Homeless encampments — and the debate over what to do about them — explained

“Unsheltered homelessness, meaning sleeping somewhere at night that’s not primarily designed for human residence — like a car, a park, an abandoned building, or a train station — has risen sharply over the last seven years, and at a faster rate than homelessness overall. The unsheltered homeless now account for 40 percent of all homeless people in the country, up from 31 percent in 2015.
While encampments are most common in big cities, on the West Coast, and in areas with high housing costs, tents have also sprung up in places where housing is broadly available and homelessness is going down — like Houston, which saw a 63 percent drop in homelessness since 2011 but still has hundreds of encampments throughout the region.”

““Mayor [Sylvester] Turner believes addressing tent encampments is key to maintaining support for the housing-first model because the public didn’t believe with their own eyes that homelessness was actually decreasing in the city,” said Marc Eichenbaum, the special assistant to Houston’s mayor on homeless initiatives. In the past few years, Houston leaders have “decommissioned” 59 tent encampments, including the city’s largest last month. In Washington, DC, Mayor Muriel Bowser stressed that her support for encampment clearing was rooted in her commitment to the housing-first model.

“I could build half a million units of housing,” newly elected Los Angeles Mayor Karen Bass told the Los Angeles Times, “and if there are still tents, people will not believe that you did anything except to steal their money.””

“researchers say the primary cause is a lack of affordable housing, stemming from both a shortage of units, and from rents rising faster than wages. They say encampments have also increased because people can’t access shelter beds, or have objections to the requirements at local shelters, like the need to relinquish their pets and personal belongings. Other people see tent encampments as offering more opportunity for privacy and safety than shelters.

Some encampments have established governance procedures and residents take on day-to-day responsibilities, while others are more informal and more fractious. Though inhabitants have a diverse range of ages, races, and gender, research suggests most tend to be men with multiple barriers to housing like mental illness, a history of evictions, or a criminal record.

In recent years, court rulings have made it more difficult for cities, especially on the West Coast, to clear encampments. In 2018, the US Ninth Circuit Court found people experiencing homelessness can’t be punished for sleeping outside on public property if there are no adequate alternatives available.

The decision only formally applies across the West, in areas under the Ninth Circuit’s jurisdiction, but when the US Supreme Court declined to hear this case, Martin v. City of Boise, in 2019, cities nationally were left to debate how they can respond to encampments in ways that will avoid new constitutional challenges. Boise says that as long as sleeping indoors is not an option, “the government cannot criminalize indigent, homeless people for sleeping outdoors, on public property, on the false premise they had a choice in the matter.””

“City responses have typically fallen into four broad categories, ranging from quickly “sweeping” the tents and providing no services to the unsheltered living there, to formally permitting people to camp out, and even providing bathrooms, areas to prepare food, and other social services. HUD research published in 2020 found the most common strategy cities have embraced was encampment “clearance and closure with support” — meaning deploying trained outreach workers to provide people with weeks of notice that their encampment would be shutting down, working to connect them with housing and services, and making longer-term storage of their belongings available.”

“Earlier studies have suggested that clearance with no support, or a so-called “tough love” approach, does little to drive people to shelters or mitigate the broader problem of encampments. Typically the homeless often just pick up and relocate somewhere else nearby. “Clearance with little or no support may actually reduce the likelihood that people will seek shelter because it erodes trust and creates an adversarial relationship between people experiencing homelessness and law enforcement or outreach workers,” a HUD report published in 2019 concluded.”

“Amid growing community frustration, some leaders have started to pursue tougher measures on encampments, including ramping up criminal penalties on people pitching tents on public land. In at least half a dozen states, lawmakers have pushed bills based on templates from the Cicero Institute, an Austin-based think tank opposed to housing-first. The bills propose to permanently ban tent encampments and penalize cities that permit them.”

Pence says Trump ‘endangered my family’ on Jan. 6

” “President Trump was wrong,” Pence said during remarks at the annual white-tie Gridiron Dinner attended by politicians and journalists. “I had no right to overturn the election. And his reckless words endangered my family and everyone at the Capitol that day, and I know history will hold Donald Trump accountable.””

The Covid mask wars have left us unprepared for the next pandemic

“Jason Abaluck is a Yale behavioral economist and the co-author of a study of masking interventions in Bangladesh that provided the single largest randomized controlled trial we have that looks at the effects of encouraging people to wear masks during the Covid pandemic. His research found a significant reduction in Covid cases in the villages that encouraged masking.
When I talked with him this week, he emphasized that his finding — even if it’s eventually supported by further research — is only one piece of the puzzle when it comes to figuring out masks.

“There’s a couple distinct questions that are getting conflated here,” he told me. Here are some of them:

“If you wear a mask while there’s a pandemic, are you less likely to get sick?”

“If you wear a mask while you have a respiratory illness, are you less likely to infect other people?”

“If you make people less likely to get sick during a pandemic, does that have lasting benefits to them, or does it just delay an infection without significantly changing their long-term health outcomes? Does it reduce transmission enough to change the overall dynamics of the pandemic?”

“If you tell people to wear masks, will they actually wear masks correctly and reliably?”

“If you mandate that people wear masks, will they actually wear masks correctly and reliably?”

“What are the costs, to the median person and to a person who is unusually affected by wearing masks, of wearing masks?””

The desperate pandering of Tucker Carlson

““We are very, very close to being able to ignore Trump most nights. I truly can’t wait.”
“I hate him passionately.”

“We’re all pretending we’ve got a lot to show for it, because admitting what a disaster it’s been is too tough to digest. But come on. There isn’t really an upside to Trump.”

Tucker Carlson sent all those texts — newly revealed as exhibits in the lawsuit brought by Dominion Voting Systems against Fox — on January 4, 2021. (Through the discovery process, many Fox internal emails and documents were provided to Dominion, and the company’s attorneys have made them public by citing them in legal filings.)

Yet Carlson devoted his shows this week to a revisionist history of the attacks on the Capitol two days afterward, omitting Trump’s then-ongoing attempt to steal the election, portraying concerns about a stolen election as reasonable and even vindicated, and minimizing the violence that took place.

But to understand what’s going on here, it’s worth taking a closer look at the bigger narrative Carlson was trying to push this week.

The story of January 6, in Carlson’s extremely selective and misleading telling to his viewers, isn’t about how a mob whipped up by the president of the United States tried to prevent the transfer of power, or how that president tried to steal the election. It’s about how Democrats and the media were mean to Trump supporters.

The story is also about how he, Tucker Carlson, would never do something like that. He loves you, Trump supporters. He respects you. Pay no attention to those texts behind the curtain about how he disdains and disbelieves Donald Trump. He is your loyal champion against your enemies. So please — don’t change the channel.”

Biden’s budget goes all in on protecting Medicare. Just how much danger is it in?

“It is true that, as of right now, Medicare is projected to be unable to pay all of its bills as early as 2028. Without congressional action, a stronger economy, or more likely, both, the government could end up without enough money to cover everything it promises enrollees within five years.
That would be unprecedented and would likely provoke a political crisis. But it is not quite the same thing as Medicare going bankrupt and ceasing to exist entirely. Alarm bells have sounded about Medicare’s trust fund for decades, with the exact date of when it would run out of money moving forward and back. But, eventually, Congress will need to act.

To understand the program’s financial situation, start with how Medicare is structured. Medicare is broken down into several different parts. Part A covers hospital care, stays at skilled-nursing facilities, and home health care. Part B pays for outpatient physician care. Part D is the prescription drug benefit, which is administered by private insurance plans. Most Medicare beneficiaries — anyone over age 65 — get their insurance directly through the government. But almost half are now insured through Medicare Advantage (also known as Part C) in which patients sign up for a private plan, paid for largely by the federal government, which provides a comprehensive suite of benefits. (Those plans are also more expensive to the government and their growing enrollment is contributing to the solvency problem”

“Different parts of Medicare are funded in different ways, but when we’re talking about a Medicare funding crisis, we’re talking about the benefits paid by Part A: hospital services. Hospital bills for Medicare enrollees are funded almost entirely through the program’s dedicated payroll taxes. If those benefits cost more than the government receives in Medicare payroll taxes in a given year, as can happen in an economic downturn, the difference comes out of a trust fund earmarked specifically for Part A. The Medicare trustees, who issue annual reports on the program’s finances, project that Medicare spending will begin outpacing revenue again in 2024, requiring the program to dip into the trust fund. The trust fund is projected to be fully depleted by 2028 without further policy changes.”

“Part B and Part D, however, are not facing the same financial crunch. They are funded primarily by general tax revenue, instead of an earmarked payroll tax, and premiums paid by beneficiaries. Their trust funds are projected to be sufficient for the foreseeable future.”

“Medicare Advantage plans receive funding based on the type of service provided to their customer, which means money for hospital care comes from Part A. Annual Part A payments to Medicare Advantage plans is expected to increase from about $176 billion in 2022 to $336 billion by 2030.

Separate from the new budget proposal, the White House is attempting to rein in the payments to Medicare Advantage plans (from an 8 percent increase last year to a proposed 1 percent increase in the coming year). Republicans and the health insurance industry have slammed that proposal as a cut to Medicare, an example of how it can be politically difficult to get Medicare spending under control.

Biden’s budget will likely jumpstart a new debate about Medicare solvency. But it’s only a beginning.

Congress has passed provisions to reduce Medicare spending in recent years, such as the Inflation Reduction Act’s plan for the program to negotiate some prescription drug prices. But lawmakers have also acted to avert any cuts to how much the program pays doctors, hospitals, and other medical providers.

Both tax increases and any spending reductions can be a tough sell in Congress. So can increasing the eligibility age, an oft-floated idea that still amounts to cutting benefits for seniors.

Biden is going with tax hikes in his budget plan. But it’s not yet clear if lawmakers are really willing to act on his or any proposal to improve Medicare’s finances.

They still have five years before the Part A trust fund will run out, according to the latest available projections. The Medicare trustees urged Congress to act soon to avert the crisis, in order to minimize the risks for patients and providers. But unfortunately, lawmakers have a habit of waiting until the last minute to act.”

The House Is About To Have 435 Members. That’s Pretty Rare.

“The last time the U.S. had a full House — with all 435 of its voting representatives seated — was nearly three and a half years ago. And even then, it wasn’t full for long. When Wisconsin Rep. Sean Duffy resigned on Sept. 23, 2019, to care for his newborn baby with a heart defect, he left a House that had had 435 members for all of six days. In the 1,261 days since, there’s been at least one empty seat in the House.”