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Women's
Draft
Agenda
2003-2004
 
NC Women United,
a consensus-based coalition of organizations and individuals, is committed to
achieving full equality for and empowerment of women
join us as we strive to
reach our goal! NC Women United 2002 http://rtpnet.org/aauwnc/02ncwu
Introduction
Acknowledgments
The Draft Agenda is the result of many hours
of research, writing, and editing by dedicated people who continually provide
support to the women of North Carolina and their families through advocacy and
direct service. On behalf of NC Women United, I would like to express my sincere
appreciation for your contribution to the Womens Draft Agenda 2003-2004.
I would also like to acknowledge the work
of Jessie Sperath, a rising senior at UNC Chapel Hill and our summer intern. Her
tireless work and perseverance simply made all of the difference. Thank you.
Paige Johnson
Chair, NC Women United
History
NC Women Uniteds primary purpose is
to facilitate the coordination of organizational action on issues that affect
women. Since 1999, NC Women United has organized and sponsored Womens Advocacy
Day at the NC Legislature. This year, NC Women United has agreed to organize the
Womens Agenda Assembly Project, which was previously sponsored by NC Equity.
Purpose
The Womens Agenda Assembly Projects
purpose is to increase the collective voice of women in NC by creating an opportunity
for them to come together to discuss recommendations for changing public policies
to better meet their needs and the needs of their communities. The Womens
Agenda Assemblies take place every other year in the fall preceding a new NC legislative
session. Womens Agenda Assemblies bring women of diverse backgrounds together
to study, discuss, and prioritize issues that state legislators can then address
in the upcoming legislative session. The issues that are prioritized become the
focus of a lobbying effort called Womens Advocacy Day, which is held at
the opening of the long session of the NC General Assembly.
Procedure
Local organizations that agree to sponsor
a Womens Agenda Assembly receive background information on public policy
issues compiled by NC Women United. Issue papers are written by organizations
and individuals directly involved in providing services and advocacy around those
issues Recommendations included in the policy papers are legislative at the local
and/or state levels only. At the local assemblies, participants meet in small
groups to discuss those issues. Each small group votes on five top-priority issues.
The results from each small group are then tallied to decide the local assemblys
top priorities. Local assemblies then report their results to NC Women United,
who then tallies the votes received from across the state. The top five vote getters
then become the Womens Agenda that will be presented to legislators
on Womens Advocacy Day.
Results
Over 400 women and their supporters attended
Womens Advocacy Day in January 2000.
Table of Contents
Introduction
Issues for Consideration
for the Womens Agenda 2003-2004
[Feb. 2003 update: Based on the
votes at the Women's Agenda Assemblies across the state, five issues were selected
for special emphasis in discussions with the legislature on Women's Advocacy Day,
March 4, 2003.]
Access to Health Care (Top
5)
Adolescent Pregnancy
Aging (Top 5)
Child Care (Top 5)
Civil Rights
Clean Elections
Domestic Violence (Top 5)
Economic Self Sufficiency
Educational Opportunity
Housing
Mental Health
Pay Equity and Living Wage (Top
5)
Sexual Assault
Resources
Access to Health Care
(Top
5)
Approximately 1 in 10 women in North Carolina
are uninsured according to the "2001 North Carolina Womens Health Report
Card" issued by The North Carolina Program for Womens Health Research,
a collaborative program of The School of Medicine, The School of Public Health,
and the Cecil G. Sheps Center for Health Services Research and the University
of North Carolina at Chapel Hill. The number of uninsured is higher when the elderly
who have Medicare are removed from this statistic. According to the Alan Guttmacher
Institute, 18% of women aged 15-44 in North Carolina do not have private health
insurance or Medicaid.
Other studies suggest that even more women
are underinsured, which means that their health insurance does not adequately
meet their health needs such as providing coverage for preventive health care
or necessary and costly medical procedures.
The importance of preventive health care,
which can aid in earlier diagnosis of disease, cannot be overestimated. The difference
in outcome between women who have access to health care and those who do not underscores
the need for preventive care. According to the "2001 Womens Health
Report Card," while Caucasian women have a higher incidence of breast cancer,
minority women have a much higher death rate from breast cancer. Earlier diagnosis
through mammograms often plays a critical role in preventing death.
The disparity in health care access has devastating
results on a statewide basis. According to the Henry Kaiser Family Foundation,
North Carolina has the sixth highest rate of infant mortality in the nation. Almost
24 percent of African American women attend late or no prenatal care. The "2001
North Carolina Womens Health Report Card" states that the rate of infant
mortality for African Americans in North Carolina is more than double that for
white North Carolinians.
Accessible family planning services help
to reduce the rate of infant and maternal mortality by helping women space pregnancies
so that their bodies are better prepared for pregnancy and childbirth. For many
women, reproductive health care is primary health care. Family planning services
provide not only contraception but also cancer screening, disease prevention,
treatment of sexually transmitted diseases and other public health services. Unfortunately,
despite gains in greater access to family planning services through county health
departments, far too many women remain in need of this basic care.
According to the Alan Guttmacher Institute,
roughly one-half of the women in North Carolina who are in need of contraceptive
services and supplies are in need of publicly supported services because they
can not otherwise afford this preventive care. Each year, family planning clinics
in North Carolina serve almost 200,000 women, including over 50,000 teenagers.
County health departments serve seventy-four percent of the women served by publicly
supported family planning clinics in North Carolina. Studies conducted by the
Alan Guttmacher Institute show that every dollar spent on family planning services
saves three dollars in spending on public assistance.
Women who have fewer resources also have
fewer reproductive choices. The state of North Carolina once recognized that a
womans right to make responsible decisions regarding childbearing should
not be based solely on her ability to pay for full reproductive freedom. The State
Abortion Fund was established in North Carolina immediately following the passage
of the federal Hyde Amendment in 1976, which barred the use of federal Medicaid
money to pay for abortions in most cases. Initially, the State Abortion Fund was
accessible to women based on financial need alone. In 1995, the fund was decimated.
The funding was reduced from over one million dollars to just $50,000 and restrictions
were placed on it that rendered it almost entirely inaccessible. While fair-minded
people may hold different opinions on abortion, the right of a woman to make personal
decisions about when or whether she will become a parent for the first or fourth
time should not be based solely on her ability to pay for that freedom.
According to the North Carolina Womens
Health Report Card, North Carolina has a long way to go in order to address chronic
public health concerns. Most striking are those that are preventable such as illnesses
related to smoking. The report card showed grades of D and F, respectively, in
the two smoking related areas of lung cancer deaths and chronic obstructive lung
disease for all races. While the benefits of quitting smoking are well known by
most, in North Carolina, the rate of smoking among African American women and
younger women has actually increased.
Likewise, the rate of HIV/AIDS per 100,000
women as increased substantially and the number of sexually transmitted diseases
remains unacceptably high. The NC Womens Health Report Card assigned Ds
and Fs to both of these categories as well. According to the report card, "the
HIV/AIDS rate for African-Americans is nearly 17 times that of whites." Some
of the difference in known cases may have to do with more African Americans using
public health clinics, where reporting is more systematic. However, the bottom
line is that too many people, including young women and disproportionately, young
African American women, are becoming infected with preventable diseases.
Recommendations for Action
- Obtain adequate funding for the Office of
Women's Health for disseminating health information and wellness promotion.
- Provide increased funding for Sexually
Transmitted Disease and HIV / AIDS programs; institute a special HIV / AIDS prevention
program targeted at minority women; increase funding for care and treatment.
- Provide adequate, accessible family planning
services and information to underserved women.
- Increase the State Abortion Fund and remove
restrictions on it.
- Use funds obtained through the tobacco settlement
to pay for smoking cessation programs that target women and smoking prevention
programs that educate young women before they begin smoking.
Adolescent Pregnancy
News reports about a decline in teen pregnancy
in North Carolina have mistakenly convinced many that the problem has been solved.
Nothing could be further from the truth. According to the Adolescent Pregnancy
Prevention Coalition of North Carolina, in 1999-2000, North Carolina was one
of only 12 states in the U.S. that had an actual increase in their teen birth
rate.
While teen pregnancy rates cut across all
income levels, 85 percent of the teenagers who give birth are living in or near
poverty. Only one-third of these teenagers receive a high school diploma. In
fiscal year 2002-2002, NC spent $1,039,309,739 in Temporary Assistance to Needy
Families (welfare), WIC, Medicaid and food stamps on families that were begun
by teenagers.
Teen pregnancies and births forever alter
the lives of young women and men, families, and communities. One of the most striking
and recent developments in NCs adolescent pregnancy rate comes from NCs
newest community. Over the past 10 years, the number of Hispanics or Latinos enrolled
in North Carolina public schools has increased from less than 1% (8,530 students)
in 1991 to 4.4% (56,232 students) in 2001, making this group the states
fastest growing student population.
In 1999, Hispanic adolescents had the highest
birth rate of any ethic group in North Carolina (219 births per 1000 persons)
and represented 11% of births to young women aged 15 to 19. In fact, NC now
has the highest Hispanic teen birth rate in the nation. The impact of this
statistic has yet to be felt, since studies show that adolescent Latinas are much
more likely to drop out of school after giving birth than other ethnic groups,
making it more difficult for them to acquire the skills necessary to financially
support their families later in life.
North Carolina has taken serious steps to
address teen pregnancy; however, this problem is far from being solved. Public
officials in North Carolina have supported pregnancy prevention funding in the
past. However in the last budget process, legislators significantly cut funding
for adolescent pregnancy prevention resulting in the elimination pregnancy prevention
programs throughout the state. Without these programs the number of teen pregnancies
in North Carolina will likely increase.
Another avenue for addressing teen pregnancy
as well as the prevention of sexually transmitted diseases in adolescents would
be through responsible age-appropriate sex education in North Carolinas
public schools. Comprehensive sex education provides balanced instruction that
includes abstinence as well as accurate information about contraception and the
prevention of sexually transmitted infections. In 1995, NCs model comprehensive
k-12 sex education school curriculum was replaced with an "Abstinence Until
Marriage" curriculum that does not include discussion of contraception and
family planning.
Comprehensive sex education works, which
is why it is supported by most major medical organizations, including the American
Medical Association, the American Academy of Pediatrics and the American Nurses
Association.
Most adolescent pregnancy prevention programs
encourage teenagers to talk to their parents about sex and birth control. In fact,
many programs offer information that helps parents talk to their teens about these
difficult issues. Studies show that most teenagers do talk to their parents about
sex and birth control. However, not all families are model families and there
are many reasons why a teenager may be afraid to tell her parent. She may be a
victim of sexual abuse or fear retaliation such as being kicked out of the house.
Even within families that are supportive and nurturing, adolescents may not want
to talk to their parents about sex and birth control out of fear of disappointing
their parents or because they are embarrassed.
The real issue is ensuring that teenagers
have a safe place to turn to when they need accurate and reliable information
about sex, birth control and the prevention of sexually transmitted infections.
Because delaying treatment for sexually transmitted infections can substantially
increase health risks, teenagers need to be able to access confidential reproductive
health care without barriers.
North Carolina law permits adolescents to
receive confidential health services related to sexually transmitted infections,
family planning, mental health and substance abuse. This does not include abortion.
North Carolina has a parental consent law that requires a parent to consent before
a minor can have an abortion. The confidentiality law relates only to the health
services mentioned above.
North Carolinas commitment to confidential
health services for adolescents recognizes that, while it is desirable for teenagers
to talk to their parents about sex, STD prevention and birth control, it is not
always possible. Whats most important is that confidential services exists
that encourage teenagers to address sensitive health concerns in a timely manner
in order to preserve their mental and physical health.
Recommendations for Action
- Increase and stabilize state funding for
pregnancy prevention initiatives that include information about contraception,
prevention of sexually transmitted infections and abstinence throughout North
Carolina.
- Urge the NC General Assembly to use federal
money from TANF to fund out-of-wedlock birth and pregnancy prevention initiatives
that allow NC to bring in an additional $500,000 from in Title X funding from
the federal governments family planning program. This money would be allocated
to local health departments throughout the state and would help prevent approximately
900 pregnancies and out-of-wedlock births, thus saving over $9.5 million in Medicaid
expenses that would have been paid as a result of such pregnancies and births.
- Support age-appropriate and developmentally
appropriate comprehensive sex education and abstinence plus sex education programs
that are accurate and honest; promote healthy, positive and responsible decisions;
and that respect the values and the rights of all individuals.
- Safeguard adolescents' access to reproductive
health services and maintain G.S. 90-21.5.
Aging
(Top 5)
Tight state budgets result in increasing
difficulty for low-income elderly persons searching for good health care. Ironically,
this situation exists despite two excellent federal programs specifically designed
to help them. With reduced governmental payments to physicians, increasingly fewer
doctors will accept new patients who are Medicare or Medicaid beneficiaries. Beyond
that, Medicare does not pay for the heaviest expenses seniors incur: prescription
drugs and long term care, while Medicaid covers these expenses for only the poorest
seniors.
In 2002, in order to reduce Medicaid expense,
a freeze was applied to the Community Alternatives Program for Disabled Adults
(CAP-DA) This freeze, which was actually a cut, since empty slots were not filled,
had a severe impact on some frail elderly persons who were already certified as
disabled enough for nursing home care. CAP-DA provides funding for the participant
to live at home and receive home health care so long as the cost is less than
care in a nursing home. According to the 2002 report of the Legislative Study
Commission on Aging, the average daily saving for a person who elects to stay
at home is about $30. How then does the state save money on care for such a person
if a CAP slot is not available? By counting on a familys willingness to
sacrifice time, energy, and money they cant spare to keep Mom or Grandma
at home. Medicaid money is saved when the state does not have to pay either for
home health or nursing home care for a person who cannot function independently.
Personal care services provided by home health
agencies also were limited to 3.5 hours a day and 50 hours a month. Such services
make up about 90 percent of costs for a frail person needing help at home. Because
Medicaid is the largest item in the state budget after public education and costs
over $2 billion a year, it becomes a prime target for such reductions. Yet every
dollar of state spending that is cut means that $2 in federal spending is lost
to the program.
All states are subject to the Supreme Courts
Olmstead decision which specified that a disabled person has a right to live in
the least restrictive environment possible. North Carolina has made progress on
increasing opportunities for home care, but recent economies in CAP and other
services have meant regression. Although seniors much prefer to live at home,
a longtime bias in funding often sends them to an adult care home or nursing home.
Financial help through Medicaid (for nursing home care) and State-County Assistance
(for residence in an adult care home) is available for care in a facility but
not at home. One state program that could be expanded at very little cost is the
Special Assistance Demonstration project, which now covers up to 400 frail elderly
who have been assessed as eligible for residence in an adult care home. This project
is similar to CAP-DA in that it provides funding for home care. When the first
applicants for the program were assessed, 85 percent were found able to live at
home. But the funds available to a participant were less than the cost of care
in a facility, and not all the slots were filled. A modest increase in funding
could make a big difference in the success of the project.
A continuing problem in long-term care facilities
is the turnover in care givers. A statistical study from the Cecil B. Sheps Center
at UNC-CH found that at least half of Certified Nurse Aides (CNAs) on the registry
are not employed in health care, and many of those who are apparently work only
part time. Low pay, lack of benefits, very hard working conditions and lack of
respect are some of the difficulties experienced by aides in stressful jobs in
long term care facilities. They may have to work at more than one job to make
ends meet. This situation translates directly into lower quality care for residents
in those facilities. Two possibilities that might help have surfaced: one is for
the legislature to provide "pass-through" money that would go directly
for wages or benefits of caregivers. Also, the state might subsidize health care
benefits as it does for child care workers.
As everyone knows, what a low-income elderly
person who is not a Medicaid beneficiary most needs is a substantial prescription
drug benefit. But the cost is high. The General Assembly provided $500,000 in
recurring funds for cardio-vascular disease and diabetes, then increased that
amount to $1 million, then dropped back to $500,000. The Health and Wellness Trust,
funded with one-fourth of the Tobacco Settlement money, has approved $32 million
a year for three years for a prescription drug benefit for persons whose income
is less than 200 percent of the federal poverty level ($8,860 for a single person
and $11,940 for a couple) and who have no other insurance. The fund will pay for
prescription drugs (with a 40 percent co-pay) for diabetes and cardio-vascular
and pulmonary disease. There is a cap of $1000 (actually $600 with the co-pay)
per person per year. A program is being worked out to provide monitoring, education,
and counseling for at-risk persons with multiple prescriptions, some of which
may be inappropriate or interfere with the action of others. Although the funding
is inadequate to cover all the need, still this is a valuable benefit, especially
combined with some of the discounted or free drugs available from major pharmaceutical
companies. Yet no one knows what will happen after the three-year term is over.
Some plan needs to be prepared now so that beneficiaries will not be stranded
without aid.
The elderly population in North Carolina
is growing rapidly. Of the more than one million citizens over 65, 60.3 percent
are women, and of the 131,000 people over 85, 66 percent are women. Aging issues,
therefore, are womens issues. And many of these women live in poverty. Choices
in long term care for the poor are limited. The frail person ordinarily wants
to stay at home, but the only funds available are for care in an adult care home
or a nursing home. Families, whatever their incomes, should be able to care for
elderly relatives in their own homes if possible. When institutional care is the
only option, the facility should be staffed by quality caregivers and provide
excellent care.
Recommendations for Action
Help North Carolinas older citizens
live independent lives by:
- Maintaining eligibility and services for
Medicaid, especially the Community Alternatives Program for the elderly and disabled
to permit them to live at home
instead of in a nursing home.
- Increasing funding for the Special Assistance
Demonstration project to enable frail elderly persons to live at home instead
of in an adult care home;
- Providing "pass-through" funds
for wages and benefits for aides in long-term care facilities to improve hiring
and retention of trained workers.
- Forming a plan for a quality permanent prescription
drug benefit for low-income elderly.
Child Care
(Top 5)
Child care is needed both by parents to support
their work and school endeavors and by children to support their full development.
It is important that when families need to use child care, their children can
be enrolled in the highest quality care possible. Research indicates that high
quality child care shares several common characteristics: teachers have formal
education beyond high school, teacher turnover is low and child:teacher ratios
are low. These factors allow teachers to respond to the individual needs of children
through the environment and interactions, allow teachers and children to create
a strong bond adding to the childs security and allowing teachers to give
each child plenty of attention. Children who have spent time in high quality child
care environments have lasting benefits from the experience. One study that demonstrates
these effects is "The Children of the Cost, Quality, Outcomes Study Go To
School, Executive Summary," (Peisner-Feinberg, 1999). This study followed
a group of children from their next-to-last year of child care through second
grade. This study found that:
Children from classrooms with higher quality
practices:
had better language skills at least through
kindergarten than children who attended classrooms of lower quality; and had better
math skills through second grade, and this was especially true for children whose
mothers had fewer years of education.
Unfortunately, many families cannot afford
the cost of high quality child care on their own. In December 2001, 23, 212 eligible
poor children were waiting for child care subsidy funds in North Carolina. The
last market rate study data available recommended that a 4-star center rate for
2 year olds in North Carolina is $563 per month. This is 24% of the income of
a family earning $27,000 per year, far above the 10% that government studies have
estimated that families can afford to spend.
North Carolina has put in place many supports
over the last few years to increase the quality of child care and make it more
accessible to families. These supports include:
- The T.E.A.C.H. Early Childhood®
Project, which helps teachers, directors and family child care providers,
obtain credentials and degrees in early childhood. During FY 2001-02, over 4000
teachers received a scholarship through this program.
- The T.E.A.C.H. Early Childhood®
Health Insurance Program which helps pay the cost of health insurance in eligible
child care programs.
- The Child Care WAGE$ Project which
provides teachers, directors and family child care providers with salary supplements
based on the level of education they have obtained and their longevity. During
FY 2001-02, 8,784 received a supplement through this program.
- Smart Start, which provides comprehensive
services for children under the age of five years to ensure their readiness for
school. These services include quality improvement programs for child care providers,
health screenings for the children, child care subsidies for families, child care
resource and referral services for families and a variety of other supports.
- The Five Star Rated License system
which enables child care centers and homes to obtain either a 1 Star, 2 Star,
3 Star, 4 Star or 5 Star license based on the education of their staff, compliance
history of the program and their ability to meet various program standards such
as the appropriateness of teacher interactions with children.
- The More at Four Program, which enables
at-risk 4 year olds to obtain a high quality pre-kindergarten experience to better,
prepare them for school.
Recommendations for Action
- Fully fund Smart Start for all 100 counties
in North Carolina.
- Provide additional funds to alleviate the
child care subsidy waiting list and reimburse child care programs at current market
rates.
- Continue the provision of funds for the
T.E.A.C.H. Early Childhood® Project and the T.E.A.C.H. ® Health Insurance
Project.
Civil Rights
Acts of discrimination and hatred are daily
occurrences in American life. According to the Southern Poverty and Law Center
(SPLC), every hour a hate crime is committed, these crimes are unlawful acts motivated
by bias. Experts recognize that most hate crimes are undercounted. Of those reported,
eight blacks, three whites, three gays, three Jews, and one Latino become hate
crime victims everyday. The greatest increase in hate crimes in recent years has
been toward Asians and homosexuals. Forty percent of bias crimes are committed
against African-Americans. A 1999 U.S. Department of Justice report found Native
Americans experience a higher rate of exposure to violence than other races. The
study did not determine the percentage of violent crime against Native Americans
motivated by bias however; experts assert the majority was motivated by prejudice.
Although progress has been made in improving
inter-group relations in the United States and in North Carolina, stereotypes
accompanied by fear remain commonplace. Without education as well as constructive
steps to build understanding on a personal level; stereotypes will lead to discrimination,
racist policies, and eventually, hate crimes. Organizations that promote and nurture
hatred of others because of their race, religion, sex, disability, or sexual preference
are loosely referred to as hate groups. Specific religious tenets and political
views characterize these groups, which often adopt a militaristic structure and
style. According to an Intelligence Report from the SPLC, there are only
six states with more known hate groups than North Carolina. There are 22 active
hate groups in North Carolina, among which are ten Ku Klux Klan and six Neo-Nazi
groups. In recent years, there has been a consolidation of hate groups and extensive
use of web sites as they attempt to mainstream their issues.
Women also suffer from stereotypes, prejudice,
oppression, and hatred. Womens organizations are often in an ideal position
to build alliances with people of color and their organizations around issues
of community safety. For example, women have historically raised issues of community
safety with local police. This relationship can be leveraged to secure greater
access to the police for others who are victims of harassment and hate crimes.
Alliances of mutual understanding built on open and frank communication need to
be developed. There are many models for cross-cultural communication being used
in North Carolina today; e.g. the Study Circles Program.
County and municipal governments should promote
equal treatment of all individuals by improving complainants and respondents access
to the administrative process; increasing opportunities for mediation of claims;
providing parties with a faster, less expensive and more effective resolution
to complaints; and providing more technical assistance to businesses, employers,
and housing providers to prevent discriminatory practices through educational
workshops and seminars.
Localities should create a local process
for handling discrimination complaints, local process for the filing of complaints,
create a forum where parties can resolve their disputes locally and provides an
opportunity for complainants and respondents to litigate their cases in state
court. They also should ensure that ordinances are substantially equivalent
to existing federal and state laws. The ordinances should protect all people from
being discriminated against because of their race, color, sex, religion, national
origin, familial status, age, disability and veterans status.
Counties and municipal governments should
offer remedies available under existing state and federal law, punitive damages
cannot be awarded by a jury or a court unless they can be awarded under existing
federal or state law.
Communities have the ability to accomplish
a great deal in reducing hate crimes. Communities can inquire if local police
have personnel trained by the NC Justice Academy on hate crime reporting as well
as verification and encourage untrained officers to obtain such training. Also,
local media can be enlisted to support officer training in identifying and reporting
hate crimes, while giving positive local support and publicity to officers who
receive this training. The State Bureau of Investigation (SBI) Division
of Criminal Information will provide technical assistance to local agencies for
hate crime reporting. Although none of this training is mandatory, without it,
hate the SBIs Division of Criminal Information cannot accept crime reports
to local police departments. This is the main reason for undercounting of hate
crimes in the North Carolina.
The struggle and education against bigotry
and hatred is a community issue. Religious organizations as well as schools should
educate the public about hate crimes. Religious leaders should be involved because
hate groups often use the Bible as justification for their beliefs and actions.
Women and other community groups should meet with local Parent Teacher Associations
(PTA) and school principals to inquire about curricula used to help children appreciate
diversity. The SPLC sends free materials to teachers on "Teaching Tolerance."
Communities can assure that all local schools have these or similar materials
available for teachers and students is an excellent and practical local project
that ultimately would support change on the state level. It is important that
local government and state government officials are aware of local communities
concern of hate crime ordinances, processes, reporting and lack of diversity education.
Recommendations for Action
- General Assembly should support H941 Anti-Discrimination
Ordinances. This bill gives county and municipal governments with populations
of 100,000 or more, clear authority to adopt ordinances that prevent discrimination
in the areas of housing, employment and public accommodations and gives residents
a private right of action. This bill codifies existing law only.
Clean Elections
So Much at Stake
Women have much at stake in our current political
system. Consider the following facts. Even though women workers are expected to
make up 56 percent of the workforce by 2006, job discrimination, pay inequality,
and biased employment opportunities still exist. Women make on average 73 cents
to every dollar earned by a man and are particularly affected by economic downturns
because of our predominance in low-wage, part-time, and temporary jobs. In addition,
women and our children are disproportionately impacted by the lack of affordable
childcare and healthcare in this country.
Women are: 54% of Pell Grant recipients;
60% of Social Security beneficiaries; 66% of Medicare recipients below the poverty
line; 75% of Earned Income Tax Credit filers; 75% of all nursing home residents;
90% of TANF recipients; and 100% of the victims of violence against women.
Together women and children are: 85% of all
Medicaid recipients; 100% of WIC program beneficiaries; and 100% of those helped
by prenatal care.
As a result, womens lives are greatly
affected by the decisions made in Raleigh as well as in Washington. Women have
a tremendous amount at stake in our governments policy decisions.
Yet So Little Say
Unfortunately, few women actually sit at
the table where these important policy decisions are made. At 52%, women were
the majority of voters on Election Day in 2000. Yet, women are sorely absent from
elected offices 80 years after securing the right to vote.
Including results from the 2000 election,
women now make up 13% of the U.S. Senate, 13.5% of the U.S. House of Representatives,
10% of state governors, and 22% of state legislators. No woman has ever served
as president or vice president of the United States.
When broken down by region, these numbers
further detail the dearth of women in elected office. According to data from the
Center for American Women and Politics, women in the Southeastern U.S. are much
less likely to hold an elected office than women in other regions. Southern states
are completely absent from the ranking of the top 20 states for the percentage
of women represented in state legislatures. Of the five states with the lowest
representation of women in state legislatures, four are in the South. At 38.8%,
Washington state ranks first in the percentage of women in state legislatures.
North Carolina is ranked 32nd with 18.8%, and lastly, Alabama with
7.9%.
It is no wonder that women's voices are not
being heard when elected bodies determine policy priorities. Over the last eighty
years, women have learned that merely having the vote is not enough. Women need
real political power. America needs champions in elected office who truly understand
what it means to work as hard as male colleagues and earn less, to struggle to
find affordable child care, and to live in fear of rape and domestic violence.
As Debbie Stabenow, a recently elected U.S.
Senator from Michigan, has stated, "It is important that we have moms in
the United States Senate, and daughters and sisters, as well as dads. Theres
a different set of experiences that women bring that are important in decision
making." (NYT, 11/13/00, A14) This concept is true not only at the federal
level, but also at state and local levels. It is time for women's voices to be
heard at every level, from the town hall, to the oval office, and everywhere in
between.
Rising Campaign Costs Leave Women Behind
Why does the composition of policy-making
bodies not reflect the voting strength of women or the proportion of women in
society?
Money is one answer to this question. As
campaign costs rise, people who, traditionally, have been shut out of the political
process. These people, women, people of color, and low-income voters, will continue
to find themselves at a disadvantage. When money dominates politics, the good-ole-boy
network flourishes.
Such a political system works against women
and their interests in two fundamental ways. First, qualified female candidates
often have a more difficult time raising money than their male counterparts, and
therefore, are prevented from mounting serious campaigns. Secondly, the issues
that women, along with many Americans, care about most are not given a fair voice.
The influence of special interests and campaign donations largely prevent a non-biased
discussion of such issues.
The current system is unjust because it excludes
otherwise qualified women, simply because they often do not have large sums of
money with which to campaign. Women need an alternative that will allow non-wealthy,
female candidates to compete with men on Election Day.
Recommendations for Action
- Under The Voter-Owned Elections Act,
a bill introduced in the North Carolina General Assembly, candidates who can
demonstrate broad support in their communities and who agree to strict fundraising
and spending limits would be eligible to receive funding to run for office from
the newly created Fair Elections Fund. Participation in the program would be voluntary
for candidates and taxpayers. The entire cost would come to one penny a day per
eligible voter in North Carolina. This type of program is already in place in
Maine and Arizona, where it is meeting with great success. The bill currently
has 73 cosponsors in the General Assembly drawn from both political parties. A
strong, grassroots movement is necessary to give legislators the political will
to pass this important piece of legislation.
Domestic Violence
(Top
5)
Domestic violence is a serious, widespread
social problem in our country and in our state. Nearly 25% of American women report
being raped and/or physically assaulted by a current or former spouse, cohabiting
partner, or date at some time in their lifetime, according to the National Violence
Against Women Survey. Women of all races and socioeconomic backgrounds are vulnerable
to violence by an intimate partner. In North Carolina, domestic violence programs
provided services to over 40,000 new primary victims from July 2000 through June
2001, and served nearly 30,000 secondary victims during this same time period.
Secondary victims are usually children, and numerous studies indicate that there
is an overlap of 30 to 60 percent between violence against women and violence
against children in the same families. In addition, these crimes are severely
underreported. Without appropriate intervention, domestic violence often escalates
into homicide. On average, more than three women are murdered by their husbands
or boyfriends in this country every day. In North Carolina, 13 domestic violence
related homicides were reported from May 4th to July 19th,
2002.
The Battered Womens Movement grew out
of the Womens Movement in the 1970s when women started talking about domestic
violence and developing informal "safe houses." The first reported shelter
opened in North Carolina in 1978 in Winston-Salem. Currently, our state has approximately
95 domestic violence programs and approximately 70 shelters. Some programs serve
multiple counties and some counties have more than one program. We have made significant
progress in North Carolina as the result of people joining together to advocate
for change. These efforts have led to the passing of laws that make marital rape
a crime; legislation that allows judges to grant victims protective orders without
an attorney; laws that allow the arrest of an abuser without a warrant; enhanced
penalties for stalking and repeat offenders; and an increase in the marriage license
fee, which is used to support domestic violence programs. We still have a long
way to go, however, to create a system that holds batterers accountable for their
behavior and improves the safety of battered women and their children.
The first critical need that we must address
is providing adequate and consistent funding to domestic violence programs. New
programs should be funded at the same level as existing programs without decreasing
funding to existing programs. For fiscal year 2002, the Council for Women provided
full funding to 75 domestic violence programs in the amount of $31,500 and partial
funding to 20 additional programs in the amount of $15,000. These funding levels
are significantly below the costs of running even a minimal program. Increasing
funding by the state would assist in providing stability for programs and enhance
the services that they are able to provide. Every domestic violence victim in
North Carolina should have easy access to comprehensive services.
Chapter 50B needs to be expanded to protect
all victims of domestic violence. Currently, a victim in a same sex dating relationship
cannot pursue a protective order under Chapter 50B, although incidents of domestic
violence occur at approximately the same rate in homosexual relationships as in
heterosexual relationships. Chapter 50B must also be clarified to ensure that
victims are able to renew protective orders multiple times as intended by the
statute. Finally, a protective order entered pursuant to a consent order is entitled
to the same enforcement as a protective order entered pursuant to a hearing. The
statute needs to be clarified to ensure that victims are equally protected.
Another important issue for victims of domestic
violence is the determination of custody. Children are often witnesses to domestic
violence, if not victims themselves, and the courts should not further place them
at risk by awarding custody to a batterer. The parenting of men who batter exposes
children to multiple potential sources of emotional and physical injury. The law
should clearly state that awarding custody to a perpetrator of domestic violence
is contrary to the childs best interests. A rebuttable presumption awarding
custody to the non-offending parent should be in place to guide these decisions
and ensure that children are safe.
Finally, additional legislation is needed
to prohibit the purchase or possession of firearms by persons convicted of domestic
violence crimes and persons subject to protective orders as required by federal
law. Most of the domestic violence homicides in our state are committed with handguns.
The Washington Post reported that nearly 3,000 domestic abusers purchased firearms
between 1998 and 2001, despite federal laws designed to prevent such purchases.
State laws that mirror the federal laws would greatly enhance our ability to prevent
abusers from obtaining or possessing firearms.
Despite tremendous progress in the arena
of domestic violence, statistics show that this type of crime remains prevalent
in North Carolina. More must be done to further aid victims of domestic violence.
We must advocate for protective legislation and secure adequate funding so that
domestic violence programs are accessible to the women and children that need
them.
Recommendations for Action
- The General Assembly should pass legislation
increasing funding for domestic violence programs and providing funding for new
programs at the same level as existing programs.
- The General Assembly should pass legislation
expanding Chapter 50B, ensuring that all victims of domestic violence are able
to seek protective orders against their abusers. This legislation should also
clarify the language in Chapter 50B to ensure that victims of domestic violence
can renew their protective orders as intended by the statute. Finally, legislators
should enhance the enforcement provisions of Chapter 50B pertaining to consent
orders.
- The General Assembly should pass legislation
providing for a rebuttable presumption stating that an award of custody to the
parent who committed acts of domestic violence is contrary to the childs
best interests.
- The General Assembly should pass legislation
prohibiting the purchase or possession of firearms by persons convicted of domestic
violence crimes and persons subject to protective orders as required by federal
law.
Economic Self-Sufficiency

If the measurement of success is a decline
in welfare rolls, North Carolinas Work First program has been highly successful.
Created one year ahead of the federal program named Temporary Assistance to Needy
Families (TANF), Work First achieved a 60% decline in case loads from 1995 to
2002. Of those who have left, about 70 percent earn wages in their first year
off the rolls. County Social Service staff have re-learned their jobs to change
an emphasis on dependency to an emphasis on preparing for work. Low-income families
have worked hard to move into employment. Even in the time of recession, only
a small percentage returned to Work First. So far, so goodbut a long way
from wonderful.
Median earnings of families who leave Work
First are about $7500 a year, an amount that is 62 percent of the federal poverty
level for a family of two. From 1990 to 2000 the number of children living in
poverty in our state increased from 17 percent to 19 percent. During that same
period the percentage of children living in high-risk families increased by 15
percent. The child care subsidies critically necessary for families to become
self-supporting are inadequate. More than 20,000 children are on a waiting list
for subsidies. In addition, families need assistance with transportation, housing,
and health insurance if they are to hold jobs and meet their most basic needs.
Heartwarming stories of families who went
from welfare to prosperity have a predictable similarity: Mom got an education
that led to a responsible and well-paying job. The uncertainties she experienced
as an older student far from schooldays were replaced by the self-confidence that
came from realizing she could get good grades and that she had a lot of potential
she hadnt known about. But the present system is notably ungenerous in providing
opportunities for education for anyone who is receiving TANF benefits. Federal
law counts only a very limited type and amount of education in meeting its work
requirements. The state is allowed to use its own funds for cash assistance to
families in an educational program; however it has not done so. Such an investment
for a number of families would be returned many times over in tax receipts along
with less-measurable benefits from assisting families to become fully self-sustaining.
Unfortunately, TANF does not seek to reduce
poverty; rather, it evaluates states on caseload decline and number of families
working and so encourages them to help families to seek low-paying and readily
available jobs. The federal definition of allowable work activities should be
expanded to include education, care-giving to sick family members and participation
in other services that help remove barriers to employment.
With TANF assistance come rules and regulations
so confining that some people simply refuse to try to conform to them. One of
the most important regulations is that a family can get support from TANF for
only two years. They can return to the TANF rolls after being off for a while
but must observe the federal time limit of five years total assistance.
In order to receive Work First assistance, families must sign a "Mutual Responsibility"
contract, agreeing to ensure (1) their children will get immunizations and regular
medical check-ups; (2) their school-age children will attend school regularly;
(3) teen parents will live at home and stay in school; (4) the single parent will
cooperate in locating the other spouse for child support; and (5) the applicant
will look for a job and participate in work activities for 35 hours a week. Two-parent
families are subject to harsher rules entitled pay-after-performance. Failure
to meet these requirements will result in sanctions, with North Carolina sanctioning
more of its welfare beneficiaries than most other states (28.6% sanctioned in
an average month in 1998).
North Carolina is unique in having developed
a two-part welfare system. Twenty-one counties called Electing Counties were selected
by the General Assembly to create their own programs and rules. The 79 Standard
Counties follow statewide rules and control a grant for providing services such
as transportation and training. But some Electing Counties with more freedom have
reduced benefits, curtailed time limits, and invoked harsher sanctions. Although
some counties have assessed community needs, they have often decided they could
not afford to address them. In rural counties where few jobs are available, the
threat of sanctions does absolutely nothing to expand employment.
One practical reform is a system for screening
and assistance for substance abuse, a major barrier for many families. Counties
in some cases have originated a variety of programs to aid families in getting
hired, staying on the job, and supporting themselves. These efforts need to be
encouraged and replicated wherever that is possible.
A report from NC Equity and NC Justice and
Community Development in 2001, Working Hard is Not Enough, demonstrated
with great thoroughness that over a million North Carolina families were earning
less than a living income. The Living Income Standard, a bare bones budget requiring
a wage of $11.00 an hour for a family of one adult and one pre-school child in
an urban area and $8.50 an hour for the same family in a rural area, is a good
deal higher than federal poverty level. North Carolina will not have true welfare
reform until the state recognizes the hard situation of many of its citizens.
It must address the need for educational benefits and other assistance to enable
families moving off welfare to earn decent wages and attain real self-sufficiency.
Recommendations for Action
For improving Work First:
- The General Assembly should increase benefits
and income eligibility requirements to meet the living income standard.
- The General Assembly should create a state
program allowing families to keep public assistance and child care subsidy benefits
while completing their education or job-retraining.
Educational Opportunity
The open door policy of the North Carolina
Community College System offers access to literacy training, workforce development,
higher education, and lifelong learning, all of which serve to empower the women
and men of our state. With more than 800,000 students enrolling in NC community
colleges annually, the system provides educational opportunity to individuals
who otherwise would not have access. In 2000-2001, one in six adults in NC enrolled
in a community college program. That same year, more than 24,000 North Carolinians
received training for new jobs at community colleges.
Even though community colleges have been
instrumental in improving the quality of life for all North Carolinians during
the past 35 years, their effect in the lives of women is perhaps greater. In fact,
the impact of any budget cuts in community college funding will be significant
for women in our state.
●In 2000-01, women comprised 60% (n=145,775)
of the North Carolina community college curriculum enrollment. Women who rely
on these college courses may find classes closed or cancelled, program completions
delayed, career entry postponed, and earnings potentials reduced.
●In 2000-2001, women comprised 49%
(n=279,694) of the North Carolina community college continuing education enrollment.
The women who rely on short term training for advancement or to remain employed
in companies with changing employment skills may be delayed in advancement and/or
be subject to employment terminations in disproportionate numbers.
●In 2000-2001, more than 80% of the
students enrolled in associate degree, diploma, and certificate programs were
women. These program majors closely parallel careers that have enabled women to
earn wages that grant them a degree of independence and success. They include
our largest enrollment of women in a program, the Early Childhood Associate (n=6,766
with 97.80% women), as well as the non-traditional program, Aviation Management
and Career Pilot Technology (n=2 with 100% women).
●In 2000-2001, women comprised less
than 20% of the students enrolled in 93 associate degree, diploma, and certificate
programs in NC community colleges. These majors often mirror careers in which
women are underrepresented. Enrollment by women ranges from less than one percent
in plumbing to 20% in Basic Law Enforcement Training. Forty-three program majors
enroll five or fewer women. Any attrition in these programs due to budget reductions
will affect the availability of non-traditional women employees in these occupations.
●Child Care Assistance is a unique
financial aid program offered by the North Carolina community colleges where low-income
parents can receive financial support to help care for their children while they
are in college. Continued funding of community college programs such as Child
Care Assistance will insure that mothers will be able to increase their earning
capacities, leaving behind poverty and public assistance. Having appropriate child
care options while these women attend classes enables them to prepare for challenging
and lucrative careers that ultimately will improve their families lives
and contribute to the betterment of our society.
●One-half of all public school teachers
in North Carolina begin their educations at their local community colleges. North
Carolina currently is experiencing a teacher shortage crisis, and if community
colleges limit their enrollment due to budget cuts, the state will have even greater
difficulty in meeting the needs of public school children in coming years.
●Health care fields face similar shortages
in North Carolina. Community colleges train most of the nurses, nurse assistants,
medical assistants, dental hygienists, dental technicians, and medical technicians
in our state. With the demand for these workers continually exceeding the number
of qualified personnel, health care in this state will soon face an unprecedented
crisis.
North Carolinas community colleges
continue to provide access and opportunity for women seeking training and higher
education. In addition, community colleges provide the foundations for an improved
quality of life for students from all walks of life. Whether teaching adult basic
reading skills, high school GED for adults, and English as a second language or
job skills, workforce retraining, and college degrees, the North Carolina Community
College system leads the way for women to gain the skills and credentials to become
self-sufficient and empowered citizens who will work to improve life for all North
Carolinians. Therefore it is imperative that the NC General Assembly continue
to provide adequate funding for community colleges to insure the future success
of women in our statea future that is inextricably linked to the welfare
and prosperity of all North Carolinians.
Source: NC Community College System
A Matter of Facts 2002
Recommendations for Action
- The NC General Assembly should continue
to provide adequate funding for community colleges.
Housing

There is a housing crisis in North Carolina.
According to the states 2000 Consolidated Plan, put out by the NC Department
of Commerce, 740,000 households do not have a safe, decent and affordable home
in North Carolina. 39% of families that rent cannot afford a two-bedroom apartment
in this state. Between 1995 and 1997, the percentage of teachers and public safety
officers spending more than half their incomes on housing doubled. North Carolinians
are working harder than ever, but their incomes have seriously lagged behind escalating
rents and home prices.
In the Triangle, an estimated 102,500 residents
live in poverty, 15,000 more than in 1989. In Charlotte, 88,000 families pay over
one-third of their incomes for housing, with 30,000 of these paying more than
half their incomes for housing. In many rural counties of the state, over 25%
of the population lives in manufactured housing, often on rented land. Even before
devastating Hurricane Floyd hit in September 1999, the US Department of Housing
and Urban Development (HUD) estimated a need for over 57,000 safe, decent and
affordable rental units in 30 eastern NC counties.
Women make up a disproportionate share of
those who live in low-income housing. In 1998, HUD reported that 84% of recipients
of federally subsidized housing in North Carolina were female-headed households.
Elderly housing includes a high percentage of women, as females tend to outlive
males and have lower incomes. Statewide statistics on homelessness in NC are sparse
and cover only those shelters that receive federal grants (located in only half
the counties of the state), but report that in fiscal year 2000, women and children
made up half of the homeless population served. Women and children are the fastest
growing group nationally and statewide, according to state homeless advocates.
In North Carolina, low-income housing is
controlled by many agencies and factors:
- On the federal level, HUD funds public
housing agencies, which administer public housing and Section 8 rental vouchers.
- The NC Housing Finance Agency, with
funding from state and federal governments, helps finance the building of rental
units, single-family homes, elderly housing complexes, some homeless and domestic
violence shelters, special-needs homes, and can fund repairs and rehabilitation
to older homes.
- The NC Department of Commerces
Division of Community Assistance administers federal Community Development
Block Grants, which help fund low-income housing and infrastructure in small cities
and towns.
- The NC Department of Health and Human
Services administers federal grants aimed at alleviating homelessness.
- Counties and municipalities also
help fund housing of many types, often through bond activity, general budget appropriations
and CDBG funds.
- Nonprofit organizations build and
rehabilitate housing using grants and low-interest loans from cities, the Housing
Finance Agency and banks.
It is a complicated picture with many players
who dont always work together, and who dont come close to eliminating
the need for low-income housing in North Carolina. The 2000 Consolidated Plan
stated that $12 billion would be needed to alleviate all of North Carolinas
housing needs.
The NC Low Income Housing Coalition recommends
that these changes be made to increase the amount of affordable housing available
in this state:
Recommendations for Action
- Increase the states recurring annual
appropriation to the NC Housing Trust Fund to $50 million. The Trust Fund is a
flexible source of funding for the Housing Finance Agency and is used, in part,
to finance the building of rental units for the very poorest North Carolinians.
- Pass legislation that protects consumers
of manufactured housing from fraud and excessively high interest rates and payments,
and create a program of consumer education for those considering buying a manufactured
home.
- Maximize the use of flood relief funding
for low-income housing, particularly rental housing.
- Expand the "Homestead Exemption"
to reach more elderly homeowners. Currently, homeowners who are 65 years or older
or are disabled, with annual incomes below $18,000, are entitled to have the greater
of $20,000 or 50% of the appraised value of their home excluded from taxation.
Mental Health
It is estimated that one in five persons
will, over their lifetime, experience a mental illness. However, according to
the Surgeon Generals report on mental health released in 1999, less than
one third of adults with a diagnosable mental disorder and even a smaller proportion
of children, receive any mental health services in a given year. Studies have
shown that mental disorders are treatable; that treatment is more effective than
a placebo. Why then the disparity? The stigma attached to mental illness, the
cost of treatment, and the fragmentation and lack of service availability are
major factors which prevent people from getting treatment. The Surgeon Generals
report also reminds us of the impact of mental illness: "Untreated, mental
disorders can lead to lost productivity, unsuccessful relationships, and significant
stress and dysfunction. Mental illness in adults can have a significant and continuing
effect on children in their care."
Mood disorders, including depression, will
affect 7 percent of Americans in a given year. For women, depression may be of
particular concern. Recent studies have shown that women are two and a half times
more likely to experience depression and that depression has a chromosomal link
creating this disparity. Two thirds of those getting treatment for depression
do so in primary health care settings and primary care doctors see most patients
whose depression goes undiagnosed as they come in for routine outpatient care.
This year, the U.S. Preventative Services
Task Force, an independent scientific advisory panel, recommended that all patients
who walk into offices for tests, physicals and appointments be asked two simple
questions that target the warning signs for depression. Should those signs be
identified, a standard depression screening that asks more specific questions
can be used to make a diagnosis. It is critical however that those diagnosed receive
appropriate treatment options, and that in the weeks following the screening/diagnosis
that a follow-up is done. Implementing this screening is not simply up to doctors;
much of todays preventative health screenings have come with the recognition
by health systems and managed care plans that catching and treating a disease
early on has a positive impact for both the patient and the health care system.
What many of those with private insurance
find however is that treatment for mental disorders is treated differently than
that for "physical" disorders. Mental health treatment, when included
in health plans, is often limited by lifetime caps on dollar amounts, caps on
the number of annual visits, and or higher co-payments to visit a mental health
professional. In the face of mounting evidence that mental illness is biologically
based, with genetic and chromosomal links, and despite evidence of the higher
effective treatment rates for mental health disorders when compared to many physical
disorders, insurance companies continue to discriminate against persons with mental
illness seeking treatment. Insurance companies and business associations argue
that rate increases will cause employers to drop mental health coverage altogether
from insurance plans, even though numerous studies have concluded that premium
increases with managed care would be less than 1%.
Those uninsured, or on Medicaid, are dependent
on the pubic mental health system in North Carolina. In March of 2000, in response
to a call for reform of North Carolinas public mental health system, the
Division of Mental Health, Developmental Disabilities and Substance Abuse Services
presented to a Legislative Study Committee some staggering estimates of deficits
in the mental health system: based on epidemiological studies, waiting lists,
and statewide surveys, 670,000 adults and children in North Carolina were in need
of mental health, developmental disability and substance abuse services estimated
to cost 2.5 billion dollars. Cost estimates for the reformed health system outlined
in the States Plan for MH/DD/SAS services which would focus resources on
the most severely disabled, are not yet available. Based on previous estimates
in the 2000 reports, focusing on the most disabled could drop the need to 425,000
adults and children with an estimated cost of 1.3 billion.
Factoring in federal funding, Medicaid dollars,
state appropriations, and local funding, current financing of this system is estimated
to serve only the most severely in need, but note that 250,000 people in North
Carolina would be left with unmet mental health service needs and more than likely
a large percentage of the 425,000 served would be left with out some of the needed
services. The Division estimates that not all of those would be accessing services
through the public system, estimates for use of the public system may be 25-75%
lower given that many have some form of private health insurance or ability to
pay. Note that the current system provides only minimal, if any, funding for housing
and transportation that allow persons with serious mental illnesses to live in
and contribute to their community. We are left with a system in which the disabled
population is dependent on institutions and government support, at high risk for
homelessness and incarceration, and less able to fulfill their potential.
In North Carolina, those in the public mental
health system are more likely find themselves in state institutional care than
those living in other states. In light of changes in best practices for mental
health care and the "Olmstead decision" that calls for care in the least
restrictive setting, North Carolina has begun to plan for a shift from an institutional
focus in providing care to providing care in community based settings. This shift
requires not only a change in where services are provided but calls for services
to be provided with an emphasis on supporting the needs and desires of consumers.
A system in the process of reform requires not only the dedication of consumers
and professionals to making the transition but the commitment of state appropriations
to bridge the shift of dollars from the current institutional care to the development
of needed supports and services in the community.
Recognizing this need, in September of 2001
the General Assembly created the Mental Health Trust Fund and endowed it with
37.5 million dollars. The fund was to be used to support the reform efforts and
develop community based care. Due to North Carolinas ongoing budget problems,
in February the Governor removed all but 12 million as part of his effort to fill
the 800 million dollar deficit. This loss coupled with ongoing cuts to the states
mental health and Medicaid budgets have called into question the ability of the
state to reform its system.
Recommendations for Action
- Advocates should support the enactment of
comprehensive mental health and substance abuse parity at the national and state
level, ensuring that health coverage for mental disorders is equal to that of
physical disorders.
- The General Assembly should increase funding
for the public mental health system, including the designation of a recurring
funding source for the Mental Health Trust Fund.
Pay Equity
and Living Wage
(Top 5)
Pay inequities between mens and womens
earnings and segregation of women in low-paying jobs classified as "womens
work" are important reasons why women are always coming from behind in the
effort to achieve a living wage. Too often women are in occupations that simply
do not provide sufficient income. A report sponsored by NC Justice and Community
Development in 2001 ("Working Hard Is Not Enough," by Sorien Schmidt
and Dan Gerlach) showed that one-third of North Carolina families were working
hard but unable to earn an income that would provide for their families
basic needs. The report calculated the Living Income Standard (LIS) for North
Carolina families, a budget for housing, child care, food, health care, transportation,
taxes, and a few miscellaneous expenses. (Nothing was included for loan payments,
savings, or entertainment.) The hourly wage necessary to meet the Living Income
Standard was $8.50 for a one-parent, one-child rural family and $11.00 for an
urban family. For a family with two adults and two young children, the LIS wage
was $14.25 for a rural family and $16.25 for an urban family. Yet many families
earn less. Real wages have declined, and the minimum wage of $5.25 an hour has
lost value and is sadly inadequate. The Living Income Standard is about twice
federal poverty level and much higher than minimum wage.
A recent report from the NC Justice and Community
Development Center ("Pay Equity in State Government: Its a Long Way
Off," by Kim Cartron and Polly Williams) showed why women in state government
are often struggling to support their families. The report brought the unhappy
news that almost one-fourth of all state employees are in the ranks of the lowest
wage earners, and of these employees almost three-fourths (73.3 percent) are women.
Unfortunately, the new news is the same as the old news, because a 1982 report
from the Office of State Personnel, "Patterns of Pay in N.C. State Government,"
demonstrated that white males earned more than black and white females and minority
men. Legislation providing for a comparable worth study was passed in 1984 but
was repealed the next year, and salary inequities revealed in the "Comprehensive
Pay Plan" of 1993 were never addressed. Yet state government is the states
largest employer and has the obligation to set an example as a model for other
employers.
Nationally, the gap between mens and
womens wages continues to exist and to narrow at a snails pace. The
Equal Pay Act of 1963 prohibited unequal pay for equal or "substantially
equal" work. In North Carolina women earn 78 cents for every dollar a man
earns, a gender gap somewhat less than the national average only because the average
wage for men in this state is under the national rate. Women of color earn just
68 cents for every dollar earned by men. Across the United States American working
families lose $200 billion in annual income because of the wage gap.
The wage gap affects how working women and
their families live. It affects their ability to provide affordable quality child
care, good health care, higher income, and a secure retirement. Since Social Security
benefits are directly tied to earnings, women who live longer than men and earn
less are likely to have an insecure old age.
The wage gap persists, furthermore, even
as women have moved into higher-paying occupations and have more education. Women
college graduates earn nearly $15,000 less than white male college graduates.
A woman of color with a masters degree earns $9216 less than a man with
a B.S. or a B.A. In information technology, where women play a significant role,
the pay is good; however, women represent only 29% of those in five key occupations
and are most under-represented where the pay is the highest, for example, in electrical
engineering, where women hold only 10 percent of the jobs. And overall, in information
technology, womens median earnings are about 20 percent less than mens.
In jobs traditionally filled by women, such
as teaching or administrative support, womens salaries are about 17 percent
less than mens.
Legal remedies are inadequate, since the
wage discrimination laws (the 1963 Equal Pay Act and the 1964 Civil Rights Act)
are poorly enforced, and discrimination cases are costly and long drawn out and
difficult to win. Salary information is not easily accessible in the private sector.
Passage of the Fair Pay Act and the Paycheck Fairness Act in the U.S. Congress
would prevent employers from penalizing employees who share salary information
with co-workers instead of firing them as they are now able to do.
Gender segregation in occupations is still
widespread, and women need to widen their career choices. Girls need encouragement
to study math and science and consider nontraditional occupations. Balancing work
and family responsibilities is as much of a problem as ever and can hamper a womans
career and earnings in the fast-moving and high-pressured workplace. Women are
often in and out of the labor force, sometimes working only part-time because
of having to care for children or elderly relatives.
But women should not accept excuses for lower
earnings than men when a remedy is available. A comparable worth study, using
a point system of evaluation, would examine whether different jobs with requirements
for similar education, skill, and responsibility received equal pay. Such a study
in state government would be one step toward pay equity in North Carolina.
Recommendations for Action
- The General Assembly should support a comparable
worth study of jobs in state government and implement any recommendations resulting
from the study.
- Advocates should support the passage of
national and state legislation that provides effective legal recourse to women
and people of color who are not paid equal wages for equal work; and offer education
and technical assistance to employers to assist them in implementing fair pay
policies.
- Advocates should monitor the implementation
in North Carolina of federal laws enacted to prevent wage discrimination (1963
Equal Pay Act, 1964 Civil Rights Act, 1938 Fair Labor Standards Act).
- Government, both at the state and federal
level, should increase the minimum wage as well as support a state earned income
tax credit.
Sexual Assault
In 2001, over 10,000 North Carolinians were
affected by sexual violence. Sexual violence is a crime of power and control.
Anyone, regardless of age, race, gender, education, sexual orientation, occupation,
or physical ability can become a victim. In North Carolina, one woman for every
five has been sexually assaulted at some point in her life. Sexual assault has
a devastating impact on victims and on the community as a whole. Victims often
feel physically, mentally, and spiritually violated, with reactions ranging from
shock and denial to panic and confusion. They may also experience feelings of
fear, anger, grief, guilt, shame, and loss of control. Some survivors may feel
helpless, isolated, depressed, and possibly even suicidal.
Last year, North Carolina took several steps
to increase the rights of sexual assault victims. The Testimonial Privilege for
Violence Victims Bill became law, establishing a qualified privilege for communication
between victims and rape crisis and/or domestic violence staff. Now, in order
to obtain a record of such communication, a judge must first review the record
under seal and determine if the information in the record is sufficiently relevant
to a legal case to override the privilege.
North Carolinas next step in protecting
sexual assault victims rights is to expand the current protective order
language. Currently, the law only extends protection to those victims who have
a "personal relationship" with the offender. The definition of a "personal
relationship" is limited to those cases involving: a current or former spouse;
a child of the victim and his or her offender; or a relationship stemming from
either previously dating or living together. This definition excludes protection
of sexual assault victims in cases of stalking, stranger rape, and rape of the
disabled and elderly by caregivers who do not live with them. It also excludes
acquaintance rape, statistically the most common form of sexual violence. Studies
show that a protective order against or the arrest of the offender does reduce
future incidents.
It is also important to re-examine sex offense
crimes in North Carolina. Across the state, attorneys are pleading felony sex
offense cases down to misdemeanors due to the difficulty of obtaining a conviction
under the current rape and sexual offense laws. Establishing an additional "Sexual
Assault" law would make an intentional assault on another in a sexual manner
illegal. A behavior such as forced fondling would be a "reportable conviction"
for the sex offender registry only if it is the second or subsequent conviction
of a reportable conviction per G.S. 14-2086(4). This law would require the accusation
of a class H felony, a lesser penalty for appropriate cases that could lead to
a higher conviction rate.
Finally, the availability of funding for
sexual assault programs has become an important concern. Currently, North Carolinas
64 sexual assault programs share $225,000 in funds from the State. This money
is critical for the continuation of sexual assault programs. These programs suffered
significant fiscal losses in the previous year due to little or complete lack
of community funding and loss of grant source funding. This $225,000 supports
numerous services: 24-hour hotlines, victim counseling, support groups, and community
sexual violence education. This funding also allows advocates to accompany sexual
violence victims throughout the long process of receiving medical treatment and
navigating the legal system, as well as to help them through the difficult healing
process. Without this vital funding, North Carolinas local sexual assault
programs cannot provide necessary services and eventually, will cease to exist.
We cannot allow this to happen. The cost of preventing sexual violence is far
less than addressing its aftermath. In the United States, rape is the most costly
crime for its victims, totaling $127 billion a year. Costs include medical treatment
and counseling, the loss of earnings, pain, suffering and the loss of quality
of life. North Carolina must support the stable funding of new and existing sexual
assault programs.
Recommendations for Action
- The General Assembly should pass legislation
expanding current protective order language so that a victim can be granted a
protective order against any offender, regardless of whether or not the abuser
and victim has a personal relationship.
- The General Assembly should re-examine sex
offense crimes in North Carolina so that defense attorneys are more easily
able to convict offenders charged with a felony sex offense. Additional legislation
should be established making an intentional assault on another in a sexual manner
illegal.
- The General Assembly should continue to
be persistent in funding sexual assault programs throughout the state.
Resources
1. Access to Health Care
- Planned Parenthood of Central North Carolina (PPCNC)
Phone: (Administration) 919-929-5402, (Clinic) 919-942-7762
On the Web: http://plannedparenthood.org/ppcnc/
- NC Health Access Coalition
c/o NC Justice and Community Development Center
Phone: (919) 856-2568 On the Web: http://www.ncjustice.org/health/
2. Adolescent Pregnancy
- Adolescent Pregnancy Prevention Coalition of North
Carolina
Phone: (919) 932-9885 On the Web: www.appcnc.org
- Planned Parenthood of Central North Carolina, *Please
see above*
3. Aging
Triangle Chapter--Older Women's League (OWL)
Polly Williams, President Phone: 919-833-3805
4. Child Care
- Child Care Services Association
Phone: (919) 967-3272 On the Web: www.childcareservices.org
Phone: (919) 821-7999 On the Web: www.smartstart-nc.org
5. Civil Rights
Orange County Department of Human Rights and Relations
Phone: (919) 245- 2250 On the Web: http://www.co.orange.nc.us/hrr/index.htm
6. Clean Elections
Democracy South
Phone: 919-967-9942 On the Web: http://www.democracysouth.org/
7. Domestic Violence
North Carolina Coalition Against Domestic Violence
(NCCADV)
Phone: 919.956.9124 On the Web: http://nccadv.org/
8. Economic Self-Sufficiency
NC Justice Center
Phone: 919-856-2570 On the Web: http://www.ncjustice.org/
9. Educational Opportunity
American Association of University Women (AAUW)-
North Carolina
Phone: 1-800-320-3933 On the Web: http://www.rtpnet.org/aauwnc/
10. Housing
Low Income Housing Coalition, On the Web: http://www.nclihc.org/
11. Mental Health
Mental Health Association in NC, Inc. (MHA-NC)
Phone: 919-981-0740 On the Web: http://www.mha-nc.org/
12. Pay Equity and Living Wage
NC Justice Center, *Please see above*
13. Sexual Assault
North Carolina Coalition Against Sexual Assault
Phone: 919-431-0995 On the Web: www.nccasa.org/
http://rtpnet.org/aauwnc/02ncwu
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