identifies eight categories (approaches) for redesign of services. On
a scale of (0) least promising to (5) neutral, to (10) most promising,
what is your view on the potential of each category?
_7.2 average response____
Termination, cutting out a service. Your suggestions for
redesign opportunities in this category:
_7.9 average response____
Prevention, avoiding or delaying the onset of high-cost
services. Your suggestions for redesign opportunities in this
_7.1 average response____
Substitution, changing the way things are done, such as
supported self-help. Your suggestions for redesign opportunities in
_7.7 average response____
Competition, opening a service to more than one supplier. Your
suggestions for redesign opportunities in this
_6.9 average response____Utilization,
getting more or better service from existing personnel, equipment, or
infrastructure. Your suggestions for redesign opportunities in this
_5.8 average response____Capitation,
giving an individual, organization, or agency the money and let it
keep what it does not need to spend. Your suggestions for redesign
opportunities in this category:
_6.1 average response____Regulation,
requiring individuals and businesses to provide services at their own
expense. Your suggestions for redesign opportunities in this
_6.9 average response
opening up a system, creating incentives to do things differently,
meeting needs more effectively. Your suggestions for redesign
opportunities in this
9. Do any other
categories occur to you? See responses below
Termination: Stop spending public funds on “economic development.”
Let businesses locate wherever they want. (For example, I have never
understood why firms moving to South Dakota, a poor state, is viewed
as a bad thing for us. Don’t we benefit by having more people in our
neighboring states with money to spend?)
Prevention: To promote good health, provide an opportunity for
individuals to have their baseline health indicators (such as weight,
blood pressure, cholesterol, % body fat, aerobic capacity, etc)
measured each year. Those who meet or exceed their goals would receive
a cash award.
Substitution: My example is voter registration. Currently, you become
registered to vote by filling out a paper form and giving it to a
public agency whose employees then enter the data you provided into a
statewide database. Why not just let people go online and register
themselves? The time and expense currently spent having public
employees doing data entry could then be reallocated to more
productive, higher level activities.
Question 4 and 8:
Competition and De-regulation: Deregulate the “transit” (broadly
defined) business and enable more people to provide taxi, livery and
jitney services to those who need or want them.
Utilization: Operate the public schools all year. Leaving educational
achievement aside, why leave all of the capital investments in
education lie fallow for one-fourth of each year?
Capitation: I have a corollary proposal: let the individuals whose
ideas or actions create savings for the public benefit financially
from their ideas or actions. For example, if I figure out a more cost
effective way to register voters, the county general fund would
receive one-third of the savings and the department I work for would
receive one-third of the savings. I would pocket the other third.
Maybe you ("you"
as an impersonal third person singular pronoun) need a scientist to
tell you that before you set out to solve a problem, you have to
define it first. Even if you don't have training in science, surely
you must have heard of Socrates. So, what are the premises, terms and
definitions used in the discussion? In this case, what are the
government programs that are proposed for reform? Of the existing
programs, which ones are a proper function of government and which are
an illegitimate usurpation of power? Which ones have been done in the
private sector before government took them over, and why did it? A
good place to start would be with the Enumerated Powers, but neither
the letter nor the spirit of the Constitution applies any longer to
anything the government does, at any level. So at the very least we
should start with an enumeration of all existing government programs
Press (10) (10) (10 ) (10) (5) (0) (10) (5)
Prest (5) (9) (7) (1) (_) (6) (3) (2)
Question 1: Termination:
out mandated but cumbersome programs, especially those that are not
reviewed or enforceable anyway. They drain the spirits, time, and
resources, for example: following a school bus tragedy, a new bus
safety program was required. The booklets were provided by the state
and the school districts were charged. A lot of money could have been
saved if school districts were simply told to implement and be
prepared to provide evidence of a bus safety program. Legislate less
and enforce better. 2)Cut Q comp 3)Do a state prioritization of public
services, cut those that are "habit" rather than need or want. 4)
Develop more co-locations of services. They are more accessible, more
efficient, and require fewer facilities. 5)Provide access to earlier,
less costly medical care. Create alternatives to the emergency room
for those w/o insurance. 6)Be smarter about construction projects.
Question 2: Prevention: Invest
more $ earlier in education, k-14 education, social services, family
support services, parent training, Invest Q-comp money in
early-childhood, K-3 reading, and after school activities. See
Community Action Council's "Partners for Success Program" and Dakota
County's identification of births for children at risk followed up by
home visitation "Healthy families". These programs and demonstrate
greater outcomes and significant savings of public dollars.
Question 3: Substitution:
There are models
out there that are far more effective than what the counties/state
does. See Community Action Council's "Partners for Success Program"
and Dakota County's identification of births for children at
risk followed up by home visitation "Healthy Families"
Question 4: Competition:
support from best practices and what remains the greatest system of
public education system in the world and almost always slopes the
playing field away from public services w/out giving them equal
ability to promote, advertise, change practices, etc.
Question 5: Utilization: Getting
rid of the cumbersome and redundant paperwork. It rarely
gets monitored anyway.
Question 6: Capitation:
This could lead
to poorer quality services in the interest of organizational
growth, etc. organizations to keep the money if they promote targeted
Question 7: Regulation:
In the private
sector this is already done. In the public sector increased funding
would be required to provide increased services. In the event of
adequate funding this might work to reduce costs. A current exception,
currently private school students receive public $ for some services.
Question 8: De-regulation:
assumes de-regulation leads to the objectives like meeting needs more
effectively. That has not been our nation's history. At the same time
cumbersome, paperwork could allow for greater use of time and
Kolderie has long been an advocate of the privatization of public
services. This may work in some cases but historically the rich get
richer and the poor get poorer.
expectations, fewer petty "punishments" and "rewards", higher respect
for public employees, adequate compensation for expertise, building an
intrinsisc culture from the top down, and the provide more
opportunities for individual creativity.
Robert J. Brown (7) (10) (5) (10) (5) (10) (3) (10)
Termination: This speaks to the need for annual reviews of
governmental agencies and functions asking the questions “why are we
providing this service or activity” and “is the need still there.” I
recall from my legislative days when we were still funding some “horse
and buggy” boards which were no longer needed.
Prevention: Health care obviously, but also education when funding
needs to spent on starting students off right, rather than trying to
repair them once they get off track. Ed Deming’s approach to letting
anyone on the assembly line stop he process and correcting it as soon
as a problem is seen instead of waiting to turn out finished projects
and then discarding the ones that don’t work.
Competition: Voucher systems which empower the consumer to choose
based on informed choice and a level playing field.
Utilization: Almost every politician says they will do this, but they
are rarely successful unless there is a modification of work rules,
union authority, etc.
Capitation: Sending school aid directly to the building based on the
number of students.
Regulation: I am nervous about these mandates because they are not
always administered in a fair manner.
De-regulation: We need to teach entrepreneurial skills to those in
government and those policy wonks who impact government.
Charles Lutz (5) (7) (7) (7) (6) (8) (8) (6)
Donald H. Anderson (8) (5) (8) (8) (8) (0) (2) (10)
Austin Chapman (2) (3) (4) (7) (5) (8) (4) (6)
Keller (6) (7) (8) (8) (8) (_) (8) (_)
Termination: Maintaining trees and shrubs along the street right of
ways - leave it to the property owner, as in small towns.
Prevention: Restrict the use of absentee ballots to actual need,
rather than convenience - we had as long of lines at the city building
before the election as we did at the polls on election day. We are
making the process more and more costly.
Substitution: I believe we can use contract labor in lieu of
employees in many public maintenance areas.
Competition: Rather than multiple companies running up and down the
streets, I believe bidding by area, could increase efficiency.
Utilization: We should work toward city and school administration
sharing existing structure and equipment.
Regulation: See response to Question 1.
Question 9: Go to
primaries and get rid of the caucus system.
Ayotte (7) (10) (_) (10) (_) (10) (_) (_)
Develop financial incentives in health insurance similar to what
exists in auto insurance to encourage healthier lifestyle choices and
Hauge (8)(7) (8) (6) (9) (5) (8) (9)
Question 5: Utilization: Equipment and structures that are only
partially used can often be multi-purposed
Question 6: Capitation: More difficult to implement.
Question 9: Ted has unlimited perception and should be an advisor to
the Minn legislature but politics interferes- thanks to all of the
Civic Caucus members for their continued work and interest in the
critical issues of our age.
Jennings (10) (10) (10) (8) (10) (10) (_) (10)
Termination: Trash removal by neighborhood vs. each house. St. Paul
has every household contract for trash removal and thus 10 different
trucks rumble down every street or alley every week instead of one
Prevention: Provide incentives for healthier living by reduced health
care costs. Or increase costs for unhealthy life styles.
Substitution: Integrated social services. Provide one stop community
services in convenient locations like schools. Big savings and better
services by sharing staff, space and expenses.
Utilization: Older students tutor younger students. Students provide
community service, often gathering data the city or county can’t
afford to do itself. In fact, the entire school enterprise needs
redesign with students involved in food service, maintenance,
administration, discipline, etc.
Capitation: Give school the budget items for substitute teachers,
heating bills, etc. and keep what they save.
De-regulation: Decentralize school district authority over schools
with site based management to a larger degree than at present.
Cox (10) (10) (7) (10) (10) (2) (10) (7)
Termination: Do away with racial employment percentages in state
construction contracts and instead focus on seeing that various groups
of individuals are properly trained for employment; provide surety
bond assistance to see that various businesses have access to credit
and bonds to bid projects.
Prevention: I like the example of removing biting dogs and rats rather
than simply treating the bites.
Substitution: Keeping people in their homes as they near end of life;
eliminating food credit cards and delivering food for the needy
through local food shelves where the individuals can also obtain other
needed services or learn where to obtain those services.
Competition: The clue here is getting the vendors to the table, and
not keeping them shut out. Don't 'cook the bid' to award a preferred
client....get the client to stand on their feet and get the job in an
open market. The private markets don't create bid preference so the
public markets shouldn't either.
Regulation: Cities and counties have huge expenses related to
enforcement of building codes....with absolutely no direction to do so
by the state. They took this on themselves. Builders are bound to meet
codes just as restaurants are required to clean. Eliminate all this
inspection and go to spot inspections.
Shirley Heaton (5) (5) (5) (5) (5) (5) (5) (5)
You are commended
for sponsoring such a fantastic session. I have been involved in
several attempts to redesign public services in Baltimore and
Detroit only to experience the status quo holding forth; e.g. would
you believe the 1967 Detroit riots might not have occurred if the
powers that be had had the guts to follow thru on a proposal to change
the physical and economic status of the very community which went up
in flames 10 years later? But there's hope these days with the economy
like it is. Folks are ready for change; hence the opportunity to take
note of K's observation that change evolves by opening 'the system
just enuf to let something very different come in."
Stone (10) (10) (6) (10) (5) (5) (_) (6)
there is a lot to think about. This interview is a remarkable
template for thinking through the elements of redesign. As usual, not
all of my ideas share equal sobriety.
Termination: While the idea has limited
application, it's such a clean and uncluttered solution, it gets high
An example of
termination at the state level would be the elimination of all Office
of the State Auditor (OSA) unfunded mandates. These are mandates
that require the (OSA) to audit entities and bill those entities for
services) for the (OSA) to audit counties and cities.
This can be
privatized, saving governmental entities considerable money and
providing more timely audits. Current staffing problems in the OSA Oversight
do not permit all entities to be audited within the accepted deadline
of 6 months. Audits from the OSA last year took as long as 16 months;
malpractice in the accounting world. Privatizing governmental audits
would still need governmental oversight. That role would be to monitor
and spot check the list of qualified auditors who are auditing the
municipal and county entities. The OSA would be downsized, the work
product improved and a savings for cities and counties would result.
In addition, the position of State Auditor needs to stop being used by
both parties as a stepping-stone to higher office. A requirement that
the State Auditor be a CPA is a fundamental change and a badly needed
minimum requirement for the office. Including territorial auditors,
there has never been a CPA as State Auditor.
Question 2: Prevention:
development strikes me as a high-cost service that could easily be
avoided through the maintenance of a business-friendly tax and
regulatory climate. Once business leaves, it's extraordinarily hard
to get it back. Once the Golden Goose has been killed, it's hard to
coax another back into the social planning, high tax and spend,
environment first, illegal alien friendly, LRT- crazed special
Question 3: Substitution:
LGA should lend
itself to substitution techniques. Running local money through the
Legislature and back is a formula for inefficiency, influence by
special interests and resource shrinkage.
Competition: The privatization of the State Printing
Office is a standing example of reduced cost, better service, and
enhanced quality through privatization. The privatization of many
auditing functions the OSA provides competition among CPA firms saving
cities and counties significant amounts on auditing expenses while
assuring timely audits.
A great deal of
the water quality testing and mitigation would benefit from the
efficiency of competitive bids. State agencies and state academic
institutions currently dominate this arena with questionable political
neutrality. The required TMDL studies under the MN Clean water Legacy
Act will arguably cost $51,000,000 and would benefit greatly from
private sector competition by both politically isolating the process
and by saving tax dollars.
Constitutional mandates for Minnesota Government should not be
reviewed for exposure to private market competition.
Question 5: Utilization:
legislature works for Nebraska and an every-other-year legislature
works for North Dakota. An every-other-year meeting of a unicameral
legislature would get the most use out of existing politicians,
equipment and infrastructure.
governmental function to benefit from capitation, a well-defined
objective with a well-defined value must be available. The State Park
system is just such an entity.
Each state park has a well-defined cost of operation. There is no need
for government employees to be monitoring campers, selling park
permits, re-filling the granola dispenser and distributing literature
to park visitors. Government employees are required to neither manage
fauna nor foster plant growth.
A private entity
can accomplish the task of park management for less with the incentive
that, if they can do it under the contract price, the balance is
theirs to keep. It’s quintessential capitalism.
currently pays the enormous cost of keeping transplant patients alive
while they are on waiting lists. A three-year for a kidney is not
unusual while dialysis costs are in the neighborhood of
$50,000 per month.
There are no good
reasons for the shortage of transplant organs. The problem could be
solved by regulation. Instead of making organ donation a conscious
choice to be made on the driver’s license application, the default
position would be donor.
ideas of implied consent, the driver accepts the responsibility of
driving a motor vehicle on public roadways knowing that he can kill
fellow citizens through impairment, negligence or mechanical failure
of his vehicle. To accept that responsibility the consent to harvest
organs is implied in the application process.
De-regulation: Subcontract judicial services across
the lower courts system. Subcontract traffic court, DWI court, drug
court and all small claims courts.
Question 9: The
antipode of the entitlement society is a culture in which recipients
of free government services recognize an obligation to return the
gift. Those individuals who are given aid because of a lack of an
opportunity to work in the private sector are given opportunities to
work in the government sector on the endless liberal projects
perennially lacking funding.
Government is able
to move projects forward cost effectively. Social Responsibility
investment will not upset the free market equilibrium so cherished by
labor unions; these projects would not otherwise be funded.
Let me start by
saying that I am not fond of this psychological ploy to get us to buy
into the "Re-Design" concept through participation. First, the idea of
"Incremental change" as described in section 9 is blatantly Socialist
in concept. Furthermore it is exactly how "The Minnesota Miracle"
undermined the locally controlled, competitive, more functional
education system we had. I will endeavor to find answers that fit our
Republic model not the Socialist model being promoted by this
discussion. I am not willing to trust anyone enough to let them lead
me down a path toward his or her goal or objective. I want to know
what's at the other end of this "re-design" model and hear the full
discussion as to just why we need it and why these changes don't
threaten our Republic. While I am fine with the 8 categories, I am not
fine applying theoretical means, (or at least measures of under
defined means), to cure problems that have not clearly been
established to have been mishandled apparently just for the sake of
doing it differently. While I understand what he is about, I can't
understand how anyone can support the under discussed application of
this technique without full transparency and disclosure. Personally
having someone of greater education, or from groups superior to me in
social status, making these kinds of decisions behind my back is not
comforting. To make this clearer, if your talking about change let's
get on with it. If you have to rename it "re-design" I have already
figured out there is deception involved.