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Who pays property taxes to support services when the economy is dominated by nonprofits?

Fifty years ago, when Clevelanders needed to fund schools, pay for parks or expand libraries they relied on booming tax revenue from large companies. General Motors, Republic Steel Corp. and Ford Motor Co. employed thousands of people and provided a tax base to fund services for the community. But Cuyahoga County’s economy has changed.
Color-coded map of Cleveland showing redlining

The debate over tax breaks for nonprofit Cleveland-area hospitals is also about racism and redlining

For years, hospitals and public policy wonks have been engaged in an ongoing debate over whether nonprofit hospitals provide adequate benefits to the community to make the tax breaks they receive a good deal for taxpayers. That debate is further complicated by the history of racist policies like redlining that still affect Clevelanders today.

Reflection: Racial disparities still plague health care. The fact that I’m writing about it in 2021 is telling.

Calling out racial disparities does not equate to neglecting progress made toward greater racial equity, and yet, as it almost always seems to, that point of contention came up during a roundtable discussion about medical mistrust on Monday hosted by Case Western Reserve University’s branch of Universal Health Aid.

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