Showing posts with label FLORIDA FORUM. Show all posts
Showing posts with label FLORIDA FORUM. Show all posts

By Daniella Levine

Save lives or save money for the rich? Feed hungry children or subsidize the oil and gas industry? Stop buying ineffective military equipment or stop paying for job training? These questions are at the heart of the debate over reducing the federal deficit and raising the debt ceiling.

Negotiations are underway between Congressional leaders and President Obama and it’s clear that all parties want to significantly reduce the deficit.

But, there’s deep disagreement over how to achieve that goal. It’s time for Florida’s Congressional delegation to speak up on behalf of a balanced approach that makes prudent spending cuts and generates new revenue by asking a little more from those with the most.

Right now, many in Congress are rejecting any increase in federal revenues. They have embraced only spending cuts, including many that will harm vulnerable people and the economy as a whole.

Due to the secrecy of discussions, it’s not always easy to tell what cuts are on the table, but we know that some of the proposed cuts would:
  • Reduce healthcare for millions and eliminate at least 250,000 jobs in the health care industry;
  • Leave hundreds of thousands of infants and young children hungry, putting their development and education at risk; and
  • Eliminate scholarships for 1.4 million college students.
Proposals to cut Medicaid range between $100 billion and $1.4 trillion over the next decade. Even a cut of $100 billion would represent a 5 percent reduction in federal funding for state Medicaid programs. A cut of that magnitude would force states to reduce reimbursements to doctors and hospitals which would drive more physicians out of the Medicaid program. And, states will end coverage or increase costs to individuals who have no other options for health insurance. Here in Florida, we have already cut over $1 billion in Medicaid reimbursement rates to hospitals and nursing homes and nearly 4 million people are uninsured. A recent study in Oregon confirmed what common sense tells us: when people don’t have Medicaid they go without needed healthcare.

Medicaid cuts will also hurt our economy. According to a study by Families USA, a 5 percent Medicaid cut in 2011 will cost more than 250,000 jobs nationwide. Here in Florida such a cut would mean $1.2 billion in lost business activity and 11,320 fewer jobs. That’s not what our economy needs.

Even worse, imagine if the cuts were more than 10 times that amount as some propose. Estimates suggest that 19 million people would lose health care coverage, and another 17 million people would lose the right to receive health care coverage through the Affordable Care Act.

Arbitrary caps on annual spending, which are also on the table, would force additional cuts to programs that serve the vulnerable. The House has already adopted a budget plan that would end nutrition benefits for 300,000 and 450,000 low-income infants, young children and moms through the Women, Infants and Children program next year alone.

That would be a terrible mistake. Children that don’t reliably get enough food are more likely to be sick, hospitalized and fall behind in school, which weakens their development and reduces their ability to contribute to our economy. The same House plan would also eliminate Pell grants for 1.4 million low-income students, including nearly 83,000 Floridians, all but ending their ability to go to college. This short-sighted proposal comes at a time when our economy needs 3 million more college graduates than we are currently expected to have by 2018. How can we compete if we don’t give people the tools to work tomorrow’s jobs?

We don’t have to hurt people now and shortchange our future. We don’t have to leave our tax revenues at their lowest share of the economy since 1950. David Stockman, former budget chief for Ronald Reagan, points out that taxing capital gains at the same level as earned income would raise billions and strengthen our economy. Closing tax loopholes for corporations sheltering profits overseas, eliminating subsidies for oil, gas and coal industries, and taxing hedge fund managers’ income as income instead of capital gains are three other proposals out of many that could increase federal revenues without burdening middle class Americans. Hundreds of billions in savings are possible by reducing wasteful military spending too.

Florida’s Congressional delegation should insist on protecting low-income people from bearing the burden of cuts and support raising revenues from those who have been enjoying trillions in tax breaks for years. It’s the right thing to do, for today and our future.
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Levine is president/CEO of Catalyst Miami (formerly Human Services Coalition), a nonprofit human services organization.
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Copyright (C) 2011 by the Florida Forum. 7/11

Wednesday, March 30, 2011

Unemployment Benefits Benefit Everyone

FLORIDA FORUM

By Emily Eisenhauer

Several bills before the Florida Legislature seek to make it harder for those who are out of work through no fault of their own to get unemployment compensation. Community service requirements, mandatory drug testing, and limiting the number of weeks all seem to be based on the idea that people who are getting benefits don’t deserve them or are not looking hard enough for a job. But in this economy, that doesn’t make sense, and these proposals will make it harder for the system to do its job.

Florida lost almost a million jobs in the recession that began in late 2007, and over 1.1. million people remain unemployed in the state. Last year, 2010, was better, in that the state added 43,500 jobs. But that just means for every job added, there were still 25 people looking for work. Right now almost half of the people out of work have been looking for a job for over 6 months, and over one-third have been looking for more than a year. In recent weeks the media have covered many stories of people who have been applying for any job they can find, and still coming up empty.

Florida already has one of the strictest unemployment compensation systems in the country. In any given week between 15 and 20% of people who submit claims are rejected by the state for not providing sufficient proof of work search or other eligibility reasons. Florida has the fourth lowest maximum weekly benefit in the country - $275 – with an average weekly payment of $230. That means that on average unemployment benefits replace about 38% of a worker’s previous salary. It’s hard to imagine that people surviving on 38% of their salary wouldn’t be out doing everything they can to get a new job.

Unemployment compensation exists for two reasons: 1) to provide support for people who are out of work through no fault of their own, and 2) to stabilize the economy during a downturn. UC functions like an insurance program, and in fact in other states it is referred to as unemployment insurance (UI). Money is paid by employers for each of their employees into a fund so that should a worker lose a job there’s a cushion until he or she finds another. It isn’t welfare, it is money that workers have already earned. Applicants must show they have worked a certain amount in order to draw benefits, and the amount of benefits anyone can is capped.

This insurance program not only benefits laid-off workers, it benefits the whole economy. When thousands lose their jobs within a short time period businesses get hurt too because demand for goods and services declines. UC replaces some of the money that otherwise would have been lost to the economy and puts it into the pockets of people who will immediately spend it on basic necessities. As for the numbers: The

Congressional Budget Office estimated that extending UI benefits would bring a return of investment of as much as $1.90 in increased gross domestic product for every dollar spent, compared with extending the Bush era tax cuts, which brings a return of only 40 cents on the dollar.

This is why it makes so much sense to make sure that everyone who has earned benefits is getting them. Even before the recession the system wasn’t perfect and many people who had earned enough to qualify were excluded because Florida still uses a pre-computer-era system for deciding eligibility. This unfairly denies benefits to many workers because it doesn’t count their last six months on the job, and it hits low-wage and seasonal workers especially hard.

Florida also has refused to modernize eligibility rules to provide insurance for workers who are victims of domestic violence or have to leave work to care for a sick family member. Thirty-two other states allow these workers to qualify.

For these reasons and others, Florida has one of the lowest recipiency rates in the country. A 2004 study by the Institute for Women’s Policy Research and the National Employment Law Project found that only 33 percent of unemployed workers in Florida were receiving unemployment benefits, compared with the national average of 44 percent. Some states, like Connecticut, had rates exceeding 80 percent.

If Florida modernized its system tens of thousands more workers would be able to get the benefits they have earned, and the whole state would reap the economic benefit. Not to mention the $444 million that Florida could receive under the American Recovery and Reinvestment Act if it made these changes, and which would more than pay for the additional benefits.

Instead of making the unemployment compensation system even more difficult for workers, now is the time when we should be making sure that everyone who is eligible is participating. Unemployment benefits keep the economy moving, which is exactly what we need right now.
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Eisenhauer is a research associate at the Research Institute for Social and Economic Policy at the Center for Labor Research and Studies at Florida International University.
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Copyright (C) 2011 by the Florida Forum. 3/11

FLORIDA FORUM

By Jackie Rodríguez

I am not to blame for the unemployment crisis in Florida. Yes, I have been unemployed. And yes, I have collected unemployment to support myself and my family. After two years since I was last laid-off, I finally found a new opportunity just a month ago. It was not easy, and I do not blame myself. But I do point my finger at the economy and the greed of our current economic system that only looks out for those on top.

The news is all a flurry with the idea that unemployed people, like I was just a few days ago, are the ones to blame for the situation we find ourselves in. This round of “blame the victim” is nothing less than despicable, shameful and downright dishonest. Let’s look at the facts behind the blame game.

In Florida, for every job created last year there are 25 people who still need a job. Our state has a whopping 12 percent unemployment rate. While there are one million unemployed people in our state, less than half are receiving unemployment insurance. Nationally, profits have more than recovered from the worst of the economic crisis, raising 12 percent since 2007, but unemployment continues to grow.

So what gives, and why am I to blame?

It’s easier to blame me, the victim of our economic system, than it is to look for the real culprits, the ones with their hands in the cookie jar. And let’s be honest, the real culprits are the unrestrained finance industry focused on the quick buck and greed, rather than building a whole society.

By blaming me, big business and corporate interests are let off the hook. They are playing a dangerous game of taking advantage of public outrage during difficult economic times. By directing my neighbor’s outrage at me, it’s easier for them to slide out of their responsibilities as economic entities in our state.

This redirection distracts my neighbors, and even me, away from real solutions to the current crisis for workers in this state. We are put on the defensive, and more concessions are pushed by big business to offset the toll I am supposedly taking on them. In reality, these policy shifts that the business community is pushing for will harm the public structures in our state that protect not only unemployed workers, but all workers. By blaming unemployed workers, businesses are blaming all workers, when corporate interests are the ones setting agenda in our state.

Rather than blame me, business leaders need to work with legislative leaders and us unemployed workers to craft policies that create fairness, security and equality in our state. Until business stops kicking us while we’re down, we can’t be expected to get up off the ground.
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Rodriguez is now Administrative Assistant of Miami Workers Center.
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Copyright (C) 2011 by the Florida Forum. 3/11

José J. Rodriguez

FLORIDA FORUM

By José J. Rodríguez, and Paul Sonn

Since January 1, more than 180,000 of Florida’s lowest-wage workers -- people caring for the elderly, serving food at the local diner, and cleaning and securing our office buildings -- have been denied an annual cost of living adjustment required by law. Acting in violation of the Florida Constitution, the state failed to implement a legally mandated 6 cent increase in our minimum wage for 2011.
Paul Sonn

Back in 2004, Florida voters overwhelmingly supported a constitutional amendment -- by a lopsided 78 to 22 percent margin -- creating a state minimum wage and indexing to inflation so that it keeps pace with the rising cost of food, clothing, electricity and other necessities. Voters realized that without such protection, the ability of minimum wage earners to provide for their families would fall each year as prices rose but the minimum wage remained stagnant.

On New Year’s Day, seven states with laws like Florida’s -- Arizona, Colorado, Ohio, Montana, Oregon, Vermont and Washington -- increased their state minimum wages to keep pace with inflation. Florida did not.

That’s why we recently filed suit on behalf of minimum wage workers against the Agency for Workforce Innovation (AWI), the state agency responsible for setting the minimum wage rate every year, for refusing to properly increase the state minimum wage to $7.31 to take into account last year’s inflation.

The problems started last year. Florida’s laws, constitution and Supreme Court all make one thing crystal clear: the state minimum wage goes up when there is inflation, but never goes down. Despite this clear obligation, however, for 2010 AWI wanted to lower the minimum wage by 15 cents, from $7.21 in 2009 to $7.06. However, two things kept that erroneous wage cut from actually affecting Florida’s workers last year. First, the Agency never published the 2010 rate so no one knew about the mistake. Second, the federal minimum wage was still higher at $7.25.

This year, AWI’s mistake is affecting hundreds of thousands of working people since $7.31, where our 2011 minimum wage should be, is higher than the federal level. AWI has instead kept the Florida minimum wage 15 cents too low and failed to announce the correct increase.

A 6 cent raise may not sound like much, but for Florida’s lowest-paid workers it adds up. A full time minimum wage worker would see about $128 more per year. And unless it’s corrected, the impact of the error will snowball in future years, leaving Florida’s minimum wage permanently 15 cents lower than it should be.

The state’s failure to raise the minimum wage not only defies the constitution and the will of the voters, it also hurts low-wage workers and the statewide economy. The key to getting our economy back on track is boosting consumer spending and raising sales so businesses can grow and start rehiring again. By failing to raise the minimum wage, the purchasing power of the lowest paid workers falls, as does their consumption. If minimum wage workers make a few more dollars a week they will likely put this money immediately back into the local grocery store, barber shop or gas station, thus buoying demand for goods and services.

Floridians are looking to their new governor for leadership. As his administration begins an assessment of state agencies and departments, a top priority should be reviewing the Agency on Workforce Innovation’s blunder on the minimum wage. Rather than forcing the courts to fix the error, Governor Scott should uphold the constitution and help boost Florida’s economy by giving Florida’s low-income workers the raise they are due.
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Rodríguez and Sonn are co-counsel representing minimum wage workers who have filed suit against the state of Florida for failing to raise the 2011 minimum wage. Rodríguez is an attorney with Florida Legal Services. Sonn is legal co-director at the National Employment Law Project.
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Copyright (C) 2011 by the Florida Forum. 3/11

Wednesday, September 8, 2010

Putting the Public First in State Services

FLORIDA FORUM


By Ennis Leon Jacobs Jr.

As a former chair of the Florida Public Service Commission (PSC), I am concerned that recent actions in Tallahassee to dismantle the PSC send a message that the views of the working and bill-paying public count for nothing. Those actions show contempt for balancing the interests of ratepayers with politics.

What other meaning could be derived from the fact that immediately following a vote against record rate-increase requests, four members of the PSC were removed and the public counsel who advocated for ratepayer interests was asked to reapply for his position?

A strong, independent and objective regulatory agency is necessary to oversee utility ratemaking and operation. The legislature recognized that back in 1978, and it remains true today as utility services expand and grow more complex. Just look at your monthly bills that are filled with obscure surcharges and rising prices. But the recent actions to subvert the independence of the PSC threaten to undermine the agency’s credibility and erode public trust. At the moment, the balance seems to be shifting away from consumer protection and toward the utilities and big-money politics.

Many Floridians would be surprised at the breadth of the PSC’s regulatory mandate. It serves a critical function, affecting virtually every aspect of Florida society by overseeing companies that provide electricity, drinking water, sewage treatment, telephone service, high-speed internet connections and natural gas. These are public services we depend upon and for which we pay. But in return we expect rates to reflect legitimate expenses.

While on average, Florida electric costs are relatively modest, ratepayers in Florida have seen their energy bills increase faster than in all but a few states. Most important, these ratepayers face fundamental changes in how these services will be delivered without a meaningful opportunity to weigh in. Amazingly, there is no constituency more closed off from Tallahassee decision-making than ratepayers.

Monopolistic industries cannot have control over these essential services without adequate and transparent government involvement. I believe strongly in the mission of the PSC, which is “to facilitate the efficient provision of safe and reliable utility services at fair prices.” Fair is the operative word -- fair to consumers as well as fair to those companies providing basic services. But recent actions to subvert the independence of the PSC threaten to undermine the agency’s credibility and erode public trust.

I congratulate the new appointees and look forward to the two pending appointments. However, I also encourage my colleagues to consider that they now hold a public duty which demands substantive and moral compasses that are honest and independent of utility persuasion.

Make no mistake; there is imperfection and much room for improvement within the PSC. If you have doubts, I direct you to a series of reports prepared by Common Cause titled: “A State Agency In Need of Reform: Florida’s Public Service Commission.”

Nonetheless, the PSC is the designated sheriff, and it controls the balance of interests between utility ratepayers and shareholders. The sanctity of the agency must be maintained by ensuring a fair and transparent process where integrity is paramount. Without this, I suggest that the recent incidents of ethical lapses, name-calling and backroom deals will produce a public outcry that says, “Enough is enough!"

Floridians must step in and demand that the PSC not be a rubber stamp for utilities and their political allies. Its members must not be chosen for the certainty of their votes. Healthy discussions and differences of opinions are welcome, but we cannot lose sight of the fact that, first and foremost, it is the public that comes first in the Public Service Commission.
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Jacobs is former chair of the Florida Public Service Commission.
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Copyright (C) 2010 by the Florida Forum. 9/10


FLORIDA FORUM

By Jonathan Fried

Teresa Garcia [not her real name] was stopped in September 2009 by a Miami-Dade County police officer while on her way home after dropping off her children at school. When she could not produce a driver's license, he arrested her for driving without a license, and she was booked into the Miami-Dade jail system. Although she had no criminal record, ICE placed a detainer on her and took her into custody. After spending several weeks in ICE detention, she was deported to her native country, leaving her two young U.S.-citizen children behind with a relative.

Garcia's story is illustrative of thousands of others resulting from the U.S. Immigration and Customs Enforcement "Secure Communities" program. Marketed by ICE under the guise of making our streets safer, that program has become a nightmare for countless immigrants, while adding to the uncertainty of us all.

This past Monday, four days after we learned that Arizona was poised to become an apartheid state for immigrants, ICE announced that it intends to make Florida a little Arizona. Apparently eight more counties joined ICE's "Secure Communities" program. In light of the recent bad press coming out of Arizona, ICE is marketing the Secure Communities program heavily, touting it as a program that will rid the streets of "dangerous criminal aliens."

Keeping our streets safe would be wonderful, if it were but true. "Secure Communities," in a nutshell, is a fingerprinting system that ICE sets up in county jails across the country. The program basically flags any immigrant arrested and booked in jail to be turned over to ICE for deportation, whether or not they are eventually convicted of a crime. There is nothing that stops an abusive husband from falsely accusing his wife of a crime. Nothing stops an unscrupulous employer from falsely accusing a worker he doesn't want to pay of a crime. Even if innocent, being an immigrant will get them flagged for deportation the second they are booked.

ICE's own statistics show that almost 90 percent of immigrants deported through Secure Communities, almost 15,000 people last year, were not charged for serious or dangerous crimes. ICE refuses to say how many of those 15,000 immigrants were never convicted of any crime.

What we can be sure of is that programs like Secure Communities are making our communities insecure. Last summer, more than half of the immigrants we surveyed said they are afraid to call 911 for help. When asked why, one-third cited collaboration with ICE as the main reason – and this is in immigrant-friendly Miami. Imagine what the numbers would look like in the rest of Florida.

For us to be truly secure, ICE has to stop touting a program it claims makes us secure, when it doesn't. ICE's own numbers tell the truth, even when ICE doesn't.


It’s time to put ICE’s “Secure Communities” on Ice.
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Fried is the Executive Director of WeCount! based in Homestead.
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Copyright (C) 2010 by the Florida Forum 5/10

FLORIDA FORUM

By Arthur J. Rosenberg

Florida has a tremendous opportunity to boost its economy and help thousands of unemployed workers stay afloat as they look for their next job.

More than 1 million of our residents are now unemployed. Our neighbors, our friends, and their families are struggling everyday to cover necessities like housing, health care, and food. Unemployment compensation (UC) is a necessary tool to help them and our state get back on its feet.

As a result of the Federal American Recovery and Reinvestment Act (ARRA), Florida could receive $444 million in federal funding to pay for unemployment benefits. For Florida to get this sorely needed money, the legislature needs to modernize our UC system and mend holes in our UC safety net.

Last session, our elected state officials had an historic opportunity to do what is right for the families hardest hit by unemployment by helping to boost local economies and reforming our unemployment system to meet the challenges of the 21st Century. Yet, they rejected this much needed stimulus money as well as the opportunity to update our system to help deserving workers when they lose their jobs.

Florida now faces an unemployment rate of close to 12 percent, one of the highest in the nation. It is Florida’s highest rate in decades. Our UC trust fund has been depleted by the huge rise in claims, and we are borrowing $250 million each month from the federal government to pay benefits. Now, more than ever, the infusion of significant federal funding could go a long way to help address the system's funding woes and at the same time provide UC benefits to over 60,000 unemployed Floridians.

But our UC system needs more than a simple infusion of cash: It needs serious reform. At present, only a fraction of Florida’s unemployed are eligible to collect benefits. In prior recessions, workers who lost their jobs knew they could at least count on unemployment benefits to help them get by for a time. Now only 31 percent of our state’s jobless are able to access unemployment benefits, 48th lowest in the nation.

Many of the remaining workers fall through the cracks of the unemployment system because of outdated eligibility rules that fail to count their most recent work. This historical anachronism, left over from a time when it took months to add up and transmit a worker’s wages from handwritten records to a distant state agency, today subsists in an era of instantaneous computer calculation and electronic transmissions. The result often prevents low-wage workers and those in high-turnover fields from getting UC while they look for another job. As a result, hard working families are far too often found ineligible for unemployment benefits. Thirty-five states have adopted laws over the past year to modernize their system and in doing so will be able to receive their share of federal funds. More states are poised to do so in their upcoming legislative sessions.

Florida is again considering proposals that could modernize our UC system and mend holes in the unemployment safety net – which was designed for the workforce of the 1930’s. Rather than excluding thousands of unemployed workers from receiving benefits, these proposals would provide a lifeline for low wage earners, victims of domestic violence, and workers who have to leave their jobs to care for a sick family member, or who have to follow a spouse who has relocated. If approved, Florida would receive an infusion of $444 million, and thousands of deserving unemployed Floridians would become eligible for benefits that would keep them out of poverty during these hard economic times. These federal funds would cover the cost of their benefits for at least four years.

Unemployment benefits put money into local economies as recipients spend their funds on basic needs like food, housing, transportation and consumer goods. Once spent, this money re-circulates in the market, contributing $1.64 in economic growth for every $1 of UC awarded, allowing the $444 million to generate $728 million in our communities.

Our state leaders now have a tremendous opportunity to get relief to thousands of unemployed workers presently slipping through the safety net, to boost our economy, and thereby get thousands of residents back to work. Adopting these unemployment reforms will help Florida out of the recession and put our state on track to building a first-class unemployment program to serve the future needs of all working Floridians and the businesses that employ them.
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Rosenberg is an attorney with Florida Legal Services.
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Copyright (C) 2010 by the Florida Forum. 3/10

FLORIDA FORUM

By Yvonne Scruggs-Leftwich

Judging from current media coverage, one might think that women who repeatedly get falling-down drunk or pass out in public places from taking illegal substances are merely observing a rite of passage from stressful childhood to irresponsible-but-fun adult life.

Countless celebrities fill tabloid and mainstream news slots with their substance-abuse antics, and in doing so become poster girls for the fast life.

The "cure?" An escape into a hospital or upscale rehabilitation retreat, which is quickly portrayed by media spin artists as an experience of reflection, remorse and religious epiphany that allows the penitent to emerge reborn…only to do it all over again.

And why not? Money and privilege cushion the "bottom" hit by media glamour girls -- consequently, the depth of their actual addiction is trivialized. But their public and overdramatized lives are a world apart from the thousands of everyday women who struggle daily to recover from drug and alcohol abuse.

These women don’t appear in tabloids. Instead, they scrape by in those too-few group residences and drug recovery locations. Many more, homeless, wander the streets.

In real life, addiction isn’t pretty, isn’t easy to kick and isn’t a five-week pampered visit to posh rehab clinic.

Meet some addicts (Their names have been changed to protect their identities):

Paramedics scrape Tracey, a 30-year-old black woman, off of the pavement, while pedestrians scurry by. She's been lying there since early morning, having overdosed on methamphetamine. She will be revived in one of the hospital emergency rooms and placed in a locked-down detoxification ward.

Victoria, a 24-year-old Latina, works in a fast-food restaurant trying to maintain a routine that might keep her from relapsing into a crack addiction. She has rent money in her pocket from her paycheck, along with the promised contribution to her grandmother who cares for her 4-year-old son, but habit proves stronger than resolve. The addition kicks in; she takes "just one hit" on the crack pipe. Actually, there is no such thing as "just one” hit. When she surfaces again days later, Victoria has lost her job. Without income, she moves in with a drug-dealing john, predictably re-entering the drug life.

These real women, whose names have been changed to protect their identities, shared their stories with me as residents in Still Standing Recovery Ministry, one of the very few drug recovery programs in South St. Petersburg accepting women.

At any one time, 100 residents – equally men and women, white and non-white - are sheltered and supervised in six residential buildings. They are separated into different houses by gender and required to follow a structured program of 12-step meetings, job and career counseling and faith-based counseling designed to help them stay clean, sober and straight. Two-thirds of the time the plan works, but it works more often for men than for women.

The interviews were conducted because it was clear that life stories of women at Still Standing were not the same as the men's. Observation and recidivism rates suggest that the women are more destitute than the men, and they appear to be more readily drawn back into addictions.

The interviews uncovered destructive patterns of behavior by women that are mostly obscured by the media’s fascination with the glitz, drama and hysteria of celebrities' drug-induced, wild abandons. Unlike the pretty party girls, many of the women I interviewed were impoverished, unemployed and unskilled -- adding to the difficulty of getting and staying clean and sober.

Thirty-one-year-old Simone's [not her real name] candor is instructive:

"Within a year of my first hit, I was strung out. I was 19. I had a son (but) gave him up because he was getting big and demanding and was cutting into my get-high time. Frankly, I wanted him to have a better life than I'd had…I went in and out of local alcohol crisis centers and in and out of detox. I'd do the halfway-house thing and get cleaned up for a little bit…but I was young and there was a lot to come that I had no clue I was headed toward.”

Simone today is serving a long jail term because of her lifestyle and addiction. This is a frequent outcome for female addicts. Tracey fared far worse. About a year after my interview with her, her body was found in a dumpster.
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Scruggs-Leftwich is Executive.Director-principal investigator for the nonprofit Center for Community and Economic Justice Inc. in St. Petersburg, Fla., which also founded the Still Standing Recovery Ministry.
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Copyright (C) 2010 by the Florida Forum. 3/10

FLORIDA FORUM
By Tony Fransetta

Access to health care for all seniors is important. Having a Medicare system that works? Crucial.

As we age, visits to doctors’ offices increase. Before President Johnson signed Medicare into law 44 years ago, many seniors lacked health care because of the cost. Imagine! But now, through Medicare, our federal government provides a valuable program for seniors and people with disabilities to improve their medical well-being. Coverage has helped reduce senior poverty by two-thirds.

Since 2003 and the implementation of the Medicare Modernization Act, Medicare Advantage plans (code for private insurance companies) have taken a toll on traditional Medicare. These Medicare Advantage plans are reimbursed at a higher rate than traditional Medicare, sometimes as much as 17 percent higher. This cost is being paid out of the traditional Medicare fund and is a strain on the Medicare budget. Passage of health-care reform will reduce this overpayment to private insurance companies, thereby easing any burden on working families' tax dollars.

In addition to cost savings in overpayments, meaningful reform will prohibit private-insurer discrimination against seniors with pre-existing conditions. Also, seniors will have more control when choosing providers.

The cost of prescription drugs, too, will go down. As things stand now, seniors on fixed or limited incomes often face agonizing either/or choices between high-priced medications and ever-increasing living expenses. True reform will provide more help for low-income seniors, more flexibility in changing drug plans and a closing of the dreaded donut hole – a gap in coverage that costs the average Medicare recipient thousands of dollars. All of these factors -- and the promise of no co-payments for Medicare preventive services such as check-ups and cancer screenings -- add up savings for all seniors and taxpayers.

There's more.

Meaningful reform should also bring savings to Medicare in the form of early Medicare enrollees. Persons age 55-64 (the pre-Medicare age group) should be allowed to buy-in to Medicare. More than 5 million Americans age 55-64 do not have health insurance. People in this age group should be able to see a doctor more often, especially for preventive care as this is the wrong time in your life to have to cut corners with your health. Through meaningful reform we can create an affordable way for them to buy in to Medicare coverage.

This early enrollment would allow people to seek medical care for their ailments. As of right now, these pre-Medicare people wait until they turn 65 and enter the Medicare system already ill. Sometimes, they have waited so long that their once easily treatable condition is now an expensive and life-threatening illness. An opportunity to buy-in at a younger age reduces the possibility of long term health care issues.

In fact, why not extend Medicare to everyone?

Medicare is a great American success story. Medicare for all would be a great American legacy.
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Fransetta is president of Florida Alliance for Retired Americans.
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Copyright (C) 2009 by the Florida Forum

Thursday, March 12, 2009

Florida Must Back Food Stamp Program

FLORIDA FORUM


By Debra Susie, Ted Granger and David Reaney

The growing economic downturn is taking its toll on Americans nationwide. Here in Florida, the number of people needing assistance to meet basic living needs continues to rise in staggering numbers.

Over the last year, Florida added more than 408,835 new recipients to its food stamp rolls -- a 29 percent increase. Given the recession, that kind of growth is not unique to our state, but by the year’s end, Florida led the nation for its dramatic rate of growth in food stamp clients. The increase also represented the largest jump in the state's history, surpassing even the aftermath of Hurricane Andrew.

As one would expect, there are other numbers on the rise, too. Call volume at Florida’s food stamp call centers was over 3 million for the month of October 2008 -- a 40 percent increase over the previous year. Many of these callers are first-time applicants who have lost their jobs during this recession. Even with economic recovery expected to begin in 2010, the Congressional Budget Office projects higher unemployment rates for the next few years, and Florida’s unemployment rate is already higher than the national average.

For fiscal year 2009-10, the Florida Department of Children and Families (DCF) -- the state agency that administers the Supplemental Nutrition Assistance Program (SNAP) food stamp program -- projects that 288 additional full time equivalent positions are needed over the 4,109 positions currently in the food stamp eligibility division. This would equal $11,065,087 (or $6,569,588 from the state’s General Revenue fund). The rest comes from the federal government, which shares in the administrative costs for running the program.

There’s also the matter of the $5.4 million bonus awarded to Florida by the U.S. Department of Agriculture (USDA) for the most improved food stamp error rate in the nation.

These funds go right into the state’s General Revenue pot from which the Florida legislature can allocate at its discretion. This entire amount for a job well done should go to hiring new DCF employees and any needed upgrades to the state’s food stamp application technology.

As demonstrated by the inclusion of $19.9 billion for increased SNAP/food stamp spending in the recently passed federal Economic Stimulus bill, food stamps also have an immediate economic multiplier effect locally. USDA studies show that every $1 of federal food stamp benefits coming into the state generates nearly double that amount in local economic activity. Federal funding for SNAP/food stamps pumped over $1.4 billion into the Florida economy last year.

Many private nonprofits across our state are working cooperatively with DCF to provide application assistance to the increasing number of Floridians walking through their doors for emergency help. After dedicating some of our own private funds to help meet this extraordinary need, Florida must now allocate sufficient administrative funding to fully staff this federal food assistance program so it operates as efficiently as it can. This would remove a major roadblock in getting this federal resource to those who need it most.

Solving the economic downturn will not be easy, nor will it happen overnight. That is why we must secure basic needs such as food for those who need it most.
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Susie is executive director of Florida Impact. Granger is president of the United Way of Florida. Reaney is president of the Florida Association of Food Banks.
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Copyright (C) 2009 by the Florida Forum.

FLORIDA FORUM

By Toni Waters Woods

On Thanksgiving Day 2006, my father, James "Buzz" Waters, was waiting to be disenrolled from the Medicaid reform pilot program in Duval County so that a high-risk cardiologist in Alachua County would see him. Jacksonville cardiologists referred my father to the Alachua doctor because apparently there was not a high-risk cardiologist in the Duval County Medicaid reform program. This wait proved to be fatal.

Before Medicaid reform my father would have been able to immediately make an appointment and be seen by the cardiologist in Alachua county. Two years ago the state introduced a pilot program to North Florida and Broward county that required more Medicaid recipients to join Medicaid HMOs. Proponents of the pilot claimed that Medicaid Reform would result in increased choices of health plans and providers. But by forcing more Medicaid patients into Medicaid HMOs it has instead created new barriers to care. In fact patients are now unable to access specialists who accept Medicaid but are outside reform plan networks without experiencing unnecessary and sometimes fatal delays. Because the specialist my father needed to see was not part of Duval county's Medicaid reform network, he had to waste precious time going through the disenrollment process before he could even make an appointment with the out of network high risk cardiologist. New Medicaid plan enrollments only start at the beginning of the month. As a result, the time frame for effectuating disenrollment from a plan is a frustrating and ludicrous obstacle for high-risk patients who have immediate needs that cannot wait. My father didn't make it to December 1. He died on that Thanksgiving Day, November 23.

Examples like my father's highlight the problems with forcing more high-risk Medicaid patients into Medicaid HMOs. Which is why I'm concerned when I hear the state is considering expanding the pilot program to the entire state. Medicaid reform in the state of Florida is not working for many patients. "Reform" has not only failed to solve the old problems, but it's created a slew of new ones. The reform program’s limited provider networks puts people with complex illnesses at risk. There are many documented stories like my father's about patients stuck in a spiral of red tape and rules that have led to further medical complications. Reading these stories is heartbreaking at times. A letter sent last year to the Florida Medicaid director from Florida CHAIN and Florida Legal Services highlighted many of the problems patients were having. A woman with diabetes was denied coverage for her insulin, goes into diabetic shock and almost dies; a man with severe mental illness ended up in the hospital because of coverage denied for his medications; a child with disabilities was unable to access critical therapies because of a lack of providers.

There are many policy arguments on all sides of the Medicaid reform issue. But we should listen closest to those who must navigate the complex maze of rules that Medicaid reform has put into place: the patients.

In a report from the Agency on Health Care Administration, it says Medicaid reform "seeks to improve the value of the Medicaid delivery system." I do not believe that happened in my father's case and I do not believe that the value has been improved for many of Florida's citizens, whether patients or taxpayers.

Managed care companies require profits and increasing amounts of reimbursement from the state. These needs are difficult to reconcile with the health care needs of high-risk and very sick Medicaid patients. Notably, in recent months managed care companies threatened to leave the program but changed their minds only when the state gave in to their demands to reduce proposed cuts from 5 percent to 3 percent. Decent health care should be not be judged by the balance sheet, but by the health of its patients.

One step in the right direction would be to permit emergency disenrollment procedures for Medicaid patients needing to access care not available through reform plans. Those protections were not in place for my father. Florida certainly should seek greater choices, access and flexibility for its Medicaid patients, but it should do so by reworking the fatally flawed reform program first, not by expanding it.
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Woods is a resident of Duval County.
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Copyright (C) 2009 by the Florida Forum