Is Basic Income the next big population health intervention?

Is Basic Income the next big population health intervention?

Why it’s useful to see Basic Income through the lens of Population Health Intervention Research

Thanks in part to the health sciences, there is widespread public acceptance that being poor is bad for your health. It doesn’t take much for us to make the connections. We might expect that less to eat and poor housing conditions interfere with our ability to maintain healthy bodies and immune systems. Less money could mean no access to things like computers so that people can visit sites like Thenutritioninsider.com
to get advice on how to eat healthy and look after their bodies. It may also mean less access to the health services that could treat or prevent illness and disease.

We need to make treatments more accessible which is why using coupons from somewhere like Save On Cannabis for CBD products might enable the vast health inequality to become smaller in the future. Moreover, fewer resources might mean fewer opportunities and fewer job options. Poverty also compounds political and social injustice, with marginalized people such as women, Indigenous people and racialized groups profoundly affected by poverty. These groups often constitute much of the poor. Lastly, evidence suggest we suffer the psychological consequences of living in material deprivation, both in absolute terms and relative to others. Therefore it is a necessity for marketing cbd brands to change the narrative around cbd products so that there’s a change in the structure and more people get accessible medical care.

The immense research on poverty, income inequality, and the social determinants of health culminated in public sympathy for the plight of the poor. Yet for all the studies that have been done on poverty, perhaps it is time to develop research and public support for a solution – such as Basic Income. There are practical challenges to getting basic income into common public health parlance. The health of everyone is highly important, no matter the level of wealth, every person should have access to healthcare, for example, men may need sexual health medications (), which means that they must be able to have that access when required by their doctor.

The answer may lie in the understanding of Basic Income as an ideological proposal that can affect our health. The discourse around basic income as a deeply ethical idea is necessary, but perhaps insufficient. I believe we should consider reframing the concept concretely as a population health intervention.

Why call basic income a “population health intervention”?

A concept advanced by Canadian researchers Potvin and Hawe (2012) as being policies or programs that shift the distribution of health risk by addressing the underlying social, economic and environmental conditions, population health intervention research is a unique approach to figuring out how we are affected by policies that have a wholesale effect on people. Eminent basic income economist Dr. Evelyn Forget took this approach in her paper “New questions, new data, old interventions: The health effects of a guaranteed annual income” (Forget 2013). She used old administrative data from the well-known “Mincome” experiment in Manitoba, and looked at health records from the same time-period. She saw a reduction in hospital burden relative to a similar town’s health care use that did not get the income grant.

Calling basic income an intervention means that we can treat it as a ‘natural experiment‘.

We can study the impact of a policy on our health and well-being without necessarily running a Randomized Controlled Trial (where you randomly assign some people to a treatment, policy, or program, and not others).

Many have proposed that we need to conduct this sort of formal scientific experiment first. Some have questioned how useful such limited studies would be. A Randomized Controlled Trial might tell us whether basic income works in a certain social, economic, and political setting, but tells us little about whether the policy would work in other settings, or why the policy had a particular effect.

We ought to be careful not to set ourselves up to fail with studies too narrowly drawn in scope. Mixed or unexpected results from such studies also risks misinterpretation, and can be used to prevent basic income from entering policy.

Although the Ontario Pilot Program represents a step in the right direction, nothing stops us from advocating for the full national implementation of basic income. A host of different research and study designs would be embedded into the impact evaluation of this federal policy, on par with health care or public education. Framing a given policy as a population health intervention acknowledges the fact that many there are health-promoting aspects to programs outside of health care sector (Hawe and Potvin 2009).

Basic income is such a policy. Programs to alleviate poverty lie outside the doctor’s office, but nevertheless have a profound impact on health.

Population Health Intervention Research compels us to think bigger than ourselves.

Traditional medicine treats the individual person. If we are looking at the effect of social programs and policies, this unit of analysis is often too small to see measurable differences in any single person. Moreover, if we restrict a given treatment or social program to the poorest people – such as welfare, we may see limited overall benefits to the population as a whole.

Epidemiologist Geoffrey Rose recognized this problem (Rose 1985). Imagine that people lie on a continuum of ‘risk’ for certain diseases and health outcomes. For example, this could be said of high blood pressure as a risk factor for heart attack. Higher blood pressure puts you at higher risk of heart attack.

For our purposes, let’s say this distribution represents the relationship between poverty and getting sick. Higher poverty puts you at higher risk of ‘sickness’. We might expect that most people lie somewhere in the middle of the distribution, while those at very high or very low poverty sit somewhere at the tails.

Rose noted that traditional medicine’s approach was to target high risk people at the far right. However, these people are a smaller proportion, and paying attention only to them might not give us the biggest bang for our buck. Instead, he posited that interventions that reach entire groups of people would ‘shift’ the distribution itself. At the end of the day, he estimated that these far-reaching treatments would have a bigger impact overall (Rose 1985).

Basic income fits that profile – a social policy that brings everyone up, effectively ‘shifting’ the distribution. In order to examine policies that lend a helping hand to everyone, we need a scientific lens that is broad enough to capture the whole picture. Reframing basic income as a population shifter might fill that void.

Lastly, population health interventions allow us to redirect our thinking from the problem to the solution.

We keep studying poverty, not the fixes for poverty. A population health intervention approach calls for the health sciences to consider the potential gains to be made by studying the impact of income interventions on population health. We should be turning our attention from studying how poverty effects our health, to studying how fixing poverty effects our health.

You might be quick to point out that we have not eradicated poverty yet. So, how do we study this state of affairs, when it doesn’t yet exist?

In some ways, we can. We have the pilot run in Dauphin, Manitoba that in many ways, was ahead of its time. Dr. Forget was the first to recognize the strength of “intervention-alizing” the Canadian basic income experiment. We can also examine policies that get close to basic income, such as the Bolsa Família program of Brazil – a conditional cash transfer available to families with children. In Canada, the non-conditional income grant for senior citizens called the Old Age Supplement has been analyzed as an analog to basic income (McIntyre, Kwok et al. 2016) and indeed, those researchers found that participants eligible for OAS reported better self-reported physical, mental, and function health. Importantly, they also found those on OAS (which is non-conditional) where better off than those on conditional income programs. These are innovative approaches to the question of basic income’s potential impact, using information we already have. And, it might move us from studies of poverty, toward studies of basic income.

As it stands, promoting basic income as a population health intervention for the sake of our health is underutilized, yet it seems like a sensible way to communicate the idea. Poverty is intricately tied to the material conditions of our lives and societal position in the world, predicated on sex, race, and class. How a policy like basic income works among these conditions deserves no less than comprehensive and holistic look at how our health is profoundly impacted. Research that is based on an understanding of population health intervention attempts to do just this – and capture the value and differential effect of these interventions, the processes by which they bring about change and the contexts within which they work best (Hawe and Potvin 2009).

The Dauphin Experiment and the impending Ontario Pilot have and will continue to shape our thinking moving forward. They are also a testament to the desire of Canadians for a better, kinder, healthier society for all. However, we have not yet fully transformed the public’s conception of poverty alleviation as a necessary policy, worthy of widespread implementation as are universal health care, public education, or social assistance.

Implementing a basic income as an essential social program and for our health is possible, and fully within our experience of policy-making at both the provincial and national levels. The time has come to make this a reality.

Sarah M Mah is a PhD student in the department of Geography at McGill University. She is also a member of the Asian Women for Equality Society, an organization dedicated to the campaign for a Guaranteed Livable Income.

The opinions expressed above are not necessarily those of BIEN or BI News.

References

Forget, E. L. (2013). “New questions, new data, old interventions: the health effects of a guaranteed annual income.” Prev Med 57(6): 925-928.

Hawe, P. and L. Potvin (2009). “What is population health intervention research?” Can J Public Health 100(1): Suppl I8-14.

McIntyre, L., C. Kwok, J. C. Emery and D. J. Dutton (2016). “Impact of a guaranteed annual income program on Canadian seniors’ physical, mental and functional health.” Can J Public Health 107(2): e176-182.

Rose, G. (1985). “Sick individuals and sick populations.” Int J Epidemiol 14(1): 32-38.

US: Undoing poverty’s negative effect on brain development with cash transfers

US: Undoing poverty’s negative effect on brain development with cash transfers

Kimberly G. Noble, associate professor of neuroscience and education at Columbia University’s Teachers College, has published an article in Nature which summarizes her research background and an upcoming experiment into brain development and poverty. Noble asks whether poverty may affect the development, “the size, shape, and functioning,” of a child’s brain, and whether “a cash stipend to parents” would prevent this kind of damage. Noble here describes the background and methodological underpinnings of a larger experiment not yet begun; the development of which Basic Income News has covered in the past.

Noble writes that “poverty places the young child’s brain at much greater risk of not going through the paces of normal development.” Children raised in poverty perform less well in school, are less likely to graduate from high school, and are less likely to continue on to college. Children raised in poverty are also more likely to be underemployed when adults. Sociological research and research done in the area of neuroscience has shown that a childhood spent in poverty can result in “significant differences in the size, shape and functioning” of the  brain. Can the damage done to children’s brains  be negated  by the intervention of a subsidy for brain health?

Noble summarizes her 15 years of research into this subject. This most recent study’s fundamental difference from past efforts is that it explores what kind of effect “directly supplementing” the incomes of families will have on brain development. “Cash transfers, as opposed to counseling, child care and other services, have the potential to empower families to make the financial decisions they deem best for themselves and their children.” Noble’s hypothesis is that a “cascade of positive effects” will follow from the cash transfers, and that if proved correct, this has implications for public policy and “the potential to…affect the lives of millions of disadvantaged families with young children.”

Paper: Kimberly G. Noble, “Brain Trust,” Scientific American 316, 44-49, March 2017

Photo Credit: Childhood CC Farhad Sadykov

What Is Poverty, Exactly?

What Is Poverty, Exactly?

Written by: Pierre Madden

Basic Income, it is argued, provides an effective and efficient means of conquering poverty. What, exactly, is the problem that we are trying to solve? Mention poverty to someone and they are likely to immediately think of the Third World. Bringing the focus back to poverty in developed countries is fraught with preconceptions. People have predispositions to think about issues in certain ways. They share these predispositions with all other members of society regardless of specific opinions on social questions. Various models are utilized rather than others based upon how we frame the issue.[1] And so we feel that we have an intuitive grasp of the subject.

Courts will accept eyewitness testimony that someone was drunk. If a person were to get in an accident while driving and damage another’s car, then during the time of car accident settlements, the defense lawyer can bring in an eyewitness who can testify to the fact that the driver was intoxicated. The witness is not an expert. No Breathalyzer test was done; no blood sample was taken. They can just tell from a person’s demeanor and the nature of the accident whether or not it could have been a DUI case. It is considered common knowledge. The same can be argued for poverty. Broad definitions of poverty exist, such as: “the condition of a human being who is deprived of the resources, means, choices and power necessary to acquire and maintain economic self-sufficiency or to facilitate integration and participation in society.”[2] “In 1958, John Kenneth Galbraith argued, ‘People are poverty-stricken when their income, even if adequate for survival, falls markedly behind that of their community.'”[3]

The problem is translating this qualitative information into numbers so that policies can be implemented and progress tracked.

Some people accept that poverty is undefinable because it is a personal experience. This complexity is highlighted in the expression ‘poverty and social exclusion.’ A concept that you can’t define is difficult to measure. We may be evaluating actions taken to reduce poverty by a method which measures something completely different. Just counting the poor turns out to be a daunting task.

Many approaches are taken to arrive at a threshold value that defines poverty. I will present examples from Canada, Europe in general, the United States and the United Kingdom. Debates surrounding the various metrics are discussed as they come up. Some work incomes and welfare benefit numbers provide context.

In Canada, no official definition of poverty exists. Statistics Canada has been making this point for almost 45 years[4]. What is measured is low-income. Some countries like the United States have an official definition of poverty even if ‘there is still no internationally accepted definition of poverty-unlike measures such as employment, unemployment, gross domestic product, consumer prices, international trade and so on.’[5]

Statistics Canada tracks three low income statistics.

  1. The Low Income Measure (LIM) is 50% of the adjusted mean income of Canadians[6]
  2. The Low Income Cut-Off (LICO) starts with the spending of the average Canadian family on shelter, food and clothing (43% of after tax income).[7] The threshold is set at 20% more.[8] Any family earning less is below this Low Income Line.[9]
  3. The Market Basket Measure (MBM) ‘is a measure of low income based on the cost of a specific basket of goods and services representing a modest, basic standard of living.’[10] It takes into account the ability to reasonably participate in community activities as well as physical health. It varies by geographical location.

This last metric developed in the late 1990s by Human Resource and Skill Development Canada is different from the other two, introduced by Statistics Canada. The first two statistics are unambiguously relative. Strictly speaking they measure income inequality. While the Conference Board of Canada does not hesitate to refer to the MBM as absolute[11], the specialist I spoke to at Statistics Canada was not so sure.[12] However, he felt that the basic-needs poverty line (BNPL) proposed by Professor Chris Sarlo of the Fraser Institute might qualify as absolute. Sarlo himself nuances this view:

This basic-needs approach to poverty is often referred to as an ‘absolute’ measure. This label is misleading insofar as it suggests that the list can never change and is therefore completely out of place in our rapidly changing society. While the basic needs line does propose a broad list of necessities that remains in place over time, the nature, standard of quality, and the quantity of each of the components will vary across societies and will vary over time in a given society. In other words, the basic-needs approach is partly absolute (the list is limited to items required for long-term physical well-being) and partly relative, reflecting the standards that apply in the individual’s own society at the present time.[13]

Stepping back a bit, you can often use absolute poverty as a synonym for extreme poverty, a term applicable to deprivation in very poor countries. Even so, relative elements remain: you can’t compare the situation of someone with no heating in the Arctic to that of someone with no heating in the Tropics. Moreover, Sarlo’s BNPL is approximately 30% lower than the MBM using a similar approach. Clearly, relative and absolute measures overlap and both involve a degree of judgment and arbitrariness.

There are many other variations on these themes. I will cover just a few.

In Europe, they use a measure called the at-risk-of-poverty threshold to define poverty. It represents a ‘percentage of the median or mean value of the Equivalised disposable Income after social transfers.’[14] ‘A threshold of 60% is the most commonly used.’[15] EU countries simply referred to the 60% level as ‘generally accepted.’ [16] Tables sometimes show statistics calculated at 40%, 50%, 60% and 70%, without comment.

The official United States poverty threshold has a fascinating history.[17] Based on the work the Social Security Administration economist Mollie Orshansky, it is often referred to as absolute. However its creator labelled it ‘arbitrary but not unreasonable.’[18] As early as 1959, Orshansky was aware of the pitfalls and limitations of the standard budget (usually called market basket today) approach to defining poverty. At the time, and even today, only with food, because of its nutritional value, can we reach some consensus about what minimal requirements are. Orshansky used the two lowest budgets devised by the Department of Agriculture: the low-cost food plan and the even less expensive economy plan. For the non-food portion, she used Engel’s Law (named for the statistician Ernst Engel not Marx’s collaborator Friedrich Engels), a normative principle establishing that a family spends one third of its total income on food. Using a multiplier of three for food costs under both plans, with adjustments for childless couples and single people, 124 thresholds were developed for farm and non-farm families of various compositions. With a few minor modifications and yearly inflation updates, this measure, based on the economy plan, is still in use today to count the poor in the United States.

A novel variant of the market basket approach, the Minimum Income Standard for the United Kingdom (MIS) is maintained by the Centre for Research in Social Policy at Loughborough University in Leicestershire, UK. [19]

MIS is based on detailed research with groups of members of the public specifying what items need to be included in a minimum household budget. The groups are informed by expert knowledge where needed, for example on nutritional standards. The results show how much households need in a weekly budget and how much they need to earn in order to achieve this disposable income.’ [20]

MIS is not an absolute measure like the US poverty line nor is it entirely relative.[21] ‘MIS also seeks to ensure that minimum income is looked at in the context of contemporary society, but does so in an evidenced way.’[22] Rather than make assumptions about societal standards, public input is used. Also, the UK’s Joseph Rowntree Foundation, which created the MIS, does not consider it to be a measure of poverty[23] and uses the 60% of mean measure in reports it publishes such as Monitoring poverty and social exclusion 2016.

To understand how different the figures are and to visualize the impact they have on the number of poor that are counted, I have converted all the metrics discussed into dollar amounts, in the table below. I make no claim that these numbers are comparable, only that they are reasonably accurate and up-to-date. The last three numbers are actual welfare payments rather than poverty statistics. They are strikingly lower than the rest and this fact does not speak for itself. It does, however, tell a story, if I may digress. The usual reaction when seeing these numbers is: how can someone live on such little income? I would ask: how does one get out of poverty under such straitened conditions? 5 In Quebec, a welfare recipient is allowed to earn $200 per month without penalty. Over that amount, for every extra dollar made their benefits are cut by a dollar (a 100% marginal tax rate). In France, every Euro earned is deducted. This is what is known as the poverty trap. The system is structured so as to remove any incentive to get out of poverty.[24] When governments set payment schedules so far below poverty lines and also discourage the poor from improving their situation, what message does that send?[25] And in case you were thinking that the answer is ‘Get back to work’, item 11 shows what those who cannot work receive about 50% more, still nowhere near any threshold, except Sarlo’s BNPL (item 4), which has been ‘criticized as being too stringent and even “mean-spirited”.’13 More on that later.

Items 8 and 9 are incomes for a 40-hour workweek. These numbers indicate that poverty is not an issue confined to the unemployed. For example, in 2014, ‘Walmart’s low-wage workers cost US taxpayers an estimated $6.2 billion in public assistance including food stamps, Medicaid and subsidized housing.’[26]

Annual thresholds for a single person in 2016[27] CDN$ US$
1 Canadian Low Income Measure (LIM) [28] $22,652 $16,904
2 Canadian Low Income Cut-off (LICO) [29] $20,788 $15,513
3 Canadian Market Basket Measure (MBM) for Montreal [30] $17,944 $13,391
4 Sarlo of the Fraser Institute: Basic-Needs Poverty Line (BNPL) (Canada) 13 [31] $12,205 $9,108
5 European low-income measure (60% of mean income) applied to Canada. $26,941 $20,105
6 US poverty threshold [32] $16,202 $12,091
7 Minimum Income Standard MIS (UK)[33] [34] [35] $28,533 $21,293
8 Pre-tax full-time earnings at minimum wage in Quebec [36] $22,360 $16,687
9 Pre-tax full-time earnings at US federal minimum wage [37] $20,207 $15,080
10 Actual welfare payment in Quebec for those deemed fit for work. [38] $7,476 $5,579
11 Actual welfare payment in Quebec for those deemed unfit for work. [39] $11,340 $8,462
12 French Revenu de Solidarité Active (RSA) [40] $8,752 $6,531

As mentioned previously, the most striking pattern in the table is how the last three entries are low, compared to the rest. The others cluster together with the notable exception of item 4 (Sarlo’s Basic-Needs Poverty Line) and Item 10 (the US poverty threshold). Both of these statistics tend towards absolute measures, which are meant to focus on deprivation rather than income inequality. Which measure is appropriate in a developed country? If all you have achieved is to avoid destitution, are you no longer living in poverty? Not if integration and participation in society is beyond your reach. This is why relative measures of poverty are deemed more appropriate choices, especially in developed countries: they account for social inclusion.

I have tried to frame the question of poverty in such a way as to provide a better understanding of the numbers that inevitably come to define it at some point. Many judgments and choices are involved in calculating these numbers. Agreeing on a number requires social consensus. Unfortunately, focusing on the numbers is not conducive to building such a consensus and is even counterproductive, in that it immediately evokes highly emotional questions of cost and fairness. The whole debate sidesteps issues of social exclusion and lack of opportunities, to which people can better identify in their own lives.

Getting back to the original question, we need a definition of poverty to implement Basic Income. However, labeling it with a threshold number is both necessary and self-defeating. It is not possible to implement Basic Income without pinning down the benefit and cost numbers, yet focusing on these numbers distracts from the positive principles that would muster support for them. Framing the question of what poverty is in such a way that principles are explored before we formulate a numerical definition is more important than the number itself. This reframing is thus a prerequisite to Basic Income.

 

Author biography: Pierre Madden is a zealous dilettante based in Montreal. He has been a linguist, a chemist, a purchasing coordinator, a production planner and a lawyer. His interest in Basic Income, he says, is personal. He sure could use it now!

 

Sources:

[1] Volmert, A., Gerstein Pineau, M., & Kendall-Taylor, N. (2016). Talking about poverty: How experts and the public understand poverty in the United Kingdom. Washington, DC: FrameWorks Institute.

[2] An Act to Combat Poverty and Social Exclusion, CQLR c L-7 Quebec, Canada, art. 2

[3] Galbraith, J. K. (1958). The Affluent Society. Boston: Houghton Mifflin. Quoted in Wikipedia: Poverty threshold

[4] On poverty and low income by Ivan P. Fellegi, Chief Statistician of Canada September 1997

[5] Ibid.

[6] Statistics Canada Table 206-0091 Low income measures (LIMs) by income source and household size in current dollars and 2014 constant dollars.

[7] Statistics Canada Low-income cut-offs

[8]Twenty percentage points are used based on the rationale that a family spending 20 percentage points more than the average would be in ‘straitened circumstances.'” Ibid.

[9] LICO for a single person in a metropolitan area in 2012 = $19597

[10] Market Basket Measure (2011 base)

[11] https://www.conferenceboard.ca/hcp/hot-topics/caninequality.aspx#ftn12

[12] Andrew Heisz, assistant director of the Income Statistics Division of Statistics Canada, personal communication, October 19 2016

[13] Sarlo, C. (2006). Poverty in Canada: 2006 Update. The Fraser Institute.

[14] E-mail from Geoffroy Fisher, Eurostat User Support, Eurostat helpdesk December 28, 2016.

[15] Ibid.

[16] Institut national de la statistique et des études économiques (Insee)

[17] All of the information in this paragraph and much more, as well as a wealth of references to primary sources can be found in Gordon M. Fisher, The Development of the Orshansky Poverty Thresholds and Their Subsequent History as the Official US Poverty Measure, May 1992-partially revised September 1997

[18] Orshansky, “Counting the Poor: Another Look at the Poverty Profile,” Social Security Bulletin, Vol. 28, No. 1, January 1965, p.4. Quoted in Fisher (see previous note)

[19] https://www.lboro.ac.uk/research/crsp/mis/

[20] https://www.lboro.ac.uk/research/crsp/mis/whatismis/

[21] “…We would not expect the content of a MIS basket to stand still. But we also don’t think that changes in the average AUTOMATICALLY trigger proportionate changes in the minimum, and in this sense it is not a relative measure.” Donald Hirsch, Director of Centre for Research in Social Policy, personal communication, Nov 1 2016

[22] Donald Hirsch, Director of Centre for Research in Social Policy, personal communication, Nov 1 2016

[23] Joseph Rowntree Fondation Press Office, personal communication, January 11, 2017

[24] John Stapleton Why is it so tough to get ahead? How our tangled social programs pathologize the transition to self- reliance. Metcalf Foundation November 2007

[25] There is no question that low welfare payments are a political choice. In 1969, when Quebec introduced its first welfare legislation, benefits for people under 30 were set at 70% of the amount provided to everyone else. Accounting for inflation, this still represents more than what someone unfit for work receives today.

[26] Forbes April 15 2014

[27] Throughout, $US1 = CDN$1.34

[28] Statistics Canada Table 206-0091 Low income measures (LIMs) by income source and household size in current dollars and 2014 constant dollars.

[29] Statistics Canada Table 1 Low-income cut-offs (1992 base) after tax. 2014 figures for large metropolitan areas adjusted for inflation.

[30] Statistics Canada Market Basket Measure thresholds (2011-base) for reference family of two adults and two children, by MBM region Data for Montreal converted to single person (see note 1 in table)

[31] $10314 X 129.1/109.1 = $12,205

[32] US Census bureau Poverty Thresholds for 2015 by Size of Family and Number of Related Children Under 18 years $12082 adjusted for US inflation (0.1%), 1 US$ = 1.34 CDN$

[33] https://www.lboro.ac.uk/research/crsp/mis/

[34] Minimum Income Calculator

[35] £1 = US$1,23

[36] Minimum wage in Quebec = CDN$10.75

[37] US$7.25 per hour as of July 2016

[38] Emploi Quebec How benefits are calculated

[39] Ibid.

[40] Le revenu de solidarité active (RSA)

Basic income could help resolve Hong Kong woes

Basic income could help resolve Hong Kong woes

Among the political turmoil experienced by Hong Kongers, there is another crisis that is eroding the societal foundations of the global financial hub: debilitating poverty.

Hailed as one of the freest economies in the world, Hong Kong now has a higher per capita income than its former colonizer Great Britain. However, they also have a high and persistent poverty rate at nearly 20 percent.

It is not just relative poverty compared to the lavish lifestyles of many Hong Kongers. Many locals have become homeless or McRefugees (those who sleep in McDonalds at night) due to the prohibitively high cost of housing across the autonomous region.

One of the main contributors to the dissatisfaction with Hong Kong’s government is the sense of economic unfairness. Hong Kong youth have low social mobility; despite higher levels of education, they are unable to secure the wages their parents did at their age. The more serious factor is the high level of economic inequality, which threatens social stability.

Social welfare is severely lacking in Hong Kong, partly because many slip through the cracks. However, the lack of a comprehensive welfare system makes Hong Kong an ideal location to implement basic income. The large pool of wealthy individuals means a universal system would be feasible. The market-oriented nature and efficiency of basic income is also in line with its free market tradition.

The basic income would begin to address the various economic issues plaguing the youth and low-income individuals in Hong Kong. Youth will be able to search for more suitable jobs and have cash to afford rent. Those in poverty would not have to worry about finding a place to stay or finding their next meal.

Importantly, it would address many of the underlying factors that are causing tensions to undermine social harmony in the “city of protests.

As of now, it appears the basic income movement does not have a significant presence in Hong Kong. A conversation with Hong Kong’s basic income Facebook page revealed the administrator was unaware of any prominent activists or academics in Hong Kong pushing the idea. Other regional activists were also unaware of individuals pushing for basic income in Hong Kong.

Due to the increasing awareness in interest in the basic income in China and Taiwan, as well as across Europe, it is probably only a matter of time before the idea gains greater traction in Hong Kong. For the sake of the people sleeping on the streets, and the youth worried about their future, let’s hope it is sooner rather than later.

 

ITALY: Basic Income Pilot Launched in Italian Coastal City

ITALY: Basic Income Pilot Launched in Italian Coastal City

Filippo Nogarin, the mayor of the Italian coastal city of Livorno who launched an initiative to provide a guaranteed basic income to the city’s 100 poorest families in June 2016, is poised to extend the program in the beginning of 2017. A member of the anti-establishment Five Star Movement (M5S), Nogarin was elected in 2014.

Nogarin’s first basic income pilot, which began in June 2016 and lasted six months, provided each of the 100 families with $537 (roughly €517) per month. In January 2017, this pilot will be expanded to another 100 families. While the intervention is designed to provide meaningful support to each family, it will reach only a fraction of Livorno’s population: the coastal city boasts over 150,000 residents.

Nogarin, like many proponents of basic income policies, sees the initiative as a fundamental way to help those in poverty without the patriarchal overtones of traditional welfare programs. “I’ve never met the recipients, and this is a hugely important point,” he said, “I don’t want them to see me as a patriarchal figure handing out charity. This is the real power of this scheme: it’s the community helping the community.”

However, critics in Livorno, such as local trade union activists, are wary of the scheme: some believe the initiative to be misguided, while others see it as misleading. Though basic income provides cash support for the targeted families, it does not offer employment. Furthermore, the initiative’s focus on a small subset of the Livorno population has been criticized as too narrow for an anti-poverty program.

Other Italian municipalities led by M5S may follow Livorno’s lead in testing a cash transfer program. Ragusa and Naples are now considering basic income trials as well, and interest in such programs has spiked.

At the national level, M5S has proposed what it calls a “citizen’s income,” though some have pointed out that this terminology could be construed as deceptive, since the party’s proposal resembles a traditional unemployment benefit more than a basic income guarantee.

 

More information at:

Jamie Mackay, “Money for Nothing,” VICE News, December 6, 2016.

Sabrina Del Pico, “Italy: 5 Star Movement and the confusing proposal of a citizen’s income,” Basic Income News, March 14, 2013.