Small but Notable Government Consolidation in Kansas City

Health Care |
By David Stokes | Read Time 2 minutes

It is always dangerous to talk before you have all the facts, as a certain person sharing a beer today with two Bostonians has realized, but, dammit, if it’s good enough for him it’s good enough for me. I want to direct you to an example of government consolidation in Kansas City. According to the Star, the city’s independent ambulance service is being folded into city government. I am not here to talk about the silly use of consultants, although I certainly agree with this councilman — whose point applies to corporate America as well as to government:

“I still think we’ve got the expertise in-house,” Sharp said. “We use too many consultants.”

From what I can tell and what I have learned, this seems to be a good move in KC. MAST, a regional, independent government entity, is the nonprofit company that has formerly provided this service. There are many types of these regional entities in Missouri, and some of them certainly deserve to remain independent, like MSD in St. Louis. But MAST appears primarily to serve Kansas City and surrounding unincorporated areas, like Blue Summit. Hopefully in the areas outside of KC, fully private ambulance services will begin providing services.

But back to the consolidation issue. If the city can save money on overhead, et al, by bringing one government entity under the control of another, then this will be a good thing for taxpayers. There is no compelling reason to avoid this — the need for checks and balances from separate agencies doesn’t really apply here. Plus, most people, right or wrong, probably think ambulance service is a legitimate responsibility of government, so this is not another example of the government expanding its reach. It’s just one government consolidating with another; which is fine with me as long as it saves tax dollars.

I am totally open to being corrected on any of this by our KC readers, so fire away in the comment section, if you like.

About the Author

David Stokes is a St. Louis native and a graduate of Saint Louis University High School and Fairfield (Conn.) University. He spent six years as a political aide at the St. Louis County Council before joining the Show-Me Institute in 2007. Stokes was a policy analyst at the Show-Me Institute from 2007 to 2016. From 2016 through 2020 he was Executive Director of Great Rivers Habitat Alliance, where he led efforts to oppose harmful floodplain developments done with abusive tax subsidies. Stokes rejoined the Institute in early 2021 as the Director of Municipal Policy. He is a past president of the University City Library Board. He served on the St. Louis County 2010 Council Redistricting Commission and was the 2012 representative to the Electoral College from Missouri’s First Congressional District. He lives in University City with his wife and their three children.

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