government
kkrisberg | May 12, 2015More than $30 million in Arkansas, $25.8 million in Kentucky, $105.5 million in Washington and $180 million in Michigan. That’s how much money just four states during just one fiscal year saved under their newly expanded Medicaid programs.
A recent report from the Center on Budget and Policy Priorities (CBPP) summarizes the benefits of Medicaid expansions on uninsurance rates, state health care spending and uncompensated care, finding that “contrary to critics’ claims that Medicaid expansion is financially unsustainable for states, there is increasing evidence that expansion has saved states…
lborkowski | May 11, 2015[Update below (5/15/15)]
by Cora Roelofs, ScD
Kudos to Sarah Maslin Nir for shedding light on the working conditions faced by nail salon workers in her recent two-part New York Times exposé “Perfect Nails, Poisoned Workers.” I and others across the country have been working to document and illuminate the effects of the systematic failures that produce the unhealthful conditions faced by these workers and, many times, their employers as well. As described in our investigation of nail salon conditions in Boston, despite tremendous evidence of bad conditions and symptoms related to work in these…
kkrisberg | May 8, 2015Just another example of how cuts to health care funding simply shift the costs and endanger people’s health. This time it’s a study on the impact of eliminating adult dental coverage within the California Medicaid program. Not surprisingly, the cut resulted in a significant and immediate rise in people seeking help in hospital emergency departments.
While federal rules require Medicaid programs to cover children’s dental care, covering adult dental care is up to state policymakers. California lawmakers decided to stop offering dental care to adult Medicaid beneficiaries in 2009, which left…
kkrisberg | May 5, 2015The U.S. Department of Labor is proposing a new rule that would prohibit coal companies from withholding medical evidence from workers with black lung disease who are seeking compensation, reports Chris Hamby at the Center for Public Integrity.
In its proposed rule, the agency cited the case of coal miner Gary Fox as part of its justification. Fox’s story was also featured in the Center for Public Integrity’s Breathless and Burdened series, which investigated how coal companies undermine sick workers’ benefit claims. Hamby, who authored many of the Breathless and Burdened reports, writes that…
lborkowski | May 4, 2015by Anthony Robbins, MD, MPA
When Bernie Sanders announced his candidacy for the Democratic nomination for President, I cheered. For the first time in my life, we would know what a candidate for President really believed and what she or he would do. For me, I am doubly pleased, as I agree with Bernie's ideas.
Bernie began his political career in Vermont in the 1970s just as I was beginning my government career in Vermont. By the time he was elected to the House of Representatives in 1990, I had worked in Washington for both the executive branch (National Institute for Occupational Safety and…
cmonforton | April 30, 2015They’ve called it a failure and a broken law. That’s how the public health community, agency officials, some lawmakers and others have characterized the nearly 40 year old Toxic Substances Control Act (TSCA). When any of them are looking for a poster child to illustrate why TSCA’s a failure, they most often point to one toxic: asbestos.
EPA tried in 1989 to ban most uses of asbestos. But TSCA is so convoluted that the ban didn't withstand a lawsuit which was brought by producers and users of the deadly mineral fibers. So we are stuck with a law in which one of the most well-researched, and…
cmonforton | April 29, 2015I can’t help but contrast last week’s release by the Bureau of Labor Statistics (BLS) of workplace fatality data,with the reports issued this week by community groups to commemorate International Workers’ Memorial Day (WMD). BLS gave us the sterile number: 4,585. That’s the government’s official, final tally of the number of work-related fatal injuries that occurred in the US in 2013.
But groups in Tennessee, Massachusetts, and elsewhere have already assembled workplace fatality data for 2014. Better than that, they’ve affixed names and stories to the numbers. The information comes in the…
kkrisberg | April 27, 2015Today, Maine’s legislature held a hearing on the Toxic Chemicals in the Workplace Act, a proposal to require employers to identify harmful chemicals in the workplace and replace them with safer alternatives. It’s the perfect example of state action on behalf of worker safety and exactly the kind of measure that might no longer be possible under two congressional proposals aimed at overhauling the federal Toxic Substances Control Act.
As Congress considers a number of legislative proposals to reform the 1976 Toxic Substances Control Act (TSCA) — a law that hasn’t been updated since its passage…
kkrisberg | April 21, 2015Last November, a roof section larger than a football field collapsed at the Woodgrain Millwork in Prineville, Oregon. Luckily, no one was harmed. However, mill workers, who spoke of a variety of workplace hazards, say they had alerted management to the leaky roof long before the collapse, reported Amanda Peacher for Oregon Public Broadcasting.
In 2004, Woodgrain, a global company with manufacturing facilities across the U.S., bought the 14-acre Prineville mill. Noting that each of the 23 former mill workers interviewed for the story described a “roof riddled with leaks,” Peacher writes:
Peggy…
kkrisberg | April 17, 2015In just a year, electronic cigarette use has tripled among American teens. And considering that no one really knows what the related health impacts are and any regulatory framework is lagging far behind the growing popularity of e-cigarettes, public health advocates say it’s time for action.
Earlier this week, the Centers for Disease Control and Prevention released new data from the 2014 National Youth Tobacco Survey finding that current e-cigarette use among high school students, which is defined as using at least once in the prior 30 days, nearly tripled — from 4.5 percent in 2013 to 13.4…
cmonforton | April 17, 2015The AFL-CIO outlined in an April 13 letter the “serious flaws and deficiencies” in a bill introduced by Senators David Vitter (R-LA) and Tom Udall (D-NM) to reform the Toxic Substances Control Act (TSCA). The country’s largest labor federation noted its deep involvement in the passage of TSCA in 1976, but its disappointment that the 40 year old law has “failed to provide meaningful and effective regulation” of toxic substances. (Even efforts to ban asbestos failed under the law.)
The labor federation has an important voice and perspective when it comes to chemical hazards. Workers are the…
cmonforton | April 15, 2015(Updated below (5/1/2015))
There’s a lot of griping in Washington DC about businesses being burdened by too many federal regulations. The gripers and their friends on Capitol Hill have introduced legislation with snappy names, such as the SCRUB Act (Searching for and Cutting Regulations that are Unnecessarily Burdensome), the REINS Act (Regulations from the Executive in Need of Scrutiny) and the ALERT Act (All Economic Regulations are Transparent). But there's no doubt these laws are designed to put the skids on the rulemaking process. For some agencies, including OSHA, they’ve already been…
kkrisberg | April 14, 2015Low income and poor health tend to go hand in hand — that’s not a particularly surprising or new statement. However, according to family medicine doctor Steven Woolf, we have yet to truly grasp the extent to which income shapes a person’s health and opportunity to live a long life. And if we don’t confront the widening income inequality gap, he says things will only get worse.
“There’s a general awareness that people who have poor education or low incomes have worse health outcomes, but our sense is that we don’t really appreciate the magnitude of the problem,” Woolf told me. “Every time I…
kkrisberg | April 10, 2015Today, nearly every state in the country has a law that bans texting while driving. But do these laws make a difference?
A group of researchers took on that question, comparing crash-related hospitalizations among states with a texting-while-driving ban and states without such a ban. And they found some encouraging results: Texting bans were associated with a 7 percent reduction in crash-related hospitalizations among all age groups, especially among those ages 22 to 64. To conduct the study, which was published in the May issue of the American Journal of Public Health, researchers examined…
cmonforton | April 8, 2015Imagine a workplace in your town where one of every three employees had the same work-related illness. Better yet, imagine that it was one in three employees in your own workplace. That'd be pretty shocking, right?
Well, that's what the CDC’s National Institute for Occupational Safety and Health (NIOSH) found among 191 workers at Amick Farms’ poultry processing plant in Hurlock, MD. Thirty-four percent had carpal tunnel syndrome (CTS). Equally striking, a whopping 76 percent of the workers in the study had evidence of nerve damage in their hands and wrists. The findings of this NIOSH “Health…
kkrisberg | April 7, 2015Americans increasingly want to know that their steaks were humanely raised or their produce was organically grown, but what about the people who picked that produce or cared for those cows? Where’s the concern for the workers behind our food? Reporter Stephen Lurie explored that question in an article published last week in Vox. He writes:
Organic and environmentally sustainable certifications lead consumers to supposedly wholesome products, but they hold no guarantees about the wholesomeness of the companies that produce those goods. Sitting down to a farm-to-table meal at a chic restaurant…
kkrisberg | April 3, 2015Thanks to the federal School Breakfast Program, millions of low-income children have the opportunity to start the school day with a healthy meal. But does the program impact the brain as well as the belly? A new study finds that it does, with students at participating schools scoring higher in math, reading and science.
A striking illustration of the connections between nutrition and education, the study not only found higher academic scores within schools that participate in the School Breakfast Program, it also found that the effect was cumulative. In other words, the longer the school…
cmonforton | April 2, 2015April 5, 2015 will mark the fifth anniversary of the coal dust explosion that killed 29 miners at Massey Energy's Upper Big Branch mine (UBB). It was the worst disaster in 40 years in the US coal industry.
Since then, some things have changed in coal mine safety. The Mine Safety and Health Administration (MSHA) in particular, has focused much of its attention on ways to address failures identified by the UBB disaster. Browse through the agency’s press releases dating back to May 2010 and you’ll see quite a few with some connection to UBB.
You’ll notice, for example, recaps of the agency’s “…
kkrisberg | March 31, 2015For years, advocates have been calling on policymakers to reform the nation’s outdated chemical safety laws. Today, two such bills stand before Congress — one that advocates say better protects the public’s health and another that advocates warn is a dangerous step backward.
Introduced in the Senate earlier this month within just days of each other, each bill takes aim at the federal Toxic Substances Control Act (TSCA), which was enacted in 1976 and hasn’t been updated since. Under TSCA, which doesn’t require chemicals undergo health impact testing before being released into the marketplace,…
cmonforton | March 26, 2015I’ll be looking to the Charleston Gazette’s Ken Ward Jr. to keep me apprised of the upcoming trial of former Massey Energy CEO Don Blankenship. The trial is scheduled to begin on April 20. That's just a few weeks after the 5th anniversary (April 5) of the massive coal dust explosion that killed 29 mine workers at Blankenship’s Upper Big Branch mine in southern West Virginia.
Ward reports this week on Blankenship’s appearance on March 24 before a US magistrate. He plead not guilty (again) to three felony counts, including a conspiracy to thwart federal mine safety inspections. Ward explains…