Tag Archives: poverty

Unequal Exposure

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On April 29, I will be moderating “Demanding Equity: Planning for Post-Disaster Recovery,” a 45-minute session in a special three-day virtual conference of the American Planning Association, NPC20 @HOME. The online conference is an attempt to replace the experience of the canceled National Planning Conference, which would have taken place in Houston, April 25-28. For the first time in APA history, the annual event will not go forward as planned. Like numerous other conferences, it was untenable to assemble thousands of participants in the middle of the coronavirus pandemic. But it is possible to provide a decent educational opportunity in its place by broadcasting and recording distance learning and letting participants ask questions remotely.

But why do I mention this one session, when APA is offering two dozen? Because it touches on some issues so central to the social and economic impacts of coronavirus, and speaks so directly to what planners and planning can do as we recover from this experience, that I wanted to highlight the subject in this post. It has been said often that the coronavirus does not discriminate. That may be true, but our society has done so and still does, often in ways people are reluctant to consider or admit. The result is that, as happens with most disasters, minorities and low-income people, those with fewer opportunities in life or greater exposure to danger, are disproportionately affected. And so it will be when the histories of this pandemic are written. The evidence is already stark enough for passionate discussion.

To give credit where it is due, the session was the brainchild of Adrian Freund, a veteran, semi-retired planner in Oregon. Before the NPC was canceled, however, Adrian was hospitalized (not because of coronavirus) and realized he would be unable to go to Houston. He reached out through a former president of APA, David Siegel, also of Oregon, to ask me to take over, and I agreed. We are on the same page on this issue. When APA decided to replace NPC with NPC20 @HOME, this was one of the sessions they felt must be included, and I reassembled the speakers to modify our plans for the new format.

All of them have a ton of wisdom to contribute on the subject. Shannon van Zandt is a professor of urban planning and department head at Texas A&M, and has authored numerous articles and led many projects on subjects related to equity in disaster recovery, particularly in the Texas context in which she works. Marccus Hendricks, an assistant professor of planning at the University of Maryland, is a Texas A&M graduate who has focused on infrastructure issues and environmental justice, writing his doctoral thesis on stormwater management in Houston. Chrishelle Palay is director at the HOME Coalition in Houston. Obviously, the panel has strong Texas roots, but there are few states where one can get better insights into the impacts of environmental inequities.

But it is the screaming headlines of the past week that have brought renewed attention to the issue in the context of coronavirus. In Chicago, we have learned that African Americans are dying from the virus at six times the rate of whites. Gary, a predominantly African American city, is the new coronavirus hot spot in Indiana. It is also where it gets personal for me. A 12-year-old granddaughter lives there and, as of yesterday (April 10), appears to have COVID-19 symptoms. Her mother called and was asked not to bring her to a hospital, but to isolate her at home. She will not be tested because, as everywhere else, this nation has not gotten its act together on testing. Will she even be included in the statistics, then, as a known case? Good question. I have no idea how Indiana is tallying such numbers. But she is in for a rough ride in the immediate future, and Gary and surrounding Lake County are certainly not fully prepared.

But what is happening in Chicago, as numerous commentators and public health officials have noted in the past week, is not only not unique, but to be expected. Detroit is emerging as a hotspot with major disparities in racial impact. State health data reveal that, while blacks make up 14 percent of Michigan’s population, they account for one-third of the cases and 40 percent of the deaths so far. In Louisiana, with one-third of the population, blacks account for 70 percent of the deaths. New Orleans has clearly emerged as a southern hot spot for coronavirus infections. Across the nation, one can find similar racial disparities.

Beneath those figures, however, are other disparities that weave in and out of racial and ethnic numbers. Age is perhaps the best-known factor, but so are many others. People in low-income service jobs, for instance, to the extent that they are still working, are more dependent on public transit and much less likely to be able to work from home like white-collar professionals. Public transit contributes greatly to mobility in urban centers, but does little for social distancing. It is still unclear just how transit will be affected for the long term, although it remains a vital link to jobs for many of the working poor. But coronavirus is clearly challenging the economic viability of many transit systems, one reason they were the target of assistance in the CARES Act.

It goes without saying that health care workers are significantly more exposed, but they are not just doctors. Their ranks include nurses, nursing assistants, and many others, some with much lower incomes, who nonetheless are risking their lives every day. Some of them work in nursing homes, which have not been the focus of any noticeable attention at the federal level. There are many ways to slice and dice the data to identify patterns of exposure, including those for access to health care, quite possibly the single most important factor driving disparities in this particular disaster. Lack of insurance coverage and inability to afford adequate health care leave many people untouched by the system and untested until it is too late. Poor or nonexistent health insurance coverage, especially for undocumented immigrants, accompanied by food deserts in many inner-city neighborhoods, endemic poverty in many rural areas and small towns, and exposure to job-related ailments, can produce numerous chronic conditions that make exposure to a new virus fatal or disastrous instead of merely survivable.

It remains remarkable, in view of these factors, that the Trump administration can maintain its drumbeat of opposition to the Affordable Care Act, including the recent refusal to allow newly jobless Americans to sign up for coverage. But this is one of many ways in which this nation, through both federal and state policy, continues to resist expanded, let alone universal, health care coverage to shore up health care deficiencies for the most vulnerable among us. There is both a meanness and short-sightedness that underlies much of this resistance. As I noted just two weeks ago, these health care vulnerabilities, with all the racial and socioeconomic inequities they embody, form the weak links in the chain of overall vulnerability for our communities when pandemic strikes.

And that brings me back to the point of the session I will moderate. One essential element of the planner’s skill set should be demographic analysis. The coronavirus pandemic highlights the critical value of addressing public health in comprehensive plans and other efforts to chart the future of cities, counties, and regions. Issues of national health care policy may be well beyond the reach of planners and their communities, but exposing the glaring disparities that have been made evident as the data on coronavirus cases grows is critical to knowing how resilient our communities are or how resilient we can make them. Access to health care is not merely a matter of insurance, as important as that is. It is also affected by the practices of local hospitals, the access to open spaces for densely populated areas, environmental regulations controlling industrial pollutants, public education around personal health, access to healthy food, the quality of our food distribution systems, and a myriad of other considerations that can be addressed to one degree or another through local or regional planning and through policy commitments to social equity.

That is precisely why, as the White House dithers, and federal management of the coronavirus crisis continues to fall short, dozens if not hundreds of mayors and governors and other local and state officials have stepped up to fill the gap. It is sad that there is not better national leadership in this crisis, but we are learning who our real leaders are. Enabling planners and other policy makers to support those officials with essential and meaningful data is an ongoing task, but if we are going to emerge from this disaster in a better place, identifying the inequities that weaken our communities and finding ways to build resilience across those weak links is going to be essential. There is no good alternative.

Jim Schwab

When You See the Face of God . . . .

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Hurricane season is once again upon us. This blog entry is about six years old. I decided to post it in light of our continuing national encounter with disasters and our difficulties in coming to terms with some of their implications. It is a closing plenary speech I delivered at the Carless Evacuation Conference held at the University of New Orleans in February 2007. I hope readers find it of some value.

Scene from New Orleans in November 2005

 

Presentation at UNO Carless Evacuation Conference

I have a small surprise for Professor John Renne today. It’s called No PowerPoint. It’s something we used to do back in the Stone Age before the invention of the PC. I think these days some people regard this as the oratorical equivalent of riding a bicycle with no hands.

I chose to do this because it seems to me that evacuation is only partially a technical problem. It is primarily a cultural and social problem. I wanted to get away from diagrams and talk about concepts and motivations. I also come to this conference as one who has visited Louisiana more times than I can remember, and who more than a dozen years ago made the state the focus of his longest chapter in a book about the environmental justice movement.

One thing you need to know about me before listening to the rest of this talk is that I have a bad habit of engaging in the free association of ideas. It comes from never fulfilling my destiny as a creative writer because I didn’t have the courage of a New Orleans musician to just stick to my art regardless of whether I made any money or supported myself collecting spare change by performing on the street corner.

So you won’t be too surprised when I tell you that the invitation to speak here drove me to start reading a book that never mentions evacuation or New Orleans. It’s Jared Diamond’s new tome, Collapse, which has the interesting subtitle, How Communities Choose to Fail or Succeed. He lays out certain criteria for failure or success, which largely involve environmental conditions and choices they made in confronting them. But the last of his five main points concerns how societies choose to respond to their crises. In the past, denial was not always even conscious because societies lacked the scientific education or even the literacy to grasp what was happening and what problems they were creating. Today, we cannot generally claim that excuse. Yet interestingly, he begins by examining attitudes toward environmental challenges in Montana, where he has a second home, and where anti-government, anti-regulatory attitudes often preclude effective discussion of planning as a route to a solution. He notes that many people have moved into the wildland-urban interface, the area where forests and housing co-exist, yet they expect the Forest Service to protect them from wildfires and are quite willing to sue the Forest Service for not doing its job if their houses are burned to the ground. At one point, he says, “Unfortunately, by permitting unrestricted land use and thereby making possible an influx of new residents, Montanans’ long-standing and continuing opposition to government regulation is responsible for degradation of the beautiful natural environment and quality of life that they cherish.” Of course, Diamond could have been discussing a number of other similar situations all around the U.S.

An influx of new residents may not be the main problem in New Orleans, but there is much that is precious to preserve, much of which is embodied in its people, and not planning both to preserve the people and make the city more disaster-resilient brings the same result: collapse.

The fact that he makes this point in a book called Collapse may be strong medicine for some people. Yet long ago, in the insurance business, I learned the slogan, “If you fail to plan, you plan to fail.” And that seems to be part of what Diamond is saying. In the wake of Katrina, it is a very potent message that carries overtones concerning the very survival of a city with a unique and vital culture. It is also a city that is very conflicted about how to preserve itself.

Tradition is a wonderful thing. New Orleans has had a marvelous dose of it. It may be time to ask what elements of local culture, those that militate against planning in favor of “laissez le bon temps roullez,” need to undergo drastic metamorphosis or sacrifice in order that the rest of the organism may live. That city slogan is a perfect expression of a lifestyle, but what will preserve the lifestyle, short of effective, widely participatory planning?

This is not a question unique to New Orleans. If it were, Diamond would not have much material for his 525-page book. It is a powerful question that has absorbed a great deal of intellectual effort in communities large and small. Two decades ago, in an article for Planning magazine titled, “Small Towns, Big Dreams,” I explored the difficult choices facing several midwestern small towns faced with economic extinction. One was Babbitt, Minnesota, a victim of the closing of Minnesota iron mines. The mayor decided that his best resource was unemployed people, so he employed them in crafting plans and applications to qualify Babbitt as a Minnesota Star City, crafting a whole new future for itself. The key to success was that the plan involved the most unfortunate people in town–those who had lost their livelihoods. It was an interesting case of staring adversity in the face and defying communal death.

At the same time, faced with both natural and man-made crises, plenty of other communities reach some sort of day of judgment largely unprepared. Chicago, for example, is good at many things, but the city did a remarkably poor job of assisting its most vulnerable citizens during a heat wave in 1995, a situation documented by Eric Klinenberg in Heat Wave. More than 500 of our elderly, disabled, and isolated citizens died as a result. That is fully half the number that died in New Orleans as a result of Hurricane Katrina. What did we learn? For one thing, that we could and should use our social service networks proactively to identify our most vulnerable populations in order to reach out and assist before it is too late. We have mapping tools like GIS, public health systems that can be mobilized for phone calls and home visits during a heat emergency, and other options. What we learned yesterday from people like Linda Carter is that ample means exist to do all this, including disability registries and alert systems, but we need to marshal the political will to make these goals a priority.

What we need to avoid a collapse of social responsibility is a plan.

For areas potentially affected by severe storms and hurricanes, evacuation is a serious social responsibility. It is also recognized as a social responsibility in areas affected by wildfires, as is the need to devise means of allowing people to stay safely in their homes. At APA, we looked at both options in the latter instance in a report called Planning for Wildfires. Much of our ability to avoid the need for mass evacuations in wildfires revolves around controlling the pattern of development in the wildland-urban interface, creating defensible space around homes, creating building codes that reduce the combustibility of homes in the interface, and, for the day when evacuation is a necessity, at least devising multiple routes of access and egress to keep people from being trapped. Very little of that happens without some kind of planning. All of that is intended to reduce the likelihood of catastrophe, and then we start to talk about how to get people out when danger is imminent, including those who need some sort of help. But our first responsibility from a planning perspective is to reduce the likelihood of lives being placed in jeopardy and the likelihood of serious property damage.

The best way to achieve this is to be realistic about our choices in building our communities and to approach development with integrated thinking. We need to approach the whole planning process more holistically instead of stovepiping functions like emergency management, transit, land-use planning, and social services to special needs populations. Before they build, we need to ask about health care facilities how they will evacuate patients in an emergency, new subdivisions where the tornado shelter will be built, or how people will escape in a flash flood or a wildfire, or how they will survive an earthquake or a landslide. We need to ask how our communities can become more resilient.

To promote such thinking, we at APA over the last year have worked patiently with FEMA to reach agreement on producing a new best practices report, which we should be able to launch soon, on the integration of hazards into all forms of local plan making. The project will build on a portfolio of research and outreach stretching back 14 years to the onset of our work to produce Planning for Post-Disaster Recovery and Reconstruction, which many of you no doubt have seen. This new project is the logical next step in pushing communities to be fully accountable for the opportunities they must seize to plan adequately to address their natural hazards. What it means is that we shall look at how communities can address hazards within the various elements of their comprehensive plan, including transportation, land use, housing, and economic development. We will look at how communities link hazard identification and risk assessment to their decisions on development, including small area planning for neighborhoods and functional plans like sewers and transit. It means thinking about and addressing natural hazards at any point in the process where they become relevant, and not just in emergency management plans. In too many communities, planners and emergency managers never talk to each other. It means that we figure out how to minimize the need for evacuation, and then ensure that the resources are there to facilitate it when it is necessary, including giving priority to evacuating those who lack personal transportation. And it means that we have an element that describes how the plan will be implemented.

Another piece of this integration is the avoidance of duplicate planning work. For instance, communities preparing hazard mitigation plans under the Disaster Mitigation Act ought to be able to use an existing hazards element in their comprehensive plan to meet the FEMA requirements, and making that work is precisely what FEMA staff whom I know want. But in too many communities, one plan is prepared by emergency managers, another by the city planners, and lots of people aren’t coordinating and talking to each other to make all these plans mesh.

This issue of plan integration may seem small, but it is actually central to the whole enterprise of making our communities and our transportation systems more disaster-resilient. Florida has led the way in this region by requiring its communities to prepare comprehensive plans and to include in them a natural hazards element. Florida has worked hard to integrate emergency management and planning. Florida was able to control much of the recovery process after its four hurricanes in 2004 not simply because they were less powerful storms than Katrina, but because it had a planning infrastructure in place statewide that could speak effectively for what Florida wanted even when much of the process involved massive federal assistance. Not many states are so well prepared to assert their own vision. Florida is far from perfect, but it is farther along the road toward intelligent disaster planning than almost any other state in the union. The important point is that Florida has found the political will to take this issue seriously. That sets the stage for taking seriously the efficient evacuation of its carless population.

I hope I have not insufficiently emphasized the degree to which evacuation planning, including carless evacuation, is a subset within a much larger issue of overcoming denial in order to plan effectively for future disasters. There is a moral imperative that needs a special spiritual appeal to help public officials and decision makers rise above racism, classism, sexism, nepotism, indifference, inertia, and corruption. The public needs a moral imperative for dealing with an issue that too often is swept under the rug. Let me suggest one, in a region that takes religion seriously, by augmenting a sermon in the gospel of Matthew in which Jesus describes the righteous asking the Lord when they had seen him naked, hungry, and in prison. I think that God can only smile if I propose the addition of one line in which the righteous also ask, “When did I see you stranded in the storm and offered you a ride?” Then the king will reply, ‘As you did this for the least of these, you did it also for me.’

Perhaps we can finally infuse into our communities and their elected leaders a desire to start planning as if every desperate face in a natural disaster is the face of God, but we must not wait until disaster strikes to activate that sentiment. By then, it may be too late. By then, we may be facing the imminent collapse of our cities and their social structures. We must incorporate this sense of urgency into numerous planning opportunities long before it is too late. We must not only think of people in this way in an emergency, but in our daily planning operations at all levels in order to reduce the need for last-minute heroics and instead, to the extent possible, take care of our special needs populations and the poor in a systematic and effective fashion.

 

Jim Schwab