Friedman Policy Corner: Massachusetts Bill Seeks to Ban School Lunch-Shaming

by Alana Davidson

The Massachusetts Law Reform Institute released a report this Spring on lunch shaming in Massachusetts schools. Lunch shaming is when children are denied a meal or given an alternative cold cheese sandwich because they cannot afford the food. Read more about this issue and what legislation has been put forward to address it!

“Denying children food and humiliating them because they are poor are not the values by which most residents of Massachusetts live. We can stop lunch shaming in Massachusetts and by doing so, continue to be the nation’s leader when it comes to education and child welfare.” – Patricia Baker, MLRI Senior Policy Analyst

In public schools across Massachusetts, children line up every day for lunch and fill their trays with healthy, nutritious food. Some children, however, may get to the front of the cafeteria line only to have their lunch tossed into the garbage in front of their friends, or have their hot meal swapped for a cold cheese sandwich because they don’t have enough money for food or have previously accumulated meal debt. A recent report from the Massachusetts Law Reform Institute (MLRI) examined meal debt policies across the state and found disturbing results. Schools prohibited students, and their siblings, with meal debt from participating in field trips, graduation and after school activities, and withheld report cards and grades. Even worse, schools referred families with school meal debt to the Department of Children and Families (DCF) or referred them to outside loan collection agencies that tend to have high interest rates and fees. These unacceptable “lunch-shaming” policies stigmatize low-income students and their families and leave children hungry and ashamed.

Why does “lunch-shaming” exist in U.S. schools? The National School Lunch Program (NSLP) provides free or reduced-price meals to children who participate in certain federal assistance programs, are homeless or in foster care, or have an income at or below 185% of the federal poverty line. However, some families that qualify for the program may not be enrolled and even those with an income too high to qualify may still struggle to afford food. Feeding America’s Map the Meal Gap found that 33% of food insecure people in Massachusetts have an income too high to qualify for federal assistance programs. The School Nutrition Association found in their nationwide 2016 survey that 76% of school districts had unpaid student meal debt and 38% of schools reported an increase in the number of free and reduced-price meal students who could not afford lunch.

In 2016 the USDA released rules that “no later than July 1, 2017, all SFAs [schools] operating NSLP and/or SBP [school breakfast] must have a written and clearly communicated meal charge policy in order to ensure a consistent and transparent approach to this issue.” However, MLRI’s recent report found that among schools examined 30% of elementary schools and 28% of secondary schools had no publically posted meal charge policies. Still more it was hard to find the policies that did exist, which were in student handbooks or school committee rules. Student handbooks can be hundreds of pages long. Schools need to post their meal charge policies in a place that is easy for families to find and access.

I filed this legislation because no child should be shamed for being hungry. Every child deserves access to a healthy, nutritious school lunch and this legislation will ensure that students in Massachusetts can access the meals they need to grow and learn.” – Senator Cynthia Stone Creem (D. Newton)

It is time for Massachusetts to join New Mexico, California, Oregon and Washington State in banning these shameful practices and ensure that every child in the state is provided a healthy, nutritious school meal regardless of ability to pay. Senator Creem and Representative Vargas hope to do just that with their new bill (S.2390/H.4422). This bill bans all of the following with regards to a child’s inability to pay for a meal or a previously incurred meal debt: throwing out a meal, publicly identifying a student, excluding a student and the student’s siblings from extracurricular activities and school events, withholding reports cards or grades, denying or delaying a reimbursable meal to a student, and charging families fees and costs beyond what is owed for the meal. It also requires that all communication about meal debt is conducted with the parents rather than the child, which is currently not the case.  It should not be the child’s responsibility to deal with this issue, and the DCF should not be notified due to meal debt alone. In addition, the bill works to maximize federal reimbursements and minimize meal debt by outlining how often schools must check and enroll students who directly qualify for NSLP (TANF, SNAP, Medicaid recipients; foster child, homeless, migrant). For the students with meal debt who do not directly qualify for NSLP, schools are required to send parents information regarding SNAP and a NSLP application.

Finally, the bill includes language that schools and/or districts with 40% or more economically disadvantaged students must elect into the community eligibility provision (CEP), with exemptions. This provision came out of the Obama Administration and allows schools where 40% or more of students directly qualify for NSLP to serve free breakfast and lunch to all students. To learn more about CEP, check out the Food Research & Action Center’s guide. Currently, there are many schools in Massachusetts that qualify for CEP but have not enrolled, including Amesbury Public Schools, Conservatory Lab Charter Schools, Fall River Public Schools and Lynn Public Schools. CEP can lead to higher federal reimbursements for schools, increase participation in NSLP, and reduce administrative costs.

The bill has received a committee extension order, meaning it has more time to be acted on by the committee before this session ends (e.g. reported out of committee favorably). There will be a hearing on the bill in May. Call your state legislators and tell them to ban school lunch shaming and to support this bill! You can find contact information for your state legislator here. No child should be denied a healthy, nutritious meal or stigmatized because he or she cannot afford it. Let’s ensure all children in Massachusetts have access to healthy, nutritious food in school so they can succeed today and into the future.

Alana Davidson is a first year MS candidate in the Food Policy and Applied Nutrition program and one of the founding members of FFPAC. For the last three years she has interned in the anti-hunger field at the Food Research and Action Center (FRAC), Share Our Strength, and End Hunger Connecticut!. Her research and advocacy have centered on domestic food insecurity and nutrition-related issues. Davidson also contributed to MLRI’s anti-lunch shaming report.

The Friedman Food Policy Action Council (FFPAC) is a student-run organization of the Friedman School of Nutrition Science and Policy at Tufts University. Our mission is to advance evidence-based nutrition and agricultural policies in support of public and environmental health, by equipping students with the skills and relationships necessary to impact policy through advocacy. For more information, or to join FFPAC, please contact friedmanfpac@gmail.com.

 

Friedman Policy Corner: A Call to Action for Aspiring Food Activists

by Ayten Salahi (MS/RD-FPAN) and Marielle Hampton (MS-AFE)

On February 5, the Friedman Food Policy Action Council (FFPAC) convened its inaugural meeting. Massachusetts Congressman Jim McGovern stopped by to offer words of wisdom, encouragement, and a call to action.

Congressman Jim McGovern offers words of wisdom at the inaugural meeting of new Tufts advocacy group, Friedman Food Policy Action Council.

Congressman Jim McGovern offers words of wisdom at the inaugural meeting of new Tufts advocacy group, Friedman Food Policy Action Council.

Congressman Jim McGovern surprised Tufts students with an impromptu visit at the first meeting of the newly formed Friedman Food Policy Action Council (FFPAC) on February 5, one week before the Trump administration announced its budget request for fiscal year 2019. Congressman McGovern, champion of anti-hunger causes and ranking member of the House Subcommittee on Nutrition, was visiting the school to discuss his recently launched bipartisan Food is Medicine Working Group in the House Hunger Caucus.

During the meeting, Congressman McGovern expressed his appreciation for the student initiative to get involved in advocacy, since “academia doesn’t always translate into activism.” When FFPAC founding member Ayten Salahi requested words of wisdom for students looking to get involved in political action, McGovern chuckled. “This is the toughest year you could have picked to get started, but that’s why it’s so incredibly important.”

He urged students to remember that people in government are supposed to be working for them. Even in the current political climate, he said, “pressure works.”

So how can students and citizens help? “Every elected official has one thing in common: they want to get re-elected. These issues are important enough that these people need to know if they’re not with you, you’re not with them. There has to be consequences… Nobody would tell you they’re pro-hunger, but judgment should be based on actions.

The Congressman then offered a crucial piece of advice that he adopts in his professional and personal life: Correct misinformation and provide facts.

Even in Congress, falsehoods are repeated regularly. He makes a point to correct the record, whether at a family dinner or among colleagues. “The average SNAP benefit is only about $1.40 per person per meal and the majority of people on SNAP are kids and senior citizens or disabled,” he explained. “The majority of beneficiaries who can work, work. The majority of people on SNAP are white, despite misconceptions. The USDA has been very effective at cracking down on SNAP fraud.”

Congressman McGovern’s guidance to hold our elected officials accountable may prove especially important for food and nutrition advocates this year, with changes to the Farm Bill slotted for congressional review in March.

On Monday, February 12th, the Trump administration announced its budget request for fiscal year 2019, which included a plan to cut 30% – $214 billion – from the SNAP budget over the course of 10 years. The proposed “cost-savings” would result from a major shake-up in the program’s benefit structure. Among the proposed changes, one has received significant publicity: Instead of receiving monthly funds loaded into EBT cards as is currently done, SNAP beneficiaries receiving $90 or more per month would receive half of their benefits in the form of a “USDA Foods Package,” packed with predetermined food items specifically chosen for their long shelf life. The package would include cereals, pastas, canned foods, peanut butter, and shelf-stable milk. Notably, no fresh fruits and vegetables would be included. No one has seen if or how these changes would be reflected in the 2018 Farm Bill.

While the administration calls the proposal a “cost-effective, Blue-Apron-style approach” with “no loss in food benefits to participants,” stakeholders are skeptical that the proposed “Harvest Box” is anything more than a distraction from work underway behind the scenes to slash federal funding for food assistance programs. Stacy Dean, vice president for food assistance policy at the Center on Budget and Policy Priorities says, “I don’t think there’s really any support for their box plan. And, I worry that it’s a distraction from the budget’s proposal to cut SNAP by some 30 percent. That’s the real battle. But all anyone is talking about today are the boxes.” Ranking democrat on the agricultural committee Senator Debbie Stabenow also cautions that this “isn’t a serious proposal and is clearly meant to be a distraction.” Shortly following the release of the budget proposal, administration officials admitted that the food box plan had “virtually no chance of being implemented anytime soon,” rousing further suspicion around the administration’s motives in publicizing it so widely.

During his visit with FFPAC, Congressman McGovern expressed similar concerns, and emphasized how important it is that food policy activists and SNAP beneficiaries alike demand transparency from members of the House Committee on Agriculture on the drafting of the 2018 Farm Bill. Despite his role as Democratic ranking member of the House Subcommittee on Nutrition, Congressman McGovern shared that neither he nor his Republican counterpart has seen a single sentence of the updated Farm Bill, now under review with the Congressional Budget Office (CBO). He cautioned this lack of transparency around the latest draft as “a sign that someone is hiding something.”

Though it remains to be seen, the bill is anticipated to reflect significant reductions in the federal SNAP budget, which will have a direct and jarring impact on the sustenance and economic freedom of nearly 46 million low-income Americans who depend on the program to nourish both themselves and their families.

In his closing remarks, Congressman McGovern issued a call to action for us at Friedman – and for all those invested in the protection of health equity, food security, and social welfare – to call our representatives, and to demand transparency around the content of the latest Farm Bill, and when it will be made available for review. In the coming months, FFPAC pledges to maintain a finger on the pulse of the upcoming Farm Bill and rally advocates to hold representatives accountable for votes that jeopardize SNAP program benefits.

Friedman Food Policy Action Council (FFPAC) is a student-run organization of the Friedman School of Nutrition Science and Policy at Tufts University. Our mission is to advance evidence-based nutrition and agricultural policies in support of public and environmental health, by equipping students with the skills and relationships necessary to impact policy through advocacy. For more information, or to join FFPAC, please contact friedmanfpac@gmail.com

Ayten Salahi is a first-year FPAN MS/RD candidate, co-founder of FFPAC, and is dedicated to the future of policy, programming, and clinical practice in sustainable diets and nutrition equity. Ayten came to Friedman after working as a molecular and clinical researcher in neuropharmacology and diabetes management for nearly 8 years.

Marielle Hampton is a first-year MS candidate in the Agriculture, Food, and Environment program and a co-founder of FFPAC. Marielle began her studies at Friedman after spending five years working with small farmers on Hawai‘i Island.

Friedman Policy Corner: Advocate for Sound Nutrition and Agricultural Policy This Spring … and Then Run for Office!

by Alana Davidson

This spring is the end of the 2017-2018 legislative session in the Massachusetts State House. Read about what this means in terms of advocacy and learn about Friedman’s new student-run organization, the Friedman Food Policy Action Council. Finally, consider if a life in public service is right for you and whether you should run for office!

 

It’s a new year and this spring marks the end of the 2017-2018 legislative session at the Massachusetts State House. State legislators have until February 7th, 2018 to rule on all bills in committee, unless they request an extension. That means legislators decide if a bill “ought to pass”, “ought not to pass” or “study order.” Bills that ought to pass continue on through the legislative process and are considered favorable. A study order means the bill needs to be reviewed further, but most bills that are marked this and bills ruled “ought not to pass” die in committee. Then, legislators have until July 31st, 2018 to pass any bills and get them signed into law by the Governor. These next six months are a crucial time for agriculture, food, and nutrition advocates to make their voices heard. There are currently 208 bills in the Joint Committee on Environment, Natural Resources, and Agriculture, and over 6,000 bills filed in total. Many of these bills will not proceed forward and several bills have already passed out of committee. To explore the current bills, visit: https://malegislature.gov/Bills/Search.

 

Examples of bills to follow over the next six months:

S.442 An Act Promoting Agriculture in the Commonwealth

This bill establishes two funds: an Agricultural Resolve and Security Fund and a Massachusetts Veterans and Warriors to Agriculture Program Fund. The second fund will be used to provide competitive grants and loans to educate, train, and retain veterans working in the agriculture sector across the state of Massachusetts.

H.4050 An Act to Promote the Care and Wellbeing of Livestock

This bill establishes a 13 member Livestock Care and Standards Board, that would include a member from the Cummings’ School of Veterinary Medicine at Tufts University. The board would advise the Commissioner of the Department of Agricultural Resources on humane treatment of animal livestock, including cattle, swine, and poultry. Based on the recommendations the Commissioner can issue any new regulations or voluntary guidance pertaining to the treatment of livestock. This may include comfort of animals, animal health, safety, and the financial impact on farms.

H.2131 An Act Relative to an Agricultural Healthy Incentives Program

This bill establishes a Massachusetts Healthy Incentives Fund administered by the Department of Transitional Assistance and the Department of Agricultural Resources. Through this fund, for every $1 of SNAP spent on fruits and vegetables a person will receive a matching dollar benefit redeemed on their SNAP EBT card.

 

With the current political climate, it is now more important than ever to make your voice heard. What are some ways you can do that this spring? Join Friedman’s new student run organization, the Friedman Food Policy Action Council (FFPAC). This organization is seeking to unite Friedman students interested in policy, advocacy, and research to develop skills in lobbying by investigating current legislative issues at the state and federal level, and advocating in support of sound nutrition and agricultural policies. The group will be meeting bimonthly on Mondays at noon and our first official meeting is February 5th, 2018. If you decide to join FFPAC, you will gain experience writing and publishing op-eds, calling and meeting with legislatures, and working with other advocacy organization across Massachusetts and the country. FFPAC will also be hosting bimonthly Policy Chats in partnership with Professor Jerry Mande this spring to discuss current food and nutrition policy issues. The next policy chats will be February 7th and February 21st 2018.

The only way we are going to make evidence-based nutrition and agricultural policies top priorities at the national and state levels is by having conversations with elected officials and by running for office ourselves. If this past year has inspired you or the recent marches have prompted you to think about your future, consider going into public service. If statements from our elected leaders that it’s time to end the SNAP program angers you, go knock on doors and make calls for candidates who will support these programs. If you are tired of hearing about “fake news” and “alternative facts,” speak out in support of science. As students at a policy-focused school, we gain the skills and knowledge to read and analyze policies. We each must ask ourselves, “If I was an elected official, what proposals would I put forward? What change would I want to see?” We are at a pivotal moment in our country’s history. At the federal level, we have welfare reform and the Farm Bill to look forward to within the next year, while at the same time school meal regulations are being rolled back by the USDA and the Secretary of Agriculture says the SNAP program needs more “state flexibility.” We have to decide what kind of world we want to live in: one in which the government helps provide food to those who cannot afford it, or one that leaves it to charity? One in which consolidated large corporations control the entire food system, from what seeds are planted to what products get the best placement on supermarkets shelves? We as agriculture, food, and nutrition policy students have a unique training that can enable us to be effective change makers in food systems and food justice work.

So to my colleagues, consider this your first ask to run for office! No matter if you start small by joining FFPAC or calling an elected official, or go large by volunteering on a campaign or running for office, there are numerous ways you can make a difference this year. So let’s roll up our sleeves, get to work, and make our voices heard.

 

Alana Davidson is a first year MS candidate in the Food Policy and Applied Nutrition program and one of the founding members of FFPAC. For the last three years she has interned in the anti-hunger field at the Food Research and Action Center (FRAC), Share Our Strength, and End Hunger Connecticut!. Her research and advocacy have centered on domestic food insecurity and nutrition-related issues.

 

 

 

A Statement of Support to our Colleagues at the Fletcher School

by The Friedman Justice League

The Friedman Justice League responds to Anthony Scaramucci’s resignation from the Advisory Board at the Fletcher School of Law and Diplomacy on November 28, 2017. “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.” – Margaret Mead

By Jdarsie11 (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)], via Wikimedia Commons

By Jdarsie11 (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)%5D, via Wikimedia Commons

The Friedman Justice League, with support from the Friedman Sprout, is writing to state its solidarity with the students at the Fletcher School of Law and Diplomacy who bravely spoke out when they felt that a member of the Fletcher Advisory Board was not upholding the school’s core values. As a student organization, The Friedman Justice League is committed to finding ways to allow the Friedman community to better address issues of discrimination and oppression in its teachings, research, and programs. We believe the actions taken by fellow students at the Fletcher school reflect this same mission, and for that we affirm our support.

On November 28, financier and former White House Communications Director Anthony Scaramucci resigned from the Fletcher School’s Advisory Board after students and faculty rightly called attention to the discrepancy between his unethical behavior and the values befitting a Fletcher School board member. Earlier in November, Camilo Caballero, a graduate student at Fletcher, wrote an op-ed calling for Scaramucci’s removal from the board, following a petition by fellow student Carter Banker to remove Scaramucci from the board. In the op-ed, he described Scaramucci as an “irresponsible, inconsistent and unethical opportunist,” questioning his position on the Advisory board. They feared that the university was foregoing the long-term benefit of upholding its core values for the short-term benefit of monetary gain. Clearly, the actions Scaramucci took towards Caballero–to threaten a lawsuit because of our fellow student’s opinion–illustrate that his values may no longer align with those of the school, and thus he was no longer fit to continue serving on the board.

Our colleagues at the Fletcher school held themselves accountable for creating the change they wished to see within their institution. Rather than resigning themselves to defeat, they took action when they perceived an injustice. They took action when they perceived that “the power of money [was] taking precedent over the power of values.” We stand in solidarity with the brave steps taken by Camilo Caballero and Carter Banker.

We recognize that our Fletcher colleagues Caballero, Banker, and the editors and staff at The Tufts Daily published their articles at great personal risk to themselves, and we applaud them for doing so. In a statement on behalf of the Friedman Sprout, current co-editor Kathleen Nay says,Though we hope our writers would never feel intimidated or harassed into silence by outside forces, the Friedman Sprout upholds its commitment to empowering students’ voices, especially when challenging injustices in our school’s administration and in our food system more broadly.”

In keeping with the University’s vision “to be an innovative university of creative scholars…who have a profound impact on one another and the world,” we should be proud of our Fletcher colleagues for demonstrating the power of democratic free speech, civic engagement, and commitment to values over financial gain. We hope that should an occasion ever arise, the community at the Friedman School would respond with the same amount of conviction and integrity these students exemplified. The Friedman School prides itself in generating trusted science, educating future leaders, and creating a positive impact in the world of food and nutrition. We know that this is only truly possible if we have trusted experts and citizens at the helm guiding it in the right direction. Anything short of this would place the credibility of Friedman, and by extension the science and policy its research generates, at risk.

Moving forward, we also believe it is in the best interest of the university to develop a process for removing board members that are no longer fit to advise our school. Executive Director of Public Relations Patrick Collins noted that there is no known precedent for removing an advisor from a board; they have only resigned when new positions create conflicts of interest. Although in this case Scaramucci resigned, we believe that no person should take being placed in such an honorable position for granted, and that as representatives of our institution they should be held to the highest standards of morality both within and outside of board meetings. We hope that the administration will take action to ensure that only those who continue to uphold the university’s values continue to have the privilege of a seat on the Board of Advisors.

With the brave voices of a few, our colleagues at the Fletcher school made national waves and created an impact that we believe makes Tufts University a more just and ethically consistent institution. We reaffirm our support of the actions of our fellow students. They inspire us at Friedman to remember to be vigilant, to speak up, and to never underestimate the power of your own voice.

In solidarity,

The Friedman Justice League
Alejandra Cabrera, NICBC 18
Tessa Salzman, AFE/UEP 18
Julie Kurtz, AFE/MPH 18
Casey Leger, NICBC 18
Yvonne Socolar, AFE 18
Kristin Sukys, AFE 18
John VanderHeide, AFE/UEP 18
Kirsten Archer, FPAN/MPH 17
Kathleen Nay, AFE/UEP 18
Eliza Hallett, NICBC 19
Alyssa Melendez, AFE 19
Hannah Meier, NutComm 18
Michelle Darian, NICBC/MPH 19
Megan Maisano, NICBC 18
Sara Scinto, NICBC 18
Jennifer Oslund, FPAN 19
Sabrina Kerin, AFE, 19
Jennifer Pustz, NICBC/MPH 19
Leah Powley, AFE 18
Michelle Rossi, NICBC/MPH 18
Hattie Brown, FPAN 19
Ryan Nebeker, AFE 19
Eliot Martin, FPAN 19
Maria Wrabel, FPAN, 18
Katherine Rancaño, NEPI 17/NICBC 20
Rachel Baer, NICBC 18
Madeline Bennett, FPAN 17
Alana Davidson, FPAN 19
Simon Ye, BMN 17/20
Jessica Manly, AFE 18
Caitlin Matthews, AFE/UEP 17
Amy Byrne, AFE/MPH 19
Ayten Salahi, FPAN/DPD 20
Theodore Fitopoulos, FPAN 18
Kimberly Lagasse, NICBC 18
Rachel Hoh, AFE/ UEP 19
Molly Knudsen, NICBC 19
Victoria Chase, AFE 18
Caitlin Bailey, NICBC 19
Sarah Chang, AFE/MPH 16
Suzanne Kline, FPAN 19
Carla Curle, AFE 16
Hannah Packman, AFE 16
Dianna Bartone, FPAN/MPH 17
Elisabeth Learned, NICBC 19
Bridget Gayer, FPAN/MPH 18
Abel Sandoval, NICBC 18
Rebecca Cohen, BMN 19
Nayla Bezares, AFE 19
Sabina C Robillard, FPAN 17
Laura Gallagher, AFE 19
Natalie Kaner, AFE 18
Lindsay Margolis, NICBC 17
Tori Wong, AFE 18
Megan Lehnerd, N14/PhD 18
Laura Walsh, NICBC 19
Alison Brown, FPAN 17
Marielle Hampton, AFE 19
Christine Sinclair, NICBC 19
Rebecca Boehm, AFE 12/17
Johanna Andrews Trevino, FPAN 18

How Nutrition in MassCare May Put The ‘Health’ Back in ‘Universal Health Coverage’

by Ayten Salahi & Hattie Brown

Including local incentives for food equity and nutritional status may boost momentum and potential of the MA Right to Health movement. Members of budding student group – the Friedman Food Policy Action Council (FFPAC) – met with Massachusetts State Senator Jamie Eldridge to discuss the need to include nutrition in a proposed cost analysis of a single payer health system (S.2202).

Pictured left to right: Ayten Salahi (MS/RD Candidate), Kurt Hager (MS/MPH Candidate), Senator Jamie Eldridge, Alana Davidson (MS Candidate). 22 NOV 2017

In thousands of American households, the prohibitive cost of healthcare has forced families into an impossible position: choose between financial ruin or the health decline and possible death of a loved one. In Massachusetts, this bleak reality has motivated both the state legislature and its constituents to revive a movement in favor of a single payer healthcare system. However, the degree to which nutrition interventions and food access will be covered in the proposed model remains largely unknown.

The central tenet of a single payer scheme under universal health coverage (UHC) is that health care is a human right. The proposed legislation in Massachusetts seeks to offer and protect healthcare for all residents through a publicly-financed program that provides comprehensive care and coverage under a single insurance plan. The single payer public option would serve as an alternative to employer-sponsored healthcare, in which premiums are paid through payroll deductions, coupled with co-pays and out-of-pocket deductibles. For middle- and lower-income beneficiaries, a single payer system means lower cost for better access to care.

In Massachusetts, the single-payer campaign has reached unprecedented support with 120 co-signers under a 2017 proposal colloquially called MassCare (H. 2987, S. 619). Though neither of the proposed legislation were passed this year, an amended bill (S. 2202) was passed with overwhelming support by the state Senate on November 10 by a 33-6 vote (all six Republicans in the chamber being against). S.2202 authorizes a cost analysis of a state-wide single payer system, and will be reviewed by the House in early 2018.

While MassCare holds promising potential to reduce healthcare spending for both the state and per capita, the proposed legislation does not explicitly or implicitly include nutrition interventions as a line item for consideration in the single payer costing analysis. Historically, UHC policy-makers have deemed nutrition-related services as non-essential, and therefore not covered by insurance. The World Bank refutes this trend, and reports that to accelerate progress towards affordability and access of care requires a “fundamental rethinking of how to keep people healthy.” The recommendations go on to cite regulatory measures targeted to improve diet-related behavior as seminal to the public health agenda. Just last year, the International Food Policy Research Institute (IFRI) further urged policy-makers to include access to adequate nutrients as an essential service in all UHC programs.

To learn more about how nutrition might fit into the proposed single payer costing analysis, three members of the nascent, student-run Friedman Food Policy Action Council (FFPAC) took to the Massachusetts State House in late November to meet with single payer champion and state Senator Jamie Eldridge. FFPAC emphasized that, as Massachusetts prepares to analyze the cost effectiveness of single payer models as outlined in S.2202, additional resources should be allocated to determine the efficacy of funding nutrition therapy programs within the model. To achieve this, FFPAC proposed that the MA single payer costing analysis include: 1) medical nutrition therapy coverage for patients with, or at risk for, hypertension, obesity and cardiovascular disease (CVD); 2) enteral nutrition coverage as outlined in MassHealth; 3) food insecurity screenings for all patients; and 4) tailored food prescriptions for low-income patients.

State Senator Jamie Eldridge, lead Senate sponsor of An Act Establishing Medicare For All in Massachusetts, said, “I was excited to meet with graduate students from the Friedman School of Nutrition, to discuss how preventative health, including nutrition interventions, would be a key component of single payer healthcare, and would help reduce healthcare costs in Massachusetts.”

As the proposed bill continues to undergo revision and review into 2018, FFPAC will continue to advocate that Massachusetts – home of the healthcare law that led to the Affordable Care Act –should again lead by investing in nutritional therapy programs in a single payer model as a method to improve the health of its citizens, lower healthcare costs, and lower the tax burdens of its residents.

The Friedman Food Policy Action Council (FFPAC) is a developing student-run organization of the Friedman School of Nutrition Science and Policy at Tufts University. The group will be formally established in December 2017, with a mission to advance evidence-based nutrition and agricultural policies in support of public and environmental health, by equipping students with the skills and relationships necessary to impact policy through advocacy. FFPAC will host its general interest meeting in the early 2018. For further information, please contact friedmanfpac@googlegroups.com. Stay tuned for opportunities to join us and amplify the voice of food advocates in 2018!

Ayten Salahi is a first-year FPAN MS/RD candidate, co-founder of the FFPAC, and is dedicated to the future of policy, programming, and clinical practice in sustainable diets. Ayten came to Friedman after working as a molecular and clinical researcher in neuropharmacology and diabetes management for nearly 8 years.

Hattie Brown is an MS candidate in the FPAN program, and a co-founder of FFPAC. Her interests at Friedman are in the economic implications of food systems, with a focus on the intersection of sustainable agriculture and access to nutritious food. Before coming to Friedman, Hattie worked as a researcher in various capacities, including legal, for a public finance firm, and clinical, for a study analyzing phytochemical compounds in cocoa and their impacts on satiety.

 

 

Friedman Policy Corner: Massachusetts’s First Farm to School Awareness Day at the State Capitol

by Alana Davidson

October is National Farm to School Month. To celebrate, Massachusetts Farm to School hosted the first Farm to School Awareness Day at the state Capitol on October 26th. Alana Davidson recounts what happened at the event, and details current legislation that is being considered on Farm to School and ways to get involved and support strong Farm to School programs.  

Dozens of students, advocates, and government officials flocked to the state Capitol on October 26th for the first Farm to School Awareness Day, as part of National Farm to School Month. The Healthy, Hunger-Free Kids Act of 2010 spurred the creation of Farm to School programs to provide grants and technical assistance to schools so they can provide more locally grown food in school meals. This State House event reflected on the progress Massachusetts has made in expanding Farm to School programs, as well as what more needs to be done.

The speakers at the event ranged from United States Department of Agriculture (USDA) officials to state senators. The USDA’s Farm to School Director, Erin Healy, spoke about the importance of these programs, and how the USDA 2015 Census of Farm to School found that 68% of Massachusetts’ school districts participated in these activities. That is 828 schools and 422,072 students! Rob Leshin, Director of Food and Nutrition Programs at the Massachusetts Department of Education, added that Farm to School programs have led to the investment of over $10 million in local foods. The locally grown food is not just being used in school lunch, but also in school breakfast, summer meals, and afterschool snack programs. Leshin also described how some schools are including local seafood in school meals. During lunchtime students get to eat Tilapia, the “Catch of the Day” that was caught that morning. Students learn about local fishermen and where and how their seafood is caught. The chairs of the Joint Committee on Environment, Natural Resources, and Agriculture, Senator Gobi and Congressman Pignatelli, also spoke. They expressed their support for Farm to School programs and recognized the importance of connecting local farmers with students and school meals. Having the support of the chairs is important because they can influence what bills ought to pass out of committee and what amendments are accepted or rejected. Also, if the House and Senate pass different bills, the chair is in charge of the committee that combines the two bills into one final version.

Photo: Alana Davidson. Rob Leshin Speaking

There is currently one bill in the Massachusetts congress that affects Farm to School programs (An Act Relative to Healthy Eating in School Cafeterias, H.3549). The bill includes a three-year grant program to fund kitchen upgrades for one school each year, with the goal of improving fresh food accommodation and storage. Additionally, a four-year pilot grant program will provide funds to multiple schools to increase their supplies of locally grown foods in school meals, and improve student education and engagement around healthy eating. Finally, the bill establishes a School Interagency Task Force that will aim to increase the sustainability of Farm to School programs in Massachusetts, and provide guidance for the four-year grant. This bill has been introduced in the Joint Committee on Education and has had one hearing thus far on July 18th. Next, the bill is “reported out of committee”, which means committee members must decide if the bill ought to pass or not. They have until the third Wednesday of March 2018 to do this. If they decide it ought to pass the bill can then be debated and amendments added before the full House and Senate vote it on.

Farm to School programs help increase students’ access to healthy, nutritious food in schools. They also stimulate local economies by directing money to local farms and fisheries. These programs can be expanded by providing more funding to schools to increase educational activities, improve kitchen equipment, and strengthen local food systems through greater procurement policies with local farms.

If you are a supporter of these programs, contact your state members of Congress and tell them to support H.3549 and strong Farm to School programs! To find your legislator, visit: https://malegislature.gov/Search/FindMyLegislator. Also, tell your legislators to maintain the current funding for Farm to School programs ($120,000) in the fiscal year 2019 Massachusetts’s Budget!

If you do not live in Massachusetts, or are interested in federal policy (as opposed to state policy) – the Farm to School Act of 2017 is currently in committee in the House and Senate. This bill increases mandatory funding for the program from $5 million to $15 million due to increased demand. Tell your federal members of Congress to support this bill and strong Farm to School programs! To find your members, call the U.S. Capitol switchboard at 202-224-3121.

 

Alana Davidson is a first year MS candidate in the Food Policy and Applied Nutrition program. For the last three years she has interned in the anti-hunger field at the Food Research and Action Center (FRAC), Share Our Strength, and End Hunger Connecticut!. Her research and advocacy have centered on domestic food insecurity and nutrition issues.

 

Do We Need More Business, or Better Business, to Feed a Growing Population?

by Rebecca Lucas and Emmy Moore

To create a world that can feed 9 billion people by 2030 while providing clean water access, ensuring equal access to education across gender, and supporting renewable and safe energy, do we need to establish new and profitable business models? Or do we simply need to adjust business as usual?

A giant social experiment took place in August. One thousand people from 129 countries. Ten days. Nine Danish folk high schools. All to formulate solutions to address the United Nation’s seventeen Sustainable Development Goals (SDGs), that had been condensed to seven major themes: food, energy, water, sustainable production and consumption, education and information and communications technology (ICT), urban sustainability, and health.  After a week, 199 pitches of innovative solutions had been created by groups of people who had only just met at the start of the experiment.

UNLEASH is a global innovation lab, created with the intention of bringing together “talents,” aged 20-35, from all over the world to innovate on the UN’s SDGs and develop new businesses, new ideas, and new ways to achieve these objectives. The long term goal is to continue this program every year until 2030, banking on the probability that at least a few new and creative solutions will successfully emerge. Six individuals from the Friedman School were selected to be part of this inaugural year; while at times it was clear we were guinea pigs with similar frustrations, we were also immersed in an entirely unique and novel experience.

The setting is Denmark: known for clean design, universal health care, paid parental leave, and above all, a high per capita income. This makes for an interesting contrast when working on problems that are facing the world as a whole, yet many that disproportionately impact developing countries.

The first few days all 1,000 of us gathered in dichotomous venues; post-industrial sites, like locomotive storage, and prospects of the future, like Copenhagen City Hall. We were showered with inspirational words from a variety of sectors within Denmark, meant to invigorate us with direction of technology and what is possible today that was not ten years ago. But many of us were left wondering what these futuristic notions had to do with the issues we were at UNLEASH to tackle today.

After two days of corralling 1,000 millennials around Copenhagen, we were divided into our SDG themes and shipped to folk high schools. The Danish Folk High School feels like an adult summer camp but is so much more: individuals who want to learn anything left out of standard school settings, including banjo playing or poetry, can attend throughout their life for different lengths of time. Ry Folkskole, where half of the food-theme group resided, was on a lake and focused on music, theatre, and canoeing. It had a principal who told us the mission was to remind its students that there is more to life than business—there is life. An interesting juxtaposition when we were there with the objective of intensively creating business proposals.

After a morning assembly of singing and three rounds of problem framing on the first day at the high schools, we were divided into our teams that would ultimately produce the final pitch, loosely based on 20 “insights” that had been distilled from each participant’s application.

This was where the social experiment almost felt absurd at times: thrown together with people we had just met, we were meant to come up with a business plan on a clearly defined, singular problem with an explainable and innovative solution in less than four days. This process of problem framing with elegant solutions did not fit neatly with the SDGs and broader issues many of us initially gathered at UNLEASH to grapple with.

Sustainable Development Goal number two: end hunger, achieve food security and improved nutrition, and promote sustainable agriculture. It is a grand goal and for many reasons it can seem unachievable. Yet here we were, meant to come up with some thing, some product, some idea that was pitch-able to investors. So, the question kept surfacing: is what we need to achieve zero hunger something that is pitch-able? Is what we need to feed nine billion people by 2030 something that can make a profit? Is focusing on the creation of new apps what will address inequity of food access currently? Is the future of sustainability as discussed in this context applicable to the rest of the world?

Perhaps what is needed to address global hunger and improve food security is a paradigm shift, a major change in the way we view development and how development actually lands on the ground, plants its roots, and continues to grow. This isn’t innovative and yet it may just be something that could work if pursued on this type of platform, with these 1,000 people involved who are excited and ready.

The only problem is; this isn’t necessarily a business proposition. We couldn’t exactly prototype a development model with Legos and pitch it to investors and experts present on our panel of judges. Is UNLEASH’s answer to the SDGs the creation of more start-ups? Or is the answer just doing what we do now, but doing it better? Can it be both? Maybe we can innovate by renovating our existing business models to incorporate the objectives and indicators of the SDGs while also creating new business.

The goal of UNLEASH was not to achieve a paradigm shift in ten days. It aimed to build connections and support future projects and collaboration. The event introduced people from 129 countries to each other and reminded us that we have a shared desire. To gather 1,000 people together who want to make this world a little bit better has much larger implications and reverberations than any business pitch could generate. The paradigm shift is coming.

You can read more about some of the solutions that won prizes here.

Emmy Moore is a second year MS candidate in the Agriculture, Food, & Environment program. Her academic interests include agriculture policy, water resource management, and systems modeling. She likes playing with her cat Pin and road trips. Before joining Friedman she ran a business in California making pickles and jams.

Rebecca Lucas is a second year Agriculture Food & Environment/Urban & Environmental Policy & Planning dual degree student and changes her mind monthly as to her primary focus while in graduate school. Right now it’s all about community engagement and farm to institution work. Hailing originally from the central coast of California, she is still trying to understand how life still functions when it snows and the difference between a “winter” coat and just a coat.