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Public Health, Place and Social Media for Organizing to Eliminate Health Inequities

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Slides from a presentation given to HPA 494 at the University of Illinois at Chicago on March 11, 2011.

Slides from a presentation given to HPA 494 at the University of Illinois at Chicago on March 11, 2011.

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  • Adjunct Professor Linda Murray, MD, MPH Angela Odoms-Young, PhD
  • Note: CVD = cardiovascular disease; HDI = health disparities index. Value of 0.00 represents racial/ethnic parity in mortality rates, while a value of 1.00 represents the average Black–White mortality disparities across the United States. FIGURE 1—Component disease processes of HDI for a) Massachusetts and b) Illinois. Y-axis values are HDI scores for each disease process or for state disparities as a whole. Source: From Politics to Parity: Using a Health Disparities Index to Guide Legislative Efforts for Health Equity Bryant Cameron Webb, BA, Sean L. Simpson, PhD, and Kristen G. Hairston, MD, MPH (Am J Public Health. 2011;101:554–560. doi: 10.2105/AJPH.2009.171157)
  • The powell report, the focus of a major community forum sponsored by the Leadership Council in 2001 presented the concept of “Opportunity-Based Housing (OBH),” a model that suggested that “the creation and preservation of affordable housing must be deliberately connected to high performing schools, sustaining employment, necessary transportation infrastructure, childcare, and institutions that facilitate civic and political activity.” (See figure 1.)
  • Source: Luce et al 2005, Map 8 Segment
  • Source: Luce et al 2005, Map 8 Segment South suburbs in Cook County, IL
  • This year Bank of America is receiving the “income tax refund from hell” – $666 million for 2010, according to its annual report filed in late February 2011. This is following a $3.5 billion refund reported in 2009. Bank of America’s federal income tax benefit this year is roughly two times the Obama administration’s proposed cuts to the Community Development Block Grant program ($299 million). Six banks – Bank of America, Wells Fargo, Citigroup, JPMorgan Chase, Goldman Sachs, and Morgan Stanley together paid income tax at an approximate rate of 11% of their pre-tax US earnings in 2009 and 2010. Had they paid at 35%, what they are legally mandated to pay, the federal government would have received an additional $13 billion in tax revenue. This would cover more than two years of salaries for the 132,000 teacher jobs lost since the economic crisis began in 2008. Wells Fargo reportedly received a $4 billion federal income tax refund on $18 billion in pre-tax income in 2009, and paid 7.5% of its pre-tax income of $19 billion in 2010 in federal taxes. Its net federal income tax benefit for 2009 and 2010 combined, $2.5 billion, is equal to the Obama administration’s proposed cuts of 50% to the Low-Income Home Energy Assistance Program. Banks use a variety of mechanisms to avoid corporate income taxes, including offshore tax shelters. 50% of the six banks’ 1871 foreign subsidiaries are incorporated in jurisdictions that have been identified as offshore tax havens, such as the Cayman Islands. Bank of America operates 371 tax-sheltered subsidiaries, more than any other big bank studied, and 204 subsidiaries in the Cayman Islands alone, according to its latest regulatory filings. 75% of Goldman Sachs’s foreign subsidiaries are incorporated in offshore tax havens. • The banks’ private banking arms also protect the wealth of rich clients from taxation through offshore investment strategies. Bank of America’s wealth management arm encourages clients to register their yachts in foreign jurisdictions for tax reasons. • Closing special tax loopholes on the financial sector and implementing sensible revenue-raising initiatives such as the Financial Speculation Tax could generate over $150 billion in federal tax revenue each year.
  • This year Bank of America is receiving the “income tax refund from hell” – $666 million for 2010, according to its annual report filed in late February 2011. This is following a $3.5 billion refund reported in 2009. Bank of America’s federal income tax benefit this year is roughly two times the Obama administration’s proposed cuts to the Community Development Block Grant program ($299 million). Six banks – Bank of America, Wells Fargo, Citigroup, JPMorgan Chase, Goldman Sachs, and Morgan Stanley together paid income tax at an approximate rate of 11% of their pre-tax US earnings in 2009 and 2010. Had they paid at 35%, what they are legally mandated to pay, the federal government would have received an additional $13 billion in tax revenue. This would cover more than two years of salaries for the 132,000 teacher jobs lost since the economic crisis began in 2008.
  • http://www.planning.org/nationalcenters/health/pdf/HealthySustainableFoodSystemsPrinciples.pdf accessed March 11, 2011 Principles of a Healthy, Sustainable Food System In June 2010, The American Dietetic Association, American Nurses Association, American Planning Association, and American Public Health Association met to develop a set of shared food system principles. For the first time, national leaders in the nursing, nutrition, planning, and public health professions worked collaboratively to create a shared platform for systems-wide food policy change. Endorsed by coalition members, the principles were written to support socially, economically and ecologically sustainable food systems that promote health — the current and future health of individuals, communities and the natural environment. Collaboration among the coalition organizations will enable greater communication and coordination among the professions, from the local to national levels. The coalition plans to build upon the principles by continuing to advocate for improved food systems. Efforts are under way to coordinate with other health, nutrition, and planning related organizations and to connect the food system interest groups of each organization.
  • Transcript

    • 1. Public Health, Place and Social Media for Organizing to Eliminate Health Inequities Jim Bloyd, MPH Presentation to HPA 494 Health Disparities in the United States University of Illinois at Chicago School of Public Health March 11, 2011
    • 2. Topics
      • Evidence of health inequities
      • Opportunity-based housing
      • Organizing and Usuncut as example of use of social media
      • Principles of a sustainable food system
    • 3.
      • In 2007 it was estimated that 8.3% of adults over the age of 20 in Cook County (including the City ) had diabetes.
      • Nationally 24 million people have diabetes.
      • National direct medical costs are estimated at $116 Billion
      • National total costs are $174 Billion
      Diabetes in Cook County
    • 4. Diabetes in Suburban Cook
      • The South District had the highest rates of hospital discharges for diabetes. The Southwest District had the highest rates for the youngest and oldest age group.
      • Source: Cook County DPH, wePLAN
    • 5.
      • Residents of largely African American zip codes in Chicago had over five times higher per capita amputation rates than residents of primarily white zip codes. Feinglass, et al (2008)
      • Researchers can now accurately predict life outcomes from health to education to life expectancy based on the zip code in which a child grows up. (US HUD, 2010, NOFA docket FR-5415-N-01)
    • 6. Illinois worst in health disparity index 1999-2005 Cameron Webb et al. (2011) Y-axis values are HDI scores for each disease process or for state disparities as a whole. Illinois Massachusetts
    • 7. Segregation of Opportunities: Opportunity-Based Housing (Powell (2001), Luce et al 2005)
    • 8. Opportunity indicators
    • 9. Opportunity indicators
    • 10. Opportunity indicators
    • 11. Opportunity indicators
    • 12.
      • Black and Hispanic households in the Chicago region are located almost entirely in ‘low opportunity’ communities: 94% of Black residents and 83% of Hispanic residents live in these communities. By contrast, just 3% and 4% of households in ‘high opportunity’ communities are Black or Hispanic, respectively. (Luce, Lukehart & Reece, 2011)
    • 13. African American Population by Municipality, 2000, with Low and Lowest Opportunity Communities Identified.
    • 14. African American Population by Municipality, 2000, with Low and Lowest Opportunity Communities Identified.
    • 15. How has public health engaged in community organizing? In your opinion what is the role of local public health in c.o.? What examples can you name of the barriers listed in the purple bar? Source: Hofrichter & Bhatia, Tackling health inequities through public health practice (2010) Oxford
    • 16. Magazine article sparked multiple chapters of USuncut & protests in <1 month
      • Johann Hari, activist and promoter of UKuncut
      • February 3, 2011 The Nation articles
        • ‘ How to Build a Progressive Tea Party’
        • ‘ A Ten-Step Guide to Launching US Uncut’
      • Direct connection of corporate tax avoidance with social program cuts
      • Foundation of twitter, facebook, social media
      • (source: Hari, The Nation . Feb 3, 2011)
    • 17. How Wall Street Speculation and Tax Avoidance are Starving Public Revenues Report: National People’s Action, March 2011
    • 18. Big Bank Tax Drain Source: NPA
      • Bank of America’s federalincome tax benefit this year is roughly two times the Obama administration’s proposed cuts to the Community Development Block Grant program ($299 million).
      • Six banks paid income tax at an approximate rate of 11% of their pre-tax US earnings in 2009 and 2010. Had they paid at 35%, what they are legally mandated to pay, This would cover more than two years of salaries for the 132,000 teacher jobs lost since the economic crisis began in 2008.
    • 19. Principles of a Healthy, Sustainable Food System
      • Health promoting
      • Sustainable
      • Resilient
      • Diverse In: Size, geography, culture, choice
      • Fair
      • Economically balanced
      • Transparent
      http://www.planning.org/nationalcenters/health/pdf/HealthySustainableFoodSystemsPrinciples.pdf
    • 20. Thank you
      • I am on twitter @j_bloyd
      • Jim Bloyd, MPH
      • Cook County Department of Public Health
      • Oak Forest Hospital Campus
      • 15900 S. Cicero Av., Building E, 3 rd Floor
      • Oak Forest, Illinois 60452
      • 708-633-8314
      • [email_address]

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