Maternal & Child Health… a Dialogue with Rep. Powers Hannley (video)

What is the state of maternal and child health in the state of Arizona? Well, it certainly could be better.

Arizona ranks in the 40s (out of 50 states) in many areas related to the health of Moms and their babies.

Too many Moms and babies are dying preventable deaths after childbirth. Too many babies are born prematurely, with low birth weight or with birth defects. Not surprisingly, access to first trimester prenatal care has decreased, while beginning prenatal care late or not having prenatal care has increased.

Although the Arizona Department of Health Services recently received a CDC grant to study maternal mortality, there is more work to be done to improve the lives of Moms and babies.

Arizona should be doing more to prevent premature and low brithweight babies, increase access to prenatal and post-partum care for women, and increase post secondary educational opportunities (particularly for young girls).

I will talk about the State of Maternal and Child Health in Arizona and lead a discussion about challenges and solutions at the Salt of the Earth Labor College on Saturday, September 21, 2019, beginning at 2 p.m. (Facebook event here. Blog for Arizona event here.) The College is located at 1902 E. Irene Vista, Tucson.

Continue reading Maternal & Child Health… a Dialogue with Rep. Powers Hannley (video)

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)

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?

UPDATED: Multiple Bills Look at Housing, Homelessness (video)

I published this original blog post and video on March 30, 2019– back when I thought the Arizona Legislature would take some serious steps toward solving the state’s housing crisis.

The original article focused on five housing-related bills that passed the Senate and passed through my committees (SB1471, SB1336, SB1539, SB1383, and SB1098) and on the issue of restoring full funding to the Housing Trust Fund.

Early last Tuesday morning, May 28, 2019, was sine die, the last day of the session. The Housing Trust Fund was not restored to full pre-recession funding ($40 million of designated funds from unclaimed property), but it did get $10 million. The only bill from the above list that made it to the Floor of the House was SB1539, but it was changed dramatically, which resulted in a party line vote.

I really regret the demise of SB1471 (help for homeless youth and families) and SB1383 (property tax assistance for widows and the elderly).  The community groups backing SB1471 came up with a procedure to collect capitol gains tax on sales of Arizona property by out-of-state sellers. The Legislature said “thanks for the collection idea”. That procedure was adopted and put into the budget, but the earmark for homeless youth and families was eliminated. (Grrr…) SB1383 is a Maricopa County only program that helps widows and the elderly pay their property taxes; I think it should be expanded to statewide to help these people age in place. Instead, it was no heard in House Appropriations or Rules.  On a bright note, the affordable housing tax credit bill– which would have costs the state over $90 million in the coming years– died again.

Continue reading UPDATED: Multiple Bills Look at Housing, Homelessness (video)

#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)

#StopTheBans Pro-Choice Rallies Draw 100s in #AZ (video)

Across the nation today, men and women were protesting stringent anti-abortion bills that have passed in at least eight states recently. There was an impressive rally with close to 200 people at the Capitol today in Phoenix and even more in Tucson.

Alabama’s bill is the most recent and the most stringent. It is essentially an all out ban on abortion because it does not exclude women who have been raped or who have been the victims of incest. It also criminalizes doctors. They can be charged with a felony for conducting an abortion.

Six states including Georgia, Kentucky, Missouri, Mississippi, and Ohio have passed heartbeat bills. This means that an abortion cannot be conducted after a heartbeat has been detected. This can be as early as 6 to 8 weeks. Often women don’t even know they’re pregnant by then. Utah and Arkansas ban abortions after the middle of the second trimester.

Some states, like Arizona, still have abortion bans that pre-date Roe v Wade on the books. If one of these 2019 right-wing bills gets to the Supreme Court and results in over-turning Roe, it is unclear what will happen, but Arizona’s law could go into effect.

I was in college at Ohio State, when Roe v Wade passed the Supreme Court. I remember what life was like for young women in the time before abortion was legal and when access to contraception was limited. Everybody was on the “Rhythm Method”, and everybody in the dorm knew if somebody was “late.” I knew at least a half a dozen women in the dorm who were driven to New York for abortions. I knew a guy who got three women pregnant and drove them all to New York City. (You’d think he could figure out that he was part of the problem!) When abortions became legalized in Detroit, my boyfriend and I gave his younger sister a ride to Detroit.

To get birth control pills, I had to take a 1.5 hour bus ride from campus to the Planned Parenthood Clinic in ghetto on the near East Side. The clinic was in a dingy storefront. The waiting room was filled primarily with African-American women and children who lived in the neighborhood nearby plus a handful of white college girls like me.

Check out this article about Romania’s 20-year experiment with a total abortion ban. It turned into a public health disaster. More than 10,000 women died unnecessarily. Many children with birth defects were born. The state set up huge orphanages for children whose parents couldn’t take care of them, including many with severe disabilities. Romania tried this because they wanted to boost the birth rate. The birth rate almost doubled initially, until women figured out how to get around the band. Rich women could get abortions; most of the burden of this law fell upon middle class and poor women, who didn’t have the money or connections to get abortions.

If people really want to reduce the number of abortions, we should make contraception and the morning after pill cheap or free, and we should teach medically accurate sex education in the schools. They are not protecting the lives of the unborn. They are protecting the patriarchy. In Arizona, pious, pro-life Republicans are fighting hard to protect child predators— rather than supporting the victims of child sexual abuse.

If Arizona were truly a “pro-life” state, we wouldn’t force thousands of Moms and their children to live in poverty. We would provide food security, housing security, financial security and a quality public education system.

We can’t be complacent. We have to push back and protect our rights.

#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)

In #AZ, Maternal & Child Health Is in Crisis (video)

Maternal and child health is in crisis in the state of Arizona. Too many infants die. Too many new

Maternal and child health is in crisis in the state of Arizona. Too many babies die. Too many new Moms die. Too many babies are born prematurely. Too many babies are born with birth defects. Too many pregnant women don’t get adequate prenatal care.

Some Arizona counties have been labeled maternal health deserts because of lack of medical care. Cochise, Graham, Gila, La Paz, Santa Cruz and Yuma are the worst off. Around 50% of the babies born in Arizona are born to unwed mothers (which makes them more likely to live in poverty with their Moms.) And around 50% of the live births are funded by AHCCCS (Arizona’s Medicaid program).

Arizona’s lack of attention to maternal and child health and our stingy social safety net policies have exacerbated the situation and cost the state lives and money. Each premature baby born under AHCCCS costs the state around $1 million. How many of these one-million-dollar babies are accidents due to lack of access to affordable birth control and the scarcity of women’s health clinics, particularly in rural Arizona? We should be funding women’s health and well baby clinics in rural Arizona and should be hiring community health workers to do outreach with pregnant women and new Moms. You can hire an army of community health workers for the cost of one or two premature babies.

Continue reading In #AZ, Maternal & Child Health Is in Crisis (video)

#AZ House Passes Texting while Driving Ban (video)

Today was a red letter day for the state of Arizona. The Arizona House debated — at length— three competing bills on distracted driving and texting while driving.

The Democrats backed the clean texting while driving bill proposed by Rep. Noel Campbell. He worked with Rep. Cesar Chavez (who had had a texting bill that died in committee) to bring this bipartisan bill forward. Many family members, who lost loved ones to texting while driving, were in the gallery for this historic day.

The Democrats voted “no” on two of the three bills. The Mesnard bill was way too broad and included lots of different activities that could be construed as distracted driving. The Democrats were concerned that this would impinge upon peoples’ civil rights and lead to racial profiling. (Because of our principled stance, the Republicans dubbed us the “Perfection Caucus.” Aren’t they the Perfection Caucus since ~90% or more of the bills that make it through the process are their bills, even three are 48% of the House?)

The Brophy McGee bill was amended with language to make texting while driving a secondary offense, and the Democrats voted “no” because of that amendment. All of the cities that have texting while driving bans categorize texting as a primary offense. So, the amendment to make it a secondary offense would have been preemption.

Bother the Mesnard and Campbell bills passed and were sent to the governor.

This will save lives.

#AZHouse Democrats Force Vote on #ERA

ERA vote in Arizona House

For the third year in a row, Arizona House Democrats forced a debate and a vote on the Equal Rights Amendment (ERA). On April 16, I made an “emergency motion” to skip over First, Second and Third Readings of HCR2030 and bring the ERA up for an immediate vote. Predictably, the Republicans offered as substitute motion which led to two hours of rousing debate on women’s equality.

The Back Story

Earlier in the session– when the Democrats still believed that at least a few Republicans may have a tiny independent streak– Senator Victoria Steele and I both garnered signatures from a handful of Republicans and all of the Democrats for ratification of the ERA. Steele had the votes to pass it in the Senate, but  Judiciary Chair Eddie Farnsworth refused to hear the ERA in committee, and President Karen Fann stopped a real floor vote.

Arizona Senate debated, but since there was no floor vote– only a division call– the Republicans weren’t held accountable for their stance against equal rights for women. None of the Republicans who had signed Steele’s bill stood up for the ERA or spoke in favor of it.

Rep. Pamela Powers Hannley calling for a vote on HCR2030, ratification of the Equal Rights Amendment.

Pre-Game Action

Fast forward to yesterday. The House didn’t hear the ERA on the same day as the Senate because the plan was to propose the ERA in the House on a different day… unannounced. A stealthy surprise for the House Leadership. The Republicans don’t like it when the Dems surprise them with parliamentary procedures and force votes on bills they thought they had killed with parliamentary procedures. Their intransigence is the catalyst for our shenanigans.

Several weeks ago, I met with Speaker Rusty Bowers about the ERA and asked him to assign HCR2030 to a committee that would hear it. Every year, the Democrats and ERA supporters ask for a real committee hearing, a real floor debate in Committee of the Whole, and a Third Read vote on the ERA. Every year, the Republicans use “horse and buggy procedures” to stall any meaningful progress.

At the time of our meeting, the ERA had not even gone through the First Read– the very first step in the legislative process. He told me in no uncertain terms that he had “no intention” of doing anything to move the ERA forward. Initially, he declined to tell me why and said he wanted to “explain his position in a larger forum.” I pushed for a reason, and he talked about his wife and daughter and how it would negatively impact them. He also talked about more lawsuits as a result of passage of the ERA. I told him that the ERA focuses on government-based discrimination. If the ERA is passed and if the state of Arizona has discriminatory laws on the book, then, yes, the state could be sued, but the real issues are equal pay for equal work, equal protection under the Constitution, and structural sexism in our country.

Continue reading #AZHouse Democrats Force Vote on #ERA