Showing posts with label policy advocacy. Show all posts
Showing posts with label policy advocacy. Show all posts

Tuesday, May 13, 2025

Letter advocating for a member of the House to support mental health stipends for some first responder professions

 19th March 2025

Nikki Budzinki

113 South 4th Street

Springfield, IL 62701

Dear Nikki Budzinki,

I am a full time social work student at the University of Illinois in Springfield. I have also been a Certified Nursing Assistant for ten years. As such, I know that taking care of other people, especially in understaffed conditions, can be extremely stressful and lead to burnout, causing people to leave the profession. Mental health services need to be included as a stipend upon the enactment of the hiring process for workers that deal with traumatic events on a regular basis, these include firefighters, paramedics, police officers, and other first responders.

Emergency first responders deal with critical situations on a daily basis and this affects not only their mental wellness, but also their relationships with coworkers and family, as well as their productivity in the workplace setting. Communication efforts take a backseat as details get lost in translation. The need for privacy and confidentiality regarding the nature of their work and the clients they face ensure that certain topics causing secondary trauma remain unspoken about. The lack of recognition, understaffing, long hours and low pay among these professions can lead to resentment and cause people to want to leave the field. Personally, I know of at least ten people that have left the medical field for all of these conditions combined, and even more that want to but won’t because they know that they are making a slight difference. 

One of the major problems that we see today is burnout, which is caused by long-term exposures to uncontrolled demanding work situations. Burnout is multi-faceted and is characterized by emotional exhaustion, depersonalization, and cynicism (ten Brummelhuis et al., 2011). When workers are over-exerted, they tend to forgo important safety measures put in place to protect not only them but their clients and communities. Burnout has been linked to error, fatigue, cognitive weariness, reduced safety performance, and injury (Smith, DeJoy, Dyal, & Huang, 2019). Additionally, burnout has been linked to safety behavior deviations and violations such as personal protective equipment compliance, adherence to safe work practices, and safety reporting and communication (Smith, Hughes, DeJoy, & Dyal, 2018). In order to combat burnout, employers need to meet their workers halfway. New policies need to be implemented to promote mental wellness in the workplace. By implementing wellness stipends to these more stressful workforces, we will enhance communication, job satisfaction and provide an outlet to talk about any secondary trauma that otherwise goes ignored. 

Another key factor hindering the workplace environment and stimulating the need for mental wellness stipends is secondary traumatization. In a study by Alexander and Klein (2001), more than 80% of paramedics reported having experienced an ‘extraordinarily disturbing incident’ in the past 6 months. As a result, stress levels are raised. This elevated stress level may lead to mental and physical changes (Herman, 1997), such as emotional exhaustion, irritability, sleep disturbances, fatigue, problems with interpersonal relationships (Mahoney, 1997; Thoreson, Miller, & Krauskopf, 1989), concerns for individual safety (Eriksson, Kemp, Gorsuch, Hoke, & Foy, 2001), and even intrusive images (Burns, Morley, Bradshaw, & Domene, 2008). It is an increasing problem that needs to be addressed. Part of the issue is the stigma around it, people don’t always understand that the event doesn’t have to happen to you in order to be traumatic. There is also a mentality among many first responders that you have to block everything out or failing that, find different coping mechanisms for the trauma instead of dealing with the issue directly. As such, it can lead to people feeling uncomfortable talking to their coworkers and especially, people who don’t understand the situation at all.The wrong outlets can cause issues as well. So, my proposal once again, is a wellness stipend upon hire that can be used at any time on mental health apps, gyms, yoga, meditation and counseling. 

Wellness stipends are taxable and can range anywhere from 150 dollars annually to 2,000 dollars annually per employee for bigger, wealthier corporations. While this may seem like a lot, the average company spends approximately 4,700 dollars for every new employee hired by the time you calculate recruitment costs, onboard training, and paperwork (Navarra,2022). Annually, companies spend approximately anywhere from 660,000 to 2.6 million dollars replacing employees (Prokopets, 2024). So when you compare that amount to what it would cost for wellness stipends to be implemented upon hire, you are losing less money by adding the stipend as it will likely increase longevity and overall satisfaction in the workplace, calling for less turnover.

Thank you so much for your consideration on this matter. I look forward to hearing from you. 

Sincerely,

[Student's name]


Paramedics are shockingly underpaid, as are some types of healthcare professionals, but emergency medicine doctors, firefighters, and police officers in Illinois are fairly well-paid, as are most social workers who do therapeutic work. If your argument is that these emergency first responders need mental health care, but can't afford it, that is a good argument for the paramedics and some types of nurses or nurse-aides in medical settings. 

I would suggest that one of the best arguments to make for this sort of policy is to suggest that emergency first responders should be given physical medical examinations and mental health check-ups at least once every twelve months (or, you could argue for every six months).  There are ethical reasons why social workers cannot provide services to a client who does not want services and is not exhibiting any problem emotions or behaviors, but if we conceive of this as an opportunity for an annual mental health examination where professionals are assessed for mental wellness and burnout, and then are given further services as warranted if needed, then we have a situation that could be ethical.

You have a policy idea for some sort of state regulation of standards for certain types of professions.  You have addressed your letter to a member of the U.S. House of Representatives.  Your specific request from Representative Budzinski could be to use her position in Washington to raise awareness of the need for mental health screening and wellness care for certain professions in general, perhaps holding hearings at the federal level and perhaps establishing a Department of Justice grant program to help states implement this sort of program.  Or, you might be asking her to act as a prominent leader within the state's Democratic party to push this sort of policy among her friends in the state Democratic Party, since legislation to require the mental wellness stipends would almost certainly come at the state or local level.

I think you also could have mentioned three local cases of recent years that have illustrated the dangers of having stressed and psychologically damaged persons in first responder positions. The emergency medical workers who killed Earl Moore Jr., and the police officers who stood by and recorded the events leading to his death on their cameras, all showed signs of burnout and lack of empathy. The Sheriff Deputy who murdered Sonya Massey was clearly a person with psychological problems, and he should have been noticed and helped before he went into the field and murdered an innocent woman. We also had that disturbed neo-nazi on the Springfield police force (the one who resigned in April 2022).  And, there was the case of Samuel Rosario, who was suffering from PTSD related to his service in Iraq, and the February 2017 misconduct recorded on his body cam that led to his being kicked off the force. Just Sangamon county provides these several examples of mental instability in first responders.  I think we could also make a case for some care and screening of people who work in the County Jail, based on some of the deaths that have occurred in there, and what I've heard about how people behave in there.  






Wednesday, October 30, 2024

Letter requesting help with the costs of having children

 Dear Congresswoman Nikki Budzinski,


My name is [Student]. I am a married mother to two children, with a child of my own and a stepchild from my husband. When we met 8 years ago, he worked for the state government, and I was working 3 jobs while going to school part time to get my associate degree. I was blessed to have a mother who was self-employed, eagerly willing to take on childcare for my daughter on my behalf so that I could obtain my degree while continuing to work, allowing me to support myself financially. My stepson continued to attend public daycare, which put a great financial burden on my husband and the mother of his child. 

    Early on in our relationship, we decided that we were not at a place to financially be responsible for an additional child, and agreed that we would not pursue trying to have another child. As the years passed, my desire for growing our family became undeniable. My husband continued to work for the state government, I graduated with my associate degree, and I was able to move on from three low-paying positions to one better paying sales position. We got married and I went on to work for a similar government agency to my husbands. At the start of our relationship, we felt we were not financially capable of conceiving and taking care of another child. Eight years later, we became homeowners, increased our household income, live in a home with enough space for a large family, and we are still unable to financially justify bringing another child into our home. 

Before we were married, I was receiving SNAP benefits that aided in my ability to put food on our table so that I could use my income mainly for housing costs. My childcare costs were practically nothing. This assistance allowed me to successfully complete my associate degree, opening career opportunities for me to increase my household income. My thought was that one day I would not have to rely on government assistance once I am married, have a degree, and am making more money. Rationally, this would allow us to revisit to the conversation of expanding our family. The reality is that despite our combined income that has increased in the last eight years, we are still financially incapable of caring for another child…Which does not make any sense.

The problem in this country is that we hold emphasis on expanding families to ensure that we have enough humans in the next generations to care for the elderly, fill our jobs, and expectantly continue to boost our economic health. The most important missing piece of this expectation is how to properly support growing families long-term. Government assistance programs often hold a maximum household income that qualifies a family for continued support, almost choosing to be ignorant of the ongoing rising costs of supporting a family. The joy, excitement, and prospect of having children has evolved into the actuality that it is cost prohibitive to have children. If society is convinced that growing families are a necessity to the health of the economy, the government should have a duty to all families for continued support.

Let’s start with the basics. Giving birth is a literal necessity in producing human beings, yet in the United States, we are charged a price similar to that of a brand-new vehicle. On average, the cost of childbirth without insurance is over $18,000. Even families who are insured can be responsible for a $6,000 hospital bill after insurance coverage (my oldest sister and her husband being one of them). Compared to other countries where the cost of giving birth is much less and comprehensive maternity care is practically nothing, childbirth in the US is nearly a $68 billon dollar industry. This fact alone gives families no incentive to expand their families. According to Catherine Glenn Foster, M.A., there is a solution to the crippling cost of childbirth in America. Under a Make Birth Free in America program, we could allocate $100 billion per year to assist with the cost of childbirth, perinatal care, extended paid leave, and baby supplies (which is almost equal to the amount of aid that was sent to support Ukraine in 2022). This budget proposal is a minute portion of the federal budget, which was around $6.13 trillion in 2022, and accounts for the fact that 42% of births in the United States are financed through Medicaid. I can understand why the idea of the cost of childcare being almost entirely free in the US may intimidate taxpayers, but we must view it in a way that is cost-effective for all families, rather than for the medical industry alone. This proposal is a legitimate incentive for families who want to have more children to do so in a way that does not cripple them in more debt, and ultimately encourages the expansion of our economy. 

The second issue I find in the lack of support for families is an inadequate amount of paid maternity leave. Often, women are forced to choose between leaving the workforce to care for their children, working part-time to continue financially supporting the household, or take unpaid leave to ensure the health of their babies during the most formative parts of their infancy (all options that result in less overall household income). For the well-being of children and the household income, maternity leave should be extended to a mandatory minimum of six months with a program to allow for partial paid leave, in addition to a government funded monthly allowance based on household income and expenses.

I want to begin with the importance of children bonding with their mothers and, if possible, breastfeeding for the first six months of life. To have a productive, thriving society we must do our best to ensure children are properly cared for in the most formative years of their lives. The goal in this entire letter is to encourage not only the growth of families, but their overall health and wellbeing. Studies have proven that brain development is greatest within an infant in the first two years of their life, and proper development depends heavily on the attachments and bonds a child has with their caregiver. As a society, we strive to give children the support necessary to ensure they are receiving adequate care and attention from their parents, and supporting a six-month mandatory maternity leave would allow just that. Mothers get more time to bond with their children without the threat of financial distress through a loss of income. In addition to the encouragement of proper brain development through the bonds that will be made while a mother is able to spend time with her infant for this extended period, the extended time for breastfeeding will only further benefit the child’s overall health. As well as protecting children from short and long-term diseases, breastfeeding has proven to decrease the risk of obesity, asthma, type 1 diabetes, and sudden infant death syndrome. 

 This program would differ from programs such as TANF or SNAP, as this would solely be supplemental income to make up for what is not covered through partial paid maternity leave to continue to cover mandatory household expenses. Dual income households are negatively affected when a new mother is forced to remove herself from the workforce to care for an infant, often decreasing the overall household income. This program would allow for households to maintain their financial stability until mothers return to work after spending an adequate amount of time with their infant to extend their breastfeeding, create bonds and establish attachments with their infant, and ensure of their health and wellbeing before returning to their careers. This support would only encourage families to have children that they can continue to financially support and remove the threat of financial instability by being forced to lose income while staying home to take care of their newborn children. 

I ask that you consider my proposals that would benefit families in a society where having children is one of (if not) the most expensive endeavors that a couple inevitably must account for when considering their own financial growth goals. The fact is that we cannot continue to encourage economic growth if people cannot afford to have children. If we cannot attempt to create programs that mitigate at least some of the costs of expanding families—including giving up your career and financial comfortability to care for your own children—society will continue to justifiably decline having children, despite the so-called “dire need” for families in the United States to have more children.



Respectfully,

[Student]



Very detailed and thorough letter.  A real letter to Nikki would be shorter, but if you wanted to give her a better understanding of the situation, this would be good, and as an exercise in considering the reasons to support a policy, I am glad that you were thorough and detailed.


Let me summarize your letter as I read it.


First, you were once low-income, and now you are middle income, living in a household with two incomes, but you have two children, and cannot afford a third child, although you would like to have a third child. It seems wrong, or it is wrong, that a two-income household cannot afford to have three children.

It is better for our society if we have a stable population, but many nations that have gone through demographic transition are now shrinking, and some are shrinking dramatically as fewer children are born. We avoid population shrinkage by importing young people through immigration, but that is not a popular solution.  To achieve a stable population without a heavy reliance on immigration and to achieve fairness so that two-income families can afford to have children, we need policies to address the barriers to families having a third or fourth child. 

Some of the barriers you face, and many families must also face, include the high cost of childbirth, the high cost of taking time off from your career to care for the infant, the high cost of early childhood care when you return to the labor force before your child is old enough for public preschool and kindergarten, and the high cost of housing that would provide space for children (although this isn’t an issue for you), and the general high cost of having children (perhaps you could mention the need to set aside a few hundred dollars each month from the time a child is born until she enters college to pay for four years of college).  


You are suggesting the following policies:

1) some sort of income support for middle-income families, as they suffer a very significant loss of income if a parent takes a leave for six months to a year to stay home with an infant. Low income parents may receive Medicaid to pay for the costs of healthcare for their child, and SNAP, and WIC, and a variety of other benefits, which is good, but middle-income and non-poor families that are not excessively wealthy need help to afford the cost of new children as well. What you have suggested is a mandatory six-month leave for new parents, with some sort of stipend to make up for the lost income when the parent takes a leave from work. 


2) a policy to reduce the financial burden of having children to nearly nothing (at least for a year or two).  This is a request for some sort of policy that would assist with the cost of childbirth, perinatal care, extended paid leave, and baby supplies.  This could be achieved by offering families a refundable tax credit for two tax years each time they have child, and setting the tax credit at some figure that is equivalent to the costs you want to cover. The policy could also be covered by programs to pay for all childbirth (instead of a tax credit, take in the tax revenue, and then give it back to people through automatic stipends given to families with young children). There could also be some sort of universal health care available to all pregnant women and their children until their youngest children reach the age of two years-old. 


In terms of actually writing to your Representative, I make the following suggestions:


Construct letters in a way that present a problem, present some various solutions we are trying or that have been suggested to the problem, and then pick one or two solutions and explain why they are best.  Ask the government official to support bills or introduce a bill that will do the thing that is best.


Your letter does this, somewhat.  You present the unfairness of your situation, but you could help the congressperson understand this by making a moral claim clearly right at the beginning: “if a family has two adults working full-time, that ought to provide an income sufficient for them to have three or four children, and my experience shows that this is not the case, so either wages are too low or the costs of rearing children are too high.  The government should therefore intervene to make the costs of rearing children lower and affordable.”


Your other claim also could be put in the same paragraph.  Perhaps you could say, “Our country faces two problems because of the high costs of bearing and rearing children.  In the first place, we are being unfair and breaking an assumed contract between the public and potential parents by making child bearing and child rearing so expensive that most people cannot afford to have sufficient children to replace the population and maintain a stable population.  In the second place, by failing to create conditions where child bearing and child rearing are affordable, we are discouraging Americans from having children, our total fertility rate is dropping, and that threatens our society with a rapid population decrease and problems associated with that (now being faced in Japan, Italy, Eastern Europe, China, Taiwan, South Korea, etc.).  The solution America has relied on (immigration) is now politically unpopular, so some other solution must be found.



I would prefer the population of the USA to decline back down to 250 million, which was the population when I was young (because I remember that we had less urban sprawl, and smaller crowds at national parks, and generally more human scale environments in the 1970s and early 1980s when our population was about 80 million less than it is now). But I’d like our population to drop back to that lower level over the next couple centuries (very slowly), and I agree with you that for economic reasons and for reasons of fairness, we ought to implement policies that you suggest or similar policies that would aim to have the same effect.


I recall that in The Wealth of Nations Adam Smith writes something to the effect that there ought to be a natural minimum income or minimum wage for each income earner, and that would be an annual income sufficient to provide good health (shelter, food, etc.) to a worker and the worker’s spouse and at least two dependents, so that the labor force can remain stable.  A stable labor force could be achieved if the Total Fertility Rate was 2.1, but I believe in the United States it is now closer to 1.8.  I would be in favor of policies to raise the TFR to 2.0 or 1.9.  


All societies that are facing precipitous population decline have some of the following problems.  First, housing is so expensive and available affordable housing units are so small that most young people (in their 20s and 30s) cannot afford to own housing or rent housing sufficiently large to facilitate having children.  Political leaders stupidly persist in thinking that housing is a commodity that should be available only according to the wealth and ability to pay for it, and thus they do not see the advantages of seeing housing as a public good that is necessary to provide for a stable population. It can be both a public good and a commodity, if only the government would get the provision of social housing (non-profit and public housing) up to a point of 15% to 30% of the entire housing stock, making it available to persons from low income / no income up to incomes near the median income.  Likewise, childbearing should obviously be free, and it’s ridiculous to ask families to pay $6,000, about a month’s gross wages for households at the median household income level.  Likewise, any reasonable system that was designed to encourage a stable 1.9 to 2.0 TFR would require men and women to take at least four months off for parental leave, and perhaps as much as six months, off from work. Companies and employers would be required (as a condition of being registered as corporations or licensed businesses) to require all new parents to take at least four months of paid leave within 24 months of the birth or adoption of a child, and the government would subsidize employers’ costs in providing these paid parental leaves.  The mandatory leaves would be enforced by requiring companies to pay an extra tax equivalent to four months of their employee’s pay if they could not document that the employee took a four-month paid leave in the required 24-month period.  Like you, I think the paid parental leave should be mandatory, but I also think it should be mandatory for each father and mother (so that the paid family leave for infant care would not result in unequal results for women and men in the workforce).  


As for the additional costs of child-care and the extra costs of having young children, I like three policies to handle some of these. 


 First, I think every American child should have an individual development account, with the government providing some money, and then matching family contributions into the personal development account, so that children would have some wealth that they could use when they reach age 18 or 21 for things such as starting businesses, purchasing homes, paying for college, investing in safe investments, or saving to pay for health care costs, business start up costs, or educational costs at any time in their adult lives.  Government matching contributions should encourage families who can afford to add money into the account to do so (maybe no tax on capital gains in the individual development account and no income tax paid on money contributed into it, and government matching contribution up to some level, perhaps $1,000 per year.  The government subsidies or contributions can be made on a sliding scale, so that when a family at the poverty level contributes $120 per year, the family gets a government subsidy of $1000 contribution into the fund, and a family at double the poverty level or higher gets $1000 from the government for the first $1,000 contributed and no more. 


Second, I think every household in the country should get a large (perhaps $5,000 per child) refundable tax credit for each child under the age of 4 in their household, and a substantial ($3,000 per child) refundable tax credit for every child from age 4 up to the age of 17. I would limit the tax credits to four children in a lifetime. (One can claim up to four children over one’s lifetime for the tax credit).  


Third, I think we ought to have a national service opportunity that would help us guarantee that every able-bodied and sound-minded American could take a decent job paying a decent wage in the public sector if nothing in the private sector appealed to their talents and interests. The options for national service would include work in elderly care, care for persons with developmental or physical disabilities, low-income housing construction and maintenance, medical care, early childhood care, environmental work, research assistance with public and non-profit universities and government funded research projects, military service, after-school enrichment programming for children and youth, border control and immigration service, and foreign aid work.  For persons engaged in the early childhood care, this would help the government provide affordable child care in areas where the free market was failing to offer sufficient options to middle-income and low-income parents. 


In any case, governments all over the world that are concerned with total fertility rates below 1.5 (indicating rapid decline in population) ought to do something to encourage more young adults to have children. Stupidly persisting in supporting only market-oriented solutions (that make housing unaffordable, childcare too expensive, and costs of rearing children unaffordable) will just drive down fertility rates. Also, the increasing focus on individual career achievement and the decreasing value placed on family life, leisure, quality time with children and spouses and friends, and community engagement just feeds into the life orientation where children become a low priority and people will sacrifice family formation in order to survive or flourish in a capitalist society that puts the highest value on accumulation of good stuff and purchasing goods and services that help create a “self” worthy of presenting to the world. 

Sunday, May 14, 2023

Student supports specific bill to ban high capacity magazines

 Senator Tammy Duckworth
524 Hart Senate Office Building
Washington DC 20510


Senator Richard J. Durbin
711 Hart Senate Office Building
Washington DC 20510


Dear Illinois Senators Duckworth and Durbin, 


    My name is ________, and I am a senior in the Social Work program at the University of Illinois-Springfield. I have lived in Illinois for all of my 21 years. I am writing to thank you both for your support of the reintroduction of the Keep Americans Safe Act. This bill aims to ban the “importation, sale, manufacturing, transfer, or possession of gun magazines that hold more than ten rounds of ammunition,” (“Senators Markey & Menendez Re-Introduce”, 2023). Although this bill died in the 117th Congress, I am glad it is being reintroduced to the 118th with the help of cosponsors like you. 


    The most widely accepted definition of a mass shooting is an event in which four or more people are shot and killed (Uribe & Sherman, 2023). High-capacity magazines, which hold ten or more rounds of ammunition, make mass shooting events more deadly. According to Everytown Research (2019), between 1981 and 2017, mass shootings that involved a high-capacity magazine injured 14 times as many people and were twice as deadly as those that did not. Within the past decade, the five deadliest mass shootings in the United States were carried out using high-capacity magazines (Everytown, 2019). If the Keep Americans Safe Act had been implemented, the hundreds of people killed in Las Vegas, Orlando, Newtown, Sutherland Springs, and Parkland may still be alive today. High-capacity magazines are designed to kill and to kill fast. There is no reason for civilians to have access to these kinds of weapons. 


    As a student, I would be lying if I said the idea of a mass shooting occurring at school did not frighten me. Less than two weeks ago, there was a mass shooting at Michigan State University, which is just five hours north of my own university. I have undergone routine school shooter drills since the fourth grade. For over a decade, teachers and administrators have told me, “hide,” “don’t try to save your friends,” “don’t make a sound,” “use anything you can find as a weapon,” “we won’t let you in the classroom if you’re in the hall during a lockdown,” among other things. Children should be able to go to school without fear of dying next to their friends. People should be able to go to the supermarket without fear of being gunned down in the meat aisle. Everyone should be able to leave home without fear of becoming a victim in the next mass shooting. The Keep Americans Safe Act is a step in the right direction. 


    Assuming both of you hold the values of caring and fairness, the Keep Americans Safe Act is a fine reflection of these. By cosponsoring this bill, you are placing the emotional and physical well-beings of American citizens above all else. By advocating for the prohibition of high-capacity magazines, you are advocating for people to be able to go places with less fear and likelihoods of mass shootings. Additionally, since this bill is regarding the ban of high-capacity magazines—not all guns—there is a fair balance between citizens’ safety and their Second Amendment rights. As a future social worker, I, too, value care and fairness, which contributes to my support and appreciation of your cosponsoring of this bill.


    I look forward to seeing how the bill progresses through the 118th congress. I will be sure to consider you both when it comes time to show up to the polls. Thank you, again, for your dedication to keeping Americans safe from unnecessary harm.

Sincerely,
_______________


References


(2019, March). Assault weapons and high-capacity magazines. Everytown. https://everytownresearch.org/wp-content/uploads/sites/4/2020/07/EFGV02_Assault-Weapons-and-High-Capacity-Magazines_Rd2_6-1.pdf

(2023, February 8). Duckworth, Durbin join senate colleagues in reintroducing legislation to ban high-capacity magazines. Tammy Duckworth U.S. Senator for Illinois. https://www.duckworth.senate.gov/news/press-releases/duckworth-durbin-join-senate-colleagues-in-reintroducing-legislation-to-ban-high-capacity-magazines

(2023, February 9). Senators Markey and Menendez re-introduce Keep Americans Safe Act which bans high-capacity firearms. Framingham source. https://framinghamsource.com/index.php/2023/02/09/senators-markey-menendez-re-introduce-keep-americans-safe-act-which-bans-high-capacity-firearms/

Uribe, M. R., & Sherman, A. (2023, February 14). What counts as a “mass shooting”? The definition varies. PolitiFact. https://www.politifact.com/article/2023/feb/14/what-counts-as-a-mass-shooting-the-definition-vari/


Sunday, April 30, 2023

Student wants improvements to Social Welfare Kinship Policy


The social welfare system has taken on more children than they have the capacity for. The agencies do not have enough workers for the children that need their help. Another factor for the workers being unable to take in all the children in need is the difficulty of the work itself. Working in social welfare can be a very challenging and mentally draining with the stress that is put on someone. This is why there should be a policy that makes it easier on the system and workers.

Dear ______________,

I am writing to you to direct your attention to the problem we face in Illinois due to lack of staffing in the Department of Children and Family Services (DCFS).  We do not have a sufficient number of child protection workers and child welfare workers, and as a result, the social workers in DCFS are given appallingly high caseloads—numbers that obscenely reduce the ability of those social workers to support the families and children. Social workers staffing DCFS already endure work that challenges their stamina and drains their energy, stressing and fatiguing even the most dedicated child welfare professional. You and your colleagues in the Illinois General Assembly must do something about this.  You need to make the system easier on DCFS workers.

Kinship care is a great concept, but it takes many steps and a long time for a child to be placed with a relative. Making a policy that allowed the process of children to live with relatives easier would lessen the number of children in the foster care system. With so many children in need of help and little space in the social welfare system to do so, many children do not end up getting the help and die from neglect and/or abuse. The process that relatives must go through to be granted the ability to care for a related child is extensive. It takes a long time for their application to be granted, meanwhile that child is either stuck in an unsafe home or in foster care with people they do not know. 

Does it really take a long time to place children with kin? I thought it was somewhat easier and swifter to find a family member who is willing to take a child.  But, I suppose it might take a few more days, as one needs to track down all the possible cousins and siblings and aunts and uncles and so forth, whereas if there isn’t a preference for kinship care, then whatever family is next in line to take a child can immediately provide a home.  But, wouldn’t it be the case that a child would stay as a “visitor” with a general foster care family while the DCFS workers try to find a kinship care placement?  What exactly could be done to make it easier to place children in kinship care? There are risks to consider when placing a child in someone related to the parents who had their child removed, although in general kinship care is safer and better than other foster care placements, it’s not always better. You say “it takes a long time” without saying anything about why it takes so long or how long precisely it does take.

There are both positives and negatives to this policy, just like any other. The positives would include that it will allow for more space in the system. The policy would make more foster homes available to children who may not have any relatives able to take them in. In 2018, there were almost 17,000 children in the social welfare system and many more that need the help of the agencies, but there was not a large enough capacity for them to do so (The Annie E. Casey Foundation). On the other hand, this would shorten the timeframe for background checks and home visits. With the process being quicker and easier, that would mean the relatives would not have as intensive background checks in the beginning. This could be combatted with more intensive background checks and visits once the child is placed in the home.

About 2.6 million American children live in kinship care type households (79,000 in Illinois). You could give him all the information from Annie E. Casey:

Foster Family Home - Non-relative: 7,719 in Illinois; 182,386 in the whole USA.

Foster Family Home - Relative: 9,045 in Illinois; 137,356 in the whole USA.

Group Home or Institution - 1,205 in Illinois; 38,799 in the whole USA.

Pre-Adoptive Home - 683 in Illinois; 16,559 in the whole USA.

Trial Home Visit - 736 in Illinois; 18,250 in the whole USA.

So, you are saying that the child protective worker who removes a child from a family should place the child in a sibling of one of the parents, or a parent of one of the parents, or a cousin, or an adult sibling, after some sort of cursory background check, and then do a thorough background check on that person after the child has been placed?  You need to be very explicit about this, and honestly explain that there are risks if the parents are emotionally or mentally troubled, that this may reflect a family pattern.  You then should say that despite that risk, you think the advantages of a quick and long-term placement with kin outweighs the risk, because even with a checked and trained and known foster care household, there is a risk of the foster parent maltreating the child.


From an ideological standpoint, the policy would allow an easier way for children to be taken care of by someone they may know better and be more comfortable with. The children are scared when being taken to a new place and this would allow for the process to be a bit easier for them. It would also allow for the child to not have to move around the foster care system and allow for less stress.

You might make this more persuasive and memorable if you gave this person a narrative story about two children removed from a home, with one going to a family member, and the other going to a foster care family they have never met, to help give the reader a very direct feeling about what this would be like.

Politically, this would allow for the government system to have an easier time finding staff. With the job being so stressful, there is often overworked staff and not enough people for all of the children. Placing the children would also be easier with a better ratio of workers to children since some would be going into kinship care quicker. The policy would also provide less backlash to the government because more children would be able to be placed into safe homes. One consequence that stands out is the safety with the background check being shortened for placement. If the relatives are not ready for a child or also neglect and/or abuse the child, that can become a major setback. This is why as soon as the child is placed, a more intensive background and home check should be started to ensure the child’s safety.

I do not understand how you are making a connection between streamlining placement with kin when a child is removed from a household and reducing the caseloads of DCFS workers.  Children in foster care, even if it is kinship care, remain on a DCFS worker’s caseload until they are either adopted or returned to a family, and even after being returned to a family or adopted they may remain under scrutiny of child welfare services. Is there a backlash against the legislature or the governor, and is that backlash based on children being placed (or left in) unsafe homes?  

I would like you to co-sponsor this policy. The action needed for this policy would be to come up with a quick and effective background check first. This would allow for a speedier and less stressful process of getting the child into kinship care. This would also allow for the system to start helping another child get into foster care if needed. After a background check is done, the child can move in, and a more intensive background check can start. Social workers should also make plans for home visits to ensure that the home is safe for the child and that they are being well taken care of. 

This is pretty much what child welfare social workers already do.  I think social workers make the plans for supervised visits with parents or guardians. I think your main point is that you want a change in policy to create two types of background checks, with one being a cursory and swift background check that allows DCFS to quickly place children in kinship care, before they have done a normal thorough background check.  You also seem to want the process of doing background checks to be streamlined or made speedier. You could, for example, suggest that DCFS social workers should have access to the same technology and databases used by law enforcement.  This is a policy that would achieve what you want, and I think it would be a good change.  

This policy would allow for the government to better their social welfare system and ensure safety for more children. The positives of the policy outweigh the negatives and solutions can be thought of for the negatives. Some solutions could be doing a house check right before placing the child or providing some necessary items for the relatives that are not prepared for a child in their home. The number of children dying from neglect and abuse would decrease due to the system being able to help more children. I think this policy could greatly benefit the social welfare system and allow for them to help many more children.

When you say the benefits or positives of a course of action outweighs the disadvantages or threats, and recommend the course of action, you generally ought to briefly explore the desirable and undesirable consequences of each of at least two actions. So, in a case like this, you want to describe the undesirable consequences of not changing the existing practices.  That is, you want to describe problems we have today.  Then, you want to stress that this policy would help us diminish the problems we have with the current situation. 

You have done that in this letter, but it would be better to organize such a letter this way:

  1. Ask clearly for what you want from your audience, a member of the General Assembly or the Governor or someone who is an Executive Director of the DCFS. 
  2. Explain what the problem is now.  You open with the problem of high caseloads and an insufficient number of social workers in DCFS to adequately handle the cases for which the DCFS is responsible.  Normally this would be solved by increasing salaries or improving working conditions for the workers, and doing more to recruit, hire, and retain them. There might also be efforts to train more social workers in preparation for working in DCFS. You, however, are suggesting mainly a way to make the work of placing children into foster families easier by streamlining the initial safety background check so that children can be more swiftly placed in a kinship care situation, and then that placement can be confirmed after a more thorough background check and interview is completed.  This does connect to the retention of social workers in DCFS, since this will presumably make their work easier. You should show some evidence that the current situation is burdensome, lengthy, and difficult.  You make that claim, but I saw no evidence for how bad the situation is.  Your argument would be stronger if you had provided some details about this.
  3. Explain the benefits of the action you are proposing.  You do this fairly well.  
  4. Consider the possible arguments against the course of action you have suggested, and counter those. 
  5. Repeat the request. Works Cited

“Children in Foster Care: Kids Count Data Center.” KIDS COUNT Data Center: A Project of the Annie E. Casey Foundation, The Annie E. Casey Foundation, Apr. 2022, https://datacenter.kidscount.org/data/tables/6243-children-in-foster-care?loc=1&loct=2&msclkid=3931b6c5d82e144bb390d2dc07f8a711&utm_source=bing&utm_medium=cpc&utm_campaign=Foster+Care+-+Topics&utm_term=foster+care+questions&utm_content=What+is+Foster+Care#detailed/2/2-53/false/37,871,870,573,869,36,868,867,133,38/any/12987. 


Wednesday, March 17, 2021

A student proposes a national age limit of 25 for tobacco products.

    Throughout the history of tobacco products there has always been unavoidable side effects hidden from humans. Within the 20th and 21st centuries, the producers of tobacco products have created an upheaval in the numerous consumption options. The most popular of the various options for tobacco products include: cigarettes, light and menthol cigarettes, cigars and pipes, hookahs, and chewing tobacco. Along with these products, many tobacco companies and entrepreneurs have found their way into the most popular way of nicotine consumption in the 21st century today, which is vaping. Vaping was originally invented to help those who are addicted to traditional tobacco products, but it has since changed to being a popular trend for those who have never been addicted before. The most concerning part of the vaping trend is that younger persons are becoming addicted. According to the Centers for Disease Control and Prevention, studies have shown that, “About 1 of every 20 middle school students (4.7%) reported in 2020 that they used e-cigarettes in the past 30 days…” and “About 1 of every 5 high school students (19.6%) reported in 2020 that they used electronic cigarettes in the past 30 days…” With this issue, I am proposing that the age of all tobacco and nicotine products be raised from the age of 21, which is what it is now, to the age of 25. By doing this it would target youths and young adults under the age of 25 and lower the rate of usage in the United States.

         The best way to target this issue is by making it a nationwide policy in the United States. By making this policy enforced by the law it will ultimately help with the access of these products being less available and harder to find for those under the age of 25. There were steps made to make this issue go away by making the legal age 21 instead of 18 has helped, but this age difference is not significant enough. A 25 year old will most likely not want to sell tobacco products to an 18 year old or even younger than that because it is uncomfortable. Yes, it is still possible for a multistep deal to take place if the age is raised to 25, but this would ultimately be inconvenient for all parties involved. By creating an inconvenience, this is going to help lower the rate of addiction within youths and young adults and overall help their health in the long run.

         Further examining the health risks that are caused by vaping, the most common knowledge one would have is that it has terrible effects on one's lungs. Because of the harmful chemicals that are put into the different vape products, the chemicals enter the bloodstream and go directly to the heart. It is becoming more common for death to occur because of this and youths and young adults are unaware of it. Not only is nicotine a popular form of vaping, but also many younger people use vapes that have THC in them which also have harmful side effects to the lungs and also the brain. According to the National Institute on Drug Abuse (NIH),  since the brain is not fully developed until the age of 25, exposure to tobacco before then can cause severe problems. “Upon entering the blood, nicotine immediately stimulates the adrenal glands to release the hormone epinephrine (adrenaline). Epinephrine stimulates the central nervous system and increases blood pressure, breathing, and heart rate... Studies suggest that other chemicals in tobacco smoke, such as acetaldehyde, may enhance nicotine’s effects on the brain.” (NIH). If these negative effects are happening regardless of one's age, it would be most beneficial for brains that are still developing to not be exposed to this in the way they are being now. 

On the opposing side however, there are potential reasons why raising the age would not be beneficial. The first issue many American’s would have a concern about is the loss of tax revenues. The average tax rate on a pack of cigarettes in the United States, according to tobaccofreekids.org, is $1.88-$4.35. By taking away a larger part of the tobacco user demographic, this would take away millions of dollars for the government and the tobacco companies. Another belief is that it will not matter what age the legal sales is, everyone under it will still find a way to feed their addictions. Like other things that are illegal until a certain age, youths and young adults will always find their way to getting what they want. There are other reasons that can be supported for this viewpoint, but the ones mentioned here are the most commonly addressed and discussed on this topic. 

Ultimately the idea of raising the legal age to 25 would help more than the people who are addicted to tobacco products. Parents and loved ones are becoming more aware of this issue and are constantly advocating for a change in this industry. I believe by launching a nationwide campaign for schools and colleges once the age is raised from 21 that it will have a big effect on stopping the increasing rate of addiction. Stopping the spread of underage tobacco use for the undeveloped brain would be beneficial for the future health of the American society. With that, it could also have a trickledown effect on the rest of the world and overall help everyone. The sooner we push out the campaigns on why tobacco use is causing deathly consequences, the sooner we can see the results of these horrific chances changing. Furthermore, ethically and medically it would make sense to change the legal age to 25 years old and creating better prevention strategies will help lead to a tobacco free future for our younger population. 

Works Cited

Centers for Disease Control and Prevention. (2020, December 16). Youth and Tobacco Use. Centers for Disease Control and Prevention. https://www.cdc.gov/tobacco/data_statis tics/fact_sheets/youth_data/tobacco_use/index.htm.  

National Institute on Drug Abuse. (2021, January 14). Tobacco/Nicotine and Vaping. National Institute on Drug Abuse. https://www.drugabuse.gov/drug-topics/tobacconicotine-vaping. 

States Should Not Increase Tobacco Use Age to 21. InsideSources. (2016, April 27). https://insidesources.com/states-should-not-increase-tobacco-use-age-to-21/#:~:text=The%20evidence%20shows%20increasing%20the%20age%20limit%20required,revenues,%20wasting%20police%20resources,%20and%20higher%20smoking%20rates. 

U.S. State and Local Issues: Tobacco Taxes. Campaign for Tobacco-Free Kids. (2020, December 28). https://www.tobaccofreekids.org/what-we-do/us/state-tobacco-taxes. 


This is a detailed and well-argued position.  I think that aside from tobacco and tobacco product producers, and some tobacco-product consumers who are comfortable with their addictions, most people probably agree with the idea that we ought to do something to reduce the use of tobacco products.  For motives we have the value of human life, and health life, and this is violated by products that contribute to more disease, earlier death, or other problems.  We also have a self-interest.  The costs of caring for persons sickened by tobacco products is usually shared by us all, through taxes that go to cover some costs, and insurance premiums that cover other costs. Since the various diseases and causes of death related to tobacco use tend to be more expensive than other forms of diseases that kills or disable us, we could save some money if fewer persons were addicted to disease-causing products.

This same argument applies to all substances that can cause addiction and disease.  We could make the same arguments against alcohol, and the logic would be about the same, even if the manifestation of injury to the health of users would differ.  Our problem is to decide what time of health-promotion policy is politically feasible, likely to be effective, is relatively efficient, and fits with our values.

With addicting products or other products that society considers morally dubious, we can add high taxes, and thus restrict access among those who are poorer, leaving only the wealthy the freedom to indulge or become addicted. The taxes can then be used to treat the health problems, or launch public health campaigns to reduce use.  We can ban the products.  We can restrict the ages of persons who have access to the products. We can impose other regulations to limit access to the products, or ensure that persons who consume the products are exposed to warnings or offers of help to address their presumed addictions.

Consider the various sorts of behaviors and products society may want to discourage:

Tobacco consumption
Alcohol consumption
Patronizing sex workers
Pornography consumption
Gambling
Off-label (recreational) use of addictive medications
Marijuana consumption
Opiate consumption
Hallucinogenic substance consumption
Cocaine and other stimulant consumption
Fossil fuel energy production
Production of excessive waste of resources or pollution

And so forth.

What are some of the various ways that seem to work best to discourage these things?

We can outlaw the behaviors, heavily tax, heavily regulate, carefully restrict, and in various ways use coercion and threats or confiscation to discourage.  

We can try to use prevention and social marketing to reduce the use or abuse of these things. That lets people make their own mind about what they want to do, but we can push society to be less accepting of these things.

If you can make money from it, there will always be people pushing to make these things legal, and popularize them. And if they remain illegal, or highly restricted, there will be people eager to make money dealing on a black market.

What are the relative advantages and disadvantages of the various approaches we use to controlling and discouraging these things? Why do we make some of these illegal, and others we simply restrict and regulate and tax?