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    Republicans take aim at subsidies that help tens of millions of women

    As they prepare to take control of the White House and Congress next month, conservatives are eyeing cutbacks to federal programs that help tens of millions of women pay for healthcare, food, housing and transportation.Slashing or overhauling social support programs, long a goal of Republican lawmakers, could be catastrophic for women experiencing poverty. Supporters contend the social safety-net programs are already grossly underfunded.“With this new administration that is coming in … I really am concerned about the lives of women. We are seeing so many policies, so many budget cuts,” said Christian Nunes, president of the National Organization for Women.Republicans say they want to keep campaign promises to cut government spending, and three major programs make easy targets: Medicaid, the joint state/federal health insurance program for people with lower incomes; Temporary Assistance for Needy Families (TANF), a cash-allowance program that replaced welfare; and the Supplemental Nutrition Assistance Program (Snap), widely known as food stamps.While conservatives frame cuts as making government more efficient and even restoring freedom, advocates for and experts on families with little or no income say reducing these programs will throw more people – especially women and children – further into poverty.“It is going to fall heavily on women,” said Elaine Waxman, a senior fellow in the Income and Benefits Policy Center at the Urban Institute, a non-profit research organization.Predicting precisely what Republicans in Congress and the Trump administration will do is difficult. Congressional leaders are close-mouthed about negotiations, and the president-elect has not finished putting together his advisory team. None of the spokespeople contacted for this story returned calls or e-mails.But organizations known to advise top leaders in Congress and the previous Trump administration have laid out fairly detailed roadmaps.Project 2025, the conservative Heritage Foundation’s blueprint for the incoming administration, denies its proposed changes will harm women, saying instead that marriage and “family values” will improve their economic situations. “Marriage, healthy family formation, and delaying sex to prevent pregnancy are virtually ignored in terms of priorities, yet these goals can reverse the cycle of poverty in meaningful ways,” reads the section on proposed changes to TANF and Snap.Numerous other groups that have studied the problem say forcing or even encouraging marriage will not make poverty disappear. And a recent study by a team at the University of South Carolina found that when state laws make it harder for pregnant women to get divorced, they’re more likely to be killed by their partners.Trump has promised not to attack the two most expensive and popular government programs: social security and Medicare. But he and Congress are up against a deadline to extend his 2017 tax reforms, which raised the federal deficit. They’ll have to cut something, and social spending programs, especially the $805bn Medicaid program, are low-hanging fruit for conservatives.Trump repeatedly tried to slash Snap during his last tenure in office: his 2021 budget proposal would have cut the program by more than $180bn – nearly 30% – over 10 years. Conservatives in Congress have continued these efforts and, with majorities in the House and Senate, they may be able to get them through next year.The Republican Study Committee, whose members include about three-quarters of the House Republican caucus, recommends more work requirements for Snap and TANF.“SNAP and our welfare system should embrace that work conveys dignity and self-sustainment and encourage individuals to find gainful employment, not reward them for staying at home,” their plan, released in March, reads.A large body of research questions whether widening work requirements does anything other than force people off benefits without helping them find employment. “I think there is a misperception that people in need of help are not working,” said Mei Powers, chief development and communications officer at Martha’s Table, a non-profit aid organization in Washington DC. “People are a paycheck, a crisis, a broken-down car away from needing services.”Snap currently helps 41 million people buy groceries and other necessities every month. Women accounted for more than 55% of people under 65 receiving Snap benefits in 2022, according to the National Women’s Law Center, a gender justice advocacy group. About one-third of them were women of color, the NWLC said.Among other things, cutting these programs will trap women in dangerous situations, the NWLC said: “SNAP helps survivors of domestic violence and sexual assault establish basic economic security.”TANF, which provides cash assistance, overwhelmingly benefits women. In 2022, 370,000 TANF adult recipients were female and 69,000 were male, according to the Department of Health and Human Services.Perhaps Medicaid is the most tempting target for conservatives because they can use it to undermine the Affordable Care Act, also known as Obamacare. The GOP has been gunning for the ACA since it was signed into law without a single Republican vote in 2010.The federal government shares the cost of Medicaid with states. The ACA aimed to make Medicaid cover more people by offering to pay for virtually all the extra costs. Many Republican-led states resisted for years, but as of November, all but 10 states had expanded coverage to an extra 21 million people, or about a quarter of all Medicaid recipients.Medicaid pays for more than 40% of births in the US, plus it covers new mothers for post-pregnancy-related issues for 60 days. It also pays for medical care for 60% of all nursing home residents, more than 70% of whom are women.According to the health research organization KFF, expanding Medicaid helped improve care for women before and during pregnancy and after they gave birth.But most Republicans in Congress have never approved of this federal spending. Proposed cuts to Medicaid funding, which would save hundreds of billions of dollars, are laid out by the Paragon Health Institute, a conservative health thinktank headed by Brian Blase, a top health adviser to the first Trump administration.Experts predict states would be unable or unwilling to make up the difference. “Facing such drastic reductions in federal Medicaid funding, states will have no choice but to institute truly draconian cuts to eligibility, benefits and provider reimbursement rates,” Edwin Park, research professor at Georgetown University, wrote in an analysis.That would mean women, children, older adults and people with disabilities would lose coverage as facilities closed and providers stopped seeing patients.The effects, says the National Organization for Women, “will be widespread, devastating, and long-lasting”.This story is published in partnership with the Fuller Project, a non-profit newsroom dedicated to the coverage of women’s issues around the world. 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    Donald Trump has lost the election – yet Trumpland is here to stay | Aditya Chakrabortty

    Perhaps one day Donald Trump will be dragged out of the Oval Office, his tiny fingernails still dug deep into that fat oak desk. But Trumpland, the country that ignored the politicians and the pollsters and the pundits and gave him the White House in 2016, will outlast him; just as it emerged before he even thought of becoming a candidate. And for as long as it is here it will warp politics and destabilise the US.
    I first stumbled upon Trumpland in 2012, a time when it bore no such name and appeared on no maps.
    I was reporting in Pittsburgh that autumn, as Barack Obama crushed Mitt Romney while cruising to a second term as president. The big US broadsheets wrote up the Republicans as if they were an endangered species , while thirtysomethings in DC gazed deep into their spreadsheets or West Wing boxsets and foretold permanent Democratic majorities, gaily handed to them by a rainbow coalition of black, Latino and granola-chewing graduate voters.
    Except I kept meeting people who lived in an alternative country. People like Mike Stout and his family. He’d worked for decades in the local steel mills and had been a fiery union leader. Now he spent every spare hour as a reincarnation of Woody Guthrie, carrying a guitar along with memories of standing in 2009 on Washington’s Mall to watch Obama’s inauguration, his breath freezing in the January air as the first black president was sworn in . “It was like a new world had opened up, just for an afternoon,” said his wife, Steffi.
    But it was their far more subdued daughter, Maura, who troubled me. The steelworks of her dad’s day was long gone, so she’d gone to university and then spent two years hunting for a job. Now the 23-year-old was doing the accounts for a hotel, a non-graduate position paying $14 an hour, which Mike recalled as the same rate he’d earned at the steelworks in 1978 – without, of course, three decades of inflation. Among Maura’s year of about 500 graduates, she counted as one of the lucky ones.
    “I don’t think I’m ever going to earn as much as my parents,” she said. “I don’t think my husband and I will ever have the same life as they did.”
    We were in Pennsylvania, often painted as a land of blue-collar aristocracy and true-blue Democrats. But the political economy that had underpinned those ballot-box majorities was as rusted as an abandoned factory. Instead, Maura saw a political system that had failed her and her generation, in which every new day was worse than yesterday. And while the Stouts were leftwing, they had little in common with the party they supported. In their eyes, their home had been gutted of manufacturing and bilked by foreign trade deals, and appeared nowhere on the Clinton/Obama ideological map.

    Sure enough, four years later Pennsylvania became one of the rustbelt states that won Trump the White House.
    Trumpland is not the same as the old Republican heartlands, even if they overlap. What the dealmaker saw more clearly than the Bushes, the Romneys and the McCains was that there was a new electoral coalition to be forged out of downwardly mobile white voters. “The people that have been ignored, neglected and abandoned,” he called them in Ohio in 2016. “I am your voice.”
    And so he completed the great inversion of American politics: he turned the Republicans into a party whose future is tied to Trumpland. Even Trump’s rivals accept that. This summer, Texas senator Ted Cruz said: “The big lie in politics is that Republicans are the party of the rich and Democrats are the party of the poor. That just ain’t true. Today’s Republican party are Ohio steelworkers, today’s Republican party are single mums waiting tables…”
    Whatever promises Trump made on the threshold of the White House, once inside he spent four years giving billions in tax cuts to rich people and trying to deprive millions of low-paid Americans of decent healthcare. For the poor whites who put him in power, Trump had nothing to offer apart from racism.
    However grossly used by its leader, Trumpland is more than an imagined community. It has its own society and economics and politics ­– and they barely resemble the rest of the US. The 477 large and densely populated counties won by Biden account for 70% of America’s economy, according to new calculations by the Brookings Institute ; Trump’s base of 2,497 counties amount to just 29% (a further 1% is still to be counted). Brookings describes Trumpland as “whiter, less-educated and … situated in the nation’s struggling small towns and rural areas. Prosperity there remains out of reach for many.”
    These people haven’t been left behind so much as cut loose from the US. Between 2010 and 2019, the US created nearly 16m new jobs but only 55,000 of them were suitable for those who left school at 16. Inequality this deep is not just economic, it is social and psychological. It is also lethal.
    Two economists, Anne Case and Angus Deaton, have found that working-age white men and women without degrees are dying of drug overdoses, alcohol-related liver disease and suicide at unprecedented rates . In 2017 alone, they calculated that there were 158,000 of these “deaths of despair” ­– equal to “three fully loaded Boeing 737s falling out of the sky every day for a year”.
    As Case and Deaton point out, African Americans have still harder lives. They die younger, and are less likely to go to college or get a job. Yet over decades their prospects are improving. For poor white Americans, on the other hand, the trends point straight down. The result, according to a new study by Andrew Oswald and former Bank of England rate-setter David Blanchflower, is that middle-aged, white American school leavers are now suffering an epidemic of “extreme mental distress”.
    When you live in a zero-sum economy, in which you always lose while the other guy wins, then you too might subscribe to zero-sum politics – in which the Democrats aren’t just opponents but enemies, and democratic norms are there to be broken. “These people are hurting,” says Blanchflower. “And when you’re hurting you’ll buy what looks like medicine, even if it’s from a snake-oil merchant.”This is where Biden’s kumbaya politics, all his pleas to Americans to join hands and sing, looks laughably hollow. You can’t drain the toxicity of Trumpism without tackling the toxic economics of Trumpland. And for as long as Trumpland exists, it will need a Trump. Even if the 45th president is turfed out, he will carry on issuing edicts and exercising power from the studio set of any TV station that will have him.
    Eight years after meeting Mike Stout, I spoke to him this week. He didn’t have much good news for me. Maura lost her hotel position last year and is now working from home in the pandemic, phoning up people deep in debt and pressing them to repay their loans. His son, Mike, lost his job just a few weeks ago for the second time in five years, and now has no medical insurance while his wife has stage-4 cancer.
    “They’ve been pushed off the shelf straight into the gutter,” he told me. “I don’t see any party out there willing to protect my children’s lives: not Democrat, not Republican.”
    • Aditya Chakrabortty is a Guardian columnist More

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    Social distancing? Working-class people don't have that luxury | Francine Prose

    Social distancing? Working-class people don’t have that luxury Francine Prose While the rich work from home, others are packed on subways or losing their jobs. This pandemic calls for a reckoning Coronavirus – live US updates Live global updates See all our coronavirus coverage ‘They wouldn’t be on the subway if they didn’t have to […] More