MACA: Make America Competent Again

 

By David K. Shipler 

The first in an occasional series 

                Perhaps the word “again” should be put in quotes or parentheses or followed by a question mark, because while the United States has done a lot of things very well through its history, incompetence has also plagued governmental behavior in areas ranging from foreign affairs to poverty. A frequent hallmark of failure has been the unwillingness to apply what we know to what we do. Expertise does not get translated into policy.

                The most obvious recent example is the Covid-19 pandemic, where the Trump administration’s floundering cost lives and worsened economic hardship. But the gap between knowledge and practice inhibits problem-solving in many fields. If you add up all of society’s accumulated understanding about the causes of poverty, for example, or about the sources of conflict in one or another region of the world, and then compare that knowledge with the actions being taken, it looks as if knowledge gets filtered out through a fine sieve before it gets to the policy level.

The Vietnam War was such a case. The US government saw North Vietnam as a Chinese and Soviet proxy in the vanguard of communism, and therefore a threat to American security. But historians knew that Vietnam had resisted China for centuries. And so could any American soldier or diplomat in Saigon who bothered to notice how many streets were named for Vietnamese heroes in the long campaigns against Chinese occupation. It should have been no mystery to American policymakers that the war, for Hanoi, was the continuation of a long anti-colonialist struggle, not one fought to spread global communism.

The dilution of expertise in making policy can be seen in the Middle East, Russia, China, and other parts of the world. The same is true at home. Much is known about how to treat prisoners to reduce recidivism rates, how to prevent police from extracting false confessions, how to provide good defense attorneys for indigent defendants, how to curtail global warming, how to clean up air and water, how to make workplaces safer, how to reduce suicides (gun control), how to treat mental illness, and on and on.

Accumulated knowledge about poverty is not put to good use. We know how to alleviate housing problems in America; it’s a matter of money. We know how to eliminate malnutrition—also a matter of money. We know how to raise workers’ skills and make work pay enough to sustain a family. We know how to provide decent medical care. We know how to improve education. True, some of our abilities diminish along the more difficult part of the spectrum—we are confounded by child abuse, drug abuse, gang violence, racism, white supremacy, and harmful parenting. But we know how to ease many other hardships.

Punishing the Poor for Being Hungry

By David K. Shipler

The latest in a series: Making America Cruel Again

                The United States might be the only country in the world where poverty is considered a moral failing—on the part of the victims, not the society. When conservatives are in charge of government, this judgment infiltrates policy. Republicans move repeatedly to twist regulations around an assumption that the poor don’t want to work and don’t make sound decisions. And when this bias affects children’s nutrition, it can cause lifelong impairment.

                In the last year alone, the Trump administration has taken multiple shots at food stamps, now called SNAP (Supplemental Nutrition Assistant Program), which helped feed about 40 million people last year. The latest change, one week ago, would cut benefits by $4.5 billion over five years. Even in a booming economy, one in seven children are in families considered “food insecure,” according to the Department of Agriculture’s 2018 survey, meaning that they weren’t sure of having enough food for everyone.

                Research in the rapidly advancing field of neuroscience has documented the severe biological assaults caused by inadequate nutrition during sensitive phases of brain development. Numerous studies, compiled in a lengthy National Academy of Sciences report, From Neurons to Neighborhoods, portray a devastating landscape of cognitive deficiency resulting from nutritional deprivation. The insufficiency of healthy food during a pregnant woman’s second trimester can reduce the creation of neurons, the brain’s impulse-conducting cells. Malnutrition in the third trimester restricts their maturation and retards the production of branched cells called glia.

Iron is essential to promote the growth of the brain in size and the creation of the nerve-transmitting myelin sheath around the brain’s nerve fibers. The impact of iron deficiency in a baby, therefore, never disappears, even once the deficiency is eliminated. One longitudinal study that followed children from infancy through adolescence found that they scored lower “in arithmetic achievement and written expression, motor functioning, and some specific cognitive processes such as spatial memory and selective recall.”

Teachers reported that such children displayed “more anxiety or depression, social problems, and attention problems.” It is no great leap of logic to see learning disabilities as one result of malnutrition, and a child who can’t do decently in school, who can’t follow half of what a teacher is saying, is more inclined to drop out.

For those Republicans who are moved more by self-interest than empathy, it’s worth noting that high school dropouts earn less that those with degrees, pay less in taxes, have more serious medical problems, and are at higher risk of ending up in jail.

Yet Trump’s people have sought to saddle the $68 billion-a-year SNAP program with restrictions and cuts to the monthly benefits, which now come on debit cards with declining balances, and typically last a family only two or three weeks. Certain regulations that the Trump administration has either enacted or has openly considered would treat needy Americans with suspicion and distrust. For instance:

·         Officials have considered imposing a drug-testing regime on recipients (although not on farmers who receive huge federal subsidies as part of the same legislation).

·         The Agriculture Department, which administers the program, published a rule in July to eliminate states’ option to raise eligibility limits above the federal ceiling, which is 130 percent of the poverty line. Previously, states could get waivers to enroll families earning more if their housing and child-care expenses soaked up a big percentage of their income. More generous housing subsidies would help, because in many parts of the country, where rent can consume 50 percent or more of a family’s budget, the money for food gets squeezed. The comment period on the rule change ended in September; once adopted, it will cut off about 3 million recipients.

·         In last week’s action, the administration effectively took away $75 in benefits from one out of every five families by recalculating how housing and utilities costs are figured.

·         The Trump administration tried to tighten work requirements in this year’s budget, Congress refused, and officials have gone ahead anyway to partially evade the legislative intent. Since 1996, single able-bodied adults with no dependents, up to age 49, could get SNAP benefits for only three months in a three-year period unless they worked or were in job training at least 80 hours a month. States could waive the rule in areas with acute joblessness. Trump wanted to expand the requirement to age 59 and, more damaging, apply it to those with children over six years old. That was rejected by Republicans and Democrats in Congress. So last December the Agriculture Department did what it could administratively by making it much harder for states to get waivers.

·         In his 2019 budget, Trump proposed replacing half of a family’s cash grants with a food package of cereal, pasta, peanut butter, canned fruit and vegetables, meat, poultry, and other items deemed good for them. Sending such packages to 40 million people would have been so costly and impractical that the idea collapsed of its own weight. But the notion seems borne of a patronizing attitude toward the poor, who suffer from a disparaging stereotype that they do not act responsibly.

Clinics treating childhood malnutrition see a broad array of causes. Lack of money is the centerpiece, but lack of knowledge about healthy eating can also contribute to some cases. Health providers find that some parents don’t know how to cook with relatively inexpensive ingredients. New immigrants unfamiliar with American food can be fooled by ads into thinking that Coke and Cheetos are healthy. So can Americans themselves. Lots of junk food is cheap and filling, hence the nation’s epidemic of obesity, which can be a sign of malnutrition.

Supermarkets with fresh, healthy food are scarce in many low-income neighborhoods. A child’s food allergies can be baffling without the funds and information required to have a large assortment of choices on hand. Single parents doing shift work can’t keep track of what their kids are being fed by multiple caregivers. Nor do they usually have the orderly life that allows them to sit children down calmly to feed them, or have a regular family meal.

 In other words, childhood malnutrition is created at the confluence of problems and disabilities that magnify and reinforce one another. They must all be addressed. The cognitive impairment that results cannot be attacked by a country that keeps electing officials who entangle the safety net in a set of punitive impulses.

First published by the Washington Monthly.

The Thirteen Lessons of 2013

By David K. Shipler

            1. Every solution creates at least one new problem. (Obamacare.)

            2. The natural alternative to autocracy is more autocracy, not democracy. (Egypt.)

            3. The initial result of revolution is anarchy. (Syria, Libya.)

4. Radical ideas can survive the ballot box. (Tea Party.)

5. The threat of compromise is less satisfying than the threat of warfare. (Iran, Israel.)

6. Racism is animated, not eliminated, by electing a black president. (Obama.)

The Immortality of Presidents

By David K. Shipler

            History is supposed to have an unerring eye for ultimate accuracy. From the distance of time, historians are expected to act as the final judges, to cut ruthlessly through to the truth. It is fitting to reflect on this now, during a week of renewed mourning for President John F. Kennedy, who was felled in Dallas by an assassin half a century ago.

He and Jackie were dazzling. They tapped Americans’ vestigial yearning for royalty, the excitement of stylish celebrity, and the deep need for optimistic commitment to high purpose. Yet as popular as Kennedy was—his Gallup approval rating averaged 70.1 percent—he was never so widely admired as he became after his death. Indeed, Gallup’s graph of his rating shows a gradual, yearlong downward slope to 58 percent the week before he was killed—still higher than President Obama has enjoyed since the first six months of taking office, but a significant decline nonetheless. It followed a sharp bump up 13 months earlier after JFK faced down the Soviet Union in the Cuban missile crisis. (Presidents’ percentages typically rise after a national security crisis, as Franklin D. Roosevelt’s did after Pearl Harbor and George W. Bush’s following 9/11.)

One is tempted to wonder what course the line on that graph would have taken had JFK lived and had been able to win a second term.

Food Stamps: The Chain Reaction

By David K. Shipler

            Let’s give the Republicans in Congress the benefit of the doubt. (Yes, I hear the groans, boos, and catcalls.) But let’s be charitable for a moment and assume that they had no idea, when they allowed severe cuts in food stamps to take effect today, that they were damaging the brain development, lifelong cognitive capacity, and therefore the future earning power of untold numbers of American children. If they had known, surely the legislators would not have done what they did.

            That may sound like an overstatement until you look at the science or, more broadly, the interaction between economics and biology.

            The chain reaction between early malnutrition and various intellectual and behavioral deficits has been well established by neuroscience. Extensive documentation, in readable form, can be found in a thick digest of studies published in 2000 by the National Academy of Sciences, with the provocative title From Neurons to Neighborhoods. The research has been updated since in scholarly papers and conferences.

            Inadequate iron and other nutrients during the critical periods of brain development—especially the second and third trimesters of pregnancy and the first two years after birth—damages the complex, overlapping processes of growth.