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Center for Economic and Policy Research;
Puerto Rico's circumstances changed significantly with the devastating impact of Hurricane Maria in September 2017. The storm claimed the lives of an estimated thousands of people, destroyed the island's infrastructure, severely damaged over 472,000 homes, and completely shut down utilities. The Financial Oversight and Management Board for Puerto Rico estimates there to be at least $80 billion in damage from the storm, though a report from Puerto Rico's governor estimated it would take $95 billion to rebuild.
This paper finds that the Board's new fiscal plan, like the previous one, is based on overoptimistic macroeconomic assumptions, downplays the negative impacts of continued austerity, and fails to address many of the structural problems at the core of Puerto Rico's lost decade, all while mandating a significant erosion of worker rights and reductions in public services.
Henry J. Kaiser Family Foundation;
More than four years after the implementation of the Medicaid expansion included in the Affordable Care Act, debate and controversy around the implications of the expansion continue. Despite a large body of research that shows that the Medicaid expansion results in gains in coverage, improvements in access and financial security, and economic benefits for states and providers, some argue that the Medicaid expansion has broadened the program beyond its original intent diverting spending from the "truly needy", offers poor quality and limited access to providers, and has increased state costs. New proposals allow states to implement policies never approved before including conditioning Medicaid eligibility on work or community engagement. New complex requirements run counter to the post-ACA movement of Medicaid integration with other health programs and streamlined enrollment processes. This brief examines evidence of the effects of the Medicaid expansion and some changes being implemented through waivers. Many of the findings on the effects of expansion cited in this brief are drawn from the 202 studies included in our comprehensive literature review that includes additional citations on coverage, access, and economic effects of the Medicaid expansion.
The 'Citizen Participation in Adaptation to Climate Change' (CPACC) project aimed to build the resilience of farming households to climate shocks, through promoting conservation farming techniques and livelihood diversification, and through supporting disaster-planning activities and early-warning systems at the community level. This Effectiveness Review used a quasi-experimental approach to assess the impact of the project among households whose members directly participated in the project activities, in one of the three districts where the project was carried out. The results provide evidence that the project had a positive effect on the resilience of participant households, particularly through the community-level disaster preparedness activities. There is also evidence that the project had a positive impact on the adoption of conservation farming techniques, on the area of land cultivated, and on yields. However, the project does not appear to have had the positive effects it sought on engagement in non-agricultural income-generating activities, nor on participation in savings groups. There is no indication that the project had had a positive impact on households' overall material welfare by the time of the survey. This report is part of Oxfam's Effectiveness Review Series.
America's current debt problem is the result of too much spending, not too little taxation. Mandatory or "auto-pilot" spending accounts for two-thirds of the federal budget. The Congressional Budget Office projects that by 2039 federal spending on Medicaid, Medicare, Social Security, and interest on the debt will outpace all revenues. The longer Congress waits to address reforms to these programs, the worse the fiscal situation will become. Social Security cannot be reformed through reconciliation, but all other mandatory programs can be. Congress should use reconciliation to begin reforming these programs now.
Overall, immigrants are less likely to consume welfare benefits and, when they do, they generally consume a lower dollar value of benefits than native-born Americans. This appears contrary to the study conducted by the CIS (Publication 3), but Cato claims its work is more accurate because it examines individuals with immigration status, while CIS measures welfare use by households headed by immigrants (which often contain multiple native-born Americans).
This paper examines how asset limits run counter to the goals of TANF and SNAP of supporting recipients in work and enabling them to advance economically.
Inequality between the richest and the rest in Malawi continues to rise, with poverty remaining extreme and endemic. Climate change is compounding the challenges, with recent droughts and floods likely to have worsened poverty, resulting in one in three Malawians relying on humanitarian assistance in 2016. Economic inequality threatens to undermine the hard-fought and important progress on some aspects of human development in Malawi.
This report presents a vision, roadmap and policy recommendations for a more inclusive, equitable and prosperous Malawi. It shows that inequality is not inevitable but the result of policy choices made by those with power. Breaking out of slow and unequal growth requires government, development partners and institutions to work for all, especially for those living at the margins, rather than serving powerful vested interests.
At a time when the global food system faces multiple and interlocking challenges, examining the business arrangements and structures that can lead to a more equitable distribution of value in food supply chains has never been more important. Through 12 case studies, this paper demonstrates the range of business arrangements and the diversity of ownership and governance structures that can drive more equitable outcomes.
Business structures that seek to balance the interests of different stakeholder groups offer an alternative to shareholder-based models. These alternative models can significantly improve the livelihoods of the most marginalized women and men in the global food system.
Heartland Alliance Policy And Advocacy;
March 23, 2018 marks 8 years since the Affordable Care Act has been enacted. This healthcare programs has brought affordable and quality care to millions, including over 1 million Illinoisans. View our infographic to see the impact of the ACA in Illinois and to celebrate another year of healthcare access for millions, including those that Heartland Alliance serves in Illinois and across the nation.
New Philanthropy Capital (NPC);
Trusts and foundations are increasingly looking to become agents of social change themselves as well as funders of it—asking themselves whether providing more than direct services might make more of a difference. Two common ways that funders do this are through providing support to help organisations develop their capacity, and by using a funder's influence to advocate for change. Here we focus on the latter, looking at influencing practices of funders from around the world—exploring the methods that these take, the evidence for whether it works and how funders can approach impact measurement.
Santa Barbara Foundation;
This assessment focuses on the veteran population of Santa Barbara County. This assessment presents a comprehensive review of the pertinent demographic and landscape data, for important context, and provides observations about qualitative findings that may inform improvements to policies, systems, and organizations, in service to addressing the needs of those who have served. Where possible, this paper distinguishes between issues facing veterans that are service connected, and issues that affect veterans which may have little or no relation to service. Where appropriate, data, observations and recommendations pertain to active or reserve service members, military families, and/or veterans' families, however the focus of this assessment is specifically on veterans, not those currently serving or the family members of service members or veterans.