Viewpoint |
Immigrants are our neighbors, isn't that enough?


Most Americans still tell pollsters immigration is good for their communities and reject cruel deportations, especially those that separate families, target people without criminal records, or penalize people who came here as young children.

by Jocelyn Smith
      OtherWords

I recall seeing a sign in a yard in my small hometown of around 12,000 residents. “No matter where you are from,” it said, “we’re glad you are our neighbor.”

It was positioned defiantly, facing a Trump sign that had been plunged into the neighbor’s yard across the street. It poignantly illustrated the tensions in my rural Ohio town, which — like many similar communities — has experienced a rapid influx of immigrants over the last 20 years.

The sign’s sentiment was simple yet profound. I found myself wondering then, as I wonder now, when compassion had become so complicated. It seems everyone has become preoccupied arguing over the minutiae of immigration that they’ve missed the most glaring and essential point: We are neighbors.

Small businesses are the backbone of the U.S. economy, a truth so widely acknowledged that it bridges the ever-growing partisan divide.

While writing this piece, I gathered studies and prepared a detailed analysis of the ways immigrants have transformed and revitalized the economies of the Rust Belt. I was going to explain how immigrants have helped fill vacant housing and industry in this region’s shrinking cities to reverse the toll of population decline.

I gathered statistics showing the economic growth and revitalization that’s happened as immigrants have brought flourishing small businesses to their new communities. Like: Despite making up only around 14 percent of the U.S. population, immigrants own 18 percent of small businesses with employees — and nearly a quarter of small businesses without employees. (And immigrants in Rust Belt cities are even more likely to be entrepreneurs.)

Small businesses are the backbone of the U.S. economy, a truth so widely acknowledged that it bridges the ever-growing partisan divide. Both Vice President JD Vance and former Vice President Kamala Harris have promoted the critical role of small businesses in economic flourishing.

I was going to tell a story about Joe, a vendor at my local flea market. He and other vendors were heavily averse to migrants purchasing the dilapidated building from the previous owner. Now they laud the building’s new management and improved conditions.

I was going to describe the experiences of my recently immigrated high school peers, who sometimes fell asleep in class from sheer exhaustion after working night shifts at meatpacking plants and attending school for seven hours the next day.

I was going to explain why communities not only benefit from immigrants, but need them.

As immigration is expected to become the sole driver of U.S. population growth by 2040, restrictive immigration policies threaten to undermine this vital program, as a cornerstone of the American social safety net.

Without immigrants, I learned, U.S. communities would lose the nearly $1 trillion of state, local, and federal taxes that immigrants contribute annually. This number is almost $300 billion more than immigrants receive in government benefits.

Without immigration, the U.S. working-age population is projected to decline by approximately 6 million over the next two decades — a shift that would carry significant consequences, especially for the Social Security system. Sustained population growth is critical to preserving a balanced ratio of workers contributing to Social Security for every beneficiary receiving support.

As immigration is expected to become the sole driver of U.S. population growth by 2040, restrictive immigration policies threaten to undermine this vital program, as a cornerstone of the American social safety net. With broad public support for strengthening Social Security, embracing immigration is not just beneficial — it is essential to ensuring the program’s long-term stability and success.

I was prepared to comb through every dissent in an effort to prove why our neighbors are deserving of empathy and compassion. But none of these answers address the larger, more urgent question: When did being neighbors cease to be enough?

Most Americans still tell pollsters immigration is good for their communities and reject cruel deportations, especially those that separate families, target people without criminal records, or penalize people who came here as young children. My rural Ohio town, and countless communities like it, are slowly learning the most important lesson about this supposedly complicated issue: Compassion doesn’t need to be complicated.


Meredith Lehman


Meredith Lehman is a research associate at the Institute for Policy Studies. This op-ed was distributed by OtherWords.org




Op-Ed |
New study reveals obesity ages individuals by 27 years


Findings highlight wide-ranging health impacts and alarming cost implications

by Patty Starr
President and CEO, Health Action Council

Newly released claims data from more than 220,000 people reveal the latest evidence on the role obesity plays in health and health care costs, underpinning the need for supportive measures and interventions.

The new study, which analyzed Health Action Council (HAC) members with health plans administered by UnitedHealthcare, found that people with obesity cost their employers 2.3 times more than those without the condition and paid 66% more out-of-pocket ($662) per year than their peers without obesity. Notably, Millennials with obesity incurred over 8% higher per member per month (PMPM) costs than Baby Boomers without obesity who were 27 years older, due to the increased likelihood of chronic condition diagnoses.

Multifaceted health consequences
Comorbidities such as diabetes, hypertension, high cholesterol, and musculoskeletal issues were major cost drivers. The more comorbidities a person with obesity experienced, the higher their costs became. Obesity significantly increased the risk of various cancers, including breast, colon, rectum, and upper stomach cancers, and increased the risks for anxiety, substance use disorders, and depression.

Obesity among women of childbearing age
The report highlighted a 19-percentage-point rise in obesity rates between Gen Z women (9%) and Millennial women (28%), the largest generation in today’s workforce. This was particularly concerning due to the heightened maternal mortality risks and mental health issues associated with obesity.

The ripple effect on children
Children of parents with obesity are generally twice as likely to develop the condition themselves, but this risk tripled for children of HAC members if at least one parent had obesity. These children were also 44% more likely to experience depression, 39% more likely to have ADHD, and had higher rates of developmental disorders, asthma and diabetes.

Whole person weight management solutions
Effective strategies will require more than GLP-1s, which are unlikely to meaningfully impact obesity rates due to their high costs and low compliance rates. Consistent with the Food and Drug Administration’s label, these medications should be used in tandem with a life-style modification program for the treatment of obesity.

Strategies for employers
Following are a few steps employers can take to build a healthier workplace culture.
  • Understand your population. Analyze claims to determine the percentage of your workforce and dependents impacted by obesity. Identify prevalence, most impacted groups, as well as other health risks and social drivers of health.
  • Foster a healthy environment. Encourage a positive relationship with food, activity, and stress management by offering classes on exercise, nutrition, and mindfulness and providing non-processed foods at meetings, events, and in common areas. Encourage daily physical activity, less screen time, and quality sleep.
  • Offer comprehensive health solutions. Implement wellness solutions that integrate whole-person health by providing access to virtual providers such as network dietitians, digital health tools like mental health apps, and wearable technologies such as continuous glucose monitors.


About the author ~

Patty Starr, CEO of Health Action Council
Patty Starr is President and CEO of Health Action Council and is responsible for driving the strategic direction of the organization--build stronger, healthier communities where business can thrive.


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