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Swinging from a 54B deficit to a 75B surplus then holding that surplus during a period of record inflation is the absolute definition of inefficient and wastef

Swinging from a 54B deficit to a 75B surplus then holding that surplus during a period of record inflation is the absolute definition of inefficient and wasteful. A single doctor at a single hospital developed this theory and then tested it. There is a foundation which is partly funded by the state, but they just promulgate the ideas... it's up to the hospitals to do the mortality review and apply what they've learned there. There's really no fingerprint of recent government efficiency to be found here. What connection is there between government efficiency and life span of citizens? This is a minefield of variables. Aren't minimum wages significantly different between California and Texas? Wasn't this phased in around that time? How much of this increase is due to this? We can contrast California to states like Idaho, which spend 2/3 of what California spends per student and yet gets far better outcomes than California does. California has the lowest rate of education attainment out of any state in the country. The infrastructure is crumbling. New projects are consumed by consultant driven graft. Sacramento is generally paralyzed by special interests. The complete lack of action on homelessness is tragic for the absolute volume of human life just discarded on the side of the road. Gas prices are absolutely ridiculous and the state is hoarding tax dollars during grotesque inflation. 8 years ago.. I would have agreed, California may have been a little shabby, but it was still on a great track. Today I have far less faith in the state, particularly considering the Governor appears to be desirous of a presidential campaign and the state is about to be used as a prop in his endeavors.

areoform 4y ago
I am unsure if you've read my comment carefully, but the expectation was a $54B deficit. What they got was a $72B surplus. > A single doctor at a single hospital developed this theory and then tested it. There is a foundation which is partly funded by the state, but they just promulgate the ideas... it's up to the hospitals to do the mortality review and apply what they've learned there. There's really no fingerprint of recent government efficiency to be found here. I don't understand. Can you please provide citations for what you're trying to say? > CMQCC was founded in 2006 at Stanford University School of Medicine together with the State of California in response to rising maternal mortality and morbidity rates. Since CMQCC’s inception, California has seen maternal mortality decline by 65 percent between 2006 to 2016, while the national maternal mortality rate continued to rise. https://www.cmqcc.org/who-we-are https://www.cmqcc.org/who-we-are If you read through the links, you'll see that the Californian Government has made substantial investments in maternal mortality and perinatal care which has resulted in this staggering decline. The resources of the state were mobilized with the help of the best evidence backed medicine to save lives. That's a great outcome! > What connection is there between government efficiency and life span of citizens? This is a minefield of variables. It's not about efficiency as much as it is about policy. No large organization is efficient; rather they ought to be measured by their effectiveness. Investment in hospitals, clinics and public health. Reductions in environmental emissions (air pollution dramatically reduces lifespans). Expansion of coverage programs like medicaid via systems like medi-cal; https://www.medi-cal.ca.gov/ https://www.medi-cal.ca.gov/ Ensuring access to clean drinking water, adequate sanitation - https://www.npr.org/sections/health-shots/2020/11/23/937945160/waste-activist-digs-into-the-sanitation-crisis-affecting-the-rural-poor https://www.npr.org/sections/health-shots/2020/11/23/9379451... . Preventing dumping of toxic waste. Public vaccination programs. And the many, many other levers governments can pull to ensure that people live longer and are healthier. > Aren't minimum wages significantly different between California and Texas? Wasn't this phased in around that time? How much of this increase is due to this? In the comment, the study compares California and Texas between 2000 to 2020. I am not a specialist on the rest, and do not have the data on hand, but just a note, American infrastructure is crumbling in general due to a receding of the state from infrastructure investments. Could you please provide a citation and explanation for your Idaho comment?

areoform 4y ago

I am unsure if you've read my comment carefully, but the expectation was a $54B deficit. What they got was a $72B surplus. > A single doctor at a single hospital developed this theory and then tested it. There is a foundation which is partly funded by the state, but they just promulgate the ideas... it's up to the hospitals to do the mortality review and apply what they've learned there. There's really no fingerprint of recent government efficiency to be found here. I don't understand. Can you please provide citations for what you're trying to say? > CMQCC was founded in 2006 at Stanford University School of Medicine together with the State of California in response to rising maternal mortality and morbidity rates. Since CMQCC’s inception, California has seen maternal mortality decline by 65 percent between 2006 to 2016, while the national maternal mortality rate continued to rise. https://www.cmqcc.org/who-we-are https://www.cmqcc.org/who-we-are If you read through the links, you'll see that the Californian Government has made substantial investments in maternal mortality and perinatal care which has resulted in this staggering decline. The resources of the state were mobilized with the help of the best evidence backed medicine to save lives. That's a great outcome! > What connection is there between government efficiency and life span of citizens? This is a minefield of variables. It's not about efficiency as much as it is about policy. No large organization is efficient; rather they ought to be measured by their effectiveness. Investment in hospitals, clinics and public health. Reductions in environmental emissions (air pollution dramatically reduces lifespans). Expansion of coverage programs like medicaid via systems like medi-cal; https://www.medi-cal.ca.gov/ https://www.medi-cal.ca.gov/ Ensuring access to clean drinking water, adequate sanitation - https://www.npr.org/sections/health-shots/2020/11/23/937945160/waste-activist-digs-into-the-sanitation-crisis-affecting-the-rural-poor https://www.npr.org/sections/health-shots/2020/11/23/9379451... . Preventing dumping of toxic waste. Public vaccination programs. And the many, many other levers governments can pull to ensure that people live longer and are healthier. > Aren't minimum wages significantly different between California and Texas? Wasn't this phased in around that time? How much of this increase is due to this? In the comment, the study compares California and Texas between 2000 to 2020. I am not a specialist on the rest, and do not have the data on hand, but just a note, American infrastructure is crumbling in general due to a receding of the state from infrastructure investments. Could you please provide a citation and explanation for your Idaho comment?