Episodios

  • E239: National report on where the grocery stores are missing

    E239: National report on where the grocery stores are missing
    Jul 16 2024
    Today we're talking about who has access to full-service supermarkets in America's cities, suburbs, small towns and rural communities. According to The Reinvestment Fund's "2023 Limited Supermarket Access Analysis Report," 8.5% of people in the US live in areas with limited access to full-service supermarkets. This means that families must travel further to get fresh foods, and it creates a barrier to adequate nutrition. This is the 10th year The Reinvestment Fund has published the "Supermarket Access Report," which provides data and context about grocery store access across the country. Here to discuss the latest figures is policy and analyst Michael Norton. Interview Summary This is a really interesting and kind of nuanced topic, so I'm happy we can talk about it in some detail. Why don't we just start off with kind of a broad question. What do we know now about areas of limited supermarket access in the US? Kelly, I think the big thing to take away at the very beginning is that the share of people living in places that would be considered low access is roughly the same as it's been over the past 10 years. We have about 8.5% of the population living in low-access areas across the country. That's pretty consistent to what it's been for over a decade. But what's important is that how low-access areas are distributed across the country varies quite a bit. And where they exist, the density of the populations where they exist, really informs the kinds of interventions that are available for addressing these needs. These vary considerably in different parts of the country and at different geographic scales. And what I mean by that is suburban areas, rural areas, and then some of the most remote areas across the country. So we do have a sort of consistent number or share of people. The actual number has gone up a little bit because the population has continued to increase. They become distributed in different ways that follow different kinds of development patterns, on the one hand. But then also places where you end up getting patterns of residential and racial segregation in more developed parts of the country. It's so interesting. So, given that the average has stayed essentially the same over the 10 years you've been doing the reports, have there been pressures pulling in either direction that might have changed over the years? So, for example, are there pressures that are making access to full-service supermarkets less likely? Are they pulling out of some places, for example? And might that offset by some positive developments in other areas? So, while the average stays the same, the contours look different? I think the way to think about that is that we see a lot of expansion of low-access areas in the big metro areas that are expanding the fastest. So, the biggest increases in populations living with limited access are in big state in the South and out west in places like Arizona, Nevada, Texas, where you have these large metros that are growing at a really rapid rate. And the reason for that is that oftentimes residential development will show up before commercial development. So, in those kinds of places, food retail is trailing behind residential development. And probably those places are going to be well served by the time we update this analysis again in four or five years because of what those development patterns look like, right? So, when you're building more houses in more urban and remote areas, there's still folks who are first in buying out in those places. They're still going to have to go a long way to get their groceries for a few years until supermarket identifies this as a place where there's going to be enough demand for us to put one of our Krogers or Targets or Walmarts or what have you. But we've also seen, and this is more common in urban places, is the expansion of these low-access areas that have smaller populations, right? And so these are places with between 1,000 and 5,000 residents where folks are still having to go disproportionately far to get access to a full-service grocery store. Sometimes this is because stores have pulled out in these places because of limited demand, historically. And that limited demand is mostly because folks don't have as much income to spend on their groceries, right? And we see these little areas popping up within metro areas and even in some close-in suburbs and places across the country. And so you have sort of these bigger LSA areas, which have at least 5,000 residents on the outer edges of a lot of metros and in some within the cities, but mostly within the cities. It's these smaller, limited access, low population areas. And this differentiation of the type of low-access area is something that we introduced in this update to our analysis that previously wasn't available. It provided a really nice nuance to understanding what limited access to supermarkets looks like going forward, both within urban places, suburban places, and in...
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    18 m
  • E238: Celebrating the Successes of the Alliance for a Health Generation

    E238: Celebrating the Successes of the Alliance for a Health Generation
    Jun 27 2024
    Nonprofit organizations can play a very important role in building healthy communities by providing services that contribute to community stability, social mobility, public policy, and decision-making. Today we're speaking with Kathy Higgins, CEO of the Alliance for Healthier Generation. The Alliance is a nonprofit organization, a well-known one at that, that promotes healthy environments so that young people can achieve lifelong good health. Interview Summary Kathy, it's really wonderful to reconnect that you and I interacted some when you were in North Carolina and head of the Blue Cross and Blue Shield of North Carolina Foundation, and then you got called upon to be the CEO of the Alliance, a really interesting position. It's really wonderful to be able to talk to you again. Let's start maybe with a little bit of the history of the Alliance for a Healthier Generation. Can you tell us a bit about how it got started and over the years, how it's evolved? We've existed for almost 19 years now. We celebrate our 20-year anniversary next year. And we were started by two vital public health forces: the Clinton Foundation and President Clinton and also the American Heart Association. They came together 20 years ago and began discussing childhood obesity and what could a leading public health organization do to really work in systems change across the country at a local level. It is those two organizations that we look to as our founders and who helped us advance our work. It's a time flies story because it seems like just yesterday that the Alliance was created. There was a lot of excitement at the time for it, and over the work. It's done some really interesting things. So, in today's iteration of the Alliance, what are some of the main areas of focus? As I mentioned, we are a systems change organization. What we do is take a continuous improvement approach to advancing children's health. So, we are working typically in schools or after school time and certainly in communities to work on policy and practice change that are about promoting physical activity and healthy eating. And then addressing critical child health and adolescent health issues, which as we know, were exacerbated with the pandemic. Things like food access and social connectedness are just so important. Quality sleep, which our children are not getting enough of, or other things like vaping and tobacco sensation and on time vaccinations. Another thing that we know is that the pandemic had a dramatic impact on families and children on time vaccinations. So, this is the work that we do and working with the policy and practice change so that there there can be opportunity for healthy environments for the children. I think most everybody would probably agree that the targets that you're working on, healthy diet, physical activity, smoking, vaping habits and things like that are really important. But people might be a little less familiar with what you mean by addressing systems. Could you give some examples of what you mean by that? Right. What we know is that in United States, in fact, every public school must have a wellness policy and areas that need to be addressed. But what we'll do is work with the school in making sure that those policies are best suited for the families, the community, and the school, and what they want to do to support the health of children from a collaborative and supportive role. What we know is that we can create great change when that occurs. We work with more than 56,000 schools across the United States, and one of the things that we know is that our approach is really reflected in the America's Healthiest Schools recognition program each year. It's interesting to hear you talk about schools as an example of system change. And boy, working with 56,000 schools is pretty darn impressive. And it allows for out-sized influence of an organization like yours because if you can affect things like these school wellness policies and that gets multiplied across a ton of schools, it can really affect a lot of children. Exactly. We will work school to school, but we also work in districts and that allows us then to make even a bigger impact in the number of schools that we're reaching with these changes. It also brings the community together because then they're all operating under the same principles or the same focus areas of the work that they're committed to doing. What we do see is that we're able to assist them in implementing what are typically best practices in all sorts of topic areas. Whether it's strengthening the social emotional health and learning environment for the children, but also focusing on staff wellness. The whole notion, Kelly, of putting your oxygen mask on first before assisting others is something that has been incredibly important to us. We've certainly been very supported to do that work from a variety of funders. The other area that we've been able to make great strides in is this ...
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    18 m
  • E237: Agriculture impacts climate change more than you think

    E237: Agriculture impacts climate change more than you think
    May 24 2024
    Is it possible to decarbonize agriculture and make the food system more resilient to climate change? Today, I'm speaking with agricultural policy expert Peter Lehner about his climate neutral agriculture ideas and the science, law and policy needed to achieve these ambitious goals. Lehner is an environmental lawyer at Earthjustice and directs the organization's Sustainable Food and Farming Program. Transcript How does agriculture impact the climate? And I guess as important as that question is why don't more people know about this? It's unfortunate that more people don't know about it because Congress and other policy makers only really respond to public pressure. And there isn't enough public pressure now to address agriculture's contribution to climate change. Where does it come from? Most people think about climate change as a result of burning fossil fuels, coal and oil, and the release of carbon dioxide. And there's some of that in agriculture. Think about tractors and ventilation fans and electricity used for pumps for irrigation. But most of agriculture's contribution to climate change comes from other processes that are not in the fossil fuel or the power sector. Where are those? The first is nitrous oxide. Nitrous oxide is a greenhouse gas about 300 times more potent than carbon dioxide. And it comes because most farmers around the world and in the U.S. put about twice as much nitrogen fertilizer on their crops, on the land, as the plants can absorb. That extra nitrogen goes somewhere. Some of it goes off into the water. I'm sure your listeners have heard about harmful algae outbreaks or eutrophication of areas like the Chesapeake Bay and other bays where you just get too many nutrients and too much algae and very sick ecosystem. A lot of that nitrogen, though, also goes into the atmosphere as nitrous oxide. About 80% of nitrous oxide emissions in the U.S. come from agriculture. Excess fertilization of our hundreds of millions of acres of crop land. Quick question. Why would, because the farmers have to pay money for this, why do they apply twice as much as the plants can absorb? Great question. It's because of several different factors. Partly it is essentially technical or mechanical. A farmer may want to have the fertilizer on the land right at the spring when the crops are growing but the land may be a little muddy then. So they may have put it on in the fall, which is unfortunate because in the United States, in our temperate area, no plants are taking up fertilizers in the fall. Also, a plant is like you or me. They want to eat continually but a farmer may not want to apply fertilizer continuous. Every time you apply it, it takes tractor time and effort and it is more difficult. So they'll put a ton of fertilizer on at one point and then hope it lasts for a while, knowing that some of it will run off, but hopeful that some will remain to satisfy the plant. There's a lot of effort now to try to improve fertilizer application. To make sure it's applied in ways just the right amount at the right time. And perhaps with these what's called extended release fertilizers where you put it on and it will continue to release the nutrients to the plant over the next couple of weeks and not run off. But we have a long way to go. Okay, thanks. I appreciate that discussion and I'm sorry I diverted you from the track you were on talking about the overall impact of agriculture on the climate. I think what's so exciting about this area is that everyone cares about our food. We eat it three times a day or more and yet we know very little about where it comes from and its impacts on the world around us. It's wonderful to be talking about this. The second major source of climate change impact in agriculture is methane. Methane is another greenhouse gas much more powerful than carbon dioxide. About 30 times more powerful over a hundred years and about 85 times more powerful than carbon dioxide over 20 years. Which is I think the policy relevant time period that we're looking at because we're all trying to achieve climate stability by 2050. And where does methane come from? A little bit comes from rice, but the vast majority of it comes from cows and from manure. Cows are different than you and me. They can eat grass, and their stomachs are different, and release methane. Every time they breathe out, they are essentially breathing out this potent greenhouse gas methane. This is called enteric methane and it's the largest single source of methane in the United States. Bigger than the gas industry or the oil industry. The other major source of methane is manure. Our animals are raised in what are called concentrated animal feeding operations. They're not grazing bucolically on the pasture, they are crammed into buildings where there may be thousands, or tens of thousands, or even hundreds of thousands of these animals. Those hundreds of thousands of animals produce a vast amount of manure, whether it be say pigs...
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    25 m
  • E236: Why we need a new food labeling system

    E236: Why we need a new food labeling system
    May 2 2024
    The first nutrition labels mandated by the Food and Drug Administration appeared on food packages in 1994. A key update occurred in 2016, informed by new science on the link between diet and chronic disease. Along the way, things like trans fats and added sugars were required, but all along, the labels have been laden with numbers and appear on the back or side of packages. There has long been interest in more succinct and consumer-friendly labeling systems that might appear on the front of packages. Such systems exist outside the US, but for political reasons and lobbying by the food industry, have been blocked in the United States. There's new hope, however, described in a recent opinion piece by Christina Roberto, Alyssa Moran, and Kelly Brownell in the Washington Post. Today, we welcome Dr. Christina Roberto, lead author of that piece. She is the Mitchell J. Blutt and Margot Krody Blutt Presidential Associate Professor of Health Policy in the School of Medicine at the University of Pennsylvania. Interview Summary This is a really important topic, and if the nation gets this right, it really could make a difference in the way people make product decisions as they're in the supermarket. So, let's talk first about the importance of labeling on the front of the package. Why is that important when all the information is somewhere else, namely on the side or the back? I think there's a couple of key reasons why it's good to do front of packaging food labeling specifically. So, as you mentioned, it was a huge deal in 1994 to get this information mandated to be on food packaging to begin with, right? All of a sudden, there was much more transparency about what's in our food supply, but that being said, when you think about the nutrition facts label, it's pretty dense. There's a lot of percentages, there's a lot of numbers, there's a lot of information to process. And when people are actually in the supermarket shopping, they're making these split-second decisions, right? So, it's not to say that some consumers are turning it around and inspecting that packaging, but the reality is, for most people, it's a very habitual behavior. And so, we want to be in a place where that information is prominent, it's easily accessible, and it's easy to understand so that when you're making those snap judgements, they can be informed judgments. So, you're not talking about taking what's on the back and just moving it to the front. You're talking about a different set of information and symbols that might be available? That's right. Yeah. What front of package labeling is designed to do is just take some of the key bits of information that we know from science is going to be most important for consumers to base their nutritional decisions on. That's things like saturated fat, sodium, added sugars, right? And moving that to the front of the package and communicating about it in a very simple, clear way. So, no numbers, no percentages, just very straightforward language. And ideally some sort of icon, like an exclamation point, that would draw attention to that symbol and just quickly let consumers know that this product is high in those nutrients that you need to be concerned about and you need to try to limit. Why is it an important time to be thinking about this issue in the US? It's an important and it's an exciting time because the FDA right now is highly interested in actually moving forward on a policy that would require these types of front of package labels. And that hasn't been true, as you noted, for about a decade. But last year, the White House convened a very significant conference that hadn't happened in 50 years about nutrition, health, and hunger. And front of package labeling actually made it into their report in that conference as a key objective for this country in terms of a food policy that, under the Biden administration, they want to achieve. What we're seeing the FDA do now is actually undertake a series of research studies to try to understand what should this label look like, and how should it be designed to be consumer friendly. With the hope that actually we'll get a proposed rule on this potentially by June, and even if not by June. There's clear momentum that it looks like this is going to be happening in the near future. In a few minutes, I'd like to ask you about what's taken place in other countries, but what's been the history of this in the US? Front of package labeling really came to a head back in 2009. And it's actually quite a delight to share this with you, Kelly, because you and I were doing some research around it at the time. So, what played out then is a labeling system was introduced called Smart Choices. At its face, it seemed to make sense, right? It was going to be a check mark that was going to be put on products that were deemed to be healthy as a smart choice. So, a consumer could look at that and select something they wanted to eat that was relatively healthy. The ...
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    18 m
  • E235: A Successful Interactive Obesity Treatment Approach

    E235: A Successful Interactive Obesity Treatment Approach
    Apr 22 2024
    Traditional clinical weight loss interventions can be costly, time consuming, and inaccessible to low-income populations and people without adequate health insurance. Today's guest, Dr. Gary Bennett, has developed an Interactive Obesity Treatment Approach, or iOTA for short, that represents a real advance in this area. Dr. Bennett is Professor of Psychology and Neuroscience, Medicine and Global Health at Duke University, where he is also Dean of Trinity College of Arts and Sciences. Interview Summary You know, in this time when people are talking about more expensive, and kind of more intrusive interventions, like the big weight loss drugs, it's nice to know that there may be alternatives that could be accessible to more people. Could we start off with you telling our listeners what the iOTA approach is and how it works? Sure. This is an approach for weight management. It's useful for weight loss or preventing weight gain or maintaining one's weight after you've lost weight. The idea here is that it's a technology that's designed to be highly accessible, and useful for a range of different types of populations. So, as you described, we have developed and tested this primarily for folks who are medically vulnerable, who are low income, who are racial, ethnic minority, who live in rural communities, and where we have traditionally had real difficulty reaching populations with effective weight loss tools. So, iOTA is a fully digital approach. It uses technologies smartphone apps, but it can also use text messaging, interactive voice response, those are like robocalls, automated telephone calls, websites. We've tested this on a wide range of different types of technology platforms, and we've tested it in a range of different types of populations all over the country and indeed even in other countries. So, give us some examples of what kind of information people might be receiving through these various forms of media. The underlying kind of technology, the underlying approach, I should say, for iOTA is actually reasonably simple. It operates from the perspective that creating weight loss is really about making an energy deficit. That is to say, helping people to consume fewer calories than they are expending. The realization we had years ago is that you can get there, you can create that calorie deficit in a whole host of different ways. Some people diet, some people try to get more active, there are limitations around that kind of approach. But fundamentally, you can also just get there by asking people to do some reasonably straightforward behaviors. Like not consuming sugary beverages, or consuming fewer chips, cookies and candies. Or changing the amount of red meat that they put on the plate. And, if you frame those things out as goals, then you can prescribe those goals to people in ways that make sense to them personally. The trick though is actually in the idea of personalizing those goals to the given individual. And that's where technology comes in and gets very helpful. The case is, if you have a large library of these goals, you'd want to try to provide these in a highly personalized way. That really are aligned with what people's needs are and noting that those needs may change over time. So, what we do with iOTA is deliver a very short survey. That survey then helps us to be able to look into our library of goals and pick the ones that are most useful for our users. We prescribe those goals, and then we ask folks to self-monitor those goals. Self-monitoring or tracking is an extraordinarily powerful part of behavior change science. And so, we ask them to track using one of our technologies: the chat bot or the text message or interactive voice response or the smartphone app. Every time that we receive data from one of our users, we give them highly personalized feedback that is designed around principles of behavior change science. And then over time we also give them support. We do support sometimes from a coach or sometimes from a layperson, sometimes it's even from a physician. And over time what we find is that this kind of an iOTA approach helps people to lose weight, prevent weight gain, have weight loss maintenance, but it also has a cascade of other types of effects, some of which we didn't really even anticipate producing. This reminds me of something that I've fought for years, that nutrition and weight control can get incredibly complicated and down on the weeds in a fascinating way from a academic point of view. But that you can get to the goal line with just a few simple things. You might be 80% to the goal line just by eating less junk food and eating more fruits and vegetables and getting mired in that last 20% becomes confusing. It sounds like that's exactly what you're doing. That you kind of picked some of the big things that people can do, establish goals around them, and then provide a behavioral path for getting to those goals. That's precisely our thinking. And the ...
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    17 m
  • E234: White Burgers, Black Cash - a history of fast food discrimination

    E234: White Burgers, Black Cash - a history of fast food discrimination
    Apr 8 2024
    Fast food is part of American life. As much a part of our background as the sky and the clouds. But it wasn't always that way, and over the decades, the fast food landscape has changed in quite profound ways. Race is a key part of that picture. A landmark exploration of this has been published by today's guest, Dr. Naa Oyo Kwate. She is an Associate Professor in the Department of Africana Studies and the Department of Human Ecology at Rutgers University. Her book, recently published, is entitled White Burgers, Black Cash: Fast Food From Black Exclusion to Exploitation. The book has been received very positively by the field. And was recently named the best book in the field of urban affairs by the Urban Affairs Association. Interview Summary I was so happy to see your book because people have talked about the issue of race off and on in the field, but to see this kind of scholarly treatment of it like you provided has been really a welcome addition. Let me start with a general question. Let's begin with the fast food situation today and then rewind to where it began. Are there patterns to where fast food restaurants are located and who fast food is marketed to? Absolutely. There's quite a bit of research, and you just alluded to the work that's been done in the field. There's a lot of research that shows fast food is most dense in African American communities. Not every study has the same finding, but overall that's what the accumulated evidence shows. On the one hand you have the fact that Black communities are disproportionately saturated with these outlets. Then there's also the case that apart from the physical locations of the restaurants, fast food is strongly racialized as Black in terms of how it's portrayed to the public. It [Fast Food] relies on images of Blackness and Black cultural productions such as Black music for its marketing. These sometimes these veer into racial caricature as well. One of the things I talked about in the book briefly is the TV commercial character Annie who Popeye's introduced in 2009. They basically created this Black woman that Adweek at the time was calling "feisty," but it's really just this stereotypical idea of the sassy Black woman and she's in the kitchen frying up the chicken for Popeye's. And actually, some of the language that was used in those commercials really evokes the copy on late 19th century and Aunt Jemima pancake mix packaging. It's a really strong departure from fast food's early days, the way that fast food is now relying on Blackness as part of its core marketing constructs. I'm assuming that it follows from what you've been saying that the African American community has disproportionately been targeted with the marketing of these foods. Is that true of children within that community? Research shows that in terms of fast food marketing at the point of purchase. There's more - display advertising for example at restaurants that are in Black communities. And then there's also been research to show, not in terms of the outlets themselves, but in terms of TV programming that there tends to be more commercials for fast food and other unhealthy foods during shows that are targeting Black youth. How much of the patterning of the fast food restaurants is due to income or due to the amount of fast food consumption in these areas with many restaurants? Almost none of it really. It's not income and it's not the amount of fast food that people are consuming. In fact, one of the main studies that led me to start researching this book, because I was coming to it from public health where there was a lot of research around the disproportionality of fast food restaurants. We actually did a study in New York City, some colleagues and we published it in 2009, where we looked at how fast food was distributed across New York City's five boroughs. And restaurant density, we found, was due almost entirely to racial demographics. There's very little contribution from income. So, the percentage of Black residents was what was driving it. That was the biggest predictor of where fast food was located. It wasn't income, income made very little contribution and if you compared Black neighborhoods that were higher in income to those that were lower in income, they basically had about as much fast food exposure. Then if you compare them to white neighborhoods matched in income, Black neighborhoods still had more. So, it wasn't income, it was race. There are other areas that were high in fast food density like Midtown and downtown Manhattan where you have commercial and business districts, transportation hubs, tourist destinations. So, you expect fast food to be in these really dense and kind of busy commercial areas, but the only residential space that had comparable density were Black and brown neighborhoods. The assumption that many people have is that, okay, well if it's not income, then it's probably demand. So probably fast food is just dense in those ...
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    25 m
  • E233: Grocery and meal insight from the Baby's First Year Study

    E233: Grocery and meal insight from the Baby's First Year Study
    Apr 1 2024
    A growing number of research studies show that the cognitive and brain development of low-income children differs from that of children in higher income families. For any family, that is a concerning statement. Today's podcast features a project called Baby's First Years, a multi-year effort to test the connections between poverty reduction and brain development among very young children. Here to talk about what the study has revealed so far is Dr. Lisa Gennetian from Duke University's Sanford School of Public Policy, and Dr. Sarah Halpern-Meekin from the La Follette School of Public Affairs at the University of Wisconsin, Madison. Transcript Sarah, let's start with you. What is the Baby's First Years study? Sarah - So the Baby's First Years study is a study of how having additional income matters for children's development and for family life in families that had incomes around the federal poverty line when they had a child. And so, it includes two main components. The first is a randomized control trial that tests the effects of families receiving either a large or a small monthly cash gift each month, families get either $333 or $20 each month on a debit card from the time their child was born until just after the child's sixth birthday. Lisa and our colleagues, Katherine Magnuson, Kimberly Noble, Greg Duncan, Hiro Yoshikawa, and Nathan Fox lead this part of the study. They've been following mothers and children from a thousand families over the past six years. The other part of the study is a qualitative study in which we do in-depth interviews with a subset of those families because we want to learn more about how they think, about making financial decisions, the values and dreams for their children that guide their parenting and how they think about their money they're getting from Baby's First Years each month. This study is complex and would require time to observe change. Can you tell me about the length of time your team has been doing this intervention? Sarah - So the first families started the study in 2018. Lisa - One thing that's unique about this intervention is its length. As Sarah mentioned, it's starts at the time of birth and it's monthly. And families will be receiving this cash for 76 months. So, they'll be receiving it through the first six years of their child's life. Thank you for that detail. Lisa, what is the landscape for food programs and assistance in the United States, particularly for families with infants and young children? Lisa - There are two major programs that are federally funded in the US that are particularly targeted for families with infants and children. One of them is called the Women, Infant, and Children's Program, or WIC for short. The WIC program, let's see, in 2022, served about 6.3 million participants, but it provides a mix of core nutritional needs, breastfeeding support, information and referrals. And the second big safety net program in the US around food is called SNAP, Supplemental Nutrition Assistance Program. This one's broader and has served over 40 million people in 2022. And together both these programs have been pretty core to providing food and nutritional support to families, including those with young children. Thanks for that context. So now, how does the cash gift intervention differ from, or fit with other food assistance programs that these families may participate in? Lisa - The thing that cash can add above and beyond that, so thinking about how this Baby's First Year study might help supplement resources is in two ways. One is thinking about how money that might have been spent on the foods that are provided by these programs are now being taken care of through these food subsidies. One direct way that the BFY cash money can help is by increasing those net resources available for other types of food or for other things in the household. It's a real compliment to these what we call in kind or conditioned kind of food subsidy programs. The second is that there are no conditions. And so, what WIC and SNAP provide, which is really formative and really important for a lot of families, is also has some real parameters on what could be purchased. And so having extra cash means sort more flexibility around direct food resources. And that's actually something we start to see a little bit in the Baby's First Year study. Wow, Lisa, thank you for that. Given that these are means-tested programs, the cash infusion from Baby's First Year's project could influence participants' eligibility for other programs, right? How did you deal with that? Lisa - Oh yes, it's a really great question. Thanks for asking that. For the purposes of this study, we, for several years, worked closely with all layers of government, federal, state, and local to think hard about how to protect the families receiving this cash gift from losing eligibility for these other programs because as you say, right, we're increasing their income implicitly through this ...
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    16 m
  • E232: Carolina Farm Trust - creating healthy food system disruption

    E232: Carolina Farm Trust - creating healthy food system disruption
    Mar 18 2024
    Today's podcast is a story of one man's personal journey to making a difference by building communities. Zach Wyatt grew up caretaking an old 300-acre farm in Virginia. He went to college and ended up working in mortgage lending. And then something changed for Zack, and that's where the story gets interesting. He now leads the Carolina Farm Trust, working to strengthen local food systems in the Carolinas. The trust cultivates urban farm networks, farm apprenticeships, supports local farmers in purchasing equipment or land, making informed-decisions, and more. Interview Summary I'd like to understand a little bit more, why did you want to start the Carolina Farm Trust? Well, with a lot of things, it was just kind of by accident and circumstance. And I would say subconsciously I had agriculture in my bones, ever since I was a kid growing up in agriculture in Northern Virginia. It just kind of seeps in. We [The Family] still have that little arm reached out to being a part the DC metro area. Growing up in an urban-rural environment kind of planted, I think, a lot of the seeds in the work that was going to transpire so many decades later. But it really just kind of came down to a life event. I had a partnership that just ended in one day, which was a huge blow to us financially. We had to get on EBT and Snap and went through that process. And I was really soul searching and figuring out what were the next steps for me. Looking back on it, I think I was really grasping on to how do I do anything, to kind of just do something. I got back into reading about our food system and farms and started meeting some farmers. And once you start talking to farmers in a real way and understanding what our food system truly is, it's horrifying. It kind of came down to seeing this visual metaphor of a meteorite heading toward us every day, and either sticking your head in the sand or doing something. Circumstance just led to this next event and next event, and the next event. And eight years later, here we are. What I hear from you is this story of resiliency and it seems like that's something you also see in the food system or a need for that is that a fair assessment? Absolutely. We just take food in agriculture for granted. And over the last 80 to 90 years, we've really given our entire means of survival pretty much away. Most people don't really look at food and agriculture and how it spins every major decision on Earth. Every social problem we typically have, every health issue we have, if you follow it all the way down to where that problem started, you go all the way back to the dirt. So, to kind of look at resilience and what do we mean by that and more importantly, building regional resilience in a global economy: I think getting supply chains a whole lot shorter, focusing on soil health and nutrition density and our farming community, is where we really have to start. I'm starting to get a sense of the big picture of the farm trust. What is the driving mission of your work? I think you're hitting on some of that, but I'd like to hear more. I'd say the vision is very clearly about building regional resilience and then using food and agriculture as a primary driver. The four main pillars we have are health and nutrition, upward mobility and equity, sustainability, and climate change. Our four action-on-the-ground pillars are first, building an urban farm network and to get people to understand where our food comes from. Why is that important? We do really need to push urban centers to be more responsible for where our food comes from and playing a role in that. Second, our farm apprentice program, workforce development. You know, the average age of our farming community right now is a little over 60. Where is this next generation of farmers coming from? Where is the land coming from? So, it is not only kind of a labor force for us, you know, but how do we make sure every community garden, every school garden is thriving? How do we create teams that can go help our rural farming community with different projects or step in when someone gets sick or an emergency? Third, when we think of food as health, what does that really mean? If we're talking about food as medicine, in my opinion, we've already missed the boat. We got to talk about food as health, we got to talk about prevention. How do community health workers get out in communities covering geographic locations, really understanding what those needs are and how do we create systems to go meet them where they are. And then our fourth pillar is our distribution platform, which is really there to give a profitable revenue stream to our farming community. How do we use economics to really push them to start their regenerative farming journey? And then how internally to create supply chains that not only can work with consumers, you know, up and down the socioeconomic ladder, but how do we make sure we can build supply chains for larger institutions to be ...
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