1/Preventing evictions saved lives during this pandemic writes Matt Desmond (aka @just_shelter) in this new piece - one key problem is we haven't acted to deal with the prepandemic situation. Normally, we have 7 eviction filings per minute nytimes.com/2021/09/30/opi…
2/The national eviction moratorium lasted 331 days, averting 1.6m evictions, reducing pandemic deaths by 11%. Southeastern states, where evictions are⬆️& vaccinations⬇️have not robustly acted to limit evictions, he writes
3/Small landlords have lost real money. However foreclosures on their properties are ⬇️78% vs prepandemic era, due to a moratorium on foreclosures. The $47bn Congress allocated to protect tenants & landlords has been very slow in distribution...
4/The op-ed we published in Alabama in March said that delivering relief funds efficiently would require a full court press.
We got a lot of "how dare you say we can't spend the money?" feedback (and we were right to be worried) al.com/news/birmingha…
5/Looking forward, @just_shelter says we need a nation that in which eviction does not feel like the 1st option. It separates "children from parents, workers from jobs, students from schools". It is a kind of "scorched earth" tactic on families
6/Not investing in affordable housing means that when minimum wages rise, the benefit is temporary, until landlords follow up when they raise rents and eat up the gains philadelphiafed.org/-/media/frbp/a…
6/Parts of the proposed Build Back Better Act would invest $327bn in affordable housing, in part to expand 7ental assistance & finance construction of rental housing. Whether that bill passes or not, those are the kinds of things that deliver affordable rents for poor families
8/The final word from Matt Desmond (aka @just_shelter )
“The road to more opportunities and less inequality runs through affordable housing” .... check it out: nytimes.com/2021/09/30/opi…

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More from @StefanKertesz

5 Oct
1/An excellent new article reviews this summer’s controversial pushback against efforts to remediate the antisemitic mistreatment of Mountain Brook Jewish youth, by other youth. I will share some comments as a regional resident too atlantajewishtimes.com/adl-embroiled-…
2/First, antisemitic comments or mistreatment of Jewish students in suburbs south of Birmingham is the “modal experience”, ie most Jewish students hear comments denigrating their religion, from peers. This doesn’t mean most non-Jewish students say such things or harbor such views
3/I base my statement that it is the “modal” experience from talking with Jewish youth who grew up here and with their parents and confirming with multiple Rabbis. And *none of this is unique to Mountain Brook* - it typifies *all the bourgeois suburbs south of Birmingham*
Read 17 tweets
25 Sep
1/This week I received reports of several deaths after forced opioid taper, including a CSI:OPIOIDs collaborator.For that, there are no words

Our @OnHealer episode on Forced Taper touches on a way forward, based on genuine respect for patients pod.link/healer/episode…
2/For my peers, let’s acknowledge: (a) there are patients for whom taper is helpful, (b)retrospective database studies showing harm (or lack of harm) don’t permit strong, uniform conclusions

(c) in medicine, we normally don’t force change on stable patients absent consent ☑️
3/But in practical reality, the policies and metrics that tend to incentivize or mandate forcible taper of stable patients lack credible evidence in their favor, and at this time they run contrary to 3 separate federal declarations from: FDA, CDC, HHS, all in 2019.
Read 14 tweets
10 Sep
@conor64 @cultofphil @rhett_orackle @KennyGIsCool @benshapiro 1/It's not easy to model because of many differences and probably a significant number of unmeasurable. But one thing to take some measure of the actual risks of drunk driving. One estimate is that every drunk driving trip has a 1/625 risk of crash. ncbi.nlm.nih.gov/pmc/articles/P…
@conor64 @cultofphil @rhett_orackle @KennyGIsCool @benshapiro 2/Most crashes don't involve loss of life. Among about 6m car crashes a year, only 36,000 people died in 2019, ie 6 deaths per 1000 crashes. So if you drive drunk 625000 times, crudely, there are 6 deaths (lower bound, due to assumptions)
@conor64 @cultofphil @rhett_orackle @KennyGIsCool @benshapiro 3/It's reasonable to guesstimate that "drunk crashes are more lethal crashes"(someone has studied this; not me).. So let's assume a person who drives drunk 100000 times causes 10 deaths. But we know that's not the real math because no single person drives drunk 100k times a year
Read 19 tweets
8 Sep
1/New study in @DrugAlcoholDep finds that a national Stay-at-Home order for COVID-19 had "variable" impacts on opioid OD-

And it demonstrates that Emergency Dept overdose diagnoses deliver only a very cloudy view on overdose rates, - KY, OH, MA, NY sciencedirect.com/science/articl…! Image
2/ 3 of 4 states (MA,NY,OH,*not KY*) had a 10 week ⬇️ in ED visits for opioid OD after pandemic hit.
Then, ED visits ⬆️ for MA,OH,KY
**But ED visits don't relate tightly to death**
OD deaths for 2020, relative to 2019:
MA:⬆️2%
NY:⬆️34%
KY:⬆️54%
OH:⬆️22%
commonwealthfund.org/blog/2021/drug… Image
3/Authors conclude what I agree with, but I'll comment.
They say:
"results support our hypothesis of a significant impact of the national stay-at-home order on ED encounters for suspected OOD in the 4 HCS states, but indicate that the dynamics of this impact differed"

YES, and.
Read 7 tweets
19 Aug
1: Before sharing our *New* research on homelessness, I want to share my *First* effort - 37 years ago, as a high school senior, street interviews & moral reflection for the Homestead @epitaphHHS 🧵
2/Street interviews led me to think we are all dealt a hand of cards…

“Society as it is doesn’t really allow for the people who are dealt bad cards. We would prefer to see them dwindle away when what we really need is perhaps to give them a second chance at the deck” -1984
3/Out now in @AmJPrevMed “Unsheltered Homelessness reflects a Stack of Personal and Community risk factors among veterans” uab.edu/news/research/…
Read 5 tweets
18 Aug
1/There is new guidance to avert the transmission of #COVID19 among persons experiencing #homelessness from @USICHgov and it demands a halt to forced breakup of camps or forced hotel-to-shelter transfers for the vulnerable: usich.gov/news/usich-rel…
2/Many communities never had hotel rooms but those that did have been pushing individuals who are quite vulnerable into tight congregate shelters, even though there is money to cover cost of emergency accommodation (plenty) sfchronicle.com/sf/article/S-F…
3/Crucially @USICH says Vaccination should be encouraged, but not treated as prerequisite to housing
(CDC: no single “preferred” vax formulation, use flyers+text, mindful planning & reminders for 2-dose regimens).
Read 7 tweets

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