0

People, Robots and Minimum Wage

One of the most interesting aspects of the ongoing minimum wage debate is a warning that we will all be replaced by mechanical substitutes. An article from the Cornell Roosevelt Institute echoes a point that House the Homeless has made many times: that a person who works full-time ought to be able to support himself or herself without needing to apply for food stamps or other government assistance to get by.

There are pro and con arguments: If workers are better paid, they can buy more stuff and boost the economy in general. Human misery is ameliorated, because people don’t need to work multiple jobs just to survive. When people are happier at their jobs, they don’t engage in slacking, sabotage, embezzlement, or other acts harmful to the business. They stay in place, and employers are not faced with the expenses associated with hiring and training.

Jack Robbins quotes experts who do not foresee a higher minimum wage as leading inevitably to a catastrophic result:

According to economist Arindrajit Dube, a relatively small increase in the minimum wage could lift 4.6 million laborers out of poverty. Longer-term effects could reduce the number of people living below the poverty line by 6.8 million. Sarah Lemos of the University of Leicester finds that a 25% increase in the minimum wage would only increase aggregate prices by .4%.

On the other hand, raising the minimum wage is said to increase inflation and unemployment. When the cost to businesses is raised, business fires people, so rather than X number of workers struggling along, you get Y number of workers doing okay, and Z number of workers back out on the streets without any job.

But then comes the most devastating possibility of all: When human employees cost too much, businesses respond by installing robots. An Oxford University economist theorized that 47% of American workers are at risk of having their jobs automated — in other words, taken over by robots of one type or another, even if they don’t appear humanoid.

A counterargument to that is, whenever possible, businesses are going to go ahead and install automation anyway, regardless of whether or not they are being entreated to raise the minimum wage. So, either way, human workers are out of the picture.

On a global scale

Historically, there has been another devastating argument against even trying for a higher minimum wage in America: We had best not annoy manufacturers with further requests for decent pay, because it will only encourage them to send jobs overseas.

Today, that point is almost moot. So many manufacturing jobs have already been shipped overseas, what else can industry do to us? And if workers in one country decide to demand reasonable pay, business will just pull up stakes and move to another country that is even more deeply sunk in poverty, where workers will be satisfied with even less.

As writer Hamilton Nolan says it:

The global economy is the delightful playground of multinational corporations. They’re able to drastically lower their labor costs by outsourcing work to the world’s poorest and most desperate people. And they’re able to escape paying taxes… The global economy is extremely advantageous to corporations, who owe no loyalty to anyone or anything except their stock price…

Nolan characterizes the concept of a minimum wage as society’s assertion of its moral grounding, a “statement of our belief that the economically powerful should not have a free hand to exploit the powerless.” One answer would be to initiate a worldwide standard, a universal minimum wage that would confound businesses engaged in the race to the bottom.

Of course, getting the whole world to agree on anything is not an easy task. The writer mentions how the rich tend to scoff at proponents of a living wage, and accuse us of being naive dummies who just don’t understand the inherent and immutable rules of capitalism.

He writes:

Not true. We understand them all too well. We understand that, as history has amply demonstrated and continues to demonstrate, absent regulation, economic power imbalances will drive worker wages and working conditions down to outrageous and intolerable levels…

The system that we have — in which the vast bulk of profit flows to corporate shareholders, rather than workers and governments — is not a state of nature. It is a choice.

Nolan makes the point that we no longer tolerate outright slavery where people are paid nothing at all. (Except that we do, with prison labor — but that is a whole separate discussion.) He says:

We would never countenance buying goods produced with slave labor, just because they were cheap… Today we only tolerate economic slavery. Today’s workers are free to quit their jobs at any time, and starve to death.

Reflections from House the Homeless President Richard R. Troxell:

The remaining minimum wage jobs cannot be outsourced. For example: You cannot outsource digging a ditch to China. You must be on site to take tickets at the movie or show theaters. Babysitters must be present to kiss, hold and care for our babies as do childcare workers. Restaurant workers including servers, hostesses, busboys, and pot-shack workers must also be on site.

Construction laborers must be on the job to pick up the scraps of lumber and sweep and bag or barrel the trash. Dry clean workers must be present to take our shirts and skirts, and circle the areas of special cleaning concern. America’s retail workers must be on site to service us and restock the shelves. Farm workers must be on site to pick our cotton, tomatoes, corn, etc.

Receptionists must be on site to attend our front desk phones, to field questions and redirect calls. Nurse’s aides who clean hospital rooms, clean up vomit, empty bed pans, and even give us bed baths must be on site to care for us. Hotel and motel maids clean our rooms, change our sheets, and turn our beds to welcome us here in America. Janitors clean entire buildings including sweeping, mopping and waxing floors in schools all across our homeland.

Fast food workers who work at Bob’s Big Boy restaurant, Wendy’s, What-a-Burger, Kentucky Fried Chicken, Stub’s Bar-B- Q must be present. The Texas Chili Parlor, TGIFs, Marconi Grills, Olive Gardens, a bazillion Chinese restaurants, etc., and of course McDonald’s workers must be present, on sites all across our nation to serve our people. And they deserve to be paid a minimum amount sufficient so that they won’t require a subsidy from you and me, when it is the employer who benefits from their labor.

Also recommended: Writings by Richard R. Troxell

Higher Minimum Wage Won’t Cure Homelessness. This Will.

Open Letter to the Presidential Candidates

Livable Incomes: Real Solutions that Stimulate the Economy: A call to action to create economic stability and growth (Kindle Edition)

Reactions?

Source: “Rise of the Automaton: How Robots Change the Minimum Wage Debate,” undated
Source: “We Need an International Minimum Wage,” Gawker.com, 05/22/13
Image: Internet meme, fair use

0

The Future of Diabetes and Homelessness

turmeric

Note: This post is part two of our discussion of diabetes and homelessness. Part one, “Background on Diabetes and Homelessness,” was published last week, 6/11/17.

The possibilities

A brand new, hot-off-the-presses story describes the upcoming tests of a drug called GK831, which may turn out to be the answer to Type 1 diabetes and diabetic kidney disease. But even if it turns out to be effective, trials and the approval process take a long time, and, of course, pharmaceuticals are expensive.

Meanwhile, other interesting developments are happening in diabetes research, and many of them are based on the ancient wisdom of food as medicine.

Are you ready for broccoli pills? Or, better yet, fresh broccoli sprouts, which contain very concentrated amounts of the “miracle compound” sulforaphane. It works by suppressing liver enzymes that would otherwise stimulate glucose production.

Alex Pietrowski explains:

Sulforaphane is a precursor nutrient. Meaning, when it enters the body, it starts out as something else and is processed into the super beneficial compound which can stop cancerous tumors from doubling, and help diabetics to balance their blood sugar levels, among hundreds of other clinically-proven health benefits…

In recent years, concentrated broccoli has also been researched as a treatment for high blood pressure, damaged lungs, some cancers, and even seen as a possible preventive measure against strokes.

An individual with one glass mason jar can grow enough broccoli sprouts to eat some every day. On a bigger scale, sprout production is incredibly easy, and requires no investment except for the seeds and some clean water. It would be the ideal business for a homeless entrepreneur, even working from a van; or as a group project in a transitional housing facility.

Monk fruit, or lo han guo, whose juice is from one to 200 times sweeter than sugar, might be a hit as a diabetes intervention. The fruit contains plenty of Vitamin C, protein and amino acids.

Sandeep Godiyal writes:

Even though it is an incredibly sweet fruit, monk fruit is able to lower the blood sugar levels of diabetics (and their cholesterol and triglyceride levels as well) and can even support healthy liver function, which is very important for diabetics to maintain.

The idea of natural blood sugar control is quite alluring. In addition to that, animal experiments indicate that monk fruit can help to protect the vulnerable kidneys of the diabetic.

The spice known as turmeric (pictured) has inspired at least 10,000 scientific papers. For instance:

A study published in the journal Diabetology & Metabolic Syndrome showed that turmeric may even help reverse type 1 diabetes. The study found that diabetic rats who received curcumin for 40 days showed an improvement in blood sugar levels and insulin. The improvement began after 4 months, and continued to improve at the 10 month mark when all levels almost normalized, and regeneration of the pancreas was observed.

Pancreatic regeneration sounds like the stuff of miracles, but how great would it be if the curse of chronic, Type 1 diabetes could be lifted? Even in a less optimistic scenario, the substance seems capable of mitigating high blood sugar, improving insulin sensitivity, and even of reversing the foreboding diagnosis of pre-diabetes. And it works through oral administration, not hypodermic injections.

Ayahuasca has gained the reputation of a life-changing psychedelic which could turn out to be the “silver bullet” for both addiction and PTSD. Thanks to one of its chemical components, harmine, the plant has another side. When the pancreas does not produce insulin, it is because an auto-immune process has destroyed the beta cells.

It now seems likely that harmine can regenerate beta cells, the Holy Grail outcome of diabetes research. Scientists from the Icahn School of medicine have found that…

[…] harmine is able to induce beta cell proliferation, increase islet mass and improve glycemic control. These observations suggest that harmine analogs may have unique therapeutic promise for human diabetes therapy.

These are not a bunch of kooks. This work was funded by Juvenile Diabetes Research Foundation, which leads the world in Type 1 diabetes research, and the National Institutes of Health. Meanwhile, the Harvard Stem Cell Institute has discovered how to make insulin-producing cells in large quantities.

Someone needs to create a methodology to standardize the delivery of healthful anti-diabetes based foods for people experiencing homelessness. Some organizations, such as National Health Care for the Homeless, the Worldwide Health Organization, and the Centers for Disease Control, have the necessary influence and resources to make this a priority. Additionally, mini-pharmacies need to be accessible in all health care clinics in all shelters. Finally,

The homeless food services community needs to let the food banks and all food contributors know that foods such as white bread, white rice, fruit juice, cookies, sodas etc. will not be accepted for distribution. ‘Acceptable food lists’ should constantly be distributed to everyone experiencing homelessness and presented with a positive message, e.g. ‘We all deserve healthy food.’
                                           Richard R. Troxell, President,
                                           House the Homeless

Reactions?

Source: “New drug trial scheduled to combat kidney disease in type 1 diabetes,” Diabetes.co.uk, 07/03/17
Source: “Prescription Broccoli in a Pill Seen as the Potential Future of Diabetes Treatment,” WakingTimes.com, 06/19/17
Source: “Monk Fruit — A Power Food For Diabetes,” NaturalNews.com, 07/21/15
Source: “Can turmeric reverse type 1 diabetes?,” Stepin2mygreenworld.com, 06/02/17
Source: “Chemical Found In Ayahuasca May Be Able To Completely Reverse Diabetes,” OrganicAndHealthy.org, June 2017
Photo credit: Steven Jackson Photography via Visualhunt/CC BY

0

Background on Diabetes and Homelessness

vietnam-war-vet-in-wheelchairIn both medicine and the societal disgrace of homelessness, one maxim is true: Preventive care is always less expensive than end-stage care. This is why smart cities go with the Housing First philosophy — because supportive housing is less expensive in the long run than a decades-long succession of stays in shelters, hospitals and jails.

It goes without saying, that Housing First also greatly reduces the toll of human suffering, but that is not the argument that holds the most sway when presented to the government and other entities responsible for doling out dollars. In the medical arena, everyone agrees that preventing or aggressively treating diabetes is much preferable to letting it run its course — better for the patient, and infinitely better for the budget.

Thirty million Americans have diabetes. 17% of people experiencing homelessness, according to the House the Homeless Health Survey, are either diabetic or pre-diabetic. Adding to this unsolicited, self reporting statistic, it was coupled with solicited, self-reporting with 40% declaring high blood pressure,thus exacerbating the problem in that these negative health conditions often go hand in hand. House the Homeless President Richard R. Troxell says,

A large number of these people can positively affect their situation through dietary response; however, no one has thus far devised a methodology for consistently providing a good diet.

Diabetes is disordered insulin. Insulin helps glucose (sugar) to get into the body’s cells so they can use it for fuel. If the pancreas doesn’t make any insulin, a person has Type 1 diabetes. Usually, they’re born this way. They need multiple injections per day, and may even wear a high-tech (and very costly) computerized pump that analyzes the blood and automatically delivers the right amount of insulin.

Type 2 diabetes is probably preventable, but a lot of people get it anyway, from less than optimal eating habits or other precipitating causes. Sometimes it can be handled with oral medication, but if it’s serious enough to require insulin, there are no pills, only shots.

It isn’t always easy to keep thing in balance. Either too much blood sugar (hyperglycemia) or not enough of it (hypoglycemia) can put a person into a coma. When insulin is called for, the need is urgent. Diabetes can spawn other expensive and medical problems, including the amputation of a foot or leg.

The grim reality

Managing this disease is difficult enough for a housed, insured person. Imagine being on the street, confined to a wheelchair, with no choice but to eat food you know will make you sicker. An amputee who still has one foot is supposed to take very good care of it, and inspect it carefully every day for signs of trouble. Not so easy to do when you live under a bridge in an artificial cave. Picture being non-ambulatory, in constant need of injections, having to prick your finger and then stick a needle into yourself in filthy conditions.

Picture needing to get back and forth to a pharmacy with tedious frequency. Or to and from a medical facility for dialysis. The plight of a wheelchair-bound person experiencing homelessness is dire. Where and how do you wash your clothes and yourself? Even in cities with some sense of decency, how many handicap-accessible porta-potties have been set up?

Diabetes can also affect the eyes. Imagine being blind, with or without the amputation. To look at this situation is to see a lot of human suffering, and premature death, and unnecessary expense to the taxpayer. Creative innovation could make a big difference.

This has been the introduction to a difficult and complicated topic. Next week, we shine a light on some of the potential pathways toward getting this diabetes thing handled.

Reactions?

Source: “Diabetes Latest,” CDC.gov, 06/17/14
Photo credit: expertinfantry via Visualhunt/CC BY

0

The 5th of July

singing-hanging-outOkay, so we’ve celebrated July 4th, now is it time to forget about veterans until the next patriotic holiday? Not on this page. We haven’t concentrated specifically on vets for a while, so there are a couple of little matters to catch up on, like the outrage felt by some when they learned that the big boss at one veterans’ hospital took 80 days off in a year.

DeWayne Hamlin still drew a salary of almost $180,000, “despite being absent from the hospital approximately one in three business days” in 2014. On one vacation trip…

He was arrested by Florida police while sitting in his car at 2:00 a.m…. Police said that he smelled of alcohol, twice refused to take a breath test, and that they found oxycodone for which he did not have a prescription. He reportedly refused to say where he got the painkiller.

Journalist Luke Rosiak went on to explain that high-ranking civil servants generally get away with any amount of questionable activity. Usually the worst that happens is early retirement with full bennies. He gives the example of Glenn Haggstrom, who used to be in charge of all the VA’s construction projects. The Government Accountability Office found all the department’s major building projects to be “behind schedule and hundreds of million dollars over budget.”

But what the heck, the whole point of being a senior executive is the opportunity to rip off the taxpayers who foot the bill, and shortchange the veterans in need of medical care, housing, and other services — the veterans who wait, and wait, and wait.

The very next month, the heat was on Philadelphia, according to a Washington Examiner piece, also by Rosiak, whose headline said it all: “Philly VA office altered wait times, doctored reviews, hid mail, ignored warnings.” According to the article:

More than 31,000 benefits claims were pending an average of 312 days instead of five, which is the standard, because they were “mismanaged” at “various levels.”

[…] Numerous times, management ordered staff to change the dates on old claims to be the current date…

The claims backlog should have been obvious to Washington headquarters earlier because it was many times the size of other offices.

At the same time, with nobody keeping track of deaths, or of duplicate records, millions of dollars were paid out that should never have been authorized. Even when wrongful recipients honestly reported that they were receiving too much money, those communications were ignored. The Inspector General’s office found laxity in the safeguarding of patients’ confidential information, and pointed to inefficiency and disorganization as two of the major problems:

The inspector general found 6,400 pieces of military mail that workers said were unidentifiable, but which the inspector general said could easily be matched to veterans. One employee also hid bins of mail.

Investigators learned a particularly dirty little secret. Someone in the Philadelphia VA office made liars out of the veterans who did receive help. Of the reviews that customers were asked to provide about the quality of service, 60% had been rewritten, and what’s worse, management knew about the practice and did nothing to stop it.

Other parties

Of course, the federal government is not the only entity in a position to hurt veterans. Some people do it as a freelance occupation. This story took place in the San Francisco Bay area, in such towns as Palo Alto and San Carlos. People dressed in military fatigues and camo were collecting money from the public for the National Paradigm Foundation.

When journalist Betty Yu met with its CEO, he said the group had helped maybe 45 vets over a three-year period, by providing food, clothing and referrals to agencies. They also discussed how the foundation’s not-for-profit status had been suspended, which seemed to surprise the National Paradigm leader.

Yu followed up by interviewing Vietnam veteran Michael Blecker, who has headed up Swords to Plowshares for nearly four decades. She quotes him as saying:

They have the American flag, they have the symbols and they take advantage of this sea of goodwill. It hurts a group like Swords doing legitimate work, to make people feel like everybody is ripping them off so they can’t support anybody. So it’s bad for the whole system of care when people exploit that.

That same spring, the Wounded Warriors Project (WWP), which has been around for a while doing such work as providing lifetime home care for some severely wounded vets, was spotlighted by Daily Beast reporter Tim Mak. Sadly, the story was not favorable. WWP had become known as a very litigious organization that spent a lot of time and money on “brutal” lawsuits against other charities. Additionally, rumblings were heard that its spending habits could stand improvement.

Anyone who wants to know more about that situation and how it turned out is urged to read the very detailed accounts in Stars and Stripes and The Washington Post

Not sad enough yet? For the New Yorker, David Finkel interviewed veterans of the Afghanistan and Iraq conflicts, and quoted a soldier who said this:

I told my wife some of my stories about my experiences, and her response to me was “You knew what you were getting into when you signed on the dotted line, and I don’t feel sorry for you.”

Reactions?

Source: “Veterans Affairs hospital chief draws $179k salary despite missing 80 days a year,” WashingtonExaminer.com, 03/30/15
Source: “Philly VA office altered wait times, doctored reviews, hid mail, ignored warnings,” Washingtonexaminer.com, 04/15/15
Source: “Is Money Raised By Bay Area Charity Really Going To Help Homeless Veterans?,” CBSlocal.com, 02/04/15
Source: “The Return,” NewYorker.com, 09/09/13
Photo credit: Elvert Barnes via Visualhunt/CC BY-SA