Medicare for All: How to Reduce Inequality in the Long-Term Care Market

Medicare for All: How to Reduce Inequality in the Long-Term Care Market

This post is part of our symposium on Medicare for All. You can find all the posts in the series here.

Ruqaiijah Yearby – 

Medicare for All has the potential to address gaps in access to quality long-term care services for the elderly by mitigating some of the inequities in the market for long-term care. It could do this by increasing reimbursement rates for long-term care, fostering competition between long-term care providers, and improving federal enforcement of non-discrimination requirements.

In the long-term care services market, the issue is not private insurance versus single payer because the government already finances most long-term care services through Medicare and Medicaid (Medicaid is the primary payer for long-term services and supports ranging from institutional care to community-based services). Instead, the issue is who will provide the care: institutions or home- and community-based providers.

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The Market Does Not Bind Us

NB: This post is part of a debate on the Loan Shark Prevention Act, a bill that would create a federal usury cap. Anne Fleming’s argument against the bill is here.

Emma Caterine–

The central fallacy of the arguments against the Loan Shark Prevention Act, including Professor Fleming’s, is the limitation of regulation to merely attempting to steer the market. I argue here the purpose of regulation should instead be to carry out a democratic vision of how our society, including the economy, functions. The Loan Shark Prevention Act is an ideal start to pushing back against the decades of economic control by a select, mostly white and male, few.

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A New Sex Positivity Dichotomy

A New Sex Positivity Dichotomy

This post is part of our symposium on the political economy of sex work. Read the rest of the symposium here.

 suprihmbé a.k.a. thotscholar – 

The constant assertion that sex work was “just like any other job,” that it was experientially rewarding, richly enumerating, or spiritually significant, or that sex workers “weren’t all homeless junkies working the streets” naturally alienated those who hated their work, struggled to make ends meet, used drugs, or were homeless. A dominating narrative of empowerment also contributes to a growing stigma against sex workers whose experience isn’t strictly empowering.

— From the Introduction to $PREAD: The Best of the Magazine That Illuminated the Sex Industry and Started a Media Revolution

I was asked to address whether and how feminist and queer movements at times create a false distinction between the “agency/empowerment” of sex work and the “oppression/coercion” of sex trafficking. I am a poor Black proheaux womanist creative and erotic laborer. These locations and more are important in my analysis, so I’ll begin my answer with my own story.

I started stripping at eighteen. I knew I was going to strip long before I did it. I had become enamored with Black feminist “hoe is life” empowerment rhetoric just before college. I skipped a grade and landed at a college in southern Indiana at age 17, a vocal major at the time. “Hoe is life” is the Black woman’s answer to the slut-chic culture that swept mainstream hegemonic feminism during the second and/or third wave— our pro-hoe, full of wanna-be (or actual) sugar babies and newly minted financial dommes, and “marry up” (into wealth and usually out of blackness) feminists. As a bisexual woman who had been exploring her sexuality throughout childhood, with girls first and boys later, I was intrigued by this idea that I felt fit my omnisexual proclivities. I was eager to dabble in promiscuity and discover erotic pleasure, and my entrance into the idea of erotic labor was part of that.

The other part: money. The first time I dipped my toes into erotic labor, it was for pocket money. Young men asked and offered. They were in my age group, so I didn’t feel exploited, and I wasn’t. I was in college, and for many young Black women, college is where we find ourselves. The need seems urgent — many of us grew up in church or similarly constrained by our families. Black and brown women of certain cultures are considered naturally promiscuous in the wider dominant white culture. The way we dress, how quickly we develop, all of it is scrutinized. I was called everything from a dyke to a whore growing up as adults rushed to categorize my known experiences: too (physically) close to this or that girl, too flirtatious with such and such boy, the way I licked an ice cream. Everything I did seemed to drip with eroticism, even when I wasn’t aware. I thought, there must be power there.

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Sex, Markets, and Political Economy

Sex, Markets, and Political Economy

This post is part of our symposium on the political economy of sex work. Read the rest of the symposium here.

Aziza Ahmed and Jason Jackson

Movements to decriminalize sex work in the United States have gained momentum in recent years.  In New York, the Decrim NY movement has advanced a bill that would decriminalize the purchase and sale of sex.  The debate has been intense. Proponents of decriminalization, including sex workers and their allies, argue that criminal laws keep those who choose to sell sex poor, homeless, and struggling for survival.  Many opponents of decriminalization argue that sex work leads to the commodification of the human body and thus is immoral. Some feminists believe that men who purchase sex should be prosecuted for engaging in the exploitation of women and girls.

Among the various perspectives utilized to understand and advocate for or against sex work, a political economy approach directs attention to the fundamentally political and moralized nature of markets. Markets are not abstract spaces for economic transactions but rather politically contested terrains of societal struggle where competing actors wield technical legal tools and moralized beliefs in attempts to shape structures of societal governance. A political economy of sex work might thus ask questions such as: how are the moral categories that justify market regulations distribute resources and govern populations created? How do legal rules shift the distribution of power and control between actors engaged in sex market transactions? And crucially, which societal actors win and lose when sex work is delegitimized and criminalized?

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Sex Work and Immigration: When Criminalization Is Disguised as Protection

Sex Work and Immigration: When Criminalization Is Disguised as Protection

This post is part of our symposium on the political economy of sex work. Read the rest of the symposium here.

Gilda Merlot

I am an undocumented immigrant from Honduras. I crossed the Guatemalan, Mexican, and U.S. borders when I was 5 years old. I’m currently a sex worker and a 25-year-old DACA recipient. Like most sex workers, I want decriminalization, or the elimination of all criminal penalties for sex work. The criminal legal system – and the vice divisions of police that carry out prostitution stings – will not solve the issues of poverty, housing, medical care, educational accessibility, and drug use, which are the actual issues affecting sex workers. The reasoning behind any kind of criminalization is to eliminate, destroy, or “end demand” for something through the deterrence/threat of state violence, prison, and death.

Sex workers are criminalized under various models – even if the state criminalizes just the acts of buying sex or managing or employing sex workers, a framework which is often called “the Nordic Model.” The Nordic Model is criminalization of sex workers by another name. To see how this works, we can look to another law that criminalized hiring a certain group of people under the guise of “protection” against exploitation: the Immigration Reform and Control Act of 1986 (IRCA). The Nordic Model criminalizes sex workers in the same way that the Immigration Reform and Control Act of 1986 (IRCA) criminalized undocumented workers.

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The Law and Political Economy of Sex Work: Symposium

The Law and Political Economy of Sex Work: Symposium

This post is part of our symposium on the political economy of sex work. Read the rest of the symposium here.

Lorelei Lee –

I am approaching my 20th year of living in the world as a sex worker. This year, presidential candidates are being asked whether they believe sex work should be decriminalized. Decrim NY and the Sex Worker Advocates Coalition have introduced decriminalization bills in New York State and Washington, D.C. California passed SB 233, joining a handful of other states in prohibiting the use of condoms as evidence in prostitution arrests, and expanding a San Francisco policy that prevents police from arresting sex workers who choose to report client violence. The public conversation is shifting. That shift is the result of hundreds of years of resistance and movement building by people who trade and have traded sex. As Juno Mac and Molly Smith explain in their new book, Revolting Prostitutes, “sex workers have shaped and contributed to social movements across the world.” Despite state, local, and new federal laws promoting profiling, surveillance, and exclusion of people in the sex trades from fundraising and communication platforms and from otherwise-public spaces, sex workers have continued to speak, to build coalitions, to insist on being heard.

People interested in law and political economy have a particular reason to listen to people in the sex trades. The conversations that sex workers are having are about markets, work, and coercion under neoliberalism. They are critiques of a legal system that implements policing to keep the “sacred” out of markets while enabling corporations to profit on the caging of human beings. In this symposium, Gilda Merlot will explain how the U.S. failure to “end demand” for migrant labor through the Immigration Reform and Control Act illuminates the unlikelihood of “ending demand” for sexual labor through criminalization. Aziza Ahmed and Jason Jackson will bring a political economy lens to sex work, critiquing the moral claims that justify criminalization. Finally, suprihmbé will unpack the false binary between the “agency/empowerment” of sex work and the “oppression/coercion” of trafficking.

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Reminder: LPE Conference Proposals due Sept 15

Just a reminder that paper and panel proposals for the LPE Project’s Conference, “Law and Political Economy: Democracy After Neoliberalism” (April 3-4, 2020, at Yale Law School) are due one week from today, September 15. You can find the call for papers here

One clarification: Panel proposals should include a description of the panel as a whole and abstracts for each paper. Each of those pieces can be up to a page in length (e.g., a proposal for a 4-person panel could be up to 5 pages).

We really hope you will join us!

Law and Political Economy of Commodity Rushes: Reflections on “Land Grabbing” in the Global South

Lorenzo Cotula –

A few years ago I travelled to central Ghana, in the fertile farmlands west of Lake Volta. A global land rush was in full swing: large agribusiness plantation deals – “land grabs” for the critics – were announced at a dizzying pace in many low- and middle-income countries. This transition belt between Ghana’s forest zone and the northern savannah proved popular with international agribusinesses, and I came to understand the deals’ local impacts.

One day I spoke with a farmer who, until then, had made a living growing maize and yam. Shaded by a rough straw hat, the grey-bearded man retraced how a jatropha plantation took much of his land. He thought the compensation was not enough to get land elsewhere, and felt too old to establish a new farm anyway – or take a job with the plantation. He had some land left but knew they would come for that too. When that happens, he concluded, he would just stay at home.

I asked him how he felt about these developments. “I am unhappy about what happened”, he said, “but there was nothing I could do”. As a long-term migrant, he did not own the land: the power to allocate land rested with the traditional chief, who signed a lease with the company. Behind the farmer’s life-experience lay the way law structures property, territory and decision-making power. Confronting the issue alone seems impossible: it calls for a bold agenda of action and research that ties the global with the local.

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August Break

Thanks to all of our wonderful readers for helping LPE Blog grow so much this year!

We’re taking a break for the month of August to bring you more of that LPE content you crave in September. Next year will be a big one for the LPE world, with launch of the Journal of Law and Political Economy and the LPE Project’s inaugural conference.

With gratitude,

Kate and the LPE Blog team.

Reclaiming Notice and Comment: Part II

This post is part of our symposium on democratizing administrative law. You can find all the posts in the series here.

Nancy Chi Cantalupo, Matthew Cortland & Karen Tani –

In an earlier post in this series, two of us (Cortland and Tani) described how the notice-and-comment process has entered the arsenal of a range of groups and organizers, many seeking to challenge the policies of the current administration. We made the case by highlighting grassroots efforts to explain to the public what notice-and-comment is and how to participate in it. The effects of these efforts seem clear. Note the more than 1,800 comments on Kentucky’s 2016 request for a Medicaid Section 1115 waiver (seeking to impose a work requirement, among other changes). Or consider the 266,000+ comments to the Department of Homeland Security after the agency proposed a rule that would make an immigrant’s use (or likely use) of public benefits grounds for inadmissibility.

Here we discuss a type of organizing that has followed in the wake of mass commenting efforts, focused on analyzing the content of comments and ensuring their due consideration. Our central example comes from the Department of Education’s recent notice of a proposed rulemaking (NPRM) regarding the meaning of Title IX for complaints of sexual harassment (an umbrella legal term that includes sexual violence). Perhaps unsurprisingly, given the activism around the ED’s interpretation of Title IX in the Obama years, the agency recorded over 124,000 comments—and spurred the creative cataloging initiative we spotlight here. By analyzing comments themselves, participants in this initiative seek to support public engagement with administrative law and vindicate the democratic values at the heart of notice-and-comment mandates.

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