Morrison Institute for Public Policy Publications Archives

This report follows The Coming of Age report produced in 2002 by some of the principals involved in this project, and published by St. Luke’s Health Initiatives. That research showed that Arizona had much to do to get ready for the baby boomer age wave. The results of Unlocking Resilience from new survey data, interviews, and secondary research indicates Arizona still has much to do to prepare for aging and must make concrete policy decisions about aging.

High costs alone are enough to make anyone dizzy. How can health care and health insurance be understood now when tight budgets are presenting tougher and tougher choices to individuals and policy makers? One answer is to step back and take another look at what quality research says about the costs and benefits of health and health insurance and match those facts and figures with experiences among Arizonans. This report does just that. It also presents recommendations that could help Arizona fare better in the coming years. Money may make the world go round, but choices determine the future. In addition to reviews of state and national economic studies, focus groups and interviews were held with metro Phoenix and metro Tucson residents who did not have, or recently lost, health insurance. Participants’ own words are used throughout the report to illustrate a variety of research findings.

In the spring of 1998, the Office of Workforce Development Policy (OWDP) of the Arizona Department of Commerce commissioned a statewide opinion poll to assess public attitudes toward the state’s plan for economic development as implemented through GSPED — the Governor’s Strategic Partnership for Economic Development. The poll was designed to assess both the public’s understanding of GSPED and their reactions to using the concept of industry clusters as a tool for organizing both economic and workforce development efforts.

One question posed by members of the Governors’ Council on Workforce Development Policy pertained
to whether polling results vary by urban versus rural residency. Specifically, the question was raised as to whether the responses of rural residents differ from those who live in urban areas. Therefore, at the request of the Council, results of the polling were analyzed in order to answer the question: Does urban versus rural residency affect respondents' answers? The answer to this question is, in short, No.

In the spring of 1998, the Office of Workforce Development Policy (OWDP) of the Arizona Department of Commerce commissioned a statewide opinion poll to assess public attitudes toward the state’s plan for economic development as implemented through GSPED — the Governor’s Strategic Partnership for Economic Development. The poll was designed to assess both the public’s understanding of GSPED and their reactions to using the concept of industry clusters as a tool for organizing both economic and workforce development efforts.

Aging affects all dimensions of our society, but none so much as health care. Thus, St. Luke’s Health Initiatives (SLHI) decided to dedicate part of its Arizona Health Futures program to exploring Arizona’s capacity to meet the health care demands of an aging population. SLHI asked the Arizona State University School of Public Affairs and Morrison Institute for Public Policy to collaborate on The Coming of Age to inform Arizona’s policy leaders and residents about these critical issues. The Coming of Age engaged demographers, economists, public policy analysts, human service and medical professionals and citizens. Through its research, the team developed a realistic picture of Arizona’s "capacity to care" for an elder population. The results of the research are presented in The Coming of Age: Aging, Health and Arizona’s Capacity to Care.

The fourth, and final, annual statewide public opinion polling is part of a multifaceted evaluation of Arizona's school to work (STW) initiative. Baseline data were established in spring 1996; comparative data have been collected annually since then. The polling assesses public attitudes toward STW, and determines their level of support or opposition to the initiative. Each year, three constituent groups were polled: parents, businesses, and educators. Sample sizes in 1999 yielded results comparable with those in 1996, 1997, and 1998 results. Findings indicate the following: public awareness of STW has grown significantly during the past 4 years; awareness of involvement in a regional partnership has grown; most Arizonans are satisfied with the overall quality of public schools, but are least satisfied with those aspects of education that relate more closely to STW, and are in favor of changes in public schools that support STW outcomes; and many Arizonans are skeptical that STW "can work." Clear majorities of Arizonans support STW on every indicator of support measured, including the following: willingness to pay taxes to support STW; willingness to vote for pro-STW elected officials; identification of STW participation as "very important" in the lives of students; indication that one would change schools to allow a child to participate in STW; and support to include STW in the state's budget.

As part of a multi-faceted evaluation of the state's STW initiative, a survey was conducted to establish baseline measures of counselors' time use and attitudes toward STW prior to its widespread implementation in Arizona schools. This paper discusses counselors' roles and responsibilities--that is, how they currently spend their time. The study will be replicated annually, with the hypothesis that if STW has the impact intended, then one should see marked increases in the time spent counseling students on work/career issues.

One component of a multi-faceted evaluation of the state's STW initiative is the evaluation of public awareness and opinions of STW as a concept and a vehicle for education reform. In spring 1996, a statewide public poll of parents, businesses and educators was conducted to establish baseline measures of public attitudes toward STW prior to widespread implementation in the schools. In fall 1996, Arizona public school counselors were surveyed as an additional constituent group. This paper highlights findings from the state's baseline study of counselors' opinions toward STW -- especially as compared with the opinions of other constituent groups.

Since 1996, Arizona has been building a comprehensive statewide system of school-to-work opportunities for students from kindergarten through college, supported by a School-to-Work (STW) implementation grant from the U.S. Departments of Labor and Education. After 3 years, a public opinion poll of a 2,200-person random sample drawn from parents, businesses, and educators sought information on these five topics: (1) public awareness of the STW initiative, (2) perceived need for school change; (3) reactions to specific changes embodied by STW; (4) specific attitudes toward STW; and (5) support for the STW initiative.

The polling data showed that awareness of STW among educators is up; increasing percentages of parents and educators report being involved in a regional partnership; and there are high levels of support for changes in the public school system, types of learning programs needed, STW implementation, and the changes in school operations that STW signifies. Educators are increasingly viewing STW as a broad-based career exploration and preparation initiative designed to meet the needs of all students.

Support for STW is also growing along the lines of public policy, tax-paying readiness, and candidate support. On the other hand, fewer businesses than in the past report being aware of STW or involved in local school efforts, although a majority of businesses polled continue to express high levels of support for STW,. More businesses view STW as a program that is limited in scope, serves only select students, and is likely to fail because of entrenched bureaucracy, and growing numbers of parents and teachers are beginning to share these views. The study concluded that policy-level action is needed to keep STW alive in Arizona.

St. Luke's Health Initiatives and the Flinn Foundation strive to make Arizona a better place to live for all of its residents. Despite our state's assets, Arizona has many issues to address, with health and poverty among the most important. Our organizations have been pleased to sponsor the state capacity research that provided the background and impetus for "More Promises to Keep: Sustaining Arizona's Capacity for Welfare and Health Reform." St. Luke's Health Initiatives and the Flinn Foundation view the information and analysis provided in this report as a good way to stimulate discussion of health and welfare policy options and community actions. Research and dialogue are essential steps in the process of constructive change, as is communication with the public. We urge readers to consider the ideas presented in this paper and to continue to work together to improve the health and welfare of all Arizonans.