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John Bacino on November 1, 2007 - 8:50am
Stopping Toxic Toys
Thursday, November 1st, 2007
In Today's Dispatch:
Stopping Toxic Toys
This summer and fall has been a parent's nightmare as toymakers recalled millions of foreign-made toys tainted by lead and other toxic hazards. In a blockbuster report, Toxic Trade: Globalization and the Safety of the American Consumer, the Campaign for America's Future highlights that this situation is no accident, but deliberate federal policy as corporate interests have taken over the federal Consumer Product Safety Commission and gutted consumer protections. The problem is clear:
World imports have increased by 338% since 1974, with imports from China alone increasing nearly 3,900% just since 1985. Yet the budget of the Consumer Product Safety Commission, the government agency responsible for monitoring consumer goods in the United States, is less than half the level it was when it started in 1974... As a result of budget cuts, the CPSC has closed more than 40 field offices and cut its port inspection staff to 15 people nationwide.
States Leading on Toxic Toy Safety
Luckily, states have stepped into the breach of federal inaction in recent decades. California is a leader in this area, having enacted Proposition 65, the Safe Drinking Water and Toxic Enforcement Act as a ballot initiative in November 1986. Groups like California's Center for Environmental Health have used the law to win legal agreements to eliminate lead threats from diaper creams, children's medicines, home water filters, vinyl lunch boxes, and baby bibs. To emphasize the importance of this state action, even if federal law was being enforced (which it isn't), the federal CPSC legally allows 350 times more lead in products than are allowed under California law.
Another key state initiative has been the Toxics in Packaging Act, drafted by the Coalition of Northeastern Governors in 1989 and adopted by 19 states, which requires that concentrations of four toxic metals (including lead) be reduced to less than 100 parts per million -- a far lower level than the 600 parts per million allowed by the federal government.
In 2006, the City of San Francisco became the first city to ban the sale, distribution and manufacture of baby products containing any level of bisphenol A and certain levels of phthalates, key toxics often used in childrens' toys. With the state of California following suit in 2007 with the passage of AB 1108 banning most phthalates, many manufacturers removed these toxins from plastic bottles, teething rings and other toys.
Stopping Federal Preemption
As we've highlighted in the past, the biggest danger to this state action are federal laws that preempt stronger state leadership. As Ed Mierzwinski, Federal Consumer Program Director for the U.S. Public Interest Research Groups, said in Congressional testimony, the government may trade “passage of a weak federal law for ”Ëœfederal uniformity’ in response to the baseless demands of self-interested industry organizations.”?
In current Congressional debates, Mr. Mierzwinski praises language in one proposed law, the Safety Assurance for Every Consumer Product Act, HR 3691, which declares that no federal rule "shall contain a preemption provision" voiding stronger state action unless expressly authorized by statute.
Another federal bill, approved by a U.S. Senate committee, would strengthen state enforcement by giving state attorneys general the authority to enforce its provisions, a way to assure that enforcement of federal child safety laws would not be gutted when corporations buy off the White House.
If new Congressional laws don't undermine their authority, states will continue taking leadership on fighting toxic toys; leadership sadly lacking for decades by federal officials.
Privatizing Health Care at Taxpayers' and Patients' Expense
A perfect storm is brewing around the shady business practices of a private Florida insurance company that covers 2.3 million Medicaid and Medicare beneficiaries nationwide, including a raid by federal and state agents, allegations of fraud, a subsidiary in the Cayman Islands, signing up dead people, and excessive profits gleaned from government contracts. This sounds like a bad B-movie caper directed by Dick Cheney, but it is an all-too-real account of Medicaid and Medicare privatization going sour.
Earlier this month, 200 federal and state agents raided the offices of WellCare Health Plans of Tampa, Florida, amid growing questions about the company's substantial profits and business practices. The raid comes a few months after WellCare and other insurers voluntarily suspended marketing after federal officials alleged the companies engaged in illegal and aggressive sales tactics, including enrolling dead people, impersonating Medicare representatives, and exploiting personal information stolen from federal records.
Privatization Leads to Taxpayer-Subsidized-Profits... and Questions
WellCare is Florida's largest private Medicaid carrier and has Medicare Advantage members in 7 states. In 2006, the company had $4 billion worth of Medicaid and Medicare contracts, earning $139.2 million in profits. These profits - and those of other insurers - should be a "canary in the coal mine" warning for state and federal lawmakers and taxpayers. Only 81% of Wellcare's revenue was spent on medical care for its members; the rest went to profits, bonuses, and overhead. To push more Medicare beneficiaries into private plans, the Bush Administration pays private companies 12% to 19% more for every senior they enroll in Medicare Advantage versus traditional fee-for-service Medicare. Said one financial analyst,
These companies are making a lot of money off this Medicare Advantage product, and you just have to wonder if maybe something is wrong here.
Wall Street analysts are skeptical of WellCare's profits and business dealings, and so they should be. WellCare has a subsidiary in the Cayman Islands which provides the company with reinsurance coverage, a form of insurance for insurance companies. How convenient that WellCare pays itself for coverage - shifting money around in the form of reinsurance premiums. Adding to the controversy, WellCare is being audited by the State of Georgia, where the company has over 440,000 Medicaid and SCHIP members, most of whom are children. Health care providers are questioning the timeliness and the quality of coverage WellCare is providing under these programs.
To its credit, WellCare has given back for the generosity it has received - $105,000 to the Florida Republican Party this year; $66,000 to federal candidates, all Republicans, in 2006; and, its generosity knowing no bounds, $5,000 to the Florida Democratic Party this year.
Privatization - A Boon for Corporations, A Bust for Consumers
The problems arising from health care privatization are not unique to Medicare and Medicaid. A New York Times report details the substandard, and too often, deadly care nursing home residents receive after public nursing homes are acquired by private investment firms. In addition to reduced staff levels, higher death rates, and dirty facilities, the private corporations set up complex mazes of ownership that make it virtually impossible for disaffected seniors and their families and government regulators to exert any level of accountability over the medley of for-profit entities running the homes.
Medicare, Medicaid, and nursing home privatization is a serious problem for Americans who want accountability in health care programs and thoughtful stewardship of taxpayer dollars.
A number of new immigration-related reports were released this week:
While some analysts have tried to blame the rise of new immigrants for the increasing percentage of the population without health insurance, new analysis by the Economic Policy Institute shows that lack of coverage has been increasing just as fast among native-born people as immigrants.
Adding to other evidence that undocumented immigrants pay their share of taxes, the Iowa Policy Project has a new report finding that undocumented immigrants pay about 80% of the taxes paid by legal residents but get far fewer public services since they are barred from Medicaid, Social Security and many other programs. Better enforcement of employers’ withholding of income taxes would increase the tax share paid by such immigrants.
Workplace raids by federal immigration officials are increasingly traumatizing the children of immigrants, often leading to the separation of parents from their children (who are usually American citizens), according to a new Urban Institute report, Paying the Price: The Impact of Immigration Raids on America’s Children. More heartening, community members and organizations often reached out to care for children abandoned by these reckless federal raids that had little provision for the consequences on these children.
A new Common Cause study of a recent vote-by-mail election in Denver found that mail-in voting procedures decreased the disparity in voting rates between Latino and other voters. While Latino voting was 14% below overall voting rates in polling place elections in May 2005, Latino precincts had only 3% lower turnout in an all mail election in May 2007.
Tobacco manufacturers and retailers gave $96 million to state-level candidates, committees and ballot measures in the 2005 and 2006 election cycles, a new study by the National Institute on Money in State Politics finds, yet the industry lost many legislative battles in 2007 and five of seven ballot measure campaigns in 2006.
Three quarters of Americans believe smarter development and public transportation are better solutions to congestion than building new roads, according to a new survey by Smart Growth America and the National Association of Realtors. An overwhelming 84% of the public opposes privatization of public roads and highways.
If 15% of electricity energy was required to come from renewable sources by 2020, consumers would see $13-18 billion in lower electricity bills and reductions in global warming pollution equal to taking 13.7 to 20.6 million cars off the road, according to analysis by the Union of Concerned Scientists.
As part of launching the new Spotlight on Poverty Opportunity, which is working to inject the issue of childhood poverty into Presidential debates, new polling shows that one-half (50%) of likely voters believe that "the hunger problem in the United States is getting worse," an increase from 38% in 2002, and 54%, do not believe that "political candidates have spent an adequate amount of time discussing hunger and poverty issues."
In A Child's Day 2004, the Census Bureau presents detailed data on children's lives, highlighting that parents are increasing limits on children's television viewing, but as many in one in five children live in dangerous neighborhoods where parents keep them indoors out of fear.
Stopping Toxic Toys
Campaign for America's Future - Toxic Trade: Globalization and the Safety of the American Consumer
Progressive States Network - Industry Looks to Federal Rules to Preempt State Regulation
CA AB 1108 - 2007 law banning most phthalates
Privatizing Health Care at Taxpayers' and Patients' Expense
Centers of Medicare and Medicaid Services - 2006 Medicaid Managed Care Enrollment Report
Center on Budget and Policy Priorities - Medicaid Commission Recommendations Raise Serious Threat Commonwealth Fund - The Cost of Privatization: Extra Payments to Medicare Advantage Plans
Center on Budget and Policy Priorities - Informing the Debate About Curbing Medicare Advantage Overpayments
AFSCME - Stop Medicare Privatization
3 Steps Forward
2 Steps Back
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