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)

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)

#AZHouse Republicans Pass Burdensome Regulation on Citizens Initiative (video)

Arizona House Republicans recently passed SB1451, Senator Vince Leach’s latest attempt to kill the Citizens Initiative process. Every year, Republicans add new regulations to the popular Citizens Initiative process–like dramatically increasing the number of signatures, strict compliance on petitions (forcing us to write in between the lines or risk having our signature knocked off), or eliminating the pay-per-signature practice for paid circulators.

The worst part of 1451 was taken out in the Senate. That was the section that made people group the petitions by circulator and allowed for elimination of whole petitions if one volunteer’s petitions got mixed up with another. The house added another amendment to give the attorney general the power to change the language used to explain the initiative. (This is a scary thought, after all of the intrigue and BS that surrounded the language of the initiatives on the 2018 ballot. You’ll remember that the anti-Clean Elections initiative was allowed to be purposefully misleading.)

SB1451 is a bad bill that over-regulates the Citizens Initiative process, adds bureaucracy and slows the process of circulator recruitment and signature gathering down.

Continue reading #AZHouse Republicans Pass Burdensome Regulation on Citizens Initiative (video)

#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)

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.