(Pix © Larry Catá Backer 2015)
I have been writing for some time on the turn in the basic principles underlying the administration of health benefits at the American public and publicly assisted university. I have been particularly concerned that much of this turn has been driven by quite veiled changes in, and the manipulation of, the core premises within which discussions about benefits are presented--and constrained within relevant stakeholder communities (see esp."First
Principles" and Benefits Policies at Public Universities--How "Where
You Start" Determines the Shape and "Ends" of Benefit Programs).
That is, when administrators choose to frame the "issue" of benefits as one of "sustainability" and cost containment, the resulting conversation will invariably turn on the means through which the scope and operation of benefits provisions may be legitimately discussed. It turns the human element into an abstraction--and the individuals benefited into factors in the calculation of operating margins--margins that when positive go toward the care of the institutional machinery that itself appears to need constant feeding without regard either to cost cutting or to the constraining language of sustainable operation. Sustainability, it turns out, can mean little more than the conversion of all university outlays into segmented units expected to pay for themselves. It is the language of the balancing of ledgers without regard to ethics or morals.
What is lost when administrators manage university stakeholders into the sort of sterile framework of "sustainability" and cost containment as the only basis in which benefits can be discussed?








