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.
|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).