Maggie Jo Buchanan Archives - Talk Poverty https://talkpoverty.org/person/maggie-jo-buchanan/ Real People. Real Stories. Real Solutions. Mon, 05 Mar 2018 20:50:17 +0000 en-US hourly 1 https://cdn.talkpoverty.org/content/uploads/2016/02/29205224/tp-logo.png Maggie Jo Buchanan Archives - Talk Poverty https://talkpoverty.org/person/maggie-jo-buchanan/ 32 32 Texas Is Finally Doing Something About Its Maternal Mortality Rate https://talkpoverty.org/2017/08/18/texas-finally-something-maternal-mortality-rate/ Fri, 18 Aug 2017 14:05:11 +0000 https://talkpoverty.org/?p=23470 This week, the Texas legislature passed—and the Governor signed into law—a bill to address the state’s maternal mortality crisis. As it stands, Texas is the deadliest state to give birth in, and it’s the deadliest state for new mothers—especially for African American women, who are at the most risk. Among OECD member countries, Texas’ maternal mortality rate comes second only to Mexico.

It took the entirety of both the state’s regular legislative session and a month-long special session, but the bipartisan bill finally crossed the finish line. The new law will extend the state’s Maternal Mortality and Morbidity Task Force’s expiration date to 2023 and require it to report on disparities in pregnancy-related deaths (including socio-economic status) and best practices in lowering mortality rates in other states, as well as actually evaluate options to reduce maternal deaths.

The task force, which was created in 2013, has already identified a lack of early pregnancy care as a significant contributor to death. In some ways, that’s unsurprising: Nearly 25 percent of Texas women are uninsured, and the state leads the country in the total uninsured rate. Because of cost, over the past year 52 percent of Texas women reported skipping a doctor’s appointment or test, not getting specialist care, or being unable to fill a prescription. This is a far higher percentage than what was found in states with similar uninsured rates, such as Florida, as well as in states with similar populations, such as California.

Despite this bleak picture for women in need of care, the legislature failed to send any proposals to the governor that would have actually provided for greater coverage for the treatment and care of women struggling financially.

Nearly 25 percent of Texas women are uninsured.

One reason for the high uninsured rate is the state’s extremely restrictive Medicaid eligibility standards: In addition to failing to expand Medicaid under the Affordable Care Act, parents of two children in Texas must earn less than $386 a month to qualify for Medicaid coverage. (That’s only one-fifth of the federal poverty level, which is $2,050 for a family of four). Texas allows more women to gain care through Medicaid during the duration of their pregnancy, but drops them 60 days after delivery. The task force also found that the majority of deaths occur more than 42 days after birth—likely after many women at risk for death lost access to the program.

In discussing Texas’ maternal mortality rate, many advocates have noted that births paid for by Medicaid (which are unfortunately higher-risk than those paid for by private insurance) significantly increased after the state cut family planning programs by tens of millions in 2011. The cuts must also be factored into understanding why Texas’ mortality rate has stayed consistently high for years after the initial spike.

But, though the state has undoubtedly been slashing family planning funds and shuttering clinics at a reckless rate for several years now, the fact is that the dramatic increases in deaths began before these reckless policies were passed and implemented.

There are other early findings that do not have clear answers yet. Despite being among most likely to be uninsured, Latina women were found to have an even lower mortality rate than white women. In contrast, African American women are disproportionately likely to experience maternal death: While only accounting for approximately 11 percent of births, these women make up about 29 percent of deaths.

The task force’s new responsibility to evaluate approaches in other states will prove illuminating for some of these unanswered questions: North Carolina, for example, implemented a variety of programs to incentivize doctors examining women for conditions that could lead to high-risk pregnancies and provide wraparound supports for those expectant mothers facing health dangers. By doing so, the state made a huge stride forward that should—and must—catch the attention of Texas’ policymakers: It closed the racial gap in the rate of maternal deaths in white and black mothers.

After an onslaught of statistics, it’s important to remember that behind every death statistic is a woman who suffered. Expectant parents everywhere wake up worried about coping with the newborn months. Too many mothers-to-be in Texas, however, must also wake up worried about whether they will even live to see their child crawl or walk.

Given that mothers are the primary or co-breadwinners in more than 60 percent of Texas households, these deaths are not only personal tragedies but ones that can devastate the economic standing of a family. Already, 1 in 4 Texas children live in poverty. And since the average age of new mother is 26, health problems related to birth may hit as a young woman is still working to launch her career with little savings built up.

It would be unacceptable to allow this to continue. The legislature passed a law that will spur research that will illuminate a greater understanding of how to effectively improve maternal health and lower the rates of maternal death. It will be essential, however, for those who truly care to turn that analysis into meaningful change.

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Texas Just Passed a Law About College Work Study. Here’s Why It Matters. https://talkpoverty.org/2017/08/07/texas-just-passed-law-college-work-study-heres-matters/ Mon, 07 Aug 2017 22:27:06 +0000 https://talkpoverty.org/?p=23411 For a full-time, in-state student at The University of Texas at Austin to pay their tuition by working a minimum wage job, they would need to work more than 17 hours per day, 7 days per week. If students cast off all other trappings of modern life, they would divide their remaining hours between going to class (assuming a standard course load, that’s at least three hours per day), completing assignments (three more hours), sleeping (eight hours, or your risk of stroke increases), and commuting (that’s another hour, if you’re lucky).

That bare-bones schedule adds up to a 32-hour day. And that’s without eating, showering, or any of the extracurriculars—like internships—that get students hired.

For students who work to pay their way through school, an unpaid internship isn’t an option. In Texas, as in other states, these students take work in the retail or food industries to pay their bills. They graduate with a degree, but without the work experience that helps them to compete against their more-affluent peers.

That’s why Texas’s new, deeply-wonky law requiring the state to start collecting more data on state work-study participants is actually a big deal. Simply collecting data won’t amount to much for Texas students—but it’s a first step toward addressing gaps that plague the state’s higher education system.

Low Higher Educational Attainment, Low Financial Aid Investment

Between 1990 and 2010, costs at public four-year institutions in Texas increased by 286 percent—more than double the national rate. Meanwhile, Texas’s higher education attainment rate is below the national average. Less than 1 in 5 Texas eighth graders will eventually complete a higher education degree or certificate in 11 years, with that number plummeting to 1 in 10 for those from low-income families.

That’s at least in part because the state has also failed to invest in student aid at adequate levels, ranking second to last among the most-populous states. Students in Texas are much more likely to have to rely on loans, as opposed to grants, to pay for school than their peers in other states.

The Need for a Degree and a Resume

As college becomes more inaccessible to low-income students, it’s also becoming more important. In less than five years, more than half of jobs in all states will require some type of higher education—including 62 percent of jobs in Texas. At the same time, employers have reduced the number of entry-level positions and the amount of training time they offer. An administrator at Baylor University explained that young workers who previously expected two years of training time when entering a company would “be lucky” to get six months of training. And while previous generations could have expected positions similar to what we now call internships to pay, the use of unpaid internships to fill entry-level work has rapidly risen.

That leaves students who need to earn their way through school in a tight spot, since paid, career-related work is hard to come by. “I’ve never had a problem getting a job,” one University of Texas student explained, “[but] the only jobs that are available to get is like waitressing or … retail.” Similarly, a senior at UT from Dallas had worked all four years of school, and with the additional help of grants, had only accumulated $5,000 in student debt. But because she relied on her own earnings, she had to turn down multiple internships that would have given her experience in her intended field—and potential employers noted problems with a lack of experience on her resume as she launched her post-graduation job hunt.

Given these facts, it is understandable—though perhaps slightly tone-deaf—that Texas employers recently reported not being able to find qualified applicants as a top work-related concern.

Work-Study Could Be a Way Forward

Texas is one of fourteen states with its own work-study program Work study is a form of financial aid that places students in paid work to help manage tuition bills. —the Texas College Work-Study Program (TCWSP)—in addition to the federal program. Traditionally, work-study positions have been limited to on-campus placements like monitoring computer labs, reshelving library books, and running the mailroom. But two years ago, the Texas legislature began requiring that a significant percentage of placements be off-campus, which makes career-oriented work at outside companies a possibility.

The state already collects some data on participating employers, but under the new bill the state will report on participating students, too. That will allow administrators and advocates to track whether employers in the TWSP are mismatched with students’ career paths, and identify where the program is failing to foster career-growth opportunities. That will help students build out their resumes, and it will help administrators recruit companies from industries that are underrepresented in the program.

And, as the program becomes more effective, the popularity of expanding it—both among families and employers—will likely grow.

That’s essential, because work study is one of the few forms of state financial aid in Texas that remains a consistently bipartisan topic. Before Texas’s past legislative session, state leaders directed a 4 percent budget reduction among agencies across the board. In such a political climate, a significant investment in state grant programs was essentially off the table.

Work-study cannot be the only vehicle to increase opportunity for low-income students. But for the many other states facing budget reductions or led by lawmakers disinclined to invest in higher education, the progress in Texas could serve as an example as one important way to do so.

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