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FPSI
The Cost of Bad Results
What is it?; Why do it?; How to do it?; What
do we do with it once it's done?
What is it?: The idea of costing "bad results"
starts with idea of "wanted" results. Wanted results are conditions of
well-being we hope to achieve for children, families and communities. They are
such things as children born healthy, children ready for school, children
succeeding in school and staying out of trouble. Bad results are the opposites.
Much, if not most, government spending for children and families, other than
elementary and secondary education, is spent for bad results: children born unhealthy,
children not ready for school, not succeeding in school, not
staying out of trouble. The costs of these bad results show up in both
governmental and non-governmental expenditures. It is possible to measure and
track these expenditures, and to begin to frame our social and fiscal policies
in terms of reducing the growth in these costs.
Why do it?: If this were a business, we would be tracking
the money we spent on repair. If repair costs started to eat up unreasonable
amounts of corporate resources, we would do something about it. The first step
would be to know how much we were spending on repair, and keep track of repair
costs over time. We would use this tracking system to see if our preventive
efforts to control repair costs were working. Our spending on bad results for
children and families is (roughly) equivalent to business repair costs. We know
preventive maintenance is less expensive than repair. We know preventing
children's problems is less expensive than treating their problems later. The
only way to get on top of the high costs of bad results is prevention. And the
benefits of prevention are not just lower long term costs, however important,
but a better, safer, more prosperous place to live for all of our children and
families. The starting point for controlling the costs of bad results is to know
what they are.
How to do it?: The question to be answered in this work
is "What costs exist today because we are not getting the results we
want?" The other way to ask the question is "What are the costs we
want to go down in the long run because we need less of it?" or "What costs would go away
if we got 100% good results?" When the question is posed this way, whole
programs go into the answer. Welfare, foster care, juvenile crime programs and
all their attendant costs are part of the cost of bad results. It is possible to
create a multiyear picture of all spending for children and families and then
cull out those pieces which fit the answer to this question. The total costs
must then be adjusted for inflation and population growth so that we can see
real changes over time.
We start this work with the total costs for all bad
results for a few simple reasons. Total program expenditures are known facts. We
do not have to break programs up and split their costs between results. (We
avoid, for the moment anyway, trying to answer what portion of welfare
expenditures is caused by one bad result or another.) Second, when success is
defined in terms of total cost of bad results, "solutions" which shift
cost from one place to another (or just as importantly from the present to the
future) are seen for what they really are: irresponsible and ultimately
ineffective. The product we need to produce is a picture of where we've been and
where we're headed with the costs of bad results. The analysis should have an
historical and forecast component. Taken together, these provide a fiscal
baseline for our work on repair costs.
What do we do with it once it's done?: Two uses: first as a tool
to measure our success or failure. We need to track whether the strategies we
develop to produce desired results are working in fiscal terms. The cost of bad
results is one of two kinds of baselines we can and should use to measure the
effectiveness of our work. The other kind of baseline is the one developed for
each of the benchmarks of well-being. Second, we can begin to think about
the long term financial benefits of improving the well-being of children and
families and communities in real dollar terms. This could lead to new ways to
think about financing the investments in prevention necessary to make this
happen. We can ask ourselves a second question: "What expenditures are
embedded in the total cost of bad outcomes which are now devoted to turning the
bad cost curve?" This starts to get at the portions of our agenda for
children and families which could be part of the solution and not the problem.
Developing a "cost of bad results" analysis is not a panacea. It is
one of several tools which make up a new approach to result based decision
making and budgeting, designed to improve the long term well being of children
families and communities. By itself, an analysis of bad results may not mean or
do much. As part of a larger effort to reshape our budgeting and decision making
systems to focus on results, it could be a powerful new tool in a more
disciplined, and maybe more effective, approach to deciding about our children's
future.
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