Archive for October, 2017

Job Loss, Wage Stagnation, Low Productivity: We’re Great Again!

Monday, October 30th, 2017

A couple of years ago, as he finished his Gatling Gun presentation to conclude the Workers’ Compensation Research Institute’s annual conference in Boston, I asked the big-brained, really smart Bob Hartwig if he was alarmed at all that in the last 40 years inflation-adjusted hourly wages had risen only 4%. His answer: “Yes. Very.”

Since then, regardless of the playground-like antics in our nation’s capital, or maybe because of them, not much has changed. So, in this post I want to discuss some of the factors and trends that have contributed  to this economic wage crisis and suggest it played a powerful role in the rise of Donald Trump who, with rhetoric as sharp as the edge of an axe, seized on the frustration and outrage within the lower wage working classes whose nearly biblical devotion led to his election.

That it is a crisis has been borne out over time by a mountain of complex research that cannot be explained in a tweet. The latest brick in this ugly house was laid last week with the release of a study from The Hamilton Project at the Brookings Institution.

In The Hamilton Project at Brookings report, Jay Shambaugh, Ryan Nunn, Patrick Liu and Greg Nantz offer Thirteen Facts About Wage Growth with solid research buttressing each fact. The point of the paper is to explain why wages for production and non-supervisory workers have been stagnant for so long.

In order to explain the why, they first had to prove the point. To do that they divided the period since 1981 into four business cycles: 1981-90, 1990-2001, 2001-07 and 2007-17. They found that in the first three of those business cycles nominal wage growth (wage growth without any adjustment for inflation) averaged just a bit above 3%. In the last cycle, which started at the beginning of the Great Recession, growth has been 2.34%.

However, when one considers real wage growth (growth adjusted for inflation) each business cycle saw wages increase significantly less than 1%. Despite this 36-year run of bottom-of-the-bird-cage wage growth, according to the Bureau of Labor Statistics’s Inflation Calculator, what you bought for $1.00 36 years ago in 1981, the first year of this study, cost you $2.84 in September of 2017. This puts American workers in the position of trying to outswim a Navy Destroyer. Every moment they fall farther and farther behind.

The authors point out that our long-term wage stagnation can be traced to many trends, including the decline in US workers’ share of income.

The portion of national income received by workers fell from 64.5 percent in 1974 Q3 to 56.8 percent in 2017 Q2. Over the past few years the U.S. labor share has ceased falling, but this might reflect the ongoing economic recovery rather than any change in the long-run downward trend.

A number of factors have played a role in the fall in Labor’s share of income, including, but not limited to:

  • The long-term and continuing offshoring of labor intensive production;
  • The decline in union membership;
  • The decline in the real minimum wage;
  • The growth of non-compete contracts for even low-skilled workers;
  • The growth in income inequality between the top and bottom earners;
  • The continuing increase in the “education wage premium.”

To elaborate on a few of these factors:

Union Membership:  In 1956 about 28 percent of all workers belonged to a union; in 2016 that number was a little more than 10 percent. In the private sector, union membership has dropped to 5%. Regardless of what you think of unions, the fall in union membership directly correlates to an increase in wage inequality.

The Real Minimum Wage:  The Project Hamilton Report demonstrates how insidiously the federal minimum wage has limited wage growth among low wage earners. Since 1968 the real minimum wage (minimum wage adjusted for inflation) has fallen more than 20%.

Right now state minimum wages range from a low in Georgia of $5.50 to a high in the District of Columbia of $12.50. A number of states have passed legislation to gradually increase their minimum wage  over the next few years. Others have indexed theirs to the CPI. Regardless of what the states do, their minimum wage cannot be lower than the the federal minimum wage of $7.25 for any worker covered by the National Fair Labor Standards Act. If a worker in Georgia isn’t covered by the Act, however, $5.50 reigns.

The Education Premium:  The wage benefit of a college degree increased dramatically during the last two decades of the 20th century, leveling off around 2000 at an historically high level.

Bachelor’s degree holders ages 25 to 54 in 1979 could expect to earn 134 percent of the wages received by those with only a high school education, and advanced degree holders could expect to earn 154 percent. By 2016 the wage premiums for a bachelor’s degree and an advanced degree had risen to 168 and 213 percent, respectively.

Another way to look at the wage value of higher education is this: Although only 40% of the nation’s workers hold four-year college degrees (23% in 1979), in the top two earnings quintiles college graduates make up a clear majority, 78% in the top quintile. Only 15% of the bottom quintile are college graduates.

One last point about the Education Premium: In its most recent survey of college pricing, the College Board reports that a “moderate” college budget for an in-state public college for the 2016–2017 academic year averaged $24,610 (tuition, board and fees). It’s true that financial aid is available to most students. However, with the income of today’s low-wage earners falling farther and farther behind workers sitting serenely much higher on the economic pyramid, how do you think they’re going to manage to send their children off on a quest for a four year college degree, even at an in-state public college? This is a self-perpetuating educational death spiral.

Maybe you’re asking what this has to do with workers’ compensation?

Well, if US workers on the bottom half of the income scale have seen their wages lag behind the CPI for four decades, they are right now hard pressed to contribute to the country’s economic growth and viability. Moreover, when one of them suffers a lost-time injury at work, that worker will suddenly see his or her take home pay reduced because of state workers’ compensation laws, which will make it even harder to support a family. Research shows this, among other things, contributes to underreporting of workplace injuries.

For more information on this issue, see Bureau of Labor Statistics data and a recent New York Times economic report by Ben Casselman.

I have a hard time believing decades-long negligible wage growth, especially for those on the lower end of the income scale, can be anything but harmful for America, its economy and the quality of life of its workers. I suggest this is a significant cause of the frustration and outrage that led to the rise of the Tea Party and Freedom Caucus. Donald Trump saw this frustration, this outrage, as a mammoth opportunity and continues to feed it like red meat to a hungry lion. That type of divisive behavior can be nothing but destructive. But until our elected officials grow enough spine to do something meaningfully constructive and productive about it, I fear this situation will continue to divide and erode us as a nation.

That is terribly sad to contemplate.

 

 

 

Fresh Health Wonk Review, Disaster Edition

Thursday, October 26th, 2017

Check out the latest Health Wonk Review: Disaster edition freshly posted by David Williams at Health Business Blog. David is a long-time HWR host and his business blog is a strong and authoritative voice in the health business sector – if he isn’t on your regular reading list, you should change that!

Just a few other quick updates:

A quick shout-out to esteemed colleague Joe Paduda of Managed Care Matters who is running for office in his home area of Onondoga County, New York. November 7 is pretty quick upon us. You can find out more at Paduda for Progress – if you are on Facebook, you can show him some love there ;-)

Because we’ve written about him quite a bit in the past, we didn’t want to miss this update on Don Blankenship of the Massey Coal Mining disaster infamy:  Supreme Court lets criminal conviction stand against coal executive Blankenship

Another issue we’ve posted about previously is the death of cell tower workers. We were interested to see that Washington state recently adopted tower safety worker rules – the third state in the nation to do so.

“North Carolina and Michigan also have telecommunication safety rules, but federal OSHA does not have comparable, specific regulations relating to communication tower work, according to L&I. “We hope our rules can serve as a model for other states to quickly stop these fully preventable worker fatalities,” Soiza said.”

 

California fires: Response and recovery health hazards

Wednesday, October 25th, 2017
A firefighter working in the California fires

Photo: Mike Blake / Reuters

In the wake of the devastating California fires, the massive debris field – formerly neighborhoods, homes and businesses – is now a toxic environmental brew that poses risks to cleanup and recovery workers and residents alike. Kirk Johnson discusses the environmental and health risks of the California fire cleanup in an article in the New York Times.

“In modern times this has got be an unprecedented event, and a major hazard for the public and for property owners,” said Dr. Alan Lockwood, a retired neurologist who has written widely about public health. He said an apt comparison might be the environmental cleanup after the terrorist attacks of Sept. 11, 2001, in New York, as debris and dust swirled through Lower Manhattan.

As could well happen too in California, Dr. Lockwood said, the health and environmental effects were felt long after the attack, in the chemicals or pollutants workers and responders at the site, and the public at large, may been exposed to as the cleanup went on.

The scope of the fire disaster in California is hard to comprehend:  Photos Capture Apocalyptic Aftermath Of California Wildfires. Also: and the Los Angeles Times Mapping the destruction from California’s wine country fires.

We’d be remiss if we didn’t offer a tribute to the 9,000+ hard-working firefighters on the front lines who risked life and limb to contain the fires, rescue people and save property. See NPR’s story by Eric Westervelt: In Northern California, Exhausted Firefighters Push Themselves ‘To The Limits’.

See the Atlantic‘s In Focus for a display of photos that document the danger and the destruction.

One interesting and little known aspect of the battle against the fires is that 30-40% of the firefighters battling the fires were prisoners, according to Mother Jones. About 4,000 low-risk prisoners save the state about $80 million a year. Inmates are volunteers who are trained in a four-week program, receive $2 an hour and earn a 2-day sentence reduction for every day served. Typically, they are low-risk felons.

“Career firefighters do things like flying in helicopters and driving bulldozers; inmate firefighters use hand tools, like chainsaws, axes, and rakes, to contain the fire by clearing out the vegetation around it. The prisoners participate in a four-week training process—the same process that other state firefighters go through—proving that they’re fit enough to work through brush in the heat of a fire while carrying up to 100 pounds of gear. They work in teams of about 15 people, supervised by a fire captain. When there’s a big fire blazing, the teams work in shifts of 24 hours, followed by a 24-hour break. When not tending fires, the inmates do other conservation work, often clearing brush to prevent future fires.”

Jaime Lowe of the New York Times reports on The Incarcerated Women Who Fight California’s wildfires. It talks more about how the program works and takes an up-close look at some of the female inmates on the front lines, including the very real risks they take. While many tout this as a win-win for both the state and the inmates, there are many limitations in terms of the rehabilitative value. Lowe says:

“C.D.C.R. says that the firefighter program is intended to serve as rehabilitation for the inmates. Yet they’re being trained to work in a field they will probably have trouble finding a job in when they get out: Los Angeles County Fire won’t hire felons and C.D.C.R. doesn’t offer any formal help to inmates who want firefighting jobs when they’re released.”

Further in the article, Lowe talks more about this:

When I visited Rainbow, I asked a Cal Fire captain named Danny Ramirez why the state wouldn’t increase the incentive to join the program by paying even a little bit more. He didn’t have a ready answer. Which brought up another puzzling aspect of the program: Why doesn’t the state get more out of its investment in training these women by hiring them when they’re released? Or at the very least, by creating a pathway to employment? Ramirez said the idea ‘‘to keep tags on the girls’’ had come up before. ‘‘Some of these girls leave very interested in what they got exposed to and say, ‘Oh I never knew this exists, how do I keep on doing this?’ And it’s hard when they get out there because they do have a lot of the same walls that they were facing before. But a program to keep them guided and keep them on that path and keep them focused on something instead of getting back into their old ways or old friends would be awesome.’’

 

Health Wonk Review’s “Pink Edition”

Thursday, October 12th, 2017

InsureBlog’s Hank Stern has posted the latest edition, the “Pink Edition,” of Health Wonk Review.

Why the “Pink Edition?” Because October is National Breast Cancer Awareness Month, and Hank and his team, Love, Hope and Faith, are doing their best to raise money to help eradicate this terrible disease. They’re participating in a walk to do just that on October 21, and Hank would love some help from the HWR community. Something to think about.

So, after making a donation to Hank’s worthwhile cause, we hope you’ll grab a cup of whatever suits you best, put your feet up and once again revel in all things health wonkery.

Workers’ Comp as Percentage of Payroll: NASI Report

Tuesday, October 10th, 2017

The National Academy of Social Insurance (NASI) recently issued its 20th annual report on Workers’ Compensation: Benefits, Coverage, and Costs. The study provides estimates of workers’ compensation payments—cash and medical—for all 50 states, the District of Columbia, and federal programs providing workers’ compensation.

The study showed that

  • Benefits per $100 of payroll fell from $0.92 in 2014 to $0.86 in 2015, the lowest level since 1980.
  • Workers’ compensation employer costs per $100 of payroll dropped to 1.32 in 2015, reversing consistent growth that began after the recession.
  • In 2015, workers’ compensation coverage extended to an estimated 86.3 percent of all jobs in the employed workforce, comprising more than 135 million workers.

Study authors say the drop partly reflects improved workplace safety. Also noteworthy:

“Both the incidence and severity of work-related injuries have declined steadily since 1990. In fact, according to the Department of Labor, the proportion of workers who experienced injuries that resulted in days away from work reached a 25-year low in 2015.”

The study encompasses state-by-state changes in coverage, benefits, and employer costs over the last five years. The state-level results show that between 2011 and 2015:

  • The number of covered workers increased in every state except West Virginia, with 11 states experiencing double-digit growth in covered employment;
  • The amount of covered wages increased in every state, and by more than 20 percent in 16 states;
  • Benefits per $100 of payroll decreased in all but three states, with the biggest declines in Illinois (-$0.33), Oklahoma (-$0.41), and West Virginia (-$0.52)—three states that implemented significant changes in their workers’ compensation systems during this period;
  • Employer costs per $100 of covered payroll increased in 24 states and decreased in 27 states. West Virginia, Montana, and Oklahoma experienced the largest reductions, with costs dropping more than $0.30 per $100 of covered payroll. Employer costs increased by more than $0.20 in Wyoming, Delaware, and California.

NASI workers comp infographic