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Greenberg addresses issues on state agency funding cut

News of an impending 15 percent cut in state funding has raised questions among those who are concerned about MUSC's future. 

Compiled here is a short list of questions with answers from MUSC President Ray Greenberg, M.D., Ph.D. More information will be forthcoming as the issue develops.

What is the current financial situation of the university? 
We have made great progress in addressing our budget situation. We are in a position to end this year with a balanced budget. That represents a $40 million dollar turnaround from last year and a more than $70 million improvement from more than two years ago. This progress is a great tribute to the hard work of many people across the university and the Hospital Authority. It is too early to declare victory, however. We are operating on the thinnest of margins at the moment and any unexpected losses of revenue or increases in spending could put us back into a deficit situation. For that reason, last week we introduced a freeze on new hires, except for absolutely essential positions. Also, we have asked departments to defer equipment purchases and restrict travel on state or UMA funds. We believe that these measures can get us through the end of the present fiscal year with a balanced budget.

The governor proposed 15 percent funding cuts. What are we doing to respond to the proposed cuts?
We are meeting with members of the General Assembly to discuss our situation. The local legislative delegation was on campus on Jan. 19 for a briefing, and I made a presentation to the Higher Education Subcommittee of the House Ways and Means Committee on Jan. 30. During the upcoming weeks and months, we will be meeting regularly with our elected representatives to advocate for the needs of the Medical University. We have requested special consideration, given the financial challenges that we have faced during the past three years. I am optimistic that the legislature will be sensitive to our needs.

So what are we doing specifically? What is our strategy?
First, along with our sister institutions, we have made the case that education does not stop at grade 12 and that protected funding for education should include higher education. Also, we have told the legislators that unlike universities with very large student enrollment, we cannot compensate for lost appropriations through tuition increases alone. We have also told them that we have been aggressive in pursuing revenue from other sources, such as grants and private philanthropy. These other funding sources generally are restricted in the ways that the money can be spent, so they do not help us with general operating expenses.

What we cannot accomplish through increasing other sources of revenue, we will have to address through reduced expenditures. We have told the legislators that we have eliminated virtually all discretionary spending during the past few years and that any further reductions would result in the loss of whole programs.  We have tried to suggest to them ways in which state revenues, such as tickets for failing to use seat belts or for DUI violations, might be used to help support some of our efforts, such as the trauma centers.

To the extent possible, we are trying to work in cooperation with the other two research universities on support to the academic mission. Our shared agenda is to continue the progress that has been made on all three campuses in building nationally competitive institutions.  On the clinical side, we are trying to work with the other health care providers in the state to develop a shared message. Sustaining state support for Medicaid is a particularly high priority because every dollar of state funding is matched against several dollars of federal support.

What impact will revenues from the lottery have for us?
The debate on the use of the lottery funds is just beginning. The governor developed a proposal, which has been introduced as a bill in both the House and the Senate. The clear focus of the Governor's plan is to support education. This is good news. From our perspective, the bad news is that the governor's proposal includes scholarship support only for undergraduate education. We are hoping that during the debate in the General Assembly, the proposal will be modified to provide scholarship support at the graduate and professional level as well. In addition, we would like to see some funding dedicated for research development at the three research universities. Building this capacity would serve the economic development interests of South Carolina, by fostering an environment that would attract high technology industry. 

What can faculty and staff do to help?
Certainly, the most immediate contribution that faculty and staff can provide is to help increase revenue, and at the same time, control expenditures. We have demonstrated continued high productivity in the research area. It appears that we are on target for another record breaking year. In the clinical area, our faculty and staff are working very hard, but we are seeing mixed results in terms of revenue. In the hospital, our revenue is up, but it is down somewhat in the outpatient area. The latter probably reflects the departure of some highly productive faculty whose replacements have not yet arrived.

It would not be appropriate for the university to either encourage or discourage faculty and staff from contacting legislators. We do believe that our official channels of communication with the General Assembly are effective. As the legislative session progresses, we will have a better idea of the level of support that the General Assembly will provide.

Finally, we all recognize that the university is experiencing great challenges. If you have suggestions for ways in which we can operate more effectively, please do not hesitate to let me know. Together, we will not only overcome the present challenges, we will build an even stronger Medical University for the future.