Quality

Quality

• Reduced quality of services
• Degrading of assets through poor maintenance

Across the country, the privatization track record is full of service failures and deteriorating infrastructure. Private investors or contractors naturally have an overriding interest in making profit, which creates incentives to let quality slip and assets degrade.

When governments turn over control of public assets like water systems, roads and parks to private interests, corner-cutting on maintenance, repairs and quality control is common. In many water privatization cases, the quality of the water declines after a private company takes control of the system, sometimes to the point of greatly compromising the health of residents.

When government jobs are contracted out -- from school bus drivers to welfare eligibility caseworkers -- service quality often declines because employees of private contractors typically lack the training or experience needed to maintain the same level of service.

Some contracts contain incentives for contractors to value quantity over quality. Since a good quality service usually takes more time than inferior service, contract structures in which a company is paid a variable amount per client can be detrimental. They encourage the company to increase the number of clients they serve, regardless of the quality of service provided to each client. In some social services contracts, for instance, companies encourage caseworkers to process as many clients as possible, instead of placing an emphasis on quality, which can take longer.

Related Cases

Faced with a $7 million budget deficit in 2008, the Southfield School District in Michigan contracted out janitorial, food, and busing services.  Hundreds of support staff jobs were lost and the community has felt the negative economic impact of the privatization.   Schools have encountered numerous problems, including an increase in the cost of meals and services to students and a decline in the quality of food and busing services. 

 

In December 2006, Indiana signed a 10-year, $1.16 billion contract with an IBM-led consortium to provide eligibility review and claim processing for public assistance programs.  Immediately following the privatization, clients and applicants reported long waits, lost files, slow approvals, and incorrectly severed eligibility for food stamps and Medicaid.  Many families lost critical safety net services.  The state paid the contractor an additional $180 million to fix the problems, to no avail. In October 2009, Indiana announced the cancellation of the 10-year contract.

 

In January 2006, the state of Texas hired a private consortium headed by Accenture LLP to develop, operate, and staff Texas's eligibility and enrollment system for Medicaid, Children's Health Insurance Program (CHIP), Food Stamps, and Temporary Assistance for Needy Families (TANF).  Almost immediately, problems occurred such as high call center wait times, technical issues, insufficiently trained contractor staff, delays in application processing, and improper benefit denials.  Many families eligible for public benefits failed to receive the assistance they needed when they needed it.  In March 2007, the state cancelled the contract.  

 

In 2005, Virginia signed the largest contract in the state's history, for Northrop Grumman Corp. to manage the state's information technology system for 10 years.   The $2.3 billion contract, seen by many as a potential model for other states, was intended to save money and improve the quality of the large, intricate system by transferring operations to the private company.  But as of late 2009, with more than 80 state agencies relying on Northrop Grumman for their information technology needs, the project is behind schedule and has been plagued by numerous problems, including a decline in service quality and many technical glitches.

In Milwaukee, a coalition of environmental, community, labor and faith organizations succeeded in convincing the city council to indefinitely shelve plans to privatize the water system and go back to the drawing boards for solutions to the city's budget crisis.  The coalition, Keep Public Our Water (KPOW), protested that evidence from other privatized water systems indicated substantial risks of poor water quality, rate increases and lost jobs.

 

The San Diego mayor has tried since 2005 to privatize many city departments through "managed competition," a process borrowed from the Bush administration. As of January 2010, advocacy efforts have headed off the outsourcing until protections are in place to safeguard public accountability, service quality and workers' health coverage.

In 2001, North Carolina's General Assembly called for sweeping changes to the state's mental health care system.  The state privatized the provision of local and regional mental health services by requiring that local jurisdictions contract out delivery of services.  As a result, the quality of care that North Carolinians with mental illness receive has declined while allegations of fraud and waste have increased.  North Carolina is trying to pick up the pieces of its shattered system, but the many negative effects associated with the privatized system are still felt across the state today.  

 

IT contracts: Huge investment buys headaches

August 2010

As states grapple with serious damage from contracting out information technology systems, the federal government is reconsidering the risks of outsourcing IT. Texas is cancelling its $863 million contract with IBM because of repeated failures, just as Indiana did last year.

Private prison faulted for violent escape

August 2010

A lethal prison break in Arizona has added tragically to the costs and consequences states must consider when weighing prison privatization. In August, a state report blamed the poor security, faulty alarms, and general complacency at a for-profit prison in Kingman for the escape of three convicted killers. Two of the escapees are accused of murdering an Oklahoma couple during the escape.

Cracks appearing in privately built toll roads

April 2010

Even toll roads originally built as private businesses are failing to demonstrate promised cost efficiency.

In San Diego County, California, the South Bay Expressway filed for bankruptcy in March, three years after it opened late and over budget. The for-profit company running the toll road blames the recession for its low traffic, but drivers have publicly blamed the company's steep toll increases.

Private foster care: Child welfare versus profit

April 2010

Nebraska's recently privatized child welfare system was in disarray in April, when two contracted companies dropped out because they found the work unprofitable.