Whom Do Americans Trust? Nurses...And Teachers!

Just a couple months after the prestigious Institute of Medicine urged that nurses be seen as “full partners” in redesigning the American health care system, they have received another vote of confidence, this one from the American public. According to the most recent Gallup poll, for the 9th straight year (and the 11th year in all), the American people ranked nurses as the most honest and ethical workers in the country.

When asked to the rate the ethics and honesty of people in a variety of occupations, 81 percent of those surveyed gave a “very high/high” rating to nurses. Doctors received a very high/high rating from a still respectable of 66 percent of respondents.

Despite being regularly scapegoated by politicians and the media for the past several years, grade school teachers still edged out doctors by 1 percentage point (a statistical tie),  with 67 of those polled expressing high regard for the profession. Although this places teachers fairly high on the list of trusted professions—in fourth place, behind nurses (81 percent), military officers (73 percent), and pharmacists (71 percent)—the teacher bashing has apparently had an effect: Teachers have lost ground since the 2007 version of this survey, when they were rated "very high/high" by 74 percent of those surveyed.

A Call For Democracy And Human Rights In The Arab States

On Oct. 22-23, a group of Arab intellectuals, politicians, and civil society advocates convened a Conference on the Future of Democracy and Human Rights in the Arab World in Casablanca. Citing the “dramatic and alarming backsliding of political reforms in the Arab world," they issued a remarkable, frank and courageous appeal to the Arab nations. The “Casablanca Call for Democracy and Human Rights” represents a powerful consensus among disparate political groups that democracy must be the foundation for social and political justice in the region. As such, it represents a signal event for Arab democrats and for friends of democracy around the world.

Among the group’s key appeals was for the right to organize free and independent trade unions. The call underscores both the courage of the signatories and the dismal situation for labor. The Middle East region has the worst trade union rights record in the world, according to a recent Freedom House report, which found that unions in the area are controlled by the government, severely repressed, or banned outright.

The group also demanded that women (and youth) be empowered to act as equal partners in the development of their own nations, and called for freedom of expression and thought for all citizens.

GDP: Government, Democracy, Prosperity

Public spending has been under relentless attack in the U.S. since before President Ronald Reagan first took office.  The notion that “shrinking government” grows the economy, builds character and may even save our immortal souls is now one of the verities of our political discourse: public=bad; private=good. Indeed, it was the central belief uniting Tea Party members during this year’s campaign. Research and experience don’t support this conviction, but here we are.

The massive government spending that was deployed to push the economy back from the brink of depression has aggravated the always inflamed passions on this issue. With red lights flashing and sirens wailing, anti-spending Tea Party-backed politicians are now riding to Washington to slay – or at least rein in – the beast of government.

This is the narrative we live with.

There is an alternative narrative however, supported by years of research, that tells a different tale, one in which public spending is a positive good, for the economy and society. In this narrative, public spending rises naturally as societies prosper and voters – demanding better infrastructure and better public services for themselves and their families – understand the need to pay for the kind of society in which they want to live.

Evasive Maneuvers

In a previous post, I showed how the majority of funding for education and other public services comes from state and local tax revenue, and that low-income families pay a disproportionate share of these taxes (as a percentage of income). 

One of the reasons why this is the case is that many corporations – especially the largest and most profitable – have managed to avoid paying most of the state taxes that they owe (45 states have some form of business tax).  State corporate income taxes (CIT) are levied on business profits – so, for the most part, it’s only the highest-income individuals who are liable (through the businesses they own) for corporate taxes (the top 10 percent wealthiest individuals own about 90 percent of all corporate stock).

A 2005 joint report by Citizens for Tax Justice and the Institute on Taxation and Economic Policy took a close look at state CIT payments by 252 Fortune 500 companies between 2001 and 2003. Their findings were astounding. These corporations were able to shelter roughly two-thirds of their actual profits from state taxation, while 71 of them paid not a penny in state taxes during at least one year between 2001 and 2003.  During the years they paid no taxes, these 71 companies reported $86 billion in profits to their shareholders.

Who Pays For Education?

In education debates, especially these days, there is endless talk about spending – how to spend money, what programs to cut, and how to increase the bang-to-buck ratio. This is not surprising: In 2007-08 (the last year for which national U.S. Census data are available), we spent almost $600 billion. That’s quite a figure, and we all have an interest in spending that money wisely.

What is sometimes surprising is how little we hear about how we get that money. Of course, we all know that our tax dollars fund our public schools, and most of us know that state and local revenue is the primary source of this funding (about 90 percent; on average, about half state and half local). Less commonly-known, however, is who pays these bills – who bears the largest share of the tax burden, relative to their income? At the federal level, taxation is largely progressive, which means that, on the whole, higher-income families pay a larger percentage of their earned income to the federal government than lower-income families. This is, very simply, due to the fact that higher income brackets are taxed at higher rates.

But when it comes to state and local taxes, the picture is different. The poorest families pay far more of their income than the richest (i.e., taxes are regressive). In other words, the money that funds public education is a burden disproportionately borne by poor and middle-income Americans. And the lower your income, the more of it you pay. Given this situation, combined with a fiscal crisis that threatens to linger for several years, the best solution – raising revenue through a more equitable system – may be the only one not on the table.

AMA To Nurses: Teamwork Means 'Just Follow Our Lead'

Why are some doctors so threatened by nurses?  One recent example of such physician angst can be found in the American Medical Association’s (AMA’s) response to a recent report on the future of nursing by the highly respected Institute of Medicine (IOM). Among the IOM’s recommendations are that “nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States."

Being a “full partner”, the IOM report notes, “transcends all levels of the nursing profession and requires leadership skills and competencies that must be applied within the profession and in collaboration with other health professionals. It includes “care environments” (hospitals and medical offices) and the policy area. Nurses must “have a voice in health policy decision-making and be engaged in implementation efforts related to health care reform”, the report argues.  They must be “leaders throughout the system”. 

What? Full partners?  The AMA was quick on the trigger: “A physician-led team approach to care —with each member of the team playing the role they are educated and trained to play—helps ensure patients get the high quality care and value…”

Bart Simpson: Worker Rights Activist

If (like me) you’re not a regular viewer of The Simpsons show, you will have missed a controversial new opening sequence created by British graffiti artist Banksy, which aired this past weekend. The segment, which mocks the show for outsourcing much of its animation work through a South Korean company, began to go viral until yesterday, when Fox asking for the video to be pulled from YouTube and other venues (see here).

The scene begins much like the regular opening, but with "Banksy" scrawled strategically across the town of Springfield. Bart is seen writing punishment lines on the school blackboard, as usual, but this time "I must not write all over the walls" covers every wall of the classroom. The sequence continues almost as usual until we see the family is seated on their couch.

Suddenly, we shift to a dark, cavernous space where row upon row of sweatshop workers are seen to be laboring hard to produce this image. A small child ferries the film over to a vat of dangerous chemicals. We glimpse kittens being thrown into a woodchipper to make stuffing for Bart Simpson dolls. A shackled panda hauls a wagon loaded with the finished dolls, while a depleted unicorn is used to punch holes in the center of DVDs. The skeletons of expired workers litter the scene. It ends with a shot of the 20th Century Fox logo surrounded by barbed wire.

Privatization's Dark Side

Privatization advocates argue that private sector workers deliver comparable services more cheaply than their public sector counterparts. The truth is that sometimes they can, but very often they can’t. And, as documented by a recently-released General Accountability Office (GAO) study on federal outsourcing, the savings can sometimes come at a very high price, including employees’ lives.

The GAO reports that contractors have been awarded billions of dollars in federal contracts, despite having histories of federal safety, health and labor law violations. Some of violations have been extensive and serious. One food supplier was cited more than 100 times for health and safety infractions, including one instance in which a worker was "asphyxiated after falling into a pit containing poultry debris." This same employer was later ordered by a federal court to "properly compensate" more than 3,000 workers.

Another contractor violated fair labor laws when it "coerced employees" and in another incident refused to rehire a worker due to "prior union involvement." This federal contractor has been ordered to pay $4.4 million in back wages to 2,100 employees since FY 2005. It also agreed to pay nearly $300,000 in back wages to African-American workers after a discrimination suit.

The list goes on and on. GAO auditors found that half of the 50 largest fines levied by the Labor Department between fiscal 2005 and 2009 were aimed at 20 federal contractors. The DOL’s Wage and Hour Division which oversees federal minimum wage, overtime pay, and child labor requirements, assessed these contractors for more than $80 million in back wages. Despite these problems, in fiscal 2009, the government awarded these 20 worst companies more than $9 billion in contracts. None lost their right to bid for federal contracts, even temporarily.

A Hypocritical World Bows A Little More Deeply to Workers' Rights

What to think? The UN Human Rights Council (UNHCR) last week approved by "consensus" the creation of a "Special Rapporteur" on freedom of association and assembly. Special Rapporteurs are empowered to investigate, monitor and recommend solutions to human rights problems. In this instance, the Rapporteur will review members’ compliance with a UN resolution on these fundamental rights.

The first reaction to this development, of course, must be skepticism, leavened with deep suspicion. The UNHRC’s membership is usually heavily weighted toward nondemocratic states which routinely infringe on citizens’ right to freedom of association and assembly, including many nations with a majority Muslim population. As a result, the Council, formerly the UN Commission on Human Rights, has a long record of pursuing any and all human rights allegations against Israel with single-minded fury. So, when such a body, with such a disgraceful record, creates a Special Rapporteur on any subject, it necessarily sends a shiver down the spine.

Still, it is interesting. What makes the resolution intriguing is that Russia, China, Cuba, and Libya – who love to grandstand at the Council – opposed the Special Rapporteur and "disassociated themselves" from it, though they chose not to upset the "consensus" applecart by calling for a vote. Their objections make interesting reading. To sum up, they are all for freedom of assembly and association (sort of). They just don’t need some UN guy snooping around, raising questions, talking to people, and writing reports. Even worse, if they don't cooperate with the snooper, he’ll write a report about that.

Well.

Walmart To South Africa?

South African unions are rightly disturbed at prospects that anti-union retail giant Walmart will move big time into their country. Walmart executives have announced a $4.6 billion bid for South Africa’s Massmart, an important, unionized company.  Massmart Holdings Limited operates more than 290 stores in Africa, most of them in South Africa

"We will oppose the setting up of any Walmart stores in the Western Cape," a spokesperson for the Congress of South African Trade Unions (COSATU) said. "These companies are notoriously anti-union and anti-workers' rights."

Probably thinking of the three weeks of tumultuous strikes that recently swept the country, Massmart leaders hastened to reassure COSATU that its intentions, and the intention’s of Walmart, were strictly on the up and up with regard to its employees and their union. In this context, the company placed the following statement on its website:

We are committed to the principles of freedom of association for our employees and regard union membership as an important indicator of this commitment .… We have no doubt that Walmart will honour pre-existing union relationships and abide by South African Labour law. 
The statement cited the comment of a Walmart vice-president, who said that his company hoped for a “continuation of the relationship that Massmart has with relevant unions in the country."