States and Localities Can Use Guaranteed Income to Support People Experiencing Homelessness or Housing Instability While Promoting Dignity and Racial Equity

Victoria Bowden , Research Associate

Urvi Patel, Policy Analyst and Intern Coordinator

Everyone should have an affordable place to live.

In the face of the persistent housing affordability crisis, rising eviction rates in many parts of the country, and ongoing threats against unhoused communities, including the U.S. Supreme Court’s decision in City of Grants Pass, Oregon v. Johnson, some states and localities — often working with philanthropic partners — are taking innovative approaches to provide unconditional cash to people experiencing housing instability or homelessness through guaranteed income pilot programs.

It’s more important than ever that state and local leaders choose strategies that help people with low incomes meet their housing needs with dignity, rather than punishing people experiencing homelessness through fining and, in some cases, arresting and incarcerating them for sleeping outside when they have nowhere safe to go, which evidence shows are ineffective, costly, and racially discriminatory strategies.

Guaranteed income (GI) is emerging as one strategy for helping people afford housing and other expenses like food, clothing, and transportation. Unlike universal basic income, which proposes giving a standard periodic cash payment to all individuals, guaranteed income provides cash assistance to people based on a determined need — such as experiencing housing instability or having income below a certain level — with assistance typically ranging between $500 and $1000 a month. Over 150 programs across the country have begun providing direct cash assistance, with several localities and states having one or more programs that prioritize people and families who are unhoused or at risk of homelessness. Promising findings from individual pilot programs support broader research demonstrating that GI programs can be a mechanism for helping people meet their needs. Ongoing research is helping us understand the ways that unrestricted cash supports can be designed to be most beneficial to the people who need them, including those experiencing housing insecurity and homelessness.

Today’s wave of the guaranteed income movement isn’t new. In the 1960s and 70s, leaders within the National Welfare Rights Organization, racial justice advocates in the Civil Rights and Black Power movements, and feminist thought leaders within the Wages for Housework Movement began advancing GI in response to historical inequities rooted in enslavement, discrimination, and exclusionary policy choices. While GI initiatives alone don’t address the root causes of these inequities, they provide more possibilities for repairing harms caused by deep-seated prejudice in our institutions.

GI is a compelling step forward as policymakers look for innovative ways to:

  • ensure that people can make decisions about how to best meet their needs;
  • improve accessibility and reduce administrative burdens in existing economic security programs;
  • reduce the discrimination people can face when they participate in assistance programs, which is often rooted in racism and stigma against people with low incomes; and
  • guarantee that everyone who needs assistance receives it.

The rise of GI programs responds to the reality that many people don’t have enough money, even with work or public benefits, to afford basic needs due to reasons not entirely within their control. For example, systemic and structural racism embedded in the housing market and criminal legal system result in people of color, particularly Black, Indigenous, and Latine communities, being disproportionately harmed by a cycle of homelessness and incarceration. The same is true for the labor market, in which people of color are overrepresented in jobs with the lowest pay because of racism in hiring practices and frequent government underinvestment in communities of color — which leads to low-performing schoolschronic health conditions, and other negative outcomes that hurt employment opportunities. The impacts of low pay are also felt disproportionately by other communities that face discrimination, such as people with disabilities and LGBTQ+ people.

A Sample of Guaranteed Income Programs Prioritizing People Experiencing or At Risk of Homelessness in the United States Copy link

Hover over blue states for a list of programs Copy link

(embedded graphic on the page; click on the “Copy link”s to see. There are quite a few.)

Center on Budget and Policy Priorities | cbpp.org

Several GI pilots were implemented in 2024. In California, a five-year pilot called It All Adds Up provides 225 families that recently experienced homelessness and are exiting rapid re-housing programs with $1,000 a month for one year. In Massachusetts, through the Somerville GI Pilot, 200 families that are struggling with high housing costs receive $750 a month for a year. And a New York City program supports 100 families that are living in shelters through monthly cash payments of $1,400 for two years to help them meet their needs.

Federal and state policymakers can take the lessons of GI pilot programs and apply them to other economic security policies. For example, reforming cash assistance programs like TANF and SSI to be more accessible and provide higher benefit levels would go a long way in helping older adults, people with disabilities, and low-income families with children meet their needs. Similarly, expanding access to tenant-based rental assistance, which rigorous research has shown can greatly reduce homelessness and housing insecurity, and testing new ways to deliver it — like through direct rental assistance, which is provided directly to tenants instead of landlords — can make it easier for families to find a place to live.

Expanding cash income supports, increasing access to rental assistance, and making these kinds of assistance simpler to access through processes that respect people’s dignity are the right path forward to improve well-being, promote racial equity, and help people stay stably housed.

https://www.cbpp.org/blog/states-and-localities-can-use-guaranteed-income-to-support-people-experiencing-homelessness-or

This Is Nice-

via The Bee.

Peace & Justice History 12/15

December 15, 1791
The Bill of Rights became law when Virginia ratified the first 10 amendments to the United States Constitution.
Read The Bill of Rights 
The Bill of Rights Defense Committee  (emphasis mine -A. It’s an important site these days!)

December 15, 1930


Albert Einstein, 1930
Albert Einstein urged militant pacifism and the creation of an international war resistance fund. Einstein stated in New York that if two percent of those called for military service were to refuse to fight, and were to urge peaceful means of settling international conflicts, then governments would become powerless since they could not imprison that many people.
He struggled against compulsory military service and urged international protection of conscientious objectors. He concluded that peace, freedom for individuals, and security for societies depended on disarmament; otherwise, “slavery of the individual and the annihilation of civilization threaten us.”

Einstein on Peace and World Government 
December 15, 1946
Vietnamese leader Ho Chi Minh sent a note to French Premier Leon Blum congratulating him for his selection as French Premier and asking for peace talks. France had exercised colonial power over the Vietnamese as part of French Indochina, formed in October 1887 from the provinces of Annam, Tonkin, Cochin China, and the Kingdom of Cambodia; Laos was added in 1893. Vietnamese nationalists, however, had demanded independence for the three provinces at the end of World War II.
December 15, 1973

The American Psychiatric Association reversed its long-standing position and declared that homosexuality is not a mental illness and
“…deplores all public and private discrimination in such areas as employment, housing, public accommodation…”

Read the APA policy on discrimination against [gays]
December 15, 2000
The Chernobyl nuclear power plant was shut down 14 years after becoming the site of the world’s worst nuclear accident ever. Nearly nine tons of radioactive material – dozens of times as much as the Hiroshima and Nagasaki bombs – were released in the explosion.
The radioactive fallout affected 23% of Belarus, with 4.8% of Ukrainian territory and 0.5% of Russia. The Belarussian government spends 30% of its annual budget dealing with the aftermath of Chernobyl.

https://www.peacebuttons.info/E-News/peacehistorydecember.htm#december15

Not All Religious People, Though

(I was about to post this one but I wanted to read Ten Bears’s first, and that one’s an essential with lots of news. This is a single positive, and possibly a resource for someone. -A)

The Catholic Law Students Who Help Trans Folks Change Legal Names

By Cassidy Klein

Last year, Sammi Mrowka, a graduate student at San Diego State University who is nonbinary and transgender, completed the legal process for changing their name and gender marker on IDs. Mrowka, who uses “he” and “they” pronouns, participated in a name and gender marker change clinic run by law students at the University of San Diego, who helped him fill out the paperwork.

“It was worth it to go through all of the mental stress and gymnastics with these government offices to finally get the relief of, for example, going to a doctor’s office and not having to worry about them using my deadname or misgendering me,” Mrowka said. “I can feel the huge, huge relief, realizing how intense it was every single day having to think about all that, to now, where everything’s done.”

University of San Diego and Loyola Marymount University, both Catholic colleges, host name and gender marker change clinics run by law students. The clinics assist trans and nonbinary people in California who want to change their name and/or gender marker on documents like birth certificates, marriage licenses, driver’s licenses, passports, and social security cards.

Accurate IDs allow trans and nonbinary people to live more safely and gain access to resources and public spaces. Accurate IDs can also reduce the risk of harassment, discrimination, or violence.

At LMU in Los Angeles, Siobhan Kelly Fogarty and Rachana Reddi, both third-year law students, are the leaders of Loyola Maymount’s name and gender marker change clinic. LMU had a name-change clinic in 2022, but it had been on hiatus, and Fogarty and Reddi spent the last year reviving it. They held their first virtual clinic this fall, with five people in attendance. At their first in-person clinic at the Los Angeles LGBT Center, around 75 people came.

Especially now, when anti-trans rhetoric and legislation is on the rise, Fogarty said the Loyola clinic explicitly connects to the school’s religious mission.

“We’re a Jesuit university, and our school has this social justice mission. [The clinic’s] mission is to serve the LGBTQIA+ community seeking name and gender marker changes,” Fogarty said.

USD’s clinic started in 2018 and meets virtually about once a month. Mrowka contacted the clinic in July 2023 after hearing about it on Instagram and through their therapist. Soon after, he had a Zoom meeting with a student volunteer and lawyer who helped him fill out the paperwork.

“I was kind of shocked initially since it is affiliated with a religious institution, but them even having this clinic made me feel comfortable talking to them,” he said. According to clinic volunteers and attorneys, USD’s clinic has helped more than 1,200 people since opening in 2018.

Lilly Wood is a law student at USD and on the clinic’s board. “The school is supportive of the clinic, but it’s unique in the sense that it is entirely student run,” Wood said. Other clinics at USD, Wood said, are either run through the school itself, meaning students can participate for credit, or are run through Legal Aid Society and facilitated by the school.

“The name change and gender marker clinic is run more like a student organization,” Wood said. “There are six or seven of us right now and we run everything.” In addition, attorney volunteers supervise and assist as needed.

As a virtual clinic, Wood said people reach out via email and give basic information, and law student volunteers begin filling out the proper paperwork. There are multiple forms — “it’s very complicated, but they all make up the petition for a name and gender marker change,” Wood said.

On the night of the clinic, participants from all over the state join on a Zoom call, and the volunteers meet with participants individually to make sure the paperwork is correct, then cover next steps for how to proceed.

“A lot of the legal clinics at USD are very meaningful but different from the gender marker clinic,” Wood said. “We have a domestic violence clinic, a worker’s rights clinic, and a lot of times people are coming in with challenging, sad issues that are happening in their personal lives. Usually when people come into the [gender marker change] clinic, they’re so happy to be there. You’re helping them be themselves in a more honest way. It’s celebratory.”

Shortly before Wood came to law school, she said her friend from high school who was a trans woman passed away.

“She really inspired me with her optimism for life even under horrible transphobia,” Wood said. “When I learned about the clinic, it made me want to honor her memory in lending assistance to other trans people in the community.”

Although Mrowka had been out as nonbinary and trans for about a year before coming to the clinic, they said they had little experience finding affirmation in legal and medical spaces.

“It was really nice to feel the difference of talking to professionals and not having to feel the tension in my body,” he said. “There was no, ‘oh god, hopefully they don’t ask about this or that.’”

Mrowka said he also has trouble filling out forms, and having the volunteers fill them out and answer any questions was a huge help. Once the forms were filled out, Mrowka brought them to the courthouse.

LMU’s clinic is one of the only on campus that isn’t officially organized, meaning they don’t receive school funding, which would allow for a director, office on campus, and for students to get school credit.

Reddi and Fogarty are pushing for it to become an official clinic and hope to see it grow in the coming years, continuing their partnerships with the Long Beach and Los Angeles LGBTQ+ centers and faculty members at Loyola. They’ve received a lot of interest from student volunteers.

“Being able to sit with people and fill out the forms, which for me didn’t feel like a huge task — I would have done as many as they needed me to do — it felt good to be a part of someone’s journey in that way,” Reddi said. “It’s more important than ever to continue to do the work that we’re doing.”

Fogarty went to Catholic school growing up and “didn’t have the best experience as an openly queer kid,” she said. “I was concerned about coming to Loyola at first, and finding these communities is what made me feel okay. I saw that Loyola had an LGBTQ org that was the first of its kind in the country. [It’s important] to create space in these faith-based communities where everyone is welcome and seen and heard and safe.”

Part of Wood’s role on the clinic board at USD is keeping up-to-date on changes in the legal landscape of gender record changes.

“It’s hard to be optimistic right now,” Wood said. “We hear a lot from participants about their concerns. It’s unsettling to not know what’s going to happen next, but we’ll be here to support the community as much as possible. We’re lucky enough to be in California, which is very protective of trans rights, but we’re still kind of at the mercy of the federal government in some ways.”

For Mrowka, though they are no longer religious, USD’s clinic “practiced a lot of the virtues that I learned as a kid growing up in church, in terms of radical acceptance and deep compassion and servitude toward the community,” they said. “It’s another example of what neighborly love could look like. They don’t pretend everything is fine in the United States, but it’s so focused on what we can do with what we have.”

ERA Now!

Israeli strikes on Gaza kill at least 33 including children, Palestinian medics say

https://apnews.com/article/israel-palestinians-hamas-war-news-12-11-2024-52692a401ef2fb7e66c0d4d00633bd10

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By  SAMY MAGDY and WAFAA SHURAFA
Updated 5:58 PM EST, December 11, 2024
 

Israeli strikes pounded the Gaza Strip overnight and into Wednesday, with one attack ripping through a home where displaced people were sheltering in the isolated north. The strikes killed at least 33 people including children, Palestinian health officials said.

Violence also flared in outside Jerusalem, where an Israeli bus came under fire from a suspected Palestinian attacker late Wednesday, wounding three people including a 10-year-old boy, according to the military and hospital officials. The attack took place on a highway near major Israeli settlements in the occupied West Bank, and the army was looking for the shooter in the area around Bethlehem.

The Israel-Hamas war in Gaza shows no end in sight, even after Israel reached a ceasefire with Lebanon’s Hezbollah militants and attention shifted to the overthrow of Syrian President Bashar Assad by insurgents. Both the current and incoming U.S. administrations have said they hope to end the war in Gaza before the inauguration in January, but ceasefire talks have repeatedly stalled.

The U.N. General Assembly overwhelmingly approved resolutions Wednesday demanding an immediate ceasefire in Gaza and backing the U.N. agency for Palestinian refugees that Israel has moved to ban.

General Assembly resolutions are not legally binding, although they do reflect world opinion. The votes in the 193-nation assembly were 158-9 with 13 abstentions to demand a ceasefire. Israel and its close ally the United States were in the tiny minority voting against.

 

 

Israeli strike in north Gaza wipes out 3 generations

The strike on the home killed 19 people in the northern town of Beit Lahiya near the border with Israel, according to nearby Kamal Adwan Hospital, which received the bodies. Hospital records show that a family of eight was among those killed: four children, their parents and two grandparents.

The Israeli military said it targeted a Hamas militant in the vicinity of the hospital. It said reports about the number of casualties in the strike were inaccurate, without elaborating. The military says it tries to avoid harming civilians and accuses militants of hiding among them, putting their lives in danger.

The hospital said another strike near its entrance on Wednesday killed a woman and her two children.

The hospital director, Dr. Hussam Abu Safiya, said Israeli drones struck nearby residential blocks overnight, causing explosions that sparked panic among the facility’s more than 120 sick and wounded patients.

“We have received distress calls from neighbors and trapped people, but we’re not able to leave the hospital because of the continued risk,” he said. “We are witnessing a massive loss of life, with many martyrs in the targeted areas.”

Another strike in the decades-old Nuseirat refugee camp in central Gaza killed at least seven people, according to the Awda Hospital. The dead included two children, their parents and three other relatives, it said. Later, the hospital said another attack hit the same camp, killing four people and injuring 16 more.

There was no immediate comment from the Israeli military on the other strikes.

In Lebanon, where near-daily Israeli attacks have continued despite the ceasefire, at least five people died Wednesday in Israeli strikes in the south, according to Lebanon’s Health Ministry and state news agency.

Elsewhere in southern Lebanon, Israeli forces withdrew from a strategic town and handed it back to the Lebanese army in coordination with U.N. peacekeepers, the two militaries said. It appeared to be the first Israeli pullout from a Lebanese border town captured during the ground invasion.

In Syria, the Israeli military estimates it has destroyed 70% to 80% of Syrian military assets in recent days, according to an official speaking on condition of anonymity to discuss an intelligence assessment. The military has said it has carried out hundreds of airstrikes.

Evacuation orders in camp after rocket fire

Militants in central Gaza fired four projectiles into Israel on Wednesday, two of which were intercepted, the military said. The other two fell in open areas, and there were no reports of casualties.

The military ordered the evacuation of a five-block area of the built-up Maghazi refugee camp in central Gaza, saying the rockets had been fired from there. The orders indicated that Israel would soon carry out strikes in the area.

The war began when Hamas-led militants stormed into Israel on Oct. 7, 2023, killing some 1,200 people, mostly civilians, and abducting around 250 people, including children and older adults. Around 100 hostages are still inside Gaza, at least a third believed to be dead.

Israel’s retaliatory offensive has killed over 44,000 Palestinians in Gaza, according to local health officials. They say women and children make up more than half the dead but do not distinguish between fighters and civilians in their count. Israel says it has killed over 17,000 militants, without providing evidence.

Thousands more Palestinians have gone missing during the war, some after encounters with Israeli troops.

UN says Gaza civilians face ‘utterly devastating situation’

Israel has been waging a renewed offensive against Hamas militants in Gaza’s heavily destroyed north since early October. Troops have surrounded Beit Lahiya, Beit Hanoun and the urban Jabaliya refugee camp, allowing in almost no humanitarian aid and ordering tens of thousands to flee to nearby Gaza City.

Israeli officials have said the three communities are mostly deserted, but the United Nations humanitarian office said Tuesday it believes around 65,000 to 75,000 people are still there, with little access to food, water, electricity or health care. Experts have warned that the north may be experiencing famine.

Sigrid Kaag, the senior U.N. humanitarian and reconstruction coordinator for Gaza, told reporters on Tuesday that civilians trying to survive all across Gaza face an “utterly devastating situation.”

She pointed to the breakdown in law and order and looting that has left the U.N. and many aid organizations unable to deliver food and other humanitarian essentials to hundreds of thousands of Palestinians in need.

Kaag said she and other U.N. officials repeatedly ask Israel for access for convoys to northern Gaza and elsewhere, to allow in commercial goods, to reopen the Rafah crossing from Egypt in the south and to approve dual-use items.

The Israeli military says it allows in enough humanitarian aid and blames U.N. agencies for not distributing it, saying large amounts of aid have accumulated just inside Gaza’s borders. U.N. officials say Israeli restrictions, the breakdown of law and order and ongoing fighting make it difficult to access the aid and distribute it, and have repeatedly called for a ceasefire.

The United States, Egypt and Qatar have mediated talks between Israel and Hamas for nearly a year, and diplomats say those efforts have recently gained momentum.

But Hamas has said it will not release the remaining hostages without an end to the war and a full withdrawal of Israeli troops. Israeli Prime Minister Benjamin Netanyahu has pledged to continue the war until Hamas is destroyed and all the hostages are returned and has said Israel will maintain a lasting military presence in some areas.

___

 

Magdy reported from Cairo. Associated Press writers Natalie Melzer in Nahariya, Israel, Josef Federman in Jerusalem and Edith Lederer at the United Nations contributed to this report.

Not Good News In FL

so probably in TX, KS, AR, and more red states, soon. sigh Just when you think they can’t make being in prison worse.

New Florida Prison Policy on Trans Health Care ‘Like Conversion Therapy’

With new restrictions on gender-affirming care, prisons confiscate underwear from trans people and compel them to cut their hair.

Earlier this fall, Florida officials ordered transgender women in the state’s prisons to submit to breast exams. As part of a new policy for people with gender dysphoria, prison medical staff ranked the women’s breast size using a scale designed for adolescents. Those whose breasts were deemed big enough were allowed to keep their bras. Everyone else had to surrender theirs, along with anything else considered “female,” such as women’s underwear and toiletry items.

This article was published in partnership with the Tampa Bay Times.

The examinations came after people who had been diagnosed with gender dysphoria by the prison system’s own providers were brought into meetings at the end of September and told of the prisons’ new policy, which would make it nearly impossible for them to get hormone therapy and other gender-affirming medical care, according to interviews and emails with more than a dozen transgender women who said they attended the meetings.

Josie Takach, who is incarcerated in a men’s facility south of Tallahassee, said a male doctor told her to lift up her shirt, then glanced at her breasts and wrote something down without saying a word. When she tried to ask a question, a nurse “told me not to ask any questions and to just shut up and do what I’m told,” she recalled.

“It felt like I was being treated less than human,” she said.

The state’s chapter of the ACLU sued Florida’s Department of Corrections, which operates the prisons, in late October, calling the policy draconian and arguing it amounts to an unconstitutional ban on gender-affirming care. The new policy is the latest maneuver in the culture war around transgender people’s civil rights in the Sunshine State. Florida Gov. Ron DeSantis championed a raft of anti-trans legislation, including a law passed last year that prohibited children with gender dysphoria from accessing treatments like puberty blockers and hormone therapy. A similar law in Tennessee was the subject of arguments in a case before the U.S. Supreme Court last week.

In Tallahassee Monday, a federal judge held a preliminary hearing in the ACLU case. The state had asked the judge to dismiss the lawsuit altogether, and the ACLU asked him to stop the state from enforcing the new rules. The judge is expected to issue a ruling on these questions in the coming weeks.

The Florida Department of Corrections’ media office did not respond to multiple emails and phone calls with detailed questions, but in court papers responding to the ACLU’s lawsuit, the department’s lawyers argued that the new rules are “a carefully crafted policy that creates an individualized course of treatment for each inmate based on scientific evidence and clinical judgment.”

Under the new policy, the Department of Corrections stated that the prisons will only provide those with gender dysphoria with psychotherapy — and not cross-gender hormones — except “in rare instances … if necessary to comply with the U.S. Constitution or a court decision.” The policy argues that “unaddressed psychiatric issues and unaddressed childhood trauma could lead to a misdiagnosis of gender dysphoria,” and that cross-gender hormones “may be requested by persons experiencing short-termed delusions or beliefs which may later be changed and reversed.”

Florida has the country’s third-largest state prison system, with more than 87,000 people incarcerated at the end of September. Of those, 181 have been identified by the department as transgender, and about 100 received hormone treatment, according to documents state officials filed with the courts in the ACLU case.

The new policy was announced in meetings in several prisons across the state at the end of September. Transgender women who attended the meetings said they were told by officials that everyone identifying as transgender would be “re-evaluated” to assess whether they can have continued access to the care and accommodations they had been receiving, such as permission to grow their hair long. Officials have not told the women whether and under what circumstances they will be allowed to stay on the hormones they have been receiving.

Since then, more than a dozen transgender people said corrections officers ordered them to cut their hair. Mariko Sundwall told The Marshall Project that she was given a disciplinary infraction and spent 10 days in solitary confinement for refusing to cut her hair before officers put her in handcuffs and led her to the prison barber where her hair was cropped short.

“[Before] my hair was long enough for a ponytail. Now I have a buzz cut,” said Jada Edwards, incarcerated in Dade Correctional Institution south of Miami. “I’m very sad and depressed. I feel like they’re taking away my identity.”

Scores of women also had their breasts examined, according to filings in the suit and interviews with some of the women. A medical provider for the state assigned each transgender woman a rating on the Tanner scale, a system used by pediatricians to assess the development of adolescents during puberty. Several of the women said they weren’t told what stage was required for permission to keep their bras, but that almost everyone they knew had theirs taken away.

Some report hiding bras or sewing makeshift underwear — although now women’s undergarments are considered contraband and could result in disciplinary charges — because they feel naked and exposed without them.

“I feel like I’m 12 years old again, sneaking around wearing a bra,” said Takach, after her female undergarments were confiscated.

The new policy, which requires psychotherapy to treat underlying issues rather than treating the dysphoria, “comes off like conversion therapy,” says Daniel Tilley, the lead attorney from the ACLU of Florida. “We’re trying to change your fundamental nature to get you to stop being who you are.”

Sarah Maatsch, who is incarcerated in a men’s prison south of Orlando, said she was told that the gender dysphoria diagnosis she received from corrections department doctors in 2019 would now be considered a serious psychiatric illness. If she wants to continue her treatment, she said she was told, she would have to move to a more restrictive prison with more psychiatric services, but fewer work and programming opportunities.

“We are all devastated,” said Maatsch. “There are good days, bad days and the very bad days where a part of you hopes you have a heart attack.”

The new policy is the latest change in health care for transgender people in Florida after a 2023 law said any “governmental entity” in Florida “may not expend state funds … for sex-reassignment prescriptions or procedures.” It did not name prisons specifically, but the Department of Corrections’ new policy says it “shall comply” with this law.

Shortly after DeSantis’ anti-trans bills were passed, transgender people in state prisons began reporting that medications were abruptly changed or delayed with little or no explanation.

Courts have held that prisons are required under the U.S. Constitution to provide gender-affirming hormones as needed. Dan Karasic is a psychiatrist at the University of California, San Francisco who helped develop international standards for treatment of transgender people and who has testified against bans on gender-affirming care in Florida and elsewhere. He read Florida’s new guidelines at The Marshall Project’s request and called them “a fig leaf on their efforts to ban gender-affirming care. They are really trying to skirt the law, as determined by multiple courts, that gender-affirming medical and surgical care must be provided when medically necessary.”

The Florida prison system’s program to treat prisoners with gender dysphoria began in 2017, after Reiyn Keohane sued the state. The federal judge in the case said that the Department of Corrections’ refusal to provide Keohane with hormones and social accommodations, like women’s clothing and haircuts, caused her “to continue to suffer unnecessarily and poses a substantial risk of harm to her health.” During the course of the lawsuit, the state began providing gender-affirming hormone therapy, access to makeup, women’s clothing and other social accommodations within its prisons.

Behind the scenes, Danny Martinez, the state prison system’s medical director, began revising the state’s gender-affirming care program in 2020, he said in a court declaration in response to the ACLU’s recent lawsuit. As many as one-third of the people on hormones in Florida’s prisons were not attending group or personal therapy sessions, he said. “I observed no decrease, and in fact an increase in grievances to the medical and mental health staff from inmates receiving hormone therapy, indicating to me that the treatment solely based on hormone therapy without additional mental health treatment produced limited success,” he wrote. An email to Martinez seeking comment was not returned.

Martinez said he designed the new program based on a 2022 report by Florida’s Medicaid organization that found “insufficient evidence” that medical interventions for gender dysphoria are safe or effective. The report led to the state’s Medicaid program banning coverage of gender-affirming medical care. But a federal judge, in striking down the Medicaid ban last year, found that the report was “a biased effort to justify a predetermined outcome, not a fair analysis of the evidence,” and the report’s conclusion was “not supported by the evidence and was contrary to generally accepted medical standards.”

So far, none of the transgender women incarcerated in Florida have reported being taken off their hormones, but the looming threat has led to widespread anxiety.

“If they took away my hormone therapy treatment, I would be ready to end my life. I’m at that point,” said Sasha Mendoza, who is incarcerated in a men’s prison near Miami, in a declaration filed in the ACLU case. “It may sound drastic. But FDC just let me start my transition and I was doing so well, and now they are making me stop. I’m halfway there and halfway not there.”

47’s Healthcare Promises

Here’s a cool thing-

Wheels of Good Fortune: Transforming Lives Through Free Wheelchairs

Don Schoendorfer’s nonprofit delivers more than free wheelchairs to people in developing countries. It delivers dignity and hope — and transforms lives.

Ken Budd

Wheel man: Don Schoendorfer shows off his foldable, third-generation wheelchair, which his charity distributes for free around the world. (Photo courtesy Free Wheelchair Mission)

The first thing they see are our feet,” says Don Schoendorfer. The organization he founded, Free Wheelchair Mission (FWM), delivers wheelchairs to people with disabilities in developing nations, from Uganda to Brazil. When Schoendorfer and his team arrive, recipients are often on the ground, lying on their stomachs. Some drag themselves with their hands.

“They’ve looked up at people their whole lives,” Schoendorfer says. “When you get them into a chair, they often break out in happy tears. And they look different than when they were on the ground. Suddenly the dignity they never had is coming back. You give them a hug and they don’t want to let go because they’re crying. And you look around and the whole family is crying.”

Schoendorfer has seen this “phenomenal change” on multiple continents. FWM has distributed over 1.4 million wheelchairs in 95 countries since he founded the nonprofit in 2001, driven by the low-cost wheelchair he designed and constructed in his garage. The wheelchairs have improved over the past 23 years, but they’re still cost-efficient. For just $96, the Irvine, California-based organization can build, ship, and deliver a wheelchair anywhere around the world.

Schoendorfer was the right man for this globe-trotting mission. “He has this scrappiness — he can make something out of nothing,” says Nuka Solomon, the organization’s CEO. And he was born to build: His father was a machinist for the New York Central Railroad.

“My father taught me and my two older brothers about mechanical things,” he says of family life in Ashtabula, Ohio. “I knew I was going to be an engineer.”

It wasn’t easy. When his two brothers went to college — one became a civil engineer, the other a chemical engineer — his parents told the then-eight-year-old Schoendorfer that little money would remain for his education. He needed to improve his grades and start saving money, Mom and Dad said. He did both. For 10 years, the future engineer had a paper route. He earned an undergraduate degree from Columbia University and a Ph.D. in mechanical engineering from MIT.

Two years later, he experienced a life-changing moment. He and his wife, Laurie, were on vacation in Tétouan, Morocco, when they saw a woman on the ground, crawling with her fingernails, digging them into a dirt road.

“She was pulling herself, one hand at a time, a few inches,” he remembers. “I suspect she had polio. She was bleeding. Her clothes were shredded. And people were stepping over her, not wanting to touch her, not wanting to help her, not wanting to talk to her.”

The woman disappeared down an alley. Schoendorfer and Laurie looked at each other and thought: Why did we see this?

The image was planted in his mind. But for the next 20 years, Schoendorfer continued a career in biomedicine. He enjoyed the work and holds more than 60 biomedical patents. His life started to change when the oldest of his three daughters, then 13, began a long struggle with bulimia. Schoendorfer had always been religious — his father was the sexton of a small Congregational Church — and as their daughter fought her illness, he and his wife “surrendered to the Lord.”

“I think we need to do this,” he told Laurie. “We’ve got to figure out how to get help from God.”

The battle with bulimia, he says, was a “dreadful” time for his family. But they were going to church on Sundays, and his spirituality was deepening. And then, God spoke to him.

“The way I sum it up, it was like a phone call in the middle of the night,” he says. The voice told him he was wasting his time; that he wasn’t using his gifts. “And then this vision of the woman trying to get across the dirt road was right in front of me,” he recalls. “It had been sitting there for 20 years.”

A world of difference: Free Wheelchair Mission has touched 95 countries, including Armenia, Morocco, Vietnam, and (shown here) Peru. (Photo courtesy Free Wheelchair Mission)

His priorities changed. Schoendorfer identified around 20 organizations that distributed wheelchairs. Together, however, the nonprofits had only donated about 100,000. That number seemed low. His idea: To increase donations by developing a less-expensive wheelchair.

He started at a local shopping center. Home Depot had white resin lawn chairs for $4 each. Toys’R’Us sold bicycles made in China for $60.

“From what I know about manufacturing, those wheels probably cost about $3 each to make in China,” he says. “So for $10, I had the two most important parts: The chair and the back wheels.”

He showed a prototype to the pastor of his church, who had just returned from a mission trip to the Democratic Republic of Congo. The timing was remarkable. The pastor had seen numerous people who needed wheelchairs — and it had weighed on him.

“There were people crawling, and here you walk in with a solution three days later,” the pastor told Schoendorfer.

That moment convinced Schoendorfer to keep working. Soon he had 100 homemade wheelchairs in his garage. Then his wife saw an announcement for a medical outreach trip to Chennai, India. He could only take four wheelchairs with him — and his fellow volunteers, mostly doctors and nurses, were not impressed.

“It didn’t even look like a wheelchair to them,” he says. “It was a bright white patio chair with mountain bike tires. And they tried to make me come to my senses by asking logical questions like, ‘Who’ll do the training? Where’s the money coming from? Who’s going to give them out? How are you going to deal with repairs?’ And I said, ‘Listen, my main point here is to prove this works.’”

That opportunity came on a visit to Chennai’s suburbs. A family had carried their son three miles on a dirt road to reach the team’s makeshift clinic. The son had advanced cerebral palsy. He seemed agitated. He had uncontrolled contractures of his arms and his legs, and he’d been carried by a hot body in 100-degree heat and 100 percent humidity. Schoendorfer pulled down a wheelchair from the top of the medical team’s white bus.

“The mom put her son in the wheelchair. She started pushing it around and he started to calm down,” he says.

They drove the family back to their village. The home was a roughly 8-by-10-foot cinderblock structure with a corrugated tin roof. Inside was a hammock and a pen on the dirt floor for their son. They were thrilled by the wheelchair — but suddenly, the medical mission’s director told Schoendorfer they needed to leave. Now. The team had forgotten to ask the elders for permission to enter the village. The group scrambled into their bus, but villagers blocked their path.

And then the boy’s mom approached with two glasses of water.

“We were leaving without the wheelchair, so she realized it was a gift,” he says. “And in her culture, you had to repay a gift with a gift. The only thing she could afford to give us was water.”

After that first experience — and similar emotional encounters when he distributed the other three wheelchairs — Schoendorfer’s mission changed. Originally he planned to conduct clinical trials in India and write a paper. But the medical mission’s local partners drove him through Chennai to show how many people were disabled.

“They wanted to be a distribution partner,” he says. “They wanted more wheelchairs. They were so far ahead of me. I never thought of anything like that. I wanted to just write that paper.”

Fate intervened. Two weeks later, back in California, Schoendorfer returned to work. It was a Monday morning, but the parking lot was empty: The company had gone bankrupt while he was in India. Meanwhile, at his church, the story of his donations had spread through the congregation. Schoendorfer planned to get another job — his wife wasn’t working at the time — but his fellow parishioners shared a different vision.

“They said, ‘No, no, you can’t do that. This is going to be your job,’” he says. “They knew what God was doing. I didn’t. They said, ‘These aren’t coincidences. I’m going to send you some money so you can make more wheelchairs.’ And I said, ‘Please don’t — I’ve still got 96 in the garage.’ But I started to think. … Maybe this is what God wanted me to do.”

After 15 years as a stay-at-home mom, Laurie went back to work, and Schoendorfer focused on wheelchairs. He bought a book — Nonprofits For Dummies — and founded FWM. That same year, he found a manufacturer in China.

The wheelchairs are distributed by local partners in each country where they work. “We’re giving them out as quickly as we can have them made — and as quickly as we can get the money to have them made,” Schoendorfer says.

The wheelchairs have evolved since that first simple model. The next two versions were more adjustable, more comfortable, and built to last in tough terrains. The third-generation model has a fold-up design, which makes it easier to carry on buses.

“We’ve also learned the importance of adjusting the wheelchair and training people on how to use it. That was something we didn’t do in the beginning,” he says. “If it doesn’t fit right, they won’t use it.”

The demand remains great. Roughly 80 million people worldwide — most in developing countries — need a wheelchair, according to the World Health Organization.

“It’s an emotional event because many have been waiting their whole life for a wheelchair,” Schoendorfer says. “And when they get one, many of them tell me… This is a miracle.”

(Note from me: This is not a religious post. Though helpful people feel that they’ve been led to do things, they did the things themselves. Either way, a great, great service is being done! That’s why I posted this story.)

“Is the Cold-Blooded UnitedHealthcare CEO KillerGetting This Much Love Because He’s a White Man?

There’s just no damn way a Black man would get the same treatment.

(This is a valid POV. Also, if you go ahead and click the links, you’ll get simply the embed you clicked on. If you click the link above, you can see the whole story with the embeds. The whole story is here, with the embed links.)

By Lawrence Ware

The response to UnitedHealthcare CEO Brian Thompson being shot and killed in Manhattan last week has been…interesting, to say the least. Dude, whose identity remains unknown and is probably somewhere cooling in Istanbul while the Feds and everyone else continue searching for him, has turned into a something of a pop culture icon.

The online reactions of Black folks to the killer and Thompson himself have run the gamut, from outright hostility, like this guy…

…to intellectually nuanced and dense articulations of why they are unmoved about the killing of this white man who theoretically became rich off the back of the misfortunes of the sick. (Let’s call this intellectual hostility.)

What’s most surprising is the amount of love this hoodie wearing, N95-masked gentleman who used a silencers to kill a man in broad daylight in the heart of New York City is receiving. There has not been this much adoration for a white man since Channing Tatum took his clothes off dancing off beat in Magic Mike. I mean, there’s already been a lookalike competition:

https://www.theroot.com/embed/inset/iframe?id=tiktok-7445767917418876190&autosize=1

There are even folks thirsting over this dude like they have been walking though the Mojave desert and homie is a glass of water with some liquid IV:

But let’s be clear. Even though the NYPD (shockingly) said here that the killer is “light skinned:”

…ain’t no damn way a Black man would get this kind of love if he pulled the trigger. I’m quite positive that there are white people in the sundown town of Cullman, Ala. who are fine with a white man doing this crime but would pull out their big ass trucks with a Confederate flag on the front to find the perpetrator if he was Black.

Denzel Washington could have pulled the trigger, and folks would have thanked him for the years of joy he brought to their lives and thrown his ass under the jail.

The response to this murder (I refuse to call it an “assassination” because Thompson could have caught some lead for something as simple as sleeping with the nanny and her boyfriend pulling out the .44 on him.) is at once expected in our society and, well, pretty nonsensical.

And like all things that make no sense anymore, I blame this on Donald Trump…and that dude hasn’t even moved into the White House yet. I’m just glad the killer wasn’t a Black man, because we’d all be face-down in handcuffs getting profiled throughout the damn country.