California Health Report | HealthyCal - Part 53
 

California Health Report

  

HealthyCal Q and A: matching the people, the training and the jobs

Angela Glover Blackwell

Angela Glover Blackwell is founder and CEO of PolicyLink, an Oakland-based think tank that researches public policy problems and promotes solutions that have been proven to work, especially for people in low-income communities and people of color. Blackwell believes that job readiness is one of the most important issues of our time, and that California needs to do far more to match its people with the kind of jobs that are going to be available. Increasingly, she says, those jobs are “middle-skill” jobs that require more than a high school education but less than a college degree. HealthyCal editor Daniel Weintraub interviewed Blackwell about this topic. Here is an edited transcript of their conversation.

Why do you think this is such an important issue?

I think the nation does not understand and California has not grasped its reality that the demographic shifts really mean we have to invest in low-income people of color, because they will represent the majority as we go forward. It’s not just going to be a cultural shift for the nation. It means if we are going to have a workforce ready to be productive we’ve got to invest in them now.

What do we need to do now?

We need to understand where the jobs are going to be and what kind of system we need to put in place. The unemployment rates we are seeing now are very disturbing. In California it’s over 12 percent. But the rates of unemployment, when you get away from looking at the average, we are seeing unemployment rates among African Americans of 17 percent, Latinos 16 percent.

As we think about going forward we need an education system that prepares children for college. And we need to think about exactly where the jobs are going to be. So many are in this area we call middle skills. Forty three percent of California jobs opening up in the next five years will be middle skill jobs, requiring more than a high school diploma but less than a four-year-degree.

A computer support specialist takes two to four semesters of education and pays $48,000. An electrician takes five years of apprenticeship and pays $52,000. A vocational nurse, two to three semesters, $47,000. Respiratory therapist, an associate degree, $64,000.

These are the jobs that are going to be very plentiful going forward. They require a good educational grounding. We need to do more. Not only are we not preparing children for college. We are not preparing children for these middle-skill jobs as well. This is a huge problem. Businesses are not able to fill jobs. Our educational system is out of whack with the jobs that are going to be available.

What should we do first?

We need to take advantage of our vast Community College system and make sure community colleges are preparing people for these jobs…We have a mismatch between people needing jobs and the jobs needed to be filled.

We have some nice models around. The PowerPathway program, involving PG&E, is a very interesting approach. PG&E focused directly on their need for workers and then developed a program with community colleges, where they work directly to build the skills and the programs that train people for those skills. They have a relationship with the company in placing people in jobs. PG&E needs to hire more than 1,000 high-wage workers, utility workers, electrical, technical, welders, power technology engineers. These are exactly the kind of jobs people can get trained for. You don’t have to have a college degree. But you have to have a good high school education.

Another really good program is at the Mandela training center in west Oakland, a partnership between community and labor, to be able to train people who have had real challenges. A lot of people have been formerly incarcerated, been high school drop outs, they have been training those workers for the green economy. Since the recession began they have placed 85 percent of their graduates in jobs, and had a 75 percent retention rate. Salaries start at between $12 and $16 an hour.

They are working directly with industry. They are being very clear about what the skills are. They are focusing on people who have been hard to place. High school dropouts and people with felony records.

Some people say this kind of thing is a subsidy for private industry. Do you disagree?

I think that some of the people I just described would not be the first choice for the company. So people say, ‘company, train your own workers.’ I am for that if the company is willing to take some chances on who they are going to train. But the company is not going to do that. If they don’t want to reach out to people who have dropped out. If they are not going to take chances on people who have records. I see nothing wrong with a company getting some benefit from taking a chance on people they would not have taken a chance on otherwise.

Are we getting our money’s worth from job training outside the community colleges?

There is a lot of variation. Some are good, some not so good. What we need to do is be more transparent about things that have worked and invest in things that have worked. It is like public education. We allow things to go on and on when they shouldn’t because they are not making the contribution they should be making.

What should we be doing differently in kindergarten through 12th grade education?

There is often reluctance in minority communities to push for jobs that aren’t college-level jobs. Because people have a bad taste in their mouths from the past when black and Latino children were pushed into vocational education without regard to what their abilities were. Many children who could have been encouraged to go to college were not. I want to emphasize that these middle skill jobs require the same kind of rigorous K-12 education that would be required for college. They have to be able to read, write and compute. K-12 education has to improve if we are going to have the kind of workforce we want for the future.

Half or more of the jobs in California are going to be jobs that are in these middle-skill jobs. Many times people who have gone to college end up being a secretary or an administrative assistant. They didn’t need a college education. If they had invested that same time in middle skill training, they might be in jobs that pay more than they are making now.

We need to make sure that people of color who make up the future have an opportunity to know about these jobs, training for these jobs, get these jobs. They won’t be able to do that without a good educational foundation.

What are the consequences if we don’t do this?

If California doesn’t have a work force for the jobs of the future, those jobs will go elsewhere. Those companies will move into areas where they have a more prepared workforce, or they will figure out a way to make those jobs go offshore.

We will see more of that rather than more investment in the employees of this state. The manufacturers are going to go where there are people who are ready for the jobs. If California doesn’t produce people with those skills, the jobs will find them. They will find them in other states or they will find them outside the United States.

According to the National Commission on Adult Literacy, among 30 OECD countries, the US is the only one where young adults are less educated than the previous generation. In 2020, 39 percent of Californians are expected to be in low-skill jobs, requiring a high school diploma or less. We need to increase the number of adults accessing training. In 2005, only one in four adults in the US with less than a high school education participated in any kind of education or training.

We are not in good shape. We are losing the edge we had as a nation. We’ve lost the edge we had in the state.

When I was growing up in St. Louis, Missouri, California was almost viewed as the promised land. It had a first-rate education system and health system and higher education. In the 1950s, when California made an extraordinary investment in its people, many people came here with poor education, poor job training, high infant mortality. California said we are going to invest in these people. They built a first-rate education system, parks, affordable housing. That investment was in people who were white who had immigrated to California. We need to develop the public will to do it again. This time it is people of color. Their value can help California be as great as it was. We need to do a very thorough analysis of the jobs, the training and the people, and we need to do a match between the jobs, the training and the people. It’s that important.

 

Between farm and table, a broken chain

By Daniel Weintraub

After years of being urged to “eat fresh, eat local,” residents of the Sacramento region are responding. From neighborhood dinner tables to big institutional kitchens, locally grown foods are in high demand.

But every spring, locally grown produce is rotting in the fields of the small family-run farms around the region.

Between that abundant supply and the strong demand, the market has broken down. There is no good way to get those crops from the farms to the people who want them at a price consumers are willing to pay.

Photo from Sacrmento Bee.


Bob Corshen wants to fix that.

Corshen is director of local foods for the Community Alliance with Family Farmers, based in Davis. The alliance and its partners are about to build the link that will close the gap in the local food supply chain. At the same time, they may be putting into place the first piece of a far-reaching social mission to bring more fresh foods into the region’s low-income communities.

The new link in the food distribution chain will be known as an “aggregation hub.” But that is really just a fancy name for a cold-storage warehouse.

Farmers will bring their harvests to the hub. A contractor working for the alliance will inspect those small shipments of strawberries or asparagus or carrots and combine them to fill the larger orders that come from the customers. Then those boxes – identified as locally grown and traceable by county and farm — will be sent into the community aboard the same trucks that already carry produce from around the world.

If all goes as planned, the small farmers will enlarge their markets and their profits. Sacramento shoppers and diners will get the local foods they want. Distributors will have a way to meet the demands of their customers. And the contractor managing the distribution hub will earn money for its role in making it all possible.

Corshen’s group is behind the “buy fresh, buy local” campaign that is now working better than anyone had hoped. Suddenly local food is on top of everyone’s wish list.

“We are involved in this for the simple reason that this whole concept of local foods is booming,” Corshen said.

Corshen said a recent issue of Packer Magazine, which he calls the “bible” for the food distribution industry, asked readers which word had more influence on their customers: organic, sustainable, or local. Local won in a landslide.

“All in the sudden the distributors give a damn,” he said. “They realize there is a need for it.”

The problem is that the existing system for distributing fresh produce in the region is built for large-scale shipments. It is too time consuming, and too expensive, for produce distributors to deal with dozens of small and sometimes unreliable farms when they could get the same product in one large lot from a farm anywhere in the world. And get it, in many cases, for less money.

“When we go to market, we have to have a consistent supply,” said Nate Parks., vice president of sales for Durham-based ProPacific, a major produce distributor in Northern California. “I have to go to my customers and say I have these 35 or 40 items, and I have them consistently for you.

“A lot of times with local farmers, his crop may come out for a week straight, and then on day 8 he is out of product. It’s hard for distributors to switch gears and identify another source. The distribution hub is a great way for us to have that consistent supply chain lined up before we go to market.”

The alliance tried a similar project a few years ago, known as the Sacramento Growers Collaborative. Working with a beat-up van, the collaborative tried to pick up boxes of locally grown produce from small farmers and distribute them to customers. But neither the farmers nor the distribution network proved reliable enough to survive.

The key difference with the aggregation hub is that it will not try to replicate the existing distribution network. Instead, it will piggy back on top of it.

“Those distributors already have trucks on the road,” Corshen said. ”They are already delivering to schools, hospitals, universities and restaurants.”

Smith Panh grows strawberries on a tiny plot of less than 2 acres that he leases from a friend in Antelope. He sells most of his berries at a roadside stand and was able to sell some to a local school last year. But not all of them.

“I had a lot I could not sell,” he said. “I just had to leave them in the field.”

This year he is starting fewer plants to reduce his waste. But he would rather grow more and sell them all.

The same is true for Dennis Xiong, who grows strawberries on 4 acres near the corner of Jackson Road and Sunrise Boulevard. He sells his harvest at a roadside farm stand. But in May and June, when his berry plants are bursting with ripe fruit, he often cannot sell them all and watches as they rot in the fields. Last year, when the berries were at their peak, he was able to sell only about half of his potential harvest.

“I want to sell outside, but I don’t know where to go,” he said.

Before moving to Sacramento, Xiong grew strawberries in Merced County. There, he had far more land and more production. But there was a company that would buy any berries he did not sell at his stand. He does not have the same advantage here. A distribution hub for small family farmers, he said, would be a huge help for him.

“That would be great,” he said.

Access to markets is just one hurdle Southeast Asian American farmers confront. The language barrier is another, according to Jennifer Sowerwine, a researcher at the University of California, Berkeley, who works with this group of growers.

Many of the strawberry farmers are ethnic Mien. The vegetable farmers are mostly Hmong.

“They don’t have the skills or the know-how in our California food culture and system to approach a potential customer, present their product and negotiate a fair price,” said Sowerwine.

One potential customer that has gone largely unserved because of these barriers is the Sacramento City School District. District spokesman Gabe Ross said the city schools have been trying to bring more local foods onto school menus and would welcome a distribution hub that would make that task easier.

“It’s a conversation our food service staff has been having over the last couple of years,” Ross said. “The issue in the past has always been distribution, from a logistical standpoint. If there is a way to work those issues out, absolutely, this is something we would love to explore.”

Unlike similar hubs opening in Los Angeles and Oakland, the Sacramento hub is likely to have an additional element: a public service mission aimed at bringing more fresh food to low-income communities, educating those communities about whole foods and nutrition, and employing youth who would otherwise be jobless. The expanded hub might also have cleaning and processing facilities so that the produce can be shipped in ready-to-use bags that large institutions, such as schools and hospitals, prefer.

That part of the project is being funded by a grant from the U.S. Department of Agriculture and managed by Soilborn Farms, an urban farm with land near the American River in Rancho Cordova.

Shawn Harrison, a founder and director of Soilborn, envisions a food center that will serve farm stands in urban neighborhoods, farmers markets, corner stores and food box programs that deliver fresh produce directly to peoples’ doors.

“For these underserved communities, what the food hub does is one, give us the ability to source local, and then it creates momentum around these kinds of incubator mechanisms, to get food into the community,” Harrison said.

But Harrison does not see this as something only for low-income communities. He and others would like the project to be the beginning of a long-term reversal in the trend toward shipping locally grown food out of the region while importing most of the food that Sacramentans eat.

More local consumption of local food would reduce transportation costs and pollution while freeing more farmers from the wild swings of the international commodity markets.

“This isn’t something that is going to happen over a year,” Harrison said. “This is a 20-year process where we begin to shift the food that we have the ability to grow in this region, that has typically gone out, we can shift it to come back in.

“Ultimately, people living in the Sacramento region will more than not be getting food from places where they know where it is coming from and they know the quality of that food. That will be their preference and they will be able to do it in an affordable manner, in an equitable manner.”

 

California employment declines in February

California employment declined again in February, partially offsetting gains made in January. And the unemployment rate remained unchanged at 12.5 percent.

The state lost about 20,400 jobs, according to the US Bureau of Labor Statistics. In January California added 25,400 jobs.

Construction and government suffered the biggest losses. There were small gains in trade and professional services.

Here’s a quick analysis from economist Steve Levy at the Center for the Continuing Study of the California Economy:

March and April will be the first test of how swift the recovery might be as job levels are expected to rise in the state and nation. For people who have a job their future will feel more secure as the job market moves from flat to positive over the next few months. For people who are still looking for work, the recovery will be underway but painfully slow

There are growing signs that economic recovery is underway—rising exports, increased port traffic, increased tourism and strong growth in many technology sectors. However, so far the gains in activity have not translated into new hiring as employers are cautious about the strength of the recovery.

Housing and foreclosures remain the big threat to derail the recovery, which is why the administration and banks are continuing to take steps to minimize the threat of foreclosures on the economy.

 

Poll: Half of Californians support federal health reform

Half of California adults support the federal health reform proposals passed by Congress this week, according to a new independent poll that was taken just before the vote and released today.

The survey by the Public Policy Institute of California found that the federal measure to expand coverage and more strictly regulate the insurance industry was supported by 50 percent of adults and opposed by 39 percent. But among likely voters, the proposal was opposed by a narrow margin, 47 percent to 45 percent.

Opinion was divided along partisan lines, with 70 percent of Democrats supporting the plan and 76 percent of Republicans opposed. About half of independent voters said they liked the proposal.

Support for the plan declines as education, income and age increase, according to the poll. Just 39 percent of people age 65 and over like the plan.

The central feature of the proposal is more popular than the entire package. Nearly 70 percent of adults and 61 percent of likely voters said they support requiring all Americans to have insurance, with the government providing financial help for those who can’t afford it. This concept had the backing of 86 percent of Democrats, 64 percent of independents and 38 percent of Republicans.

For the full survey, click here.

–Daniel Weintraub

 

Poll: big majorities oppose spending cuts

Huge majorities of Californians oppose making cuts in public schools and health and welfare programs for the disabled and the poor, according to the latest independent Field Poll, released today.

Nearly 8 in 10 oppose cuts to the public schools, the most popular program in the budget. Almost as many — 77 percent — oppose cuts in programs for the disabled and the elderly.

Other numbers:

–71 percent oppose cuts in health care for low-income people and the disabled;
–70 percent oppose cuts in higher education;
–65 percent oppose cuts in mental health programs;

Even when it comes to welfare — aid to low income families with children — a majority of registered voters (57 percent) oppose making cuts.

The only two program areas where a majority of voters said they would support making cuts are prisons and parks.

The appetite for spending reductions is greater among Republicans than Democrats. But even among Republicans, fewer than 40 percent of voters said the state should cut schools, health care for the poor or aid to the elderly and the disabled.

See the full poll results here.

 

Measure would restore breast cancer screenings for low-income women

Legislation to reinstate breast cancer screenings for low-income women as young as age 40 will be heard — and likely passed — by the Senate Health Committee today.

The bill, by Sen. Jenny Oropeza, herself a cancer survivor, would reinstate a service the state cut on Jan. 1, citing insufficient funds to keep up with rising demand for the screenings. Under the bill, SB 836, women who are eligible for the services based on their income would get screenings at any age if they exhibited symptoms and upon request if they are over age 40.

“The decision to suspend screening can be deadly to California’s low-income women,” Oropeza said. “Those who can least afford help in detecting and fighting this deadly disease are the ones most affected.”

The state late last year suspended new enrollments in the program for six months and reduced the age at which women were entitled to a screening from 50 to 40. The changes were expected to result in about 50,000 fewer women being screened for cancer.

The changes coincided with a national report suggesting that it is not cost-effective to provide regular mammograms to women before the age of 50. But the state said its decision to cut back eligibility for the program was not based on that recommendation.

The bill would require a two-thirds majority in the each house of the Legislature for passage, and the governor’s signature to become law. Given that Gov. Arnold Schwarzenegger approved the decision to reduce the services, prospects for reversing it are uncertain at best.

 

How the reform bills would affect seniors

A new policy brief from the University of California provides a great synopsis of how the health reform bills will affect seniors. I covered some of this in my analysis of the bill Sunday night, but this paper goes into more detail focused just on the elderly population and Medicare and Medi-Cal.

–The prescription drug “doughnut hole.” Currently, Medicare pays 75 percent of the first $2,830 of a person’s prescription drug costs. Then the patient is responsible for 100 percent until their costs reach $6,300. After that Medicare pays 95 percent. Under the health reform legislation, people who exhausted the first limit would get a $250 one-time rebate. This rebate would go to about a half million Californians. The legislation also creates a 50 percent discount for brand name drugs for people who are in the “doughnut hole” where they are responsible for 100 percent of their drug costs.

–Improved access to care. The bill grants a 10 percent bonus to primary care doctors who take Medicare patients. In California, only 16 counties have enough primary care docs for their population. The legislation also eliminates co-insurance payments and cost sharing for preventive services, such as cancer screening and diabetes diagnostic tests.

–Long-term care. The legislation provides $10 million a year for four years to increase funding for aging and disability resource center, which help seniors and disabled people find services they need. The bill also provides up to $3 billion to help transition people out of nursing homes and back into their own homes using community-based services. The bill also creates a new national long-term care insurance program to provide resources to care for people in their homes.

To download the full report in PDF form, click here: Health reform impact on seniors.

Photo: From the White House.

 

Health reform requires chains to post nutrition data

California’s new law requiring chain restaurants to post nutrition information on their menus and menu boards is going national.

Part of the health reform bill approved Sunday sets a national standard requiring restaurants with at least 20 locations to post information about the calories, carbohydrates, sodium, fiber and protein in each standard serving of their food. It would also apply to vending machines, buffets, alcoholic drink menus and drive-through windows at fast-food restaurants.

The rules will mean that more California restaurants would be required to post the information. The state’s own law covers only those chains that have 20 locations in California. Under the federal law, a chain that had just a handful of locations here would still have to comply if it had at least 20 stores nationwide.

The provisions were supported by the California Restaurant Association and a national trade group because the law would set a single national standard, pre-empting state and local rules.

 
 
 

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