Reports

Report | USPIRG Education Fund | Transportation

From Deceit to Transformation

Volkswagen (VW) perpetuated a fraud on the American people, deceiving consumers into believing that they were getting the best possible combination of performance and sustainability. But VW’s promises were nothing more than lies that significantly harmed our collective health and the health of our environment. As a result of the settlement that followed this fraud, an Environmental Mitigation Trust (EMT) was set up with $2.9 billion dollars to be distributed to states to reduce transportation emissions. In effect, VW’s deceit now represents a historic opportunity to drastically reduce harmful pollution that makes us sick and destroys the planet, while also providing an essential down payment toward the transition to a clean and modern 21st century transportation system. 

Report | TexPIRG Education Fund | Transportation

Blueprint for Tomorrow

INFRASTRUCTURE IS AT THE HEART of America’s greatest challenges. The infrastructure investments made by generations past have contributed to improved health and welfare, and to the nation’s unparalleled economic prosperity. But the infrastructure decisions of the past have also cast a long shadow, leaving America to deal with the burden of lead water pipes that jeopardize our children’s health, fossil fuel pipelines that contribute to global warming, and transportation and solid waste infrastructure that no longer serve today’s needs.

It is time for a bold, new vision for federal infrastructure policy – one that focuses attention on the 21st century’s toughest challenges, from ensuring safe drinking water for all Americans to addressing global warming, which threatens to change American life as we know it. The nation’s infrastructure policy is an opportunity to undertake the challenge of building a better world.

It is also time for a new approach to federal investment in infrastructure – one that’s less focused on creating ribbon-cutting opportunities and maximizing the number of jobs and is more attentive to getting the most benefit out of every dollar spent.

By focusing federal policy on unleashing high-value investments in critical areas – and resisting the temptation to spend resources on counterproductive boondoggle projects – the Trump administration and Congress can leave a lasting infrastructure legacy that will be remembered by future generations.

Report | TexPIRG | Public Health

Get the Lead Out

Over the past five years, the tragedy of Flint, Michigan has stunned the nation. We watched the drinking water of an entire city become contaminated with lead. And, we know now that this toxic threat extends well beyond Flint to communities across the country.

In fact, test results now show that lead is even contaminating drinking water in schools and pre-schools — flowing from thousands of fountains and faucets where our kids drink water every day.

In all likelihood, the confirmed cases of lead in schools’ water are just the tip of the iceberg. Most schools have at least some lead in their pipes, plumbing, or fixtures. And where there is lead, there is risk of contamination.1

The health threat of lead in schools’ water deserves immediate attention from state and local policymakers for two reasons. First, lead is highly toxic and especially damaging to children — impairing how they learn, grow, and behave. So, we ought to be particularly vigilant against this health threat at schools and pre-schools, where our children spend their days learning and playing.

Second, current regulations are too weak to protect our children from lead-laden water at school. Federal rules only apply to the roughly ten percent of schools and pre-schools that are considered to be their own Public Water Systems.2 At schools not considered to be a Public Water System, there is no federal rule protecting kids from exposure to lead in schools’ drinking water. While the latest edition of the EPA’s 3Ts for Reducing Lead in Drinking Water in Schools and Child Care Centers recommends that schools reduce lead to the “lowest possible concentration,” unless a state’s law directs schools to adhere to it, this guidance is not enforceable.3 Moreover, even when federal rules do apply to a school, they only require remediation when testing confirms lead concentrations in excess of 15 parts per billion at ten percent or more of taps sampled, even though medical and public health experts agree that there is no safe level of lead for our children.4 The error of this approach is compounded by the fact that testing, even when properly done, often fails to detect maximum lead levels in water coming out of the tap.

Unfortunately, so far, most states are failing to protect children from lead in schools’ drinking water. Our review of 32 states’ laws and regulations finds:

Several states, including Texas, have no requirements for schools and pre-schools to address the threat of lead in drinking water.

Report | TexPIRG Education Fund | Health Care

The Real Price of Medications

People living in the United States have access to some of the best medical care in the world, from life-saving drugs to cutting-edge surgical techniques. But our system is deeply flawed, with spiraling costs forcing many Americans to spend more on care and often receiving poor quality care for all the extra money spent.

Retail prescription drug costs represent about 10% of the total national healthcare expenditure in America and are a public concern because of existing high prices, which often continue to climb. In fact, nearly 1 in 4 Americans on medication struggle to afford their prescription drugs - and that rises to more than 4 in 10 for individuals in worse health.  Research on these high health care expenses (including prescription drug expenses) in comparison to other countries show that this difficult cost burden is driven primarily by inflated prices: not differences in the drugs used, our aging population, nor the amount of drugs prescribed.”

These high prices decimate the delivered value we get from medications. The main problem is this: although a patient may pay more for their life saving medicine, they are not getting any more health value for the extra money spent.

Research shows that high prices lead patients to engage in risky behaviors, including medication rationing or altering dosages without doctor’s consent. Nearly 17% of older adults exhibit this non-adherence behavior, the highest among 11 comparably wealthy countries. Physician treatment plans don’t work when patients can’t follow them, and research shows that medical treatment deviations account for major proportions of treatment failures and many hospital and nursing home admissions.

The picture is even more concerning when you consider that drug prices can vary greatly within cities, states and regions of the United States. Doctors may prescribe more expensive medication that is just as effective as other options, or patients may decide to forgo treatment, when more affordable options could be available at the pharmacy around the corner. Sometimes, the best treatment may be what the patient can consistently stick to, but with providers and patients unsure about prescription drug prices, that treatment decision becomes even more daunting.  
 

Report | TexPIRG Education Fund | Consumer Protection

Driving Into Debt

In much of America, access to a car is all but required to hold a job or lead a full and vibrant life. Generations of car-centric transportation policies – including lavish spending on roads, sprawl-inducing land use policies, and meager support for other modes of transportation – have left millions of Americans fully dependent on cars for daily living.

Car ownership is costly, and often requires households to take on debt. In the wake of the Great Recession, Americans rapidly took on debt for car purchases. Since the end of 2009, the amount of money Americans owe on their cars has increased by 75 percent. A significant share of that debt has been incurred by borrowers with lower credit scores, who are particularly vulnerable to predatory loans with high interest rates and inflated costs.

Americans’ rising indebtedness for cars raises concerns for the financial future of millions of households. It also demonstrates the real costs and risks imposed by our car-dependent transportation system. Americans deserve protection from predatory loans and unfair practices in auto lending. Americans also deserve a transportation system that provides more people with the freedom to choose to live without owning a car.

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