Portland Business Journal

Wyden Comments on Green New Deal, China Trade and Tax Breaks

In an expansive interview with the  Portland Business Journal , Oregon Senator Ron Wyden defended the Green New Deal, questioned the effectiveness of tariffs to influence China trade policy and urged the IRS to waive penalties for federal income taxpayers who failed to withhold enough for their 2018 taxes.

In an expansive interview with the Portland Business Journal, Oregon Senator Ron Wyden defended the Green New Deal, questioned the effectiveness of tariffs to influence China trade policy and urged the IRS to waive penalties for federal income taxpayers who failed to withhold enough for their 2018 taxes.

Oregon Senator Ron Wyden defended the Green New Deal, questioned tariffs on China trade and touted legislation to unmask shell company ownership in an expansive interview with the Portland Business Journal published this week.

Oregon’s senior senator also urged the Trump administration to waive IRS penalties on taxpayers who failed to withhold enough money to cover their 2018 income tax and called for a review to determine if opportunity zones are being used as intended to encourage investment in impoverished areas.

Wyden called criticism of the Green New Deal “nonsense.” “It is a resolution. It is aspirational, not a legislative text,” he said. Wyden, who is the ranking Democrat on the Senate Finance Committee, said he is looking at “throwing more than 40 separate tax breaks for energy…, which are basically dirty energy relics that cost billions of dollars a year, into the trashcan and substituting three new ones: one for clear energy, one for clean transportation and one for energy efficiency.”

On trade with China, Wyden said there is agreement “tariffs should be part of the trade toolbox, but we don’t share the view that every time there’s an issue, you drop another tariff. It has not worked particularly well with China.” He said strong measures are necessary to stop China from “ripping off our technology.”

Wyden said bipartisan support is growing for legislation he and Florida GOP Senator Marco Rubio have introduced to require shell companies to disclose their beneficial owners. Failing to require ownership disclosure, he explained, would mean “you’re playing catch-up ball.”

Taxpayers who face penalties for their 2018 federal income taxes deserve a break, Wyden said, because the IRS didn’t properly update its withholding tables and forced taxpayers to deal with “complicated online calculator, which had its own problems.” He added that multinational corporations “are not sweating it today [because] they’ve got their tax breaks locked in.”

Wyden agreed a review is needed to see if opportunity zone tax incentives are being mis-applied. PBJ reporter Matthew Kish noted Oregon has used an expansive definition for opportunity zones, which include Portland’s downtown area, prompting Bloomberg  Businessweek to call it “Tax Breaklandia

Wyden said the goal of his Craft Beverage Modernization and Tax Reform Act is to “promote innovation and focus on small guys.” He also touted his ELEVATE Act that aims to “connect the dots” between training dislocated workers for thousands of available jobs.

In upcoming days, Wyden said the Senate Finance Committee will invite seven CEOs from major pharmaceutical companies at a hearing to “get an agreement to stop some price-gouging.” “What I want to know is whether they're going to get beyond the blame game. Everything they always do with respect to pharmaceutical prices and health care costs generally is blaming the other guy,” he said.

 

‘Critical’ Online Health Care Resource Quietly Shuttered

A national clearinghouse for evidence-based health care best practices, which an OHSU official describes as a critical and singular resources, is being shuttered to save $1.2 million annually. It took a federal website watchdog to discover the online database’s disappearance.

A national clearinghouse for evidence-based health care best practices, which an OHSU official describes as a critical and singular resources, is being shuttered to save $1.2 million annually. It took a federal website watchdog to discover the online database’s disappearance.

Important battles are often fought in obscurity, such as the decision to shutter a 20-year-old online clearinghouse that serves as a convenient, reliable one-stop location for doctors to check out health care best practices.

The Agency for Healthcare Research and Quality (AHRQ), which is part of the federal Health and Human Services Department, said it didn’t have the $1.2 million it costs annually to maintain the National Guideline Clearinghouse (NGC). The Trump administration has targeted AHRQ for spending cuts or even elimination.

The National Guideline Clearinghouse quietly shut down July 16 and its trove of valuable information won’t be archived. The public may never have known except for reporting by Jon Campbell carried by The Daily Beast. Campbell’s story was spotted by Andy Giegerich of the Portland Business Journal, which is how we found out about it.

Giegerich pointed out an Oregon-angle on the story. Valerie King, director of research at OHSU’s Center for Evidence-based Policy, told The Daily Beast the clearinghouse was a “critical go-to source, and there is nothing else like in the world.” King described the clearinghouse as a “singular resource” to support evidence-based health care research.

“Part of what makes NGC unique is its breadth,” King said in her interview. “Drawing on research from all over the country and the world, from professional organizations and research institutes, the site offers a free, and virtually comprehensive, body of guidelines in a centralized and easily searchable location. Rather than seeking out guidelines from dozens of individual publishers, the NGC allows researchers to find the full range of resources in one stop.”

“The OHSU center was established in 2003 to offer head-to-head comparisons of drugs to public and private organizations, as well as consumers,” Giegerich reported. He noted former Governor John Kitzhaber served as leader of the center before his election to a third term.

It’s worth pointing out Campbell is a senior investigator for the Sunlight Foundation’s Web Integrity Project, which defines its mission as “monitoring changes to government websites, holding our government accountable by revealing shifts in public information and access to Web resources, as well as changes in stated positions and priorities.” A major part of its work is “keeping track of data that has been removed during the Trump administration.” This is the group that highlighted the Trump administration’s removal of a 14-page website on Medicaid.com related to the Affordable Care Act.

Some 200,000 people visited the NGC each month prior to its closure, according to the Council of Medical Specialty Societies, which wrote the Trump administration urging it to salvage the online resource:

“Physician members across our specialty societies access NGC’s evidence-based guidelines to provide high-quality, value-based care to their patients. Given the current Administration’s focus on reducing physician burden, it should be recognized that NGC reduces the time that clinicians spend sifting through multiple society websites and peer-reviewed publications.”

Vox, also reporting on the clearinghouse closure, quoted Roy Poses with the Patient-Centered Outcomes Research Institute about the value of vetted health care guidelines as opposed to ones written by or at the behest of drug companies:

“The vetting role played by the NGC is a critical one. Many guidelines are actually written mainly for commercial purposes or public relations purposes. A guideline written for the treatment of depression, for example, may emphasize pharmaceuticals over talk therapy. The organizations writing the guidelines may be getting millions of dollars from big drug companies that want to promote a product. The people writing them may have similar conflicts of interest. NGC’s process provided a resource comparatively free of that kind of influence.”

[Thanks to Andy Giegerich and the Portland Business Journal for discovering this story.]

 

Oregon Gets Good Marks on Medicare Spending

Helping senior citizens remain in their homes is given credit for holding down per enrollee Medicare spending in Oregon.

Oregon's $8,247 per Medicare enrollee average is among the lowest in the nation and far below the $10,365 average expenditure nationwide. Washington's average is slightly higher at $8,497 and Idaho's is lower at $7,880, according to data compiled by the Kaiser Family Foundation.

The Portland Business Journal reported on the findings in its online edition this week, citing a study by the Institute of Medicine that concluded post-hospital services account for most of the variation in Medicare spending. The study pointed to uneven spending on nursing homes, long-term care hospitals, home health care and inpatient rehabilitation as responsible for 73 percent of the variability in average Medicare spending state-by-state.