by David Osborne, Peter Hutchinson
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Product Description
Government fiscal problems have reached crisis proportions and generated headlines all over the country. In Oregon, schools are forced to close early because money to operate them runs out. In New York City, firehouse closings cause celebrity-studded neighborhood protests. Twenty-two state governors, from both parties and all regions of the country, have proposed tax increases to make up for falling revenues, rising expenses, and falling federal support. In Washington, the federal government projects a half-trillion-dollar deficit. The fiscal crisis in government at every level is the most severe it's been since World War II.Where David Osborne's 1992 New York Times bestseller Reinventing Government was descriptive, showing readers a new model of government then emerging around the country, The Price of Government is prescriptive. It offers specific solutions, drawn from the authors' ten years of experience applying reinvention strategies, and shows how to apply them in the context of a permanent fiscal crisis. The authors describe how a budget process that starts with results, not spending programs, has been a springboard for transformation in governments at all levels. The Price of Government will interest everyone who is concerned with how our tax money is spent--and how to get the government we need to thrive and prosper.
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Average Customer Review:
0 of 1 people found the following review helpful:
 Government Spending, 2007-08-03
This book offers a different approach for governments to prioritize their spending. It may not work for every body, but will provide a new way to decide where to put tax dollars to match tax payers priorities.
2 of 2 people found the following review helpful:
Easy Read with Great Info, 2007-01-09
This is a another great book written by David Osborne, with practical, yet out of the box ideas on balancing government budgets. A great process that can be emulated by public administrators to focus taxpayer dollars on the most important programs and services. It challenges administrators to go beyond hacking away at every program budget until all the programs are barely running on a shoestring and no one is getting the results that taxpayers want.
2 of 2 people found the following review helpful:
Relevant to educators as well as government, 2006-09-24
The PRICE of GOVERNMENT:
Getting the Results We Need in an Age of Permanent Fiscal Crisis
There is no doubt that money needs to be well-spent, especially when discussing money managers such as our state and national government officials. As a "customer" of this government, I'm looking for solutions, yet finding more problems. The Price of Government not only identifies those problems, but offers solutions. The premise remains the same- what are Americans willing to pay for the services that we need?
The authors review not only America's history of taxation, but introduce components from other sources. Such sources are countries where governmental systems are more effective than ours, and sometimes also citing an example of ineffectiveness followed by review and suggestion. Overall, this book is a valuable source for those who have an interest as to where their tax dollars are being spent. The authors suggest that all Americans should be more well-informed before they vote. After reading many reviews of this text, I believe the authors may wish to re-visit this idea. America wants results. There is a great deal of practical suggestions about moving toward a practical performance-based system. I believe that we are beginning to see this and use of the internet helps average citizens gain information we would not have had access to a decade ago.
What I especially enjoyed about this book was that it wasn't just shock and awe... we're going downhill heading for doom, etc. The authors state the obvious- that we've spent more than we have and there needs to be accountability for the money customers provide. I refrained from overusing the word taxpayer because the book does address ways to use these concepts in other arenas, making it a valuable tool not only for elected officials, health care and educational employees, but to business as a whole. The introduction jumps right in and offers a "prescription" to help save this sinking ship. In short, the authors compel government to "get a grip" on the problem, figure out how much taxpayers are willing to help with the problem, determine priorities and then allocate funds for those priorities until money is gone. Being in the middle of an educational administration program has exposed me to several similar texts. Often, reorganization is the focus to solve existing problems. These authors drew me in from the get-go, but the following quote sums up their philosophy well!
Native Americans have many sayings, and one of the wisest is this: "When you're riding a dead horse, the best strategy is t dismount. You don't change riders. You don't reorganize the herd. You don't put blue-ribbon commission on veterinarians. And you don't spend more money on feed. You get off and find yourself a new horse. "(Page 19)
To begin identification of the problem they look at demographics- an aging population with longer longevity and decreased population growth. In short, healthcare and social security problems have caused a deficit in the budget on a huge scale. The authors suggest budgeting for outcomes- determine what is really important, and then figure out how much it will cost and then buy it. I liked how they state to "use indicators that make sense to citizens". (Page 72) Often, schools report test scores but do not explain how they are interpreted. The authors suggest planning for outcome goals and including indicators of that success. They identify the difference between budgeting for Outcomes and performance management. The example of the child welfare agency being rewarded or punished based on child abuse cases solidifies the definite difference of the two. (Page 89)
In the consolidation chapter, the authors remind us that historically, American government reacts to a crisis through reorganization. Two examples sited are the loss of a child causing the child welfare system reform and Homeland security being developed after September 11th 2001. Reorganization is not always bad, but it not always what the organization needs either. I like how the book relates well to the educational system. Suggesting that schools be held accountable to achieve these goals set by the system would increase motivation to ensure child success. We are beginning to see this in charter school enrollment rising and some states having the option to voucher tax dollars toward private schools. The concept of "rightsizing" looks at whether or not the service is still needed, how efficiently those working in that area are doing their work and what can be done about it. If the service is still needed but time is wasted, for example completing tedious paperwork or signing time cards that the supervisor doesn't manage suggests looking at technology to streamline the work to be done.
Too often with new elected officials we saw their friends, companies and associates hired under their administration. The result was usually less than optimum effectiveness. Osborne and Hutchinson suggest competition to save the price of government from rising. Competition keeps prices low. To further stimulate effectiveness and efficiency, the authors suggest rewarding those involved. If the contractor winning the bid completes a job early and under budget, then a portion of the surplus goes back to the taxpayers while a portion goes to the workers as well. The authors claim that not only does this reward workers, but it improves morale of the workers and boosts the public faith in their government. I especially liked the suggestion they based from evidence of forgeign countries. "Shift public workers into private firms taking over the work... Require that contractors pay comparable wages and benefits..." (Page 161) These are but two examples, showing us that this could work. We could move public jobs into the private sector, without losing the quality of life they had established.
"Smarter customer service" is a chapter most of us could benefit from. It brings to light the things we too often do without question. In turn, wasting the company's money and driving costs up for customers. The example of signing time cards of people you don't personally watch was a perfect example. Yet, government needed to respond to a situation years ago in order to save money. Re-evaluate the needs of the organization. The 311 system empowered citizens while holding officials responsible for their departments. The quality must improve to improve the processes. The 311 telephone system brought performance data to a new front while keeping costs low through consolidation. By being more effective, costs are cut for departments, onto governments and maintaining if not lowering the price of government for citizens
They offer insight to many different aspects, focused on the key programs. They also offer practical suggestions and offer ways to deepen what they present, citing very good websites such as www.FirstGov.gov and www.irs.gov/efile. Systems working together will better align the system. The authors suggest in education of current employees for better efficiency as well. The focus should be on the results of the objectives, not solely the money, claiming the authors. They remind us to stay focused on the core objectives, as to not get lost in the activity. They suggest moving power into the hands of the employees, in essence creating "an organization of leaders" (page 322).
All in all, this book is not only very useful, but easy to read as well.
1 of 6 people found the following review helpful:
 Engage Workers First, then talk about PRICE, 2006-04-10
Great ideas if anyone can find government workers or teachers who know anything or care about ...budgets.
Focus on getting workers engaged in the planning process first before introducing even the word BUDGET or PRICE of Government.
Also, using the terms PERMANENT and CRISIS in the same sentence does absolutely nothing except cause eyes to glaze over.
5 of 9 people found the following review helpful:
 Sounds Good, but Won't Work!, 2005-12-12
The timing for this book couldn't be better - an era of skyrocketing deficits, an aging population (boosting pension outlays), inexorable increases in healthcare costs (fewer workers with health insurance, aging population), and businesses increasingly threatening to move elsewhere unless they receive tax relief.
Simply cutting budgets accomplishes little - as Osborne points out, it does nothing to improve areas retained. In addition, service recipients or proponents (usually providers) simply complain ad naseum until an opportunity to restore funding occurs (eg. tax increase or economic upturn) presents itself - thus setting the stage for the next crisis.
Osborne is also correct in pointing out that the most common budget "cures" are simply illusions - accounting gimmicks (timing "games" regarding outlays and receipts, fudging estimates, temporarily ignoring voter mandates), borrowing, and delaying maintenance.
At this point, however, Osborne goes off the track by proposing some intelligent-sounding changes in approach (eg. identify the results wanted), and proceeds to go through a lot of razzle-dazzle that simply ends up with "business as usual."
Using Washington state as an example, Osborne cites how a citizens group decided to focus on providing more early-childhood-education and implementing skill-based pay for teachers - neither a "REAL" result. During the last 30+ years innumerable education "improvement" programs have been funded, while progress has been non-existent - eg. scores by 17-year-olds on the National Assessment of Education Progress (the only unchanged large-scale test in the nation) have remained unchanged, as have drop-out rates. This, despite a more than doubling of inflation-adjusted per-pupil spending in the last 30 or so years. As for "skill-based" teacher pay, study after study has found that - after taking into account pupil differences - payment for EXISTING "skill-set" programs (teacher experience or degree levels) contribute little (only the first few years of experience) or nothing to pupil achievement. So why add another dubious dimension? If one needs any more evidence, consider the fact that most private schools only cost about half that of public schools.
Universities are another major State-level expenditure; like K-12 education, MAJOR overhaul (not rethinking budgets)is required. Since the early 1990's, professors' teaching workloads have been reduced from three classes per semester to two. Nationally, and undoubtedly in Washington also, the length of the academic year shrunk from 191 days in 1964 to only 156 in 1993. Meanwhile, only 21 cents of every funding dollar goes into the classroom - the number of non-teaching professionals (eg. counselors) has increased from 3 per instructor in 1976 to 6 in 2001. Returning to those recent productivity levels, substantially reducing admissions of the roughly half unable or unmotivated to graduate, and shortening the average 5+ years required to graduate would allow savings of about $500+ million/year in Arizona and it is assumed that similar opportunities exist in Washington.
As for healthcare, Osborne's Washington process suggested dropping coverage for low-income workers - an ACCOUNTING GIMMICK that simply transfers the costs to providers, and adding more clinics. However, what is really required is a review of incentives and other care drivers - eg. the highest-spending areas in the U.S. spend about 60% more on Medicare recipients than the lowest, despite access to care and patient outcomes being better in the low-income areas. A second problem is that healthcare providers are REWARDED for their errors - payors need to insist on adherence to quality standards. A third major problem is that care recipients have no incentives to conserve - Health Savings Accounts (allowing cashing out of any funds remaining from a set amount) do so.
Clearly Osborne's work would be more useful if it focused on outcomes - both good and bad. Associated with that should also be a discussion of benchmarking (staffing levels, compensation for staff, and benefit levels), and continuous improvement goal-setting that emphasize reducing waste and improving quality "Toyota-style" - keys to success in the private sector.
The "bottom-line" is that the focus should not be on the budget process, but on permanent reform of the biggest consumers of government funds - education and healthcare.
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