Archives for category: Hoax

In recent years, there has been a full-court press to persuade seniors to transfer from traditional Medicare to private, for-profit plans called “Medicare Advantage.” [MA]

MA plans include prescription coverage and lots of bells and whistles. But something is sacrificed to enable the plans to make a profit. What is sacrificed? Your preferred doctor may not be covered, and you may be denied coverage of some procedures.

Two progressive Congressmen—Ro Khanna and Mark Pocan—have introduced legislation to bar private for-profit plans from using the label “Medicare,” because it confuses seniors into thinking it’s a government plan, the one they paid into for many years. It’s not.

The New York Times wrote a scathing article about MA plans, calling them “cash monsters.”

By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been accused in court of fraud.

The health system Kaiser Permanente called doctors in during lunch and after work and urged them to add additional illnesses to the medical records of patients they hadn’t seen in weeks. Doctors who found enough new diagnoses could earn bottles of Champagne, or a bonus in their paycheck.

Anthem, a large insurer now called Elevance Health, paid more to doctors who said their patients were sicker. And executives at UnitedHealth Group, the country’s largest insurer, told their workers to mine old medical records for more illnesses — and when they couldn’t find enough, sent them back to try again.

Each of the strategies — which were described by the Justice Department in lawsuits against the companies — led to diagnoses of serious diseases that might have never existed. But the diagnoses had a lucrative side effect: They let the insurers collect more money from the federal government’s Medicare Advantage program.

Medicare Advantage, a private-sector alternative to traditional Medicare, was designed by Congress two decades ago to encourage health insurers to find innovative ways to provide better care at lower cost. If trends hold, by next year, more than half of Medicare recipients will be in a private plan.

Medicare Advantage is on track to enroll most Medicare beneficiaries by next year….

But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to inflate their profits by billions of dollars.

The government pays Medicare Advantage insurers a set amount for each person who enrolls, with higher rates for sicker patients. And the insurers, among the largest and most prosperous American companies, have developed elaborate systems to make their patients appear as sick as possible, often without providing additional treatment, according to the lawsuits.

As a result, a program devised to help lower health care spending has instead become substantially more costly than the traditional government program it was meant to improve.

Eight of the 10 biggest Medicare Advantage insurers — representing more than two-thirds of the market — have submitted inflated bills, according to the federal audits. And four of the five largest players — UnitedHealth, Humana, Elevance and Kaiser — have faced federal lawsuits alleging that efforts to overdiagnose their customers crossed the line into fraud.

The fifth company, CVS Health, which owns Aetna, told investors its practices were being investigated by the Department of Justice.

Many of the accusations reflect missing documentation rather than any willful attempt to inflate diagnoses, said Mark Hamelburg, an executive at AHIP, an industry trade group. “Professionals can look at the same medical record in different ways,” he said.

The government now spends nearly as much on Medicare Advantage’s 29 million beneficiaries as on the Army and Navycombined. It’s enough money that even a small increase in the average patient’s bill adds up: The additional diagnoses led to $12 billion in overpayments in 2020, according to an estimate from the group that advises Medicare on payment policies — enough to cover hearing and vision care for every American over 65.

Another estimate, from a former top government health official, suggested the overpayments in 2020 were double that, more than $25 billion.

The increased privatization has come as Medicare’s finances have been strained by the aging of baby boomers. But for insurers that already dominate health care for workers, the program is strikingly lucrative: A study from the Kaiser Family Foundation, a research group unaffiliated with the insurer Kaiser, found the companies typically earn twice as much gross profit from their Medicare Advantage plans as from other types of insurance.

For people choosing between traditional Medicare and Medicare Advantage, there are trade-offs. Medicare Advantage plans can limit patients’ choice of doctors, and sometimes require jumping through more hoops before getting certain types of expensive care.

But they often have lower premiums or perks like dental benefits — extras that draw beneficiaries to the programs. The more the plans are overpaid by Medicare, the more generous to customers they can afford to be.

“Medicare Advantage is an important option for America’s seniors, but as Medicare Advantage adds more patients and spends billions of dollars of taxpayer money, aggressive oversight is needed,” said Senator Charles Grassley of Iowa, who has investigated the industry. The efforts to make patients look sicker and other abuses of the program have “resulted in billions of dollars in improper payments,” he said.

Many of the fraud lawsuits were initially brought by former employees under a federal whistle-blower law that allows them to get a percentage of any money repaid to the government if their suits prevail. But most have been joined by the Justice Department, a step the government takes only if it believes the fraud allegations have merit. Last year, the department’s civil division listed Medicare Advantage as one of its top areas of fraud recovery….

In contrast, regulators overseeing the plans at the Centers for Medicare and Medicaid Services, or C.M.S., have been less aggressive, even as the overpayments have been described in inspector general investigations, academic research, Government Accountability Office studies, MedPAC reports and numerous newsarticles, over the course of four presidential administrations.

Congress gave the agency the power to reduce the insurers’ rates in response to evidence of systematic overbilling, but C.M.S. has never chosen to do so. A regulation proposed in the Trump administration to force the plans to refund the government for more of the incorrect payments has not been finalized four years later. Several top officials have swapped jobs between the industry and the agency….

The popularity of Medicare Advantage plans has helped them avoid legislative reforms. The plans have become popular in urban areas, and have been increasingly embraced by Democrats as well as Republicans. Nearly 80 percent of U.S. House members signed a letter this year saying they were “ready to protect the program from policies that would undermine” its stability.

“You have a powerful insurance lobby, and their lobbyists have built strong support for this in Congress,” said Representative Lloyd Doggett, a Texas Democrat who chairs the House Ways and Means Health subcommittee.

Some critics say the lack of oversight has encouraged the industry to compete over who can most effectively game the system rather than who can provide the best care.

“Even when they’re playing the game legally, we are lining the pockets of very wealthy corporations that are not improving patient care,” said Dr. Donald Berwick, a C.M.S. administrator under the Obama administration, who recently published a series of blog posts on the industry. “When you skate to the edge of the ice, sometimes you’re going to fall in….”

Almost immediately, companies saw ways to exploit that system. The traditional Medicare program provided no financial incentive to doctors to document every diagnosis, so many records were incomplete. Under the new program, insurers began rigorously documenting all of a patient’s health conditions — say depression, or a long-ago stroke — even when they had nothing to do with the patient’s current medical care….

According to the lawsuit, some patients were diagnosed with cancer and heart disease. Nurses were told to especially look for patients with a history of diabetes because it was not “curable,” even if the patient now had normal lab findings or had undergone surgery to treat the condition.

The company declined to comment. “We will vigorously defend our Medicare Advantage business against these allegations,” Cigna said in an earlier statement regarding the lawsuit.

Adding the code for a single diagnosis could yield a substantial payoff. In a 2020 lawsuit, the government said Anthem instructed programmers to scour patient charts for “revenue-generating” codes. One patient was diagnosed with bipolar disorder, although no other doctor reported the condition, and Anthem received an additional $2,693.27, the lawsuit said. Another patient was said to have been coded for “active lung cancer,” despite no evidence of the disease in other records; Anthem was paid an additional $7,080.74. The case is continuing.

The most common allegation against the companies was that they did not correct potentially invalid diagnoses after becoming aware of them. At Anthem, for example, the Justice Department said “thousands” of inaccurate diagnoses were not deleted. According to the lawsuit, a finance executive calculated that eliminating the inaccurate diagnoses would reduce the company’s 2017 earnings from reviewing medical charts by $86 million, or 72 percent….

Kaiser, which both runs a health plan and provides medical care, is often seen as a model system. But its control over providers gave it additional leverage to demand additional diagnoses from the doctors themselves, according to the lawsuit.

“The cash monster was insatiable,” said Dr. James Taylor, a former coding expert at Kaiser who is one of 10 whistle-blowers to accuse the organization of fraud.

Last year, the inspector general’s office noted that one company “stood out” for collecting 40 percent of all Medicare Advantage’s payments from chart reviews and home assessments despite serving only 22 percent of the program’s beneficiaries. It recommended Medicare pay extra attention to the company, which it did not name, but the enrollment figure matched UnitedHealth’s.

A civil trial accusing UnitedHealth of fraudulent overbilling is scheduled for next year. The company’s internal audits found numerous mistakes, according to the lawsuit, which was joined by the Justice Department. Some doctors diagnosed problems like drug and alcohol dependence or severe malnutrition at three times the national rate. But UnitedHealth declined to investigate those patterns, according to the suit…

“Medicare Advantage overpayments are a political third rail,” said Dr. Richard Gilfillan, a former hospital and insurance executive and a former top regulator at Medicare, in an email. “The big health care plans know it’s wrong, and they know how to fix it, but they’re making too much money to stop. Their C.E.O.s should come to the table with Medicare as they did for the Affordable Care Act, end the coding frenzy, and let providers focus on better care, not more dollars for plans.”



Maurice Cunningham is the nation’s leading expert on “Dark Money” in education. This is money given to organizations and candidates by anonymous donors. When the donors are occasionally revealed, they are typically billionaires who want to destroy public schools and teachers’ unions.

He recently wrote this post, which I excerpt here, about the “management chaos” at the so-called National Parents Union. As he points out, the two leaders of NPU are a married couple.

He writes:

That must have been some “convening” National Parents Union held in September because by October two of NPU’s five board members had disappeared, as had four of the nine individuals on their September 17 “Our Leadership” page and all—ALL—of NPU’s “delegates.” NPU disappears more people than the entire run of The Sopranos. NPU,—not national, not about parents, not a union—is routinely mismanaged, but it seems to be in more chaos than usual.

Board of Directors

Let’s start with the board of directors, a spin-the-bottle operation if there ever was one. Here are the board members identified on the NPU website on September 17 and October 12, 2022:Sept 17, 2022 Board of DirectorsOct 12, 2022 boardPeter CunninghamPeter CunninghamArthur SorianoVincent SlaughterVincent SlaughterMaria Del Carmen Parro CanoDr. Paul BloombergDr. Paul BloombergAnashay Wright

It’s worse than it looks. Ms. Wright was added as a board member on July 28, 2022 along with Shirley Irizarry, On October 3, after two months on the board, Ms. Irizarry was apparently dropped from the board and hired for a staff position as National Organizing Director West Region (according to a Twitter post; she is not on the October 12 website). Mr. Soriano, Mr. Slaughter, Ms. Del Carmen Parro Cano, Dr. Paul Bloomberg, and Vivett Dukes were all added to the board on July 28, 2021. Now Mr. Soriano, Ms. Del Carmen Parro Cano, and Vivett Dukes are all gone. That’s peculiar since Mr. Soriano is supposed to act as president until 2026.

There were three original board members. Mr. Cunningham, Bibb Hubbard (connected to the Gates Foundation), Gerard Robinson (a possible proxy for Charles Koch), and Dan Weisberg. Except for Mr. Cunningham they’re all gone, most within a year of NPU’s launch.

Then there’s the fact that NPU has two boards of directors, the one on the website for public consumption and the one on file with the Massachusetts Secretary of State’s Corporations Division, where NPU is incorporated. Currently NPU lists a board with the Secretary that consists of Mr. Cunningham, Mr. Soriano, Mr. Slaughter, Ms. Del Carmen Parro Cano, Dr. Paul Bloomberg—and Keri Rodrigues and Tim Langan, also identified with the Secretary as president and treasurer, respectively. So far as is known neither Ms. Rodrigues nor Mr. Langan have ever appeared on the website as directors. On the original corporate filings the board was listed as Ms. Rodrigues, Mr. Langan, and Alma Marquez. Ms. Marquez was also on the website as a co-founder and elected treasurer but NPU listed Jennifer Rego as treasurer with the commonwealth of Massachusetts. Ms. Rego disappeared. Ms. Marquez disappeared and Mr. Langan is treasurer. Mr. Langan and Ms. Rodrigues are married. Their compensation from NPU when combined with another Walton family operation named Massachusetts Parents United was $626,777 in 2020 which appears to be wildly out of line with industry standards. But when you’ve replaced the treasurer with . . .

GOP-controlled West Virginia enacted a voucher program that allots $4,300 to attend private schools. A Circuit judge enjoined the program, and it is now being argued before the State Supreme Court.

Critics point out that $4,300 is insufficient to pay for any private school, and the money will be used to underwrite the tuition of affluent students. The poor and students with disabilities will be left behind in underfunded public schools.

The vouchers, cynically called HOPE scholarships, violate the state constitution’s promise of a free public education for every child.

Note: if you open the link, which I hope you will, read the article in one sitting. After one look, it goes behind a pay wall.

Alex Jones and his companies Infowars and Free Speech Systems were ordered by a jury in Connecticut to pay nearly $1 billion to some of the parents of victims murdered at the Sandy Hook Elementary School in Newtown, Connecticut, as well as an FBI agent.

Jones falsely claimed that the massacre of children, teachers, and the principal at the school was faked and that the victims were “crisis actors.” He said repeatedly that the purpose of the hoax was to create political pressure for gun control.

Parents and relatives of those who were murdered were harassed and received death threats.

The money will not replace those they lost. The,parents will never hold their babies again. But Jones’ cruel campaign to deny that the massacre ever happened deserved punishment.

This is the second of three trials. Jones has no defense. He maligned the families to make money. Hopefully he will be bankrupted for his sins.

In Arizona, Save Our Schools Arizona and other parent groups are gathering signatures to force a referendum on the legislature’s plan to unleash a universal voucher plan. Parents and teachers overwhelmingly defeated a voucher proposal in 2018, but the salaries Koch-sponsored forces are pushing an even bigger voucher plan than before. In their proposal, every student in the state would be eligible for a voucher.

The Grand Canyon Institute has assembled the facts about the proposal. The greatest beneficiaries would be families whose children already attend private schools and parents affluent enough to pay for the cost of private high school.

Max Goshert, Assistant Research Director of the Grand Canyon Institute, writes:

Phoenix, Arizona – 2022 was a blockbuster year for Arizona policy. Along with a record budget and a billion-dollar investment in water, Arizona passed the largest private school scholarship program in the country. Previously, only families who met certain conditions, such as having a student with a disability, a parent who served in the military, a student who attended a D or F school, a student who lives on a Native American reservation, or a sibling of one of these students, could participate in the Empowerment Scholarship Account (ESA) program.

HB 2853 establishes universal eligibility for the ESA program, meaning that any student attending grades K-12 can receive a scholarship, which is estimated to average $6,966 in FY23 (certain circumstances, like disability status, can change the scholarship size). Unlike the 2017 expansion, which capped participation at 30,000 recipients, there is no limit on the number of students who can participate in the program.

Naturally, the polemic public debate resulting from the seismic shift in education has spawned a gamut of predictions on what the impact of this expansion will be. In an attempt to foster conversation that is grounded in fact, we address several questions about the ESA program by diving into the data.

How will the ESA expansion impact academic outcomes?

As with any policy that impacts education, the most important feature of the ESA expansion is how it impacts the quality of education that students receive. While the literature on the academic outcomes of participation in voucher programs is mixed, with some research reporting significant positive effects, several recent studies have found negative impacts on student achievement, especially in math, for statewide voucher programs in Ohio, Indiana, and Louisiana (Mills and Wolf, p.8). This is likely due to the rapid expansion of these voucher programs from smaller populations to the entire state, overwhelming existing private school infrastructure (p.43).

Arizona’s expansion is the largest in the country, with the Joint Legislative Budget Committee (JLBC) estimating that 36,078 public school students will begin participating in the ESA program. While some families may choose to homeschool given their new ESA eligibility, most will likely elect to attend a private school. Given that there are currently 59,171 private school students, Arizona private schools will see a 39% rise in demand, a tremendous increase in a short period of time that threatens to overwhelm existing facilities. Consequentially, Arizona will likely see a similar decline in academic outcomes due to the inadequate supply of private schools.

What are the accountability requirements for ESAs?

While ESA participants are required to use a portion of the program funding in reading, grammar, mathematics, social studies, and science, there are no minimum standards of academic achievement, such as reading or math proficiency. Private schools are not required to be accountable for the academic outcomes of their students. This contrasts sharply with Louisiana’s voucher program, where private schools must apply to become voucher recipients and undergo site visits, financial audits, and health and safety assessments from the Louisiana Board of Elementary and Secondary Education (Abdulkadiroglu et al, p. 4). Private schools must maintain eligibility by administering annual state achievement tests to voucher recipients along with financial audits.

Who benefits the most from ESA expansion?

Of the 9,710 applicants to the ESA program for SY2023, approximately 77% do not have a history of attending an Arizona public school. Effectively, these ESAs serve not to enable those attending public school to attend private school, but as a public subsidy for families that already had the means to pay for private schools or homeschooling. This is in line with a 2018 study by the Grand Canyon Institute which found that, while enrollment in the private school sector has been relatively flat, private school subsidies from Arizona’s General Fund have increased 50-fold from $3 million in SY2000 to $141 million in SY2016. As with other private school subsidies, the beneficiaries are largely those who are already attending private schools, not those attending public schools who would otherwise attend privates.

What are the limitations on ESA expenses?

ESA funding can be used to pay private school tuition, curriculum, homeschooling, and other educational expenses. The Arizona Department of Education (ADE) maintains a comprehensive list of approved spending categories and ESA allowable items. However, because state statute on allowable items is broad, parents are able to use ESA dollars for expenses with questionable educational benefit. Uptown Jungle Peoria, an indoor playground, recently attracted attention when they advertised that they would accept ESA money, an expenditure that ADE confirmed was appropriate. Parents may also use ESA dollars to purchase Lego kits, lawn darts, and croquet sets. ADE staff oversee ESA expenditures to ensure that they fall under program guidelines, yet allowable purchases that are more recreational may come at the expense of academic experience.

How much will the ESA expansion cost taxpayers?

Initial estimates from the JLBC are that taxpayers will spend $33 million in FY23, $65 million in FY24, and $125 million in FY25 from empowerment scholarships. With 77% of the 9,710 enrollees this school year coming from outside of the public system, the cost of these students will likely be around $52 million, very close to the JLBC estimate. As participation in the ESA program proliferates due to public awareness in the coming years, the burden of the program on the General Fund will rise substantially.

How will the ESA expansion impact school choice?

Arizona currently has 2,391 public schools and 448 private schools. The estimated award for FY23 of $6,966 covers the entire average cost of private elementary schools ($6,710), but only about a third of the cost of private secondary schools ($18,590). Consequentially, families will have to pay around $12,000 per student out of their own pocket once they reach high school, a financial barrier that will be too burdensome for those who rely on ESAs to pay for private school tuition. The families that experience the greatest expansion of school choice are those who are wealthy enough to pay the difference in tuition at the secondary education level.

The impact of school choice by the ESA expansion is further limited by the lack of public accountability of private schools, creating a vacuum of information on academic outcomes. With little means to determine how well private schools educate their students, parents must rely more on marketing and word-of-mouth, impairing their ability to make well-informed decisions for school choice.

HB 2853 is scheduled to go into effect on September 24 however that date could be put on hold if an initiative successfully gathers sufficient signatures to refer the issue to the November 2024 ballot.

For more information, contact:
Max Goshert, Assistant Research Director
mgoshert@azgci.org, 602.595.1025, Ext. 12

The Grand Canyon Institute (GCI) is a nonpartisan, nonprofit organization dedicated to informing and improving public policy in Arizona through evidence-based, independent, objective, nonpartisan research. GCI makes a good faith effort to ensure that findings are reliable, accurate, and based on reputable sources. While publications reflect the view of the institute, they may not reflect the view of individual members of the board.

A new study confirms what many critics of the Broad Foundation’s Superintendents’ Academy long suspected. Despite Eli Broad’s boasting, his program had no positive effects on student performance, but the “graduates” expanded privatization by charter schools.

Educational Evaluation and Policy Analysis

Month 202X, Vol. 8, No. 1, pp. 1 –27

DOI: 10.3102/01623737221113575

https://doi.org/10.3102/016237372211135

 

Public-Sector Leadership and Philanthropy: The Case of Broad Superintendents

Thomas S. Dee

Stanford University

Susanna Loeb

Brown University

Ying Shi

Syracuse University

 

Using a unique panel data set on the 300 larg-est school districts, we examined the impact of Broad superintendents on a broad array of dis-trict outcomes. Our results indicate that the hir-ing of a Broad superintendent had no clear effects on outcomes such as student completion rates, enrollment, the closure of traditional public schools, and per-pupil spending on instruction or on support services. However, one exception to this pattern is particularly notable. We do find evidence that the hiring of a Broad superinten-dent results in a growing charter school sector. Specifically, we find that the hiring of Broad superintendents is associated with a trend toward increased charter school enrollment and a growth in the number of charter schools that extends beyond the short tenure of the typical Broad trainee.

We view the overall implications of these findings as nuanced. On the one hand, this Broad Foundation initiative was successful in placing new leaders with distinctive characteristics and training in a substantial number of U.S. school districts. Yet, we also find that these leaders had unusually short tenures and no clear effects on a variety of district outcomes.

Tom Ultican is one of the very best chroniclers of the “Destroy Public Education” movement. He was thrilled to discover a new book that explains the origins of the attack on public schools and calls out its founding figures. Lily Geismar’s Left Behind is a book you should read and share. It helps explain how Democrats got on board with policies that conservative Republicans like Charles Koch, the Waltons, and Betsy DeVos loved. This bipartisan agreement that public schools needed to be reinvented and disrupted brought havoc to the schools, demoralized teachers, and glorified flawed standardized tests, making them the goal of schooling.

Ultican writes:

Lily Geismer has performed a great service to America. The Claremont McKenna College associate professor of history has documented the neoliberal takeover of the Democratic Party in the 1980’s and 1990’s. In her book, Left Behind: The Democrats Failed Attempt to Solve Inequalityshe demonstrates how Bill Clinton “ultimately did more to sell free-market thinking than even Friedman and his acolytes.” (Left Behind Page 13)

When in the 1970’s, Gary Hart, Bill Bradley, Michael Dukakis, Al Gore, Paul Tsongas, and Tim Wirth arrived on the scene in Washington DC they were dubbed “Watergate Babies.” By the 1980’s Tip O’Neill’s aid Chris Mathews labeled them “Atari Democrats” an illusion to the popular video game company because of their relentless hi-tech focus. Geismer reports.

“Journalist Charles Peters averred that ‘neoliberal’ was a better descriptor. Peters meant it not as a pejorative but as a positive. … Neoliberals, he observed, ‘still believe in liberty and justice and a fair chance for all, in mercy for the afflicted and help for the down and out,’ but ‘no longer automatically favor unions and big government.’” (Left Behind Pages 17-18) [Emphasis added]

Democrats in search of a “third way” formed the Democratic Leadership Council to formulate policies that moved them away from unions, “big government,” and traditional liberalism.

Historian Arthur Schlesinger labeled the DLC “a quasi-Reaganite formation” and accused them of “worshiping at the shrine of the free market.”

Union pollster Victor Fingerhut called them “crypto-Republicans.”

Douglas Wilder a black Virginia politician criticized their “demeaning appeal to Southern white males.”

Others called them the “conservative white caucus” or the “southern white boys’ caucus.”

Jesse Jackson said its members “didn’t march in the ‘60s and won’t stand up in the ‘80s.” (Left Behind Pages 46-47)

In 1989, From convinced Bill Clinton to become the chairman of the DLC. That same year the DLC founded the Progressive Policy Institute to be their think tank competing with the Heritage Foundation and the CATO Institute. Today, it still spreads the neoliberal gospel.

This is an important book that explains how the Democratic Party lost its way.

A 33-year-old woman insinuated herself into the inner circle at Mar-A-Lago, posing as a member of the famed Rothschild family. She used fake identity papers. She played golf with Trump and Lindsay Graham. At the least, the story shows how lax was security at Trump’s resort. At worst, why was she there?

For a time, Anna de Rothschild boasted of her family roots to the European banking dynasty, donning designer clothes, a Rolex watch, and driving a $170,000 black Mercedes-Benz SUV.

She talked about developing a sprawling luxury housing project on Emerald Bay in the Bahamas, a high-rise hotel in Monaco, and a Formula One race track in Miami, say people who knew her.

A pivotal moment for the woman who was fluent in several languages took place last year when she was invited to Mar-a-Lago, where she mingled with former President Donald Trump’s supporters and showed up the next day for a golf outing with Mr. Trump and Sen. Lindsey Graham among other political luminaries….

A year before the FBI’s spectacular raid of the former president’s seaside home, the woman whose real name is Inna Yashchyshyn, a Russian-speaking immigrant from Ukraine, made several trips into the estate posing as a member of the famous family while making inroads with some of the former president’s key supporters.

The ability of Ms. Yashchyshyn — the daughter of an Illinois truck driver — to bypass the security at Mr. Trump’s club demonstrates the ease with which someone with a fake identity and shadowy background can get into a facility that’s one of America’s power centers and the epicenter of Republican Party politics.

Why was she there? Who paid for her car and clothing? How did she get a fake passport?

Peter Greene, retired teacher and brilliant writer, explains the real goals of the school choice movement, and how its rhetoric has shifted over the years from “saving children” to destroying public schools.

He writes:

A quick summary of the history, so far, of pro-choice arguments. Because if it seems like they keep shifting, well, there’s a reason.

If you’re old enough, you may remember a time when the argument in favor of school choice was that students needed to be able to escape their failing public school.

There was a period way back when in which the argument was for vouchers, but vouchers tested poorly with the electorate, so choicers threw their weight behind charter schools, with a continued and frequent emphasis on the notion that charter schools were just another type of public school, because generally speaking, people liked and trusted public schools. Charters will just add to a robust public educational ecosystem, they said.

The “public schools are failing” trope (first given some heft in A Nation at Risk, a report commissioned to make exactly that point) needed some back-up, and at just that opportune moment, we got the rise of the Big Standardized Test, a high stakes system that would provide solid data proving that public schools were Failing Our Children.

Then school choice was adopted by folks on the Left and the Right (and by people from the Right pretending to be on the Left) so we had a tag team argument. Students should not have their educational quality determined by their zip codes. The pro-choice argument was two-pronged:

1) Public schools are failing academically (look at these test scores) but unleashing the power of the free market will competitionize them into excellence.

2) Public schools are failing poor and minority students, and in the pursuit of equity, those students should be given a school choicey path out.

This two prong period lasted roughly most of the Obama administration, because the movement benefited from the neo-liberal Democrat support of choice. But it was at times a tense partnership. Free marketeers chafed at the social justice wing’s ideas about regulating choice schools to suck less, and the social justice wing tried hard not to notice that free marketeers didn’t really care that much about how choice affected their children.

And then Obama was out and Hillary tanked and the free marketeers didn’t need the social justice wing any more, and detente was over.

The choice argument was also suffering from another problem. Charter schools weren’t any better than public schools, and voucher systems were maybe even a little worse. Some new arguments were tried out, like “choice gives strivers a chance to get away from those other kids.” Some free marketeers and libertarians started saying more loudly that it didn’t really matter if choice improved outcomes or not–it was a virtue in its own right.

Trump knew nothing about education policy except that backing choice got him support from the Catholic Church. And Betsy DeVos was patiently waiting for the rest of the movement to catch up to where she has been for years.

Her moment was almost coming, but first we had a few years of just replaying the hits– escape failing schools, improve outcomes, let’s push vouchers under some other name, etc.

Then the pandemic hit, leaving local schools to wrestle with the question “How do we navigate this unprecedented crisis” while on the national level, everyone was more focused on “How do we leverage this unprecedented crisis for maximum political benefit.”

To their credit, many choicers initially resisted the call to blame public schools for schools being closed, but that moment passed, someone decided it would be good strategy to blame school closures on the unions, and then people lost their damned minds over masking. When Christopher Rufo decided to elevate critical race theory to the level of a McCarthy-style Red Scare, a whole network of anti-maskers was already in place to spread the word (Moms For Liberty is a fine example of a group that started out anti-mask and quickly pivoted).

The many waves of complaints and controversies may seem large and complex, but they really aren’t. They all connect through one simple idea, the new choicer pitch, summed up in this quote from Rufo speaking at Hillsdale College:To get universal school choice, you really need to operate from a place of universal school distrust.

The current choice pitch is that parents need the power of choice because public schools can’t be trusted. Jay Greene, who I always thought of as intellectually honest, has moved to the heritage foundation and now publishes pieces like “Who will raise children? Their parents or the bureaucratic experts?” He signaled this new approach explicitly with February’s “Time for the school choice movement to embrace the culture war” aka “We can use this current noise to further our cause.” My state of Pennsylvania is facing a viable candidate for governor whose idea is to end property taxes, replace them with nothing, and give every parent a voucher good for half of the current per-pupil spending amount in the state.

Do not be distracted by the arguments about LGBTQ students and trans athletes and teacher gag laws; these all matter, and certainly many hard right folks will be happy if they win these fights, but for the pro choice crowd, the point is that public schools can’t be trusted and we need to scrap the whole system and replace it with vouchers (or, as DeVos called it, “educational freedom”). If the right drags victory out of any of these many erupting pockets of chaos, that’s gravy, but for many choicers, the chaos is the whole point, because it adds to the claims of a failing public system.

The end game, for those on the far right DeVos-style wing is as it has always been–get the government out of education. Take back the schools for religious education. Slash the tax-based funding because that’s just the government stealing our hard-earned dollars to pay for more services for Those Peoples’ Children. And while all that’s happening, if we could break the back of the teachers unions, which just prop up the democratic Party, and, hey–also let some entrepreneurs make a buck selling education flavored products.

At every stage of the choicer evolution, you will find people who sincerely believe their talking point du jour. But at this point, it’s hard not to notice that some choicers will adopt whatever argument will get them closer to the dismantling and privatization of public education.

Like many other movements, the school choice movement has room for both true believers and grifters, but in both cases, the school choice debates are marked by a refusal to talk about what we’re really talking about–changing education from a universally provided public good into a privately owned and operated commodity delivered however and to whomever the market deems worthy.

There’s another paragraph. Open the link and read it.

I was thinking of titling this post “Libertarian Crackpots Take Charge of School Funding in New Hampshire” but decided to bite my tongue.

Garry Rayno, a writer for InDepthNH.org, reports that the Koch-funded plan to defund public schools in New Hampshire is a “success.” Not because most parents want to put their children in private or religious schools, but because the overwhelming majority of students using the new education freedom accounts are already enrolled in nonpublic schools. Thus, public funds are now underwriting private education. At some point, the public schools will shrink to be just one among many choices even though the people of New Hampshire never voted to abandon their community public schools. This is a theft of public dollars for private use.

By GARRY RAYNO, InDepthNH.org 

The new education freedom account program is a success judging by the number of students participating in the first year.

More students are expected to participate in the second year and state education officials predict it will continue to grow into the future.

One of the most expansive school choice programs in the country, it was sold as a way for students and parents to find the best educational avenues to fit their student’s individual learning needs.

That would be wonderful and would fulfill the education department’s long-standing goal of individualized student pathways, but that is not what happened for a majority of students.

Instead the program has increased the state’s education spending while few students changed their learning environment.

The vast majority of students — around 85 percent — participating in the first year, did not attend public schools the year before. Instead they were in private or religious schools, or home schooled, or too young for school.

That does not change the learning environment for that 85 percent of students.

What did change under the program was the parents’ financial obligations, which were reduced thanks to the influx of state taxpayers’ money.

Department of Education Commissioner Frank Edelblut, a program advocate, told lawmakers the first year of freedom accounts would cost the state’s Education Trust Fund about $300,000 and the second year about $3.2 million. Instead the cost was close to $9 million this year.

Why the increase? Edelblut’s estimates were for students leaving traditional public schools to participate in alternative programs, not for those already in other programs applying for state help to cover the costs of private and religious schools, or home schooling.

Essentially most of the state money flowed through the parents to private and religious schools and for homeschooling costs all previously paid for by the parents or religious institutions.

When the program was first debated this term, the nonpartisan Legislative Budget Assistant’s office estimated the state’s exposure could be as high as $70 million if all the students in private or religious schools applied for grants.

The program provides grants to parents of students who earn no more than 300 percent of the federal poverty level or about $80,000 a year for a family of four.

You only have to qualify once, so if the next year your family makes $125,000, you still qualify and if you double that the next year, you still qualify.

Grants range from about $4,500 to $8,000 per student with the average the first year a little under $5,000 per student.

The money can be spent in any number of ways, for tuition, books and instructional programs, supplies, computers, individual instruction on a musical instrument, etc.

The money to pay for the freedom accounts comes from the Education Trust Fund established more than 20 years ago when the state overhauled its funding system after the Claremont II Supreme Court decision saying the then current system of relying on local property taxes with widely varying rates to pay for public education was unconstitutional because it violated the proportional and reasonable clause of the state constitution.

For most of its early years, the trust fund ran a deficit and state general fund money had to be added to meet the state’s education aid obligations.

In recent years the fund has had a surplus including this biennium. The state budget passed last year estimates a $54.4 million surplus at the end of last fiscal year June 30 and a $21 million surplus at the end of the 2023 fiscal year.

The surplus at the end of last fiscal year is much larger than that as the overall state revenue surplus is more than $400 million, but most of that has already been spent through legislation this year such as the $100 million settlement fund for the children abused at the Youth Detention Center.

The law establishing the freedom accounts has a provision if the education fund does not have enough money to cover the cost of the grants, the needed money will be withdrawn from general fund revenue without any action needed from the legislature or the governor.

Such a provision is extremely rare as lawmakers like to be able to determine how general funds are spent.

The number of students participating in the program the first year would probably not be so large if not for the American for Prosperity, an “education organization” funded by the Koch network and other like thinking libertarians who have longed advocated that public education tax money also pay for private and religious schools, homeschooling and charter schools.

The New Hampshire affiliate had a campaign ready to go when the freedom account legislation passed as part of the budget package last year. The group helped parents enroll their students in the program, many who were in private or religious schools or home schooled.

Last week the same organization held an “education fair” for parents to meet representatives of some of the organizations and groups approved to other alternative education programs under the freedom account program.

The fair was promoted by Education Commissioner Frank Edelblut who tweeted a photo from the fair, and the department had a booth there to promote its 603 Moment campaign on social media.

Others touting the fair included members of the House freedom caucus and others in the free state/libertarian wing of the GOP.

The fair is intended to help grow the program, meaning more state money will be drawn from the Education Trust Fund and ultimately the state’s general fund.

This is a well planned operation that only required the state to agree to a school choice program with few guardrails to begin taking the state down the road to greater educational “freedom” and less traditional public education.

The Koch network has recently developed a proposal to “reform” public education with one of its officials calling public education the “low hanging fruit.”

The reform would look a lot like what the freedom account program looks like and would shift resources as it does away from traditional public education to alternative pathways.

As the freedom account program grows, observers of the legislature know what will happen eventually.

As more and more education trust fund money is allocated, there will be pressure to reduce the amount of money going to traditional public education and, depending on which party is in control, to charter schools.

That is how public education becomes the low hanging fruit.

The education commissioner and others talk about the achievement gap between students from well off areas and minority students and those from low-income families.

Edelblut maintains that gap has not changed in 50 years despite numerous efforts on the federal and state level and says that is why education needs to change.

He downplays what the recent education funding commission made the centerpiece of its work, that the achievement gap is due to the resources available to students.

Students from property poor communities perform below students from property wealthy communities.

The economic disparity gap between students from property wealthy and property poor communities is larger now than it was when the Claremont lawsuit was filed 30 years ago.

Proponents of alternative education programs say it is not about spending more money, and the education funding commission said the same thing.

But the commission said the resources needed to be distributed differently, while the advocates for freedom accounts say it is about finding the right fit for a student.

Those advocates are saying the issue is not economic disparity.

Ultimately their goal is to make government smaller and they can accomplish that by disrupting traditional public education with lower cost, less regulated alternative programs.

Eventually traditional education will be small enough to be just one more alternative pathway for students among many.

That is why public education is the low-hanging fruit and freedom accounts are just the beginning.