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People power and the fight for health equity
- 1. People Power & The Fight for Health Equity James E. Bloyd, MPH Cook County Department of Public Health Tuesday, January 22, 2019. Noon-1:00 p.m. Rush University Medical Center, Cohn Building- Field Auditorium, Chicago, Illinois Center for Community Health Equity DePaul University. Rush University When a people are mired in oppression, they realize deliverance only when they have accumulated the power to enforce change. Rev. Dr. Martin Luther King, Jr. Via @DrIbram Ibram X. Kendi Collaborative For Health Equity Cook County WHERE PEOPLE, PLACE, AND POWER MATTER
- 2. Presentation & Dialogue • Inequitable distribution of health and well-being-some evidence • ‘nothing as practical as a good theory’ • The work of Collaborative for Health Equity Cook County (www.CHECookCounty.org #PublicHealthWoke @CHECookCounty) • Minimum Wage • Protect Immigrant Health Now! • Role of US Health Care (Himmelstein & Venkataramani 2018) • Dialogue
- 3. 73.2 78.8 79.9 79.9 87.0 65 70 75 80 85 90 Less than 25k 25k - 35k 35k - 44k 44k - 53k Greater than 53k Lifeexpectancyatbirthinyears Median Income Average Life Expectancy (2003-2007) by Median Income of Census Tract/Municipality (2009), Cook County Source: Life expectancy calculated by the VCU Center on Human Needs from 2003-2007 data provided by Cook County Health Department: Median Income from 2009 Geolytics Premium Estimates. 13.8 Years 8.2 7.17.1 2/15/16 Collaborative For Health Equity Cook County WHERE PEOPLE PLACE AND POWER MATTER 1
- 4. Premature mortality & privilege & deprivation Figure. Scatterplots of raw data displaying relationships between ICEIncome+Race and age-adjusted premature mortality rate (years 2011-2015; deaths per 100 000 population age <65 years) by Chicago community area. ICE, Index of Concentration at the Extremes. • ICErace+income had strongest relationship with <65 mortality • ICE measures “societal distributions of concentrations of privilege and deprivation” (Krieger 2016) • Frames ‘…the problem of health inequities as inequitable relationships between societal groups’(Krieger 2016) Lange-Maia, B. S., De Maio, F., Avery, E. F., Lynch, E. B., Laflamme, E. M., Ansell, D. A. et al. (2018). Association of community-level inequities and premature mortality: Chicago, 2011-2015. J Epidemiol Community Health.
- 5. % of Black & Latinx children in Cook County by neighborhood opportunity level Black,54% Black,28% Black,10% Black,5% Black,4% Hipanic/Latino, 32% Hipanic/Latino, 36% Hipanic/Latino, 19% Hipanic/Latino, 8% Hipanic/Latino, 5% 0% 10% 20% 30% 40% 50% 60% Very Low Low Moderate High Very high DiversityDataKids.org & Kirwan Inst (2016)
- 6. % of White children in Cook County by neighborhood opportunity level 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Very Low Low Moderate High Very high Very Low Low Moderate High Very high DiversityDataKids.org & Kirwan Inst (2016)
- 7. % of children in Cook County by Race/ethncity & neighborhood opportunity level 0% 10% 20% 30% 40% 50% 60% Very Low Low Moderate High Very high Black Hipanic /Latino American Indian and Alaskan Native Other Races Asian or Native Hawaiian And Other Pacific Islander (API) White DiversityDataKids.org & Kirwan Inst (2016)
- 8. “By failing to curb discrimination that its own data disclosed, the Federal Reserve violated African Americans’ legal and constitutional rights.” Rothstein, R. (2017) p.111
- 9. Structural Racism in Cook County Property Taxation • $2.2 billion in property taxes were shifted onto the bottom 80% of houses from the top 20%. This burden was shifted onto property owners in Cook County who were predominantly of color. (Berry 2018; Circuit Court of Cook County, Illinois. No. 17 CH 16453 2018).
- 10. Hawaii Public Health • Makai (Downstream) • Access to Health Care • Smoking, Physical Activity, Obesity • Upstream “Root Causes” • Political Context & Governance • Social/ Economic Conditions Source: State of Hawai’i. (2011)
- 11. World Health Organization Commission on the Social Determinants of Health Conceptual Framework Solar & Irwin (2010) http://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf 2/15/16 Collaborative For Health Equity Cook County WHERE PEOPLE PLACE AND POWER MATTER 11
- 12. Determinants of Health, or Determinants of Inequities? Conflating the social determinants of health and the social processes that shape these determinants’ unequal distribution can seriously mislead policy... Policy objectives will be defined quite differently, depending on whether the aim is to address determinants of health or determinants of health inequities. Solar & Irwin (2010) p49
- 13. March 15, 2017 All-staff meeting, Cook County Department of Public Health Staff Recommendations/ Requests: 1) Training on how to respond to ICE threatening CCDPH clients 2) List of referral organizations 3) Welcoming Signage
- 14. CCDPH 7 Elements of Health Equity Practice • Focus on the causes of social inequalities • Develop alliances>>policy decisions • Develop relationships with communities • Campaigns initiated & led by others • Build a base to support health equity practice • Health equity organizational development • Develop new public narrative • Monitoring & surveillance supporting equity actions NACCHO (2014) p40-49
- 15. • 19 National Collaboratives For Health Equity • Learning Community • www.checookc ounty.org @checookcoun ty
- 16. November 2018 Drs. Ansell & Murray Op Ed
- 18. Calumet City, Illinois, Struggle for #1FairWage & $15/hour, City Hall CHE Cook County built relationships with organizing: Centro de Trabajadores Unidos-Immigrant Workers Projcet CTU- IWP Southsiders Organized for Unity & Liberation S.O.U.L. Restaurant Opportunities Centers United Chicago ROC Chicago
- 19. • CHE Cook County supported CTU-IWP and ROC Chicago, Shriver Center, and other organizations who joined residents to pass a referendum supporting #OneFairWage in Calumet City, IL
- 20. What is Public Health Woke? • Loose coalition of Chicago area health groups, inspired by the national PublicHealthAwakened.org • Founding partners: Collaborative for Health Equity Cook County; Health & Medicine Policy Research Group; University of Illinois School of Public Health , Center for Public Health Practice; 7th District (Comm. Jesus Chuy Garcia) Health Task Force; Radical Public Health; Project Brotherhood • Packed February 10, 2017 Forum to present the Guide to Public Health Actions for Immigrant Rights • Thunderclap & September 1, 2017 Testimony to CCHHS Board • Medicine Grand Rounds, Linda Rae Murray, October 2017 • Linda Coronado & Alma Anaya visited Oakland Immigrant Health organizers • 140 people attend all-day Sanctuary Health Care Conference February 3, 2018 • Health equity/health care/public health origins, not long-established, immigrant rights Chicago area organizing groups • Our Strengths—Our weaknesses, blind spots
- 21. Public Health Woke: Seventh District (Commissioner Jesus Chuy Garcia) Health Task Force Collaborative for Health Equity – Cook County Health & Medicine Policy Research Group Coordinating Center for Public Health Practice – UIC School of Public Health Organizational Supporters * AIDS Foundation of Chicago * Brighton Park Neighborhood Council *Centro de Trabajadores Unidos-Immigrant Workers Project * Coalición Nacional para Latinxs con Discapacidades * Enlace Chicago * EverThrive Illinois * Healthy Illinois Campaign REPORT CARD ON DEMANDS FOR CCHHS 10/27/2017 F 1. Place abundant and clear signage in multiple languages assuring a welcoming institution. D- 2. Give staff training and resources addressing needs of marginalized patients and families. F 3. Establish referral systems for legal services, know your rights information and other resources needed by immigrant and other marginalized communities. F 4. Clarify, revise and strengthen policies and procedures that focus on protecting immigrant and marginalized patients. F 5. Identify and monitor indicators and neighborhood stress in immigrant and marginalized communities. F 6. Design and implement best practices for clinical and public health providers to deliver appropriate care. * ICAH Illinois Caucus for Adolescent Health * Our Revolution Illinois/Chicago *Protect Our Care Illinois * Public Health Awakened * Radical Public Health * Restaurant Opportunities Center Chicago (ROC Chicago) * Southsiders Organized for Unity and Liberation * Syrian Community Network
- 22. Public Health Actions for Immigrant Rights A Short Guide to Protecting Undocumented Residents and Their Families for the Benefit of Public Health and All Society Public Health Awakened is an initiative convened and staffed by Human Impact Partners
- 23. APHA ‘Spirit of 1848’ Health Activist Session Nov 12, 2018 • Ilda Hernandez & Sahida Martinez, Community Health Workers, Enlace Chicago • Video Link https://youtu.be/Vniz lanuuq0 #PublicHealthWoke @CHECookCounty #APHA2018 Video Credit: Miguel Guevara. See Spirit of 1848 Session Reportp9 http://www.spiritof1848.org/2018_spirit%20of%2018 48%20APHA%20reportback_final_1123_secure.pdf
- 24. Public Health Woke Survey—New Data • N=94 • Social service agencies, health providers, community organiztions • Modeled similar survey completed in California • Conducted Fall/Winter 2017-18 • Convenience sample
- 25. What type of agency do you work for? Community Health Center 19% Hospital/Clinic 18% Governmental Public Health 4%Social Service Agency 16% Community Organization 25% Faith-based Organization 2% School/University 7% Other 9% (n=94)
- 26. Since November 2016, my clients are less likely to sign up for public programs, services and healthcare. 12 20 15 19 11 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive (N=77, n/a=17) 61%
- 27. Since November 2016, I feel that clients or their family members have shown increased fear, stress, or other mental and emotional health impacts. 45 24 8 3 1 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive (N=81, n/a=12) 95%
- 28. Since November 2016, my clients report that they themselves, and/or family, friends, and neighbors are afraid to leave their house or neighborhood. 17 27 16 13 5 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Exactly Descriptive Very Descriptive Descriptive Somewhat Descriptive Not Descriptive (N=78, n/a=15) 77%
- 29. A wide variety of conference sponsors and attendees.
- 30. LEFT: Public Health Woke members with signs at a Meeting of the CCHHS Board. BELOW: Planning meeting hosted by Dr. Griselle Torres, Coordinating Center for Public Health Practice, UIC School of Public Health. LEFT & ABOVE: Over 140 people attended the February 3, 2018 Sanctuary Healthcare for All Conference, Chicago, IL. RIGHT: Public Health Woke members in hallway after providing testimony to CCHHS Board.
- 32. Videos of 9-1-17 CCHHS Board Testimony checookcounty.org [Video Credit: Anna Yankelev]
- 33. Social Movements and Collective Action (House Staff Strike 1975) “County” Ansell (2011) 2/15/16 Collaborative For Health Equity Cook County WHERE PEOPLE PLACE AND POWER MATTER 33
- 34. Hospitals employ 25.3% of healthcare workers earning <$15/hour 1.5 million people 0 5 10 15 20 25 30 Specific industries of healthcare workers earning <$15/hour % of all healthcare workers earning <$15/hour(Himmelstein & Venkataramani 2018)
- 35. Tachina Hawood, CNA Swedish Covenant Hospital $1,631 Monthly pay -$517 Rent -$300 Utilities -$500 Food -$100 CTA Trans -$207 Childcare deductible Source: Public Video 12/13/2018 https://youtu.be/R0sL5guDkBk
- 36. Himmelstein & Venkataramani 2018; SEIU health care 2018 • A total of 1.7 million female health care workers and their children lived in poverty. Raising the minimum wage to $15/hr would reduce poverty rates among female health care workers by 27.1% to 50.3%. • In December, healthcare service workers in Chicago challenged hospital CEOs to live on $13/hour during the Holidays. Healthcare workers protest at IL Hosp Assn December 13, 2018
- 37. Cook County Commissioner Brandon Johnson (1st) “I too call on these four CEOs to try to live on $13 an hour during the holiday season! If they walked just one day in the shoes of some of the hospital workers here right now, there is no question in my mind these CEOs would have a new perspective about the value of your labor, your dedication, and your service to patients and families.” SEIU Health Care, Illinois, Indiana, Missouri, Kansas. (2018).
- 38. Why? Some ideas… • Structural violence is not so plainly visible (Zimmerman 2018 w/ Bezruchka) • exploitative market capitalism>perpetuates racism, poverty, income inequality (Ansell 2017) • where liberal macroeconomic policies position virtually all economic activity - including unhealthy activity - as beneficial, there is an inbuilt incentive to ‘blame the victim’ rather than to tackle the corporate and economic causes of the problem (Scott-Samuel & Smith 2015)
- 39. Who Benefits??? A suggestion… “Groups most likely to receive unearned privileges and benefits because of group membership” are Non-Target Groups [emphasis added] (NACCHO, RootsofHealthInequit y.org)
- 40. w/ o Who Benefits??? A suggestion… For every oppressed group, there is a privileged group… (NACCHO, RootsofHealthInequ ity.org)
- 41. Thank you! Discussion Possible questions: What stood out to you in the presentation? What was surprising? In your experience, what holds health workers back from tackling root causes, such as the low wages paid to women of color in the health care sector? James E. Bloyd, MPH (708) 633-8314 jbloyd@cookcountyhhs.org Regional Health Officer, Cook County Department of Public Health 15900 S. Cicero Av., Oak Forest IL 60452 Recognizing the energy, commitment and courage of the supporters and leaders of CHE Cook County, #PublicHealthWoke & Cook County Department of Public Health.
- 42. References 1 Acevedo-Garcia, D., McArdle, N., Hardy, E. F., Crisan, U. L., Romano, B., Norris, D. et al. (2014). The Child Opportunity Index: Improving Collaboration Between Community Development And Public Health. Health Affairs, 33(11), 1948-1957. Ansell, D. A., & Murray, L. R. (2018). For our health, listen to the voters and raise minimum wage in all Cook County. Chicago Sun Times. Ansell, D. (2011). COUNTY: Life, Death and Politics at Chicago’s Public Hospital. Chicago: Academy Chicago Publishers. Ansell, D. A. (2017). The Death Gap: How Inequality Kills. Chicago: University of Chicago. Berry, C. (2018). Estimating Property Tax Shifting Due to Regressive Assessments: An Analysis of Chicago, 2011 to 2015. Chicago, Illinois: Center for Municipal Finance, University of Chicago. Centro de Trabajadores Unidos. (2016). Calumet City Becomes the First City In Illinois To Vote on One Fair Wage. http://centrodetrabajadoresunidos.org/2016/12/20/calumet-city-becomes-first-city-in-illinois-to- vote-on-one-fair-wage/. Circuit Court of Cook County, Illinois. (2018). BRIGHTON PARK NEIGHBORHOOD COUNCIL, LOGAN SQUARE NEIGHBORHOOD ASSOCIATION, and SOUTH SUBURBAN HOUSING CENTER V. JOSEPH BERRIOS, in his official capacity as the Cook County Assessor; and COUNTY OF COOK, a body politic and corporate. No. 17 CH 16453. Cook County, Illinois.
- 43. References Continued 2 Diversitydatakids.org, & Kirwan Institute for the Study of Race and Ethnicity. (2016). The Child Opportunity Index: Measuring and mapping neighborhood-based opportunities for U.S. children. Brandeis University; The Ohio State University. Gee, G. C., & Ford, C. L. (2011). Unpacking Racism and its Health Consequences Structural Racism and Health Inequities, Old Issues, New Directions. DuBoise Review: Social Science Research on Race, 8(1), 115-132. Himmelstein, K. E. W., & Venkataramani, A. S. (2018). Economic Vulnerability Among US Female Health Care Workers: Potential Impact of a $15-per-Hour Minimum Wage. Am J Public Health, e1-e8. Jayaraman, S. (2016). Forked: A New Standard for American Dining. New York, NY: Oxford. Krieger, N. (2016). Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes. American Journal of Public Health, 106(2), 256-263. Malinowski, B., Minkler, M., & Stock, L. (2014). Labor Unions: A Public Health Institution. Am J Public Health, e1-e11. National Association of County and City Health Officials. (2014) Expanding the Boundaries: Health Equity and Public Health Practice. Washington, DC: NACCHO National Association of County and City Health Officials. www.RootsofHealthInequity.org.
- 44. References Continued 3 Rothstein, R. (2017). The Color of Law: A Forgotten History of How Our Government Segregated America. New York: Liveright Publishing Corp. Scott-Samuel, A., & Smith, K. E. (2015). Fantasy paradigms of health inequalities: Utopian thinking? Social Theory & Health, 1-19. SEIU Health Care, Illinois, Indiana, Missouri, Kansas. (2018). Hospital Service Workers Challenge Hospital CEOs to Live on Poverty Level Wages of $13 an Hour in Protest Outside the Office of the Illinois Hospital Association [Press Release]. Singh, S. R., Young, G. J., Daniel Lee, S. -Y., Song, P. H., & Alexander, J. A. (2015). Analysis of hospital community benefit expenditures’alignment with community health needs: Evidence from a national investigation of tax- exempt hospitals. American Journal of Public Health, 105(5), 914-921. Retrieved from Google Scholar Solar, O., & Irwin, A. (2010). A Conceptual Framework For Action On The Social Determinants Of Health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva: World Health Organization. Waltmire, N. (2018). Hospital Service Workers Challenge Hospital CEOs to Live on Poverty Level Wages of $13 an Hour in Protest Outside the Office of the Illinois Hospital Association. SEIU Healthcare Illinois, Indiana, Missouri, Kansas. Zimmerman, F. (2018). Stephen Bezruchka Talks Inequality, Structural Violence, and the Future of Population Health. IAPHS Blog, December 6, 2018.
Editor's Notes
- Power is not the white man’s birthright; it will not be legislated for us and delivered in neat government packages. Rev. Dr. Martin Luther King Via @DrIbram Ibram X. Kendi
- Bd. President Preckwinkle continued saying “People living in areas with a median income greater than $53,000 per year have a life expectancy that is almost 14 years longer than people living in areas with a median income below $25,000 per year.” July 26, 2012 Press Conf/ PM Action Lab, Chicago Our Team’s Report made 6 recommendations, including that sufficient funds be allocated to increase healthy food retail in neighborhoods with low food access, and that the voices and aspirations of neighborhood residents be reflected in solutions to hunger and poor nutrition; to Ensure workplace justice for workers throughout the food chain and specifically included the restaurant industry; that persistent poverty be addressed by engaging multiple sectors, and the the 2008 WHO Final Report of the Commission on the SDH be implemented. The report found evidence of a relationship between life expectancy and neighborhood income. Among Chicago census tracts and suburban Cook County municipalities grouped into quintiles (5 equal groups) based on median income and calculated the average life expectancy of each quintile. People living in areas with a median income greater than $53,000 per year had a life expectancy that was almost 14 years longer than that of people living in areas with a median income below $25,000 per year.
- Gap of 15 years in life expectancy between community areas in Chicago. in jurisdictions where the combined ICE for income and race/ethnicity provides evidence of steeper gradients than observed with solely the poverty measure, this ICE should become a standard indicator to assess progress in advancing health equity. Krieger, Krieger, N. (2016). Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes. American Journal of Public Health, 106(2), 256-263. the ICE can assist with framing the problem of health inequities as inequitable relationships between societal groups, 25 as opposed to focusing solely on the “disadvantaged.” ICE is a measure of “societal distributions of concentrations of privilege and deprivation”
- “One important use of the Child Opportunity Index (COI) is to start or guide conversations about the extent of inequities in children’s neighborhood context. The COI provides rigorous data as well as compelling visual representations (maps and charts) about the spatial distribution of neighborhood opportunity in a given area. The comprehensive representation of the region made possible with the COI enables a shared understanding of current conditions across multiple stakeholders in a community, and provides a foundation for discussions of priorities and opportunities for action. In its absence, communities and policymakers at best have a potentially contested sense of patterns of segregation and the scarcity of resources across neighborhoods” Diversitydatakids.org, (2016) page 45. #@8 the Child Opportunity Index can be used as ... >the Child Opportunity Index can be used as a tool to monitor health equity—for example, to comply with new community data requirements under the Affordable Care Act (ACA). Equity Measure 1. Proportion of children living in very low-opportunity neighborhoods by race/ethnicity. For example, a figure of 54% for Black children indicates that, within Cook County, 54% of Black children live in the 20% of neighborhoods with the lowest child opportunity scores. This measure is available for all racial/ethnic groups. Source: U.S. Census Bureau: Decennial Census 2010, American Community Survey 2007-2011, Zip Business Patterns 2009; State Department of Education 2010-2011; National Center for Education Statistics, Common Core of Data 2010-2011; diversitydatakids.org Early Childhood Database (State Early Childhood Care and Education Licensing Database 2012 and 2013, National Center for Education Statistics, Common Core of Data 2009-2010, National Association for the Education of Young Children Accredited Program Database, 2012 and 2013); ESRI Business Analyst 2011; Department of Housing and Urban Development, Neighborhood Stabilization Program 2010; Environmental Protection Agency, Toxic Release Inventory Program 2010.
- Equity Measure 1. Proportion of children living in very low-opportunity neighborhoods by race/ethnicity. For example, a figure of 54% for Black children indicates that, within Cook County, 54% of Black children live in the 20% of neighborhoods with the lowest child opportunity scores. This measure is available for all racial/ethnic groups.
- Equity Measure 1. Proportion of children living in very low-opportunity neighborhoods by race/ethnicity. For example, a figure of 54% for Black children indicates that, within Cook County, 54% of Black children live in the 20% of neighborhoods with the lowest child opportunity scores. This measure is available for all racial/ethnic groups.
- See p. 112
- Also, on structural racism: Gee, G. C., & Ford, C. L. (2011). Unpacking Racism and its Health Consequences Structural Racism and Health Inequities, Old Issues, New Directions. DuBoise Review: Social Science Research on Race, 8(1), 115-132.
- Slides of Guide All staff meeting of CCDPH March 15, 2017 Facilitated by pairs of CCDPH staff Used Race: The Power of An Illusion Staff asked for 1) training on protecting immigrants in face of ICE interventioin; 2) information to make referrals; 3) signage welcoming immigrants. Movement for Black Lives “End War On immigrants Policy Brief” PHAIR Guide UC Irvine “Mislabeled” Gang member ship and immigration consequences. Cook County Policy for responding to ICE Detainers
- 19 interdisciplinary pLACE MATTERS teams work in the United States through an initiative of the National Collaborative for Health Equity. The mission of the National Collaborative is to promote health equity by catalyzing collaboration among racial equity advocates, grassroots and community-based organizations, researchers, public health professionals, and other key stakeholders. PLACE MATTERS is designed to build the capacity of leaders and communities around the country to identify and address social, economic, and environmental factors that shape health inequities; Two other teams frm the midwest are Wayne and Cuyahoga counties. IN the East are teams from Boston, Baltimore, and Washington DC, Prince Georges and Marlboro Counties. South Delta Counties, Orlenas Parish, and Mid-Mississippi Delta Teams are from the Delta areas. Teams in New Mexico are from the of San Juan, Mcknley, Bernalillo and Dona Ana Counties. And in the West teams are located in the Martin Luther King, Jr., Alameda and San Joaquin Counties. I want to thank my fellow Team mates and the National Collaborative for their their generosity in sharing their tools and lessons learned and for their steadfast commitment to health equity. The project will connect research, policy analysis, communications, and activism to ultimately support policy, systems, and environmental change that addresses the legacy of racism, particularly its less visible-but more insidious-structural manifestations, and their health consequences. The National Collaborative will convene leaders to share innovative ideas, provide technical assistance to support multi-sector racial equity initiatives, and conduct research and policy analysis that supports on-the-ground activism.
- From email from ROC United of Wed Jan 16, 2019: Today, the Raise the Wage Act of 2019 was introduced by Senators Bernie Sanders (VT) and Patty Murray (WA), and Representatives Robert C. “Bobby” Scott (VA), Mark Pocan (WI) and Stephanie Murphy (FL). If enacted, employers across the country would be required to pay tipped workers the full minimum wage. In addition to raising the tipped wage which has been frozen at $2.31 since 1991, the legislation also proposes to raise the federal minimum wage to $8.55 this year and increase it over the next five years until it reaches $15 an hour in 2024; after 2024, adjust the minimum wage each year to keep pace with growth in the typical worker’s wages; sunset the much-criticized ability of employers to pay workers with disabilities a subminimum wage through certificates issued by DOL; and phase out the subminimum wage for workers under the age of 20. We are one step closer to end a discriminatory wage policy that has kept tipped workers in 43 states earning a subminimum wage and in 18 states earning just $2.13 per hour in wages. Not only would this improve the lives of the nation’s 13 million restaurant workers and their families, the bill would transform the industry’s prevailing compensation structure — it would be a leap forward in the fight for equality, respect, and fair wages. The Raise the Wage Act is an important tool against sexual harassment. The seven states (CA, NV, OR, WA, MN, MT, and AK) that require employers to pay their employees the full minimum wage — just like this federal policy proposes — have half the rate of sexual harassment claims as the rest of the country. Drop us an email to let us know how the Raise the Wage Act of 2019 would affect you and your family’s life. In solidarity, The ROC United Team
- CCDPH is beginning to build relationships with organizers working for raising the minimum wage. This is a photo of the Centro de Trabajadores Unidos, Immigrant Workers Project protesting for a fifteen dollar/ hour minimum wage for all workers in Calumet City, including workers who receive tips. The law does not require employers to pay “Tipped workers” the minium wage. The federal minimum wage for tipped workers is $2.13/ hour.
- The Guide to Public Health Actions key to our work Workgroup convened by Human Impact Partners, PublicHealthAwakened.com
- 1) Anthony R. Tersigni, EdD, CEO of Ascension – earns $13.9 million 2) Mark Frey, CEO of AMITA Health – earns $2.2 million 3) Jim Skogsbergh, CEO of Advocate Aurora Health – earns $8.2 million 4) Dean Harrison, CEO of Northwestern HealthCare – earns $4.2 million
- Structural violence refers also to violence—something that produces bad outcomes—but the perpetrator is not so plainly visible; there’s not a smoking gun, and you don’t die of obvious trauma. That is, there’s no gunshot wound, collision with a vehicle, or something whose effect is obvious. Bezruchka
- This is a slide from Unit 1, used by Doak Bloss, who created it for the dialogues on health inequity in the Ingham County health department, a local health department in Michigan. It might be one of the most important concepts in the whole Roots of Health Inequity course. It shows that some groups of people are not viewed by society as having the same value as others. For instance, women, are a target group, and are viewed as less than, in our society, and are paid less then men are. Women as a group do not receive the privileges received by men. Men are in a non-target group. This is using gender as the characteristic to look at, but there are many kinds of ways that groups of people are divided into target and non-target groups.
- Here is the complete Slide used by Doak Bloss in the dialogues conducted by the Ingham county, Michigan, health department, From Unit 1. One of the points that is important is that a single person can belong to one---or more--- target groups, while also belonging to one or more non-target groups. A person may experience oppression because she or he is a person of color, while at the same time being a member experiencing the privilege of a Non-target group, because they have a college degree, for example.