First Person

Michigan’s Governor Is About to Sign A Bill Kicking Families Like Mine Off Medicaid

For 20 years, I worked as caretaker. Sometimes I was a personal nanny, other times I worked at daycare centers, and most of the time those jobs didn’t come with health insurance. But when I became pregnant with my first child, Medicaid was there to make sure we were both healthy. And when I was diagnosed with fibromyalgia after years of chronic pain, Medicaid was there for me then too.

My family does not have a lot. I am raising three kids on less than $45,000 per year, and it’s not easy. But because of Medicaid, we’ve at least had our health care.

Now, the state is threatening to take that away. Any day now, Governor Snyder is expected to sign a bill that would add work requirements to Healthy Michigan, Michigan’s Medicaid expansion program, which helps nearly 700,000 Michiganders. Under the legislation, people who can’t find a job or get enough hours at work would be locked out of receiving health care through Healthy Michigan for a full year.  About 350,000 people, including students, parents, and caretakers, would be affected. And while the bill’s sponsors claim the requirements would exempt people with disabilities, many would be caught in the cross hairs.

I am one of those people. I am unable to work because of my health condition, but because I don’t receive federal disability benefits, I could still lose my health insurance if this bill becomes law. As a result, Michigan’s one-size-fits-all policy will jeopardize the life my family has built.

The lawmakers behind this bill assume that the vast majority of recipients are not working, when reality shows the opposite: 6 in 10 working-age adults who receive Medicaid in Michigan are working, and 3 out of 4 are part of a family with at least one working member.

My ex-husband worked through our entire marriage, and ever since chronic pain drove me from the work force, I’ve been a stay-at-home mom. In the past two decades,  I’ve raised three kids and I’m so thankful for that experience. But this bill would punish every person who makes that choice—and every person who had that choice made for them, like me.

Living from paycheck to paycheck is not easy. But my family has made do with what we have because we know that at the very least, we could see a doctor if we were sick.  Taking away Medicaid not only jeopardizes that sense of security for me and hundreds of thousands of Michiganders—it could end up costing people their lives.

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Feature

America’s Dairy Farms Are in Crisis and the Farm Bill Won’t Help

When Lorraine Lewandrowski drives from her Herkimer County dairy farm to her law office each day, she notices the changes happening across rural upstate New York. “When I grew up here, we had 30 or 40 farms in our neighborhood,” she says. “We had a local hardware store, machinery dealers, two dentists, two doctors. We had a vibrant rural town. Now we don’t have that.”

Today, she says, roadsides are dotted with “for sale” signs. Farms sit vacant, their owners having relocated to urban areas in search of work. Once-pristine barns have become dilapidated after years of low prices left farmers without money for infrastructure upkeep. The closest city, Utica, is the sixth-most distressed city in the country, with about half of the adults unemployed and more than a quarter of the population living in poverty.

Depressed farm prices are impacting farmers across industries nationwide. Since 2013, farm income has fallen by more than fifty percent, and median farm income for 2018 is projected to be negative (-$1,316, to be exact). But dairy farmers are arguably being hit the hardest, as they face a fourth year of milk prices that are well below the cost of production. The resulting stress has become so pronounced that the Agri-Mark Dairy Cooperative, which manages milk sales for its member farms, sent farmers suicide hotline numbers along with their milk checks earlier this year.

Today, it costs a farmer approximately $22 to produce a hundredweight, or one hundred pounds, of milk. But the market price for milk is significantly less. While the price of milk constantly fluctuates, farmers are currently paid as low as $15 per hundredweight—30 percent less than the cost of production.

The Agri-Mark Dairy Cooperative sent farmers suicide hotline numbers along with their milk checks.

Farmers and organizations are calling on legislators in both the House and the Senate to draft Farm Bill legislation that addresses the current farm crisis. While the U.S. Senate Farm Bill is expected to be introduced as soon as this week, the House version will be brought back to the floor for a second time on June 22, after 30 Republicans joined all 183 Democrats in defeating the bill in May. In a National Family Farm Coalition (NFFC) press release that applauded the defeat of the House Bill, board president and fourth generation dairy farmer Jim Goodman said, “This bill missed a key opportunity to fix the ongoing crisis in the dairy sector and the downturn in the farm economy. With the bill’s defeat, Congress can now go back to work to draft a true bipartisan farm bill—one that is supportive of family farmers, rural communities, SNAP recipients, and the environment.”

The release builds on an April letter that the NFFC—along with 50 other organizations—sent to Secretary of Agriculture Sonny Perdue and Congressional leadership of agriculture committees, demanding that attention be paid to the dairy crisis before more farms are lost. “Small, family-run dairy farms play a vital role in the rural economy while providing a safe, affordable food to consumers. If the current cycle of low prices and contracted dairy markets continues, we will see virtually all of these farms go out of business, with serious impacts on the economic and social health of rural America,” they wrote.

The groups proposed setting an immediate floor price of $20 per hundred pounds of milk, an emergency measure that would rescue dairy farmers on the brink of losing their operations. The groups also proposed a shift in dairy policy to ensure a balance between supply and demand, known as “supply management.”

*           *           *

Supply management policies were first implemented after the Great Depression to stabilize the market. The supply of agricultural products was coordinated, and strategic reserves of commodities were stored to supplement American food supply during times of poor yields. If supply began to overburden reserves, farmers were paid by the federal government to take land out of production to avoid flooding the market.

But in the 1970s, agriculture made a swift about-face. Earl Butz, the Secretary of Agriculture during the Nixon Administration, famously took the approach of “get big or get out.” He encouraged farmers to produce as much as they could and dangled the promise of foreign exports for any overages. The new era encouraged farmers to take out loans to lease more land and buy equipment built for larger scale operations. But increased production led to a dip in prices at the same time that the U.S. enacted a grain embargo against the Soviet Union. The dominos began to fall—market prices crashed, interest rates skyrocketed, loans were called in. By the mid-1980s, the Farm Crisis—the biggest farm crash since the Great Depression—was in full swing. As a result, tens of thousands of farms were lost, and many rural communities experienced a forced exodus of its residents.

Some worry that today’s agricultural recession too closely echoes the lead-up to the 1980s Farm Crisis: oversupply and falling crop prices, rising interest rates, family farms rapidly going out of business, and now a looming trade war that could impact over 90 agricultural exports. And as dairy farmers face a crisis that has reached emergency levels, the idea of supply management is being resurrected, appearing on the lips of farmers and experts as an approach worth discussing. It’s not without controversy, of course. Those opposed to it say the policy allows government to unnecessarily interfere in private marketplaces. But supporters say it would steady the volatile dairy market by keeping milk production in relative balance with demand.

NFFC’s Goodman says, “Supply management is a long term fix. If we really wanted to look forward and say, ‘We don’t want this crisis to happen again… what steps can we take to prevent it?’, then supply management would be one of those.”

Many supporters of supply management point to the success of Canada’s dairy program, in which farms own shares in the market and are required to increase or decrease production according to demand. The group Dairy Farmers of Canada maintains that the system provides farmers “a predictable and stable revenue.” In an email, Lewandrowski wrote, “The Canadians seem to be doing very well for the rural economies with their [supply management] program. Drive around Ontario and you see pretty well maintained farms with new equipment. Drive over the border into rural NY, and you see miles of empty farms, barns falling down, and people struggling to live.”

Mike Eby, Board Chairman of the National Dairy Producers Organization and a former 7th generation dairy farmer from Pennsylvania, says it’s necessary to control the amount of milk in the marketplace, but doesn’t believe it should or will come through government intervention. Instead, Eby thinks the solution lives within dairy cooperatives, which currently represent 80 percent of U.S. produced milk, primarily through memberships with farmers.

Eby says, “Either farmers control the amount of milk they produce, or the excess will control the number of farmers that produce it… We look to the farmer and say you need to own this problem as well, because if you can’t own the problem, you can’t own the solution. In order to own the solution, your only hope in doing so is to utilize the cooperative you already own.” Eby and his colleagues say the cooperatives “are in the perfect position to monitor the marketplace and ask their members to respond accordingly” by producing more or less milk based on demand.

*           *           *

While small and mid-sized dairies are going out of business, the number of bigger farms—including those termed mega-farms or concentrated animal feeding operations (CAFOs)—are growing across industries ranging from hogs to grain, tree nuts, vegetables, eggs, and dairy. And modern agricultural policy is shifting to favor these large producers by favoring anti-regulatory policies and awarding the majority of farm subsidies to the biggest and most lucrative operations. Goodman maintains that Wisconsin’s dairy farmers “have been duped into producing too much milk” through expansion grant programs, laws favoring large dairies, and a commitment by Governor Walker to grow the state’s annual milk production to 30 billion pounds by 2020.

Additionally, as processors get bigger, farms must grow to match the higher demand, or leave the business altogether—a pressure amplified last March, when Wal-Mart announced the construction of their own dairy plant. The announcement resulted in the second-largest dairy company, Dean Foods, abruptly severing contracts with more than 100 dairy farms in eight states. Farmers fear that Wal-Mart’s model will gradually expand across the country, edging small producers out almost entirely.

In January, the USDA reported that the number of licensed dairy farms dropped to 40,000. This represents a 3 percent decline in a single year, and a loss of 17,000 dairy farms—30 percent—over the last decade. But while the number of farms decreased, the number of milk cows and milk production increased. This discrepancy represents the consolidation of the market, a restructuring that has changed the face of agriculture over the last three decades. In a new report, the USDA found that “by 2015, 51 percent of the value of U.S. farm production came from farms with at least $1 million in sales, compared to 31 percent in 1991.”

Goodman says the dairy crisis is hitting the smaller farmers much harder, as larger producers can often afford to weather periods of low prices. “Even if they’re getting paid less per hundred pounds of milk, they can just produce more milk to make up the difference,” he says. “And they’re relying almost entirely on immigrant labor, so they know they can pay a lower wage, which also feeds into things.”

It’s kind of like Hunger Games for farmers.

In an interview with Heritage Radio Network, Lewandrowski said, “I would like to ask the processors: How do they ensure sustainability for their farmers who supply them? Most of the processors pay rock bottom prices, and some of them have the farmers bidding down each other. It’s kind of like Hunger Games for farmers.”

Lewandrowski and her sister, who together operate a 60-cow dairy, use the income from their off-farm jobs to supplement their farm income. Lewandrowski works by day as an attorney, and her sister is a large-animal veterinarian. “I’m lucky I have another way to make money,” she tells me. All around her, neighboring farmers are facing increased stress and tough decisions driven by a market with no rebound in sight. “Just about everyone I know has an off-farm job, or is taking on more debt.”

In her work as an attorney, Lewandrowski is “inundated with farmers.” They need help navigating logging or hunting contracts to make extra money, or selling a piece of land, or getting released from their mortgages. She helps with divorces and estate plans. “I just had one farm liquidate their whole herd,” she says, the surest sign that dairy farmers are facing desperate times.

Frustrated by the lack of support for farmers, Lewandrowski has become a vocal presence on social media. She uses it to amplify the realities facing rural communities and, specifically, the stress being felt among dairy farmers. In April, she tweeted to her 25,000 followers:

“Went to Walmart late at night. Kid at cash register told me he’s a dairy farmer, works the night shift to make $.”

“I hang onto happier days ahead. A farmer neighbor collapsed from stress today. We all went over to do the chores.”

“Feeling very bitter today as every last farmer in my area struggles for their life.”

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Analysis

Yes, Eliminating DC’s Tipped Wage Would Reduce Poverty

This week, polls opened for early voting in Washington, D.C. This season’s campaign has been contentious when it comes to Initiative 77, a ballot measure that would gradually phase out D.C.’s tipped minimum wage, currently $3.33 per hour, and replace it with a unified minimum wage by 2026. The National Restaurant Association has come out hard against it, and signs opposing the measure have appeared in high-end dining establishments across the city.

The trouble is, there isn’t much actual information beyond the signage—and the information being shared isn’t backed by research.

D.C.’s overall minimum wage is $12.50 per hour, and will increase to $15 by 2020. By law, employers have to ensure that tipped workers make that amount as well—by combining the base wage of $3.33 with their tips—and if workers’ wages are too low, employers are required to supplement them. In practice, employers often fail to do this. Research by the Economic Policy Institute found that recent Department of Labor investigations of close to 9,000 restaurants resulted in workers receiving nearly $5.5 million in back pay because of tipped wage violations.

Low wages have left many tipped workers struggling to make ends meet. Roughly 1 in 4 D.C. bartenders, servers, manicurists and pedicurists, and shampooers made $11.71 per hour or less in 2017*—well below a living wage in the district. D.C.’s tipped workers are also nearly twice as likely to live in poverty compared to the city’s overall workforce.

The concerns with the tipped wage go beyond just money—the power dynamics of the tipping system allow discrimination and inequality to flourish. One study showed that black servers receive tips that average 15 percent to 25 percent less than white servers, and in D.C., tipped female workers are twice as likely as tipped male workers to live in poverty. It also paves the way for sexual harassment: 1 in 7 sexual harassment charges filed with the Equal Employment Opportunity Commission are in the accommodation and food service industry.

D.C.’s tipped workers are nearly twice as likely to live in poverty

In contrast, research shows that the eight states without a tipped minimum wage have higher average earnings and lower poverty rates among tipped workers, without hurting their employment rates. Specifically, in equal treatment states, tipped workers’ median earnings are 14 percent higher and the growth of restaurants and restaurant employment is more robust compared with states that use the federal minimum tipped wage of $2.13 per hour. Research also suggests that abolishing the tipped minimum wage may be particularly advantageous for women, as the average wage gap for women tipped workers in equal treatment states is one-third smaller than the wage gap for women tipped workers in states that maintain the federal tipped minimum wage.

While the evidence is clear on the positive impacts for D.C.’s lower-wage tipped workers, the District’s high-end restaurant and bar scene, with its higher-paid workforce, has been the center of attention during much of the debate, with figures ranging from Mayor Muriel Bowser to Chef José Andrés voicing concerns that the unified minimum wage will lead to higher prices and lower pay.

It’s tough to envision that high-end establishments’ well-off clientele, wine-and-dine lobbyists, and company-credit-card-wielding business travelers will suddenly become highly price-sensitive if the cost of a meal rises slightly. And any increase would likely be relatively small: Labor costs only account for an average of 30 percent of restaurant operating costs, and businesses absorb higher minimum wages through reductions in costly turnover and increases in productivity. It’s also unlikely diners would compensate for higher prices by offering a smaller gratuity: data on tipping show that tipping behavior in equal treatment states is virtually indistinguishable from tipping behavior in states that have different minimum wages for tipped workers.

What’s more, this focus on D.C.’s high-end establishments misses the bigger picture. Not only is the district home to many restaurant workers who struggle to make ends meet—even after tips—but one-fifth of D.C.’s tipped workers aren’t in the restaurant industry at all. Many valets and manicurists, for example, don’t earn 20 percent on top of an expensive meal, but the Department of Labor allows their employers to pay them D.C.’s $3.33 per hour base wage as long as they “customarily and regularly” receive $30 or more per month in tips.

Initiative 77—which 70 percent of voters support—would reduce poverty and increase economic security among tipped workers in the district, as well as better protect them against discrimination, wage theft, and sexual harassment. The effects would be particularly powerful for women and people of color. Chipping in a little more for craft cocktails and small plates at happy hour seems like a small price to pay.

* Note: At the time these data were collected, the minimum wage in Washington, D.C. was $11.50 per hour.

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Analysis

The U.N. Just Published a Scathing Indictment of U.S. Poverty

The United Nations has released a scathing report on poverty and inequality in the United States. The findings, which will be presented to the U.N. Human Rights Council on June 21, follow an official visit to the United States by Philip Alston, the U.N. special rapporteur on extreme poverty and human rights, to investigate whether economic insecurity in the country undermines human rights.

The conclusions are damning. “The United States already leads the developed world in income and wealth inequality, and it is now moving full steam ahead to make itself even more unequal,” the report concludes. “High child and youth poverty rates perpetuate the intergenerational transmission of poverty very effectively, and ensure that the American dream is rapidly becoming the American illusion.”

The U.N. explicitly lays blame with the Trump administration for policies that actively increase poverty and inequality in the country. “The $1.5 trillion in tax cuts in December 2017 overwhelmingly benefited the wealthy and worsened inequality. The consequences of neglecting poverty and promoting inequality are clear,” it concludes. “The policies pursued over the past year seem deliberately designed to remove basic protections from the poorest, punish those who are not in employment and make even basic health care into a privilege to be earned rather than a right of citizenship.”

“The $1.5 trillion in tax cuts in December 2017 overwhelmingly benefited the wealthy and worsened inequality”

In December, Alston visited seven locations throughout the country—ranging from Los Angeles’s Skid Row neighborhood to rural Alabama, West Virginia, and Puerto Rico—to meet with people experiencing deep poverty, along with experts and civil society groups.

In an interview with TalkPoverty ahead of the release, Alston characterized the United States as an outlier among the developed world.

“If you said to most Americans, ‘Look at what country X does to its ethnic minority or to a particular religious minority’ … your average American with any knowledge of that situation is going to shake her head and say, ‘This is a disgrace,’” Alston said. “But of course there’s a direct parallel in the United States and it affects not just a small ethnic minority but a very large racial group of African Americans in particular, where they just come out worse on every possible indicator and policies are clearly designed to hit them harder.”

Alston described meeting “people who had lost all of their teeth because adult dental care is not covered by the vast majority of programs available to the very poor,” and people in Puerto Rico “living next to a mountain of completely unprotected coal ash, which rains down upon them bringing illness, disability, and death.” In Lowndes County, Alabama, the U.N. found cesspools of sewage that flowed out of dysfunctional (or nonexistent) septic systems, which has led to a resurgence in diseases that officials believed were eradicated. A recent study found that more than one-third of people surveyed in Alabama tested positive for hookworm—a parasite that thrives in areas of poor sanitation, which has not been well-documented in the United States since the 1950s.

The reactions to the visit from the Trump administration and Republicans in Congress ahead of the report have ranged from indifference to hostility. Alston requested meetings with House Speaker Paul Ryan and a range of Republican committee chairs—all of whom declined the request. Senators Cory Booker, Bernie Sanders, Rep. Terri Sewell, and Elizabeth Warren’s staff, on the other hand, all met with Alston. Alston also got a mixed result from the Trump administration. While some agencies were cooperative, “the Justice Department … basically refused all requests to meet and that was pretty striking. It’s not the sort of thing that normally happens on a mission like this,” Alston says.

The Human Rights Council oversees human rights protection around the world. Though the United States is an elected member of the council, it doesn’t have the friendliest relationship with the body. President George W. Bush boycotted the council at its founding in 2006 (a decision the Obama administration later reversed), and U.N. Ambassador Nikki Haley has been a relentless critic of the council under Trump. Notably, the United States and Cuba are the only countries in North America not to offer standing invitations from the Human Rights Council.

As for the odds that the report will force the administration to change course, Alston was not hopeful. During the visit, “The U.S. was visibly debating what to do with $1.5 trillion [in tax cuts]. And its proposals in relation to those living in poverty was essentially to cut back on existing benefits in order to help fund the tax reforms. That made for a pretty dramatic contrast for the approach that I have found elsewhere.”

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Take Action

The Trump Administration Is Splitting Up Families at the Border. Here’s What You Can Do About It.

Last weekend, many Americans were overwhelmed with a torrent of news about the United States’ immigration system: There was the release of the ACLU report that documents years of abuse against children held in detention, the shooting of Claudia Patricia Gómez González by a Border Patrol agent, and the realization that a new Trump administration policy is resulting in the separation of children from their parents at the border.

Twitter, in particular, was ablaze—first with pleas of #WhereAreTheChildren, then with frustration directed largely at Ivanka, and finally with outrage over the new “zero tolerance” prosecution policy that has already separated more than 1,300 children, some as young as infants, from their parents.

Tweeting—especially in an administration that decides much of its public policy on Twitter—that #FamiliesBelongTogether is a good place to start if you want to help change. But here are three more ways you can join the fight:

1. Know the Facts

There has been a lot of misinformation in the past week—some of which was well-intentioned, but potentially harmful to immigrant children. So make sure you know the basics.

Family separation is not a law—it is a Trump administration policy.

President Trump has tried to shift blame onto Congressional Democrats by tweeting that they need to end the “horrible law” that is causing family separation. But the practice of splitting up families at the border is the direct result of this administration’s “zero tolerance” policy to criminally prosecute anyone who is caught crossing the U.S. border, including families who are seeking asylum. While parents are transferred to the custody of the U.S. Marshals Service to be criminally prosecuted, imprisoned, detained, and perhaps deported from the country, their children are taken into government custody and held with little or no contact with their parents.

Tellingly, the Department of Homeland Security is not only separating families that are being prosecuted for illegally entering the country, but also families that are requesting asylum at official ports of entry—that is, parents who are doing exactly what the administration is saying it wants them to do.

The Trump administration is deliberately prosecuting parents and separating them from their children in order to deter other families from coming to the U.S. to ask for asylum—something they are fully and legally eligible to do.

Many of the families being separated today have fled extreme violence and abuse to seek asylum in the United States

The right to seek asylum has long been recognized by international and federal law. That is why an increasing number of families, many of whom are fleeing extreme violence and abuse in the Northern Triangle countries of Central America, have taken the treacherous journey north to seek asylum protections in the United States. New analysis by the Center for American Progress shows that the extreme violence in Honduras, Guatemala, and El Salvador—and in particular the rates of homicide against women and girls—remains alarmingly high. The Trump administration is deliberately prosecuting parents and separating them from their children to try and deter them from coming to the United States to ask for asylum—which these families are legally eligible to do.

2. Join the National Day of Action for Children

Outraged by what’s happening to these children and their parents? Join the fight to end family separation by participating in the National Day of Action for Children planned for today, Friday, June 1. Actions will be taking place in locations across the country, as well as online.

If you attend, make sure to share photos, videos, and digital content with the hashtags #FamiliesBelongTogether and #KeepFamiliesTogether. 

3. Sign and share with your friends petitions to end family separation

We have the power to call for an end to this wrongful policy. Let’s continue building enough public pressure until we see a change. Please consider signing the ACLU’s petition to the secretary of homeland security to end family separation today.

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