Daily Digest - May 7: What's Good for Business Can Be Bad for Local Economies

May 7, 2014Rachel Goldfarb

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Surprise! 'Pro-Business' Policies Hurt State Economic Growth (LA Times)

A University of Wisconsin professor has shown that business-friendly ALEC's rankings of state economic policies are good predictors of slow job growth, writes Michael Hiltzik.

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Surprise! 'Pro-Business' Policies Hurt State Economic Growth (LA Times)

A University of Wisconsin professor has shown that business-friendly ALEC's rankings of state economic policies are good predictors of slow job growth, writes Michael Hiltzik.

A Year After Being Discredited, Austerity Economics Still Reigns (AJAM)

Dean Baker says that despite knowing that Carmen Reinhart and Ken Rogoff were wrong about debt-to-GDP ratios and economic growth, governments haven't given up on austerity.

  • Roosevelt Take: Roosevelt Institute Fellow Mike Konczal was one of the first to write about the problems in the infamous Reinhart-Rogoff paper.

Study: RomneyCare Seems To Have Saved Lives, And Obamacare Could Too (TPM)

A new study shows that Massachusetts' mortality rate fell after it implemented health care reform, reports Dylan Scott. The study's authors say the same could happen nationally.

  • Roosevelt Take: Roosevelt Institute Senior Fellow Richard Kirsch says that in addition to data like this, stories about the ACA's success are key to building support.

SEC Finds High Rate of Fee, Expense Violations at Private-Equity Firms (WSJ)

More than half of the firms allocated their expenses or charged fees inappropriately, or even illegally, to boost profits, report Gillian Tan and Michael Wursthorn.

There’s Still No Reason to be Afraid of the Inflation Monster (WaPo)

Matt O'Brien writes that despite persistent fears, wages aren't rising and therefore aren't causing inflation. The real story is that wages are flat despite lower unemployment.

What Would Happen to Companies Like Target If They Paid $15 an Hour? (PolicyShop)

David Callahan considers the possible impact of a modern-day Henry Ford giving low-wage workers a big increase. He says it would boost the entire economy and that company's profits.

New on Next New Deal

Turning Students' Vision Into Reality: Roosevelt's Campus Network at 10

As the nation's largest student policy organization approaches its 10th anniversary, alumna and former staffer Tarsi Dunlop reflects on what it has accomplished and what's to come.

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Daily Digest - April 23: Repealing Health Care Reform Gets Harder Every Day

Apr 23, 2014Rachel Goldfarb

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Ted Cruz's Worst Nightmare Is Coming True (Politico)

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Ted Cruz's Worst Nightmare Is Coming True (Politico)

As Americans get used to having access to affordable health care, repeal will become less and less likely, writes Roosevelt Institute Senior Fellow Richard Kirsch. That's just as Senator Cruz predicted last summer.

AT&T Tries to Bully the Government (Bloomberg View)

Roosevelt Institute Fellow Susan Crawford says the Federal Communications Commission should stand strong and limit how many spectrum licenses any one wireless carrier can buy at its upcoming auction.

Elizabeth Warren is the Teacher (Esquire)

Charles P. Pierce profiles Senator Warren's work in academia and politics, framing her as an eternal educator. Today, she continues to educate on critical issues like financial reform - but also makes that reform happen.

Elizabeth Warren’s Needed Call for Student Loan Reform (WaPo)

With graduation season upon us, Katrina vanden Heuvel, a member of the Roosevelt Institute's Board of Directors, praises Senator Warren's work on student debt, which she says is holding back the economy.

The American Middle Class Is No Longer the World’s Richest (NYT)

Data shows that middle-income people around the world have experienced greater gains over the past three decades than Americans, write David Leonhardt and Kevin Quealy. They tie this to rising income inequality.

Waiter, Am I Subsidizing Your Pay? (Other Words)

Marjorie Elizabeth Wood argues that taxpayers are heavily subsidizing the restaurant industry, which takes advantage of tax loopholes for high CEO pay and doesn't pay its workers a living wage.

  • Roosevelt Take: Roosevelt Institute Fellow and Director of Research Susan Holmberg and Roosevelt Institute | Campus Network alumna Lydia Austin discuss the performance pay loophole in their white paper.

The Revolt of the Cities (TAP)

Harold Meyerson looks at the new wave of progressive mayors and city councils, elected primarily with labor community coalitions. He says this new city leadership is reshaping American liberalism.

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Daily Digest - April 17: How Democracy Became a Luxury Good

Apr 17, 2014Rachel Goldfarb

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Government by the Few (All In with Chris Hayes)

Roosevelt Institute Fellow Dorian Warren notes that we now have social science data that proves Occupy was right: our democracy is dominated by the wealthiest Americans.

Click here to receive the Daily Digest via email.

Government by the Few (All In with Chris Hayes)

Roosevelt Institute Fellow Dorian Warren notes that we now have social science data that proves Occupy was right: our democracy is dominated by the wealthiest Americans.

Happy Tax Day (The New Yorker)

Benjamin Soskis examines America's esteem for charitable donors over taxpayers, drawing on Roosevelt Institute Fellow Mike Konczal's piece on the "voluntarism fantasy."

Millennial Perspective: Title X is Vital, Efficient, and Largely Unknown (National Priorities Project)

Tarsi Dunlop argues that Millennials should advocate for Title X, the nation's only federally funded family planning program, because of its massive impact on the lives of low-income women.

  • Roosevelt Take: Tarsi uses data from Roosevelt Institute Fellow Andrea Flynn's white paper, "The Title X Factor: Why the Health of America's Women Depends on More Funding for Family Planning."

Bill de Blasio’s Great Experiment (The Nation)

Jarrett Murphy looks at the New York City mayor's first 100 days, and finds that de Blasio is sticking to the progressive policies he proposed on the campaign. Unfortunately, the forces against him are strong.

Obama's Job-Training Unicorn: It's Time for Some New Ideas Already (The Guardian)

Pushing the same kind of job training programs isn't making any dent in the unemployment crisis, says Heidi Moore. She wants Congress to try something new, whether that's infrastructure fixes or direct hiring.

  • Roosevelt Take: A Roosevelt Institute report released last week, "A Bold Approach to the Jobs Emergency: 15 Ways We Can Create Good Jobs in America Today," provides more suggestions for government solutions.

New York Lawmakers Push to Raise Wages at Biggest Chains (NYT)

Kate Taylor reports that a group of New York City-based Democrats has proposed a bill to mandate a $15-an-hour minimum wage for employees of businesses with $50 million or more in annual sales.

The Toughest Cop on Wall Street You've Never Heard Of (TNR)

Benjamin Lawsky at the New York Department of Financial Services is pushing stricter penalties on banks, and David Dayen says that could push federal regulators to toughen up.

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Daily Digest - April 10: 15 Ways to Put America Back to Work

Apr 10, 2014Rachel Goldfarb

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America Can Attain Full Employment with a Bold Approach to the Jobs Emergency (Next New Deal)

Jeff Madrick, Director of the Bernard L. Schwartz Rediscovering Government Initiative, argues that government can create more and better jobs if lawmakers can get over their current fatalism.

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America Can Attain Full Employment with a Bold Approach to the Jobs Emergency (Next New Deal)

Jeff Madrick, Director of the Bernard L. Schwartz Rediscovering Government Initiative, argues that government can create more and better jobs if lawmakers can get over their current fatalism.

  • Roosevelt Take: Read the Rediscovering Government Initiative's new report, "A Bold Approach to the Jobs Emergency: 15 Ways We Can Create Good Jobs in America Today," here.

Obamacare: 9.3 million & Counting (The Big Picture)

Thom Hartmann speaks with Roosevelt Institute Senior Fellow Richard Kirsch, who looks forward to when the GOP gets past obstructionism and we can focus on ways to improve the Affordable Care Act.

Long-Term Unemployment Is Elevated Across All Education, Age, Occupation, Industry, Gender, And Racial And Ethnic Groups (Working Economics)

Heidi Shierholz argues that the prevalence of long-term unemployment across all demographics proves this crisis has nothing to do with workers, and everything to do with employers who aren't hiring due to lack of demand.

The Politics Around Welfare Show Why the Poor Need a Real Break, Not Just a Tax Break (The Nation)

Michelle Chen argues that the Earned Income Tax Credit shouldn't be the key pillar of anti-poverty efforts, as it's only a once-a-year boost that leaves out too many people living in poverty.

Forget Obamacare: Vermont Wants to Bring Single Payer to America (Vox)

Sarah Kliff explains that Vermont's governor is determined to see single payer health care in his state because it will cut statewide health care costs by millions. His current challenge: funding the program.

U.S. House Republicans Prepare a Second JOBS Act bill; Critics See Dangers (Reuters)

The bill is supposed to make it easier for startups to raise money, writes Sarah N. Lynch, but critics see it as an attempt at deregulation that reduces the amount of information potential investors can access.

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The ACA in Threes: The Good, The Bad and the Ways to Make it Better

Mar 31, 2014Richard Kirsch

With the first open enrollment period ending today, consider some successes, outrages, and bug fixes for the Affordable Care Act (ACA). Roosevelt Institute Senior Fellow Richard Kirsch will debate implementation issues and the future of the ACA with the Heritage Foundation's Robert Moffit tonight at New York University. For more information, click here.

The Good: Three Big Successes of ACA:

With the first open enrollment period ending today, consider some successes, outrages, and bug fixes for the Affordable Care Act (ACA). Roosevelt Institute Senior Fellow Richard Kirsch will debate implementation issues and the future of the ACA with the Heritage Foundation's Robert Moffit tonight at New York University. For more information, click here.

The Good: Three Big Successes of ACA:

The Affordable Care Act is saving peoples lives: Already. Like Kathy Bentzoni, a Pennsylvania school bus driver, who dropped her old insurance because it was expensive and rejecting claims because of her pre-existing conditions. After getting ACA coverage at $55 a month, she was able to seek care: “They found my hemoglobin level was 5.7, and the normal is 14. I needed a transfusion. It was due to a rare blood disorder. Where would I be without Obamacare? ER, 3 units of blood, multiple tests in the hospital and a 5-day inpatient stay without insurance? Probably dead.” Kathy was not alone in that fear – studies show that tens of thousands of people each year die because they don’t have health coverage.

Medicaid enrollment is a bigger success than expected: Not only is Medicaid enrolling people who are eligible for the first time – 4.6 million of them – but almost another 2 million more are enrolling who were eligible before, but had not applied. In the big push to get people to sign up for the ACA, many people who have been eligible in the past applied for the first time.

Seniors on Medicare are saving money, getting better care: While most seniors don’t think that the ACA has anything to do with them, it does. Last year, 37 million people on Medicare – seniors and people with disabilities – received free preventive care. Since the law was enacted, 8 million people enrolled in Medicare have saved $10 billion on prescription drugs, as the prescription “donut hole’ closes. And for the first time in 30 years, hospital readmission rates for people on Medicare are coming down, because hospitals are now penalized for pushing people out before they are ready.

The Bad: Three Outrages Against the ACA

States that have refused to expand Medicaid: In an example of partisan politics killing people, Republicans in 24 states have refused to expand Medicaid, leaving 5 million people who would be eligible for coverage without any recourse.

Koch brothers campaign to discourage young people from signing up: In an example of billionaires killing people, the Koch brothers have funded tasteless ads and campus beer parties in an attempt to keep young people from signing up for insurance on the exchanges.

Republican lies about job loss and the ACA: One advantage of the ACA is that it gives people the freedom to leave their jobs or reduce their work hours, and still be able to get affordable coverage. When the Congressional Budget Office estimated that 2.3 million American workers would gain this freedom over the next 8 years, Republicans falsely claimed that it would cost jobs. If anything, it will create jobs for people who fill in for those who take advantage of their new freedom. I thought Republicans liked freedom.

The Ways to Make it Better: Three Big Fixes for the ACA:

Allow Medicare to operate in the exchanges: The best way to bring price competition and access to virtually ever doctor and hospital in the exchanges would be to have Medicare offer a plan (without age requirements) in every exchange. This is the easiest and most effective way to bring back the public option.

Base the employer mandate on a play or payroll tax: As I’ve explained here, the best way to get rid of the convoluted system of employers paying a penalty for employees who work more than 30 yours a week, would be to have employers who don’t provide coverage pay a percentage of payroll for health care, just like employers now do for Social Security.

Lower the premiums and out-of-pocket costs: While the ACA is providing affordable coverage for millions – and will offer lower premiums than 29 million people are paying now – they are still too high for many families. And the out-of-pocket costs in the cheaper plans are way too high. The subsidies should be increased for middle-income people – funded by progressive taxes – and the high-out-of-pocket plans ended. 

Richard Kirsch is a Senior Fellow at the Roosevelt Institute, a Senior Adviser to USAction, and the author of Fighting for Our Health. He was National Campaign Manager of Health Care for America Now during the legislative battle to pass reform.

Photo of President Obama signing the Affordable Care Act copyright George Miller, via Creative Commons license.

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Breaking the Cycle of Poverty: Expanding Access to Family Planning

Mar 31, 2014

Download the paper by Ellen Chesler and Andrea Flynn.

Download the paper by Ellen Chesler and Andrea Flynn.

Poverty shapes the lives of an increasing number of American women and their families and has many consequences, including high rates of unintended pregnancy. Conservatives, eager to further dismantle federal programs and defeat the new Affordable Care Act (ACA), have recently rekindled the idea that marriage promotion will reverse rising rates of poverty, unintended pregnancy, and single parenthood. To the contrary, addressing the root causes of poverty requires multiple interventions and far more generous government programs across a range of issues, particularly the expansion of reproductive health and family planning information, care, and services. This paper reviews the recent literature on women’s poverty and health and argues that accessible and high quality family planning services for poor women remain an essential component of poverty reduction. It also looks back at the history of policy debates over this question in the hope of finding a path toward renewed bi-partisan consensus.
 
Key Arguments:
  • Family planning is a fundamental right of women and the foundation of human security.
  • Single women in poverty head a growing percentage of U. S.  households. Addressing their needs requires multiple policy interventions, but none can work if women are denied the agency to make – and act on – well-informed reproductive health decisions.
  • U.S. subsidized family planning programs meet only 54 percent of national need. The ACA will help bridge the gap, although its promise is threatened by legal challenges to the contraceptive mandate. Women deserve insurance coverage for the contraceptive method of their choice, without qualification. 
  • Many low-income women will fall through insurance gaps. Every state should expand Medicaid. The federal government should lift Medicaid’s five-year eligibility requirement for documented immigrants and increase Title X funding to address increased demand for services.
  • We can learn from history. Research since the 1970 adoption of Title X illustrates that access to improved family planning methods promotes responsible decision-making and reduces unwanted pregnancy and abortion. By contrast, abstinence-until marriage and marriage promotion programs advanced by conservatives have failed and been discredited. 

Read "Breaking the Cycle of Poverty: Expanding Access to Family Planning," by Roosevelt Institute Senior Fellow Ellen Chesler and Fellow Andrea Flynn.

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The Contraceptive Mandate Finally Leads America Out of the Victorian Era

Mar 31, 2014Ellen CheslerAndrea Flynn

The Affordable Care Act demonstrates an affirmative, proactive step from government for women's access to reproductive health care, but conservatives are bent on moving backwards.

The Affordable Care Act demonstrates an affirmative, proactive step from government for women's access to reproductive health care, but conservatives are bent on moving backwards.

Contraception should be understood as a fundamental right of American women and a necessary foundation of human security. If that seems controversial, consider this: 99 percent of American women approve of birth control and the vast majority use it over many years of their lives. These women deserve and must continue to demand insurance coverage for the method of their choice, without qualification. That’s why the contraceptive mandate in the Affordable Care Act (ACA) is so important and potentially transformative. For the first time ever, all health insurance plans, whether paid for privately or with public subsidies, are required to cover all FDA approved contraceptives at no additional cost.

Family planning is essential to securing the health and rights of women, but it is also the foundation of sound economic and social policy. Tragically, however, U.S. subsidized family planning programs currently serve just over half of those in need.

The stakes are especially high for poor women, who cannot afford the high costs of the most reliable and desirable methods and experience much higher rates of early and unwanted pregnancy as a result. Single women in poverty head a growing percentage of U.S. households. In “Breaking the Cycle of Poverty: Expanding Access to Family Planning,” a new white paper released today by the Roosevelt Institute, we argue that addressing their needs, and opening up opportunities to them and their children, will require multiple policy interventions, but none can work if women are denied the right and the agency to make, and act on, well-informed decisions about their own bodies.

Decades of social science research demonstrate that access to reliable and affordable family planning methods promotes responsible decision-making and reduces unwanted pregnancy and abortion. It allows women to pursue educational and employment opportunities that strengthen their families and their communities. A majority of women who participated in a recent study by the Guttmacher Institute, for example, report that birth control enables them to support themselves financially, complete their education, and get or keep a job. Other recent studies also show that providing family planning services at no cost results in more effective contraceptive use, decreased rates of unintended pregnancy, and dramatic declines in abortion rates.

Many American conservatives, however, reject these claims. They blame single mothers for America’s rising tide of poverty and inequality, not the other way around. They insist that access to sexual and reproductive health information and services exacerbates social problems by promoting promiscuity and unintended pregnancy, when in fact, the exact opposite is true. They promote abstinence-education and marriage promotion programs that have been tried before and been discredited, because they simply do not work.

This conflict was front and center last week as the U.S. Supreme Court heard 90 riveting minutes of argument in Sebelius v Hobby Lobby Stores, Inc. and Conestoga Wood Specialties Corp. v Sebelius, a pair of cases brought by two privately held corporations owned by Christian conservatives. The owners claim that the ACA violates the religious freedom of employers forced to cover the costs of contraception. Much of the testimony turned on technical questions of whether corporations, as opposed to the individuals who own them, legitimately have rights to assert in this instance, and whether they may impose those rights on employees who don’t share their views. There were also important matters of scientific integrity at stake, with the plaintiffs claiming that Intrauterine Devices (IUDs) and morning-after pills constitute methods of abortion, despite overwhelming medical agreement and numerous reputable scientific studies showing that, like everyday birth control pills, they only act to prevent conception.

All but lost in the court’s conversation were larger concerns about the health and well-being of women and families – and of our society as a whole. The Supreme Court hearing comes in the wake of more than three years of persistent attacks by extreme conservative lawmakers who have already decimated publicly subsidized services in states across the country and left many low-income women without access to basic family planning and to other critical reproductive and maternal health care services.

As legal scholar and policy analyst Dorothy Roberts observed, “when access to health care is denied, it’s the most marginalized women in this country and around the world who suffer the most—women of color, poor and low-wage workers, lesbian and trans women, women with disabilities... And this case has far-reaching consequences for their equal rights. Birth control is good health care, period.”

Today, by government estimates, more than 27 million American women already benefit from the ACA’s contraceptive mandate, and 20 million more will enjoy expanded coverage when the law is fully implemented. Yet even by these optimistic assessments, many low-income women will continue to fall through insurance gaps, partly thanks to a 2012 Supreme Court ruling that enables states to opt-out of Medicaid expansion mandated by the ACA. More than 3.5 million – two-thirds of poor black and single mothers, and more than half of low-wage workers – will be left without insurance in those states.

Conservative opposition to contraception is not new. As we observe in our paper, the U.S. controversy over family planning dates back to Victorian-era laws that first defined contraception as obscene and outlawed its use. Those laws carried the name of Anthony Comstock, an evangelical Christian who led a nearly 50-year crusade to root out sin and rid the country of pornography, contraceptives, and other allegedly “vile” materials that he believed promoted immorality. Sound familiar?

It took nearly a century for the U.S. Supreme Court to reverse course and guarantee American women the right to use contraception under the constitutional doctrine of privacy first enunciated in 1965. The ACA promises us even more. It places an affirmative, positive obligation on government to provide women the resources to realize our rights. The question before us is simple: Do we turn back the clock and allow a new Comstockery to prevail, or do we move ahead into the 21st century by defending the full promise of the Affordable Care Act’s contraceptive mandate?

Read Ellen and Andrea's paper, "Breaking the Cycle of Poverty: Expanding Access to Family Planning," here.

Ellen Chesler is a Senior Fellow at the Roosevelt Institute and author of Woman of Valor: Margaret Sanger and the Birth Control Movement in America.

Andrea Flynn is a Fellow at the Roosevelt Institute. She researches and writes about access to reproductive health care in the United States. You can follow her on Twitter @dreaflynn.

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Daily Digest - March 31: Obamacare's Big Step Forward for Women

Mar 31, 2014Rachel Goldfarb

Click here to receive the Daily Digest via email.

The Contraceptive Mandate Finally Leads America Out of the Victorian Era (Next New Deal)

Click here to receive the Daily Digest via email.

The Contraceptive Mandate Finally Leads America Out of the Victorian Era (Next New Deal)

Roosevelt Institute Senior Fellow Ellen Chesler and Fellow Andrea Flynn applaud the Affordable Care Act's proactive steps on women's reproductive health care, which are also key to women's economic security.

  • Roosevelt Take: Read Ellen and Andrea's new white paper, "Breaking the Cycle of Poverty: Expanding Access to Family Planning," here.

Comcast's Power Unveiled, Courtesy of Apple (Bloomberg View)

Rumors of a new content deal between Comcast and Apple demonstrate just how much control the internet service providers could have over what media Americans can access, writes Roosevelt Institute Fellow Susan Crawford.

Private Charity Can't Replace Government Social Programs (LA Times)

Michael Hiltzik looks at "the voluntarism fantasy," as Roosevelt Institute Fellow Mike Konczal describes the idea that charity alone could replace the public safety net. Hiltzik agrees with Konczal: it's just not possible.

  • Roosevelt Take: Mike explains the origins and flaws of this fantasy in Democracy Journal.

The Minimum Wage Symposium: A Lot of Data and a Couple of Fights (The Stranger)

Anna Minard reports on the Income Inequality Symposium held in Seattle on Thursday, March 27. She quotes Roosevelt Institute Fellow Dorian Warren, who emphasized how income inequality leads to political inequality.

  • Roosevelt Take: Roosevelt Institute President and CEO Felicia Wong gave the closing remarks at the symposium.

Blueberry Lies: WSJ Spearheads Disingenuous Effort to Keep Exploiting Farm Workers (Salon)

While the Journal may claim a case of "hot goods," in which the Department of Labor seized goods produced in violation of labor law, is regulation run amok, it's a truly necessary enforcement tool, writes Catherine Ruckelshaus.

Interns Are Now Protected Against Sexual Harassment in NYC (ProPublica)

Blair Hickman reports that in response to the dismissal of an unpaid intern's sexual harassment claim against her boss, the New York City Council passed a law including interns in labor protections, regardless of pay.

Jobs and Skills and Zombies (NYT)

There is no skills gap in the U.S. job market, writes Paul Krugman, but this "zombie idea" keeps hanging around. By blaming unemployment on the workers, this creates a very real policy gap.

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Insurance Pays for Health Care. Who’s Providing It?

Mar 28, 2014Rachel Goldfarb

Public funds for family planning services are essential to ensuring people have somewhere to access health care, not just the insurance to pay for it.

Public funds for family planning services are essential to ensuring people have somewhere to access health care, not just the insurance to pay for it.

As if somehow the case still needs to be made that family planning deserves federal funding (and apparently the case does need to be made), last week a panel of researchers, advocates, and family planning providers spoke at a Congressional briefing on the topic “The Publicly Funded Family Planning Network: An Essential Partner in the New Health Care Environment.” Among the panelists was Roosevelt Institute Fellow Andrea Flynn. She and the others explained how Title X, the only federally funded family planning program, fits into the health care landscape now so dramatically changed by the Affordable Care Act. On the heels of Flynn’s white paper on this topic, last Thursday’s panel marked the next step in Roosevelt’s approach to research and policy discussions – namely, to get ideas up and out to those, like the Congressional staffers who attended the briefing, that can convert them into action.

Some background: when Title X was signed into law in 1970, it was intended to ensure that more Americans had access to family planning services, including birth control, because of rising concerns about population growth and poverty. Title X funds patient services, staff salaries, infrastructure, and supplies at clinics across the country. The law had strong bipartisan support – Democrats worked alongside Congressman George H. W. Bush and President Richard Nixon to pass it. And it is pretty effective: according to Flynn, the program today provides care to 4.7 million individuals annually. From 1980 to 2000, Title X-funded clinics provided women with 54.4 million breast exams and 57.3 million Pap tests and prevented an estimated 20 million unintended pregnancies. It’s also cost effective: Flynn notes that in 2008 alone, services provided at Title X-supported clinics accounted for $3.4 billion in savings.

Opponents of federal family planning clinics argue that with full implementation of the Affordable Care Act, the need for funding will drop off. No, said Clare Coleman, President and CEO of the National Family Planning and Reproductive Health Association. Insurance, she pointed out, isn’t the same as access to care. Patients still need providers. Amanda Dennis of Ibis Reproductive Health, based in Cambridge, highlighted an Ibis study conducted after health care reform went into effect in Massachusetts, that found many women took their new insurance straight to Title X-funded clinics for family planning services. Patient numbers actually increased at these clinics and so did the number of insured patients. Women like the care they get at Title X clinics; having insurance doesn’t mean they want to switch providers.

The panel confirmed Flynn’s major conclusions on Title X: the Affordable Care Act doesn’t guarantee every American will be insured at all times, so there remains a need for publicly funded care providers. More federal funding for the Title X family planning network will be essential to ensure women can access reproductive health care. And Coleman drove home another invaluable point as we work on health care access: the Affordable Care Act creates a massive shift in the way many Americans actually go about getting their health care. As a child growing up with insurance, I had an annual physical that was scheduled months in advance, and my mom picked up our prescriptions at the pharmacy. Americans who grow up uninsured have a different experience. They go to public clinics, where they can expect long waits, and when they leave, they go with prescribed medication in hand, obtained at the on-site dispensary.

In other words, signing up for health insurance on healthcare.gov won’t on its own teach anyone how to use insurance. That will take a generational shift. Besides which, you don’t get health care from your insurance – you get health care from your doctor, and cover the costs with insurance. That’s why Title X clinics must remain an option. Public funding for family planning does increase access to providers. Advocates: keep driving this point home to legislators!

Rachel Goldfarb is the Communications Associate at the Roosevelt Institute.

 

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Daily Digest - March 25: Organizing Towards Shared Prosperity

Mar 25, 2014Rachel Goldfarb

Click here to receive the Daily Digest via email.

The New Deal Launched Unions as Key to Building Middle Class (Next New Deal)

Click here to receive the Daily Digest via email.

The New Deal Launched Unions as Key to Building Middle Class (Next New Deal)

In the first of a series of posts summarizing his new report, which explores possibilities for labor-organizing reform, Roosevelt Institute Senior Fellow Richard Kirsch looks at the history of union organizing as a source of shared prosperity.

The Next Health-Care Debate (WaPo)

The Affordable Care Act's success will prove that government is indispensable in fighting widespread inequality, writes E.J. Dionne, who sources Roosevelt Institute Fellow Mike Konczal's work on why charity can't tackle the problem.

The U.S. Cities Where the Poor Are Most Segregated From Everyone Else (The Atlantic Cities)

Noting that "moral cynicism" is among the corrosive "neighborhood effects" of grinding poverty, Richard Florida looks at the data concerning the segregation and concentration poor people, which is greater in large, dense metro areas and where wages are higher.  

Freelancers Piece Together a Living in the Temp Economy (NYT)

Planning for the future in an age of job insecurity is nearly impossible, writes Adriene Hill. She reports on a Las Vegas woman who knows her current assortment of appearance-based gigs can't last forever.

Forces of Divergence (The New Yorker)

John Cassidy reviews Thomas Pikkety's Capital in the Twenty-first Century, which considers the swing back towards capital accumulation over wages in today's economy. Cassidy deems it a must-read for anyone interested in inequality.

The NLRB Must Restore Democracy in Chattanooga (Truthout)

John Logan calls on the National Labor Relations Board to overturn the recent United Auto Workers vote in Tennessee, because otherwise the NLRB will set a precedent that accepts outside interference.

The Law That Could Sink Birth Control Coverage (MSNBC)

In the context of today's Supreme Court hearing on the contraception mandate in the Affordable Care Act, Adam Serwer and Irin Carmon explain the history of the 1993 Religious Freedom Restoration Act.

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