By writer to www.ibtimes.com
- Proposition 23 was asking voters in California to have a say on the staffing necessities for kidney dialysis facilities.
- The overwhelming majority of individuals affected by kidney dialysis are sufferers. When the federal government is targeted on the businesses or the unions and never sufferers, the federal government is ignoring the individuals it must serve.
- We must always not do away with propositions. We must always discover a approach to align their focus with the considerations of the general public.
Shut your eyes. Take into consideration all the issues going through California. Take into consideration the highest 10 issues. Now take into consideration the highest 100 issues. Now open your eyes. We doubt anybody studying this considered staffing in kidney dialysis facilities. But this 12 months Proposition 23 was asking voters in California to have a say on the staffing necessities for kidney dialysis facilities.
Proposition 23 confirmed how the system for getting propositions on California’s poll favors those that are keen to spend cash on the expense of points which have a bigger impression on extra individuals. California’s authorities is totally damaged.
Proposition 23 got here from the SEIU (Service Workers Worldwide Union) which has been in an acrimonious dispute with Davita and Fresenius, the 2 corporations that management 70% of kidney dialysis in California. Based on the SEIU, they had been able to spend $93 million on Proposition 23. The kidney dialysis cartel spent greater than the $111 million they spent within the 2018 model of this similar invoice.
Cash is drowning out the voices of abnormal individuals. Most individuals whose lives are affected by kidney dialysis will not be shareholders in Davita or Fresenius. They aren’t staff of the SEIU. The overwhelming majority of individuals affected by kidney dialysis are sufferers. When the federal government is targeted on the businesses or the unions and never sufferers, the federal government is ignoring the individuals it must serve.
Entities with market energy have extra income they’ll “make investments” in altering the regulatory system. That is true for the SEIU which seeks a monopoly on the availability of labor, in addition to Davita and Fresenius. Finally, shopping for management of presidency turns into a approach to rig the sport for the good thing about one facet or the opposite. Economists name this rent-seeking. When rent-seeking replaces innovation and price financial savings as the best approach to improve income, abnormal individuals undergo.
We aren’t advocating for utterly unregulated markets. There’s a motive that sufferers will not be flocking to Somalia regardless of its utterly unregulated, aggressive marketplace for kidney dialysis. It’s unreasonable to anticipate all sufferers will be capable to decide sufficient staffing ranges for dialysis facilities and select correctly staffed facilities.
Nonetheless, it’s much more unreasonable to assume that the common voter may decide sufficient staffing at a dialysis middle. We’d like some regulation. We’d like regulation to be even-handed and to consider the wants of sufferers. Even when sufferers will not be throwing enormous quantities of cash on the system.
Poll propositions had been meant to provide Californians a approach to drive the politicians to deal with points vital to the general public. That’s not a foul factor. We must always not do away with propositions. We must always discover a approach to align their focus with the considerations of the general public.
Getting a proposition on the poll requires gathering signatures. In California, there may be an business that pays individuals to gather signatures. If the SEIU needs one thing on the poll they pay any individual to gather sufficient signatures to get the problem on the poll. We must always make it unlawful to pay individuals to gather signatures. If a problem is so vital to abnormal folks that they need a proposition, they need to be keen to take a position and volunteer the effort and time required to get the problem on the poll. Organizations must purchase entry to the poll with volunteer effort not cash. Propositions on the poll due to volunteer efforts are more likely to be targeted on points vital to residents.
The underside line is easy. Return to the 10 issues you considered at first. We wish authorities to be prioritizing these issues, even when no one is shopping for their consideration and not parochial wants of these with cash to spend.
Jason Fike is CA Coordinator of TakeBack.org and Paul Lichstein is NJ Director of TakeBack.org
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