A COVID-19 Public Health Response & Recovery Policy Platform
Decades of underinvestment in our public infrastructure and neoliberal policies that gutted protections for working people, our healthcare, and our wider safety net are vividly exposing their consequences. People of color — most harshly Black, Latinx, and Native people — are disproportionately experiencing the consequences of these conditions.
In this context, directly impacted communities are naming and working towards transformative solutions around areas including the criminal legal system, housing security, economic security, and healthcare access.
Public health needs to act on solutions led by directly impacted communities
Below is a cross-sector policy platform, that if implemented, would challenge the conditions that create inequities in health outcomes. HIP did not generate these ideas — they come directly from organizations leading the work. As public health, we need to do everything possible to aid in putting these policies in place to support people during this pandemic and beyond.
Now — as ever — is the time to set aside concerns of objectivity and politics, and use our power to change the unjust systems that have perpetually harmed the health of communities across the US.
Enact job-protected paid sick leave and paid family leave to cover all workers in businesses of all sizes in those states where such systems do not already exist (e.g., through the federal PAID Leave Act).
Bolster and reform state unemployment insurance (UI) systems to protect workers who lose their jobs and those whose hours are reduced. Expand UI protections to workers who have been idled, waive job-seeking requirements, and eliminate all waiting periods for delivery of benefits.
Expand direct income support programs for people and families, including Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and the Special Supplemental Nutrition for Women, Infants, and Children (WIC) while also relaxing eligibility requirements.
Invest in childcare including relief to providers, classification of childcare providers as essential workers, and access to no-cost childcare for essential workers.
Communicate clearly to workers who may have been misclassified as independent contractors (e.g., gig workers) that they may apply for UI and that the state—not their employer—will make the ultimate decision regarding eligibility.
- Paid leave and UI programs
- Direct income supports
- Stimulus payments
- Nutrition assistance
✓ Help your city or county pass permanent paid sick days legislation that includes expanded leave for public health emergencies. Check out this sample policy language from A Better Balance.
✓ Advocate for local and state emergency paid sick leave legislation that expands on federal bills so that it covers businesses with over 500 employees, employers with less than 50 employees, and misclassified gig workers. Check out these examples from across the country.
✓ Advocate to create a fund to support undocumented people who are not included in federal bills and to expand support for workers to access available state benefits. Check out these examples from California and from New York City.
✓ Advocate for child care for children of essential critical infrastructure workers. Check out this example from California.
Ensure that utilities like water, gas, electric, phone, and internet are provided as a public good, especially during a public health crisis. Indefinitely suspend any proposed rate increases and utility service shut-offs for all households, regardless of ability to pay.
- Be able to stay in their homes
- Be provided adequate housing
- Be allowed to safely shelter-in-place whether they are housed or unhoused. Provide comprehensive support to those “sheltering-in-place” outside.
- Be able to maintain all of their belongings to ensure personal and public health and safety.
- Intimate partner violence
- Being released from incarceration and detention
- Others needing healthy housing now
- Converting publicly owned vacant land into community land trusts
- Removing housing from speculative markets and converting into permanently affordable, community-controlled housing
- Preventing displacement during development
- Establishing enforceable rent control, tenant protections, and proactive rental inspections
✓ Sign onto the Right to the City Alliance's Beyond Recovery Demands
✓ Sign onto COVID-19 National Housing Platform
✓ Demand that local governments enact strong anti-displacement measures and prevent utility shut-offs for public health protection. See this example linking housing instability to health impacts during the coronavirus or these model ordinances for rent control and eviction moratoriums at local and state levels.
✓ Advocate for protections for renters, rent control, and eviction moratorium ordinances. Start by checking this state housing policy scorecard. You can also check out this eviction moratorium ordinance template.
✓ Coordinate with local organizers in your city, county, or state to add your public health voice and see if adapting the above demands into a letter to decision-makers would support their existing work. Check out an example from the CA National Lawyers Guild, and others from health workers in New York and San Francisco.
✓ Help people facing housing instability connect with local organizations and work with your local health officer to expand access to shelter by issuing hotel vouchers and make use of vacant property to protect public health and ensure homes for all.
Criminal legal system
- The application of money bail
- Revocations of parole or probation
- ICE enforcement actions and detention
- Sweeps of unhoused people
- Criminalization of sex work
- Older adults
- Pregnant people
- People with disabilities and chronic illness
- Those who are primary caregivers for loved ones
- Ensuring proper access to hygiene materials and masks in jails, prisons, and detention centers
- Ensuring that those who are incarcerated and their loved ones no longer have to pay fees for phone calls
- Ensuring that those who are incarcerated no longer have to pay copays for medical visits
- Robust health care
- Affordable housing
- Living wages
- Quality public education
- Adequate transportation
✓ Get clear on your statutory authority to support decarceration and act on it. Check out this example from San Francisco Jail Services.
✓ Support campaigns for immigrant liberation. Check out this toolkit for taking actions.
✓ Reject the use of policing via checkpoints, fines, or jail time for violating shelter-in-place or stay-at-home orders in your local contexts. Read this letter from public health professionals, researchers, and advocates to learn more about why policing and punishment will not protect public health.
✓ Read our blog post with links to public health research and more details about these actions
Significantly expand testing and treatment to be accessible to all, including the uninsured and underinsured, poor communities and communities of color with limited healthcare access, and all immigrants.
Ensure that any rationing of care decisions do not deny equal access to care for poor people, people of color, and people with disabilities and chronic conditions. Ensure that any criteria do not replicate past and ongoing discrimination.
Ensure abortion care is protected in every state as essential healthcare, and oppose any new restrictions being placed on abortions.
Ensure access to interpretation services, so that limited English proficiency speakers and people with disabilities are able to understand what is happening and communicate with loved ones.
Provide those working in essential services with hazard pay.
- Other relevant demographics that are currently not reported
✓ Advocate to state authorities to expand coverage and eliminate barriers to care. Start by checking this healthcare policy expansion tracker for your state to assess gaps.
✓ Pursue the release of race/ethnicity and demographic data. See examples from New York City and Cook County, IL health departments.
✓ Exercise health department directive authority by issuing statements to hospitals outlining abortion care as an essential service. See this Massachusetts Department of Public Health memo as an example. Learn more about local and state health department abortion-related work.
✓ Learn more about the COVID-19 Health Justice Advisory Committee Statement from the Poor People’s Campaign: A National Call for Moral Revival.
Know of examples?
Send us concrete examples of organizations, public agencies, and/or elected officials moving these policies forward at the local, state, or federal level. Email us examples: email@example.com
The Human Impact Partners team is available to support your organization in centering health equity as part of the coronavirus response and recovery work that lies ahead. Email Ana Tellez to set up a time to talk: firstname.lastname@example.org.
Where did these demands come from?
This list of demands was collated by consulting with and tracking the demands of the following grassroots and powerbuilding organizations and coalitions, their members, and allied organizations working closely with impacted communities including: