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Heymann Recommends Investing in Preventive Health Workforce

Distinguished Professor of Public Policy Jody Heymann co-authored an opinion piece in the Hill arguing that creation of a “preventive health workforce” is key to reopening the economy and protecting the nation’s health and security. Heymann and co-author Aleta Sprague called for investing in a “national cohort of health workers who can roll out each element of the national COVID-19 strategy” and would continue to reduce preventable deaths from other causes once the pandemic is contained. They argued that strengthening the public health infrastructure “would not only create hundreds of thousands of jobs at a time of unprecedented layoffs, it would vastly expand our capacity to contain this pandemic and prepare for the next.” They also recommended accelerating and simplifying loan forgiveness to incentivize more people with backgrounds in public health, law, social work, urban studies or health sciences to commit to preventive-health-related jobs as careers.


‘All of This Is Going to Change Us’: Two Deans on the State of COVID-19 Leaders of UCLA's Public Affairs and Public Health schools launch Luskin Summit 2020

By Mary Braswell

The opening session of the 2020 UCLA Luskin Summit drew a far-flung virtual audience seeking authoritative, research-based information about the questions on everyone’s mind: What are the prospects of containing COVID-19? When and how should social distancing restrictions be relaxed? What have we learned from this shared global ordeal?

Two UCLA deans, Gary Segura of the Luskin School of Public Affairs and Ron Brookmeyer of the Fielding School of Public Health, drew on their expertise about the pandemic’s health and policy implications at the April 22 event, the first of at least a dozen online sessions that will be offered by the Luskin School in April, May and June.

“COVID has done us one favor,” Segura said. “It’s allowed us to see things more clearly than we did before the crisis,” including the searing depths of inequality in the United States, the importance of a competent government and the discovery that a simpler life can be rewarding.

In terms of slowing the spread of coronavirus, Brookmeyer said, “The current lockdown has bought ourselves some time. The question is, are we making the best use of this time?”

The insights shared by Segura and Brookmeyer came as UCLA Luskin launched the Summit’s second year, wrapping up the School’s 25th anniversary celebration.

Moving from an on-campus location to an online platform in response to the coronavirus’ spread widened the audience for the opening session. More than 400 people watched via Zoom and Facebook Live, from Southern California to New York, Washington, Philadelphia, Houston and Myanmar.

Viewers were invited to pose questions to the deans, whose conversation was moderated by Adrienne Alpert, host of ABC7’s public affairs program Eyewitness Newsmakers. Some asked about prospects for lifting orders to limit social contact.

Brookmeyer called for caution. “If we don’t have the necessary public health infrastructure in place, this thing will just explode again,” said the dean, who has conducted extensive research into the arc of illness and epidemic around the world.

He explained that different models make starkly different predictions about the virus’ march and described the protracted process of testing, manufacturing and administering an effective vaccine — a process he said is bound to take longer than the 12 to 18 months some are estimating.

“Without a vaccine, we may need intermittent periods of physical distancing to avoid overloading the health care facilities,” he said. “If we suppress this first wave, do we have the public health infrastructure in place to contain future waves?”

The eventual relaxation of social distancing restrictions should be gradual, strategic and nuanced, he said, predicting that wearing masks, sanitizing surfaces and closely monitoring the most vulnerable populations will be necessary for some time.

“All of this is going to change us, and it’s not completely clear how,” Brookmeyer said.

“The challenges, and particularly the inequities, are going to be profound,” Segura concurred.

Latino households are particularly hard hit by the coronavirus’ economic impact, he said, citing a nationwide survey. While proposals to institute relief for those unable to pay their rent or mortgage are promising, the number of homeless is bound to rise by the end of the crisis. And the need for computers and broadband access in homes — where K-12 students are now learning remotely — has turned public education into a “luxury good,” Segura said.

Still, both deans found cause for optimism.

Brookmeyer cited the public’s new appreciation for the people and institutions that guard the nation’s health. “The public health infrastructure had been really underfunded, and I think calling attention to this will help us in preparing for future public health emergencies,” he said.

Segura pointed out that “COVID is changing our lives in a million ways,” and not all of them are bad.

One example: “Has anyone noticed the air in Los Angeles? It’s crystal clear,” he said. “Do we want to go back to sitting on the 405 [freeway] for an hour?”

By necessity, telecommuting has been tested across sectors in the past few months, Segura noted. Some employers have found new ways to measure productivity, and some workers have found valuable uses for time once spent commuting.

“These are things that we’ve become used to and that we’ve internalized into our COVID quarantine lives. And I’m not so sure we’re going to be all that happy to give them up,” he said.

“COVID has actually revealed some things that we can do better to improve our quality of life.”

Visit the UCLA Luskin Summit page for a lineup of upcoming sessions, as well as recordings of past sessions as they become available.

Low-Income Workers Still Rely on Public Transit, Blumenberg Says

Urban Planning Professor Evelyn Blumenberg spoke to USA Today about the disproportionate impact of COVID-19 on low-income households and workers. While transit ridership has dropped across the country since the beginning of the coronavirus outbreak, millions of Americans must continue riding public buses and trains to commute to work, go to the grocery store or visit the doctor. Experts say most of the people who have stopped riding public transit are white-collar workers who can work from home and who tend to be white; those who still rely on public transit, possibly putting themselves and those they encounter at risk, include many of the country’s poorest workers. “As always, higher-income households have more choices,” said Blumenberg, director of the Lewis Center for Regional Policy Studies. “For low-income workers who have to take transit, they’re in a confined place, in close proximity to other people. Their problems are compounded. They have no other option.”


Wachs Hopes for Long-Run Transition to Telecommuting

Martin Wachs, distinguished professor emeritus of urban planning, was featured in a Los Angeles Times article discussing the potential long-term impact of COVID-19 on Los Angeles residents. Commonly crowded public spaces and freeways have been unusually empty due to the spread of COVID-19 in accordance with public health experts’ recommendations to stay home and practice social distancing. Wachs expressed hope that this temporary situation will have positive long-term effects, including lowering the volume of cars on the road even after the crisis passes if workers are able to permanently switch to telecommuting. Instead of spending billions of dollars on transportation projects that take years to complete, Wachs recommends “using [that money] to incentivize companies and people to allow more telecommuting.” While some employers don’t trust the efficiency of telecommuting and some workers, such as restaurant employees, are unable to telecommute, Wachs explained that even “small changes in traffic volumes can make large changes in travel times.”


Pierce on Presence of Lead in State’s Drinking Water

Gregory Pierce, adjunct professor of urban planning and associate director of research at the Luskin Center for Innovation, spoke to Arizona PBS about the presence of lead in California’s drinking water. California is testing pipes and upgrading plumbing at public schools across the state, the article noted. Nearby homes typically share the same water systems, but “there’s no required testing for these privately owned places, which may result in many people not knowing that the water they are using for showers, cooking and drinking purposes may have lead contamination,” Pierce said. The article cited a UCLA report card on water quality in Los Angeles County, where some residents perceive that their tap water is unsafe. “With the lack of trust in their water, these lower-income residents and areas are now having to rely on water stores, or having to buy drinks such as juice or soda because they believe there are issues with their water.”

Shah on Health Benefits of Legal Sex Markets

Public Policy Professor Manisha Shah shared her insights and latest research about sex markets and public health on the podcast Probable Causation. In studies conducted in the U.S. and abroad, Shah has found that decriminalization of sex markets has led to a decline in sexually transmitted infections (STIs), rape and drug-related crime. In Indonesia, Shah and her research partners tracked sex workers and their clients in three towns, one of which had suddenly criminalized the trade. In the illegal sex market, STIs rose 60% after public health officials stopped providing free condoms and children of sex workers were more likely to have to work to support their families. Shah acknowledged that decriminalizing sex work is a complicated policy issue due to moral objections to placing a price on sex and the common belief that banning the trade will protect women. But “current empirical evidence points toward decriminalization,” Shah said.


 

Akee on Health Care Access for Undocumented Youth

Associate Professor of Public Policy Randall Akee spoke to the Daily Bruin about Gov. Gavin Newsom’s 2019-2020 state budget and its implication for undocumented youth. Newsom’s budget would allocate $98 million to extend Medi-Cal coverage until age 26 for undocumented youth, who currently are covered until they reach the age of 19. Medi-Cal is California’s part of the federal Medicaid program, which provides free or low-cost medical services to those with limited income. Akee conducted research on the effects of losing access to Medicaid and found that emergency room visits increase when the patient does not have access to health care. Newsom’s proposal would ensure preventative care and decrease the number of costly emergency room visits, Akee argues. “They have a guaranteed source of medical coverage so they would take the preventative care that otherwise results in increased emergency room visits down the line,” he said.


 

Shah on Decriminalization of Sex Work

Public Policy Professor Manisha Shah stressed the importance of data-backed claims in a GQ article describing the controversial New York movement to decriminalize sex work in order to make workers safer. “Many people see sex work as morally repugnant, so public policy around it is very rarely based on the actual evidence,” explained Shah, whose 2014 research findings supported decriminalization of the sex work industry. According to Shah, “A lot of people make very big assertions about this topic, but most of the time there just isn’t any data to back them up, or the methodological constraints mean they’re not able to make causal claims.” Shah’s research linked decriminalization to reductions in both rape offenses and female gonorrhea cases. Shah concluded, “Except for the growth of the market, everything else that we worry about from a policy perspective — like public health and violence against women — gets better when sex work is decriminalized.”


Rowe on Public Health Concerns of Growing Cannabis Market

Public Policy lecturer Brad Rowe discussed the future of cannabis regulation with other research and policy experts at the North American Cannabis Summit in Los Angeles, featured in an article and video broadcast on ABC 7. The decriminalization and legalization of cannabis in various states across the country has prompted public health and safety concerns. Rowe commented, “It is important for us to think about insecticides, pesticides, metals, molds, other things we don’t want in our products, and this new regulated regime will help get better quality to the consumers.” Despite efforts to establish a safer market and ensure higher quality, over-regulation of the cannabis market has resulted in a growing black market. Experts at the summit concluded that, while legalization should lower production and distribution costs, over-regulation serves as fuel to the black market.


Peterson Leads Maine Forum on Universal Health Care

UCLA Luskin Public Policy Professor Mark A. Peterson engaged with citizens on the other side of the country during a forum on health care policy this summer. Peterson spoke at the inaugural “Egghead Evening,” organized by the Lincoln County Democratic Committee in Maine. The open sessions encourage discussion about policy-related or historical topics. Peterson, an expert on Medicare reform, HIV/AIDS policy and other national health care issues, spoke about “The Winding Road to Universal Health Care in America.” A video of the evening’s exchange can be found here.