• Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

We're Going to Have to Make the Hard Choices


We cannot afford another four years of the dangerous and misguided public and economic policies that have ballooned the deficit, crushed the economy and put millions of Americans out of work. Left unchecked, this fiscal irresponsibility will kill America's future.

The vote in Ohio last week to repeal SB 5 (a bill signed into law in March by Gov. John Kasich that limited collective bargaining for public employee unions) is indicative of the kind of dangerous fiscal irresponsibility and refusal to face up to the problem of out-of-control deficits that is still endemic in this country.

compensation reform for public

associated with their pensions and health care

voters in Ohio showed they are not prepared to make the necessary fiscal choices confronting their state. Instead, it appears they prefer sticking with the unsustainable status quo of “inflated local government budgets and antiquated, inefficient bureaucratic management systems” that create less efficient

By rejecting Governor Kasich’s attempt at sensible sector unions — namely, asking them to bear a fairer percentage of the costs and more costly government that “negatively affects Ohio’s ability to compete” for much-needed jobs.



in line


Ohio, like many other states (and the country as a whole), faces a severe budgetary shortfall that can only be fixed by getting spending in line with revenues and shrinking the size of the state government. One way to do that is to implement common-sense tools like SB 5 that can help provide more flexibility in controlling costs and start to bring workers’ and benefits with the private (a long overdue move —

one study from 2009 found that hourly pay for the public sector was 45% higher than the private sector average, with public sector workers enjoying 34% higher wages and 70% higher benefits).

Back in March, when SB 5 was being voted on in the state legislature, the bill's sponsor, Ohio State Sen. Shannon Jones, laid out the stakes in the plainest of terms: “We cannot restore our economy and create jobs if we keep raising the tax burden on Ohioans, and the only way to get that under control is to limit the growth of government.” SB 5 was a step in the right direction.

back to its dire position. Ohio is a microcosm of America; it is where we all will be if more Americans do not reject this kind of shortsighted thinking

deficit, crushed the economy and put millions of Americans out of work. America cannot simply ignore the impact of bloated government compensation packages that have outstripped their funding. If we don't face facts and act accordingly, the situation will only become worse in 2012 and beyond. Left unchecked, this fiscal irresponsibility will kill America’s future.

Now, following repeal, Ohio is right . We cannot afford another four years of the dangerous and misguided public and economic policies that have ballooned the

We need new leadership that understands that the proper role of the government is to create an environment that will allow the engine of American business to roar back to life and create a sustainable prosperity that rewards hard work, ingenuity and the willingness to take risks. We need new leadership that sees honestly obtained wealth as a virtue and as something for all Americans to aspire to, not as a convenient target for pandering and class warfare demagoguery. We need new leadership with real-world experience and know-how that will put aside the business-as-usual approach in Washington and pursue common-sense policies that will rein in unsustainable entitlement programs, eliminate excessive regulations that are harming our ability to compete in the global marketplace and put America back to work.

job creators and ensure a bright economic future for all Americans.

The choice is simple: We can continue on our current, reckless path of out-of-control state and federal spending, reliance on Big Government “solutions” to fundamental economic and social challenges, and onerous taxes and regulations that are throttling the private sector, or we can forge a new path that is more in keeping with the Founders’ vision of limited government, one that eliminates bureaucracy and wasteful spending and enacts fair and equitable tax reform that eliminates needless complexity, closes loopholes, and requires every American to have some skin in the game. By doing so, we can unleash the creativity and entrepreneurial energy of our private-sector

But Americans have to make the choice. Staying the course only ensures disaster. Courage and confidence in our ability and willingness to take responsibility for America’s future is the clear road to a better America.

Related Videos
Victor J. Dzau, MD, gives expert advice
Victor J. Dzau, MD, gives expert advice