Recently I stumbled upon an infographic that quantifies how the connection between poverty and health plays out in our health system. You know, that same health system that is in a perpetual crisis here in Nova Scotia.

The graphics are published by PROOF, an interdisciplinary research team investigating household food insecurity in Canada. The numbers deal with Ontario, but there is no reason why Nova Scotia would be much different.   

So what does this mean for Nova Scotia’s health system?

A 2016 report also issued by PROOF, based on 2014 Statistics Canada data, tells us that 15.4% of Nova Scotia households experience food insecurity. For Nova Scotia households with kids that number is 22%. 

Fun fact, that makes our province number one among provinces that participated in the survey – Alberta, Saskatchewan, Ontario, Quebec, New Brunswick, Nova Scotia, and Prince Edward Island. Only Nunavut and the Northwest Territories are in worse shape.

Almost 4% of Nova Scotia’s households experienced severe food insecurity, meaning that people missed meals, reduced food intake and at the most extreme went day(s) without food.

All this puts pressures on our healthcare system, but although there is lots of talk about doctor shortages, ER closures, and so on (and rightly so), there is little or no mention of poverty as an issue that can and must be relieved.

Yet the solution of food insecurity is very much in the political realm. Poverty after all is man-made, it’s not a natural phenomenon.

For instance, 54% of food insecure households in Nova Scotia relied on wages and salaries, the same PROOF report informs us. And a whopping 82.1% of households on social assistance were food insecure, another one of those embarrassing Canadian records held by our province.

A 2017 report by FoodArc, with a focus on Nova Scotia, shows how inadequate minimum wage and income assistance budgets are when people go shopping for healthy foods. Being on welfare or earning a minimum wage in Nova Scotia means going hungry or being undernourished.

Minimum wage and welfare rates can be raised. There’s no mystery there, it’s a matter of a simple policy change.

For me poverty is first of all a matter of justice. Kids go to bed hungry in Nova Scotia! Just solve it, for crying out loud. But the breed of penny pinching politicians that are so prevalent these days isn’t particularly receptive to arguments inspired by the idea of social justice.

Well, these bean counters should consider the connection between health costs and poverty, and raise our scandalously low welfare rates and minimum wage.

They can’t afford not to.

See also:

• ‘This isn’t solved by giving somebody a bag of food.’ An interview with food insecurity expert Valerie Tarasuk
• More hunger in Nova Scotia than any other province, report finds (about the PROOF report discussed in this story)

The post Not dealing with food insecurity not just cruel, it’s also dumb appeared first on Nova Scotia Advocate.

KJIPUKTUK (Halifax) – Last month’s Nova Scotia election budget found money to provide tax cuts for the middle class and businesses but not a single additional penny to the poorest of the poor; people who depend on social assistance to survive (70% of whom have disabilities). As Robert Devet and others have reported, when inflation is taken into account, social assistance recipients have effectively had tens of dollars per month cut from their income.

What makes the Budget speech especially galling is the passage that proudly announces:  “We have worked hard together as Nova Scotians to reach this point. Now we will work even harder to ensure all Nova Scotians share the benefits……we are committed to taking steps that will make life more affordable for Nova Scotians.”  Indeed, the Budget claims that there’ll be “More for those who need it most.”  Sheesh…it would appear that, in the Province’s eyes, poor people aren’t actually Nova Scotians! The poor don’t count.

To fully appreciate the latest slight toward those living in poverty, the Budget needs to be seen within a broader context of poverty in Nova Scotia, making the complete failure to address the income support needs of the poorest of the poor especially callous.

In 2015, a study on child and family poverty in Nova Scotia found that 1/3 of children in Cape Breton were living in poverty; this rises to 43% for children under age six. In the same year, another study reported that Halifax ranks as the most food-insecure city among all provinces in Canada.

Most recently, a just released food costing report—the 7th in a series—lays out how social assistance budgets are hundreds and hundreds of dollars per month below a level which would permit individuals and families to eat a basic nutritional diet.  (A family of four reliant on assistance faces a deficit of almost $1,000/mo. in paying basic expenses—including a minimally nutritious diet).

That’s right; things are at a point where serious discussion has moved well beyond any question about ‘the poor having enough if they just made better choices’.

Taking account of inflation, social assistance rates for a single person in Nova Scotia reached their high point in, wait for it, 1989. So much for those who speak vaguely of slow, gradual improvements in social policy.

We know that such scandalous treatment not only demeans us as a society—inasmuch as it’s carried out in our name—but also results in higher health care and criminal justice system costs. In short, depriving the poor of an adequate income is, and always has been, a false economy. Some of us remember the old Fram oil filter commercial, the tag line of which was: ‘You can pay now or pay [a helluva lot more] later.’

All of this is not just atrocious social policy, short-sighted fiscal policy but also represents a significant human rights violation.  In February 2016, the United Nations human rights treaty body which monitors Canada’s compliance with its human rights obligations toward the poor regarding rights to social security, food, health and housing  came close to using undiplomatic and caustic language in its criticisms of social assistance rates in Canada—including Nova Scotia.

Some real world examples

Newfoundland and Labrador

Within Canada, even a have-not province such as Newfoundland and Labrador, has made choices that result in people living in poverty being far better off than elsewhere. In fact, in the case of single parents, the Caledon Institute reports that the social assistance rates in Newfoundland put them above the main poverty-line recognized in Canada. This is the only jurisdiction in Canada to do so. For other family sizes as well Newfoundland routinely provides more dignity to the poor than other provinces.

Canadian Seniors

While there has recently been some backsliding, the main anti-poverty success story in Canada has been the experience of Canadian seniors whose poverty rate was, for decades, around 30% but dropped to 3.9% by 1995. What happened? The Federal government chose to improve Canada’s pension system—including the ‘Guaranteed Income Supplement’ in the 1960s effectively lifting hundreds of thousands of seniors out of poverty. (To see a graphic and current example of the difference which receiving a federal low-income pension makes in the ability to afford a nutritious diet, see the table setting out the situation of a lone-senior on page 26 of the recent FoodARC food-costing report).  Afraid of turning 65?—not if you are in your early 60s, disabled and on social assistance.

Denmark

I visited Denmark last autumn for a couple of weeks and took advantage of the holiday to arrange a meeting with some faculty at the Copenhagen University law school. I wanted to ask how the course that I have taught for years at Dalhousie compares with what is offered in Denmark—essentially, to talk shop.

They had set aside an hour for the meeting.

I spent the first 10 minutes introducing myself, explaining my legal work with low-income people in Nova Scotia , as well as giving an overview of my ‘Poverty Law and Human Rights’ course at Dalhousie.  (These courses are pretty much standard fare at law schools across North America.)

With anticipation, I turned to them and asked, “So, what’s your course like? Please… tell me all about it.”

There was a pause for quite a few seconds, before the senior faculty member spoke up and quietly said: “Uuuum, we actually don’t have a ‘Poverty Law’ course ….basically, because we don’t have poverty in Denmark, or in any of the Nordic countries.”  After recovering, I asked some follow-up questions about what they meant by ‘poverty’ (while all low-income people have their needs fully met, Danes measure it as income inequality).  The bottom line is that for a single person on social assistance in Denmark, and apart from the fact that they’d have free housing, their cash entitlement would be about five times what Nova Scotia has chosen to provide to a single person.  

Yes, Denmark also has one of the highest tax rates in Europe, but we heard nobody grumbling about it. Surveys routinely report that Danes rank #1 in the world for happiness. Productivity growth, happiness, social justice and respect for basic human rights are, it turns out, closely related.

By about the 24 minute mark of my meeting with the Danish law profs, I was asking them for sightseeing tips for Copenhagen. Moving on.

Not in our name

So, yeah, the whole thing is doable. The Margaret Thatcher/Ronald Regan/Stephen Harper view that ‘there is no alternative’ to austerity is gone. Despite what you often hear by those resigned to (or privileged by?) the status quo, Nova Scotia has plenty of wealth; it’s all about making choices, it’s about how it will be shared.

There is simply no excuse for all this in a wealthy country. A hundred or two hundred years ago, it might have been said that there was not enough to go around; that the existence of poverty was ‘natural’, inevitable. But, as the great Nelson Mandela once stated:

“Like slavery and apartheid, poverty is not natural. It is man-made and it can be overcome and eradicated by the actions of human beings….And overcoming poverty is not a gesture of charity. It is an act of justice. It is the protection of a fundamental human right, the right to dignity and a decent life.”

Our governments make decisions that effectively maintain the level of poverty that we see, and that tens of thousands of our neighbours experience. This realisation – that the inequality in our society is actually a political decision — raises hard questions.

These are questions not just for our political leaders but also for ourselves as members of a society that repeatedly select politicians who by their choices, maintain poverty and malnutrition.

In the same way that we like to tell ourselves that we won’t tolerate racism, won’t tolerate sexism, homophobia or ableism, when are we, as a society, going to tell our political candidates and leaders that we will not tolerate poverty in our society, that, for starters, we want a right to an adequate standard of living enshrined in our Human Rights Act?

Poverty in Nova Scotia—not in our name!

For voters concerned about social justice and human rights, the question which they should ask is: which political party comes closest to proposing a truly inclusive and human rights compliant vision for Nova Scotia?

A government budget that devotes not a damn cent to improving social assistance….oh my!

The post Poverty in Nova Scotia — not in our name! Vince Calderhead on the budget and the election appeared first on Nova Scotia Advocate.

The report is a recurring initiative of the Food Action Research Centre (FoodARC) at Mount Saint Vincent University. There are now seven such reports, going back to 2002.

Rather than providing province-wide stats the report looks at scenarios that include family configurations, and types of income such as social assistance or minimum wage.

Households that experienced food insecurity either are not able to get enough and sufficiently healthy food, or actually go without food at times. In other words, people go hungry or are undernourished.

People on income assistance remain the most vulnerable to food insecurity, but people earning minimum wage are close behind. Even seniors receiving OAS and GIS are at risk of food insecurity.

Real-world scenarios

The FoodARC report is grounded in real-world scenarios. To determine the cost of food FoodARC actually goes shopping for the ingredients needed to prepare basic nutritious meals, made from scratch. Nothing fancy, no junk food, but also no organics. 21 stores across Nova Scotia were visited in June 2015.

Then FoodARC looks at family incomes and expenses, and determines how much money the various families of single persons would have left, or be short, by the end of the month if these expenses included nutritious meals.

The needs and costs of a nutritional diet are obviously different for a toddler or a teenager, a pregnant woman or a senior. Similarly, whether you live in an urban or rural area also changes things. Shopping for three is cheaper than shopping just for yourself. All these factors are taken into account.

It doesn’t look good for Nova Scotia’s low income people.

At the end of the month a household of four relying on income assistance would be $51.00 in the red even without buying any food at all. After shopping for a nutritious diet that same family would be short $986.  

The same family of four earning minimum wage, with one adult working full-time hours and one working part-time hours, would face a potential deficit of $418 per month.

A lone mother with two children, earning minimum wage would be $510 in the red. A single man on income assistance would be short $793.

A single man between the ages of 54 and 59 years with a spinal cord injury whose main source of income is Income Assistance is slightly better off than his non-disabled counterpart. After buying a basic nutritious diet, he would face a potential monthly deficit of $510.

$15 minimum wage would be beneficial

Much has been made of the Canada Child Benefit (CCB) introduced in 2016. But the FoodARC report suggests that although beneficial, its impact is not that overwhelming.

In the case of the household of four the  potential deficit has only shrunk by $57  if the CCB is figured in. In the case of the lone mother with two children, the  potential deficit has only shrunk by $92.

However, a hypothetical $15 per hour minimum wage would have a more substantial impact, FoodARC suggests.

Earlier we mentioned the family of four earning minimum wage, with one adult working full-time hours and one working part-time hours. With the current minimum wage of $10.60 the family would face a potential deficit of $418 per month.

But with a $15 minimum wage that family would actually have a small amount remaining of $167 each month after purchasing a basic nutritious diet and meeting other essential needs. But although $15 an hour would be a positive step, what is really needed is a living wage, FoodARC points out.

The post News brief: Food insecurity a reality for low income Nova Scotians appeared first on Nova Scotia Advocate.