From Truthout.org (Monday 12 January 2009):
President-elect Barack Obama orders lunch at the famous restaurant Ben's Chili Bowl in Washington, DC. (Photo: Reuters)
Yes, We Can Make the Stimulus More Stimulating
By: Dean Baker
President Obama could not find any economists who were able to see the housing bubble for his economic team. Fortunately, he indicated that he would be willing to listen to those of us who did in designing his stimulus package.
In response to his request for ideas on how to make his economic recovery package more effective, I have put together the following list of seven proposals. This is a mix or match list, intended to be added to the list of items already suggested, although given the severity of the downturn, all of them could probably be included without causing concern about excessive deficits.
1) Extend Health Insurance
Offer a $2,000 tax credit for any firm that gives health insurance to employees not currently covered.
2) Publicly Funded Clinical Trials
Start a system of publicly funded clinical trials. The point would be to take the conduct of trials out of the control of the drug industry so that doctors and researchers would have immediate and full access to all research findings.
...
4) Subsidies for Public Transportation
The government can encourage public transit and get money into the pockets of the people who use it (disproportionately low- and moderate-income people), by giving a $1 subsidy for each trip that gets directly passed on in lower fares...
Comment Below with ideas specific to disability.
Or better yet, send ideas to the new administration via http://change.gov/.
Some that I've already received:
From Barbara Kornblau
1. Build accessible housing.. This will put people in the building trades back to work, including small businesses and contractors. It gives people with disabilities and aging baby boomers an alternative to institutional care and promotes the transition intended by the Community Choice Act. Or as we put in our policy statement: Provide tax incentives for building accessible housing and other buildings and include making infrastructure and public building accessible in all economic stimulus packages. (from our policy statements)
2. Pay for ramps, grab bars, bath benches, and handheld showerheads in existing homes. Currently, neither private insurance, Medicare, nor (in most places) Medicaid, pay for grab bars, and other assistive devices that promote independence and prevent falls. Paying for these items will be a boost to small businesses and contractors, while at the same time, promote community living and prevent hip fractures and other injuries.
3. Make all public buildings accessible: Court houses, City halls, schools, hospitals, museums, sporting venues, arenas, stadiums, etc. More jobs for the building trades and consulting for individuals with disabilities.
4. Give employers a tax credit for a percentage of the salary to hire currently unemployed individuals with disabilities. The tax credit would be spread over 3 years of employment to encourage employment longevity. Fund assistive technology, workplace accessibility, etc. to promote hiring.
5. Fund job coaches for employers who create innovative programs that can hire multiple individuals with disabilities in competitive employment
6. Increase the FMAP…not an original idea but one that gives states lots of matching dollars so they can free up money to spend on other things, like fixing the infrastructure
7. Fund research into best practices that promote quality of life and participation for individuals with disabilities. This provides money to universities, keeps the pipeline of disability researchers open, and establishes best practices to support community living for individuals with disabilities
8. Launch a massive sensitivity, disability awareness, and disability rights campaign nationwide. Include police officers, court personnel, health providers at all levels, teachers, etc. This will provide employment opportunities for individuals with disabilities to work in the awareness campaigns and make an attempt at a more inclusive, fair, and just society. In theory, a fair society means better attitudes, more opportunities, and more employed individuals with disabilities.
9. Pay employers for 8 weeks of on-the-job training for new employees with disabilities. Incentives…
10. Require physicians and hospitals to meet quality indicators specifically designed to assure inclusion and good health care for individuals with disabilities. Things like weighing all patients, providing mammograms to all women, including women with disabilities, etc. Things we know based on the evidence, (article in JAMA) are not being done. The government can carry this out by requiring specific interventions for individuals with disabilities under Medicare (similar to how hospitals in the south were integrated overnight under Medicare) or via incentive payments for quality. I would prefer the former.
11. Any health information technology training included in the stimulus package (the current plan includes Health IT) should also include training in the medical needs of individuals with disabilities and/or how to treat people with disabilities, including people with intellectual disabilities. How to transfer patients, how to ask people what their needs are, etc. This is currently in Senator Harkin’s health and wellness bill. This would tie the electronic medical record with the health care needs of individuals with disabilities. HIT should also include specific indicators for everyone with screens that require an explanation if basic care, such as height, weight, and blood pressure is not rendered.
12. Install sidewalks in communities that don’t have them to promote wellness, healthy lifestyles, and access for individuals with disabilities. Make sure they have curb cuts and safety measures such as crosswalks and traffic lights.
13. Require all infrastructure changes made under the economic stimulus package to include a requirement to make that infrastructure accessible.
14. Require a percentage of new jobs created by the economic stimulus package to go to individuals with disabilities or an alternative affirmative action program of some kind, such as the requirements from Sections 501 and 503 of the Rehabilitation Act.
15. Create internships and mentoring programs for young adults with disabilities in the federal government in all agencies. The federal government has other capacity building programs. This is a good addition to those. [Take a page from AAPD's Disability Mentoring Day and Internship programs]
16. Fix the vocational rehabilitation system so it works.
17. Fully fund IDEA so the money schools are currently using to pay the federal government’s share can be used to buy textbooks and supplies so students have text books and teachers don’t have to spend their own money. This will be a boost in spending for the local economy.
18. Ensure the Economic Stimulus Package includes requirements to make school facilities accessible, such as health clinics, gymnasiums, playgrounds, and sports fields, and invite individuals with disabilities and community groups to use them for health, fitness, recreation, and wellness programs. (from our policy statements)
From Duane French
-- $125 million to the US Department of Education, Office of Special Education and Rehabilitative Services, Rehabilitation Services Administration to make funding available to Independent Living Centers funded in Title VII of the Rehabilitation Act to make home modification and assistive technology funding available to people with disabilities and seniors that live below 750% FPL. This would increase jobs for small contractors who do home remodeling and for small business owners who sell assistive technology or medical equipment. The funding formula in place for ILC's could be used to distribute this money quickly.
-- $150 million to the US Department of Education, Office of Special Education and Rehabilitative Services, Rehabilitation Services Administration to make funding available for people with disabilities to purchase American-made vehicles that require accessible modifications including wheelchair lifts or ramps. These funds would be available to any person with a disability that lives below 1000% FPL and requires the vehicle to enter or remain in employment or to attend school or training to help them get a job.
-- $50 million to the US Department of Education, Office of Special Education and Rehabilitative Services, Rehabilitation Services Administration to make funding available to people who are blind or visually impaired to purchase the assistive technology needed to increase their independence. These funds would be made available through state rehabilitation agencies for the blind.
-- $50 million to the US Department of Education, Office of Special Education and Rehabilitative Services, Rehabilitation Services Administration to make funding available to people who are deaf or hearing impaired to purchase the assistive technology needed to increase their independence. These funds would be made available through state commissions/offices for the deaf and hearing impaired.
-- $75 million to the US Department of Transportation to make funding available to local transit authorities to purchase wheelchair accessible van pool vehicles to promote ride-sharing that is accessible to people with disabilities.
-- $75 million to the US Department of Transportation to make funding available to local transit authorities to distribute to taxicab companies to purchase wheelchair accessible vehicles to transport people with disabilities. Each cab company receiving a vehicle would make vouchers available to transit authorities to make available to people with disabilities who need to use taxi services. The voucher amount would equal 50% of the value of the vehicle purchase for cab companies.
Great ideas. Add your own below.
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