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Florida cut $100M from its mental hospitals – chaos followed

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Re: Florida cut $100M from its mental hospitals – chaos followed

#101
post #5
post #3

Earlier quoted context omitted.

It's one route to privatization. Cut funding, manage poorly until nobody believes the state can do the job, then sell to your allies.

It's one route to nationalization. Increase regulation, make impossible to manage until nobody believes the company can do the job, then add it to your political platform.

I don't think you'd like to live in an unregulated, for-profit, mental institution where being discharged would mean one less revenue source.

Re: Florida cut $100M from its mental hospitals – chaos followed

#102

Earlier quoted context omitted.

"Most of the state will be part of the ocean within fifty years, but don't worry people, we've slashed services so the budget's balanced and your taxes won't go up." Sometimes you need to spend money to protect against a future where the costs are even higher. The mosquito control initiative could have paid for itself with the sales taxes on that $5.5B in revenue that never happened.

Agreed, but sometimes there is no money to spend, and that's my point...it is purely a budget issue not a political one. When your State budget goes from say $70B down to $60B (including a stimulus package from the federal government) and the state is already $200B in debt where does the money come from? Had the republican (turned independent, turned democrat) governor Crist known saving $5.5M would cost $5.5B he wou…

how about raising taxes to cover the costs of running your society in a civil way? :)

Re: Florida cut $100M from its mental hospitals – chaos followed

#103
post #63

Earlier quoted context omitted.

My question was what is the total cost of Florida's mental hospitals and if that is worth it. Assuming that $100M cut was a 10% cut it means that the total expenditure could be $1B. Which looks ridiculously high for merely 20M population of Florida. Of course there is a whole point of whether government ought to spend some money now to avoid spending on basic services later whether there are proper studies done and i…

Florida's GDP is $748B. Suppose 1 in 300 people in the state are mentally ill enough at a given time to warrant living in a mental hospital. If that costs $1B, about half as much of the economy would be spent on them (per capita), compared to the general population. Seems very reasonable to me, without any more specific numbers to go on. To throw out another number for comparison, medicare and medicaid together cost…

> about half as much of the economy would be spent on them (per capita), compared to the general population

Your math only works if mentally ill people receive no other services from the state whatsoever. Assuming the mental hospitals receive supplies by road, this is not true.

Re: Florida cut $100M from its mental hospitals – chaos followed

#104
post #45

What do mental health services do anyways? Just give kids meth in a pill for not paying attention to boring school topics? You can be locked up, drugged, shocked, lobotomized. No rights to an attorney, not even a one phone call. I really believe the whole psychiatric industry is a fraud. Leon Eisenberg admitted ADHD being fake when he died.

As someone who is an inconsolable bipolar wreck without therapy and medications, go fuck yourself. You clearly have no idea what you're talking about on this topic.

Personal attacks are not OK on HN, regardless of what you're responding to.

https://news.ycombinator.com/newsguidelines.html

Re: Florida cut $100M from its mental hospitals – chaos followed

#105
post #103

Earlier quoted context omitted.

Florida's GDP is $748B. Suppose 1 in 300 people in the state are mentally ill enough at a given time to warrant living in a mental hospital. If that costs $1B, about half as much of the economy would be spent on them (per capita), compared to the general population. Seems very reasonable to me, without any more specific numbers to go on. To throw out another number for comparison, medicare and medicaid together cost…

> about half as much of the economy would be spent on them (per capita), compared to the general population Your math only works if mentally ill people receive no other services from the state whatsoever. Assuming the mental hospitals receive supplies by road, this is not true.

Ok, sure, you can add in roads and it will change the numbers in a small way that will be irrelevant to the thread. You can spend an infinite amount of time making rough estimates more accurate, if that's what you're into.

Re: Florida cut $100M from its mental hospitals – chaos followed

#106
post #100

Earlier quoted context omitted.

Florida's GDP is $748B. Suppose 1 in 300 people in the state are mentally ill enough at a given time to warrant living in a mental hospital. If that costs $1B, about half as much of the economy would be spent on them (per capita), compared to the general population. Seems very reasonable to me, without any more specific numbers to go on. To throw out another number for comparison, medicare and medicaid together cost…

Assuming your numbers government spends $15k for every 1 of those 300 people. That number seems pretty high. The Tampa Bay investigation's violence refers to violence in the hospitals itself and not the general violence in society. For 13.5K per year you might reduce the hospital staff by 10% but that is unlikely to result into chaos that the report seems to suggest.

How cheap do you think room, board, and medical care should be?

By the way, for comparison, Medicare spends $10k/year per beneficiary in Florida.

Re: Florida cut $100M from its mental hospitals – chaos followed

#107
post #44

Earlier quoted context omitted.

Perhaps. Or perhaps you are choosing to interpret my words in a way that leads to a silly result. The much more obvious reading starts with noting that the party ruling Florida is the same party that also happens to have policy positions that are of a piece at the local, state and national level positions.

Is that the party that invaded Libya? I get confused, on account of the two "big" ones seem identical to me.

- If you're trolling, I have nothing to say.

- If you're playing that game where overstating things for political effect because you [...], have fun, but I don't want to play.

- If you actually believe that, either your priorities are so very far removed from mine that we have nothing to say to each other, or you have blinded yourself to a huge array of very real differences with very real effects on very real people. In which case, find someone else to argue with; I prefer to debate politics with people who live in the real world.

Re: Florida cut $100M from its mental hospitals – chaos followed

#108

Earlier quoted context omitted.

I 100% agree with your point in priciple. The problem is reality. Government leaders use this principle to overspend on non-productive causes and create debt problems. So end of the day I'd prefer to have a government balancing the budget and leaving some opportunity on the table, rather than the likeyhood debt spent on non-productive causes will become an anchor to future development.

Dealing with the inevitable future where flooding isn't just frequent but perpetual sounds like a pretty good expenditure of money. Either that or start working deals with other states to deal with the inevitable exodus of people and the complete implosion of the tax base.

This is brought up a lot, is there much evidence in the past of exoduses of people due to tax rises ?

Re: Florida cut $100M from its mental hospitals – chaos followed

#109

Earlier quoted context omitted.

Where do you get that money? I bet you could shake $100M out of the prison system if you looked for cases of people being locked up for ridiculously trivial offenses. Given how prisoners often cost $40-60K per year, wouldn't take that many. I don't expect people to be psychic, but common sense must apply here. When you "save money" by slashing budgets on road repairs, and ten years later your roads are so awful you h…

Florida has somewhat of a...reputation...for the caliber of its criminals.

It's got a spectrum of those incarcerated that's perhaps skewed a bit more to one extreme than other states like Connecticut but that doesn't mean there aren't a lot of people locked away for petty crimes.

The worst is those who are otherwise good citizens but got busted for simple possession and are doing years of time. That costs the state hundreds of thousands of dollars, and after they're branded a felon, they'll probably "re-offend" given they have limited job opportunities.

If you wanted to design a system to generate prisoners they're doing a great job, which given the for-profit prison system, is probably the idea.

Re: Florida cut $100M from its mental hospitals – chaos followed

#110
post #108

Earlier quoted context omitted.

Dealing with the inevitable future where flooding isn't just frequent but perpetual sounds like a pretty good expenditure of money. Either that or start working deals with other states to deal with the inevitable exodus of people and the complete implosion of the tax base.

This is brought up a lot, is there much evidence in the past of exoduses of people due to tax rises ?

Only the ultra rich bail on a place because of high taxes. Others have connections they place more value on than an incremental increase in tax.

Remember, a lot of these states that are suffering from tax revenue problems have some of the lowest tax rates in the country. Where are people going to flee to? The 49th lowest tax state instead of the 48th?

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