Maternal & Child Health: a Public Health Model for Social Justice (video)

NICU

A few weeks ago, I gave the guest reflection at the Unitarian Universalist Church of Tucson on maternal and child health in Arizona. Below is the text of my talk or you can listen to the podcast here. I have been talking with people for months about this topic, and many of you have expressed an interest in working on solutions to improve maternal and child health. My plan is to hold stakeholder meetings on the state of Maternal and Child Health in Arizona, with the goal of crafting bills for the 2020 session. Stay tuned on the PowersForThePeople.net blog and on my Facebook page. I will be giving another talk on this topic at the Salt of the Earth Labor College on September 21, 2019.

Prevention: A Public Health Model for Social Justice (reflection text)

As the Public Health Parable in the Message for All Ages previewed, today, we are going to talk about prevention not only a public health strategy but also a social justice strategy.

Like the industrious carpenter in the video, we are going to assess the current problems, walk upstream to examine the root causes, and brainstorm long-term solutions to tackle those root causes.

Rather than focus solely on putting out fires today—as our government often does—the Public Health Parable teaches us to not only put out the current fire but also to devote significant effort to preventing those fires in the future.

My original idea for today was to discuss three unfolding public health crises: migration, housing security, and maternal and child health, but when I started to pull everything together, I realized we would be here all day if we tackled upstream solutions for those three, highly complex issues.

These three seem like disparate topics– migration, housing security, and maternal and child health—but they have commonalities.

Can you name some?  

[Pause for audience to shout out ideas.]

Poverty is a big factor in all of these, right?

But many of the “isms” are also involved: racism, sexism, classism, capitalism. And let’s not forget capitalism’s destructive cousins: war, austerity and bad policy.

How we tackle the unfolding crises of migration, housing security, and maternal and child health could have wide-ranging, positive OR negative repercussions on children, families, communities, future generations, and the climate.

Now we’re talking interconnectedness of all life, right?

Today, I want to focus on the area that has received the least amount of attention: maternal and child health. We hear a lot in the news about migration and housing, but there is a statewide and nationwide crisis in maternal and child health that is being ignored.

Continue reading Maternal & Child Health: a Public Health Model for Social Justice (video)

FY2020 Budget & #AZLeg Session Wrap-Up: What Just Happened? (video)

Arizona House

Drama, rumors, secrecy, backroom deals, coup attempts, flexible rules, and a bit of chaos are commonplace during the waning days of each session of the Arizona Legislature.  This is the atmosphere in which our state’s budget is crafted each year.

The First Session of the 54th Legislature ended in the wee hours of May 28, 2019. The new budget took effect on July 1, 2019. New laws that had “emergency clauses” are already in place. All other laws take effect 90 days after the end of the session, which is August 27, 2019.

Here is a peak behind the curtain during the last days of the session and some high and low points in the legislation that was passed.

The Game Plan

In 2019, secrecy and chaos reigned supreme as the Republicans desperately clung to their standard game plan: hear and pass primarily Republican-sponsored bills; ignore all Democratic ideas, bills and constituents; make enough pork barrel deals with their members to get 100% of them on one budget; and ram the budget through in the middle of the night when voters are asleep and Legislators want to be.

The Chaos

There was more chaos than usual in 2019 because a few Republicans realized that the slim D-R margins in both the Senate and the House gave each R a lot of power. (Rep. Kelly Townsend showed the Republican leadership her power back in March when she starting voting “no” on every bill one day. Here’s the blog post and video.)

The chaos was amplified by totally random floor schedules…

Continue reading FY2020 Budget & #AZLeg Session Wrap-Up: What Just Happened? (video)

John Oliver Asks: Which State Will Make History by Being #38 to Ratify #ERA? (video)

ERA banner

The Equal Rights Amendment (ERA) needs only one more state to ratify it before it can become an amendment to the US Constitution. Although State Senator Sandra Day O’Connor and Arizona State Rep. Sister Claire Dunn proposed ratification, Arizona is one of the laggard states that never ratified the ERA in the 1970s.

Both Senator Victoria Steele and I proposed ERA ratification in 2019 and in past years. Now, HBO Commentator John Oliver has jumped on the ERA bandwagon. Below, you can watch his segment on the history of the ERA and why it should be ratified. Steele has a cameo appearance talking about Arizona’s opportunity to move out of laggard status and move into the history books as the 38th and final state to ratify the ERA.

Also, here are a few stories about the ERA ratification efforts in Arizona. If you want to get involved, check out ERA TaskForceAZ on social media. ERA TaskForceAZ will be fanning out across Republican Legislative Districts during the interim; expect to see them at the Capitol again this year. As our high school football coach used to say, “It ain’t over ’til it’s over.”

#AZHouse Democrats Force Vote on #ERA

#AZHouse Republicans Shut Down Women’s History Tributes

#AZHouse Republicans Censor Dems to Block Speech on #ERA, Women’s Rights (video)

Today! 38 Miles for the Equal Rights Amendment 

Housing, Homelessness & Gentrification: What Is the Path Forward?

homelessness

Where do the mayoral candidates stand on affordable housing, low-income housing, and homelessness?

I think that’s a great question, and I hope to find the answers at the upcoming Mayor and Ward 1 City Council Candidate Forum on Saturday, June 22.  The event will be held at El Rio Center, from 12 noon – 2:30 p.m. and will moderated by Nancy Montoya from Arizona Public Media. According to the Blog for Arizona Calendar, the three Democrats running for Mayor and the four running for Romero’s Ward 1 seat are expected to participate.

What is the state of housing in Arizona?

Arizona’s Housing Crisis: Has the Legislature Done Its Part?

As rents and evictions increase, housing has become a huge issue across Arizona. Housing– like prison reform and charter school reform– got a lot of lip service in the Arizona Legislature in 2019. During the session, there were many opportunities to tackle the housing crisis in a meaningful way, but those bills died.

On a high note, the Legislature allocated $10 million for the Housing Trust Fund in the FY2020 budget, which begins in a few weeks. The Housing Trust Fund used to be $40 million per year until the Tea Party Reign of Terror swept the funds and left only ~$2.5 million in it. (Of course, back then, tax cuts were far more important than helping people keep roofs over their heads.)

Continue reading Housing, Homelessness & Gentrification: What Is the Path Forward?

Why I Voted to Raise the #AZLeg Per Diem

[On Monday, May 27, the Arizona Legislature voted to raise the per diem compensation. This is my floor speech to explain my vote.]

When I decided to run for office in January 2016, I stepped down as managing editor of the American Journal of Medicine and became social media editor. With this step, I took a 60% pay cut. I knew I would be bringing in less money, but we thought it would all even out working two part-time jobs (with one of those part-time jobs being 24/7.)

When I was elected to the Arizona House, I didn’t realize how much I would have to pay out of pocket.

The Cost to Serve

Currently, Arizona Legislators are paid $24,000 with a $60 per diem for rural/out of Maricopa County folks and $35 per diem for Maricopa County legislators– for the first 120 days of session. The per diem drops to $20 and $10, respectively, after 120 days and during the interim.

Each year in the fall, I rent a small apartment for six months for $1000-1200 per month plus Internet, water, electric and fees. Since it is a six-month lease, there is an additional charge per month tacked on for that convenience. (Large corporate apartment complexes love to add fees– on-time payment fees if you use a debit card, late fees, recycling fees, pet fees, “association” fees, etc.) Pretty much my whole in-session per diem goes to housing.

In fact, this year when I applied to rent my apartment, I sent them my pay stub from the Legislature to the apartment complex’s management company. A few days later, they sent me a kind rejection notice saying that with a salary of $24,000, I didn’t qualify to rent a 400 square-foot studio apartment. I replied, “Don’t worry. I have a second job!” And sent them my pay stub from the journal.

Let that sink in. On my Legislative salary, I didn’t qualify to rent a tiny studio apartment in midtown Phoenix.

Continue reading Why I Voted to Raise the #AZLeg Per Diem

#AZ Republican Budget Cuts Taxes by $386 Mil & Shortchanges K-12 (video)

One of the prevailing messages from the grassroots in 2018 was: no more tax giveaways until the schools are fully funded. Republicans didn’t get that message. They also didn’t get the Invest In Ed message that we — the people– think the rich could pay more in taxes to help fund education.

The Republican budget cuts income taxes, TPT and fees by $386 million and leaves education and other needs underfunded (or unfunded).

We started the year with a $1 billion surplus to invest in the People’s To-Do List: education, infrastructure, healthcare and safety and security. The Republicans have added bits of money to these areas — just enough to make it look like they’re doing something— but the need is much greater.

Republicans are ignoring multiple crises that are brewing in our state including unnecessary maternal and child death; rock bottom education funding; crumbling roads, bridges and school buildings; lack affordable and low-income housing; the shortage of teachers, doctors and nurses; too many people living in poverty; lack of access to affordable healthcare… need I go on?

Continue reading #AZ Republican Budget Cuts Taxes by $386 Mil & Shortchanges K-12 (video)

#AZLeg Hears Competing Bills on Vaping (video)

Vaping is a hot topic in the Arizona Legislature this session. E-cigarettes (also known as nicotine vape pens) are unregulated in Arizona. Nicotine vaping is widespread, and usage is increasing, particularly among youth.

Many adults use nicotine vape pens as a way to stop smoking real cigarettes. E-cigarettes don’t have the particulates that tobacco cigarettes do, but that doesn’t mean they are safe.

We have had two competing vaping bills in the Legislature. SB1147 is a tobacco industry bill that carves out vaping and regulates it separately in the Arizona statutes; it also preempts local laws. HB2357 regulates “any product derived from tobacco or containing nicotine” the same.

Back in the 1990s, when e-cigarettes first came to the US, tobacco control researchers at the UA and elsewhere said that e-cigarettes were “drug delivery devices” that should be regulated by the Food and Drug Administration (FDA). The tobacco industry fought this and said e-cigarettes were tobacco and should be regulated like tobacco. They won their court case at the national level, and e-cigarettes have been regulated like tobacco since then.

HB2357 is aligned with the federal law. SB1147 puts vaping into its own category— not a tobacco product or a nicotine delivery device.

Public health advocates are backing HB2357, and so am I.

For more background about these two bills, check out this story in the Capitol Times.

What’s the News on the #AZ Budget? Check Out Video & Town Hall

Many constituents have asked me where the budget is and what’s going on– after all, it is May. On the budget, the status quo of the past month still exists. All of the budget action continues to be behind closed doors, among a closed group of Republicans.

In addition to the Democrats, there are a significant number of House Republicans who are not part of the budget process, and they’re grumbling about it. This is a state budget– not the budget for a small town church. The deacons and the pastor don’t get to decide the budget on their own in the back room. The budget should be negotiated with all parties at the table– not just a handful of those close to power. Democrats make up 48 percent of the Arizona House. When more than 50 percent of the Legislature is kept in the dark and has to rely on rumors, that is not a fair process, and it ultimately hurts the people of Arizona.

Except for the Governor’s budget, which has been public for months, and some leaked details about the Senate Republican budget, little is known about the budget, beyond a few trial balloons. What we do know is that the Senate Republican budget is far more conservative and not even close to Governor Doug Ducey’s budget.

This chasm in the GOP has left an opening for Democrats. The House Democrats will unveil our balanced budget ideas on Wednesday morning at 9:30 a.m.  We have been saying since January that we agreed with parts of the governor’s budget– like full tax conformity and more money for P-20 education. [Stay tuned for details.]

On the right, Senator J.D. Mesnard and other tax cut fans still want to zero-out the money the state could bring in from tax conformity (~$150 million) and Wayfair (~$85 million). There are multiple trial balloons about making the income tax rates flatter. One proposal is to have only two personal income tax brackets. This is a horrible idea– unless, of course, your goal is to return to austerity and Draconian budget cuts, while making your rich donors happy. Under the Republican proposals to eliminate or lower tax brackets, rich people would pay less, and the rest of us could pay more. (Think of the Republican tax bracket plan as Arizona’s mini-Me to the Trump Tax Cut and Jobs Act. Both significantly lower taxes for the wealthy by reducing the top tax rate.)

Continue reading What’s the News on the #AZ Budget? Check Out Video & Town Hall

#AZ House Debates, Passes Association Health Plans SB1085 (video)

Although we had a short floor calendar on May 1, we had some rousing debates. The highlight was a two-hour debate on SB1085, association health plans. (Watch the action here, beginning at 19:32 min.)

The Republicans have had three bills this year to lower healthcare insurance costs by encouraging people to leave the healthcare marketplace. I agree that the Affordable Care Act is too expensive, particularly for sole proprietors (like my husband who was offered a silver ACA plan for more than $1000 per month just for him.) This is why I voted for direct care contracts. I believe those are a better deal for sole proprietors than association health plans.)

Democrats debated valiantly, led by Health and Human Services Ranking Member Rep. Kelli Butler (right). Here, she does Q&A with Rep. Isela Blanc.

I get that costs are too high, but the association health plans are not the way to go. They could, indeed, lower costs for business owners, but they could be risky due to limited coverage. There are reasons why these plans will likely be cheaper. Remember the old adage “you get what you pay for”. If sole proprietor business owners want to take a risk with their own insurance and their own health, I have a mind to let them take their own risk. (Just don’t ask me to help you later with a Go Fund Me Request if it turns out I was right on limited coverage under cheap junk insurance plans.)

Where I object is when businesses are making these risky insurance decisions for their employees— just to save money.

Continue reading #AZ House Debates, Passes Association Health Plans SB1085 (video)

With ‘Wayfair’ Bill Stalled, Will Republicans Stop New Revenue Streams? (Video)

The budget is still being negotiated behind closed doors. The Republicans have passed several tax cut bills, but not all of them have been heard in Committee of the Whole (COW, where the real debates happen).

We also have not heard the “Wayfair Bill” in COW because it is stalled in House Rules (with several other bills). HB2702 passed House Ways and Means unanimously several weeks ago but never got to the Floor for debate or a vote.

South Dakota vs Wayfair Inc. is the supreme court case that said states can charge sales tax on online sales. States, local governments, and brick and mortar businesses have been losing trillions of dollars to online retailers. Just look around town, and you will see fewer local businesses, less stock on the shelves, and many vacant store fronts. Taxing in-person purchases but not online purchases is unfair to local small businesses, hurts our local economy, reduces the General Fund (thus reducing education funding), and ultimately reduces consumer choice.

Arizona residents made $1.7 trillion worth of online purchases in 2018. That is how much Arizona businesses lost in sales. On those purchases, the state lost $85 million in sales tax (TPT). Cities and counties lost more than $45 million. Prop 301 (the education sales tax) lost $10.2 million.

Continue reading With ‘Wayfair’ Bill Stalled, Will Republicans Stop New Revenue Streams? (Video)