Building Local Power

Our new season shatters the deceptive facade often employed by merging companies that claim their consolidation will benefit consumers.… Read More

In this episode of Building Local Power, Chris Noble, the Director of Organizing at Health Access California, and Allison Hardt, the Community Development Director at T1 International, share their personal experiences accessing life-saving medication in America that ultimately led to their efforts supporting the CalRx plan to publicly produce life-saving medications, starting with insulin. Chris was diagnosed with Type 1 diabetes at age five, setting in motion a chain of events that motivates his efforts to bring awareness to the market failures that exacerbate the high cost of medicine in the United States. Allison witnessed the challenges her mother faced as a nurse in an increasingly impersonal healthcare system and eventually, through her partner, became intimately familiar with the daily struggles and unbearable costs associated with accessing insulin. In the second half of the episode, ILSR Co-Director Stacy Mitchell delves into the hidden world of pharmacy benefit managers (PBMs) — their role in the pharmaceutical industry and how their practices hinder people like Chris and Allison from obtaining essential medicines at reasonable prices. She explains how three PBMs currently dominate the industry, controlling over 80% of all insured prescriptions in the United States, enabling self-dealing practices that undermine fair competition and transparency at the expense of people’s health. Stacy calls for a “marriage of antitrust policies and public action,” a two-pronged approach to promote competition by decentralizing power and increasing public investment.  For additional resources see: https://ilsr.org/building-local-power/

Kay Eady, a lifelong Georgian, fondly recalls spending her childhood playing baseball with her siblings, reading at the library, and admiring her mother and grandmother. As she embarked on her adult educational journey, Kay learned that despite her individual blessings, there was an abundance of disparities for low-income communities and communities of color, particularly in the rural South. This was especially true for access to healthcare, and Kay devoted herself to bridging this gap. One such opportunity to bridge the gap is increasing broadband service to rural communities, opening the door for greater telehealth access. Her work at the Southern Rural Black Women’s Initiative, empowering communities to speak up for their needs and advocating for broadband infrastructure, has paved the way for improved healthcare access and quality of life. In the second half of the episode, Ry Marcattilio, the Associate Director for Research at ILSR’s Community Broadband Networks initiative, highlights how investments in broadband in the rural south can improve access to healthcare, education, economic development, and community engagement. Ry emphasizes that broadband service is a crucial social determinant of health and discusses the advantages of telehealth in improving patient outcomes and healthcare delivery. One of the biggest obstacles, Ry explains, is monopolistic telecom companies that put profit over service, and largely neglect rural areas. However, Ry notes that electric and telephone cooperatives can bridge the connectivity gap. For additional resources see: https://ilsr.org/building-local-power/

From an early age, Rose was taught that if you see a problem, you have a responsibility to do something about it. Now in her 70s and living just seven miles from the Sherco coal-fired power plant, Rose shares her story and secrets with us of how she is applying this lesson — working with the Sierra Club’s “Beyond Coal” campaign and successfully mobilizing hundreds of concerned residents in an effort to shut down the plant, and others in the region. Tyson Slocum, the director of Public Citizen’s Energy Program, joins the second half of the episode to discuss how private equity firms across the country have been acquiring and sustaining coal plants like the ones Rose is fighting against. He explains how private equity firms operate differently from traditional corporations in financing and transparency, insulating them from public scrutiny and pressure to address climate change and adhere to certain ideals. Tyson provides examples of private equity firms exploiting market design changes to extract value from these plants, leaving long-term liabilities, environmental concerns, and residents’ health behind. For additional resources see: https://ilsr.org/building-local-power/

When Jasmine’s apartment roof started caving in, she asked her landlords to fix it. Instead of fixing it, the landlord gave her an ultimatum: accept the conditions or leave. Jasmine left, turning to activism and organizing with the Louisville Tenant’s Union to help neighborhoods throughout the city have access to safe and affordable housing. As she articulates in this episode of Building Local Power, people’s lives shouldn’t “be determined by the whims of a landlord.” In the second half of the episode, Tara Raghuveer, the Director of Kansas City Tenants, discusses how private equity firms have identified the housing market as a lucrative opportunity to reap enormous profits at the expense of tenants. What’s worse, she posits, is that the federal government has enabled private equity to infiltrate the housing market with few safeguards for buyers and renters. Tara goes on to suggest changes that can be made at the local, state, and federal level, emphasizing that cities can reform their tax incentive policies to support tenants rather than corporate profiteers. For additional resources see: https://ilsr.org/building-local-power/

In 2022, in the small town of Alpine, California, Raquel Nuñez founded Cuatro Vientos, a community composting project that brings environmental and cultural solutions to the community. In this episode of Building Local Power, Raquel, and her partners Iriani Lopez and Aedan Lagillardaie, share how it has been a dream come true to reconnect with their heritage and the land through composting. However, over the last year, they have quickly learned that their biggest barrier to sustaining this dream is funding. Jessica Toth, Executive Director of the Solana Center, an organization driving environmental innovation, joins the second half of the episode to outline how food waste is both an environmental and a social issue and why the very people implementing solutions to lessen our carbon footprint — while providing jobs and education in a circular food system — are underfunded. Despite misaligned interests on the part of investors, environmental stewards, and policymakers, Jessica makes the case for economic incentives that can help the United States address the 40 million tons of food waste created every year in this country alone. For additional resources see: https://ilsr.org/building-local-power/

Twenty-five years ago, there were over 2,000 commercial shrimp boats in Mississippi. Today, that number has fallen to around 200. This trend is not unique to Mississippi: Across U.S. coastlines, commercial fisherfolk are seeing their way of life disappear. On this episode of Building Local Power, Tim Barrett, a local fisherman in Marshfield, Massachusetts, and Ryan Bradley, of the Mississippi Commercial Fisheries United, guide us through how catch share policies — a set of regulations promoted as beneficial for the environment and for fisheries — have turned the sea into a tradeable and buyable commodity, opening the doors for investment, private equity, and corporations to hoard the right to harvest fish. The ensuing consolidation of the industry is driving up prices for both small-scale fisherfolk and the consumer, and putting countless fisherfolk out of work. Tim and Ryan explain how we need to reform the nation’s catch policy to build a more equitable and thriving fishing sector where small-scale fisherfolk aren’t the ones being hooked. For additional resources see: https://ilsr.org/building-local-power/

“A country with no farmers is no country at all,” says Shad Dasher, owner of The Onion Man Company, an onion farm in Glennville, Ga., on this episode of Building Local Power. In the 1930s, the United States boasted some 6.8 million farms. Today, we’re down to roughly two million — a more than 70% decline.  The rapid consolidation of agriculture across the U.S. has obliterated many small and mid-size farms and has posed monumental challenges for small farmers and consumers alike. In the second half of this episode, Sarah Carden, Senior Policy Advocate at Farm Action, explains how increased consolidation drives up land prices, reduces agricultural diversity, increases prices for consumers, and diminishes the economic viability of communities.  What we’re seeing is a hollowing out of U.S. agriculture — “farmers are going extinct,” as Sarah says solemnly. All of this points to a clear need to shift our American ideology away from misguided notions of “efficiency” and, as Sarah suggests, to implement policies that support a decentralized farming system.  For additional resources see: https://ilsr.org/building-local-power/

Imagine sitting in a remote region of the Sahara desert. The sun is scorching hot, the dry air is stifling, and there are no trees, no water, and no living creatures as far as the eye can see. What would you wish you had?  One night in 2020, Aaron Johnson, founder and owner of Oasis Fresh Market, was up late working on a marketing plan for his new grocery store when he imagined himself in this very scenario. Then, it hit him. “In my mind, I [thought of an] oasis,” he recalled. “I remember opening my laptop and Googling the definition … it means refuge, safe place, and shelter.”  For years, Aaron had lived in a different kind of desert, one common to many urban and rural areas across the U.S.: a food desert. According to the U.S. Department of Agriculture, an urban area becomes a food desert when residents live further than a mile from a full-service grocery store; in rural areas, the range stretches to 10 miles. North Tulsa, Oklahoma had been a food desert for fourteen years. It was also, Aaron adds, a food swamp, inundated with dollar stores and fast food restaurants. Aaron knew that there was a need in his community – not only for fresh and nutritious food, but for a business that valued people over profits.  With the support and aid of his family and community, Aaron officially opened Oasis Fresh Market in May of 2021. In the years since, it’s grown into a thriving independent business and nonprofit organization. Aaron thinks that Oasis can be a blueprint for other cities, mayors, and governors looking to support truly community-centric businesses. Oasis – and its associated nonprofit organization, The Oasis Projects – combines a grocery store with wraparound services, including employment, public health, and education. Together, they nurture a safe place and a refuge that only small, independent, locally-owned businesses are nimble enough to foster.  In the second half of this episode, Stacy Mitchell, Co-Director of the Institute for Local Self-Reliance, expands on the policy decisions that have wiped out independent grocery stores and led to an increasingly consolidated grocery sector. She also points to smart policy decisions that some communities have implemented to preserve independent grocery stores. Pennsylvania, for example, created the Pennsylvania Fresh Food Financing Initiative, which allocated capital for grants and loans for people interested in starting and expanding grocery stores in low-income and underserved areas. This program ultimately financed nearly 100 grocery stores in urban and rural areas. But policymakers and elected officials must create the pathway to make opportunities like this available to all communities, including by enforcing antitrust laws and returning power to the people.  For additional resources see: https://ilsr.org/building-local-power/