https://kffhealthnews.org/news/article/nonprofit-hospitals-tax-breaks-community-benefit/

POTTSTOWN, Pa. — The public school system here had to scramble in 2018 when the local hospital, newly purchased, was converted to a tax-exempt nonprofit entity.

The takeover by Tower Health meant the 219-bed Pottstown Hospital no longer had to pay federal and state taxes. It also no longer had to pay local property taxes, taking away more than $900,000 a year from the already underfunded Pottstown School District, school officials said.

The district, about an hour’s drive from Philadelphia, had no choice but to trim expenses. It cut teacher aide positions and eliminated middle school foreign language classes.

“We have less curriculum, less coaches, less transportation,” said Superintendent Stephen Rodriguez.

The school system appealed Pottstown Hospital’s new nonprofit status, and earlier this year a state court struck down the facility’s property tax break. It cited the “eye-popping” compensation for multiple Tower Health executives as contrary to how Pennsylvania law defines a charity.

The court decision, which Tower Health is appealing, stunned the nonprofit hospital industry, which includes roughly 3,000 nongovernment tax-exempt hospitals nationwide.

“The ruling sent a warning shot to all nonprofit hospitals, highlighting that their state and local tax exemptions, which are often greater than their federal income tax exemptions, can be challenged by state and local courts,” said Ge Bai, a health policy expert at Johns Hopkins University.

The Pottstown case reflects the growing scrutiny of how much the nation’s nonprofit hospitals spend — and on what — to justify billions in state and federal tax breaks. In exchange for these savings, hospitals are supposed to provide community benefits, like care for those who can’t afford it and free health screenings.

More than a dozen states have considered or passed legislation to better define charity care, to increase transparency about the benefits hospitals provide, or, in some cases, to set minimum financial thresholds for charitable help to their communities.

The growing interest in how tax-exempt hospitals operate — from lawmakers, the public, and the media — has coincided with a stubborn increase in consumers’ medical debt. KFF Health News reported last year that more than 100 million Americans are saddled with medical bills they can’t pay, and has documented aggressive bill-collection practices by hospitals, many of them nonprofits.

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Child labor is making a comeback with a vengeance. A striking number of lawmakers are undertaking concerted efforts to weaken or repeal statutes that have long prevented (or at least seriously inhibited) the possibility of exploiting children.

Take a breath and consider this: the number of kids at work in the U.S. increased by 37% between 2015 and 2022. During the last two years, 14 states have either introduced or enacted legislation rolling back regulations that governed the number of hours children can be employed, lowered the restrictions on dangerous work, and legalized subminimum wages for youths.

Iowa now allows those as young as 14 to work in industrial laundries. At age 16, they can take jobs in roofing, construction, excavation, and demolition and can operate power-driven machinery. Fourteen-year-olds can now even work night shifts and once they hit 15 can join assembly lines. All of this was, of course, prohibited not so long ago.

Legislators offer fatuous justifications for such incursions into long-settled practice. Working, they tell us, will get kids off their computers or video games or away from the TV. Or it will strip the government of the power to dictate what children can and can’t do, leaving parents in control — a claim already transformed into fantasy by efforts to strip away protective legislation and permit 14-year-old kids to work without formal parental permission.

In 2014, the Cato Institute, a right-wing think tank, published “A Case Against Child Labor Prohibitions,” arguing that such laws stifled opportunity for poor — and especially Black — children. The Foundation for Government Accountability, a think tank funded by a range of wealthy conservative donors including the DeVos family, has spearheaded efforts to weaken child-labor laws, and Americans for Prosperity, the billionaire Koch brothers’ foundation, has joined in.

https://tomdispatch.com/caution-children-at-work/#:~:text=The%20Covid%2D19%20pandemic%20of,distinct%20sign%20of%20social%20pathology.

Here is a Robert Frost poem related to the subject of the article. https://www.poetryfoundation.org/poems/53087/out-out

I'm GenX and I worked as a teen, but my earliest jobs were babysitting, not industrial labor.

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