I agree, Governor! Let’s make public schools “whole.”

In a recent late night session, the state’s budget writing committee took up public school funding. Many advocates expected a turnaround in the governor’s proposed funding for local schools. Instead folks got a big surprise: lots of changes asked for by private school lobbyists. Not so for public schools.

In a press release, State Superintendent Tony Evers described the actions this way:

• For the first time ever, there is no increase in state imposed revenue limits over the next two school years, while voucher and independent charter school payments are increased in each year.
• State general equalization aid to public schools is cut in the first year to pay for voucher expansion and increased independent charter school payments. This leaves public schools with less state general aid than in 2010.
• Continues the freeze on state special education aid for what will be the eighth consecutive year, covering roughly a quarter of district special education costs while creating a new voucher program that drains funds from public schools.
• Essentially eliminates teacher licensing standards by allowing public and private schools to hire anyone to teach, even those without a bachelor’s degree, planting Wisconsin at the bottom nationally, below states with the lowest student achievement levels.

Republicans on the Joint Finance committee opened wide the spigot of state money flowing to private schools. Created in late night actions was a new statewide special education “voucher” program with $12,000 per student leaving the local school district; permission for the multiplication of some privately-operated independent charter schools and statewide expansion of private vouchers for all students with a cap of 1% of the local district’s enrollment in the first year and moving to unlimited expansion after several years. Money for this statewide subsidy would come from the local public schools.

In addition, to keep competitive sports programs, public schools would be required to accept private and home-schooled children into their sports programs and extracurricular activities and not charge these students any more than a public school student would be charged for sports or extracurricular activities. This rule would essentially ask public school parents to underwrite the cost of these private school children coming back into the public schools to partake of after-school activities – as the school would receive no additional fees from the state for these students.

Republican Finance Committee members also voted to create a new private school take-over of Milwaukee public schools. This system would leave no public school alternative in many Milwaukee neighborhoods. Many residents are concerned this action violates the state’s constitution to require an equal and public education for all children.

Left far behind was the governor’s promise to make sure public schools are “held whole.”

Ironically the day before, the governor spoke to a pro-private school group in New Orleans - the American Federation for Children - according to a Wisconsin State Journal report.

Had the governor been here, I would have told him that to make schools “whole” means returning the money cut from public schools.

The cumulative cut to public schools since 2011 – the first Governor Walker budget – is nearly $1.7 billion. These cuts happened at a time when Wisconsin collected and spent a cumulative increase in revenue of nearly $13.8 billion.

These staggering cuts – at a time when the state was spending much more – drained the savings of school districts, delayed maintenance, caused pay cuts and freezes to staff and left children with fewer resources.

As state school aid dropped and districts used up all available budget cutting measures, many districts were forced to go to referendum. The Wisconsin Taxpayer recently reported 78% of referenda passed in April of 2015 – a significantly higher rate than prior years. Property taxpayers, committed to their local schools, are picking up more of the burden.

Local public schools are at a breaking point. These new private school proposals will hasten their demise. Governor, it’s time to stand by your promise and make our public schools “whole”.