In 2000, the World Health Organization ranked the US health care system 37th in the world despite spending more than any other country. In 2007, according to the US Census Bureau, the US ranked 42nd in life expectancy.
If you are a person of color, a low-wage worker, non-English speaking,
or live in a low-income community, the picture is much worse. For
instance, the life expectancy for African-Americans
is 73.3 years, five years shorter than it is for whites. For
African-American men, it is 69.8 years, just above averages in Iran and
Syria, but below Nicaragua and Morocco.
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On Wednesday night, the Connecticut House passed
a simple, yet far-reaching bill to offer small businesses and
municipalities better, more affordable health insurance. The
Connecticut Healthcare Partnership, HB 5536,
allows small businesses and municipalities to join the state employee
health insurance plan. This is significant because small employers,
towns, employees and their families will be able to join forces with
and benefit from the bargaining power of the 200,000 member-strong
state employee pool.
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Maintaining accurate voter rolls and ensuring that all eligible voters who register to vote actually make it onto voting rolls are two of the most important functions of election administration. If an eligible voter cannot vote because his name doesn't appear on the voter roll used in an election, the problem will not be addressed by the federal guarantee of a provisional ballot. Such a ballot cannot register a person to vote, it can only preserve a ballot in the case the voter rolls at the precinct are mistaken or the
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$287 billion -- that is how much the U.S. spent
on pharmaceuticals in 2007, representing a significant driver of health
care costs. While spending on hospital and physician care surpass
spending on prescriptions, drugs still account for 14% of all health care expenditures. Combine this with polls that show 70% of Americans believe the drug industry puts profits ahead of people, and it's no wonder that in 2008, at least 540 bills
and resolutions are being considered by states across the country to
reduce prescription drug prices, ensure the quality of medications
covered by public and private health plans, and reduce the undue
influence of pharmaceutical industry marketing - which itself tops out
at $30 billion each year.
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In just sixty days, the Washington State legislature passed
a remarkable 335 bills. The legislature passed strong bills protecting
the environment, consumers, and people affected by the mortgage crisis,
making the state one of the country's leaders in progressive victories.
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The Washington State House has voted to establish a comprehensive "green economy jobs growth initiative" that aims to increase the number of green jobs to
25,000 by 2020. "Green jobs" is the term used to describe the
good-paying, sustainable jobs that are created through environmentally
sensible projects. For example, increased energy efficiency
requirements will require work retrofitting buildings all across America with solar panels, insulation and other weatherizing materials. The federal Green Jobs Act of 2007, which authorized $125 million per year to create green jobs worker training programs, was included in the recently enacted Energy Independence and Security Act.
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In the wake of a bitter 2004 Governor's election and state Supreme Court races that took in more money from third-party groups than any other high court campaign in the country, Washington State's House took the first step toward public financing by passing HB 1551. Introduced by Senator Joe McDermott, HB 1551 allows cities, counties, and other jurisdictions to provide local candidates with government financing. The bill only allows local taxes to be tapped for the public campaign accounts and the public funds cannot be used for campaigns for state offices or school boards.
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Because it lacks a state income tax, Washington State creates one of
the highest tax burdens on poorer families, but some relief is being
proposed, as the Washington State Budget & Policy Center outlines in this policy brief, in
the form of a Working Families Credit which would give 350,000
Washington residents the equivalent of 10% of their federal Earned
Income Tax Credit (EITC) refund.
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The U.N. Intergovernmental Panel on Climate Change (IPCC), which shared this
year's Nobel Peace Prize with Al
Gore, recently released a
report detailing the negative environmental changes that will result from
climate change, including higher temperatures leading to increased deaths
from more severe heat waves, increased incidence of infectious
diseases, and severe damage to ecosystems. The IPCC report
warned that there were only eight years left to act to prevent the
worst effects of global warming.
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California's attorney general is planning to file suit in
federal court against the EPA for stalling on a decision about whether
California and 11 other states can implement rules requiring car makers
to produce cleaner cars. Connecticut, Pennsylvania and Washington also
plan to join the suit against the EPA. The suit was to be filed this week, but has been postponed due to the wildfires raging in Southern California.
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Laws restricting abortions do not reduce their occurrence, contraception
does.
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The effects of the sub-prime lending disaster are
still
being felt as the stock market has been rocked in
recent weeks and many families find themselves locked out of the
mortgage market. As we
highlighted
in the past, the subprime mortgage market was largely aimed at
economically-strapped families trying to find some way to afford
homes. For low-income renters who never had the money to
even be in the game, rising rents have increasingly priced them
out of their homes.
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Despite real progress over the last generation in overcoming discrimination in our society, the reality is that Americans are still regularly refused employment, housing or equal treatment under the law because of their nationality or the color of their skin. The numbers highlighting this racial discrimination are stark:
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To
little fanfare, the New York General Assembly and Governor
Eliot Spitzer enacted a budget in early April that includes
health
care for essentially all children. The budget increased SCHIP
eligibility for children in families with incomes up to 400% of poverty
($80,000 for a family of four) and allows families above 400% without
other options to purchase the SCHIP coverage at full-cost, which is still
cheaper and likely more comprehensive than private options. Premiums for
families below 400% of poverty will be set at $20, $30 and $40 per child
depending on income.
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We
reported
last week that Washington was on the verge of becoming the second state to
enact family leave. The bill has now been signed by the Governor.
While the bill was a compromise, with lower weekly payments (up to $250 per
week) than is ideal and, unlike a House version originally approved, no
provision to allow paid family leave to care for a seriously ill parent, the
new law is a serious advance for parents needing the financial help to stay
home with a new child.
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As the United States falls behind the
world in broadband deployment, a serious obstacle to reversing that slide, as
we
highlighted
in February, is that we have
remarkably poor information on which neighborhoods and families have
broadband access and what the challenges are to overcoming the digital divide
in our communities.
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This past week, the Washington State House voted to
approve
five weeks of paid leave for parents with a new born or adopted child,
following earlier approval of a broader Senate measure,
SB
5659, that would have also included paid leave to to take care of a
seriously ill parent. Another advantage of the law is that parents
in employers with 25 or more employees would have their jobs protected while
away, more job protection than under federal law which covers only employers
with 50 or more employees.
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We spend more than twice on health care than any other industrialized nation in the world, yet we don't have universal access and our outcomes are worse. The reason we don't have universal access to quality health care is that too much of our health care spending -- our premiums, co-pays, prescriptions -- is wasted on profits, CEO bonuses and inefficient health care.
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