I've certainly posted about it before, but I still doubt most people recognize how big a deal urbanization is, economically and politically, around the world but also in the U.S.
For instance, consider the complexity and difficulty of being the Governor of Nevada (pop. 3 million), Kansas (2.9 million), New Mexico (2 million), Nebraska (1.9 million), Idaho (1.7 million), North and South Dakota (1.7 million, combined), Wyoming (586,000), versus the job of being Mayor of New York City (8.6 million - 24 million in the metro area), Los Angeles (4 million - 18.7 million in the metro area), Chicago (2.7 million - 9.4 million in the metro area), Houston, (2.3 million - 6.5 million in the metro area), Philadelphia (1.6 million - 6 million metro), Phoenix (1.6 million - 4.2 million metro), San Antonio (1.5 million - 2.2 metro), or San Diego (1.4 million - 3.1 million metro).
So any one of these cities is larger than a handful of U.S. states.
The annual GDP of the New York and Los Angeles metro areas is about $1 trillion each! Compare that to VP Mike Pence's home state of Indiana, with a GDP in 2016 of $3.5 billion. There's really no comparison.
On top of that, consider that as many as 800 languages are spoken in New York City. Over 200 languages in Los Angeles.
Consider all the diverse people packed together in cities who have to find a way to get along with one another. Tolerance of multiculturalism in these cities isn't a liberal fetish -- it's a matter of survival, a fact of life.
Moreover, every major U.S. city votes Democratic in national elections. We don't have a Red/Blue state divide; we have an urban/rural divide. Even in the Red state of Texas, Houston, Dallas and San Antonio voted overwhelmingly for Hillary in 2016. It wasn't even close.
The U.S. is becoming two different countries: urban and rural. This is not what our Founding Fathers or the Federalist Papers anticipated. Even in rural/Red states, we have urban centers who vote solidly Democratic. That matters in Presidential and governors races, but not in state or federal congressional races.
Hence, the people representing the fewest and most rural have outsized, un-representative influence over our politics at the state and federal level.
I predict that liberals and Democrats will become the new Federalists, preaching the government closest to the people should have the most power, because cities are where all the people are, and the most diverse, well-educated, innovative and liberal people are. Also the wealthiest. The math and demographics are unassailable. America belongs to her cities. Or ought to.
Showing posts with label state governors. Show all posts
Showing posts with label state governors. Show all posts
Thursday, November 9, 2017
Tuesday, November 19, 2013
How KY, CT and WA got Obamacare to work
How'd they get Obamacare to work in the states Connecticut, Kentucky and Washington? Step 1: Giving a damn. Step 2: Less bitching at Washington and more working at home.
Republican state politicians, take note!
By Jay Inslee, Steve Beshear and Dannel P. Malloy
November 18, 2013 | Washington Post
In our states — Washington, Kentucky and Connecticut — the Affordable Care Act, or “Obamacare,” is working. Tens of thousands of our residents have enrolled in affordable health-care coverage. Many of them could not get insurance before the law was enacted.
People keep asking us why our states have been successful. Here’s a hint: It’s not about our Web sites.
Sure, having functioning Web sites for our health-care exchanges makes the job of meeting the enormous demand for affordable coverage much easier, but each of our state Web sites has had its share of technical glitches. As we have demonstrated on a near-daily basis, Web sites can continually be improved to meet consumers’ needs.
The Affordable Care Act has been successful in our states because our political and community leaders grasped the importance of expanding health-care coverage and have avoided the temptation to use health-care reform as a political football.
In Washington, the legislature authorized Medicaid expansion with overwhelmingly bipartisan votes in the House and Senate this summer because legislators understood that it could help create more than 10,000 jobs, save more than $300 million for the state in the first 18 months, and, most important, provide several hundred thousand uninsured Washingtonians with health coverage.
In Kentucky, two independent studies showed that the Bluegrass State couldn’t afford not to expand Medicaid. Expansion offered huge savings in the state budget and is expected to create 17,000 jobs.
In Connecticut, more than 50 percent of enrollment in the state exchange, Access Health CT, is for private health insurance. The Connecticut exchange has a customer satisfaction level of 96.5 percent, according to a survey of users in October, with more than 82 percent of enrollees either “extremely likely” or “very likely” to recommend the exchange to a colleague or friend.
In our states, elected leaders have decided to put people, not politics, first.
President Obama announced an administrative change last week that would allow insurance companies to continue offering existing plans to those who want to keep them. It is up to state insurance commissioners to determine how and whether this option works for their states, and individual states will come to different conclusions.
What we all agree with completely, though, is the president’s insistence that our country cannot go back to the dark days before health-care reform, when people were regularly dropped from coverage, and those with “bare bones” plans ended up in medical bankruptcy when serious illness struck, many times because their insurance didn’t cover much of anything.
Thanks to health-care reform and the robust exchanges in our states, people are getting better coverage at a better price.
One such person is Brad Camp, a small-business owner in Kingston, Wash., who received a cancellation notice in September from his insurance carrier. He went to the state exchange, the Washington Healthplanfinder, and for close to the same premium his family was paying before got upfront coverage for doctor’s office visits and prescription drug , vision and dental coverage. His family was able to keep the same insurance carrier and doctors and qualified for tax credits to help cover the cost.
Since Howard Stovall opened his sign and graphics business in Lexington, Ky., in 1998, he has paid half the cost of health insurance for his eight employees. With the help of Stovall’s longtime insurance agent and Kentucky’s health exchange,Kynect, Stovall’s employees are saving 5 percent to 40 percent each on new health insurance plans with better benefits. Stovall can afford to provide additional employee benefits, including full disability coverage and part of the cost of vision and dental plans, while still saving the business 50 percent compared with the old plans.
In Connecticut, Anne Masterson was able to reduce her monthly premiums from $965 to $313 for similar coverage, including a $145 tax credit. Masterson is able to use her annual premium savings of $8,000 to pay bills or save for retirement.
These sorts of stories could be happening in every state if politicians would quit rooting for failure and directly undermining implementation of the Affordable Care Act — and, instead, put their constituents first. Health reform is working for the people of Washington, Kentucky and Connecticut because elected leaders on both sides of the aisle came together to do what is right for their residents.
We urge Congress to get out of the way and to support efforts to make health-care reform work for everyone. We urge our fellow governors, most especially those in states that refused to expand Medicaid, to make health-care reform work for their people too.
Sunday, July 11, 2010
Gov's to Obama: Brother, can you spare a dime?
In fact, the state governors are begging with hat in hand for more stimulus help from Uncle Sam, because states are expected to have $300 billion in budget shortfalls between the 2009 and 2012, despite their slashed spending and tax hikes.
Oddly enough, China, Britain, and Saudi Arabia are not lining up to buy state and municipal long-term bonds at 3% interest. So that leaves only one source of money to pay America's teachers, police, firemen and civil servants, and improve crumbling infrastructure.
By Lis Sidoti
July 10, 2010 | Huffington Post
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