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Child Watch: Protecting 50 Years of Child Health Progress

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Edelman

By Marian Wright Edelman
NNPA Columnist

 

“It was a generation ago that Harry Truman said, and I quote him: ‘Millions of our citizens do not now have a full measure of opportunity to achieve and to enjoy good health. Millions do not now have protection or security against the economic effects of sickness. And the time has now arrived for action to help them attain that opportunity and to help them get that protection.’ . . . The need for this action is plain; and it is so clear indeed that we marvel not simply at the passage of this bill, but what we marvel at is that it took so many years to pass it.”

President Lyndon B. Johnson said this as he signed Medicaid into law on July 30, 1965, thanking former President Harry S Truman and the many members of Congress from both parties who laid the groundwork and worked tirelessly to make the Medicaid program and its protections reality. Not only has Medicaid been a lifesaver for tens of millions of older Americans for 50 years, it has helped Americans of all ages, including millions of children. Together with the Children’s Health Insurance Program (CHIP) it has brought the number of uninsured children to a historic low.

Medicaid and CHIP provide comprehensive and affordable health coverage to more than 44 million children – 57 percent of all children in America. With the new coverage options offered by the Affordable Care Act (ACA), 93 percent of all children now have health coverage.

Yet, at a time when we should be celebrating Medicaid and CHIP successes, serious threats to Medicaid, CHIP, and the ACA continue to surface in Congress. So in addition to advocating for continuing improvements in children’s health coverage, we must also play defense to protect the hard earned gains made for children as well as adults.

The 2016 Budget Resolution passed by both the House and the Senate paves the way to radically restructure Medicaid, making deep cuts that will reverse the progress made in reducing the rate of uninsured children, pushing tens of millions of Americans – including millions of children – into the ranks of the uninsured and underinsured.

The Budget Resolution also puts in motion a process to repeal the ACA, which prohibits discrimination against the 129 million children and adults with pre-existing health conditions, helps more than 5 million uninsured 18-26 year olds now covered under parental insurance plans, and extends Medicaid coverage to age 26 for some youths leaving foster care. More than 10 million near poor adults, including many parents, in the 29 states and the District of Columbia that have expanded their Medicaid rolls under the ACA will lose Medicaid coverage as a result.

While children comprise 48 percent of those enrolled in Medicaid, they account for less than a quarter of Medicaid costs. Medicaid’s current structure guarantees children the health and mental health care to meet their individual needs when they need it and must be protected.

Changes that result in loss of or limits on children’s health coverage would require states and local communities to absorb substantial costs. An uninsured child costs the local community $2,100 more than a child covered by Medicaid.

Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit guarantees the full range of comprehensive primary and preventive coverage children need, preventing more serious and costly consequences later on. Almost 75 percent of children enrolled in Medicaid had a preventive well-child visit in the past year compared to 41 percent of uninsured children. Children enrolled in Medicaid miss fewer classes and perform better in school than uninsured children.

Medicaid covers more than 40 percent of all births in the United States, and every $1 spent on prenatal care can save $3.33 in costs associated with care immediately after birth and another $4.63 associated with costs later in the child’s life. Medicaid is also a special lifeline for children with disabilities, serving 40 percent of children in America with special health care needs. For many of these children Medicaid is the only source of financing for their care. For others Medicaid supplements private coverage to help ensure access to the medical equipment and devices (such as hearing aids) they need to survive and thrive.

The National Bureau of Economic Research compared children eligible for Medicaid during childhood to their non-eligible peers and found that the Medicaid-eligible children were more likely to attend college, make greater contributions as adult taxpayers, and live longer than those without coverage. The findings reaffirm the economic case for doing what common sense and morality already dictate: by investing in childhood well-being now, the government will recoup the benefits later. After 50 years of Medicaid’s protections, how can any elected leaders still not get it or get it but simply not care about the most vulnerable among us? We should let them hear from us.

 

Marian Wright Edelman is president of the Children’s Defense Fund whose Leave No Child Behind® mission is to ensure every child a Healthy Start, a Head Start, a Fair Start, a Safe Start and a Moral Start in life and successful passage to adulthood with the help of caring families and communities. For more information go to www.childrensdefense.org.

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Ben Jealous

COMMENTARY: Make Banks Make Good on Their Pledge to End Fossil Fuel Financing

ConocoPhillips needs more than the disastrous approval it won from the Biden administration last week to proceed with its Willow oil drilling project on Alaska’s North Slope. It needs $8 to $10 billion to build 199 wells, hundreds of miles of road and pipelines, a processing plant, and an airstrip on 499 acres that are vital to caribou, migratory birds and indigenous people.

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Ben Jealous is executive director of the Sierra Club. He is a professor of practice at the University of Pennsylvania and author of “Never Forget Our People Were Always Free,” published in January.
Ben Jealous is executive director of the Sierra Club. He is a professor of practice at the University of Pennsylvania and author of “Never Forget Our People Were Always Free,” published in January.

By Ben Jealous

ConocoPhillips needs more than the disastrous approval it won from the Biden administration last week to proceed with its Willow oil drilling project on Alaska’s North Slope. It needs $8 to $10 billion to build 199 wells, hundreds of miles of road and pipelines, a processing plant, and an airstrip on 499 acres that are vital to caribou, migratory birds and indigenous people.

While President Biden certainly could have stopped Willow, so can the financial institutions helping create it. Willow is just the most recent example of banks’ complicity in preserving fossil fuel extraction through a continuing flow of money to Big Oil and Gas — all despite pledging a year ago to pursue the net zero carbon emissions we need to save the planet.

That’s why I joined activists from Third Act Tuesday on a block in Washington to protest among the offices of banking giants Bank of America, Chase, Citibank, and Wells Fargo in our nation’s capital. Third Act is a group founded by environmentalist and author Bill McKibben to bring together Americans over 60 to campaign for a sustainable planet. While I’m still too young to join, I was part of demonstrations they organized at bank branches across the country.

We were there to call out these “dirty” banks’ practices and their unacceptable costs — both immediate and long-term. Right now, any money that goes to Willow and fossil fuel projects like it, is money that won’t be invested in a clean economy, particularly in fledgling companies that are finding sustainable ways to power the planet. It’s those jobs that Alaskans and their descendants really need.

Longer term, the banks’ lending will weaken the impact of an historic $370 billion investment our country will make in the next decade on green technology and alternatives to oil and gas. As those investments pay off, there will be less and less demand for oil coming from projects like Willow. But the supply will remain steady (for 30 years in Willow’s case). So, gas will be cheaper for the holdouts who continue to use it, making it even harder to push them to make the switch.

The situation got even more dire with the collapse of Silicon Valley Bank and the shadow of doubt it unfairly cast on other regional banks. Banks of that size have been vital to the growth of the clean economy. For example, Silicon Valley reportedly financed 60% of community solar energy projects in which property owners jointly construct a solar facility to power their neighborhoods.

The consequence of the turmoil has been to concentrate even more power in the biggest banks. Bank of America, for example, took in close to $15 billion in new deposits in a matter of days after Silicon Valley was taken over by federal regulators.

That makes it even more imperative that we hold these banks to their pledges not to fund new fossil fuel projects (HSBC, Europe’s biggest bank, is keeping that promise). Third Act has suggestions that most people can take to be part of that accountability — cut up credit cards issued by the banks and move deposits out of them, not into them. When more and more people do that, they will be strengthening the case of a small group of the banks’ investors who have begun introducing resolutions at shareholder meetings calling for an end to fossil fuel financing.

Throughout our country’s history, it’s been profitable to consider certain people and places as disposable. We know where continuing that unjust path will lead — to a planet that’s too polluted and too hot to be livable. We’ve passed the time when financial institutions can postpone an end to their investment in the climate’s demise. It’s time these dirty banks put their money somewhere else.

Ben Jealous is executive director of the Sierra Club. He is a professor of practice at the University of Pennsylvania and author of “Never Forget Our People Were Always Free,” published in January

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Ben Jealous

COMMENTARY: A Historic Vote and the Tools It Gave Us

Vice President Kamala Harris is sure to be remembered every March in Women’s History Month as the first woman and the first person of color to serve our nation in that position. As notable as those two facts are, she may grow to be known just as much for a single vote in the Senate that helped save the planet.

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Caption: Ben Jealous.
Ben Jealous

By Ben Jealous

Vice President Kamala Harris is sure to be remembered every March in Women’s History Month as the first woman and the first person of color to serve our nation in that position. As notable as those two facts are, she may grow to be known just as much for a single vote in the Senate that helped save the planet.

Last August, she broke the 50-50 deadlock between Democrats and Republicans in the Senate to pass the Inflation Reduction Act. That historic package, along with the Infrastructure Investment and Jobs Act that Harris had crisscrossed the country in 2021 to build support for, give us a once-in-a-generation chance to protect the climate and build a cleaner, fairer economy.

Both laws bear Harris’ mark. For example, the two packages provide billions to replace diesel school buses with electric ones and an additional tax credit for purchases that counties and cities make on their own. As a senator, Harris repeatedly sponsored bills to electrify the nation’s school buses. Similarly, she championed proposals to help recovery in low-income communities that bear a disproportionate burden of pollution and climate; the IRA includes $60 billion directed to help those places.

Harris’ role inside and outside Washington on environmental issues isn’t surprising. When she was elected San Francisco’s district attorney 20 years ago, she started one of the first environmental justice units in a prosecutor’s office. When she moved on to be California’s attorney general, she fought to protect the state from fossil fuel interests, winning tens of millions in civil settlements and a criminal indictment against the pipeline company responsible for an oil spill off Santa Barbara, as well as suing the federal government to block fracking off the coast. It’s a path others have been able to follow in the years since (Columbia University keeps a database of attorneys general’s environmental actions now).

It’s a concern that runs deep. Like I did, Harris grew up in environmentally conscious northern California in a household deeply involved in the civil rights movement. She learned early that conservation was a good thing, so much so that she has joked she couldn’t understand as a youngster why people she knew said conservatives were bad.

The Biden-Harris administration has provided leadership. With Congress, they’ve given us the tools to clean up pollution, to boost communities’ resilience to climate related natural disasters like wildfires, and to create good jobs in clean manufacturing across the country in unprecedented ways. Through the infrastructure and inflation reduction packages, the United States can spend more than double protecting Earth than we spent putting astronauts on the moon.

“I think we all understand we have to be solutions driven. And the solutions are at hand,” Harris said at a climate summit earlier this month. “We need to make up for some lost time, no doubt. This is going to have an exponential impact on where we need to go.”

It’s time for the rest of us to pick up those tools and build. There are powerful interests that would be more than happy to let the inertia that allows people and places to be treated as disposable continue indefinitely. Our planet can’t afford that, and we have to marshal a movement to prevent it.

Ben Jealous is executive director of the Sierra Club. He is a professor of practice at the University of Pennsylvania and author of “Never Forget Our People Were Always Free,” published in January.

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Bay Area

OPINION: Mayor Sheng Thao’s Decision to Fire Police Chief Difficult but Necessary

After a 30-day suspension and the inaction of the empowered Police Commission, Oakland Mayor Sheng Thao made the difficult but necessary determination to administer discipline for the complicit cover-up actions of the chief of police.

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Jose Dorado
Jose Dorado

By Jose Dorado and Mariano Contreras

After a 30-day suspension and the inaction of the empowered Police Commission, Oakland Mayor Sheng Thao made the difficult but necessary determination to administer discipline for the complicit cover-up actions of the chief of police.

The Latino Task Force supports Thao’s decision to fire Oakland Police Chief LeRonne Armstrong. All Oakland Police Department sworn officers who participated in concealing facts should receive similar discipline. Further, those officers who refused to engage in the cover-up should be recognized and commended.

Decades of cover-ups and no accountability in OPD were rampant before the Riders case gave way to the now 20-year-old consent decree. By firing the chief, Thao sent a clear message that the deep-seated blue wall of cover-up will no longer be tolerated in Oakland.

Thao displayed authentic leadership by weighing the implications and impact that police misconduct and untruthfulness have on all Oakland residents. Bold and necessary decisions are generally opposed by a few, while positively affecting many.

Only with accountability and resolute leadership can we achieve constitutional policing in Oakland. Just as important, the community’s involvement and oversight are necessary to ensure fair and sustainable policing.

Direct community involvement demanding OPD accountability and supporting the tough decisions necessary to achieve this must be emphasized.

The Latino Task Force unequivocally supports the mayor’s decision.

Jose Dorado and Mariano Contreras are members of the Latino Task Force.

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