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9 search results for: one-stop shopping

1

Iowa Caucuses and UHIP

The campaign manager for President Donald Trump, Brad Parscale, offered a take on the Democrats’ Iowa caucus troubles that probably occurred simultaneously to just about every conservative in the country:

And these are the people who want to run our entire health care system?

A point often gets lost in all the jockeying for control of the American narrative.  When we object to this program or that one, conservatives aren’t typically opposing government-driven solutions regardless of whether they’ll work.  On the flip side, we also aren’t typically saying that the certainty of a fix can always overcome principled objections based on a philosophy of how government should function.

Rather, the conservative position tends to be that, for any given issue, the trade offs are not sufficiently clear, the benefits are not sufficiently certain, and side effects are so excessively probable that humility should be the underlying principle.

The debacle of the 2020 Iowa caucus should be more proof than anybody needs of this principle.  It’s not as if this was the first time Iowa Democrats have caucused, but now (regardless of the reason) there will be lingering doubts about the process, including discord between factions that suspect some sort of political scheme.

To be sure, government and political parties will naturally handle elections-related activities, but they don’t have to handle things like healthcare.  Look at experience with the Unified Health Infrastructure Project (UHIP).  When bureaucrats committed Rhode Island to the scheme during the Chafee administration, they had wide eyes about “one-stop shopping” for government services.  When they rushed ahead with a system that they’d been warned was not ready, no doubt the Raimondo administration was hoping for some sort of PR win.  And we got… a debacle.

This isn’t a claim that Democrats are especially incompetent, but that our political system creates incentives and risks that should advise a strong preference for handling society’s challenges through other institutions than government.

2

The Direct Line to the Voting Booth

In case readers didn’t have a chance to click through the link in my post, yesterday, related to voter fraud, I’d like to highlight another key point from the Public Interest Legal Foundation (PILF) report that was the foundation for J. Christian Adams’s essay.

It’s important to break the data down so you understand what we’re talking about, here.  PILF found that, in Virginia, more than 5,500 people who had been registered to vote were removed for citizenship reasons.  Of those 5,500, 1,852 had actually voted, casting an average of four ballots each.  Many of them, according to Adams, had been registered to vote even though they checked the box saying they were non-citizens.

I emphasize this point because the House chamber of the Rhode Island General Assembly has approved legislation that would greatly expand automatic registration of people to vote:

Legislation to automatically put anyone who applies for a Rhode Island driver’s license on the state’s voter rolls, unless they opt out, cleared the state House of Representatives on Wednesday, despite GOP efforts to block the same practice at other state agencies with troubled computer histories. …

But along the way, House Minority Leader Patricia Morgan, R-West Warwick, sought to strip the bill of language allowing any state agencies — other than the Division of Motor Vehicles — to automatically place applicants for unemployment, public assistance and other state benefits on the voter rolls. Her move failed on a 62-to-10 party-line vote.

Welcome to the world of “one-stop shopping.”  When the Rhode Island insiders are done, anybody who checks in with the state government for any reason will be automatically signed up for any welfare benefits for which they might be eligible and registered to vote.  “Here’s your free stuff and a voter registration card so you can be sure to keep electing the people giving it to you.”

And in all this, we’re supposed to believe that a state government that can’t launch a computer system or accurately determine who should get Medicaid or SNAP benefits, while resisting efforts to use basic means of control, like eVerify for immigration, will keep the voter rolls clean?

3

Start the Clock on UHIP Consequences

As Ted Nesi reports, the state’s Unified Health Infrastructure Project (UHIP) goes live, today.  Much of the focus has been the cost overruns to get the new software system active — nearing a half-billion dollars if the state gets approval from the federal government for some final additions.  But Rhode Islanders should be disconcerted by the vagueness of the talk:

But in an interview last week, EOHHS Deputy Secretary Jennifer Wood was adamant that the next year of UHIP spending will come nowhere near $124 million. She described the amount as an opening bid in months of discussions with federal and state officials over how many additional tools should be added to the system. …

“This is an all-in, integrated system,” [Deputy Secretary of Administration Wayne] Hannon said. “It includes basically one-stop shopping for anybody who could be eligible for these services in the state of Rhode Island. I believe it’s the first … fully integrated system [in the country].”

That’s Rhode Island: first in the nation for cutting-edge government, even though our experience had been that it mainly cuts into the private sector, families’ independence, and our quality of life.  What we should be asking is what kind of “tools” we’re talking about, here, especially since that cost is nearly what the state initially estimated for the entire project.

The bureaucrats are touting an expected reduction of improper payments, as the state is better able to determine actual eligibility, but the effect is likely to be opposite.  There’s a reason they call it “one-stop shopping.”  The idea is to ensure that nobody misses any benefits for which they’re eligible, even if they don’t know they need them.  It’s part of the “company state” push by governments in blue states to make public services the central industry bolstering an area that has lost its ability to compete in the global market, for whatever reason.

Of course, being on the cutting edge of the next step in government domination means Rhode Islanders will have the privilege of providing data for other states in the future.  So, we’ll have to wait and see whether the welfare roles decrease or increase, just as Medicaid enrollment shot up with the implementation of the health benefits exchange (HealthSource RI).  Naturally, the disclaimer is that the state government will have a variety of methods (and a whole lot of incentive) to obscure the reason for any budget-busting increases.

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