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Privatization has gone to extremes... part of a pattern

TheDesMoinesRegister.com  Published March 25, 2007  Copyright © 2007 

Doak: Privatization of public work has gone to surreal extremes

By RICHARD DOAK
SPECIAL TO THE REGISTER
 

It's all part of a pattern.

In the military, jobs that used to be done by soldiers in uniform are done by private contractors operating in the shadows.

In job training, a bunch of local governments set up a consortium that operated out of public view and seemed more intent on overcompensating its executives than helping displaced workers.

In health care, quasi-governmental entities that hardly anyone ever heard of get hundreds of millions in taxpayers dollars annually to do something, but they won't tell you what.

Health care, meet Kafka.

The surreal world of publicly funded quality improvement organizations (QIOs) was examined last week by Register reporter Clark Kauffman. There are 53 of them around the country, mostly organized as nonprofit corporations. They have contracts from the government to oversee and improve health care, but other than compensate their executives exceedingly well, it's not very clear what they do. As private entities, they're not required to disclose very much, and the QIO in Iowa certainly doesn't.

The government should be overseeing Medicare quality itself, in the open, rather than paying secretive private groups to do it.

These strange, tax-consuming organizations are examples of the dubious trend of using private entities to conduct the public's business.

One of the surprises of the Iraq war has been to learn how many jobs that used to be done by public employees (soldiers) have been turned over to private contractors, everything from running the mess halls to interrogating prisoners.

It probably made sense to contract out many of the support services, but Congress could spend the next decade investigating the corruption and waste in no-bid contracts awarded to well-connected corporations.

Privatization of public work, by and large, has not been a healthy trend lately.

Some work, of course, should be awarded to contractors. The classic example is building construction. It would be wasteful and inefficient for governments to maintain their own construction crews. Governments should always be alert for opportunities to save money through contracting and competitive bidding.

But much of the privatization of recent years has been driven not by money saving but by ideology - an article of faith that the private sector is always more efficient than the public sector.

As anyone who has ever worked for a corporation knows, the private sector isn't always a model of efficiency. The private sector is better at some things. The public sector is better at others. The trick is to know the difference.

Some jobs, such as law enforcement or war, are too important to be done by private companies, even if they could do them more cheaply. Anyone with the power to deprive others of liberty or life in the name of the American people should be a public employee, accountable to the public. Even fairly innocuous law-enforcement contracting, such as hiring private companies to enforce traffic laws by photographing speeders or red-light runners, should make people uneasy.

Perhaps the worst aspect of privatizing public services is that what normally would be public information suddenly becomes private. You can't maintain a democracy unless people know what is being done in their name, by whom, and how much it costs.

Contractors usually cite their status as a private enterprise to avoid answering questions. They refer to "trade secrets" or "proprietary information."

Tough. If they don't want to share information with their clients (the public), they shouldn't bid on the contract.

Anyway, companies that live off government contracts often aren't private enterprises in any meaningful sense of the term.

True private enterprises compete in the marketplace for customers. Contracting companies sometimes have no competition and have only one customer, the government. They exist solely to get government contracts. And there's always the potential that a contract will be awarded more on the basis of political connections than on price and quality.

The general rule should be that the books of any entity doing government work should be as open as if the work were being done by the government itself. And a condition of the contract should forbid political contributions being made by anyone associated with the contracting company.

If the companies didn't like those terms, they'd be free to take their chances competing against the real private enterprises in the consumer market.

RICHARD DOAK is a retired Register columnist.
 
 
 

 


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Last updated: 06/02/08.