Our Healthcare Situation…

Once again, I am busy this week writing more letters.  Conveniently, Mitch McConnell’s website and email has been down for maintenance so I am not sure whether my letter will reach his office in time.  Also, other legislators would not let me email them because I was outside of their district.  However, I did manage to get this message out to those who allowed me to contact them.  How sad is it that our leaders are making it hard for us to express our opinions on the decisions they are making?

Below is what I sent regarding the repeal of the ACA.  This letter was written a few days ago, so it does not include the new changes that I am infuriated about including requiring pregnant women to return to work within 60 days or risk losing Medicaid.  Have they also included access to affordable childcare in this new plan because as far as I know childcare continues to be a barrier to full employment as well as hindering families across the United States when a childcare build can exceed $1,000 a month in my area.

Each day I wake up further fired up about making my voice louder and thinking about our policy challenges in the days to come.  I hope no matter what side of the aisle you sit on you are just as engaged.  As I’ve said before, the election of a leader shouldn’t be the end of our relationship with them, it should be just the beginning.


I write to you today to express my deep concerns over the new replacement plan for the Affordable Care Act.  I first want to tell you a little bit about my family and then I will share my concerns.  It is my hope that you will take this considerations into account when you cast your vote that will hurt my family.

I am a member of what is called the sandwich generation.  I have a young child at home and also within the last two years moved my aging mother into my home so I can better care for her and she can reduce her hours at work.  She worked hard her entire life for not only me, but also my sister.  She was largely a single parent.  She cleaned houses for most of my childhood because it gave her flexible hours to be home for us.  However, it also meant that the work broke her body down at a young age.  We never had health insurance growing up.  I watched my mother stress every time we got sick.  The real strain when there was a broken bone.  I saw her neglect her own health because we simply could not afford to have health insurance.  I know we trivialize that kind of work my mother did in our society.  We tend to think less of the working poor who clean our toilets.  But, she did what she had to do to keep a roof over our heads.  She later was able to move into a management position in retail once my sister and I were older.  However, that work did real damage to her feet since she was on them 9-11 hours a day.  Her hard work paid off for me though.  I am a first generation college graduate that not only earned a BA, but also a Master’s degree and a PhD.  I am financially secure enough to care for her.

I also have a young child.  A beautiful six year old daughter who loves science.   My husband is now a full time student.  While I finished my PhD he worked so I could achieve that goal for us.  Now, he is pursuing his educational goals and I am supporting us.  We are fortunate enough to own a modest home.  We own two paid off vehicles, are able to take a nice vacation every other year and make sure our daughter has additional educational opportunities.

I am also fortunate that I have health insurance.  Now, my employer and I pay A LOT for that privilege.  My 2016 tax form shows where we paid $11,200 in premiums.  This plan provides at least a modest amount of coverage for my little family.  My mother is also still working enough hours that her company provides her health insurance, but I’ve been concerned in the last year that she will need to drop down further in hours which will eliminate her health insurance.  However, I was not very worried because of the expanded Medicaid in Kentucky and I knew she would be able to get coverage through that avenue or if she still made too much for that we could afford one of the plans in the exchange.

The proposed plan changes all of that for my family.  I was horrified when I saw the CBO estimates that someone in my mother’s position could have premiums of $14,000 a year.  Congressman, we simply cannot afford that kind of cost.  I’ve been sitting down over the last few days and putting pen to paper thinking about what this change will mean for my family.  If my Mom has to continue to work while breaking her body down further this means I will have my remaining parent for a shorter amount of time.  My father passed away 3 years ago after a horrific battle with cancer where I also cared for him.  She literally would be working for health insurance.  Now, if we decide to drop her hours down and attempt to purchase one of these insane plans she would still be working only for health insurance and I would also have to contribute to paying for this plan.  This would mean adjustments to my family and our way of life.  Somehow, I cannot imagine this the position she thought she would find herself in after sacrificing so much for her kids.  I certainly never expected my government to expect a 60 year old woman who makes working poor wages to pay $14,000 for healthcare.  Now, I consider us fortunate.  I have the financial resources to figure it out unlike the millions of people who will lose vital coverage under this proposal.

I am, frankly, infuriated with the estimates of how many people will lose coverage.  I keep hearing the rhetoric, the talk of coverage was never promised but rather it is about lowering healthcare costs.  However, in my review of this plan I see very few measures that would truly lower medical costs.  There is no discussion of how to lower prescription drugs.  There is no discussion of how to lower and standardize the costs of healthcare across hospitals, states, regions.  There is no discussion of how to hold insurance companies accountable.  I heard the rhetoric that poor people may have to make the choice to either buy health insurance or an iphone.  Congressman, I would jump all over a healthcare plan that cost me $700 for a few years of use.  I would jump all over a plan that was $700 per year per person in my household.  However, we both know comparing the cost of an iphone and the cost of a health insurance plan is ludicrous.

I do see a clause that assumes the poor are playing the lottery, winning and then hiding this money from the government; so therefore, we need something that says we can go after those winnings for Medicaid.  The last time I checked, the odds of winning the lottery are about 1/14 million.  We all have a better shot of getting struck by lightning (1/9 million) or getting bit by a shark (1/3 million).  Please explain to me why this clause exists?  What do our legislators assume about poor people?  I also see plenty of clauses about limiting tax credits for women’s health care choices.  Congressman, what do you assume about a women’s ability to make her own decisions regarding her body?

I am sickened by a system that is based off the premise of making profit.  To me, healthcare is not a privilege.  It is a right.  It is not a market for profit, but rather something we do as a society because it is the right thing to do for our population.  And, I will gladly pay my share so that those who are working themselves into the ground just to provide the basics to their family can also have healthcare.  I will gladly do my part so every person in our nation can have access to healthcare.  It makes our nation a healthier and more productive place to have a healthy population.

I urge you to vote no for this plan.  I urge you to show leadership and collaboration and craft a plan that really does work for the poor, the average citizen, the elderly, children and not just the wealthiest among us.  I urge you to radically rethink how we do healthcare in this nation.  I would support, campaign for, back up and defend any congressman who has the leadership and bravery to craft that kind of plan.

Dear Sir,



This blog post is a little different than my normal reflections on life as a mother, wife, professional and sandwich generation member.  This morning I sat down and wrote an extensive letter to my congress people.  I’ve printed these letters and they will be mailed.  This letter will also be emailed and also posted here.  This is also just the first in what will be a series of letters to my representatives expressing my thoughts and concerns about many of the policy directions that impact my effectiveness as a mother, college professor and how I am able to take care of my aging parent.  Further, these policies have me thinking about my own retirement plans.  I share this because it is deeply important that as many people as possible become engaged with how public policy impacts their daily life.  Each and every one of us should be evaluating the proposals and determine how they will matter to you and your neighbors.  Each of us should reach out to our legislators to affirm what we like in a given policy and what we disagree with in a given policy.  They are there to work for us.  Electing these individuals should be just the BEGINNING of our interaction with them.

This is one of my first forays into what I call my visibility in political conversation.  Notice I say conversation–not debate, not fight.  I expect many more of my blogs will be reflections of public policy and mothering.  Public policy and being a caregiver.  Public policy and my role as a social scientist.



I am writing this letter to express deep concern about the budget released by the White House this week.  I fully understand that the right to develop our federal budget lies with the Congress and thus my letter to you.  There are many programs and funding lines that this administration wishes to cut that bring me great concern.  Further, there are increases in spending that frankly make little sense to me.  I will outline my concerns below.  However, I should note that these are just SOME of my many concerns that have emerged over the last 50 days.  This list is by no means exhaustive.

First, in regard to specific cuts to agencies.  Under the Health and Human Services, the budget proposes to cut the health professions and nursing training program.  This concerns me because one element of this program focuses on providing incentive and training for rural doctors.  Rural people already have a hard enough time accessing and affording healthcare and yet the administration proposes cutting programs that help ease some of that burden.  For Kentucky it is imperative that we attract doctors to rural areas.  In fact, our universities see this need and are partnering to educate more doctors to place in rural areas (see UK and WKU medical school partnership).  We should be doing everything we can to support these endeavors by our public institutions not work against them. The training program also has a targeted focus on diversity in the medical professions.  Research shows that there is a racial differential in how minority patients are treated, how they trust their healthcare professionals and even how they trust providers such as health insurers.  However, one factor that does reduce this mistrust is having a healthcare professional that not only looks like you, but also understands your culture.  To cut programs that recruit, train and then strategically place healthcare professionals whether to rural areas or to increase the number of healthcare professionals of color is a disservice to citizens.  Further, I only mention two areas that this program covers and there are many more that are just as needed that this money facilitates.  The argument is that these programs are ineffective.  However, I am unable to find evidence of this ineffectiveness.  In fact, I am able to find more research that supports why this work is needed than why the work is not needed.  These are the kinds of programs I want my tax dollars devoted.

Next, also under health and human services, is the reduction of the Low Income Home Energy Assistance Program.  I am sick and tired of federal budgets targeting the most vulnerable in our society.  I do not mind paying my taxes so that they may be used to help our elderly and poor men, women and children keep the lights on.  The elimination of the community services block grants that aid specifically in fighting poverty is unconscionable.   As I understand it, these are dollars that are directed back into the community to address the local needs.  In my own community, we rely on these dollars to help with the needs of our underserved populations.  The non-profits and faith based communities are already stretched thin and I believe it is a good use of my tax dollars to support these block grants and agencies that facilitate groups like Community Action.  Once again, I see the elimination of this block grant as further devaluation of the most in need in our society.  Finally, Meals on Wheels?  Really?  Need I say more?  I’m sorry that feeding the elderly is not seen as a function of the government.  However, as a citizen I do see that as a function of my tax dollars that go to the federal government.

I’d now like to move to education.  Though there are many of the educational cuts (and additions such as money for private school vouchers) that infuriate me there are two I’d like to address.  First, this budget calls for the elimination of the 21st Century Learning Centers because the “programs lack strong evidence of meeting objectives, such as improving student achievement.”  I’ve looked at the literature on after school programs and in particular those studies done following the implementation of these learning centers.  Results are mixed.  However, if you read into those reports, many of the issues cited include the lack of rigorous experimental or quasi-experimental designs to study after school programs.  Thus, is the after school program ineffective or have we not been evaluating these programs appropriately?  Further, in what ways are we working with programs to make sure there is a clear theory of change linked to what they are doing that allows for a clear evaluation?  I would just encourage a further look at this program and rather than throwing the baby out with the bathwater, consider other avenues we can take to evaluate and improve these programs for children.  Next, I’m concerned with the elimination of the Supporting Effective Instruction State Grant programs.  Providing blocks of dollars to states to allow professional development is an important part of creating a world class education system for all children.  I’ve seen little information of how we would replace those dollars that school districts need to further educate our teachers.  Finally, I am absolutely outraged that this budget director would argue that it does not make sense to feed kids through the schools and there is no evidence of impact.  These are BABIES.  Our future BABIES.  I am horrified that this line of reasoning would even be used.  This is one of those things we do as a society because IT IS THE RIGHT THING TO DO FOR BABIES.  I ask you to do the right thing and I gladly pay taxes so that hungry BABIES are able to concentrate in school because they are not thinking about their empty bellies.  I seriously cannot believe I am having to include this in a letter.

In terms of the State Department and Global Climate Change Initiative, I am just going to say this—climate change is real.  It is exists whether one believes it or not.  Science allows us to say it exists.  Further, as much as people would like to believe there is discrepancy in the science that humans/and carbon dioxide are drivers, the evidence exists.  Can we still learn more?  Absolutely.  But, stick with science on this one.  PLEASE. I want my tax dollars spent on the Green Climate Fund, the Strategic Climate Fund and Clean Technology Fund.

Under Housing and Urban development, I am fundamentally opposed to the elimination of the community development block grants and the Capacity Building for Community Development and Affording Housing program.  To me, community development is a PUBLIC good not a private good for profit to be made.  Developers are not going to invest dollars in our most disadvantaged neighborhoods because it does not make a lot of profit.  Doing the right thing is often times not profitable but it doesn’t mean it shouldn’t be done.  Do the right thing.  I want my tax dollars to support these two programs.

Under the Department of Energy, once again let me say—the science is clear.  Climate change is real.  We will need to develop alternative energy sources.  The Advanced Research projects program funds research that private sector businesses will not—again going back to that pesky profit thing.  I do not support any budget that eliminates the innovative technology loan program, advanced technology manufacturing program, or state energy program.

In terms of the EPA, I cannot believe we are considering eliminating programs that restore our Great Lakes.  The plan to turn over these projects to states with no support makes zero sense.  The Great Lakes are not just state resources.  The country, as a whole, benefits from the shipping done in the Great Lakes.  This is a public good and should be restored using public dollars at the federal level.  Further, a 31% decrease in the EPA budget is yet another attack on science and climate change.  It is very clear that this administration is skeptical of the scientific method which is ludicrous.  We can bury our heads all day long, but change is occurring, it is impacting communities and will continue.  Please, do not be like the administration.  Stand up for science.

I now turn to the agencies that are targeted for total elimination of federal funding.  I will start with the Corporation for National and Community Service.  I am a very proud AmeriCorp Alumni.  That program put me on a path to my current career as a college professor and community development expert.  I was paid below poverty wages to do some of the hardest, most rewarding work of my life.  I taught GED preparation and life skills in an Adult Education Center and a local jail.  I saw the challenges of those low income adults and inmates who were re-entering society and I decided that I would devote my life and career to serving those populations.  I went on to obtain a MA in Community Development and then a PhD in Rural Sociology.  I am a proud faculty member at Western Kentucky University where I continue this work.  I know, without a doubt, I would not have taken this path without the AmeriCorp experience.  I am disgusted that this program would even be considered for elimination.

Next, I am a sustaining member of both PBS and NPR. I believe in the programming these two groups provide.  To see my daughter fall in love with science because of the Wild Kratts and Sid the Science Kid is precious.  In case you haven’t watched children’s television today it is not exactly educational.  However, I can be sure with PBS that she is getting an education.  Further, I see the way her teachers also use PBS and the supplemental materials they provide.  With already limited resources, this is yet another avenue teachers have to make the most impact in the classroom.  To think we would eliminate funding for this program at a federal level is beyond me.  I firmly believe that our government should do more than simply provide a military defense for the nation which seems to be the focus of this administration.  I believe in funding the arts and sciences.  In fact, I really cannot believe that I have to argue for federal funding for these important aspects to our American culture.  I believe in funding public radio which is where I’ve heard some of the best political debates on the issues we face as a nation, heard the leading minds on our scientific innovations and challenges and felt I was getting the best information from not only NPR, but also PBS Newshour.  I believe we should fund these agencies that do not make a profit because then good programming becomes the motivation, NOT how to draw in viewers with yelling matches, wild accusations and material that is not fit for children to watch.

I’ve just listed the other agencies that are also up for elimination that was published in the New York Times, Boston Globe, USA Today, etc.  I’ve seen firsthand the work of the Delta Regional Authority when I lived in the Mississippi Delta (proud graduate of Delta State University).  This region is only behind our Appalachian Region in systemic poverty and these regional commissions do important work.  Are they perfect?  No.  I have some faults in how they conduct business.  However, I do not believe for one minute they should be eliminated.  To see the Legal Services Corp and the Council on Homelessness on the block is yet another example of further marginalizing the most vulnerable in our society.

  • African Development Foundation ($26 million): An independent foreign aid agency focusing on economic development in Africa.
  • Appalachian Regional Commission ($119 million): A 52-year-old agency focused on economic growth in 420 counties.
  • Chemical Safety and Hazard Investigation Board ($11 million): The agency was created by the Clean Air Act of 1990 and investigates chemical accidents.
  • Delta Regional Authority ($45 million): An economic development agency for the eight-state Mississippi Delta region.
  • Denali Commission ($14 million): A state and federal economic development agency for Alaska.
  • Institute of Museum and Library Services ($231 million): Provides money to the nation’s 123,000 libraries and 35,000 museums.
  • Inter-American Foundation ($23 million): Promotes “citizen-led grassroots development” in Latin America and the Caribbean.
  • S. Trade and Development Agency ($66 million): Promotes U.S. exports in energy, transportation, and telecommunications.
  • Legal Services Corp. ($366 million): A 43-year-old congressionally chartered organization that helps provide free civil legal advice to poor people.
  • National Endowment for the Arts ($152 million): Encourages participation in the arts.
  • National Endowment for the Humanities ($155 million): Supports scholarship into literature and culture.
  • Neighborhood Reinvestment Corp. ($175 million): Better known as Neighborworks America, the organization supports local affordable housing programs.
  • Northern Border Regional Commission ($7 million): A regional economic development agency serving parts of Maine, New Hampshire, New York and Vermont.
  • Overseas Private Investment Corp.($63 million): Encourages U.S. private investment in the developing world.
  • S. Institute of Peace ($40 million): Government-run think tank focusing on conflict prevention.
  • S. Interagency Council on Homelessness ($4 million): An independent agency coordinating the federal government’s efforts to reduce homelessness.
  • Woodrow Wilson International Center for Scholars ($11 million): A program to provide scholarships and fellowships in social sciences and humanities.

“The president said, specifically, hundreds of times – you covered him – ‘I’m going to spend less money on people overseas and more money on people back home’ and that’s exactly what we’re doing with this budget,” Trump’s budget director, Mick Mulvaney, told reporters (New York Times).  To me, this budget does not reflect a people first budget.  Just look at his priorities!  They harm the people.  They harm the people I work with on a daily basis–my students, community members and most vulnerable in our communities.

There is one aspect of this budget that I do support and that is the increased funding for Veteran’s Affairs to serve our men and women who served.  However, I absolutely do not support yet another increase in military spending that focuses on making more bombs and planes.  The United States already spends more on military infrastructure than the next 8 nations combined in military spending.  We could decrease our military spending and STILL be the country that spends the most on military infrastructure.  I think back to the monumental speech that Eisenhower gave on the need to balance public and private wellbeing and the need for a solid defense.  It seems to me, this budget is heavily weighted on one side and completely ignores the other.  I also do not support any funds for the building of a ridiculous border wall.  Do we really think it is feasible to build a wall along a thousand mile border that is owned largely by private property owners and will impact wild life migration?  Do we really expect another country to pay for this wall?  Why would we take OUR tax dollars to fund such a project?  History shows that the “walls” built in earlier administrations were fraught with problems including technology that malfunctioned when birds flew around it and still left major gaps.  The smartest approach would be immigration reform.  But, that is a subject for yet another letter.

This budget, in conjunction with the horrific new GOP lead replacement for the Affordable Care Act (which I will address fully in another letter), only further solidifies my commitment to fighting against these measures.  This is only the first detailed letter you will receive from me over the next four years.  I may sit on a different political aisle than you do, but you are still my representative and it is still your duty to also represent me even if that means compromise.

It is with deep hope that you go forth and fight for many of these programs that are so vital to local people and communities.

Peace be with you.