Why Cities Must Keep Equity a Central Focus in Building a Culture of Health

Cross-posted from Cities Speak

Where you live determines your health as well as your proximity to opportunity. However, deep patterns of discrimination, racial segregation, and decades of federal, state and local policies have dictated where people live and the opportunities to which they have access. Despite advances in public health and improved economic prosperity, poor health outcomes disproportionately affect low-income communities and communities of color.

We cannot ignore how historical, systemic and structural racism has also shaped our nation’s cities and towns, resulting in disparities in education, housing, employment and health. Low-income communities and communities of color are still feeling the impacts of those decades-old decisions today. For these communities, the lack of key resources and services results in poor and costlier health outcomes, which are referred to as health inequities. Simply put, race and place matter when it comes to health and well-being.

In addition to having serious health consequences for individuals and families, health inequities negatively impact the economic competitiveness and vitality of cities through lost potential and productivity.

  • In 2000, the infant mortality among African Americans occurred at a rate of 14.1 deaths per 1,000 live births, which is more than twice the national average of 6.9 deaths per 1,000 live births that same year
  • Children who experience hunger are more likely to be in poor health and have behavioral and emotional problems in schools. Additionally, children experiencing hunger are more likely to repeat a grade and require special education services
  • Researchers estimate that childhood lead exposure in homes costs society over $50 billion per year due to lost economic productivity resulting from reduced cognitive potential

 

Now more than ever, municipal leaders have a responsibility to lead the way in partnering with communities to reimagine, design, and plan healthy places for residents to live, learn, work, and thrive.

 “Economic development is integral to having a healthy community. If we can address the economic issues in our neighborhoods, we can help people live healthier lifestyles,” says Mayor Mark Holland, Unified Government of Wyandotte County, Kansas City, Kansas.

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#Distruptive25 - Angela Glover Blackwell

Cross-posted from Living Cities

Living Cities unveils 25 Disruptive Leaders list, recognizing remarkable individuals who are shaking up the status quo and creating new approaches to address our nation’s most stubborn challenges.
 
Angela Glover Blackwell is the founder and CEO of PolicyLink, and continues to drive its mission of advancing economic and social equity. Under Angela’s leadership, PolicyLink has become a leading voice in the movement to use public policy to improve access and opportunity for all low-income people and communities of color, particularly in the areas of health, housing, transportation, education and infrastructure.
Angela Glover Blackwell has spent her career advocating for practical, sustainable ways to promote equity and ensure that everyone has access to opportunity.
 
A lawyer by training, Angela was a partner at Public Advocates, a nationally renowned public interest law firm representing the underrepresented, from 1977 to 1987. As she litigated class action suits, she developed innovative non-litigation strategies around employment, education, health and consumer affairs. Angela gained national recognition as the founder of Urban Strategies Council in Oakland, California, and led its pioneering approach to social change through community building.
 
Prior to founding PolicyLink, Angela served as Senior Vice President at the Rockefeller Foundation. While there, she developed the Next Generation Leadership and Building Democracy programs, centered on issues of inclusion, race and policy.
 
What does disruptive leadership mean to Angela? Watch the video here.

October 2016

Advancing Equitable Transit-Oriented Development through Community Partnerships and Public Sector Leadership

Overview

This report spotlights four regional eTOD case studies and different approaches to support more inclusive growth. In Denver, a multi-sector coalition pioneered a new funding tool to acquire land near transit for equitable development. In Los Angeles, the transit agency has adopted bold new policies that commit its resources to ensuring affordable housing is developed on agency-owned real estate assets. In Minneapolis – Saint Paul, philanthropy stepped forward to strategically invest resources in a set of comprehensive community building efforts while also serving as an intermediary between public, private and community stakeholders. And in Seattle, the City is working to address workforce development and commercial stabilization among some of its most ethnically diverse transit-served communities.
 
Each of the four case studies provide lessons learned for other communities, including: 
  • Transit agencies can set the bar for equitable TOD.
  • Publicly-held land assets create powerful leverage point.
  • Make racial equity an explicit goal.
  • Measure impact to tell your story.
  • History and Culture Matter
  • Collaboration and patience pay off.
  • Transit is about more than just a line.

Perspectives of Urban Corner Store Owners and Managers on Community Health Problems and Solutions

Overview

Urban corner store interventions have been implemented to improve access to and promote purchase of healthy foods. However, the perspectives of store owners and managers, who deliver and shape these interventions in collaboration with nonprofit, government, and academic partners, have been largely overlooked. We sought to explore the views of store owners and managers on the role of their stores in the community and their beliefs about health problems and solutions in the community.

October 2016

Healthy Communities of Opportunity: An Equity Blueprint to Address America’s Housing Challenges

Overview

From San Francisco, California to Flint, Michigan, the nation is facing an escalating housing crisis. Skyrocketing rents, inadequate infrastructure and stagnant wages are some of the barriers that are preventing millions of low-income Americans and communities of color from reaching their full potential. Healthy Communities of Opportunity: An Equity Blueprint to Address America’s Housing Challenges weaves together insights from the fields of healthcare, housing and economic security to outline a case for progressive, equity-focused policy.

"Healthy Communities of Opportunity provides an actionable roadmap to solve the interwoven housing and health crises that impact many people. This thorough review of the housing crisis from PolicyLink and their cross-sector approach to the solutions is a significant contribution to addressing the problem."
David Fukuzawa
Managing Director, The Kresge Foundation’s Health and Human Services programs

 

For low-income people of color, where you live not only determines access to education and employment but how long you live and how well you live. This new report from PolicyLink and the Kresge Foundation puts forth an action agenda to create far greater access to vibrant, healthy communities of opportunity.
Angela Glover Blackwell
PolicyLink President and CEO

Fueling an Equitable Labor Movement: A Conversation with Jobs With Justice Executive Director Sarita Gupta

Named one of Bill Moyers's "19 Young Activists Changing America," Sarita Gupta, executive director of Jobs With Justice, is a driving force for economic and social justice within today's labor movement. Drawn to the labor movement as a student activist at Mount Holyoke College, Gupta has spent her career fighting for the rights and dignity of working people, especially low-wage earners and workers of color. 

Under Gupta's direction, Jobs With Justice has helped to win wage increases for 10 million low-income New Yorkers and Californians, secured overtime and wage protection for two million home-care workers, and helped update overtime regulations that affect 12.5 million workers. Gupta also serves as co-director of Caring Across Generations, a national movement working to transform the growing care-giving sector. 

Here, Gupta shares her vision for a healthier economy and brighter future through advancing the rights, voice, and power of America's workers.

You began your career in advocacy as a student activist, and you served at the United States Student Association from 1996 to 1998 first as vice president, then as president. How did this early work in education set the stage for your transition into the labor movement?

As a student activist, I witnessed friends and fellow students having to drop out of school because they couldn't afford tuition. I began to see systemic issues at play. You can't achieve educational success without having economic stability, and without attaining a higher level of education, your job options are limited. So, I was moved to get involved and help break this cycle.

During my tenure at the United States Student Association (USSA), I realized that the forces moving an agenda to privatize and corporatize higher education, cut taxes, and limit student voice in shaping policies in their states, were many of the same special interests who stood against the rights and opportunities of working people. It was clear to me that the only way to counter the attacks on students and working people was to build a joint movement. 

Given that the fight to increase worker power in the United States is often in opposition to powerful corporate interests, how can advocates meet the challenge of changing the culture of labor in the U.S.?

There will always be antagonism between corporate interests and working people's interests, so it's healthy and honest for there to be conflict and differences. And one should be suspect if someone argues otherwise. In the history of the United States, working people have struggled for all the protections that we have earned — from the safety net to child labor laws, to the eight-hour workday. These bedrock protections weren't handed down to Americans out of the charity and benevolence of corporations or our government. Thirty years of neoliberal policy in this country led to corporations holding an extreme concentration of wealth and power. If we are ever going to achieve the type of equity that is necessary and healthy for the economy, we need to shift the balance of power back into the hands of working people and ensure that the voices of unions of working people are respected, as they are in many industrialized nations.

Is it going to be culturally challenging? Of course, but by joining for a common cause, we can have more of a say and negotiate more for ourselves, as well as the next generation. Corporations are not immune from the pressure of a rising tide of public outrage and a groundswell of critique from employees. We also can look to the growing movement of socially responsible business models, like B corporations, as evidence that there are American businesses striving to reconsider their relationship with their employees. They are proving that businesses thrive when they listen to and invest in people who make them successful.

In your opinion, what is the relationship between workers' rights and the overall strength of the economy?

In recent decades, much of the discourse around the economy has focused on the needs of corporate interests, which only addresses one part of the whole economy. As a result, policies that address the economic security of families are often cast as a threat to economic growth. But, if people lack the means to participate in the economy as workers and consumers, then the economy suffers.

At Jobs With Justice, we believe a strong and vibrant national economy is one in which the needs of both families and firms are met. Our economy is off-balance with too much power and money in the hands of too few. When working people can come together and negotiate over the terms and conditions in the workplace, and can have input over their communities, we can rebalance the economy.

How will labor movements help the United States navigate the dual demographic shifts facing our economy: the increasing size of our aging population and the rapidly growing majority of color?

This is an exciting time for our nation. We have the opportunity to write new rules to address the future of our communities, the future of work, and future generations. But by failing to implement solutions, we're allowing some profitable employers to push people of color into low-wage jobs with no opportunity for advancement. Many hardworking moms, dads, and young people aren't earning enough to sustain their families, despite working in booming sectors of society like home care, restaurant and food services, child care, and retail, to name a few.

Thankfully, the growing Fight for $15 and a Union movement, the movement for Black lives, adjunct professors pushing back against poverty wages, and countless other campaigns for change are all fueling the demands for a better life and a new social contract. 

Given the growth of our aging population, we're in the midst of an unprecedented boom in the need for care providers. At the same time, the baby boomers are living longer than any previous generation, thanks to advances in technology and health care. While care is the work that makes all other work possible, caregivers like nannies and home care aides who look after our elders and children work under strenuous, highly vulnerable conditions, while earning poverty wages.

We have a tremendous opportunity to meet the soaring need for high-quality caregivers and ensure these jobs are good jobs — ones that offer stability and opportunity for the millions of people who do this work every day. To meet that challenge, the campaign I co-created called Caring Across Generations, is mobilizing millions of people to place care at the forefront of the national conversation, and move policies that make care affordable and accessible.

As grassroots organizations work to shape U.S. workforce policies, how should they decide where to focus their energy?

Deploying energies locally would be smart, as generally, we have the most opportunity to win at the state and municipal level. Local wins are foundational. By winning a new policy demand, organizations can set in motion more change by inspiring other communities to follow suit and demonstrate what's possible. Regardless of the gridlock in DC, the campaigns that are most transformative have been focused locally, modeled a new policy approach, and built momentum across the country.

For example, we led the charge with Jobs With Justice San Francisco to enact the first set of comprehensive and meaningful standards to address unstable work schedules and stop employers from assigning employees too few hours on too short notice, which jeopardizes their ability to provide for their families. Now 40,000 people who work in large retail and restaurant establishments in San Francisco have stronger guarantees of a fair and consistent schedule. Our friends at Working Washington were coordinating and learning lessons from us as they mounted a similar campaign, and just last month the Seattle City Council passed their robust scheduling legislation, which the mayor has committed to signing.

Grassroots organizations also should focus their energies on shaping the public conversation about the policies they want to enact. Grassroots groups and policy groups too often fall back on doing what they know best — talking to their bases and constituencies in the language that speaks to them. It's not enough. We have to build the muscle of connecting with people who aren't already on board with us.

September National Equity Atlas Update

The Atlas is announcing the beta version of a new feature that highlights the equity movement on-the-ground:
 
Preview neighborhood-level mapping added to the Atlas
Today, we released the beta version of new interactive neighborhood-level mapping on the Atlas. These new maps allow users to understand how selected indicators (e.g., unemployment) vary across neighborhoods within a city or region, and can help inform targeted employment and workforce development initiatives as well as infrastructure investments. This beta release features county and census-tract level maps of the unemployment indicator. Register for our special preview of the maps on October 6 specifically for Atlas subscribers and share your feedback ahead of the public release next month.
 
Welcoming America webinar
Welcoming America helps communities across the country achieve prosperity by becoming more welcoming toward immigrants and all residents. On October 7 the National Equity Atlas will be featured in a webinar on eelcoming and economic development. Participants will examine selected economic indicators on the Atlas to get a sense of how immigrants are faring in their communities. Angel Ross, Research Associate at PolicyLink and Justin Scoggins, Data Manager at the USC Program for Environmental and Regional Equity (PERE) are featured speakers. Register here.
 
Forward Community Investments webinar
Last week, the National Equity Atlas kicked off the Forward Community Investments 2016-2017 Racial Equity Webinar Series. The goal of this series is to provide FCI partners with tools and approaches that can be used to advance social, racial, and economic equity and inclusion within their work. The webinar provided an overview of the Atlas framework and a walk through of the Atlas, focusing specifically on Wisconsin.

New Report Makes Case for Equity in Metro Atlanta
A new report from the Partnership for Southern Equity (PSE), Growing the Future: The Case for Economic Inclusion in Metro Atlanta, describes how equity is both a moral and economic imperative for the Atlanta region and for the nation as a whole. The report highlights our full employment analysis and GDP with racial equity analysis, both of which underscore how eliminating racial inequities results in “equity dividends” for the broader economy. See our short post about the report here.

New “Chart of the Week” series
We've launched a new "Chart of the Week" series to add equity data about growth and prosperity to the national dialogue. Every week, we post a new chart drawing from the Equity Atlas related to current events and issues. Our inaugural post lifted up #BlackWomensEqualPay and looked at median wages for Black women in Atlanta, Georgia. We also shared charts highlighting the #Fightfor15, #NoDAPL, and the most recent Census report. Follow our posts on social media using #equitydata, #Fightfor15, and #NoDAPL and in our Data in Action section.

Food and Nutrition: Hard Truths about Eating Healthy

Overview

The seventh and final report in the “City Voices: New Yorkers on Health” series, “Food and Nutrition: Hard Truths about Eating Healthy” shows that while food stamps and food pantries are critical resources, they are falling short when it comes to helping low-income New Yorkers maintain healthy eating habits. The report is the result of surveys and focus groups conducted in Manhattan, Brooklyn, Queens and the Bronx, with residents representing more than 10 ethnic and cultural groups talking about the issues that have the greatest impact on their overall health and wellbeing. Community health advocates also express their views in a report that explores food insecurity and the ways that cultural differences may impact healthy eating habits.

Chart of the Week: Why the Latest U.S. Census Report Matters

To add equity data to the national dialogue about growth and prosperity, every week the National Equity Atlas posts a new chart related to current events and issues.

Yesterday, the Census Bureau released a report on 2015 income and poverty data, announcing that median household income increased by over 5 percent—the fastest growth on record. As President Obama described in a Facebook post and video with Jason Furman, Chairman of the Council of Economic Advisers, the gains were largest among the bottom fifth of households.

To highlight why this gain — especially among the bottom quintile of earners — is so important, this week’s chart looks at real earned income growth for full-time wage and salary workers in the United States from 1980 to 2012.

 

Over the three decades from 1980 to 2012, the inflation-adjusted earnings of the bottom 10 percent of workers decreased the most at more than 11 percent. In fact, the whole bottom half of workers experienced real declines in their incomes over this period. At the other end, those in the top 10 percent saw their earnings increase by nearly 15 percent. The announcement that real income growth in 2015 was the fastest since 1969 for households at the 10th, 20th, 40th, 50th, and 60th percentiles is a promising finding, though there is still more to be done.

These income increases, combined with refundable tax credits, lifted millions of families and children out of poverty. In 2015, 9.2 million Americans, including 4.8 million children, moved above the poverty line with the help of credits like the Earned Income Tax Credit (EITC) and the Child Tax Credit (CTC). Expanding these social safety net programs through a more equitable tax code and advancing pre-tax income strategies like minimum wage increases and stronger collective bargaining rights are key to supporting the more than 8 million families still in poverty. For more information on policies that contribute to wage growth, see the Economic Policy Institute’s Agenda to Raise America’s Pay.

To view the distribution of income growth in your community over the last three decades, visit the National Equity Atlas and type in your city, region, or state. Download the charts and share them on social media using #equitydata.

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