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Showing posts with label Donald Berwick. Show all posts
Showing posts with label Donald Berwick. Show all posts

Saturday, November 1, 2014

Massachusetts voters...





Massachusetts voters...
Former gubernatorial candidate Don Berwick takes on the casinos, stating that Question 3 isn't a close call. Read his thorough take down of the casino industry. http://bit.ly/1v50e5s






Donald M. Berwick: "We have a chance in our state to invest in a declining industry that will harm our economy, reduce property values, kill more jobs than it adds, lower incomes, injure public safety, reduce net government revenues, increase a major mental health burden and selectively harm the poor. Or, we can stop it." (Mait Jüriado/flickr)

Casinos should have no place in Massachusetts, and Ballot Question 3 is our chance to stop them. (A “yes” vote on Question 3  says “no” to casinos and repeals the law that permits them.) If you care about the state’s economy, jobs and the overall health of our state, this is not a close call.

Consider first that the casino industry is in decline. Moody’s recently downgraded the industry’s outlook from “stable” to “negative.” Six out of 12 casinos in New Jersey have filed for bankruptcy; four large casinos in Atlantic City have closed this year, and another soon will. If Massachusetts tries to rely on casino revenue, it will become a stakeholder in the gambling industry itself, tied to failing casinos. Delaware has had to spend $8 million to bail out its casinos, and Rhode Island projects losses of over $422 million in casino revenue over the next five years.

If Massachusetts tries to rely on casino revenue, it will become a stakeholder in the gambling industry itself, tied to failing casinos.

Casinos harm their local economies. In its 3,000-page review of the economic toll that casinos take on their surrounding communities, the U. S. International Gambling Report series found consensus among 40 economists regarding casinos’ net negative effect on economic development. No research study not affiliated with the industry-funded American Gaming Association has found otherwise. The Massachusetts Restaurant Association, the Boston Business Journal and the Wall Street Journal oppose casinos.

In Atlantic City, one-third of retail businesses closed within four years of casinos’ arrival in 1978, when there were 311 taverns and restaurants. Twenty years later, there were 66.

In Norwich, Connecticut, median family income fell by $20,000 per year after a casino opened nearby. Mayor Wesley Johnson of Ledyard, Connecticut, the home of Foxwoods, says, “There has been no economic development spin-off from the casino.” And a study by the Realtor Association of Pioneer Valley estimates that average home values near a Western Massachusetts casino could fall by as much as $3,300.

What of the argument that casinos create jobs? “Bogus,” according to The Boston Business Journal, which debunked the claim that Massachusetts casinos will create 20,000 jobs, “…because the diversion of billions of dollars in one sector is destined to cause job losses in other sectors.” And, most of the jobs that casinos do provide rank among the worst paying in America, according to Forbes Magazine. A full-time gaming dealer, for example, has a median annual salary of $18,480.

Slot machines generate 60 to 90 percent of casino revenue, but money dropped into slots does not stay local: It’s shipped off to headquarters to the tune of $300,000 of foregone consumer spending per year, per slot machine. Those are dollars that are drained from and not returned to the local economy.

As a result of that drainage, according to University of Illinois researchers, one job is lost per slot machine every year.

Casino proponents claim that a Massachusetts casino will prevent “leakage” of government revenues to other states. It’s true that Massachusetts residents contributed approximately $77 million in gambling money to the Connecticut treasury in 2013. But only a fraction of that would be retained in Massachusetts if casinos opened here.


In fact, revenue projections for the Massachusetts casino deal are based largely on data from Las Vegas-style destination resort casinos, which bring in almost entirely outside money. Massachusetts casinos, in contrast, will draw mostly on local dollars, not dollars from other states.

Estimates of what casinos will add to state and local government revenues are inflated. Casinos in Massachusetts will cannibalize from the state lottery, which cities and towns depend on for discretionary funds for local services such as schools, police and fire protection, parks and public works. Even if every single gambling dollar now spent in Connecticut were to revert to Massachusetts, that would not make up for even a 10 percent decrease in lottery income. The former president of the Massachusetts Taxpayers Foundation has stated that cities and towns will see no new revenues as a result of casinos.

Meanwhile, state and local expenditures would increase for law enforcement and public safety, the treatment of gambling addiction and its consequences, unemployment benefits and subsidies for businesses adversely affected by casinos, and a multimillion-dollar regulatory apparatus just to keep an eye on the casinos.

Casinos hurt public safety. In Norwich, Connecticut, Driving Under the Influence (DUI) arrests doubled after Mohegan Sun and Foxwoods opened; today, nearly 25 percent of drunk driving arrests in the area involve casino patrons. One national study found that, within a few years of opening, casinos account for about 8 percent of the crimes in the counties they occupy.
 
…money dropped into slots does not stay local: It’s shipped off to headquarters to the tune of $300,000 of foregone consumer spending per year, per slot machine.

Gambling addiction doubles within 10 miles of a casino. Casinos depend on gambling addiction and problem gamblers for their business success. They use marketing science to determine how best to attract those most likely to become addicted.

An estimated 20 to 40 percent of casino revenue comes from addicts. Overall, about 90 percent of casino profits come from 10 percent of their customers.

And gambling addiction can be devastating to addicts and their families. Gambling addicts have the highest rates of suicide of any addicted population, and personal bankruptcies rise by more than 18 percent in the area around a casino. Communities of color experience higher gambling addiction rates, even after adjusting for income, and casinos disproportionately harm the poor and vulnerable.

Some argue that this decision can and should be made city-by-city, not by state policy: “If Springfield wants a casino, it is Springfield’s right to have one.” This is not a matter for pure local choice, however, because the effects are not at all localized. The drunk-driving injuries and deaths won’t be confined to Springfield; nor will be the larger Massachusetts state budget costs, the mental health burdens, the net job losses, or damage to the state’s safety net. A Massachusetts city ought to have every right to build a local swimming pool but not to add a toxic chemical to our water supply or a casino to our Commonwealth.

So, what a deal! We have a chance in our state to invest in a declining industry that will harm our economy, reduce property values, kill more jobs than it adds, lower incomes, injure public safety, reduce net government revenues, increase a major mental health burden and selectively harm the poor.

Or, we can stop it.


Donald M. Berwick
Donald M. Berwick, MD, is president emeritus and senior fellow at the Institute for Healthcare Improvement in Boston and is former administrator of the Centers for Medicare and Medicaid Services.



http://cognoscenti.wbur.org/2014/10/27/no-to-casinos-yes-on-ballot-question-3-donald-m-berwick

 

Tuesday, October 28, 2014

Casinos: A Losing Bet For Massachusetts








Donald M. Berwick, MD, is president emeritus and senior fellow at the Institute for Healthcare Improvement in Boston and is former administrator of the Centers for Medicare and Medicaid Services.
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Donald M. Berwick: "We have a chance in our state to invest in a declining industry that will harm our economy, reduce property values, kill more jobs than it adds, lower incomes, injure public safety, reduce net government revenues, increase a major mental health burden and selectively harm the poor. Or, we can stop it." (Mait Jüriado/flickr)


Casinos should have no place in Massachusetts, and Ballot Question 3 is our chance to stop them. (A “yes” vote on Question 3  says “no” to casinos and repeals the law that permits them.) If you care about the state’s economy, jobs and the overall health of our state, this is not a close call.

Consider first that the casino industry is in decline. Moody’s recently downgraded the industry’s outlook from “stable” to “negative.” Six out of 12 casinos in New Jersey have filed for bankruptcy; four large casinos in Atlantic City have closed this year, and another soon will.

If Massachusetts tries to rely on casino revenue, it will become a stakeholder in the gambling industry itself, tied to failing casinos. Delaware has had to spend $8 million to bail out its casinos, and Rhode Island projects losses of over $422 million in casino revenue over the next five years.
 
If Massachusetts tries to rely on casino revenue, it will become a stakeholder in the gambling industry itself, tied to failing casinos.
 
Casinos harm their local economies. In its 3,000-page review of the economic toll that casinos take on their surrounding communities, the U. S. International Gambling Report series found consensus among 40 economists regarding casinos’ net negative effect on economic development. No research study not affiliated with the industry-funded American Gaming Association has found otherwise. The Massachusetts Restaurant Association, the Boston Business Journal and the Wall Street Journal oppose casinos.

In Atlantic City, one-third of retail businesses closed within four years of casinos’ arrival in 1978, when there were 311 taverns and restaurants. Twenty years later, there were 66.

In Norwich, Connecticut, median family income fell by $20,000 per year after a casino opened nearby. Mayor Wesley Johnson of Ledyard, Connecticut, the home of Foxwoods, says, “There has been no economic development spin-off from the casino.” And a study by the Realtor Association of Pioneer Valley estimates that average home values near a Western Massachusetts casino could fall by as much as $3,300.

What of the argument that casinos create jobs? “Bogus,” according to The Boston Business Journal, which debunked the claim that Massachusetts casinos will create 20,000 jobs, “…because the diversion of billions of dollars in one sector is destined to cause job losses in other sectors.” And, most of the jobs that casinos do provide rank among the worst paying in America, according to Forbes Magazine. A full-time gaming dealer, for example, has a median annual salary of $18,480.

Slot machines generate 60 to 90 percent of casino revenue, but money dropped into slots does not stay local: It’s shipped off to headquarters to the tune of $300,000 of foregone consumer spending per year, per slot machine. Those are dollars that are drained from and not returned to the local economy. As a result of that drainage, according to University of Illinois researchers, one job is lost per slot machine every year.

Casino proponents claim that a Massachusetts casino will prevent “leakage” of government revenues to other states. It’s true that Massachusetts residents contributed approximately $77 million in gambling money to the Connecticut treasury in 2013. But only a fraction of that would be retained in Massachusetts if casinos opened here.





In fact, revenue projections for the Massachusetts casino deal are based largely on data from Las Vegas-style destination resort casinos, which bring in almost entirely outside money. Massachusetts casinos, in contrast, will draw mostly on local dollars, not dollars from other states.

Estimates of what casinos will add to state and local government revenues are inflated. Casinos in Massachusetts will cannibalize from the state lottery, which cities and towns depend on for discretionary funds for local services such as schools, police and fire protection, parks and public works. Even if every single gambling dollar now spent in Connecticut were to revert to Massachusetts, that would not make up for even a 10 percent decrease in lottery income. The former president of the Massachusetts Taxpayers Foundation has stated that cities and towns will see no new revenues as a result of casinos.

Meanwhile, state and local expenditures would increase for law enforcement and public safety, the treatment of gambling addiction and its consequences, unemployment benefits and subsidies for businesses adversely affected by casinos, and a multimillion-dollar regulatory apparatus just to keep an eye on the casinos.

Casinos hurt public safety. In Norwich, Connecticut, Driving Under the Influence (DUI) arrests doubled after Mohegan Sun and Foxwoods opened; today, nearly 25 percent of drunk driving arrests in the area involve casino patrons. One national study found that, within a few years of opening, casinos account for about 8 percent of the crimes in the counties they occupy.
 
…money dropped into slots does not stay local: It’s shipped off to headquarters to the tune of $300,000 of foregone consumer spending per year, per slot machine.

Gambling addiction doubles within 10 miles of a casino. Casinos depend on gambling addiction and problem gamblers for their business success. They use marketing science to determine how best to attract those most likely to become addicted.

An estimated 20 to 40 percent of casino revenue comes from addicts. Overall, about 90 percent of casino profits come from 10 percent of their customers.

And gambling addiction can be devastating to addicts and their families. Gambling addicts have the highest rates of suicide of any addicted population, and personal bankruptcies rise by more than 18 percent in the area around a casino. Communities of color experience higher gambling addiction rates, even after adjusting for income, and casinos disproportionately harm the poor and vulnerable.

Some argue that this decision can and should be made city-by-city, not by state policy: “If Springfield wants a casino, it is Springfield’s right to have one.” This is not a matter for pure local choice, however, because the effects are not at all localized. The drunk-driving injuries and deaths won’t be confined to Springfield; nor will be the larger Massachusetts state budget costs, the mental health burdens, the net job losses, or damage to the state’s safety net. A Massachusetts city ought to have every right to build a local swimming pool but not to add a toxic chemical to our water supply or a casino to our Commonwealth.

So, what a deal! We have a chance in our state to invest in a declining industry that will harm our economy, reduce property values, kill more jobs than it adds, lower incomes, injure public safety, reduce net government revenues, increase a major mental health burden and selectively harm the poor.

Or, we can stop it.


Friday, October 17, 2014

Join Don Berwick next Thursday, October 23rd, in Newton








Join Don Berwick next Thursday, October 23rd, in Newton for an information session with Thomas Bean, the attorney who successfully argued the ballot question case in the SJC.
Photo: Join Don Berwick next Thursday, October 23rd, in Newton for an information session with Thomas Bean, the attorney who successfully argued the ballot question case in the SJC.

Friday, July 4, 2014

Column: On casinos and politics

Get the FACTS and join with others to protect ALL communities:

REPEAL THE CASINO DEAL


Column: On casinos and politics

By Rick Holmes
MassPoliticalNews.com Posted Jul. 3, 2014 @ 9:37 am

BROOKLINE


A campaign that had been looking for a theme found one last week, with a little help from the Supreme Judicial Court. Now casinos will be on the ballot, and on them minds of voters, as commercials pro and con crowd out candidate pitches in the weeks leading up to Election Day.

The political establishment had hoped it wouldn’t come to this. After years of intense lobbying, the Legislature three years ago agreed, by large, bipartisan majorities, on a modest plan for up to three resort-style casinos and one slots parlor, with voters given a veto of any casino proposed for their community. Licenses have already been granted for a casino in Springfield and a slots operation in Plainville.

Whether Attorney General Martha Coakley’s office tried to keep the casino repeal initiative off the ballot for legitimate legal or purely political reasons no longer matters. The SJC wasn’t buying the constitutional arguments. Coakley is embarrassed either way, and the one thing all candidates for governor seem to agree on is that the voters should have a say.

But which voters? As is often the case in public policy, the question comes down to, "Who decides?" Does the elected state Legislature get to decide how to legalize and regulate casino gambling? Should the voters get to reverse course three years into the process? Do the elected officials and voters of Springfield get to decide whether MGM’s casino proposal fits into their community, or should voters in Hopkinton and Williamstown and Boston’s Back Bay be able to veto that plan?

The difference between policy and politics is that the emotion behind issues like gambling can drown out all nuance, scramble partisan alignments and shape attitudes about candidates in unpredictable ways.

Gambling is a rare issue that pulls from both extremes. Cultural conservatives and nanny state liberals may use different language, but they agree gambling is so bad for people that the government is justified in limiting it.

Then there are the moderates. They may be concerned about the downside of gambling, but they’ve been to a casino or two without being transformed into slot machine zombies. They may not want a casino down the street, but they aren’t offended by one in Springfield, Everett or New Bedford.

Moderates care about economic development as well, and they’ll welcome whatever jobs three casinos and a slots parlor create. Polls show support for casinos on economic grounds has weakened as the economy has improved. Tell that to Springfield, which has an unemployment rate of 8.4 percent, compared to 5.6 percent for the state as a whole. There, MGM’s $800 million investment in a struggling downtown is seen as an opportunity, not a curse.

The casino question is already fueling primary battles in both parties. Democratic governor candidate Don Berwick is appealing to eat-your-vegetable liberals with his strong opposition to casinos in any form, while opponents Coakley and Steve Grossman oppose repeal, though without enthusiasm.

Republican Charlie Baker also says he’ll vote against repeal, though he’s happy to see it on the ballot. His nuanced position — he’d prefer one casino to three — won’t spur enthusiasm in the anti-gambling crowd. Mark Fisher, Baker’s tea party challenger, supports repeal, but on practical, not ideological grounds. He says private casinos will undermine the state’s own highly profitable Lottery operations.


Three independents running for governor are also split, with Evan Falchuk opposing repeal, Jeff McCormick favoring repeal on economic grounds, and Scott Lively opposed to all gambling on moral grounds.

In a hotly contested Democratic race for attorney general, Maura Healey is staunchly in favor of repeal, while Warren Tolman, with strong labor backing, shows more enthusiasm for casinos than any other candidate.

There’s no federal issue involved here, but that won’t stop Republican Brian Herr, who is challenging Sen. Ed Markey, from bringing it up. As chairman of the Hopkinton Board of Selectmen, Herr led efforts to stop a casino just over the town line in Milford.

How this will play out in individual races is anyone’s guess. The anti-casino crowd is louder than it is large. The moderates are O.K. with casinos, but not enthusiastic about them. The safest prediction comes from Secretary of State William Galvin, who said last week the ballot question should inspire "a very intensive turnout," — and a lot of money spent by companies that have already invested big bucks trying to bring casinos to Massachusetts.

Rick Holmes writes for MassPoliticalNews.com and the MetroWest Daily News. He can be reached at rholmes@wickedlocal.com. Visit MPN online or follow@masspolinews.

http://brookline.wickedlocal.com/article/20140703/OPINION/140708844#140708844/?Start=2&_suid=1404478159298036535225898877244

Friday, June 27, 2014

Casino decision could impact political landscape



Casino decision could impact political landscape

Monday, May 26, 2014

Voters Want To Weigh In On Casino Gambling, WBUR Poll Finds




Voters Want To Weigh In On Casino Gambling, WBUR Poll Finds

Tuesday, April 15, 2014

Coakley = NIMBY!

As AG, Martha Coakley has failed to do her job. Do we really want her as Governor?

Democratic gubernatorial candidates talk casinos, health care and tax reform at forum


JERREY ROBERTS<br/>Martha Coakley speaks as another candidate, Steven Grossman, listens during a Democratic gubernatorial candidate forum Wednesday at Northampton High School.<br/>
JERREY ROBERTS
Martha Coakley speaks as another candidate, Steven Grossman, listens during a Democratic gubernatorial candidate forum Wednesday at Northampton High School.

By REBECCA EVERETT
@GazetteRebecca
Thursday, January 30, 2014
(Published in print: Thursday, January 30, 2014)        
 
The candidates answered questions from local journalists and community leaders and touted their diverse backgrounds to try to win over the packed auditorium at Northampton High School. The candidates are Steven Grossman, state treasurer; Martha Coakley, attorney general; Juliette Kayyem, former assistant secretary for intergovernmental affairs at the federal Department for Homeland Security; Joseph Avellone, vice president of a bio-pharmaceutical research company and a former Wellesley selectman; and Donald Berwick, a former administrator of the federal Centers for Medicare and Medicaid Services.
 
When panelist and WFCR reporter Susan Kaplan asked the candidates whether they would vote in favor of a casino in their hometowns and what they would say to casino opponents who may see casinos in their communities, most said they wouldn’t support a casino.
 
Grossman was among them, but he said that the only communities that will see casinos are those that have voted to allow them. “The reason I think the people voted that they want MGM to come to Springfield is they believe that the jobs that would come to them, in a city with very high levels of unemployment, would benefit the people of the community,” he said.
 
Kayyem, who did not say whether she would support a casino in her hometown, said Gov. Deval Patrick faced a recession and suggested “a rigorous piece of legislation” that smartly capped the number of casinos at three, gave communities the right to vote on proposed casinos, and ensured that the revenue would support public safety in those communities to protect against adverse effects.
Avellone said he would vote no on a casino in his town. “I think when the bill was passed, the revenues were oversold and the costs were underestimated,” he said. “I think that we should allow the law to play out,” but he said it’s likely that small businesses will suffer and the jobs that will be created may be low-paying.
 
“I’m against casinos and for the repeal,” Berwick said. He said casinos will hurt small businesses, increase petty crime and gambling problems. “There’s an overestimate in the revenue benefit to the commonwealth. It is absolutely for sure that it will cannibalize lottery revenue to the tune of several hundred million dollars.”
 
Coakley said no one would want to build a casino in her community of Medford. But after being prodded twice by Kaplan and the moderator, WGBY Director of Public Affairs Jim Madigan, she answered that if there was a vote on a casino in Medford, she would probably vote no.
 
“It’s not the first place I’d look for economic development,” she said of casinos, but the Legislature and some communities have approved them. “This is what democracy is about.”
 
Asked if the state should pursue a change from a flat income tax to a progressive income tax, only Berwick came out strongly in support of the shift.
 
Avellone said he did not want to raise taxes at all, while Grossman and Coakley said the progressive tax was one of a number of solutions they would consider.
 
“But I do not want to increase the burden, however, on anybody who can’t afford it,” Coakley said.
 
Kayyem said that while she agreed with Patrick when he proposed a progressive tax, his efforts to get it passed were unsuccessful. She said she would look at other ways to save money, from funding social services and reforming the criminal justice system to help reduce prison populations, to working with mayors to help them grow their local economies.
 
Asked how they would close the achievement gap among students, Kayyem, Berwick and Avellone supported increasing the availability of pre-kindergarten education.
 
Avellone said he would also close the gap by lengthening the school day and increasing vocational education, and he would pay for the spending by reducing the state’s health care costs.
Coakley and Berwick agreed the state should be working with teachers to help them improve.
 
“The problem is not teachers, the solution is teachers,” Berwick said. He said rather than forcing teachers to teach to standardized tests, the state should focus more on professional development to help teachers in low-level schools be better instructors.
 
Grossman, who has been endorsed by Northampton Mayor David J. Narkewicz and state Sen. Stanley Rosenberg of Amherst, said the state’s so-called Chapter 70 school funding formula needs to be re-examined to make it more fair.
 
Kayyem, Avellone, Berwick, and Coakley all said they would support tighter gun laws on both the state and federal level, and Avellone and Berwick agreed that helping keep children out of gangs will help reduce gun violence.
 
“At the same time, there are people in western Massachusetts who own guns, who are law-abiding people, who store them properly,” Grossman said. “And I want to make sure those people are not unduly targeted.
 
The candidates also disagreed on whether the state should implement a single-payer health care system like Medicare. Berwick said it was “the way to go,” while Grossman, Kayyem and Coakley said it was an option, but the next governor should first focus on reducing rates and improving care at community health centers. Avellone didn’t support the idea, saying that reducing rates in the current system is far more important.
 
Candidates gave one-minute opening and closing statements. They answered 10 questions from the panelists; questions were directed to a specific candidate but all were allowed to give answers. Five questions were submitted by community groups and read by the moderator.
 
Other panelists were 22News anchor Laura Hutchinson and Gazette night managing editor Stanley Moulton.