Archive for December, 2007

In the Spirit of the Season

Here we are on December 20 and for those who celebrate Christmas, time is running out.  As usual, like many folks, I get caught up in ensuring that everyone on my gift list is taken care of, the house is decorated and this year, cookies got baked.  My elderly father looks forward to having his “kids” gather together, so we’ll be packing the car and dog and trekking to Pittsburgh.  Don’t get me wrong, though hectic, I enjoy the holidays.  It’s a great way to connect with family, reminisce about long past times and enjoy good food and wine.

But, every once in a while, a heart warming story breaks through my personal “to do” list and gives me pause.  Today, a story making the rounds on the web about a coincidental mother and son reunion did just that.  In Michigan, a 45-year old woman and a 22-year old man, co-workers in the same Lowe’s store, recently found out that they were mother and son.  The woman had given up her son for adoption shortly after his birth and the son was adopted by a caring family.   A few years ago, the son began searching for his birth mother with the support of his adoptive parents.   Initially thwarted in his efforts because of a misspelled name, the son eventually learned where his birth mother lived and worked.  As the mother said at their reunion, “It’s a perfect time of year.  It’s the best Christmas present ever.”

Wishing all readers happy surprises this holiday season.

Diane

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No Way to Fund a Country

Here we are again, edging toward the end of 2007 and the Congress and the President still haven’t finalized most federal agency budgets.  In fact, they’ve only completed one – defense dept.  The government is limping along on “continuing resolutions” aimed at keeping programs going and avoiding government shut down.  What’s the problem?  Why does this keep happening?

The challenges in forging agreements between Congress and the White House are not new.  Many individual appropriations bills have not been enacted over the course of decades.  From my perspective, what makes the problem so difficult this year is the “my way or the highway” approach that the White House has taken.  No matter that the country spoke last year and elected Democrats to majorities in the House and Senate and no matter that President Bush is a lame duck entering his last year of office.  He continues to push his ideological agenda of increasing war spending and cutting domestic programs.  Democrats, on the other hand, are pressing for programs they believe are important.  Yet, it is they who are being forced to back down and give in.  Where are the checks and balances in that?

Until we have a meeting of minds, or at least serious negotiations and compromise, many critical programs will continue in uncertainty.  People without heat need help, farmers need drought assistance, more people need housing and food and veterans need ongoing medical services.  This is what the Congress and White House can’t agree on.  Doesn’t make sense that the President won’t support necessary funding for these programs.

In this season of hope and charity, let us encourage our elected officials to think beyond political rhetoric and do what’s right and necessary for the health and well-being of all our citizens.  

Diane

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Lobbying for the Long Haul

When it comes to long-term lobbying, not too many issues equal tobacco control.  There have been many successes in curtailing cigarette marketing to children, restricting smoking in public places and increasing funding for prevention and cessation.  However, these victories were achieved with much blood, sweat and patience, coupled with overcoming strenuous tobacco industry opposition.  It seems more needs to be done.

The latest focus on tobacco is the ninth annual report charting each state’s progress in using proceeds from the 1998 state tobacco settlement for tobacco prevention and cessation.  Produced jointly by the American Cancer Society, American Heart Association, American Lung Association and Campaign for Tobacco-Free Kids, the good news this year is that the states have increased funding by 20 percent, the highest level in 6 years.  This increase still means that less than 3 percent of the $24.9 billion the states will collect this year will go for tobacco prevention.   Just 6.4 percent of this tobacco money would fund prevention programs in every state at minimum standards set by the Centers for Disease Control and Prevention (CDC).  Today, only 3 states meet that basic level.

Things haven’t changed much over the nine years the program has been in existence.  I was there in the early days when states were licking their chops to get their hands on this money that comes from tobacco companies as reimbursement for health care costs related to tobacco use.  This money has paid for new roads, budget deficits and many other non-health projects. 

And, what is the impact on smoking?  Progress in reducing smoking among youth and adults has stalled and tobacco marketing has nearly doubled since the 1988 settlement.  And, what does this mean for public interest lobbyists?  More work ahead during year 10.  Hang in there.

For the full report go to www.tobaccofreekids.org/reports/settlements

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One Man’s Pork … Another’s Lifesaver

Today’s Washington Post featured a front page article highlighting the funding earmarks that local US Rep. Steny Hoyer (D-MD) championed.  Of course Mr. Hoyer defends his practice of encouraging his colleagues to include funding for programs he deems important.  Naturally, many of these programs are in his home district.  Anybody shocked?!  This is a practice that has been going on for decades, by both political parties and by most members of Congress.  We, the voters, want our towns, communities and favorite programs to benefit from federal largess and we reward legislators who “bring home the bacon.”  We thank them for their efforts by re-electing them to gain seniority to bring home even more. 

 

And, why is this all so bad?  When federal funding seems to be a pay-off for campaign support and when particular projects seem to have little merit, like the bridge to nowhere in Alaska, then funding watchdogs and citizens get concerned.  And, rightly so.  However, there is a flip side to this that gets little ink.  Many important health, education and social service programs rely on assistance from members of Congress to ensure that needed services get funded.  Most charities and nonprofits can’t afford high priced lobbying help and are forbidden to give campaign contributions.  So, educating Congress and identifying “champions” who support your cause are important.

 

Both the House and Senate are ruled by committees, each focused on certain issues or activities.  Members vie to serve on committees that either deal with issues vital to their districts or wield lots of power (appropriations).  To understand the importance of earmarks is to understand the nature of Congress at work.  Generally, members of committees have the “most say” in how programs under their jurisdiction get shaped, but it up to the House and Senate appropriations committees to set the actual funding amounts.  So, there are often lots of “negotiations” back and forth to fund worthwhile programs and to help members’ local communities.

 

And, let’s not forget the Administration’s role in all of this.  Each president sets his funding priorities.  Certain issues and activities get top billing in the annual budget that gets sent to Congress.  It is the job of the members in Congress belonging to the president’s party to work to get funding.  What happens to good, successful programs that might not happen to be “in” during any particular administration?  Usually someone in Congress comes to the rescue with an “earmark.”  For many community programs serving local needs consistent funding is crucial regardless of who is in office.  Where would we be without Headstart, disease prevention and energy conservation programs?  Members of Congress must ensure that the needs of our country in all vital areas are met.  Those looking out for particular programs, make it their business to “earmark” funding. 

 

Funding the federal government via earmarks is not ideal.  The squeaky wheel still gets heard and funded.  However, with all the critical and timely issues that Congress needs to grapple with, it is impossible to expect that each and every federal program gets vetted and voted on by all 535 US legislators.  Prohibiting earmarks will not solve this problem.  But, it may prevent worthwhile efforts, emerging science and new opportunities from getting recognized and funded.

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A Ripe Lobbying Issue

A headline in a Bloomberg news article - “U.S. Emergency Rooms Aren’t Prepared for Children” - caught my attention and got my advocate brain in gear.  I hate to criticize emergency rooms since most do their best to provide quick and competent care.  But, they should have all the necessary equipment to treat ALL patients.  The article highlights a new study by the American Academy of Pediatrics indicating that only 6 percent of 1,489 hospitals surveyed had the medicine and equipment needed to appropriately treat children, including child-sized masks to open airways and smaller forceps.  The cost of the 118 items recommended by the Academy totaled about $1,000.

 

Many times actions to spark change spring from news headlines and personal stories of injustice.  Attention to a need grabs peoples’ attention and mobilizes them to seek solutions.  In this case, I’m hoping public outrage at this lack of preparedness will provide an easy resolution – hospitals will act to ensure they are able to address pediatric emergencies.  If this happens, no government action will be needed.  The power of citizen involvement and community action doesn’t always need to be focused on getting governments to do something.  Urging businesses and service providers to do better can also improve our health and communities.

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