posted March 22, 2011 by Nicole Fisher, Joseph Coletti
North Carolina has one of the most expensive Medicaid programs in the Southeast, and Obamacare will expand enrollment from 1.3 million people to potentially over 2 million people in 2014. Without Medicaid reform or tighter eligibility, North Carolina will need to cut some services and payments to doctors. Both options will mean worse care for every person on Medicaid. Gov. Bev Perdue and the General Assembly need to push Washington for exemptions from Medicaid restrictions and greater ability to innovate with premium support and encourage patient control of their own care.
This budget proposal would spend $18.4 billion and return spending to the same levels, adjusted for population and inflation, as in the mid-1990s. In addition to ending the temporary sales tax and income tax surcharges, this budget would reduce the tax rates on personal and corporate income, setting the stage for future tax reform.
Over the last decade, North Carolina has led the way among southern states in advancing a more extreme environmentalist agenda. The General Assembly's new Republican majority should start anew on environmental issues. Legislators should put environmental policy into the context of the ideas of liberty, personal responsibility, and economic growth that the party ran on last fall.
North Carolina needs a thorough review of the number and types of courses offered in its public schools, especially during tight budget times. There is no evidence that school districts or the state has conducted an audit of the costs and outcomes or elective courses. A statewide curriculum audit would be a sound way to reduce costs and refocus our curriculum on the core skills that many of our public school students so desperately need.
The North Carolina Education Lottery was sold as a way to boost education spending, but N.C. boasts the same problem found in other lottery states: a declining rate of spending for education, especially in comparison with the rest of the state budget. Furthermore, poverty, unemployment, and property tax rates remain the best predictors of lottery sales.
There is optimism that an eminent domain amendment will pass this upcoming legislative session. This Spotlight explains how to craft the amendment carefully to best protect property owners.
In 2010, North Carolina recorded the second-lowest number of high-ozone days of the last decade. Statewide, a total of 106 high ozone monitor readings were recorded over 26 days from April 1 to October 31, with 32 of those readings occurring on just eight monitors in two metropolitan areas. Despite what might be the popular belief, smog levels in North Carolina have been getting better, not worse.
Over the past decade the “demand side management” (DSM) model of public policy has crept into the state of North Carolina’s approach to regulation. Advocates of DSM are clear in making explicit their goals of social engineering and the rearrangement of lifestyles. The language in their guiding documents are replete with references to “behavior modification” and “restraining and restricting” certain activities or lifestyle choices. DSM is inconsistent with a free society, where the role of government is to respond to constituent demands, not manage and control them.
North Carolina’s regulatory environment is poor, especially in comparison with other states’. Gov. Beverly Perdue signed a new executive order to modify the rulemaking process and help reduce the costs of regulation, which is a good start, but much will depend on how it is implemented in practice. For true regulatory reform, the legislature needs to build upon the executive order and apply reforms to all agencies.
There has been significant public attention and concern regarding a proposal by the North Carolina Sheriffs' Association that would allow sheriffs to have access to patients' prescription information for painkillers and controlled substances. The bigger issue is that the state already collects this information and law enforcement, specifically the State Bureau of Investigation, already has access to it. North Carolina should eliminate the database. The incredible intrusion into the lives of citizens greatly outweighs its limited, if any, benefit.
