November, 24 2020, 11:00pm EDT
For Immediate Release
Contact:
Alan Septoff, (202) 271-2355, aseptoff@earthworks.org
Hilary Lewis, (202) 887-1872 x101, hlewis@earthworks.org
Earthworks Statement on the Denial of Pebble Mine
Statement of Northwest Program Director Bonnie Gestring
WASHINGTON
The Army Corps of Engineers (Corps) issued its Record of Decision today, denying the proposed Pebble Mine, a massive copper and gold mine in Bristol Bay Alaska that threatens the world's largest and most valuable wild salmon fishery.
"Pebble tried every trick in the book to push this project through, but the crystal clear science prevailed. Pebble would have devastating consequences for the world's largest wild salmon fishery and all those that depend on it. Alaska's Bristol Bay is no place for a massive mining operation. The Biden Administration should take the next step and use the Clean Water Act to place permanent limits on mining in Bristol Bay to protect the salmon fishery and the communities that depend on it." --Bonnie Gestring
Earthworks is a nonprofit organization dedicated to protecting communities and the environment from the adverse impacts of mineral and energy development while promoting sustainable solutions.
(202) 887-1872LATEST NEWS
'Shocking and Immoral': Report Details Private Equity's Stranglehold on US Healthcare
"The damage that private equity has wrought on Americans' healthcare from cradle to grave, simply for profit, has become a life-or-death situation."
Mar 22, 2023
Private equity's ownership of U.S. healthcare providers is incompatible with the needs and best interests of patients and should be checked with federal legislation, according to a report published Wednesday by the consumer advocacy group Public Citizen.
Critics of for-profit care have long decried private equity's focus on maximizing returns through practices including slashing staff, surprising patients with astronomical bills, and eschewing low-margin care upon which vulnerable populations rely. The new report—authored primarily by Public Citizen healthcare policy advocate Eagan Kemp—examines investment firms' impact on more than a dozen healthcare sectors, from reproductive health through end-of-life care.
"Private equity acquisitions in the healthcare sector have steadily climbed since the financial crisis in 2009, particularly in the past five years," a summary of the report notes. "Unlike acquisitions of hospitals, which typically occur under a public spotlight, the private equity industry's acquisitions of physician practices and other healthcare business lines often occur with little or no disclosure or public scrutiny, hindering the ability of regulators and watchdogs to monitor the effects of private equity ownership."
According to the report:
In general, the private equity industry's business model poses risks to the long-term sustainability of entities that the industry acquires. That is, in large part, because private equity purchases are typically financed with debt that is immediately transferred onto the books of the businesses acquired, thus leaving the acquired entities with debt burdens to manage.
Meanwhile, private equity investors seek outsize returns on an accelerated timeline, generally aiming to exit investments in three to five years with returns of 20%-30% per year. This objective induces them to take short-sighted steps to supercharge profits or otherwise wring capital out of the assets they acquire.
The risks posed by private equity investments in healthcare are particularly acute. After all, the services healthcare providers offer can spell the difference between life and death. Private equity has targeted segments of the healthcare industry since at least the 1990s, with many predictable outcomes. Among them, shocking lapses in safety have occurred, prices have risen faster than at non-private equity acquired entities, and patients have been subjected to price gouging schemes.
The conflict between providers' obligations to provide the best care and private equity investors' insatiable appetites for maximized [returns] provides is clear. "You can't serve two masters," a doctor who previously worked for private equity-owned U.S. Dermatology Partners toldBloomberg. "You can't serve patients and investors."
"Thanks to a lack of transparency, we don't know everything about private equity's incursion into healthcare. But what we do know is shocking and immoral" said Kemp. "The damage that private equity has wrought on Americans' healthcare from cradle to grave, simply for profit, has become a life-or-death situation. Transparency and oversight are needed, stat."
The report suggests legislative solutions including Sen. Elizabeth Warren's (D-Mass.) Stop Wall Street Looting Act and Rep. Pramila Jayapal's Healthcare Ownership Transparency Act. The latter, according to Jayapal's office, "would require private equity firms and other financial interests to disclose ownership stakes in healthcare facilities including nursing homes."
A September 2022 Public Citizen report detailed how federal regulators had failed to implement a 2010 law requiring nursing homes to disclose their owners. Other investigations during the Covid-19 pandemic found that home healthcare, hospice, and nursing facilities and services owned by investment firms often provided a lower standard of care.
"We applaud Rep. Jayapal's ongoing effort to shine a light on the dangerous toll private equity vultures are taking on our health," Public Citizen president Robert Weissman said in a statement. "Adequate regulation of this predatory industry is acutely critical when it comes to the healthcare sector."
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Democrats Propose $300 Billion Investment to Treat Housing as Human Right
"In the richest country in the world, it is a moral imperative that we take this issue head-on," said Rep. Pramila Jayapal.
Mar 22, 2023
Declaring that homelessness and housing insecurity is the result of "a structural failure of a country that has refused to make safe and affordable housing a priority," U.S. Reps. Pramila Jayapal and Grace Meng on Wednesday reintroduced the Housing is a Human Right Act and called on the federal government to provide $300 billion to end the crisis facing unhoused people.
The legislation would invest more than $200 billion in affordable housing and support services, $27 billion annually for services for unhoused people, and $100 million per year for community-driven alternatives to people experiencing homelessness.
Other funds would go to support communities at heightened risk for homelessness.
"Housing is a human right, and nobody in the world should be without a place to call home, especially not in America," said Meng (D-N.Y.). "This is an issue that impacts individuals for a number of reasons and sometimes isn't fixed with just a physical roof above a person's head."
The bill was reintroduced as real estate website Realtor.com released an analysis showing that even for people who have a place to live, housing is becoming more precarious across the United States.
The U.S. Department of Housing and Urban Development recommends that people spend less than 30% of their income on housing, but eight of the country's top 50 metropolitan areas now have "a rent share higher than 30% relative to the median household income," including Miami, Los Angeles, New York, and San Diego.
Even in more affordable cities renters are spending more, with the average monthly rent in Cincinnati, Ohio costing 19.4% of the average monthly income—up from 18.4% last year. In Birmingham, Alabama, renters spend an average of 22.2% of their income on housing.
"As costs have risen and the minimum wage has stagnated, it would take the average minimum wage worker more than 96 hours of work per week to afford a two-bedroom rental," noted Jayapal (D-Wash.).
The shrinking stock of affordable housing is linked to the crisis of homelessness, which more than half a million people in the U.S. experienced in 2022—up by 3% from 2020.
"The crisis of housing instability is one that can be fixed by investing in housing infrastructure and supportive services for vulnerable communities," said Jayapal.
The legislation has been co-sponsored by Democratic lawmakers including Reps. Jamaal Bowman of New York, Cori Bush of Missouri, James McGovern of Massachusetts, Alexandria Ocasio-Cortez of New York, and Rashida Tlaib of Michigan.
The $200 billion proposed investment included in the bill would go toward McKinney-Vento Emergency Solutions Grants, which fund engagement with people experiencing homelessness and improve emergency shelters; and Continuum of Care grants, which help rehouse people who have faced homelessness.
The legislation would also:
- Create a new grant program to invest in humane infrastructure, providing municipalities with $6 billion a year through a flexible program that will allow them to address their most urgent housing needs to keep people in stable housing and support those experiencing homelessness;
- Incentivize local investments in humane, evidence-based models to support people experiencing homelessness, including alternatives to criminalization and penalization;
- Provide $10 billion for Federal Emergency Management Agency food and shelter grants while improving grants to better represent high rates of homelessness and income inequality; and
- Authorize $100 million in grants to public libraries to provide assistance and tailored supports to persons experiencing homelessness.
"In the richest country in the world, it is a moral imperative that we take this issue head-on," said Jayapal. "Housing is a human right—and every person deserves to have a safe place to call home."
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Idaho Hospital Ends All Labor and Delivery Care, Citing Abortion Ban
"Consequences for Idaho physicians providing the standard of care may include civil litigation and criminal prosecution, leading to jail time or fines," said Bonner General Health as it closed its obstetrics unit.
Mar 22, 2023
Rural areas in the U.S. have faced a decline in hospitals that provide obstetric services for years, and the fate of one hospital in northern Idaho suggests that abortion bans could worsen the trend.
As The Washington Post reported reported Tuesday, Bonner General Health in Sandpoint, Idaho has been forced to announce the impending closure of its labor and delivery department, citing staffing issues as well as the state's punitive abortion ban—one of the strictest in the nation—and threats from state Republicans to make the law even more stringent.
The state's ban criminalizes abortion cases in almost all cases and threatens doctors who provide care with felony charges, suspension or termination of their medical license, and up to five years in prison. It includes potential exceptions for people whose pregnancies result from rape or incest and people who doctors determine face life-threatening pregnancy complications—but as Common Dreams has reported, such exceptions have led medical providers to withhold care until a patient is sufficiently ill, placing them in danger.
The threat of prosecution and pressure to withhold medical care from people who need it has contributed to the hospital's staffing shortage, said Bonner General Health in a statement late last week.
"Idaho's political and legal climate does pose as a barrier specific to recruitment and retention for OB-GYNs."
"Highly respected, talented physicians are leaving. Recruiting replacements will be extraordinarily difficult," said the hospital. "In addition, the Idaho Legislature continues to introduce and pass bills that criminalize physicians for medical care nationally recognized as the standard of care. Consequences for Idaho physicians providing the standard of care may include civil litigation and criminal prosecution, leading to jail time or fines."
Idaho Republicans have proposed classifying abortion as "murder from the moment of fertilization" and have called for bans that extend to people whose pregnancies result from incest and rape.
"Idaho's political and legal climate does pose as a barrier specific to recruitment and retention for OB-GYNs," hospital spokesperson Erin Binnall told the Post.
Patients in Sandpoint will now have to travel to Coeur d'Alene, about 45 miles south, to deliver their babies. The city now has the northernmost labor and delivery department in the state, and people living near the state's northern border may have to travel two hours to reach the hospitals there.
Bonner General Health announced its decision days after the podcast "This American Life" featured an interview with an obstetrician who has worked for several years at Bonner General Health but has considered leaving the state since Idaho's ban went into effect last June, after the U.S. Supreme Court overturnedRoe v. Wade.
"I was looking at social media and somebody was talking about a person who is completing their OB-GYN residency and was looking to come to the Pacific Northwest," said Dr. Amelia Huntsberger. "And I'm like, hey, there's all sorts of openings in Idaho. And then I'm laughing out loud because I'm like, who is going to be finishing their residency training and being like, I definitely want to go to the state with the super strict abortion laws that criminalize healthcare?"
The Journal of the American Medical Associationpublished a report in 2018 showing that a lack of obstetric care in rural hospitals is associated with a rise in preterm births and more people giving birth in facilities where medical staff lack the proper training to assist with labor and delivery, such as emergency departments. High rates of maternal mortality are also associated with "maternity care deserts," which include nearly half of rural U.S. counties, according to the Commonwealth Fund.
Nearly 90 rural obstetrics units closed their doors between 2015 and 2019, with hospitals citing financial losses associated with high numbers of patients who use Medicaid as well as difficulty in recruiting and retaining doctors.
"This will be the beginning of a trend, I fear," said behavioral scientist Caroline Orr Bueno of Bonner General Health's decision. "We already have a maternal mortality crisis in the U.S.—we're the only country in the developed world where maternal mortality rates are increasing—and abortion bans are going to make it worse."
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