NC Budget and Tax Center, Uncategorized

Bipartisan agreement to address persistent poverty

The persistence of poverty in certain regions and communities across the country and within North Carolina has long held back the broader economy from performing at full capacity and delivering the greatest benefit to the most people.  In North Carolina, there are still 10 counties where poverty rates have remained above 20 percent for more than three decades.

That is why the emerging bipartisan consensus on setting a reasonable target to direct federal funds to these communities is encouraging.  The plan states that at least 10 percent of a federal program’s funds should go to counties where at least 20 percent of the population has lived in poverty for at least 30 years.  In the upcoming months, there may be several opportunities for the plan to be incorporated into the guidelines for funding the federal government.  In the meantime, from this Politico article, it is clear that a broad swath of the country could stand to benefit and that those affected by persistent poverty are diverse.

Nearly 500 counties across the United States suffer from the kind of persistent poverty that would make them eligible for the plan’s targeted funding, [Representative] Clyburn says — and it would give more Republican lawmakers something to brag about to constituents than Democrats. In 2009, Clyburn likes to note, 84 Republicans represented those counties, compared with 43 Democrats. The GOP held 311 counties and Democrats represented 149. (In terms of total population, the parties were more evenly split, with Republicans representing 8.3 million people from those counties and Democrats representing 8.8 million; another 14 counties with 5.3 million people were split between Republicans and Democrats.)

Uncategorized

Tropical Storm Hermine reminds us why FEMA wants federally funded construction on higher ground

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The path of Tropical Storm Hermine on Friday, Sept. 2. (Map from weather.com)

Go ahead, build on the lip of the shoreline, but don’t expect the feds to loan you any money for the project. The Federal Emergency Management Agency has proposed rules that would require homeowners and commercial construction companies that want federal funding to build on higher ground.

With Tropical Hermine bearing down on North Carolina, the State of Emergency declared for 33 counties in eastern North Carolina. It’s in these areas where the FEMA map changes will be of greatest interest and where you could expect resistance from the real estate/ construction industries.

FEMA has an interactive map that shows flood-prone areas, designated AE and VE.

FEMA is telling builders who want federal funds to build 2 feet above the 100-year floodplain for homes and commercial structures. However, nursing homes, hospitals and schools would have to be built 3 feet above that mark. A better idea? The 500-year flood plain.

There were already restrictions on federal funding for certain projects in flood zones, but these rules move the boundaries to account for the effects of climate change in low-lying areas, including storm surge, flooding and sea-level rise.

However, it’s important to note that the terminology “100-year flood” means that a flood statistically has a 1 percent chance of happening in a given year — not that the flood will occur only once in a 100 years.

The U.S. Geological Service points out that just because it rains 10 inches today doesn’t mean it can’t happen again within the next year. And if it rains 10 inches during a dry period, the flooding could be less severe than if the soil is already saturated.

And as floods occur, they change the landscape, carving new tributaries and inlets that in turn, change the flood plains. That’s why we need new flood maps and new rules on where it’s sane to build.

 

 

Commentary, Uncategorized

Advocates continue to press for Medicaid expansion

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Advocates, providers, and people in the coverage gap gathered at the General Assembly yesterday to champion for Medicaid expansion. When NC legislators passed SB 4 in 2013, which purposely blocked the state from closing the coverage gap, advocates knew that it would take continued action of many to ensure that NC legislators understand the health, social, and economic benefits of Medicaid expansion.

The press event hosted by Sen. Floyd McKissick at the General Assembly was the culmination of a week of activities that helped raise awareness about the impact of failing to extend coverage to approximately 500,000 people in the coverage gap. On an individual level, Medicaid expansion will increase people’s ability to receive less costly preventive care and improve people’s ability to manage chronic medical conditions instead of relying on emergency care. Sonya Taylor, who is in the coverage gap, shared her story during the press event. Ms. Taylor noted that she has to rely on the support of church, family, and friends not just to deal with the pain, but to be able to afford to see a primary care provider. She works and saves money, but because of the complexity of her medical condition, she cannot report good health because occasional visits to a primary care doctor are not enough.

Ignoring the call to expand Medicaid also impacts entire counties. As Dr. Charlie van der Horst said during his speech, residents in low-resource counties such as Scotland, Vance, Caldwell, Anson, and Lenoir counties are two times more likely to die prematurely than residents of more affluent counties like Wake County. Statewide, closing the coverage gap could prevent 1,000 unnecessary deaths each year. When you consider the fact that many rural hospitals are especially vulnerable to closing without the financial boost they would receive from Medicaid expansion, many more children, families and working adults are likely to face poor health outcomes.

On the state-level, lawmakers rejected 43,000 jobs by 2020 when they failed to expand Medicaid this year. Each year that legislators refuse increasing access to health care to nearly a half million North Carolinians, they are also failing to accept $2 billion in federal funds. Refusing to close the coverage gap also prevents approximately 144,000 children from receiving necessary health care because they lack health coverage. Further, 29,000 fewer individuals in NC would report experiencing depression each year if lawmakers would expand Medicaid. Each year policymakers fail to the close the coverage gap, 40,000 women do not receive preventive screenings. While the day of advocacy is over, we must continue to remind legislators that closing the coverage gap is a not a political game, but a policy that impacts the health and economic well-being of children, workers, families, communities, and the entire state.

Uncategorized

GAO finds hazardous conditions in poultry, meatpacking continue

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The General Accounting Office (GAO) publicly released a report yesterday on workplace health and safety conditions in the poultry industry.  While noting a decline in injury and illness rates from 2004 to 2013, the report highlights the problem of underreporting and inadequate data collection.  The GAO report includes 3 recommendations for Executive Action:

Recommendation: To strengthen DOL’s efforts to ensure employers protect the safety and health of workers at meat and poultry plants, the Secretary of Labor should direct the Assistant Secretary for Occupational Safety and Health, working together with the Commissioner of Labor Statistics as appropriate, to develop and implement a cost-effective method for gathering more complete data on musculoskeletal disorders.
Agency Affected: Department of Labor

Recommendation: To develop a better understanding of meat and poultry sanitation workers’ injuries and illnesses, the Secretary of Labor should direct the Assistant Secretary for Occupational Safety and Health and the Commissioner of Labor Statistics to study how they could regularly gather data on injury and illness rates among sanitation workers in the meat and poultry industry.

Agency Affected: Department of Labor

Recommendation: To develop a better understanding of meat and poultry sanitation workers’ injuries and illnesses, the Secretary of Health and Human Services should direct the Director of the Centers for Disease Control and Prevention to have the National Institute for Occupational Safety and Health (NIOSH) conduct a study of the injuries and illnesses these workers experience, including their causes and how they are reported. Given the challenges to gaining access to this population, NIOSH may want to coordinate with the Occupational Safety and Health Administration to develop ways to initiate this study.

Agency Affected: Department of Health and Human Services

The report follows a recent release from Oxfam America focusing on the poultry industry’s denial of bathroom breaks to workers.

Uncategorized

HB2, the tourism industry, and the “more progressive state of South Carolina”

While Gov. Pat McCrory continues to attack opponents of HB2 and blame the media for how it is covering the damage caused by his anti-LGBT law, leaders in the tourism industry in North Carolina have a clear message for McCrory and the General Assembly—repeal the law that is hurting their businesses.

The Lumina News reports that Mary Baggett, owner of the Blockade Runner Beach Resort in Wrightsville Beach, didn’t mince any words at a recent meeting of the N.C. Tourism & Travel Coalition in Wilmington.

At an industry event Monday, Mary Baggett, owner of Wrightsville Beach’s Blockade Runner Beach Resort, said the state’s legislature needed to take immediate action to repeal the bill and that the NC State Tourism Coalition should be lobbying that message to state’s General Assembly that is currently in session.

“We fought hard to become a destination state. Now it’s all undone,” Baggett said. “I hope your organization comes forth to rally us.”

Baggett also shared a recent story about an interaction with a potential tourist that includes a line that many North Carolinians never thought they would hear.

Baggett described an email she received from a family from Massachusetts traveling through the region who had planned a stay at the Blockade Runner. The family will be staying in the “more progressive state of South Carolina”, said Baggett referencing the email cancelling the four-night booking, because they would “rather go to a state that’s not judgmental” of people’s lifestyles.

The more progressive state of South Carolina? It is hard to believe where McCrory and his pals in the General Assembly have taken us.