The total estimated annual payroll for seven Congressional Districts with significant employment in health care and social assistance is just over $275 billion.   

This draft was edited thanks to a little help (March 2018)  This is a damn complicated issue.

A look at the details by Congressional District exposes weaknesses in the strategy of leaving the Affordable Care Act alone as a result of the failure of replace/repeal.  

Nearly 22% of Velazquez’s (CD7), 27.6% of Jefferies (CD8) and 54% of Clarke’s (CD9) constituent payroll is the health care and social assistance, almost $6 billion. A reduction by a fraction of this can be devastating to the better jobs, more income strategy in NYC’s service economy environment. It is this part of the health care system that is broken and the debate to let the market drive the system vs. a broad national safety net in a single-payer design is designed to go on forever.

The American Community Survey (ACS) provides details by Congressional District (Here) are as follows:

Annual payroll ($1,000) ACS Estimate
Total for all sectors CD6 (Meng) $6,774,639
Health care and social assistance $2,614,886
Total for all sectors CD7 (Velazquez) $8,942,565
Health care and social assistance $1,920,162
Total for all sectors CD8 (Jefferies) $5,209,765
Health care and social assistance $1,435,548
Total for all sectors CD9 (Clarke) $4,591,698
Health care and social assistance  $2,493,720
Total for all sectors CD10 (Nadler)  $73,088,238
Health care and social assistance $  4,082,423
Total for all sectors CD11 (Donovan) $5,995,693
Health care and social assistance  $2,405,251
Total for all sectors CD12 (Maloney) $170,281,639
Health care and social assistance  $10,155,081
Total for all sectors CDs 6 through 12 $274,884,237
Health care and social assistance  $25,107,071

The seven districts covering all of Brooklyn includes Bay Ridge and all of Staten Island represented by the city’s only Republican. The table (above) also includes a bit of Queens (Meng).  Maloney and Jerry Nadler also have small parts of Brooklyn, but larger parts of Manhattan, and therein lies a surprise.

Of the $275 billion in total income in these districts, 88.5% is in CD10 (Nadler) and CD12 (Maloney). The incomes of the households in these two districts dwarf the other five that cover most of Brooklyn. Maloney and Nadler represent 11% of the employment in the health and social assistance sector.

More work on this is needed regarding the impact on CD9  where over 50% of the community’s income is in the health sector and the majority of it is Medicaid.

 


The listing of industry in these areas is in the North American Industry Classification System (here) and reports on Census.gov  examining business & Industry are available in both annual & quarterly service reports (here).

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