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	<title type="text">Stephanie Wykstra | Vox</title>
	<subtitle type="text">Our world has too much noise and too little context. Vox helps you understand what matters.</subtitle>

	<updated>2020-06-15T18:13:03+00:00</updated>

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				<name>Stephanie Wykstra</name>
			</author>
			
			<title type="html"><![CDATA[The fight for transparency in police misconduct, explained]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2020/6/16/21291595/new-york-section-50-a-police-misconduct" />
			<id>https://www.vox.com/2020/6/16/21291595/new-york-section-50-a-police-misconduct</id>
			<updated>2020-06-15T14:13:03-04:00</updated>
			<published>2020-06-16T07:30:00-04:00</published>
			<category scheme="https://www.vox.com" term="Criminal Justice" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Politics" />
							<summary type="html"><![CDATA[In 2012, Ramarley Graham, an 18-year-old black teenager, was fatally shot in his own home by a white New York City police officer, Richard Haste. Haste and other officers had followed Graham home from a nearby bodega and forced their way in, later saying that they believed Graham was carrying a gun. Graham was, in [&#8230;]]]></summary>
			
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<img alt="" data-caption="NYPD officers in Brooklyn on June 12. | Erik McGregor/LightRocket via Getty Images" data-portal-copyright="Erik McGregor/LightRocket via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/20035418/GettyImages_1219621224.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	NYPD officers in Brooklyn on June 12. | Erik McGregor/LightRocket via Getty Images	</figcaption>
</figure>
<p>In 2012, Ramarley Graham, an 18-year-old black teenager, was fatally shot in his own home by a white New York City police officer, Richard Haste. Haste and other officers had followed Graham home from a nearby bodega and forced their way in, later saying that they believed Graham was carrying a gun. Graham was, in fact, unarmed.</p>

<p>Eighteen months after the killing, a grand jury decided <a href="https://www.nytimes.com/2013/08/09/nyregion/grand-jury-declines-to-indict-officer-in-death-of-unarmed-youth.html">not to indict</a> Haste. Graham&rsquo;s mother, Constance Malcolm, <a href="https://www.villagevoice.com/2017/03/07/the-nypd-is-still-stonewalling-ramarley-grahams-mother-five-years-after-he-was-killed-by-police/">later </a>tried to obtain information about the shooting and investigation, as well as Haste&rsquo;s misconduct history. But the police department denied her freedom of information law (FOIL) <a href="https://www.scribd.com/document/340756718/Ramarley-Graham-FOIL">request</a>, <a href="https://www.villagevoice.com/2017/04/13/the-nypd-is-making-ramarley-grahams-mother-sue-to-find-out-why-he-was-killed/">citing</a> New York&rsquo;s civil rights law &mdash; section <a href="https://www.nysenate.gov/legislation/laws/CVR/50-A">50-a</a> &mdash; which it said barred access to all disciplinary records of officers.&nbsp;</p>

<p>Eventually, a whistleblower <a href="https://archive.thinkprogress.org/richard-haste-disciplinary-record-474f77eb8d19/">leaked</a> disciplinary records that showed that Haste had an unusually high number of civilian complaints against him over a one-year period in 2009-2010, shortly after he joined the department. A disciplinary <a href="https://www.nytimes.com/2017/03/27/nyregion/ramarley-graham-nypd-richard-haste.html">review</a> would later find Haste guilty of using poor tactical judgment (Haste quit the force in 2017 before he could be dismissed).</p>

<p>Malcolm went on to join the advocacy group <a href="https://www.justicecommittee.org/">Justice Committee</a>, which includes many other families affected by police violence, in an effort to push for the repeal of section 50-a in New York and bring greater transparency to policing.&nbsp;Last week, their long advocacy efforts succeeded.&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/20035431/GettyImages_141718909.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Constance Malcolm and Franclot Graham, mother and father of Ramarley Graham, during a vigil for their son in the Bronx on March 22, 2012. Graham, 18, was shot in the chest by police officers in his grandmother’s bathroom after the officers entered the house without a warrant. | Andrew Burton/Getty Images" data-portal-copyright="Andrew Burton/Getty Images" />
<p>On June 12, Gov. Andrew Cuomo signed <a href="https://www.cnn.com/2020/06/12/us/cuomo-signs-police-reform-laws/index.html">several police transparency and accountability bills</a>, including a <a href="https://www.nysenate.gov/legislation/bills/2019/a10611">repeal of 50-a</a>. Malcolm and other advocates point to the surge of protests against police brutality sparked by Minnesota police officer Derek Chauvin&rsquo;s killing of George Floyd &mdash; in addition to the work of groups like Justice Committee and <a href="https://www.changethenypd.org/">Communities United For Police Reform</a> (of which Justice Committee is a member)&nbsp;&mdash; as the impetus that finally pushed the bills through.</p>

<p>&ldquo;Now families like mine and people who are brutalized by police won&rsquo;t have to rely on leaks to get information about the officers who abused them,&rdquo; Malcolm said. &ldquo;So this is a very big victory for us.&rdquo;&nbsp;</p>

<p>To be clear, neither Malcolm nor other advocates view transparency about police misconduct as a panacea for preventing violence by police officers. All of them want to see much more significant change as well &mdash; for instance, reallocating public funding to schools, health care, housing, and other community resources, rather than to police.&nbsp;</p>

<p>But at the same time, many of the advocates describe transparency about police misconduct as important for holding officers accountable for abusive behavior. With the repeal of 50-a, New York embarks on a more transparent course that <a href="https://www.latimes.com/politics/la-pol-ca-police-misconduct-rules-changed-20180930-story.html">many other states</a> have taken and joins the conversation about how transparency can better allow citizens to hold the police accountable for brutality.&nbsp;</p>
<h2 class="wp-block-heading">Laws that shield police misconduct from public scrutiny, explained</h2>
<p>New York&rsquo;s section <a href="https://www.nysenate.gov/legislation/laws/CVR/50-A">50-a</a>, which passed in 1976, stated that &ldquo;personnel records [of police officers] used to evaluate performance toward continued employment or promotion&rdquo; were confidential and couldn&rsquo;t be disclosed without the officer&rsquo;s permission or a court order (with a few exceptions including district attorneys).&nbsp;</p>

<p>According to a legislative <a href="https://www.timesunion.com/tuplus-local/article/Court-rulings-shroud-records-10788517.php">memo</a> written at the time, the law was <a href="https://gothamist.com/news/ny-police-nypd-50a-cops-crime">intended</a> to prevent defense attorneys from going on &ldquo;fishing expeditions&rdquo; by placing broad subpoenas of officer misconduct records. But over time, the police department and the <a href="https://www.nytimes.com/2018/12/11/nyregion/police-disciplinary-records-court-ruling-nyc.html">highest court</a> in the state came to interpret the law as barring any police officer misconduct records from disclosure under the state&rsquo;s open record law (misconduct records of firefighters and correction officers were later <a href="https://www.timesunion.com/tuplus-local/article/Court-rulings-shroud-records-10788517.php">added</a> to the law). This secrecy increased in recent years, such as when the police department even <a href="https://academicworks.cuny.edu/cgi/viewcontent.cgi?article=1471&amp;context=clr">stopped</a> publicly posting outcomes of disciplinary trials of officers.&nbsp;</p>

<p>&ldquo;50-a was arguably the worst law in the nation when it comes to the public&rsquo;s ability to access these records,&rdquo; said Michael Sisitzky, lead policy counsel at the New York Civil Liberties Union, a group that has often filed freedom of information requests for police records and had long been <a href="https://www.nyclu.org/en/cases/nyclu-v-new-york-city-police-department-seeking-access-nypd-stop-and-frisk-database-under-foil">denied</a>.&nbsp;</p>

<p>By comparison, a majority of states allow public disclosure of at least some officer misconduct records under public records laws. (According to a WNYC <a href="https://www.wnyc.org/story/police-misconduct-records/">report</a> in 2015, 27 states make records available to some degree, and in another 23 states they are mostly unavailable.) New York&rsquo;s law change will make misconduct records available to a greater degree than many other states, Sisitzky said.</p>

<p>Another big recent change to state law was in 2018, when California joined the group of partially transparent states by changing its law to require records to be released when officers are found to have <a href="https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1421">committed</a> certain types of misconduct, including sexual assault and use of force.&nbsp;</p>

<p>For many advocates, the answer to why such transparency is important is straightforward: Officers are given enormous power in their jobs, and their histories of abusive behavior should be available to the public they are charged to protect.&nbsp;</p>

<p>Adilka Pimentel, a lead organizer with the advocacy group <a href="https://maketheroadny.org/">Make the Road</a> New York, which pushed for the repeal of 50-a, said that low-income black and brown communities are familiar with abusive officers. But without access to their histories of misconduct, &ldquo;we are unable to look at patterns of officers who are continuously beating people up in the community.&rdquo;</p>

<p>Pimentel pointed to the case of Daniel Pantaleo, the officer who <a href="https://www.vox.com/identities/2019/8/27/20835639/daniel-pantaleo-eric-garner-nypd-protests-activists-de-blasio">killed Eric Garner in 2014 by chokehold</a>, who had a history of misconduct. As was the case for Richard Haste, Pantaleo&rsquo;s records remained secret until a whistleblower <a href="https://archive.thinkprogress.org/daniel-pantaleo-records-75833e6168f3/">leaked</a> them.</p>

<p>Police unions have often pushed back on transparency, arguing that sharing records could lead to officers being targeted by violence. In response to the repeal of 50-a by the state legislature, Patrick Lynch, president of the New York City Police Benevolent Association, said in a <a href="https://www.nycpba.org/press-releases/2020/nyc-pba-statement-on-50-a-repeal/">statement</a>, &ldquo;The unfettered release of police personnel records will allow unstable people to target police officers and our families for harassment or worse.&rdquo;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/20035449/GettyImages_1150779568.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Protesters gather outside of Police Headquarters in Manhattan to protest during the police disciplinary hearing for Officer Daniel Pantaleo, who choked Eric Garner during an arrest in July 2014 on May 21, 2019. | Getty Images" data-portal-copyright="Getty Images" />
<p>But advocates and researchers point out that there&rsquo;s no evidence that disclosing records will lead to physical harm against officers. In a recent <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3552012">survey</a> of 344 police and sheriff offices in the 12 most transparent states, legal scholars Rachel Moran and Jessica Hodge saw scant evidence of physical harm to officers. As one criminologist <a href="https://perma.cc/K78B-PDYE">put it</a>, there&rsquo;s a &ldquo;total lack of data&rdquo; when it comes to the claim that officers will be harmed as a result of disclosures.</p>

<p>In his <a href="https://www.facebook.com/SenatorMyrie/videos/623979488466857">remarks</a> on the repeal of 50-a, New York state Sen. Zellnor Myrie described the repeal not as &ldquo;anti-police&rdquo; but as &ldquo;pro-people.&rdquo; He discussed his own experience being harmed at the hands of officers while <a href="https://www.cnn.com/us/live-news/george-floyd-protests-06-02-20/h_e3f8c09c0fb417ca3626ad0e8208f535">attending</a> a recent protest about police brutality in Brooklyn. &ldquo;I was pushed, I was shoved, I was hit in the back, pepper-sprayed, and handcuffed,&rdquo; he said on the state Senate floor, &ldquo;To this day, I don&rsquo;t know if the officer that sprayed me and my colleague in the Assembly has a history of excessive use of force.&rdquo;&nbsp;</p>

<p>Myrie then voted to repeal 50-a, saying, &ldquo;My life matters. Black lives matter.&rdquo;</p>
<h2 class="wp-block-heading">Why transparency matters</h2>
<p>Even as there&rsquo;s been a movement towards transparency in recent years, there&rsquo;s also been an ongoing conversation among advocates, policymakers, and legal scholars as to what transparency should look like in practice. Even in the 12 states with the most open laws, it&rsquo;s very rare for misconduct data to be shared by government agencies in a public database. &ldquo;There aren&rsquo;t any laws that require a proactive database, that I&rsquo;m aware of,&rdquo; said Moran, a legal scholar at the University of St. Thomas School of Law who has done <a href="https://scholarship.law.uci.edu/ucilr/vol10/iss1/6/">extensive</a> <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3552012">research</a> on police misconduct transparency.</p>

<p>In a few cases, nonprofit and media organizations have taken the step of creating such databases. In Chicago, the nonprofit Invisible Institute launched the Citizens Police Data Project (<a href="https://cpdp.co/">CPDP</a>) in 2015, including nearly 250,000 complaints against more than 23,000 officers spanning decades. The data only became available after Invisible Institute&rsquo;s founder, the journalist Jamie Kalven, along with <a href="https://www.law.uchicago.edu/news/big-win-police-accountability">attorneys</a> at the University of Chicago Law School, <a href="https://courts.illinois.gov/Opinions/AppellateCourt/2014/1stDistrict/1121846.pdf">sued</a> Chicago&rsquo;s police department to obtain the records, winning the six-year lawsuit in 2014.</p>
<figure class="wp-block-pullquote alignleft"><blockquote><p>“50-a was arguably the worst law in the nation when it comes to the public’s ability to access these records”</p></blockquote></figure>
<p>&ldquo;The fight we engaged in for so long, and in some ways continue to, over official secrecy was also a fight over a redistribution of power,&rdquo; Kalven told me. &ldquo;If the state has the information and it&rsquo;s held behind a wall of secrecy, we as citizens are necessarily disempowered by not having access to the information.&rdquo;</p>

<p>The Chicago database launched 10 days before the city&rsquo;s release of a dashcam video showing a white police officer, Jason Van Dyke, fatally shooting black 17-year-old Laquan McDonald 16 <a href="https://www.sho.com/titles/3466069/16-shots">times</a>. The database <a href="https://cpdp.co/officer/29310/jason-van-dyke/">showed</a> that Van Dyke had more than 20 complaints against him, about half for use of force. Van Dyke&rsquo;s history added to the outcry in the city about the lack of accountability for police brutality, and in 2019, he was convicted: the first patrolman in <a href="https://www.nytimes.com/2019/01/18/us/jason-van-dyke-sentencing.html">nearly 50 years</a> to be convicted for murder in Chicago.</p>

<p>Beyond allowing citizens to look up individual officers by name, Kalven said, the database also allows for research into patterns of officer misconduct. One ongoing research <a href="https://sites.northwestern.edu/n3lab/research/">project </a>involves <a href="https://theintercept.com/2018/08/16/chicago-police-misconduct-social-network/">network analysis</a> of officers that are co-accused of misconduct. The database &ldquo;can allow you to proceed in a more systematic way to enforce accountability,&rdquo; Kalven said.</p>

<p>A few other police misconduct databases exist across the country. In New York City, the public defender nonprofit Legal Aid Society developed a database on police misconduct, including cases in which officers had lied in their testimony &mdash; but that&rsquo;s only for its attorneys to use. It also created a public-facing database called <a href="https://www.capstat.nyc/">CAPstat</a> (Cop Accountability Project statistics), which includes data from lawsuits against NYC officers over several years, as well as data on officer misconduct records that was <a href="https://www.buzzfeednews.com/article/kendalltaggart/secret-nypd-files-hundreds-of-officers-committed-serious">leaked</a> to BuzzFeed News.&nbsp;</p>

<p>In addition, USA Today created a national <a href="https://www.fastcompany.com/90360008/these-citizen-built-websites-are-helping-expose-police-misconduct?utm_source=postup&amp;utm_medium=email&amp;utm_campaign=the-future-of-policing&amp;position=3&amp;partner=newsletter&amp;campaign_date=12282019">database</a> of officers that have had their certification removed (to which Invisible Institute contributed), and the <a href="https://policecrime.bgsu.edu/">Police Crime Database</a> out of Bowling Green State University reports data on officers charged and convicted of crimes. And a recent federal bill <a href="https://www.merkley.senate.gov/news/press-releases/merkley-announces-legislation-for-national-police-misconduct-database-calls-for-sweeping-action-to-address-police-brutality-2020">introduced</a> by Oregon Sen. Jeff Merkley proposes a national database of police misconduct, including use of force.</p>

<p>The New York legislature also passed another <a href="https://www.nysenate.gov/newsroom/press-releases/brad-hoylman/senate-passes-hoylmans-police-stat-act-requiring-public#:~:text=The%20Police%20STAT%20Act%20(S,policing%20practices%20in%20New%20York.&amp;text=The%20race%2C%20ethnicity%2C%20age%20and,activity%20and%20arrest%2Drelated%20deaths">bill</a> last week, the Police STAT Act, that would require public reports of those killed in interactions with the police or in police custody (which the Governor has yet to sign). &ldquo;To me, it&rsquo;s just surreal that in 2020 there&rsquo;s no database of people killed by police,&rdquo; Pimentel said.&nbsp;&nbsp;</p>
<h2 class="wp-block-heading">The work doesn’t stop with increased police transparency</h2>
<p>All of the advocates I spoke to emphasized that transparency is not a cure-all and that much more change is needed to bring about not just accountability for police officers but transforming the role of police in our society.</p>

<p>For one thing, there are many other layers of complexity when it comes to transparency and accountability. Beyond state laws, police union contracts often also include provisions regarding police discipline that limit accountability. Stephen Rushin, a legal scholar at Loyola University Chicago School of Law who has <a href="https://scholarship.law.duke.edu/dlj/vol66/iss6/1/">analyzed</a> hundreds of police union contracts, said that destruction of misconduct records after a set period of time is one of the most common items included in such contracts.&nbsp;</p>

<p>And there&rsquo;s also a much wider question of how to hold police accountable &mdash; very few police are indicted on criminal charges, <a href="https://www.washingtonpost.com/sf/investigative/2015/04/11/thousands-dead-few-prosecuted/">even when they kill people</a>. And <a href="https://www.vox.com/2020/6/3/21277104/qualified-immunity-cops-constitution-shaniz-west-supreme-court">qualified immunity</a> has often protected them from federal lawsuits. Internal discipline within departments is also <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2778702">relatively rare</a>, even for serious misconduct. And civilian complaint review boards charged with investigations of complaints about police <a href="https://scholarship.shu.edu/cgi/viewcontent.cgi?article=1572&amp;context=shlr">rarely have independent authority</a> and can only recommend discipline to departments. (In 2018, the NYC police department either ignored the discipline recommendation of the city&rsquo;s civilian complaint review board altogether or, about <a href="https://www1.nyc.gov/assets/ccrb/downloads/pdf/policy_pdf/annual_bi-annual/2018CCRB_AnnualReport.pdf">half the time</a>, imposed less discipline than recommended.)</p>

<p>Skeptics have also questioned the utility of making records publicly available. Kate Levine, a legal scholar at the Benjamin N. Cardozo School of Law, told me that misconduct records should undoubtedly be available to defense attorneys and prosecutors in criminal cases and civil suits involving officers. However, as she <a href="https://scholarship.law.duke.edu/cgi/viewcontent.cgi?article=3968&amp;context=dlj">published</a> in a law review article last year, she has concerns about making that data public. For example, there&rsquo;s often racial and other kinds of bias in who gets disciplined for misconduct within police departments &mdash; and public records would reflect that bias.</p>

<p>Beyond that concern, she is skeptical about the degree to which public disclosure of the misconduct records will help bring accountability. &ldquo;I have not seen any evidence that having these records be public leads to a less brutal police force,&rdquo; Levine said. While it&rsquo;s possible that the public records would allow people to hold officers accountable, she says there isn&rsquo;t a clear reason to think that making the records public would make much of a difference. <strong>&ldquo;</strong>There needs to be radical change in the way policing is conducted,&rdquo; she said, including &ldquo;a radical reduction in our reliance on the police.&rdquo;</p>

<p>Advocates who pushed for the repeal of 50-a in New York similarly emphasized the need to reimagine the role of police. Pimentel, who went to school in New York City where there were metal detectors and police, told me, &ldquo;I survived the school-to-prison pipeline, and some people don&rsquo;t. They are introduced into this unforgiving carceral system and that&rsquo;s it.&rdquo; Many advocates are pushing to <a href="https://www.nytimes.com/2020/06/12/us/schools-police-resource-officers.html">remove</a> police from schools, including in <a href="https://twitter.com/madinatoure/status/1269278624009551874">New York City</a>. In Minneapolis, the public school system recently <a href="https://www.cnn.com/2020/06/03/us/minneapolis-schools-police-george-floyd-trnd/index.html#:~:text=Minneapolis%20schools%20and%20parks%20cut%20ties%20with%20police%20over%20George%20Floyd's%20death,-By%20Alicia%20Lee&amp;text=The%20Minneapolis%20Park%20and%20Recreation,a%20recording%20of%20the%20meeting.">cut ties</a> with the police.</p>

<p><a href="https://blacklivesmatter.com/">Black Lives Matter</a> and the <a href="https://m4bl.org/">Movement for Black Lives</a>, along with many other organizations, are pushing for significant change in the role of police in society, as well as the role of <a href="https://www.8toabolition.com/">incarceration</a>. As Black Lives Matter co-founder Patrisse Cullors said recently on <em>The </em><a href="http://www.cc.com/episodes/te9mhf/the-daily-show-with-trevor-noah-june-9%E2%80%942020---panel-discussion-on-radical-police-reform-season-25-ep-25113"><em>Daily Show With Trevor Noah</em></a>: &ldquo;We&rsquo;re in a moment when we can call for more.&rdquo;&nbsp;</p>

<p>When it comes to what it means to <a href="https://www.vox.com/policy-and-politics/2020/6/12/21283813/george-floyd-blm-abolish-the-police-8cantwait-minneapolis">defund the police</a>, she said, she thinks about it in terms of a simple question: &ldquo;What are the things that police are doing right now that could be given to other people, other workers that have been trained to do that particular thing?&rdquo; She asked why police are charged with responding to people in mental health crises and with criminalizing homelessness. It&rsquo;s &ldquo;deeply unfortunate&rdquo; that resources that communities need are gutted, she said, while the police receive a huge amount of funding.</p>

<p>In New York City, Constance Malcolm said that Justice Committee and many other advocates that have been engaged in protests are calling for cuts to the police department&rsquo;s budget &mdash; including a cut of <a href="https://www.changethenypd.org/nycbudgetjustice">at least $1 billion</a> in the next fiscal year &mdash; and to reinvest in social services that communities need. Malcolm told me that she is very glad to see 50-a repealed and the greater transparency that will result. At the same time, she and many others are pushing for further change.</p>

<p>&ldquo;The world is watching,&rdquo; she said, &ldquo;to see how America treats its people.&rdquo;</p>
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			<author>
				<name>Stephanie Wykstra</name>
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			<title type="html"><![CDATA[Vouchers can help the poor find homes. But landlords often won’t accept them.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/2019/12/10/21001692/housing-vouchers-discrimination-racism-landlords" />
			<id>https://www.vox.com/future-perfect/2019/12/10/21001692/housing-vouchers-discrimination-racism-landlords</id>
			<updated>2019-12-10T11:30:44-05:00</updated>
			<published>2019-12-10T08:30:00-05:00</published>
			<category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Poverty" />
							<summary type="html"><![CDATA[When Tisha Guthrie learned in 2009 that she&#8217;d received a housing voucher that would help with her rent in Baltimore, she was excited. She&#8217;d joined the waiting list five years prior, when she became unable to work full-time due to serious health issues (she received both kidney and pancreas transplants, and is also legally blind).&#160; [&#8230;]]]></summary>
			
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<img alt="" data-caption="Brookland Manor in Washington, DC, on April 26, 2016. The majority of residents here receive vouchers that subsidize their housing. | Michael S. Williamson/The Washington Post via Getty Images" data-portal-copyright="Michael S. Williamson/The Washington Post via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19443986/GettyImages_664721894.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	Brookland Manor in Washington, DC, on April 26, 2016. The majority of residents here receive vouchers that subsidize their housing. | Michael S. Williamson/The Washington Post via Getty Images	</figcaption>
</figure>
<p>When Tisha Guthrie learned in 2009 that she&rsquo;d received a housing voucher that would help with her rent in Baltimore, she was excited. She&rsquo;d joined the waiting list five years prior, when she became unable to work full-time due to serious health issues (she received both kidney and pancreas transplants, and is also legally blind).&nbsp;</p>

<p>Yet Guthrie, now 45 years old, found that none of the apartments where she applied would accept her voucher. She inquired at nearly 20 buildings that advertised apartments in her price range. But whenever she mentioned her voucher, landlords said they didn&rsquo;t take them, or that they didn&rsquo;t have any apartments available.</p>

<p>&ldquo;You start to feel defeated,&rdquo; Guthrie told me. &ldquo;You feel you&rsquo;re being stigmatized based solely on having this form of rental payment.&rdquo; She searched for a year before she finally found a landlord who would take her voucher.</p>

<p>Guthrie&rsquo;s experience is all too common. Federally funded vouchers like hers (called housing choice vouchers) provided more than <a href="https://www.cbpp.org/research/housing/federal-rental-assistance-fact-sheets#US">2.2 million</a> households and 5 million people with rental assistance in 2018. The vouchers help make housing affordable for low-income individuals: Voucher holders pay 30 percent of their income toward rent and utilities, while the government pays the remainder (up to the maximum allowable amount).</p>

<p>Yet in major cities from <a href="https://www.latimes.com/opinion/editorials/la-ed-section-8-discrimination-law-homeless-20190419-story.html">Los Angeles</a> to <a href="https://www.nytimes.com/2018/06/20/nyregion/nyc-government-vouchers-lawsuit.html">New York City</a> to <a href="https://www.inquirer.com/philly/opinion/editorials/housing-discrimination-vouchers-urban-institute-fair-landlords-20180828.html">Philadelphia</a> to <a href="https://www.wbez.org/shows/wbez-news/civil-rights-group-finds-housing-discrimination-in-several-chicago-communities/45b03806-dafe-42dc-96e5-74aa3039fb9b">Chicago</a> &mdash; and in many smaller ones, too &mdash; voucher holders often encounter landlords who refuse to take them or find other ways to avoid renting to them, including falsely claiming that they have no available apartments.&nbsp;</p>

<p>In response, states and cities have passed legislation known as &ldquo;source-of-income laws,&rdquo; which ban landlords from discriminating against people just because they&rsquo;re using a voucher. Last year, Guthrie joined advocacy groups pushing for a source-of-income law in Baltimore, testifying about her experience and writing an <a href="https://www.baltimoresun.com/opinion/op-ed/bs-ed-op-1205-affordable-housing-20181204-story.html">op-ed</a>. In 2019, the city passed such a law, albeit with a <a href="https://nextcity.org/daily/entry/baltimore-bans-source-of-income-discrimination-but-theres-a-big-catch">limitation</a> that advocates opposed.</p>

<p>At the same time, it&rsquo;s become clear that these laws are not enough. In some places, discrimination against voucher holders remains <a href="https://www.urban.org/research/publication/pilot-study-landlord-acceptance-housing-choice-vouchers">common</a>, even with source-of-income laws on the books. Advocates argue that greater enforcement is needed, along with further <a href="https://furmancenter.org/files/NYUFurmanCenter_SAFMRbrief_22Jan2018.pdf">adjustments</a> to put voucher amounts more in line with fair market rents. And in cities with tight rental markets, they are <a href="https://www.coalitionforthehomeless.org/event/house-our-future-ny/">pushing</a> for increased construction of affordable housing.&nbsp;</p>

<p>A strong body of research shows that housing vouchers help <a href="https://www.povertyactionlab.org/sites/default/files/publications/reducing-preventing-homelessness-review-research-agenda.pdf">prevent homelessness</a>, as well as <a href="https://www.cbpp.org/research/housing/research-shows-housing-vouchers-reduce-hardship-and-provide-platform-for-long-term">increase</a> long-term health and economic outcomes of children in low-income families. Vouchers are of huge importance to millions of people, but discrimination against people who use them threatens to thwart the progress that&rsquo;s been made in housing the most vulnerable among us.</p>
<h2 class="wp-block-heading">Housing vouchers, explained</h2>
<p>Federally supported vouchers were <a href="https://www.tandfonline.com/doi/abs/10.1080/02673037.2013.824559">introduced</a> with the Section 8 program in 1974. By the late &lsquo;90s, housing vouchers <a href="https://www.tandfonline.com/doi/abs/10.1080/10511482.2000.9521391">comprised</a> the largest low-income housing assistance program.&nbsp;&nbsp;</p>

<p>In 2018, <a href="https://www.cbpp.org/research/housing/federal-rental-assistance-fact-sheets#US">1.2 million</a> households used Section 8 project-based vouchers (used in <a href="https://www.cbo.gov/sites/default/files/114th-congress-2015-2016/reports/50782-lowincomehousing.pdf">specific housing developments</a>), and <a href="https://www.cbpp.org/research/housing/federal-rental-assistance-fact-sheets#US">2.2 million households</a> used housing choice vouchers (&ldquo;portable&rdquo; vouchers that can be used for renting apartments in the private market). Other types of rental assistance support specific demographic groups: For example, the <a href="https://www.hudexchange.info/programs/hud-vash/hud-vash-eligibility-requirements/">HUD-VASH program</a> was created in the early 1990s to subsidize housing for homeless veterans. Many <a href="https://nlihc.org/state-and-city-funded-rental-housing-programs">cities and states</a> also fund their own subsidized housing programs.</p>

<p>To determine eligibility for federally funded vouchers, the Department of Housing and Urban Development (HUD) sets <a href="https://www.huduser.gov/portal/datasets/il.html">income limits</a>, which are based on estimates of median incomes and fair market rents in the area. For housing choice vouchers, <a href="https://www.cbpp.org/research/housing/policy-basics-the-housing-choice-voucher-program">75 percent</a> of recipients must be &ldquo;extremely low-income,&rdquo; which means their earnings do not exceed 30 percent of the area&rsquo;s median income or the federal poverty line, whichever is higher. Unlike other federal poverty-alleviation efforts &mdash; like the Supplemental Nutrition Assistance Program (SNAP, known informally as food stamps) &mdash; housing vouchers are not considered an entitlement, and only a <a href="https://www.cbpp.org/research/housing/policy-basics-federal-rental-assistance">quarter</a> of eligible households end up receiving federal rental assistance.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19444027/GettyImages_1188724002.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="President Lyndon B. Johnson signs a bill to create a new Cabinet post for the Department of Housing and Urban Development in September 1965. | Francis Miller/The LIFE Picture Collection via Getty Images" data-portal-copyright="Francis Miller/The LIFE Picture Collection via Getty Images" />
<p>When someone receives a housing choice <a href="https://www.hud.gov/program_offices/public_indian_housing/programs/hcv/about/fact_sheet">voucher</a>, they have limited time (usually between <a href="http://www.tacinc.org/media/58859/Chapter%207.pdf">60 and 120 days</a>, though extensions are sometimes possible) to find an apartment, after which they pay 30 percent of their income toward the rent (or a maximum <a href="http://www.tacinc.org/media/58856/Chapter%206.pdf">amount</a> of $50 per month, if they do not have any income). Local public-housing agencies administer the voucher programs, inspect apartments to make sure they meet minimum standards, and pay rent directly to landlords.</p>

<p>Multiple randomized trials have shown that housing voucher programs really do benefit the people who use them. For example, a HUD-funded <a href="https://www.huduser.gov/portal/sites/default/files/pdf/Family-Options-Study-Full-Report.pdf">study</a> dubbed &ldquo;Family Options,&rdquo; by researchers at Abt Associates in partnership with Vanderbilt University, found that vouchers reduced the rate of homelessness or &ldquo;doubling up&rdquo; with other households by 18 percent, compared with a rate of 35 percent for the control group.</p>

<p>A separate <a href="https://scholar.harvard.edu/files/lkatz/files/chk_aer_mto_0416.pdf">HUD-funded study</a>, called the <a href="https://www.povertyactionlab.org/sites/default/files/publications/Moving%20to%20Opportunity_0.pdf">&ldquo;Moving to Opportunity&rdquo; project</a>, found significant benefits for families that relocated to lower-poverty neighborhoods with the help of vouchers,  including better health, higher incomes, and increased rates of college attendance for children whose families moved before they were 13.</p>

<p>Despite their effectiveness at preventing homelessness and increasing housing stability, voucher programs are falling short of their promise. Though originally conceived as a way to help low-income households (<a href="https://nlihc.org/resource/racial-disparities-among-extremely-low-income-renters">disproportionately</a> comprised of people of color) access higher-opportunity neighborhoods, that has proven to be the exception rather than the rule. Families that use housing choice vouchers are often concentrated in poor neighborhoods. For example, a recent <a href="https://www.cbpp.org/research/housing/where-families-with-children-use-housing-vouchers">study</a> from the Center on Budget and Policy Priorities found that just 14 percent of metro-area families with children living in low-poverty neighborhoods used housing choice vouchers.</p>

<p>Another problem is that many voucher holders struggle to find a landlord willing to accept them. A <a href="https://www.huduser.gov/publications/pdf/sec8success.pdf">HUD study published in 2001</a>, for example, found that roughly 70 percent of voucher holders had succeeded in renting an apartment, though the average was closer to 50 percent in cities like New York and Los Angeles. More <a href="https://scholar.harvard.edu/files/lkatz/files/moving_to_opportunity_for_fair_housing_demonstration_program_--_final_impacts_evaluation.pdf">recent</a> <a href="http://www-personal.umich.edu/~jmhyman/Chyn_Hyman_Kapustin_Lease_Up_7_17_18.pdf">studies</a> have found comparably low success rates of 50 to 60 percent.</p>

<p>Though it&rsquo;s likely not the sole <a href="https://furmancenter.org/research/iri/essay/why-dont-more-voucher-holders-escape-poor-neighborhoods">cause</a>, there&rsquo;s strong evidence indicating that landlord discrimination <a href="https://www.cbpp.org/research/housing/prohibiting-discrimination-against-renters-using-housing-vouchers-improves-results">contributes</a> to both problems.&nbsp;</p>
<h2 class="wp-block-heading">Landlords discriminate against people who use vouchers</h2>
<p>Firsthand accounts from many voucher holders illustrate the hurdles they face when searching for an apartment.&nbsp;</p>

<p>In New York City, I spoke with half a dozen voucher holders who have either been unable to find an apartment after an extensive search, or who did so only after many months (in some cases, years) of looking.&nbsp;</p>

<p>Forty-five-year-old Sofia (who asked to be identified by her first name only) lives with two of her children in a shelter. Sofia, who is unable to work due to recent debilitating health problems and surgeries, received a city-funded voucher in early June. But after inquiring about dozens of apartments she found online, she said brokers and landlords repeatedly told her they didn&rsquo;t have any apartments available, or that they&rsquo;d get back to her later.&nbsp;</p>

<p>Sofia never heard from them again.&nbsp;</p>

<p>After five years of unstable housing, during which she and her children stayed with family or in shelters, Sofia said she was hopeful the voucher would help them move into their own place. But after months of searching, she told me, &ldquo;It&rsquo;s been really, really hard and so stressful, calling all these brokers and landlords, and it was a big load on me, on top of the load that I&rsquo;m already dragging.&rdquo; Hers isn&rsquo;t the only such story I heard.&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19444049/GettyImages_951563120.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="The Alfred E. Smith Houses, a public housing development built and maintained by the New York City Housing Authority (NYCHA) in Manhattan’s Lower East Side. | Drew Angerer/Getty Images" data-portal-copyright="Drew Angerer/Getty Images" />
<p>Systematic research corroborates these firsthand accounts. In 2018, the Urban Institute <a href="https://www.urban.org/research/publication/pilot-study-landlord-acceptance-housing-choice-vouchers">conducted</a> tests by calling thousands of landlords in five cities who were listing voucher-affordable apartments. In three of the cities &mdash; Los Angeles, Philadelphia, and Fort Worth, Texas &mdash; over two-thirds of landlords said they would refuse to accept vouchers. (In New York City, though it&rsquo;s clear discrimination is present, there&rsquo;s little recent data available on the frequency of landlord refusal or the success rates of finding housing using vouchers.)</p>

<p>In response to the problem, 13 states (plus Washington, DC) and more than 50 cities and counties throughout the US have <a href="https://prrac.org/pdf/AppendixB.pdf">passed source-of-income laws</a> requiring landlords to treat voucher holders the same as they would other applicants. Landlords are also prohibited from turning down voucher holders based on their source of payment.</p>

<p>However, there are still many areas that haven&rsquo;t passed such laws. The Poverty and Race Research Action Council estimates that as of November 2019, only about <a href="https://prrac.org/pdf/AppendixB.pdf">half</a> of voucher holders are covered by source-of-income laws. Meanwhile, both <a href="https://journals.sagepub.com/doi/full/10.1177/0885412216670603">Texas and Indiana</a> have passed legislation to <em>prevent</em> jurisdictions in their states from creating their own source-of-income laws. At the federal level, several <a href="https://www.cbpp.org/research/housing/prohibiting-discrimination-against-renters-using-housing-vouchers-improves-results#_ftn14">bills</a> banning voucher discrimination have been introduced, but none have passed.</p>

<p>There is evidence that source-of-income laws help voucher holders find apartments: A <a href="https://www.huduser.gov/publications/pdf/Freeman_ImpactLaws_AssistedHousingRCR06.pdf">study</a> comparing rates before and after a source-of-income law went into effect found significant increases in voucher use, ranging between 4 and 11 percentage points.</p>

<p>Yet advocates argue that more is needed. <a href="https://www.tandfonline.com/doi/abs/10.1080/02673037.2013.824559">Research</a> suggests source-of-income laws have only a modest impact on moving households to low-poverty areas. And in some areas, particularly low-poverty neighborhoods, landlords often continue to refuse vouchers despite the presence of such laws.&nbsp;</p>

<p>For example, in Philadelphia, the Urban Institute&rsquo;s <a href="https://www.urban.org/research/publication/pilot-study-landlord-acceptance-housing-choice-vouchers">study</a> found that 67 percent of landlords with eligible apartments refused to rent to voucher holders, regardless of legal protections in place. The rate was even higher in low-poverty neighborhoods. There&rsquo;s evidence that voucher discrimination is exacerbated by racial discrimination, too: In a recent <a href="https://www.bostonfed.org/news-and-events/news/2019/08/housing-assistance-vouchers.aspx">study</a> from the Federal Reserve Bank of Boston, 80 percent of black voucher holders reported that landlords in low-poverty areas would not accept vouchers, compared with 57 percent of voucher holders from other racial groups.</p>
<h2 class="wp-block-heading">How to fight voucher discrimination</h2>
<p>One way to improve the situation is straightforward enough: better enforcement of source-of-income laws.&nbsp;</p>

<p>Some cities are starting to take a more active role in this. For example, the NYC Department of Social Services has brought several <a href="https://www1.nyc.gov/assets/hra/downloads/pdf/news/press_releases/2018/Income%20Discrimination%20Lawsuits%20Press%20Release%2006202018.pdf">lawsuits</a> against large landlords for voucher discrimination.&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19444076/GettyImages_966014510.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="After three days of protesting New York City Mayor Bill de BIasio’s collusion with landlord and developers, the 85 Bowery tenants ended their hunger strike outside City Hall on June 1, 2018. | Erik McGregor/Pacific Press/LightRocket via Getty Images" data-portal-copyright="Erik McGregor/Pacific Press/LightRocket via Getty Images" />
<p>In 2018, NYC&rsquo;s Commission for Human Rights formed a new <a href="https://www1.nyc.gov/site/cchr/media/source-of-income.page">unit</a> to help fight income discrimination, and has since received over 800 complaints from voucher holders. The unit files formal complaints against landlords; its director, Stephanie Rudolph, said another top priority is intervening quickly, enabling voucher holders to move into buildings that had initially ignored them or turned them away. (Advocates in New York City who have praised the work of CCHR are pushing the city to provide greater <a href="https://citylimits.org/2019/06/03/call-for-city-to-lawyer-up-against-landlords-who-shun-tenants-with-vouchers/">funding</a> for the unit, which currently has only five members.)</p>

<p>Another key part of improving voucher programs is assisting voucher holders in their search and documenting discrimination, said Annie Carforo, campaign manager at Neighbors Together, a nonprofit organization that assists low-income New Yorkers. Carforo has talked to hundreds of people &mdash; many of them living in city shelters &mdash; who struggle to find apartments that will accept their vouchers and who have been given little, if any, assistance in their search. In some cases, people are unaware of the laws prohibiting voucher discrimination. &ldquo;It&rsquo;s heartbreaking to meet people who have been looking for housing for two years [using vouchers], and who never knew it was illegal for landlords to treat them this way,&rdquo; Carforo said.</p>

<p>Investing in a greater level of assistance for voucher holders is also a major component of Creating Moves to Opportunity, an initiative in Seattle and surrounding suburbs that helps families with housing choice vouchers relocate to high-opportunity neighborhoods. As Dylan Matthews <a href="https://www.vox.com/future-perfect/2019/8/4/20726427/raj-chetty-segregation-moving-opportunity-seattle-experiment">recently reported</a> for Vox, a randomized study of the program found big results: 54 percent of families in the treatment group that received counseling moved to a high-opportunity area, compared with 14 percent of families in the control group (which had received vouchers only).</p>

<p>In some areas, improving the voucher system could also involve improving the voucher-acceptance process for landlords. Landlords in some <a href="https://www.baltimoresun.com/opinion/readers-respond/bs-ed-rr-rentals-housing-letter-20180509-story.html">cities</a> have pushed back on source-of-income laws, and a recent qualitative <a href="https://www.huduser.gov/portal/sites/default/files/pdf/Urban-Landlords-HCV-Program.pdf">study</a> by researchers at Johns Hopkins University showed that some landlords are worried about losing money if they accept vouchers, due to inspections and other kinds of administrative delays. The researchers suggest that making the process more efficient could help address landlord concerns.&nbsp;</p>

<p>Another approach may be increasing landlord incentives, such as bonuses and tax breaks, which <a href="https://www.urban.org/urban-wire/increase-housing-choice-try-incentivizing-landlords">a few states</a> and <a href="https://www.huduser.gov/portal/periodicals/em/winter19/highlight3.html">cities</a> already offer. In <a href="https://www.huduser.gov/portal//portal/sites/default/files/pdf/Landlord-Acceptance-of-Housing-Choice-Vouchers.pdf">addition</a>, the Urban Institute recommends greater investment in actively recruiting landlords to participate in voucher programs, particularly in low-poverty neighborhoods.</p>

<p>The vouchers themselves could use improvements, too. In some cases, the lack of housing choice may be caused in part by voucher amounts that are not properly calibrated to local rents. Voucher amounts have typically been set by median rents in a large area (such as a metro area), but in recent years, there&rsquo;s been a <a href="https://www.cbpp.org/research/housing/a-guide-to-small-area-fair-market-rents-safmrs">shift</a> toward calculating median rents within smaller geographic areas (such as zip codes).&nbsp;</p>

<p>Following a lawsuit, Dallas was the first to try this approach, which led to a <a href="https://pdfs.semanticscholar.org/2387/c4f469da3a362471d89269338e2b6404d79d.pdf">greater use</a> of vouchers in low-poverty neighborhoods. After studying the approach in <a href="https://www.huduser.gov/portal/sites/default/files/pdf/SAFMR-Evaluation-Final-Report.pdf">five </a>other pilot areas, HUD shifted to the new way of calculating median rent (called &ldquo;small area fair market rent&rdquo;) for <a href="https://www.cbpp.org/research/housing/a-guide-to-small-area-fair-market-rents-safmrs#_edn4">24 metro areas</a>, and other housing agencies can decide to make the change voluntarily. (Though promising, it&rsquo;s <a href="https://www.cbpp.org/research/housing/a-guide-to-small-area-fair-market-rents-safmrs">still too early</a> to tell how much this policy shift will help increase mobility on a larger scale.)</p>
<h2 class="wp-block-heading">No one solution to the problem</h2>
<p>But one of the challenges in addressing voucher discrimination &mdash; and, more broadly, our housing crisis &mdash; is that there&rsquo;s no one-size-fits-all solution to the problem. As Andrew Aurand, vice president for research at the National Low Income Housing Coalition, told me, &ldquo;Different housing markets have different needs.&rdquo;&nbsp;</p>

<p>In some places, he said, it&rsquo;s clear there needs to be an increase in affordable housing alongside improvements to the voucher program. Many advocates in New York City, including those working to address <a href="https://www.coalitionforthehomeless.org/basic-facts-about-homelessness-new-york-city/">rising homelessness</a>, agree.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19444094/GettyImages_485490914.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Advocates with Picture the Homeless listen to speeches at Union Square Park in Manhattan on August 26, 2015. | Andy Katz/Pacific Press/LightRocket via Getty Images" data-portal-copyright="Andy Katz/Pacific Press/LightRocket via Getty Images" />
<p>&ldquo;We need to be actually thinking about expanding the supply of affordable apartments, instead of just going after an extremely scarce resource with vouchers,&rdquo; said Jacquelyn Simone, policy analyst at the Coalition for the Homeless in New York City. The Coalition is pushing the city to dedicate 10 percent of new affordable apartments (out of the <a href="https://www1.nyc.gov/site/housing/news/mayor-de-blasio-announces-largest-year-for-affordable-housing-production.page">300,000 planned</a> by 2026) to currently homeless people, <a href="https://gothamist.com/news/lawsuit-landlords-are-illegally-locking-out-thousands-of-homeless-new-yorkers">many of whom</a> have vouchers they haven&rsquo;t been able to use.</p>

<p>But Aurand notes that in other parts of the country, the shortage in affordable housing is <a href="https://reports.nlihc.org/sites/default/files/gap/Gap-Report_2018.pdf">less</a> severe &mdash; the issue is that extremely low-income households cannot afford to pay even relatively low rents. In those cases, Aurand said, it would be effective to increase voucher funding. Given that only a quarter of eligible low-income households receive vouchers now, there&rsquo;s a lot of room for expansion. (Several presidential candidates have announced housing proposals that would <a href="https://www.vox.com/2019/9/19/20873224/bernie-sanders-housing-for-all">fully fund</a> federal vouchers for all eligible households, as would a <a href="https://www.hirono.senate.gov/news/press-releases/senators-hirono-gillibrand-booker-unveil-legislation-to-significantly-increase-federal-investment-in-programs-to-alleviate-homelessness-and-housing-poverty">recently introduced Senate bill</a>.)</p>

<p>Improving the voucher system, increasing access to affordable housing, and giving households more choice in where they live would help fulfill the original promise of housing vouchers. Without stable housing, and especially when experiencing homelessness (as <a href="https://endhomelessness.org/homelessness-in-america/homelessness-statistics/state-of-homelessness-report/">half a million people</a> do on any given day), it is extremely difficult for people to stay afloat.&nbsp;</p>

<p>After years of moving from place to place and staying in shelters, &ldquo;I&rsquo;m walking through mud,&rdquo; Sofia told me. She is still searching, hoping her family will find a home using their voucher. That we make it so hard for people like Sofia is an indictment of a system ostensibly meant to help her.</p>

<p><a href="https://www.vox.com/future-perfect-newsletter"><em><strong>Sign up for the Future Perfect newsletter.</strong></em></a><em>&nbsp;Twice a week, you&rsquo;ll get a roundup of ideas and solutions for tackling our biggest challenges: improving public health, decreasing human and animal suffering, easing catastrophic risks, and &mdash; to put it simply &mdash; getting better at doing good.</em></p>
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			<author>
				<name>Stephanie Wykstra</name>
			</author>
			
			<title type="html"><![CDATA[The movement to make workers’ schedules more humane]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/2019/10/15/20910297/fair-workweek-laws-unpredictable-scheduling-retail-restaurants" />
			<id>https://www.vox.com/future-perfect/2019/10/15/20910297/fair-workweek-laws-unpredictable-scheduling-retail-restaurants</id>
			<updated>2019-11-05T14:05:32-05:00</updated>
			<published>2019-11-05T14:06:14-05:00</published>
			<category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" />
							<summary type="html"><![CDATA[Alicia Fleming had worked as a server at restaurants in Massachusetts for a decade and a half. She enjoyed the work, but after she had her son at the age of 32, she found it impossible to stay in the job. &#8220;The restaurant is looking at their bottom dollar,&#8221; Fleming said, &#8220;and won&#8217;t schedule you [&#8230;]]]></summary>
			
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<img alt="" data-caption="PHILADELPHIA, PA October 10, 2018 - Marriot worker Kat Payne speaks about the need for fair workweek scheduling and the impact current scheduling methods have on poor working families. | Photo by Cory Clark/NurPhoto via Getty Images" data-portal-copyright="Photo by Cory Clark/NurPhoto via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19279951/1051978258.jpg.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	PHILADELPHIA, PA October 10, 2018 - Marriot worker Kat Payne speaks about the need for fair workweek scheduling and the impact current scheduling methods have on poor working families. | Photo by Cory Clark/NurPhoto via Getty Images	</figcaption>
</figure>
<p>Alicia Fleming had worked as a server at restaurants in Massachusetts for a decade and a half. She enjoyed the work, but after she had her son at the age of 32, she found it impossible to stay in the job.</p>

<p>&ldquo;The restaurant is looking at their bottom dollar,&rdquo; Fleming said, &ldquo;and won&rsquo;t schedule you unless they absolutely need you. And then you don&rsquo;t know until a few days before whether or not you&rsquo;re even going to be asked to work.&rdquo;&nbsp;</p>

<p>The result was that &mdash; as a single parent without close family nearby &mdash; Fleming was often scrambling to find childcare. When she wasn&rsquo;t able to do so on short notice, she&rsquo;d have to miss a shift. Her income fluctuated from week to week, and even though she was still employed at the restaurant, she was struggling to make ends meet.&nbsp;</p>

<p>Fleming&rsquo;s experience of an erratic work schedule is common, especially in sectors like restaurants and retail, where workers are often scheduled to work with only a few days or less of notice, are asked to stay late, or are sent home early from a shift. The result is a hectic life with volatile income, in which it&rsquo;s difficult to plan ahead for child care, doctor&rsquo;s appointments, or another part-time job (a necessity for many who are not offered full-time hours).&nbsp;</p>

<p>The number of people affected by unpredictable schedules is considerable: Over 9 million people <a href="https://www.bls.gov/cps/cpsaat18.htm">work</a> in food service and 16 million in retail, with estimates of <a href="https://journals.sagepub.com/doi/abs/10.1177/0003122418823184">one-third</a> (and at least <a href="https://ssa.uchicago.edu/sites/default/files/uploads/lambert.fugiel.henly_.precarious_work_schedules.august2014_0.pdf">half</a> of early career workers) receiving less than one week notice on schedules.&nbsp;</p>

<p>Policymakers are starting to pay attention to this problem. Over the past three years, <a href="https://www.oregonlegislature.gov/housedemocrats/Documents/FairWorkWeek.pdf">Oregon</a> and a wave of cities including <a href="https://www.seattle.gov/council/issues/past-issues/secure-scheduling">Seattle</a>, <a href="https://sfgov.org/olse/formula-retail-employee-rights-ordinances">San Francisco</a>, <a href="https://phila.legistar.com/LegislationDetail.aspx?ID=3529951&amp;GUID=18AD5BAB-1BFE-4D7D-B1B2-53F0C06A7648&amp;FullText=1">Philadelphia</a>, <a href="https://www.wagehourinsights.com/wp-content/uploads/sites/697/2019/07/Chicago-Fair-Workweek-Ordinance.pdf">Chicago</a>, and <a href="https://www1.nyc.gov/assets/dca/downloads/pdf/about/FairWorkweek-LawRules.pdf">New York City</a> have passed &ldquo;fair workweek&rdquo; legislation that aims to make schedules more predictable (or compensate workers when they are unpredictable). The laws require that certain companies &mdash; most often, large retail and food service companies employing several hundred people or more &mdash; take steps such as posting schedules two weeks in advance, compensating workers if there are last-minute scheduling changes, and allowing sufficient rest time between shifts.&nbsp;</p>

<p>On November 5, Rep. Rosa DeLauro <a href="https://twitter.com/rosadelauro/status/1191762651996737536">announced</a>&nbsp;that she and&nbsp;<a href="https://twitter.com/SenWarren/status/1191761261840752640">Sen. Elizabeth Warren</a>&nbsp;are re-introducing the&nbsp;<a href="https://www.warren.senate.gov/imo/media/doc/STWA%20of%202019%20Fact%20Sheet.pdf">Schedules That Work Act legislation</a>, which calls for protections including two weeks&rsquo; notice on schedules (with compensation for changes) for employees in food service, cleaning, hospitality, warehouse, and retail occupations.</p>

<p>Companies have<a href="https://news.bloomberglaw.com/daily-labor-report/nyc-worker-scheduling-law-draws-business-group-lawsuit"> pushed back</a> against the new laws and, in some cases, have <a href="https://www1.nyc.gov/office-of-the-mayor/news/420-19/de-blasio-adminstration-sues-chipotle-violating-city-s-fair-workweek-law">failed to comply</a> with them. Meanwhile, advocates have argued that the costs to companies of giving more advance notice on schedules are minimal, and that following the new laws may actually <a href="http://worklifelaw.org/publications/Stable-Scheduling-Study-Report.pdf">improve profitability</a>.&nbsp;</p>

<p>For workers, these laws are of huge importance. Both firsthand accounts and recent systematic <a href="https://journals.sagepub.com/doi/abs/10.1177/0003122418823184">research</a> suggest that unpredictable scheduling is extremely stressful for workers and their families. Regardless of industry, people should have the ability to balance their family and work lives, and to plan ahead. By requiring advance notice (and compensation for last-minute changes), fair workweek scheduling can significantly raise quality of life for <a href="https://www.epi.org/publication/fair-workweek-laws-help-more-than-1-8-million-workers/">millions</a> of people.</p>
<h2 class="wp-block-heading">The toll that “just-in-time” scheduling takes on workers</h2>
<p>For the last several decades, many companies have shifted to &ldquo;just-in-time&rdquo; scheduling, in which managers schedule shifts with little advance notice. A national <a href="https://ssa.uchicago.edu/sites/default/files/uploads/lambert.fugiel.henly_.precarious_work_schedules.august2014_0.pdf">survey</a> in 2014 showed that 41 percent of early career workers with hourly wages reported seven days or fewer notice on their schedules. The rates in the food service and retail sectors are even higher, as is the rate for workers of color.&nbsp;</p>

<p>Workers often talk about the <a href="http://www.fairworkweek.org/stories-page">strain </a>that involuntary unpredictable scheduling puts on their lives. Alicia Fleming recalls trying to make her shifts at the restaurant while scheduling child care last-minute as an incredibly stressful experience. &ldquo;It felt like all the time, I would think about the money I could make [if I could make the shifts], and what that could do for us, and then be really intent on trying to find somebody for child care,&rdquo; she told me. (After nearly a year of searching, she managed to find a job with regular hours in office administration, and now works as an organizer for <a href="https://www.massjwj.net/">Massachusetts Jobs with Justice</a>, a non-profit that advocates for worker rights.)</p>

<p>Recent large-scale surveys also show evidence of the toll that unpredictable scheduling takes on workers. Researchers Daniel Schneider at the University of California Berkeley and Kristen Harknett at the University of California San Francisco started <a href="https://shift.berkeley.edu/">The Shift Project</a> in 2016 to survey workers at the biggest retail and food employers in the country. (The study is ongoing &mdash; as of this month, the authors said they have surveyed nearly 100,000 workers at almost 140 companies.)&nbsp;</p>

<p>In an <a href="https://journals.sagepub.com/doi/abs/10.1177/0003122418823184">article</a> published this year, they write that of workers with high levels of scheduling instability &mdash; including short notice for shifts, canceled shifts, and &ldquo;clopening&rdquo; shifts (in which they&nbsp;work late until close, and then are back at work a few hours later at the store&rsquo;s opening) &mdash; 70 percent reported psychological distress, compared to about 40 percent with more predictable schedules (the authors controlled for demographics and other differences like hourly wage in their analysis).</p>

<p>Unpredictable and unstable schedules also contribute to income volatility. In the <a href="https://www.usfinancialdiaries.org/book">US Financial Diaries</a>, a research study tracking the incomes and expenses of hundreds of low- and moderate-income US households over the course of a year, researchers Jonathan Morduch at New York University and Rachel Schneider found that on average, households were making at least 25 percent above or below average monthly income for five months out of the year.&nbsp;</p>

<p>Volatile incomes can compound financial problems: a 2017 <a href="https://www.federalreserve.gov/publications/files/2017-report-economic-well-being-us-households-201805.pdf">survey</a> from the Federal Reserve Board&rsquo;s Division of Consumer and Community Affairs showed that 40 percent of American families would have trouble coming up with $400 if needed in an emergency. The survey also showed that to come up with such a payment, some have to resort to selling assets or taking out high-interest loans.</p>
<h2 class="wp-block-heading">How “fair workweek” laws aim to make work more predictable</h2>
<p>Fair workweek laws aim to make work more predictable for workers. Where there are scheduling changes with little notice, the laws often require companies to compensate them. <a href="https://www.chicagotribune.com/business/ct-biz-fair-workweek-passes-committee-20190723-oifziqgzkzeppp5rfoke7b55ye-story.html">Chicago</a> is the latest major city to adopt a fair workweek statute, joining a handful of other cities and one state, Oregon. Other states, including Washington, Connecticut, and Massachusetts, are considering statewide legislation.&nbsp;</p>

<p>The <a href="https://www.epi.org/publication/fair-workweek-laws-help-more-than-1-8-million-workers/">laws</a> most often apply to retail and restaurant employers with at least several hundred employees &mdash; though Chicago was the first city to also include <a href="http://www.seiuhcilin.org/2019/07/24/hospital-workers-celebrate-fair-work-week-ordinance-passage/">health care workers</a>. The laws vary to an extent, but most require employers to post schedules at least two weeks in advance, with compensation to workers if there are changes after that from the employer&rsquo;s side.&nbsp;</p>

<p>Some also require companies to offer workers additional shifts if they want to work more hours before hiring new employees, and to give good-faith estimates of minimum hours. Finally, some specify that workers be allowed to swap shifts with one another to increase flexibility, or to give input into their shift times, and require a minimum rest break between shifts to prevent employers from requiring workers to do &ldquo;clopenings.&rdquo;&nbsp;</p>

<p>Most of the laws went into effect within the last year or two, or will go into effect in the next couple of years. At the federal level, the <a href="https://twitter.com/rosadelauro/status/1191762651996737536">Schedules that Work Act, first introduced in 2015,</a> has similar rules, including a requirement to give schedules two weeks in advance for employees of retail, cleaning, and food service companies (with compensation if shifts are changed last minute).</p>

<p>Erin, a 35-year-old in Seattle (who asked to be identified by first name only), has worked since 2014 as a server and then a barista with a large catering company, and said that the impact of the fair workweek law (or &ldquo;secure scheduling&rdquo; law as it&rsquo;s known there) in Seattle was dramatic. Before the law went into effect in 2017, they told me, managers often gave little notice. &ldquo;I was getting text messages the night before as to when I would be going into work the next day.&rdquo; This last-minute scheduling was stressful and chaotic, and they said that it was difficult to sleep sometimes, not knowing whether to go to work hours later.</p>

<p>After the law changed, the company shifted to giving a two-week notice on schedules as required, and offering extra compensation if any changes took place on shorter notice than that. &ldquo;Stress levels went down [in the workplace], and it was a palpable shift,&rdquo; Erin said.&nbsp;</p>

<p>Advocacy groups in the state including <a href="http://www.workingwa.org/">Working Washington</a> are now pushing for statewide legislation, and earlier this year Erin testified in the Washington State Legislature about the importance of the legislation. For Erin, who commutes an hour to Seattle for the job, it would be preferable to find a job closer to home &mdash; but until the secure scheduling law is statewide, looking for a job outside of Seattle is too risky: &ldquo;I really wouldn&rsquo;t want to go back to an unpredictable schedule,&rdquo; they said.</p>

<p>Research studies about the impacts of the new laws are starting to emerge. Anna Gassman-Pines at Duke University and Elizabeth Ananat at Columbia University conducted a small <a href="http://clkrep.lacity.org/onlinedocs/2019/19-0229_pc_6-25-19.pdf">study</a> of parents of young children in <a href="http://www.ci.emeryville.ca.us/1136/Fair-Workweek-Ordinance">Emeryville, CA</a>, in which they compared predictability of schedules before and after the 2017 fair workweek law (using companies that were not covered by the law as a control group). Workers at covered companies reported that their schedules improved &mdash; with a 35 percent reduction in instability (such as cancelled shifts or changed hours) &mdash; as did their sleep quality and levels of stress, compared to no change for workers in the uncovered companies. (Similar studies in Seattle and New York City are underway, though results are not yet publicly available.)</p>
<h2 class="wp-block-heading">A fight to get companies to follow the new laws</h2>
<p>One of the big questions is how well companies will comply with the new laws. Rachel Deutsch at the <a href="http://www.fairworkweek.org/">Fair Workweek Initiative</a> &mdash; a collaborative project led by the non-profits <a href="http://populardemocracy.org/">Center for Popular Democracy</a> (for which Deutsch works as supervising attorney of worker justice), <a href="https://cpdaction.org/">CPD Action</a>, and <a href="https://united4respect.org/">United for Respect</a> &mdash; told me that it&rsquo;s too early to draw any firm conclusions. &ldquo;One [reason] is that with any new law, there is a gradual adjustment of employment practices,&rdquo; she said.</p>

<p>Susan Lambert, a researcher at the University of Chicago who has long studied scheduling practices and management decisions, said that a big hurdle is that managers have to learn what the new law entails and how to follow it, and this can take time. But another issue, she told me, is the <a href="https://www.researchgate.net/publication/247717818_Passing_the_Buck_Labor_Flexibility_Practices_that_Transfer_Risk_onto_Hourly_Workers">incentives</a> that many companies now have in place for managers: companies give frontline managers budgets for labor hours, along with projected sales numbers &mdash; and the way that managers often try to ensure that they are meeting these metrics is by last-minute adjustments to employees&rsquo; schedules.</p>

<p>But there are big problems with this model, Lambert said, not just for workers but also for companies themselves. Unpredictability leads to higher employee turnover, she said, which can be costly &mdash; but, she said, &ldquo;companies don&rsquo;t hold managers responsible for turnover.&rdquo;&nbsp;</p>

<p>Not only that, but companies would also likely have better sales if they treated employees better, Lambert said. (Researcher Zeynep Ton also argues as much in her book <em>The Good Jobs Strategy.) </em>Lambert and colleagues recently conducted a <a href="http://worklifelaw.org/publications/Stable-Scheduling-Study-Report.pdf">study</a> at Gap stores &mdash; in stores that randomly encouraged managers to make scheduling more predictable and stable, productivity went up by 5 percent and sales increased by 7 percent.&nbsp;</p>

<p>Lambert and Deutsch say that changing the model at retail and restaurant chains will take both an internal change within companies as well as government enforcement. But government enforcement agencies often rely on workers at companies to file complaints about violations, they said, putting a big burden on workers who are often already in precarious situations.</p>

<p>In New York City, in spite of the risk of retaliation from their employer, some fast food workers have boldly stepped forward to report on companies that have failed to comply with the 2017 <a href="https://www1.nyc.gov/assets/dca/downloads/pdf/about/FairWorkweek-LawRules.pdf">fair workweek law</a>.&nbsp;</p>

<p>Jeremy Espinal, a 20-year-old college student in NYC, told me that he and his coworkers experienced unpredictable and last-minute schedules at Chipotle (without any compensation for scheduling changes, as the law requires) since he started working there in early 2018. Espinal described how unpredictable schedules made it difficult for him to continue with his college degree, and made life difficult for his coworkers with children and additional part-time jobs.&nbsp;</p>

<p>In May 2019, with the support of a local union 32BJ SEIU (which also supported workers in pushing for the $15 per hour minimum wage and the fair workweek law itself), Espinal led a group of 20 of his coworkers to sign a petition which they delivered to a manager at their store.&nbsp;</p>

<p>Chipotle workers at over a dozen restaurants also lodged complaints with the city, which filed a <a href="https://www.nytimes.com/2019/09/10/nyregion/chipotle-lawsuit-workers.html">lawsuit</a> against the company in September. Now the <a href="https://www1.nyc.gov/office-of-the-mayor/news/420-19/de-blasio-adminstration-sues-chipotle-violating-city-s-fair-workweek-law">city is seeking</a> $1 million in restitution to workers at five Chipotle locations, plus fines (and another 11 Chipotle branches in NYC are still under investigation).&nbsp;</p>

<p>Laurie Schalow, Chipotle&rsquo;s chief reputation officer, commented by email: &ldquo;With respect to the Fair Workweek Law, Chipotle has been working cooperatively with the city to ensure we have systems and processes in place to comply with the law, so we believe the filing of charges was unnecessary. Regardless, we will continue to cooperate with the city and we are addressing any prior noncompliance concerns.&rdquo;</p>

<p>As more and more cities adopt these laws, the prospects for workers certainly seem to be improving. But as Espinal notes, the fight isn&rsquo;t over. &ldquo;I&rsquo;m going to keep organizing,&rdquo; he said. Until companies treat their workers with respect, and follow the law, he said, &ldquo;It&rsquo;s a fight that has to be fought.&rdquo;&nbsp;</p>

<p><a href="https://www.vox.com/future-perfect-newsletter"><em><strong>Sign up for the Future Perfect newsletter.</strong></em></a><em><strong>&nbsp;</strong>Twice a week, you&rsquo;ll get a roundup of ideas and solutions for tackling our biggest challenges: improving public health, decreasing human and animal suffering, easing catastrophic risks, and &mdash; to put it simply &mdash; getting better at doing good.</em></p>
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			<entry>
			
			<author>
				<name>Stephanie Wykstra</name>
			</author>
			
			<title type="html"><![CDATA[The case against solitary confinement]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/2019/4/17/18305109/solitary-confinement-prison-criminal-justice-reform" />
			<id>https://www.vox.com/future-perfect/2019/4/17/18305109/solitary-confinement-prison-criminal-justice-reform</id>
			<updated>2019-04-17T15:50:22-04:00</updated>
			<published>2019-04-17T16:30:00-04:00</published>
			<category scheme="https://www.vox.com" term="Criminal Justice" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Policy" />
							<summary type="html"><![CDATA[Albert Woodfox was held in solitary confinement for more than 40 years in a Louisiana prison before being released in 2016, when he was 69 years old. In his book Solitary, published last month, Woodfox writes that every morning, &#8220;I woke up with the same thought: will this be the day? Will this be the [&#8230;]]]></summary>
			
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<img alt="" data-caption="A prisoner looks out of his solitary confinement cell on the administrative segregation wing of the Ferguson Unit, 1997, outside of Lovelady, Texas.  | Andrew Lichtenstein/Corbis via Getty Images" data-portal-copyright="Andrew Lichtenstein/Corbis via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/16026207/GettyImages_539604610.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	A prisoner looks out of his solitary confinement cell on the administrative segregation wing of the Ferguson Unit, 1997, outside of Lovelady, Texas.  | Andrew Lichtenstein/Corbis via Getty Images	</figcaption>
</figure>
<p>Albert Woodfox was held in solitary confinement for more than 40 years in a Louisiana prison before being released in 2016, when he was 69 years old. In his book <a href="https://www.amazon.com/Solitary-Albert-Woodfox/dp/0802129080"><em>Solitary</em></a>, published last month, Woodfox writes that every morning, &ldquo;I woke up with the same thought: will this be the day? Will this be the day I lose my sanity and discipline? Will I start screaming and never stop?&rdquo;</p>

<p>Thousands of people &mdash; <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">at least 61,000</a> on any given day and likely <a href="https://solitarywatch.org/2019/01/04/how-many-people-are-in-solitary-today/">many thousands more</a> than that &mdash; are in solitary confinement across the country, spending 23 hours per day in cells not much bigger than elevators. They are <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">disproportionately</a> young men, and disproportionately Hispanic and African American. The majority spend a few months in it, but at least a couple of thousand people have been in solitary confinement for<em> </em><a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">six years</a> or more. Some, like Woodfox, have been held for <a href="https://ccrjustice.org/home/press-center/press-releases/landmark-agreement-ends-indeterminate-long-term-solitary">decades</a>.</p>

<p>Solitary confinement causes extreme suffering, particularly over prolonged periods of months or years. Effects <a href="https://www.researchgate.net/publication/249718605_Mental_Health_Issues_in_Long-Term_Solitary_and_Supermax_Confinement">include</a> anxiety, panic, rage, paranoia, hallucinations, and, in some cases, suicide.</p>

<p>The United Nations special rapporteur on torture, Juan E. M&eacute;ndez, <a href="https://news.un.org/en/story/2011/10/392012-solitary-confinement-should-be-banned-most-cases-un-expert-says">deemed</a> that prolonged solitary confinement is a form of torture, and the UN&rsquo;s <a href="http://www.unodc.org/documents/justice-and-prison-reform/GA-RESOLUTION/E_ebook.pdf">Mandela Rules</a> dictate that it should never be used with youth and those with mental or physical disability or illness, or for anyone for more than 15 days. M&eacute;ndez, who inspected prisons in many countries, <a href="https://www.amazon.com/Hell-Very-Small-Place-Confinement-ebook/dp/B016TX4F16">wrote</a>, &ldquo;[I]t is safe to say that the United States uses solitary confinement more extensively than any other country, for longer periods, and with fewer guarantees.&rdquo;</p>

<p>Many <a href="https://www.vox.com/2015/7/13/8913297/mass-incarceration-maps-charts">practices</a> in the US criminal justice system are harsh, ineffective, even absurd, from the <a href="https://www.vox.com/future-perfect/2018/10/17/17955306/bail-reform-criminal-justice-inequality">widespread use of money bail</a> to detain unconvicted people to extremely long sentences and parole terms, and a host of other outrages. But placing people in solitary stands out as a violation of human rights.</p>

<p>Well over a century ago in the US, the practice fell out of favor, partly because of its capacity for psychological harm. Yet starting in the 1980s, its use in prisons and jails exploded again.</p>

<p>Over the past decade, there has been a movement to (again) stop the widespread use of solitary. There have been major steps forward in some states. But there&rsquo;s considerable need for more progress &mdash; and wider acknowledgment that this is something that we are all accountable for. As Laura Rovner, a law professor at the University of Denver, put it in a recent <a href="https://www.youtube.com/watch?v=Bb2A8EBLjT4">talk</a>, &ldquo;We torture people here in America, tens of thousands of them every day &hellip; it&rsquo;s done in our names, with our tax dollars, behind closed doors.&rdquo;</p>
<h2 class="wp-block-heading">A brief history of solitary confinement</h2>
<p>In the 1700s, <a href="https://longreads.com/2016/02/09/a-brief-history-of-solitary-confinement/">religious groups</a>, including the Quakers, thought that isolating people in their cells with a Bible would lead to repentance and rehabilitation. The Walnut Street Jail in Philadelphia expanded to include solitary cells in 1790, and other prisons and jails adopted the approach over the subsequent years.</p>

<p>A few decades later, the Eastern State Penitentiary in Pennsylvania opened in 1829, the first prison built entirely to keep people in solitary confinement. When Charles Dickens visited the facility about a decade later and met with people who were held in isolation, he <a href="https://www.gutenberg.org/files/675/675-h/675-h.htm">wrote</a>, &ldquo;I hold this slow and daily tampering with the mysteries of the brain, to be immeasurably worse than any torture of the body.&rdquo;</p>

<p>In 1890, the Supreme Court heard a <a href="https://caselaw.findlaw.com/us-supreme-court/134/160.html">case</a> in which a person had been held in isolation for a month while awaiting execution. The Court stated that this was &ldquo;an additional punishment of the most important and painful character, and is therefore forbidden by this provision of the constitution of the United States,&rdquo; adding that experience with solitary confinement over the previous decades had shown the devastating results on people.</p>

<p>By the early 1900s, the practice had largely been <a href="https://www.jstor.org/stable/41970789?seq=1#page_scan_tab_contents">abandoned</a>, in part because it was seen as unethical and ineffective, and in part because it was much costlier.</p>

<p>But that was not to be the last word on solitary confinement. Nearly a century later, in the 1980s and &rsquo;90s, the US prison system again took up the practice in full force.</p>

<p>This shift is commonly <a href="https://www.jstor.org/stable/10.1086/500626?seq=3#metadata_info_tab_contents">traced</a> to October 22, 1983, at a federal prison in Marion, Illinois, when four guards were injured and two were killed by people housed in the prison. Administrators at the facility <a href="https://www.jstor.org/stable/29766335?seq=1#page_scan_tab_contents">responded</a> with a long-term &ldquo;lockdown,&rdquo; in which everyone at Marion was held in their cells for 23 hours per day. The model used at Marion soon spread to other facilities across the country.</p>

<p>The federal and state prison systems began to construct &ldquo;<a href="http://solitaryconfinement.org/supermax_prisons">supermax&rdquo; prisons</a>, in which a unit of the facility (or the entire facility) is designed to hold hundreds of people in solitary confinement. Pelican Bay State Prison in California was the first newly constructed supermax prison to open, in 1989. Within 15 years, federal and state supermax prisons had opened in <a href="https://www.ncjrs.gov/pdffiles1/nij/grants/211971.pdf">44 states</a>.</p>
<h2 class="wp-block-heading">Why solitary came back</h2>
<p>Why did correctional institutions take up solitary confinement when it had been deemed ineffective and unacceptably cruel 100 years prior?</p>

<p><a href="https://www.amazon.com/Supermax-Sharon-Shalev/dp/1843924080">Researchers</a> often <a href="https://www.judiciary.senate.gov/download/testimony-of-craig-haney-pdf">point</a> to a couple of main causes. First, there was a rise in &ldquo;<a href="https://www.urban.org/sites/default/files/publication/70411/307337-Did-Getting-Tough-on-Crime-Pay-.pdf">tough on crime</a>&rdquo; policies in the &rsquo;80s and &rsquo;90s. These policies led to many more people &mdash;disproportionately people of color &mdash; being locked up for long periods of time. Given subsequent overcrowding, corrections administrations were eager to find ways that, they argued, would increase safety and security for staff and incarcerated people.</p>

<p>In the same period, there was a shift in how incarceration was viewed by corrections staff and policymakers. The opinion that &ldquo;<a href="https://www.nationalaffairs.com/storage/app/uploads/public/58e/1a4/ba7/58e1a4ba7354b822028275.pdf">nothing works</a>&rdquo; to rehabilitate people became popular, and prison was seen much more as a way to lock away dangerous people. (In an unfortunate turn of events, a researcher whose 1974 systematic review helped <a href="http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.852.4416&amp;rep=rep1&amp;type=pdf">popularize</a> the view that &ldquo;nothing works&rdquo; later found problems with his analysis and <a href="https://pdfs.semanticscholar.org/dad6/c69d7e7fed8fc4f04ddfd5e7869230ae62fe.pdf">recanted</a>, but his retraction was largely <a href="http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.392.9468&amp;rep=rep1&amp;type=pdf">ignored</a>.)</p>

<p><a href="https://www.justice.gov/archives/dag/file/815551/download">Poor data collection</a> and secrecy surrounding solitary confinement over the years also may have played a role in allowing the practice to proliferate. That said, we do have some data. A Bureau of Justice Statistics <a href="https://www.bjs.gov/content/pub/pdf/urhuspj1112.pdf">analysis</a> of the 2011-&rsquo;12 National Inmate Survey (in both prisons and jails) estimated that about 18 to 20 percent of incarcerated people spent some time in solitary confinement in the course of a year. A National Institute of Justice <a href="https://www.ncjrs.gov/pdffiles1/nij/250322.pdf">report</a>, using the number of people incarcerated in 2013, calculated that about half a million people spent some time in solitary confinement at some point in the year, or 90,000 on a given day.</p>

<p>The most recent nationwide estimate of 61,000 people in solitary on a given day in 2017 comes from a <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">survey</a> of state prisons and a few large urban jails, conducted by the Association of State Correctional Administrators and the Liman Center for Public Interest Law at Yale Law School. As <a href="https://solitarywatch.org/2019/01/04/how-many-people-are-in-solitary-today/">Solitary Watch</a>, a nonprofit that aims to raise awareness about the practice, and the researchers who conducted the survey point out, this estimate is likely to be considerably lower than the total number, given that it omits anyone held in solitary for less than 15 days, as well as those held in other facilities such as local jails, juvenile detention, and immigration detention centers.</p>

<p>Beyond lack of data transparency, many facilities &mdash; especially supermax prisons &mdash; are also largely closed off to observers. Some prisons <a href="https://www.youtube.com/watch?v=Bb2A8EBLjT4">forbid</a> anyone who doesn&rsquo;t personally know a person housed there to visit. That restriction even included M&eacute;ndez, the former UN special rapporteur on torture, who <a href="https://solitarywatch.org/2017/01/30/looking-back-on-six-years-of-leadership-against-solitary-confinement-with-un-torture-expert-juan-mendez/">told Solitary Watch</a><strong> </strong>that he requested permission to visit prisons in the US for years without success.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/16026234/GettyImages_1124822838.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="The United States Penitentiary Administrative Maximum Facility, also known as the ADX or “Supermax,” in Florence, Colorado. | Jason Connolly/AFP/Getty Images" data-portal-copyright="Jason Connolly/AFP/Getty Images" /><h2 class="wp-block-heading">What is it like in solitary confinement?</h2>
<p>Researcher Sharon Shalev describes typical solitary confinement conditions in her 2009 book <a href="https://www.amazon.com/Supermax-Sharon-Shalev/dp/1843924080"><em>Supermax: Controlling Risk Through Solitary Confinement</em></a>:</p>
<ul class="wp-block-list"><li>Cells are about 7 or 8 feet by 10 feet in size (slightly bigger than the average bathroom or elevator)</li><li>People are held in their cells for 22.5 to 24 hours per day; when let out, it is into a small, solitary outdoor cage with no recreational equipment</li><li>No group activities or congregating with others</li><li>Very few activities or programs</li><li>Limited visitors, and then only through a thick glass barrier with no physical contact</li></ul>
<p>Many <a href="https://solitarywatch.org/2017/11/27/five-unforgettable-stories-from-inside-solitary-confinement/">firsthand</a> <a href="https://www.amazon.com/Hell-Very-Small-Place-Confinement-ebook/dp/B016TX4F16">accounts</a> from people who have experienced solitary attest to these conditions.</p>

<p>Justice Rountree, who spent five years in solitary and is now an advocate with the <a href="https://www.njcaic.org/">New Jersey Campaign for Alternatives to Isolated Confinement</a>, said in a<a href="http://www.thegreenespace.org/story/micropolis-live-surviving-solitary/"> recent panel</a> that compared to regular prison, solitary &ldquo;feels like losing your freedom.&rdquo;</p>

<p>Rountree and many others describe being kept awake by constant shouting and banging from others in cells. In many cells, there is no window, and sometimes even from the outdoor cage where they are allowed to go (by themselves) for an hour to pace back and forth, they <a href="https://www.themarshallproject.org/2016/01/08/my-life-in-the-supermax">can&rsquo;t see the sky</a>. Shaka Senghor, who spent <a href="https://www.ted.com/talks/shaka_senghor_why_your_worst_deeds_don_t_define_you#t-201959">seven and a half years</a> in solitary, <a href="https://www.amazon.com/Hell-Very-Small-Place-Confinement-ebook/dp/B016TX4F16">described</a> the smell as &ldquo;defecation, unwashed armpits &hellip; [mingled] with the pepper spray officers use to extract prisoners from their cells.&rdquo; &nbsp;Some have even described how they begin to <a href="https://www.amazon.com/Hell-Very-Small-Place-Confinement-ebook/dp/B016TX4F16">hallucinate</a>.</p>

<p>Far from isolating only people who have been violent, it&rsquo;s very common for corrections to put people in solitary for trivial reasons. A 2015 <a href="https://storage.googleapis.com/vera-web-assets/downloads/Publications/solitary-confinement-common-misconceptions-and-emerging-safe-alternatives/legacy_downloads/solitary-confinement-misconceptions-safe-alternatives-report_1.pdf">report</a> from the Vera Institute of Justice describes how &ldquo;disruptive behavior &mdash; such as talking back, being out of place, failure to obey an order, failing to report to work or school, or refusing to change housing units or cells &mdash; frequently lands incarcerated people in disciplinary segregation.&rdquo;</p>

<p>Facilities vary as to what extent they allow people books and other materials while in solitary. Even if reading materials are allowed, they are often <a href="https://www.nytimes.com/2018/01/12/opinion/books-prison-packages-new-york.html">censored</a>. In the absence of social connection, many people describe feeling unable to connect normally afterward. Sarah Shourd, who was held in solitary for more than a year in Iran, wrote, &ldquo;&#8230; I couldn&rsquo;t look into another person&rsquo;s eyes without physical discomfort. &#8230; A touch on the shoulder made me flinch and tense up.&rdquo;</p>

<p>For some people, particularly teenagers and those with mental illness, this disconnection can be lasting. <a href="https://www.newyorker.com/magazine/2014/10/06/before-the-law">Kalief Browder</a> was 16 when he was arrested for allegedly stealing a backpack in New York City. His family couldn&rsquo;t afford the bail, and he spent three years at a Rikers Island jail waiting for court hearings, two of them in solitary &mdash; where he tried to <a href="https://www.newyorker.com/news/news-desk/kalief-browder-learned-how-to-commit-suicide-on-rikers">kill himself</a> a number of times. After his charged were dropped and he went home, he isolated himself, often staying in his bedroom and <a href="https://www.newyorker.com/magazine/2014/10/06/before-the-law">pacing</a> as he had done in solitary confinement.</p>

<p>At the age of 22, he <a href="https://www.newyorker.com/news/news-desk/kalief-browder-1993-2015">died by suicide</a>.</p>
<h2 class="wp-block-heading">What does research show about the harms of solitary confinement?</h2>
<p>Research over the past few decades has documented the effects of solitary confinement. In congressional testimony in 2012, psychologist Craig Haney <a href="https://www.judiciary.senate.gov/imo/media/doc/12-6-19HaneyTestimony.pdf">summarized</a>: &ldquo;Most of the research has reached remarkably similar conclusions about the adverse psychological consequences of solitary confinement.&rdquo;</p>

<p>Haney gives the example of his 2003 <a href="https://journals.sagepub.com/doi/abs/10.1177/0011128702239239">study</a> of 100 randomly selected people held at Pelican Bay, the supermax prison in California. Haney found that virtually all of his interviewees reported heightened anxiety, irrational anger and irritability, confused thought processes, and being extremely sensitive to external stimuli. Some 70 percent felt themselves to be on the verge of a nervous breakdown, about 40 percent experienced hallucinations, and just under a third reported suicidal thoughts.</p>

<p>According to Haney, these symptoms closely matched other studies of people held in solitary confinement for a period of months to years, and were much more severe than in general populations of prisons and jails. Haney and other psychologists including Stuart Grassian have long <a href="https://openscholarship.wustl.edu/cgi/viewcontent.cgi?article=1362&amp;context=law_journal_law_policy">argued</a> that these symptoms develop and increase while people are confined in solitary, rather than merely being preexisting symptoms.</p>

<p>The desperation that people feel in solitary confinement can lead to psychological breakdown, self-harm, and suicide. A 2014 <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953781/">study</a> of New York City jails found that while only about 7 percent of people spent time in solitary confinement, they accounted for nearly half of all acts of potentially fatal self-harm. <a href="https://www.judiciary.senate.gov/imo/media/doc/12-6-19HaneyTestimony.pdf">Studies </a>have shown that a <a href="https://www.ncbi.nlm.nih.gov/pubmed/15950281">quarter</a> of suicides (or <a href="https://ps.psychiatryonline.org/doi/full/10.1176/ps.2008.59.6.676">even more</a>) behind bars occur in solitary confinement.</p>

<p>The risks of extreme harm to people in solitary are greater for vulnerable groups, such as those with <a href="https://books.google.com/books?hl=en&amp;lr=&amp;id=cJ2oV0rGhx8C&amp;oi=fnd&amp;pg=PA316&amp;dq=mental+illness+in+solitary+confinement&amp;ots=dVgXhWz3XS&amp;sig=eTeSBhBnIu4eLYlhnHOtmyBVbwE#v=onepage&amp;q=mental%20illness%20in%20solitary%20confinement&amp;f=false">mental illness</a> and disabilities. In 2012, the American Psychiatric Association released a <a href="https://www.dhcs.ca.gov/services/mh/documents/2013_04_ac_06c_apa_ps2012_prizseg.pdf">statement</a> saying that with rare exceptions, people with serious mental illness should not be placed in solitary.</p>

<p>Yet prisons and jails very often do just that. In a Bureau of Justice Statistics analysis of <a href="https://www.bjs.gov/content/pub/pdf/urhuspj1112.pdf">data</a> in 2011-&rsquo;12, nearly 30 percent of those held in solitary in prisons reported severe psychological distress, with a further 20 to 23 percent reporting mood and anxiety disorders.</p>

<p>There&rsquo;s also widespread agreement among researchers that the risks to young people in solitary confinement are particularly severe. Depriving young people of sensory and social contact has a heightened risk of <a href="https://www.aclu.org/files/assets/Alone%20and%20Afraid%20COMPLETE%20FINAL.pdf">serious</a> and lasting effects. The federal system and many states are <a href="https://www.lowenstein.com/files/upload/51-jurisdiction%20survey%20of%20juvenile%20solitary%20confinement%20rules.pdf">restricting the duration of solitary confinement or banning</a> solitary confinement for youth, but in recent years, the practice has still been <a href="http://dcfs.nv.gov/uploadedFiles/dcfsnvgov/content/Programs/JJS/CJCA%20Toolkit%20Reducing%20the%20use%20of%20Isolation.pdf">common</a> in prisons and juvenile detention facilities in some states.</p>

<p>Not all researchers hold the same view about the harms of solitary confinement. Some are <a href="https://www.safealternativestosegregation.org/wp-content/uploads/legacy/files/morgan-et-al_effects-of-administrative-segregation.pdf">more skeptical</a> about past research showing serious harms, and they question how much we can infer from studies that often lack a comparable control group. In recent years, some researchers have also pointed to a 2011 <a href="https://www.ncjrs.gov/pdffiles1/nij/grants/232973.pdf">study</a> in Colorado that purported to show evidence that those in solitary for months to a year fared no worse psychologically than similar people in the general population of the prison.</p>

<p>They also point to <a href="https://www.safealternativestosegregation.org/wp-content/uploads/legacy/files/morgan-et-al_effects-of-administrative-segregation.pdf">two systematic reviews</a> that combine the results of only studies that directly compare those in solitary confinement to those in a control group. Both reviews claim that after pooling those studies, solitary has only a modest negative impact on mental health. In response, Haney and others have <a href="https://www.safealternativestosegregation.org/wp-content/uploads/2018/07/The-Psychological-Effects-of-Solitary-Confinement-A-Systematic-Critique.pdf">pointed</a> to a number of serious methodological problems with the systematic reviews and with the Colorado study.</p>
<h2 class="wp-block-heading">Does solitary confinement do what it purports to do?  </h2>
<p>Let&rsquo;s sidestep this debate and ask a different question: What&rsquo;s the evidence that solitary confinement achieves <em>positive</em> results?</p>

<p>Corrections departments have long argued that solitary is effective at maintaining safety and security in prisons. But the evidence does not support this view.</p>

<p>A 2016 <a href="https://www.ncjrs.gov/pdffiles1/nij/249750.pdf">report</a> from the National Institute of Justice stated, &ldquo;There is little evidence that administrative segregation has had effects on overall levels of violence within individual institutions or across correctional systems.&rdquo;</p>

<p>The few studies on the impacts of increased solitary confinement <a href="https://www.aclu.org/other/stop-solitary-briefing-paper?redirect=criminal-law-reform-prisoners-rights/stop-solitary-briefing-paper">do not show</a> a reduction in violence among people held in the facilities. For example, a 2006 <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1745-9125.2003.tb01022.x">study</a> of three states that opened supermax prisons showed no subsequent statewide reduction in violence among those housed at the prisons.</p>

<p>Furthermore, there&rsquo;s little evidence that solitary meaningfully improves safety for staff in prisons and jails. To be sure, correctional officers have an <a href="https://www.amazon.com/Newjack-Guarding-Sing-Ted-Conover/dp/0375726624">extremely difficult</a> job, and it&rsquo;s important that they are able to go to work without being in danger. Many who work in corrections believe that solitary confinement plays a role in keeping them safe. As Gary Mohr, director of Ohio Department of Rehabilitation and Correction, <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">wrote</a>, &ldquo;[O]ur staff, those who work in the trenches of our prisons, firmly believe the use of restrictive housing as a default disciplinary sanction is tied directly to their safety.&rdquo;</p>

<p>However, as in the case with violence in prisons generally, there is no strong evidence that solitary is keeping officers safer. The 2016 National Institute of Justice <a href="https://www.ncjrs.gov/pdffiles1/nij/249750.pdf">report</a> found that few studies have focused on the effect of solitary confinement on subsequent misconduct (including violence against staff). A <a href="https://www.ncjrs.gov/pdffiles1/nij/grants/249013.pdf">large study</a> in Ohio found no evidence of any effect of solitary on subsequent violent misbehavior. In states like Colorado and North Dakota, which have dramatically reduced the number of people in solitary confinement over the past several years, corrections directors report that <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">there has not been an increase</a> in violent incidents against corrections staff. And while the 2006 <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1745-9125.2003.tb01022.x">study</a> of three states that opened supermax prisons did show a reduction in violent incidents against staff in one of the three states (Illinois), it found no effect in Minnesota and an increase in such incidents in Arizona.</p>

<p>There is a legitimate question of how to protect vulnerable people, such as people with disabilities, LGBTQ people, and others, in prisons. Protecting such populations has often been given as a reason for using solitary.</p>

<p>But there are other options. The Vera Institute, which has worked with corrections departments across a number of states on reducing solitary, <a href="https://storage.googleapis.com/vera-web-assets/downloads/Publications/solitary-confinement-common-misconceptions-and-emerging-safe-alternatives/legacy_downloads/solitary-confinement-misconceptions-safe-alternatives-report_1.pdf">reports</a> on effective ways to keep people safe other than solitary confinement. Vera, along with the <a href="https://www.aclu.org/other/stop-solitary-briefing-paper?redirect=criminal-law-reform-prisoners-rights/stop-solitary-briefing-paper">American Civil Liberties Union</a> and the <a href="https://www.americanbar.org/content/dam/aba/publications/criminal_justice_standards/Treatment_of_Prisoners.authcheckdam.pdf">American Bar Association</a>, recommends keeping people in a safe, separate area of the facility with others, and with full access to programming and services. As far as putting youth in solitary confinement within adult facilities to keep them safe, advocates <a href="https://www.aclu.org/files/assets/us1012webwcover.pdf">argue</a> that they shouldn&rsquo;t be in adult prisons to begin with.</p>

<p>Finally, advocates often point out that the vast majority of people housed in solitary will be returning to the community, where they are expected to function. Solitary makes that <a href="https://www.themarshallproject.org/2015/06/11/from-solitary-to-the-street">transition even more difficult</a>.</p>
<h2 class="wp-block-heading">Abandoning solitary confinement. Again.</h2><img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/16026225/GettyImages_483570206.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Brian Nelson, left, who spent 23 years in solitary confinement, speaks about his time there on June 24, 2015, during a press conference regarding the class-action lawsuit filed on behalf of prisoners against the Illinois Department of Corrections for its overuse and misuse of solitary confinement in Illinois prisons in Chicago. | Antonio Perez/Chicago Tribune/TNS via Getty Images" data-portal-copyright="Antonio Perez/Chicago Tribune/TNS via Getty Images" />
<p>Over the past decade, there&rsquo;s been a surge of attention and reform on solitary confinement. <a href="http://www.togethertoendsolitary.org/about/">Advocacy groups</a> have been pushing for change, including the <a href="http://www.nrcat.org/torture-in-us-prisons">National Religious Campaign Against Torture</a>, <a href="https://solitarywatch.org/cfasc/">California Families to Abolish Solitary Confinement</a>, and the <a href="http://nycaic.org/">New York Campaign for Alternatives to Isolated Confinement</a>.</p>

<p>The Vera Institute has <a href="https://storage.googleapis.com/vera-web-assets/downloads/Publications/rethinking-restrictive-housing/legacy_downloads/rethinking-restrictive-housing-report.pdf">worked with</a> a number of jurisdictions on reforming their practices. Among the group&rsquo;s <a href="https://storage.googleapis.com/vera-web-assets/downloads/Publications/rethinking-restrictive-housing/legacy_downloads/rethinking-restrictive-housing-report.pdf">recommendations</a> are that solitary confinement should:</p>
<ul class="wp-block-list"><li>Never be used on vulnerable groups such as those under 18, pregnant women, and those with mental illness or mental/physical disabilities</li><li>Rarely be used as discipline, and then only for violent offenses </li><li>Used with the least restrictive conditions possible, providing access to medical and mental health care outside of the cell, visitors and phone calls, and daily hours of programming with other people</li><li>Never be used directly prior to releasing someone back into the community.</li></ul>
<p>In 2016, President Obama <a href="https://www.justice.gov/archives/dag/report-and-recommendations-concerning-use-restrictive-housing">reformed</a> the use of solitary confinement in federal facilities, including banning it for those under 18 and limits on its use for adults. But since the federal system <a href="https://www.prisonpolicy.org/reports/pie2018.html">holds about a tenth</a> of the people incarcerated in the US, these reforms only affect a small number of the total held in solitary confinement.</p>

<p>Some reforms have been driven by actions from within prisons and litigation. For example, thousands of people held in Pelican Bay and other prisons in California participated in a <a href="https://www.cdcr.ca.gov/stg/docs/Fact%20Sheet-hunger%20strikes%20in%20CA%20prisons.pdf">series of hunger strikes</a> in 2011 and 2013, protesting their treatment, including the application of indefinite solitary confinement.</p>

<p>In 2012, the Center for Constitutional Rights filed a federal <a href="https://ccrjustice.org/home/what-we-do/our-cases/ashker-v-brown">class-action lawsuit</a> (<a href="https://ccrjustice.org/home/what-we-do/our-cases/ashker-v-brown"><em>Ashker v. Governor of California</em></a>), resulting in a 2015 settlement that required California&rsquo;s corrections department to release many of those who had been in long-term solitary and to reform their rules.</p>

<p>Other lawsuits in recent years have <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">succeeded</a> in banning and restricting solitary, largely focused on vulnerable groups such as youth, people with mental health issues, and pregnant women. However, as in <a href="https://www.motherjones.com/crime-justice/2019/02/california-ashker-brown-solitary-confinement-status-appeal/">California</a>, it&rsquo;s been clear that corrections sometimes try to <a href="https://psmag.com/social-justice/new-york-promised-help-mentally-ill-inmates-still-sticks-many-solitary-65504">find ways around new rules</a>.</p>

<p>There&rsquo;s also been a wave of legislation at the state level. So far, <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">state bills</a> have largely secured protections for people in vulnerable groups, or have mandated (at the very least) that prisons report data on their use of solitary confinement. However, two states &mdash; <a href="https://www.nysenate.gov/legislation/bills/2017/s4784">New York</a> and <a href="https://www.njspotlight.com/stories/19/01/07/op-ed-support-legislation-to-restrict-solitary-confinement-in-nj-prisons/">New Jersey</a> &mdash; are considering bills that offer sweeping reforms for everyone who is incarcerated. &nbsp;</p>

<p>Finally, internal change is also taking place within some corrections departments. In 2016, the <a href="http://www.aca.org/ACA_Prod_IMIS/ACA_Member/About_Us/Our_History/ACA_Member/AboutUs/AboutUs_Home.aspx?hkey=0c9cb058-e3d5-4bb0-ba7c-be29f9b34380">American Correctional Association</a> &mdash; a nonprofit that provides guidelines to corrections departments and facilities across the US &mdash; issued new <a href="http://www.aca.org/ACA_Prod_IMIS/ACA_Member/Standards___Accreditation/Standards/Restrictive_Housing_Committee/ACA_Member/Standards_and_Accreditation/Restrictive_Housing_Committee/Restrictive_Housing_Committee.aspx?hkey=458418a3-8c6c-48bb-93e2-b1fcbca482a2">standards </a>on restrictive housing (its term for solitary confinement). These included banning its use for more than 30 days for pregnant women, people with serious mental illness, and young people under 18. Many jurisdictions <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_restrictive_housing_revised_sept_25_2018_-_embargoed_unt.pdf">reported </a>that they were changing their policies as a result of the new guidelines.</p>

<p>A few corrections departments went much further to improve their policies. In 2017, Colorado <a href="https://www.nytimes.com/2017/10/12/opinion/solitary-confinement-colorado-prison.html">put into place</a> some of the most progressive policies in the country, limiting solitary confinement to the UN standard of no more than 15 days. <a href="https://law.yale.edu/system/files/documents/pdf/Liman/asca_liman_2018_workingtolimit.pdf">North Dakota</a> is another state that has significantly reformed its use of solitary confinement.</p>

<p>When thinking through the movement against solitary confinement, we should see it within the broader context of our criminal justice system. Hugely important changes &mdash; such as reforms to <a href="https://www.nytimes.com/2019/03/29/nyregion/kalief-browder-cash-bail-reform.html">bail</a>, <a href="https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2018/09/probation-and-parole-systems-marked-by-high-stakes-missed-opportunities">parole/probation</a>, and <a href="https://www.aclu.org/issues/smart-justice/sentencing-reform">sentencing </a>&mdash; will likely go a long way to reducing people in solitary confinement, since there will be fewer people in prisons and jails to begin with. Amy Fettig, the deputy director for the ACLU&rsquo;s National Prison Project and Director of the ACLU&rsquo;s Stop Solitary campaign, told me, &ldquo;We have to get people out of prison, and we have to get people out of solitary confinement. [Both are] part of a systematic effort &#8230; we&rsquo;re confronting a system that is so profoundly broken in so many ways that you can&rsquo;t fix one problem without fixing the others.&rdquo;</p>

<p>The Supreme Court has <a href="https://www.law.cornell.edu/supremecourt/text/356/86">stated</a> that what counts as &ldquo;cruel and unusual punishment&rdquo; in the Eighth Amendment must &ldquo;draw its meaning from the evolving standards of decency that mark the progress of a maturing society.&rdquo;</p>

<p>Have our &ldquo;standards of decency&rdquo; evolved enough for us to stop this practice?</p>
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				<name>Stephanie Wykstra</name>
			</author>
			
			<title type="html"><![CDATA[Microcredit was a hugely hyped solution to global poverty. What happened?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/2019/1/15/18182167/microcredit-microfinance-poverty-grameen-bank-yunus" />
			<id>https://www.vox.com/future-perfect/2019/1/15/18182167/microcredit-microfinance-poverty-grameen-bank-yunus</id>
			<updated>2019-01-15T12:45:06-05:00</updated>
			<published>2019-01-15T12:50:04-05:00</published>
			<category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Poverty" />
							<summary type="html"><![CDATA[For a period of time from the 1980s to the early 2000s, &#8220;microloans&#8221; were all the rage in international development. The idea was simple enough: By giving a very small loan to someone living in a poor country, you could help them expand a small business, which would lift their family out of poverty. When [&#8230;]]]></summary>
			
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<img alt="" data-caption="A store in Cox’s Bazar, Bangladesh. | Allison Joyce/Getty Images" data-portal-copyright="Allison Joyce/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13691094/487280049.jpg.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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	A store in Cox’s Bazar, Bangladesh. | Allison Joyce/Getty Images	</figcaption>
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<p>For a period of time from the 1980s to the early 2000s, &ldquo;microloans&rdquo; were all the rage in international development.</p>

<p>The idea was simple enough: By giving a very small loan to someone living in a poor country, you could help them expand a small business, which would lift their family out of poverty. When they pay back the loan, the money can be cycled to more borrowers, getting more families out of poverty.</p>

<p>Organizations offering microcredit to poor borrowers &mdash; many living on <a href="https://stateofthecampaign.org/read-the-full-2015-report/">$2 or less</a> per day &mdash; took off in those decades. Investors and donors poured money into microcredit, hundreds of organizations offered loans, and the number of borrowers worldwide <a href="https://stateofthecampaign.org/data-reported/">skyrocketed</a> to 211 million by 2013.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13692197/borrowers_line_chart_1.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Christina Animashaun/Vox" />
<p>The microcredit movement has been undeniably successful in opening up financial services to poor people across many countries. But what has its track record been when it comes to lifting people out of poverty?</p>

<p>Over the past decade, this question has occupied researchers, who have conducted randomized <a href="https://www.aeaweb.org/articles?id=10.1257/app.20140287">studies</a> across a variety of countries and settings. The findings have not supported the original hope for microcredit: They can&rsquo;t find evidence that the loans have been lifting families out of poverty on average. Many <a href="http://www.findevgateway.org/sites/default/files/mfg-en-paper-what-is-the-evidence-of-the-impact-of-microfinance-on-the-well-being-of-poor-people-policy-brief-aug-2011.pdf">concluded</a> that the classic conception of microcredit was based much more on anecdotes than on robust evidence. Those results have in turn cooled the development community&rsquo;s enthusiasm for microcredit.</p>

<p>But does this mean that microcredit has been a failure? Hardly.</p>

<p>Rather than see microcredit as it was portrayed in its heyday &mdash; as a way to get people out of poverty &mdash; we should see it through a different lens: as a way to expand options for poor people by offering more reliable financial services. Extremely poor people need these services just like everyone else, and the availability of capital to deal with irregular and at times unpredictable incomes is a huge help to them. This benefit, along with its impressive growth around the world, arguably makes microcredit a success.</p>
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<p>While earlier claims about microcredit&rsquo;s benefits were overblown, there is mounting evidence that it nonetheless plays a valuable role in improving the lives of people in need. <a href="http://financialdiaries.com/about">Financial diaries</a> of people living on $2 or less per day have shown that microcredit helps many families deal with emergencies, make critical purchases that they couldn&rsquo;t otherwise afford, and put food on the table in times of scarcity. While the new story about microcredit isn&rsquo;t the one that propelled it to such heights, it&rsquo;s much more grounded in evidence and, in many ways, it&rsquo;s still inspiring.</p>
<h2 class="wp-block-heading">A brief history of microcredit</h2>
<p>Lending money to the poor isn&rsquo;t a new idea. In his book <a href="https://www.amazon.com/Due-Diligence-Impertinent-Inquiry-Microfinance/dp/1933286482"><em>Due Diligence</em></a>, David Roodman describes the long history of microcredit, going back to Jonathan Swift (yes, the author of <em>Gulliver&rsquo;s Travels</em>), who began to lend small amounts to poor people in Ireland in the early 1700s.</p>

<p>Even though microcredit isn&rsquo;t new, it has long faced some core difficulties. One basic issue with lending to extremely poor people is the cost: Because the loans are often small (averaging <a href="https://wagner.nyu.edu/files/faculty/publications/Cull%20and%20Morduch%20-%20Microfinance%20and%20Economic%20Development.pdf">a few hundred dollars</a>), the overhead costs are higher as a proportion of the loan, and it&rsquo;s harder to make lending profitable.</p>

<p>Another problem is predicting who will repay a loan. In poor communities, lending has long taken place locally between people who already knew each other (local moneylenders and family/friends), with social ties that could help ensure repayment.</p>

<p>Another extremely common form of lending has been credit cooperatives, in which people &mdash; often living in the same region and/or <a href="http://www.econ.yale.edu/growth_pdf/cdp733.pdf">affiliated</a> through a particular trade &mdash; could obtain loans. But organizations from outside a given community don&rsquo;t have access to information that could help them judge who to lend to. On top of that, those living on $2 or less per day often do not have collateral to put up as a guarantee for the loan. In light of these difficulties, lending to the poor wasn&rsquo;t widely seen as promising.</p>

<p>However, that changed in the late 1970s and early 1980s, with a new vision of how to offer microcredit to the poor, and what it could do for them. Economist Muhammad Yunus played a big role in shaping this new perspective.</p>

<p>In his book <em>Banker to the Poor</em>, Yunus <a href="http://www.bankertothepoor.com/?p=3">describes</a> meeting a woman in Bangladesh who was making stools out of bamboo and earned only two cents per day, because she had to repay so much money to her bamboo supplier. If she had a dependable source of credit, Yunus thought, she and others in similar situations could make their way out of poverty.</p>

<p>That idea, along with his <a href="https://www.pbs.org/now/enterprisingideas/Muhammad-Yunus.html">conviction</a> that &ldquo;all human beings are born entrepreneurs,&rdquo; led him to found Grameen (meaning &ldquo;village&rdquo;) Bank in 1983. He also took the crucial step of convincing outside funders, such as the Ford Foundation, that it was a good idea to invest in loans for the very poor.</p>

<p>The original Grameen Bank model included a few core elements. The first is that after a loan for a microenterprise is granted, repayment starts immediately, with frequent, regular payments over the course of a year or so. The second is group loans, in which a small group of borrowers from different households receive loans together &mdash; which then puts pressure on the members to help each other repay. Finally, the model cuts overhead costs by having loan officers hold weekly meetings in villages to collect and disburse payments, obviating the need for physical bank branches.</p>

<p>Grameen Bank played a big role as a catalyst for microcredit&rsquo;s huge expansion (which some called a <a href="https://files.stlouisfed.org/files/htdocs/publications/review/08/01/Sengupta.pdf">&ldquo;revolution</a>&rdquo;). A huge number of organizations all over the world entered the scene over the next two decades (more than 3,000, as <a href="https://stateofthecampaign.org/read-the-full-2015-report/">reported</a> in 2015), though most borrowers are <a href="http://www.convergences.org/wp-content/uploads/2018/09/BMF_2018_EN_VFINALE-1.pdf">clustered</a> in a few countries such as India and Bangladesh. Borrowers repay loans to microcredit institutions at very high repayment <a href="https://wagner.nyu.edu/files/faculty/publications/Cull%20and%20Morduch%20-%20Microfinance%20and%20Economic%20Development.pdf">rates</a>, upward of 96 percent on average.</p>

<p>Grameen Bank wasn&rsquo;t the first group to take on lending to the poor &mdash; the nonprofit <a href="https://www.accion.org/about/history/">Accion, </a>working independently in Latin America in the 1970s, also developed a similar idea, and in Bangladesh, the nonprofit BRAC was an early pioneer &mdash; but it played a critical role in creating a powerful example of how microcredit for the extremely poor can work. As Roodman writes, other groups had done similar things, &ldquo;but had never hit on a formula that combined such high repayment rates, manageable costs, and scalability to millions of people.&rdquo;</p>

<p>Beyond the model for lending, Yunus also heavily promoted a vision for microcredit&rsquo;s promise that proved hugely influential. Tim Ogden, managing director of the <a href="https://www.financialaccess.org/">Financial Access Initiative</a>, says that before Grameen Bank, there was a consensus that it was bad to lend to those living on only a dollar or two per day, because it would only trap them in debt. After Yunus began to talk about loans helping people to exit poverty through micro-enterprises, there was a &ldquo;huge transformation&rdquo; in the perception of microcredit.</p>

<p>Ogden describes this transformation: &ldquo;You&rsquo;re loaning money to a woman who is earning a dollar a day? How is that not going to trap her in debt? Oh! She&rsquo;s starting a business and earning more money than I&rsquo;m charging her.&rdquo; Without this narrative, microcredit might not have taken off as it did.</p>

<p>Female empowerment also became integral to the story. Many microcredit institutions (including Grameen) made it a priority to lend to groups of women (<a href="https://stateofthecampaign.org/read-the-full-2015-report/">about 80 percent</a> of microcredit borrowers are now women). Investors and donors poured money into microfinance, and in 2006, Yunus <a href="https://www.nobelprize.org/prizes/peace/2006/press-release/">won</a> the Nobel Peace Prize.</p>
<h2 class="wp-block-heading">The inspiring narrative falters</h2>
<p>In the 2000s, skepticism about the promise of microcredit started cropping up. One concern critics raised was the possibility that some microcredit institutions were harming people. In Andhra Pradesh, a state in southeastern India, the government issued an <a href="http://indiamicrofinance.com/wp-content/uploads/2010/10/Andhra-MFI-Ordinance.pdf">ordinance</a> in 2010 essentially <a href="https://drive.google.com/file/d/1l6QoCnGkkYNv2p3NvgglbLq9lRZ555nj/view">shutting down</a> microcredit institutions, pointing to over-indebtedness, the pressure to repay loans, and <a href="https://www.bbc.com/news/world-south-asia-11997571">widely reported</a> suicides among borrowers.</p>

<p>There&rsquo;s also been a long-running debate about what level of interest is acceptable versus exploitative. On average, institutions offer loans at annualized interest rates of <a href="https://wagner.nyu.edu/files/faculty/publications/Cull%20and%20Morduch%20-%20Microfinance%20and%20Economic%20Development.pdf">around 20-30 percent</a>, though some rates are much <a href="https://www.nytimes.com/2008/04/05/business/worldbusiness/05micro.html">higher</a>. While some people &mdash; including <a href="https://www.nytimes.com/2011/01/15/opinion/15yunus.html">Yunus</a> &mdash; have argued interest rates above a certain level means that microcredit firms have turned into predatory loan sharks, others <a href="https://www.microfinancegateway.org/sites/default/files/mfg-en-paper-understanding-and-dealing-with-high-interest-rates-on-microcredit-a-note-to-policy-makers-in-the-asia-and-pacific-region-2006_0.pdf">counter</a> that the rates sometimes have to be high to cover costs of sustainably lending to the poor.</p>

<p>Beyond concern about potential harm, researchers started to seriously, and publicly, question the narrative about microcredit allowing millions of people to get out of poverty. From the beginning, that story had rested largely on anecdotes from borrowers, which might not necessarily be representative.</p>

<p>There was some more systematic research to back up the claim: One of the main studies that supporters pointed to was a <a href="https://www.brown.edu/research/projects/pitt/sites/brown.edu.research.projects.pitt/files/uploads/pitt-khandker-jpe_0.pdf">study</a> published in 1998 by researchers Mark Pitt and Shahid Khandker, which claimed that borrowers &mdash; especially women &mdash; were getting out of poverty at significant rates in Bangladesh.</p>

<p>However, when Jonathan Morduch and David Roodman reanalyzed the study, they found issues that made them question the reliability of the results. (Morduch first <a href="http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.29.6311&amp;rep=rep1&amp;type=pdf">commented</a> on the original study, which led to a series of <a href="https://www.brown.edu/research/projects/pitt/replications-pitt-and-khandker-1998-papers-data-and-code">replies</a>, and replies to the replies, that continued for a period of <em>more than 15 years.</em>) This, along with the lack of other rigorous studies, meant that there was a big evidence gap for the first few decades of microcredit&rsquo;s expansion.</p>

<p>Over the past decade, there&rsquo;s been an influx of more systematic evidence on microcredit. Randomized controlled trials (RCTs) are a particularly good method for gauging impact, since they make it easier to distinguish causation from correlation.</p>

<p>The most recent <a href="https://pubs.aeaweb.org/doi/pdfplus/10.1257/app.20140287">six microcredit studies</a>, published in 2015, were conducted by economists working independently across six countries. The studies found fairly <a href="https://voxdev.org/topic/methods-measurement/understanding-average-effect-microcredit">consistent</a> results: None found evidence that income went up on average among those offered credit. A few saw modest positive effects, such as people choosing to spend more time on their small businesses and some changes in spending habits. Abhijit Banerjee, Jonathan Zinman, and Dean Karlan <a href="https://pubs.aeaweb.org/doi/pdfplus/10.1257/app.20140287">sum up the studies</a>, concluding, &ldquo;We note a consistent pattern of modestly positive, but not transformative, effects&rdquo; &mdash; not the result that many people had hoped for.</p>

<p>But in some ways the findings were also good news. For one thing, they countered the backlash that had been brewing against microcredit: Some critics argued that microcredit hadn&rsquo;t just failed to lift people out of poverty, it was in fact even systematically harming people by trapping them in debt. But the RCTs didn&rsquo;t find systematic evidence of this claim.</p>

<p>For another thing, these results are only a disappointment if one thought that microcredit would<em> </em>get most participants out of poverty. To be sure, this was a common belief, but many researchers say that that hope wasn&rsquo;t realistic to begin with.</p>

<p>In a recent <a href="https://zoom.us/recording/play/EL6X7yogsbzJiaOuMYMCxet28GP8zf3_NJU6Rs5oyopZXXplHToDVYXIX76FioCa?continueMode=true">discussion</a> about the history of microcredit, economist Bruce Wydick compared microcredit in poor countries to introducing credit cards in rich countries, as a way of explaining why we shouldn&rsquo;t be surprised. &ldquo;When they introduced credit cards in the US, so that almost everybody had access to a credit line, did that pull millions of people out of poverty? No,&rdquo; Wydick says.</p>

<p>But just because it doesn&rsquo;t pull most borrowers out of poverty doesn&rsquo;t mean microcredit hasn&rsquo;t helped people.</p>
<h2 class="wp-block-heading">For evidence of microcredit’s value, look at how it helps the poor live day to day</h2>
<p>So how does microcredit help people, if not by raising their incomes on average? Research that looks closely at the financial lives of people living on $2 or less per day, such as the work of researchers Daryl Collins, Jonathan Morduch, Stuart Rutherford, and Orlanda Ruthven in&nbsp;<a href="http://www.portfoliosofthepoor.com/">Portfolios of the Poor</a>, shows that credit often plays a crucial role in borrowers&rsquo; lives.</p>

<p>Part of that story is that people very often use microcredit for their day-to-day needs, rather than for business loans, as Yunus had originally envisioned. They may have a need for cash to meet emergencies, or for a big purchase, or even just to provide an inflow of money to put food on the table when income fluctuates &mdash; and microcredit helps to meet that need.</p>

<p>In fact, microcredit organizations are far from the only source of credit &mdash; people often take small loans from friends and family, or from local shopkeepers, for example.</p>

<p>But a really valuable aspect of microcredit is its reliability: People can depend on getting a loan at a certain time, then commit to the small, regular repayments so that they can get a further loan.</p>

<p>As Jonathan Morduch <a href="https://limn.it/articles/microfinance-as-a-credit-card/">writes</a>:</p>
<blockquote class="wp-block-quote has-text-align-none is-layout-flow wp-block-quote-is-layout-flow">
<p>Incomes are seldom steady and predictable; needs vary as well: families need to pay for schools, medicines, and food during slow periods&hellip;Evidence that microfinance loans are used to fund non-business needs (even if for education or health) is sometimes used to criticize microfinance, but that misses the point&#8230;.poor families, like richer families, need broad financial tools. In fact, the poor may need them more urgently.</p>
</blockquote>
<p>There are also other potential benefits of increasing access to credit. In <em>Due Diligence</em>, Roodman also points to Nobel Laureate economist <a href="https://www.amazon.com/Development-as-Freedom-Amartya-Sen/dp/0385720270">Amartya Sen&rsquo;s</a> view about the value of increased freedom, in the sense of greater agency in one&rsquo;s life. By giving the poor a greater number of options in how to navigate their financial lives, Roodman suggests, microcredit can increase this kind of freedom.</p>

<p>Roodman emphasizes that the details matter &mdash; some ways of offering microcredit might offer more freedom than others. For example, he writes that group microcredit &ldquo;emerges in a surprisingly negative light&rdquo; when looking at financial diaries. Groups that are &ldquo;responsible for each other&rsquo;s loans can generate &lsquo;peer support&rsquo; in times of difficulty &mdash; or peer pressure to pay no matter what.&rdquo;</p>

<p>There&rsquo;s also some <a href="http://siteresources.worldbank.org/DEC/Resources/GroupversusIndividualLending-May2010.pdf">evidence</a> &mdash; from a study in the Philippines by economists Xavier Gin&eacute; and Dean Karlan &mdash; that group liability might not be necessary to achieve high repayment rates. Over time, some institutions have <a href="http://personal.lse.ac.uk/GHATAK/IJ.pdf">moved</a> toward individual loans instead, while still keeping the group meetings.</p>

<p>Finally, there&rsquo;s evidence that suggests that microcredit may be playing a broader positive role. For example, economists Emily Breza and Cynthia Kinnan <a href="https://drive.google.com/file/d/1l6QoCnGkkYNv2p3NvgglbLq9lRZ555nj/view">studied</a> what happened in Andhra Pradesh, India, when microcredit institutions were shut down in 2010. They found that this was followed by a notable decrease in wages in rural areas. They write that this result &ldquo;shows that microfinance, despite its small loan sizes, can have meaningful impacts on rural economies.&rdquo; It also suggests that the full picture of microcredit isn&rsquo;t captured in studies that only look at individual borrowers.</p>

<p>Now what about cost? Recent <a href="http://documents.worldbank.org/curated/en/404501470669620154/The-microfinance-business-model-enduring-subsidy-and-modest-profit">research</a> from the World Bank has shown that the vast majority of microfinance is subsidized, in the sense that investors and donors are providing capital at below-market rates. To the extent that the classic story included the claim that a lot of microcredit institutions would eventually sustain themselves without subsidy, it hasn&rsquo;t turned out to be true in that regard either. However, the subsidy isn&rsquo;t so expensive, amounting to a median of around <a href="http://documents.worldbank.org/curated/en/404501470669620154/pdf/WPS7786.pdf">$25 per borrower</a>.</p>

<p>So to sum it all up: Microcredit seems to be very important in the lives of the poor, even if it&rsquo;s not transformative. Given that it comes at a relatively low cost, it may be that microcredit is quite a cost-effective way to help people.</p>
<h2 class="wp-block-heading">Comparing microcredit to other ways of helping people</h2>
<p>All this said, some readers may want practical advice: Should they contribute to microcredit institutions?</p>

<p>This raises its own set of tough questions. What is the relative effectiveness (and cost-effectiveness) of microcredit compared to other potential ways to help extremely poor people, including just <a href="https://www.amazon.com/Just-Give-Money-Poor-Development/dp/1565493338">giving cash</a>? How much should an investor or donor be worried about harm to some borrowers? How much &ldquo;<a href="https://www.givewell.org/how-we-work/criteria/room-for-more-funding">room for more funding</a>&rdquo; do microcredit institutions now have, and which ones are the most cost-effective?</p>

<p>On the one hand, it&rsquo;s useful to consult a <a href="https://www.givewell.org/international/economic-empowerment/microfinance">review</a> by nonprofit charity evaluator GiveWell, which <a href="https://blog.givewell.org/2013/01/04/cash-transfers-vs-microloans/">does not recommend</a> microfinance institutions as &ldquo;among the best options for donors looking to accomplish as much good as possible.&rdquo; GiveWell notes that microfinance is far from a failure, but finds the evidence for the benefits of cash transfers to be clearer, and expresses concern about potential harm to some microcredit borrowers. (Full disclosure: I have worked for GiveWell in the past.)</p>

<p>On the other hand, some researchers who have looked closely at microcredit and who have done <a href="https://elibrary.worldbank.org/doi/pdf/10.1093/wber/lhx030">work</a> to compare the costs and benefits of microcredit compared to other programs to help the poor, including economists Jonathan Morduch, Asli Demirg&uuml;&ccedil;-Kunt, and Robert Cull, argue that it could very still well be in the running when compared to other programs. A big reason for this is the low cost of subsidies for microcredit, which could make the program cost-effective in spite of modest average benefits. &ldquo;It&rsquo;s an open question,&rdquo; Morduch told me, how microcredit fares when compared to other programs such as cash transfers, adding that, &ldquo;There should be more serious comparative cost-benefit work.&rdquo;</p>

<p>It&rsquo;s also worth making a final point: While RCTs haven&rsquo;t found that microcredit raises incomes for average borrowers, there is a small group of people who do achieve higher business profitability when they receive loans and sometimes these returns are <a href="https://siteresources.worldbank.org/INTFR/Resources/McKenzieReturnstoCapital.pdf">really impressive</a>, far exceeding interest rates. (In one <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3126359">study</a>, researchers referred to this group as &ldquo;gung-ho entrepreneurs&rdquo; as opposed to reluctant ones.) So an ongoing research question would be whether it&rsquo;s possible to find ways to better <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2926770">target</a> people when offering loans for business, or whether tweaking the <a href="https://www.theigc.org/wp-content/uploads/2011/02/Field-Et-Al-2011-Working-Paper-1.pdf">terms </a>of the loans might improve business profits.</p>

<p>Whether or not one concludes that microcredit beats cash transfers or other ways to help the poor, there&rsquo;s still reason to believe that microcredit has done &mdash; and continues to do &mdash; a lot of good, at fairly low cost. Beyond that, there&rsquo;s reason to believe that there may be <a href="https://www.financialaccess.org/publications-index/2016/ogdenmicrocredit">ways</a> to make small loans (as well as <a href="https://ssir.org/articles/entry/the_next_stage_of_financial_inclusion">broader financial services</a> such as micro-savings and micro-insurance) even more useful to those living on very low incomes.</p>

<p>To some, the new vision of microcredit &mdash; helping poor people to better face their financial challenges &mdash; may not hold the simple allure of the old one. But the researchers who wrote <em>Portfolios of the Poor</em> and looked closely at the lives of those living on $2 per day find the new narrative inspiring nonetheless: &ldquo;Whether or not the microfinance movement was right to stress loans for microenterprises, or has been too slow to embrace savings and other services, its greatest contribution is, to us, beyond dispute. It represents a huge step in the process of bringing reliability to the financial lives of poor households.&rdquo;</p>

<p>The story of microcredit illustrates that even where a program doesn&rsquo;t live up to the hype, it can still be a success.</p>

<p><em>Stephanie Wykstra (</em><a href="https://twitter.com/swykstr?lang=en"><em><strong>@swykstr</strong></em></a><em>) is a freelance writer and researcher based in New York.</em></p>
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			<author>
				<name>Stephanie Wykstra</name>
			</author>
			
			<title type="html"><![CDATA[Bail reform, which could save millions of unconvicted people from jail, explained]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/2018/10/17/17955306/bail-reform-criminal-justice-inequality" />
			<id>https://www.vox.com/future-perfect/2018/10/17/17955306/bail-reform-criminal-justice-inequality</id>
			<updated>2018-10-17T08:28:41-04:00</updated>
			<published>2018-10-17T07:30:02-04:00</published>
			<category scheme="https://www.vox.com" term="Criminal Justice" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Politics" />
							<summary type="html"><![CDATA[California passed legislation in August to get rid of money bail, joining the wave of states and local jurisdictions that have undertaken some form of bail reform over the past few years. When the new law goes into effect in 2019, people arrested and charged for a crime in California will no longer be asked [&#8230;]]]></summary>
			
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<p>California passed <a href="https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB10">legislation</a> in August to get rid of money bail, joining the wave of states and local jurisdictions that have undertaken some form of bail reform over the past few years. When the new law goes into effect in 2019, people arrested and charged for a crime in California will no longer be asked to post bail as a condition of their release.</p>

<p>The trend away from money bail &mdash; the payment required for a person to be released from jail as they await court hearings<strong> </strong>&mdash;<strong> </strong>is a welcome development. The use of money bail is one of the most troubling features of our deeply unequal justice system.</p>

<p>Bail amounts vary widely, with a nationwide median of <a href="https://www.prisonpolicy.org/reports/incomejails.html">around $10,000</a> for felonies (though much higher for serious charges) and less for misdemeanors (<a href="https://www1.nyc.gov/assets/criminaljustice/downloads/pdfs/how-bail-affects-the-jail-pop.pdf">in some places</a> such as New York City, typically under $2,000, though much <a href="http://wws.princeton.edu/sites/default/files/content/Advancing_Bail_Reform_In_Maryland_2018-Feb27_Digital.pdf">higher</a> in some jurisdictions). But even the lower amounts are more than most people can pay, and many spend time in jail for lack of as <a href="https://www.nytimes.com/2018/01/11/us/atlanta-bail-courts-reform.html">little as $500</a> or <a href="https://www.nyclu.org/sites/default/files/field_documents/bailreport_20180313_final.pdf">even $250</a>.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13256147/GettyImages_527451348.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Kiss Bail Bonds in Las Vegas advertises an expedited get out of jail service with a free ride home. | In Pictures Ltd./Corbis via Getty Images" data-portal-copyright="In Pictures Ltd./Corbis via Getty Images" />
<p>Our reliance on bail has essentially created a two-tiered justice system in the US. Many of the nearly <a href="https://www.prisonpolicy.org/reports/pie2018.html">half a million unconvicted people</a> confined in jails on any given day are there because they can&rsquo;t afford to pay bail. As people await court hearings behind bars, sometimes for months or even years, they suffer from inadequate medical care and even <a href="http://nymag.com/daily/intelligencer/2018/06/rape-at-rikers.html">dangerous conditions</a>, and many lose their jobs and housing. They also have a <a href="https://www.econ.pitt.edu/sites/default/files/Stevenson.jmp2016.pdf">higher chance</a> of being convicted than if they hadn&rsquo;t been assigned bail, as they <a href="https://www.theatlantic.com/magazine/archive/2017/09/innocence-is-irrelevant/534171/">take plea bargains</a> just to get out of jail, whether or not they actually committed a crime.</p>

<p>They and their families are also targets for the $2 billion-per-year for-profit bond industry, which <a href="https://www.nytimes.com/2018/03/31/us/bail-bonds-extortion.html">routinely exploits people</a> &mdash; disproportionately people of color &mdash; in desperate situations.</p>

<p>There&rsquo;s a rising movement to fight the money bail system. Advocates and legislators across the country are pushing to get rid of money bail in their states and in local jurisdictions. They argue that the system imposes an enormous and unfair burden on people and their families, especially <a href="https://www.prisonpolicy.org/reports/incomejails.html">low-income</a> <a href="http://www.brennancenter.org/sites/default/files/publications/Racial%20Disparities%20Report%20062515.pdf">people of color</a>. Udi Ofer, the director of the Campaign for Smart Justice at the American Civil Liberties Union (ACLU), says the money bail system is &ldquo;one of the most corrupt and broken parts of our justice system.&rdquo;</p>

<p>Getting rid of money bail &mdash; and releasing many more people pretrial &mdash; is a high-impact policy shift that can dramatically improve <a href="https://csgjusticecenter.org/nrrc/facts-and-trends/#_ftn6">millions</a> of lives. &nbsp;&nbsp;</p>
<h2 class="wp-block-heading">A brief history of bail</h2>
<p>In the <a href="http://www.clebp.org/images/04-18-2017_Model_Bail_Laws_CLEPB_.pdf">colonies</a>, as in England, those who were eligible for pretrial release relied on friends and family (&ldquo;personal sureties&rdquo;) who agreed to pay an agreed-upon amount if they failed to appear at court. In this system, the vast majority of those who were deemed eligible for release actually <em>were </em>released, at least at first.</p>

<p>But in the 1800s, as people had trouble finding personal sureties, courts shifted to the use of &ldquo;secured&rdquo; money bail. The idea behind money bail is to provide a financial incentive for a person who has been accused of a crime &mdash; but not yet convicted &mdash; to attend court hearings at a later date.</p>

<p>Several <a href="http://cjpp.law.harvard.edu/assets/FINAL-Primer-on-Bail-Reform.pdf">forms</a> of money bail are used in today&rsquo;s courts. The <a href="https://www.aclu.org/sites/default/files/field_document/059_bail_report_2_1.pdf">most common</a> form is &ldquo;surety bail bond,&rdquo; by which a person pays not the full amount but a fee &mdash; often around 10 percent of the bail amount &mdash; to a commercial bail agent. That bail agent agrees to pay the full bail amount if the person fails to appear at a court hearing. The 10 percent fee is not returned to the person, and bail agents often also <a href="http://cjpp.law.harvard.edu/assets/FINAL-Primer-on-Bail-Reform.pdf">require</a> the person (or their friends and family) to sign over collateral to cover the full bail amount. The United States and the Philippines are the <a href="http://cjpp.law.harvard.edu/assets/FINAL-Primer-on-Bail-Reform.pdf">only two countries</a> in the world with a legalized for-profit bond industry.</p>

<p>Another kind of money bail is &ldquo;cash bail,&rdquo; which is money paid to the court and returned &mdash; often minus a court fee &mdash; once the person returns for all court hearings.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13256229/GettyImages_836938002.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="Friends and relatives of a suspended patrolmen crowd a clerk’s office to arrange bail bond for the accused, in Denver, Colorado, on October 1, 1961." title="Friends and relatives of a suspended patrolmen crowd a clerk’s office to arrange bail bond for the accused, in Denver, Colorado, on October 1, 1961." data-has-syndication-rights="1" data-caption="Friends and relatives of a suspended patrolmen crowd a clerk’s office to arrange bail bond for the accused, in Denver, Colorado, on October 1, 1961. | Denver Post via Getty Images" data-portal-copyright="Denver Post via Getty Images" />
<p>As early as the <a href="https://b.3cdn.net/crjustice/2b990da76de40361b6_rzm6ii4zp.pdf">1920s</a>, reformers began to point out the problems with the bail system. Bail agents abused their power; judges set money bail that people couldn&rsquo;t afford to pay. By the 1960s, advocates were pointing to <a href="https://cspcs.sanford.duke.edu/sites/default/files/descriptive/manhattan_bail_project.pdf">studies</a> showing that assigning bail was unnecessary: The vast majority of people would return to court if released without paying money bail.</p>

<p>The <a href="https://www.gpo.gov/fdsys/pkg/STATUTE-80/pdf/STATUTE-80-Pg214.pdf">Bail Reform Act</a> passed by Congress in 1966 established that a person should be released on their own recognizance, or under the &ldquo;least restrictive conditions&rdquo; that could ensure their appearance at court hearings, and many states passed their own similar statutes. But while these statutes attempted to curb the use of money bail, they <a href="https://scholarlycommons.law.northwestern.edu/cgi/viewcontent.cgi?referer=&amp;httpsredir=1&amp;article=6469&amp;context=jclc">did not get rid of it</a>, as judges sometimes still assigned money bail that people could not afford to pay.</p>

<p>In the 1970s and &rsquo;80s, <a href="https://digitalcommons.law.byu.edu/cgi/viewcontent.cgi?article=3049&amp;context=lawreview">fear</a> of rising crime led to the <a href="https://www.fjc.gov/sites/default/files/2012/BailAct3.pdf">Bail Reform Act of 1984</a>. The act allowed a judge in a federal court to detain someone either for flight risk &mdash; that is, if there was convincing evidence that they would abscond if released &mdash; <em>or</em> if they were assessed to be a serious threat to public safety. Many states <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=1756506">adopted</a> similar statutes in the &rsquo;70s and &rsquo;80s. A few years later, the Supreme Court in <a href="https://www.law.cornell.edu/supremecourt/text/481/739"><em>United States v. Salerno</em></a> affirmed the constitutionality of detaining someone for reasons of public safety, while also making it clear that &ldquo;in our society liberty is the norm,&rdquo; and detaining someone prior to trial is the &ldquo;carefully limited exception.&rdquo;</p>

<p>Nearly 30 years later, pretrial detainment is not a &ldquo;carefully limited exception.&rdquo; Judges routinely assign bail that people can&rsquo;t afford to pay. Between 1990 and 2009, releases in which courts used money bail in felony cases <a href="https://www.bjs.gov/content/pub/pdf/fdluc09.pdf">rose</a> from 37 percent to 61 percent. &nbsp;</p>
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<p>Studies have shown that even at low amounts, most people cannot quickly post bail. They end up staying in jail for days or weeks (and sometimes much longer); for instance, in Philadelphia from 2008 to 2013, <a href="https://www.law.upenn.edu/cf/faculty/mstevens/workingpapers/Stevenson%20Job%20Market%20Paper%20Jan%202016.pdf">nearly 40 percent</a> of those with bail set at $500 or less stayed in jail for at least three days. In these cases, money bail effectively detains people without giving them the rights they could have if they underwent a formal detention hearing.</p>

<p>Moreover, the way decisions about bail are made raises serious questions about the system. A judge setting bail usually takes <a href="https://www.themarshallproject.org/2018/09/04/dallas-county-s-secret-bail-machine">mere minutes</a> to issue a decision. There&rsquo;s also evidence that this process is incredibly arbitrary. For example, recent <a href="https://fivethirtyeight.com/features/youve-been-arrested-will-you-get-bail-can-you-pay-it-it-may-all-depend-on-your-judge/">analysis</a> of bail decisions in New York City from FiveThirtyEight shows that the chance of being assigned cash bail varies wildly &mdash; between 2 and 26 percent for misdemeanors, and 30 to 69 percent for felonies &mdash; depending on which judge happens to be overseeing a court on a given day.</p>

<p>In many places, courts follow <a href="https://www.americanbar.org/content/dam/aba/publications/criminal_justice_magazine/cjsp11_bail.authcheckdam.pdf">bail schedules</a> &mdash; amounts that are based on charge &mdash; without taking into account details of a person&rsquo;s case or their ability to pay, and often without defense counsel being present. Nearly <a href="https://www.prisonpolicy.org/reports/pie2018.html">11 million people</a> are admitted to jails across the country each year, many because of their inability to pay bail. (<a href="https://www.prisonpolicy.org/reports/pie2018.html?gclid=CjwKCAjwxILdBRBqEiwAHL2R87d_yE2sRKTRO8qLCoYM0Mv5DZt72y7dU9fQFfgC-SNQWMHJdOg6SBoCEr0QAvD_BwE">Most people</a> in &ldquo;jails&rdquo; are unconvicted, whereas &ldquo;prisons&rdquo; are where people serve sentences.) &nbsp;&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13261725/Need_bail_reform.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Peter Wagner / &lt;a href=&quot;https://www.prisonpolicy.org/blog/2015/08/14/jailsmatter/&quot;&gt;Prison Policy Initiative&lt;/a&gt;" />
<p>Beyond the sheer numbers are the personal stories of those who have suffered as a result of the money bail system. One story is that of <a href="https://www.newyorker.com/magazine/2014/10/06/before-the-law">Kalief Browder</a>, a 16-year-old in New York City who was accused of stealing a backpack in 2010. His family couldn&rsquo;t afford the $3,000 bail set by the judge, and he spent the next three years in a jail on Rikers Island awaiting trial. Browder refused to plead guilty, and his case was finally dropped by the prosecution, who sent him home. However, after years in jail, much of it in solitary confinement, Browder had trouble readjusting to his old life. He <a href="https://www.newyorker.com/news/news-desk/kalief-browder-1993-2015">died by suicide</a> in 2015.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13256335/GettyImages_512183406.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="Prisoner rights activists, in seeking justice for Kalief Browder, held a press conference at New York City Hall asking for Mayor de Blasio, Governor Cuomo and Department of Correction Commissioner Ponte to immediately shut down Rikers Island, on February " title="Prisoner rights activists, in seeking justice for Kalief Browder, held a press conference at New York City Hall asking for Mayor de Blasio, Governor Cuomo and Department of Correction Commissioner Ponte to immediately shut down Rikers Island, on February " data-has-syndication-rights="1" data-caption="Prisoner rights activists, in seeking justice for Kalief Browder, held a press conference at New York City Hall asking for Mayor de Blasio, Governor Cuomo and Department of Correction Commissioner Ponte to immediately shut down Rikers Island, on February 23, 2016. | Erik McGregor/LightRocket via Getty Images" data-portal-copyright="Erik McGregor/LightRocket via Getty Images" /><h2 class="wp-block-heading">The bail reform movement takes shape</h2>
<p>Catalyzed by the injustice of money bail, many advocates and leaders <a href="https://www.nytimes.com/2017/07/20/opinion/kamala-harris-and-rand-paul-lets-reform-bail.html">across the political spectrum</a> are pushing to end its use.</p>

<p>One important strategy for fighting the system is to argue in court that setting unaffordable money bail is unconstitutional &mdash; a violation of the due process and equal protection clauses of the 14th Amendment. Nonprofits including Civil Rights Corps, Equal Justice Under Law, the ACLU, and the Southern Poverty Law Center have lodged dozens of <a href="https://www.civilrightscorps.org/work/docket">lawsuits</a> challenging the practice in many states, including Texas, Alabama, Illinois, and California.</p>

<p>These suits have led to some major victories, including a 2017 <a href="https://cdn.buttercms.com/mVMgfYVMQpGAzNyP0J3d">ruling</a> from a federal judge who found that the money bail system in Harris County, Texas, was unconstitutional. In the year after her ruling, <a href="https://twitter.com/CivRightsCorps/status/1017759047473393664">more than 12,000 people</a> &mdash; accused of misdemeanors and held on money bail that they couldn&rsquo;t afford &mdash; were released. (The decision is being <a href="https://www.houstonchronicle.com/news/houston-texas/houston/article/Appeals-court-halts-portion-of-Harris-County-bail-13161060.php">appealed</a>.)</p>

<p>The fight against bail is also taking place at the local level, with the <a href="https://www.phillymag.com/welcome/3402963/single/https%3A%2F%2Fwww.phillymag.com%2Fnews%2F2018%2F02%2F21%2Fkrasner-cash-bail-reform%3Fpam-referer%3Dhttps%253A%252F%252Fwww.google.com%252F/">election</a> of <a href="https://bds.org/bds-presents-power-of-prosecutors/">progressive district attorneys</a>. District attorneys have <a href="https://theappeal.org/the-power-of-prosecutors-2b48cf21c5af/">enormous discretion</a> in the cases they decide they will pursue and the charges they bring, as well as in whether they ask the judge to set bail in a particular case. Progressive <a href="http://prospect.org/article/new-reformer-das">district attorneys,</a> such as Kim Foxx in Chicago and Larry Krasner in Philadelphia, have decided that their offices <a href="https://www.phillyvoice.com/da-larry-krasner-wont-seek-cash-bail-certain-offenses/">will not seek bail</a> for a range of charges.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13256403/AP_18130134824384.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="ACLU’s Udi Ofer (left), State’s Attorney Kim Foxx and Philadelphia District Attorney Larry Krasner participate in a panel discussion on criminal justice reform in Washington D.C., on May 9, 2018." title="ACLU’s Udi Ofer (left), State’s Attorney Kim Foxx and Philadelphia District Attorney Larry Krasner participate in a panel discussion on criminal justice reform in Washington D.C., on May 9, 2018." data-has-syndication-rights="1" data-caption="ACLU’s Udi Ofer (left), State’s Attorney Kim Foxx and Philadelphia District Attorney Larry Krasner participate in a panel discussion on criminal justice reform in Washington D.C., on May 9, 2018. | Paul Morigi/AP" data-portal-copyright="Paul Morigi/AP" />
<p>Advocates have also sought to push for reform in another venue: state legislatures. This year, California was the <a href="https://www.nytimes.com/2018/08/28/us/california-cash-bail.html">first</a> state to legislate money bail entirely out of existence. <a href="http://www.drugpolicy.org/blog/new-jersey-leading-way-bail-reform">Legislation</a> in New Jersey that virtually eliminated money bail <a href="http://www.drugpolicy.org/sites/default/files/new-solutions-bail-reform-implementation-july2017_1.pdf">went into effect</a> in 2017. (Washington, DC, also did away with incarceration as a result of money bail, back in 1992.) Some states, including <a href="https://csgjusticecenter.org/jr/massachusetts/posts/massachusetts-governor-signs-comprehensive-criminal-justice-reform-legislation/">Massachusetts</a>, have passed statutes requiring that courts inquire into ability to pay money bail, and others, including <a href="https://www.uaa.alaska.edu/academics/college-of-health/departments/justice-center/alaska-justice-forum/33/1spring2016/b_sb91_summary.cshtml">Alaska</a> and <a href="http://www.ilga.gov/legislation/fulltext.asp?DocName=&amp;SessionId=91&amp;GA=100&amp;DocTypeId=SB&amp;DocNum=2034&amp;GAID=14&amp;LegID=&amp;SpecSess=&amp;Session">Illinois</a>, have put restrictions on the cases in which people can be assigned money bail or encouraged courts to use &ldquo;unsecured&rdquo; bail (only payable if the person fails to appear in court).</p>

<p>But while there is wide consensus that bail reform is needed, there&rsquo;s disagreement about what it should look like.</p>

<p>The shared goal of reforming bail is to get rid of the wealth-based pretrial system &mdash; and to do this without a significant increase in crime or failure to appear in court. There are many specific proposals across jurisdictions, but these are the main elements that advocates tend to agree on:</p>
<ul class="wp-block-list"><li><strong>Release the vast majority of people </strong>as they await court hearings with no conditions except making all court appearances, and make very limited use of pretrial detention.</li><li><strong>Increase use of “pretrial services,” </strong>which could include check-in calls with officers and <a href="http://www.abajournal.com/lawscribbler/article/text_messages_can_keep_people_out_of_jail/">texted court reminders</a> (studies have shown these can significantly <a href="http://urbanlabs.uchicago.edu/attachments/store/9c86b123e3b00a5da58318f438a6e787dd01d66d0efad54d66aa232a6473/I42-954_NYCSummonsPaper_Final_Mar2018.pdf">improve</a> court appearance rates), as well as helping people attend court by offering transportation. In recent years, <a href="http://cjpp.law.harvard.edu/assets/FINAL-Primer-on-Bail-Reform.pdf">many states</a> have passed legislation to create or bolster pretrial service agencies. </li></ul>
<p>There is, however, a big debate among advocates about how to decide whom to detain pretrial &mdash; which gets us into the contentious topic of &ldquo;risk assessment.&rdquo;</p>
<h2 class="wp-block-heading">A controversial tool</h2>
<p>Risk assessment refers to a tool to help predict a defendant&rsquo;s risk of failing to appear for court and rearrest. So far, risk assessment tools have been <a href="https://www.arnoldfoundation.org/wp-content/uploads/FAQ-PSA-Research.pdf">adopted</a> by several states, including New Jersey, Arizona, and Kentucky, as well as by dozens of local jurisdictions across the country.</p>

<p>The tools use data from past cases to predict who is a &ldquo;high,&rdquo; &ldquo;medium,&rdquo; or &ldquo;low&rdquo; risk for not showing up to their court dates and rearrest, based on factors such as criminal record and age at arrest. An algorithm then produces a score, which is then used by judges in determining whether to hold someone in jail (&ldquo;remand&rdquo; them), or to release them to some form of supervision or on their own recognizance (with the agreement to appear for court hearings).</p>

<p>There are a variety of such tools available, including the <a href="https://www.psapretrial.org/about/factors">Public Safety Assessment tool </a>developed by the Arnold Foundation and the COMPAS tool developed by the for-profit company Equivant (formerly Northpointe).</p>

<p>One of the main arguments for using such algorithms is that judges are already making these kinds of predictions in their heads but are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5947971/">highly fallible</a> and <a href="https://fivethirtyeight.com/features/youve-been-arrested-will-you-get-bail-can-you-pay-it-it-may-all-depend-on-your-judge/">inconsistent</a>. By adopting a tool, some argue, judges will have additional information to guide them on who to release into the community versus who to hold in jail pretrial. They <a href="http://www.arnoldfoundation.org/statement-by-the-laura-and-john-arnold-foundation-in-response-to-the-report-on-bail-reform-issued-by-the-leadership-conference-on-civil-and-human-rights/">argue</a> that such tools can help courts <a href="http://www.nber.org/papers/w23180">better achieve</a> the goal of reducing pretrial detention, without a rise in failures to appear in court or risk to public safety.</p>

<p>Cherise Fanno Burdeen, CEO of the Pretrial Justice Institute, stresses that the tools on their own should not determine who is detained. But she argues that they have an important role in improving the evidence about who is very likely to return to court and pose little risk to the community. &ldquo;It&rsquo;s inappropriate not to use the data that&rsquo;s available to us to improve our decision-making,&rdquo; she says.</p>

<p>However, <a href="https://civilrights.org/more-than-100-civil-rights-digital-justice-and-community-based-organizations-raise-concerns-about-pretrial-risk-assessment/">many other advocates</a> have spoken out against such risk assessment instruments. One argument is that risk assessment algorithms predict the wrong outcomes: Instead of giving the probability of risk of violent crime or real flight risk, they <a href="https://www.yalelawjournal.org/article/dangerous-defendants">predict</a> risk of <em>any </em>arrest and failure to appear in court. (There are a couple of exceptions such as the Arnold Foundation&rsquo;s tool, which does give a <a href="https://www.psapretrial.org/about/factors">separate score</a> for chance of arrest for a violent crime.)</p>

<p>Another major concern is that the tools are biased against people of color. Because people of color have been <a href="https://www.washingtonpost.com/news/opinions/wp/2018/09/18/theres-overwhelming-evidence-that-the-criminal-justice-system-is-racist-heres-the-proof/">disproportionately</a> targeted by police, this argument goes, criminal history data will also skew accordingly &mdash; and in turn skew risk assessment results. (This has led to discussion of competing <a href="https://www.propublica.org/article/machine-bias-risk-assessments-in-criminal-sentencing">kinds</a> of statistical fairness, as well as potential ways to <a href="http://michiganlawreview.org/wp-content/uploads/2017/04/115MichLRev1023_Chander.pdf">adjust</a> an algorithm to make it more fair.) Further, advocates also point out that an instrument could actually lead to higher pretrial detention &mdash; depending on the subjective decision of how &ldquo;risky&rdquo; is deemed too risky by the designers of the tool.</p>

<p>Finally, there&rsquo;s a growing question about the real-world impacts of the tools, with researchers <a href="https://logicmag.io/03-the-mistrials-of-algorithmic-sentencing/">pointing out</a> that we have little evidence on how they are used by judges. A recent <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3016088">independent evaluation</a> from Kentucky shows many judges selectively ignored an algorithm&rsquo;s recommendations, and that as a result, jail populations did not decrease over time as intended.</p>

<p>Opponents of risk assessment <a href="https://www.nytimes.com/2018/09/11/opinion/california-bail-law.html">want</a> the vast majority of people who are arrested to be released (some with pretrial services), and for the minority charged with certain violent crimes to have an individualized hearing in order to consider the specific factors and evidence in their case. While <a href="http://www.civilrightscorps.org/resources/7B7FS7wRTSKnWMXSqR9Y">some acknowledge</a> that prediction tools <em>could </em>be useful in making certain decisions &mdash; for instance, to determine those who should be released, or who could benefit from additional support &mdash; they oppose the tools currently on offer.</p>

<p>More than 100 groups, including the ACLU and NAACP, recently signed a <a href="https://civilrights.org/more-than-100-civil-rights-digital-justice-and-community-based-organizations-raise-concerns-about-pretrial-risk-assessment/">statement</a> advising against adopting pretrial risk-assessment tools, while giving recommendations to the many jurisdictions that have already adopted a tool &mdash; for example, the wider community should be included in designing a transparent algorithm, and any tool should be regularly audited by independent researchers to ensure that it is reducing jail populations and racial disparities. The debate about risk assessment is likely going to continue as more states and jurisdictions consider adopting a tool in the years ahead.</p>
<h2 class="wp-block-heading">Assessing the risks of bail reform</h2>
<p>Bail reform has had broad support from many quarters in recent years, with the major exception of &mdash; you guessed it &mdash; the for-profit bail industry, which has been vociferous in its warnings about the risk of getting rid of money bail. The <a href="https://thehill.com/homenews/campaign/404395-bail-bond-industry-mobilizes-against-calif-law-eliminating-cash-bail">industry</a> warns that crime (and especially violent crime) will go up as more people are released. But this risk is likely not that high. Even the <a href="https://www.yalelawjournal.org/article/dangerous-defendants">&ldquo;high risk&rdquo; group</a>, as it is labeled in risk assessment tools, has only about an 8 percent chance of being arrested for a new violent crime within six months.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13256571/GettyImages_501213258.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Michelle Esquenazi, known as The Bail Bond Queen, seen in her office in Hempstead, New York, on December 4, 2015. Esquenazi, the mother of four with a “masters degree from the streets of Brooklyn” says she worked her way up from a paralegal student on welfare to CEO of a phenomenally successful company. | Jewel Samad/AFP/Getty Images" data-portal-copyright="Jewel Samad/AFP/Getty Images" />
<p>The experience of jurisdictions that have gotten rid of money bail also shows that releasing many more people doesn&rsquo;t correlate with a high level of rearrest for violent crimes. Washington, DC, got rid of secured money bail and bolstered pretrial services in 1992; today, it <a href="https://www.npr.org/2018/09/02/644085158/what-changed-after-d-c-ended-cash-bail">releases 94</a> percent of those accused of crimes as they await court hearings. <a href="https://www.npr.org/2018/09/02/644085158/what-changed-after-d-c-ended-cash-bail">Of those people</a>, 88 percent returned for all court appearances last year, and only 2 percent were arrested for a violent crime as they awaited court hearings.</p>

<p>The main risk that reformers tend to worry about is not a rise in crime, but instead, as <a href="https://www.hrw.org/news/2018/08/14/human-rights-watch-opposes-california-senate-bill-10-california-bail-reform-act#footnote2_2hbssxx">Human Rights Watch</a> puts it, the risk of replacing &ldquo;one harmful system with another.&rdquo; Advocates worry that legislation some states have considered or adopted will have the consequence of giving courts too much leeway in detaining people pretrial, or even encourage them to do so.</p>

<p>This was the basis for one of the major objections to the new California legislation from groups such as the <a href="https://www.aclusocal.org/en/press-releases/aclu-california-changes-position-oppose-bail-reform-legislation">ACLU</a>: The bill states that many of those accused of misdemeanors will be released, but specifies a &ldquo;rebuttable presumption of detention&rdquo; for a wide range of non-misdemeanor charges. In those cases, the court would use risk assessment tools and potentially hold those deemed &ldquo;high risk&rdquo; in jail.</p>

<p>Essie Justice Group, a nonprofit organization of women with incarcerated loved ones, helped create and supported a <a href="https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB42">previous version</a> of the bill, but <a href="https://essiejusticegroup.org/2018/08/essie-justice-group-withdraws-support-for-sb-10/">opposed</a> the version that was passed. Gina Clayton-Johnson, the executive director and founder, <a href="https://www.bustle.com/p/california-ended-its-cash-bail-system-but-critics-say-it-may-do-more-harm-especially-to-women-11195395">said</a> that the legislation &ldquo;completely undermines the purpose for which black and brown women, formerly incarcerated, currently incarcerated, and low-income communities have been rallying around the cry for bail reform.&rdquo;</p>

<p>There&rsquo;s also a risk that in lieu of money bail, courts might start to assign a high number of people to unnecessarily onerous forms of supervision, such as electronic monitoring, which <a href="https://www.wired.com/story/opinion-ankle-monitors-are-another-kind-of-jail/">advocates argue</a> can be nearly as punitive as being in jail.</p>

<p>These concerns underscore a broader point: What matters is not just getting rid of money bail, but taking care that any new system does much better to make liberty the norm, and pretrial detention or punitive supervision the carefully limited exception.</p>
<h2 class="wp-block-heading">The future of bail</h2>
<p>There&rsquo;s a lot of momentum around bail reform that advocates believe will translate into further big policy shifts in the coming years. States like New York that considered &mdash; but did not pass &mdash; <a href="https://www.wnyc.org/story/what-bail-reform-could-look-like-new-york/">legislation</a> to get rid of money bail (or much reduce it) this past year may well be able to do so in coming years. District attorneys are running progressive campaigns all over the country. There&rsquo;s also legislation proposed at the federal level, including a <a href="https://www.sanders.senate.gov/download/no-money-bail-act-2018-summary?inline=file">bill</a> put forward by Sen. Bernie Sanders (I-VT) and <a href="https://www.nytimes.com/2017/07/20/opinion/kamala-harris-and-rand-paul-lets-reform-bail.html">another</a> from Sens. Kamala Harris (D-CA) and Rand Paul (R-KY), which include federal support for states in their bail reform efforts. (The federal system relies very little on money bail; the <a href="https://www.bjs.gov/content/pub/pdf/fjs14st.pdf">majority of people</a> detained in federal cases are ordered to be held in jail.)</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13256589/GettyImages_632149186.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="A bail bonds service in Wilmington, Ohio, on January 19, 2017. | Andrew Spear for The Washington Post via Getty Images" data-portal-copyright="Andrew Spear for The Washington Post via Getty Images" />
<p>Part of the work of the <a href="https://www.aclu.org/issues/smart-justice/bail-reform">ACLU</a> (which is working on bail reform in 38 states), <a href="https://www.justleadershipusa.org/">JustLeadershipUSA</a>, <a href="https://nomoneybail.org/">Color of Change</a>, and many other organizations is also to raise awareness of how millions of people are being incarcerated each year due to inability to pay bail, without being convicted. In the past few years, the topic has gone from being relatively low-profile to a major area of reform.</p>

<p>In the meantime, since legislative and judicial changes can take time, a rising number of charities are paying bail to get people out of jail now. These include many local and state groups that are part of the <a href="https://brooklynbailfund.org/nbfn-directory/">National Bail Fund Network</a>, as well as the <a href="https://bailproject.org/">Bail Project</a> (for which I volunteer) and New York City&rsquo;s <a href="https://www.dollarbailbrigade.com/">Dollar Bail Brigade</a>, which pays bail for hundreds of people each year who, due to an administrative <a href="https://www.courtinnovation.org/sites/default/files/documents/Bail%20Payment%20in%20NYC.pdf">quirk</a> of the city&rsquo;s system, are stuck in NYC jails on $1. There are also campaigns to bail out many people at once: This month, the Robert F. Kennedy Human Rights organization is leading a <a href="https://rfkhumanrights.org/news/rfk-bail-action">mass bailout</a> to pay bail for hundreds of women and teenagers held in Rikers Island jails in NYC.</p>

<p>While there are many, many serious problems with the criminal justice system, money bail stands out as particularly egregious: <a href="https://www.prisonpolicy.org/reports/pie2018.html">One in five people</a> behind bars in this country is unconvicted, and many are there because they cannot pay bail of a few hundred to a few thousand dollars. In 1964, then-Attorney General Robert F. Kennedy <a href="https://www.justice.gov/sites/default/files/ag/legacy/2011/01/20/08-04-1964.pdf">said to Congress</a>, &ldquo;The rich man and the poor man do not receive equal justice in our courts. And in no area is this more evident than in the matter of bail. &#8230; This is a cause in which there is great work to be done.&rdquo;</p>

<p>More than 50 years later, Kennedy&rsquo;s words ring truer than ever.</p>

<p><em>Stephanie Wykstra (</em><a href="https://twitter.com/swykstr?lang=en"><em>@swykstr</em></a><em>) is a freelance writer and researcher based in New York. </em></p>
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			<author>
				<name>Stephanie Wykstra</name>
			</author>
			
			<title type="html"><![CDATA[A surprising amount of medical research isn’t made public. That&#8217;s dangerous.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/the-big-idea/2017/8/1/16012946/clinical-trial-research-public-transparency" />
			<id>https://www.vox.com/the-big-idea/2017/8/1/16012946/clinical-trial-research-public-transparency</id>
			<updated>2017-08-01T10:09:38-04:00</updated>
			<published>2017-08-01T08:40:01-04:00</published>
			<category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="The Big Idea" />
							<summary type="html"><![CDATA[When the results of clinical trials aren&#8217;t made public, the consequences can be dangerous &#8212; and potentially deadly. Consider the case of the anti-depressant Paxil, produced by the drug company SmithKline Beecham (now part of GlaxoSmithKline). GSK got approval from the FDA in 1999 for treatment of depression in adults, but not in teenagers. That [&#8230;]]]></summary>
			
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<p>When the results of clinical trials aren&rsquo;t made public, the consequences can be dangerous &mdash; and potentially deadly.</p>

<p>Consider the case of the anti-depressant Paxil, produced by the drug company SmithKline Beecham (now part of GlaxoSmithKline). GSK got approval from the FDA in 1999 for treatment of depression in adults, but not in teenagers. That meant that while doctors could prescribe the drug to adolescents &mdash; a so-called &ldquo;off label&rdquo; prescription &mdash; GSK could not promote the drug to doctors for that purpose.</p>

<p>But the company did just that, according to criminal and civil <a href="https://www.justice.gov/opa/pr/glaxosmithkline-plead-guilty-and-pay-3-billion-resolve-fraud-allegations-and-failure-report">complaints</a> filed by the Justice Department and <a href="http://news.findlaw.com/wsj/docs/glaxo/nyagglaxo60204cmp.pdf">a suit</a> by then-New York Attorney General Eliot Spitzer. What&rsquo;s more, the Justice Department claimed, GSK selectively and misleadingly released information about three studies it had conducted of the drug: It hired a consulting company to write a journal article that played up evidence from one study that the drug worked better as a treatment for pediatric depression than a placebo, played down (better) evidence from the same study that it hadn&rsquo;t, and soft-pedaled the side effects.</p>

<p>These side effects included suicidal thoughts and actions.</p>

<p>It buried two other studies, the Justice Department noted, in which Paxil had failed to show efficacy in treating depression.</p>

<p>In the end, GSK paid the US government <a href="http://www.nytimes.com/2012/07/03/business/glaxosmithkline-agrees-to-pay-3-billion-in-fraud-settlement.html">$3 billion in fines</a> for illegal and misleading promotion Paxil and other drugs, and, in 2004, the FDA required manufacturers to put a &ldquo;black box&rdquo; warning label on Paxil and other antidepressants about the potential<strong> </strong>risks of increased suicidal thoughts and actions when used in children and teenagers.</p>

<p>In 2015, researchers <a href="http://www.bmj.com/content/351/bmj.h4320">published</a> a second look at the data and clinical study reports underlying the study GSK had relied on for promoting Paxil&rsquo;s use in adolescents. They affirmed the drug &ldquo;was ineffective and unsafe in this study.&rdquo; This was part of a much bigger problem afflicting drug research, they said: &ldquo;There is a lack of access to data from most clinical randomised controlled trials, making it difficult to detect biased reporting.&rdquo;</p>

<p>You might think a crisis of that scope, involving teenage suicide and billions of dollars, would rouse the scientific establishment to make sure that the results of all clinical trials be made public. But it didn&rsquo;t happen. Despite public campaigns, and even legal requirements, many clinical trials still report results publicly late or not at all. What, if anything, will prod researchers &mdash; and universities and drug companies &mdash; to act?</p>

<p>The issue at stake here isn&rsquo;t the FDA&rsquo;s approval process. The FDA makes drugmakers go through an intensive application process before it deems new drugs or medical devices safe and effective. When drug companies seek FDA approval for a drug or device, they aren&rsquo;t allowed to cherry-pick which results they report. The agency requires that companies submit plans outlining all trials they&rsquo;ll submit for approval, and scrutinizes the trial results (even conducting its own statistical review). But the FDA does not ensure that all of those trial results also enter the public view<strong>. </strong></p>

<p>That means doctors and researchers trying to get a full picture of a drug&rsquo;s effects are out of luck.</p>

<p>During the Paxil legal battles, there was not yet a law in the United States requiring that clinical trials publicly share their results. What is remarkable is that today there <em>is</em> such a law &mdash; yet researchers and companies often ignore it.&nbsp; &nbsp;</p>

<p>Some researchers do share their trial results through journal publications. However, <a href="http://www.bmj.com/content/344/bmj.d7292">one synthesis of studies on the topic found</a> that from one quarter to one half of clinical trials are never published &mdash; or are published only years after trials end. In that same report, from 2012, new research found that <a href="http://www.bmj.com/content/344/bmj.d7292">roughly half of all trials funded by the National Institutes of Health remained unpublished</a> 30 months after the end of a trial (though 68 percent were ultimately published at some point). The reasons for delays and non-publication vary, from researchers&rsquo; lack of interest in reporting negative results &mdash; the infamous &ldquo;file drawer problem&rdquo; &mdash; to constraints on the time of researchers<strong>. </strong></p>
<h2 class="wp-block-heading">Progress on transparency legislation</h2>
<p>The research transparency movement has been gaining steam, but still can&rsquo;t declare victory. A 1997 federal requirement mandated that researchers register some trials in a public database (those pertaining to serious or life-threatening diseases). Then <a href="http://www.icmje.org/news-and-editorials/update_2005.html">in 2005</a>, an association of medical journals <a href="http://icmje.org/recommendations/browse/publishing-and-editorial-issues/clinical-trial-registration.html">started requiring</a> that any study published in one of their publications be registered in an online database before the time of first patient enrollment. That didn&rsquo;t guarantee <em>results</em> would be made public, but it at least provided an incentive to researchers to make some information about the trial available.</p>

<p>A few years later, an even bigger shift occurred. Congress passed the <a href="https://www.fda.gov/RegulatoryInformation/LawsEnforcedbyFDA/SignificantAmendmentstotheFDCAct/FoodandDrugAdministrationAmendmentsActof2007/default.htm">FDA Amendments Act</a> of 2007, which required that &ldquo;applicable clinical trials&rdquo; register and publicly report results within one year of trial completion. (The requirement excluded some trials, such as Phase 1 trials of drug safety as opposed to efficacy.) The site <a href="http://www.clinicaltrials.gov">ClinicalTrials.gov</a>,<strong> </strong>run by the National Library of Medicine, had started posting general information about trials in 2000 &mdash;&nbsp;so sick people could sign up, for example &mdash; but <a href="https://clinicaltrials.gov/ct2/about-site/history#ReleasesResultsDatabase">now became</a> the place where those results were posted.<strong> </strong>And the law included a penalty: Those who failed to report on time could face fines <a href="https://prsinfo.clinicaltrials.gov/trainTrainer/Overview-FDAAA-Other-Regist-Policies.pdf">of up to $10,000 per day. </a></p>

<p>Yet nearly a decade later, it&rsquo;s clear that many researchers and institutions basically ignore the law. They report trials late or not at all, but the FDA has yet to levy a fine.<strong> </strong>An <a href="https://www.statnews.com/2015/12/13/clinical-trials-investigation/">investigation</a> by the health journalism organization STAT, published in December 2015, looked at about 9,000 trials across 98 institutions, from 2008 to 2015. Of trials that were required by the FDA to report their results, 74 percent of industry trials were either not reported or reported late. The figure, maybe surprisingly, was even worse for academic institutions: 90 percent late or unreported.</p>

<p>By STAT&rsquo;s <a href="https://www.statnews.com/2016/09/16/clinical-trials-reporting-rules/">calculation</a>, if the FDA had enforced the law using the $10,000-per-day day fine, it could have collected over $25 billion since 2008, funding the agency several times over.</p>

<p>And the thrust of STAT&rsquo;s conclusions <a href="http://www.nejm.org/doi/full/10.1056/NEJMsa1409364#t=article">has been</a> <a href="http://bioethicsinternational.org/good-pharma-scorecard-overview/ethics-transparency/">echoed by</a> other investigations. (After the Paxil episode, GSK, for its part, has been posting trial results to the company website; it also fares better than many other companies and institutions in several recent transparency scorecards.)</p>
<h2 class="wp-block-heading">A medical culture too comfortable with non-publication and non-reporting</h2>
<p>Why hasn&rsquo;t the FDA enforced the 2007 law on publicizing results, and why hasn&rsquo;t it levied financial penalties?</p>

<p>One reason, according to several of those that I spoke with, including Deborah Zarin, director of ClinicalTrials.gov, is that the 2007 law contained ambiguity about some of the requirements, including <a href="http://www.nejm.org/doi/full/10.1056/NEJMsr1611785#t=article">which trials were subject to the law</a>.</p>

<p>Jennifer Miller, founder of <a href="http://bioethicsinternational.org/">Bioethics International</a>, agrees that some researchers have been, at least till very recently, uncertain about whether the 2007 law applied to their trial. The language used in the law to describe applicable studies included the phrase &ldquo;controlled clinical trials,&rdquo; and there was some uncertainty about which trials would count as &ldquo;controlled.&rdquo; &ldquo;How can you impose fines on an ambiguous law?&rdquo; Miller said.</p>

<p>Researchers I spoke to emphasized, however, that clinical trial results are not just a legal issue: It&rsquo;s an ethical matter, too. Regardless of the law, shouldn&rsquo;t reporting results be part of the culture of doing clinical trials?</p>

<p>If so, there&rsquo;s a problem with the current culture. Researchers are rewarded primarily for publishing as much as possible in the highest-ranked journals that they can, says Joseph Ross, an associate professor of medicine at Yale and an associate editor at <em>JAMA Internal Medicine</em>. &ldquo;There&rsquo;s no clear incentive for investigators to have a member of their staff do everything required by ClinicalTrials.gov. It gets deprioritized because it is a substantial amount of work, and investigators don&rsquo;t put it at the top of their list.&rdquo;</p>

<p>Competition may play a role. Someone who is running a trial might think: &ldquo;My competitor has similar molecules in the pipeline, why should I tell them why it failed so that they don&rsquo;t pump money into it?&rdquo; says Tomasz Sablinski, co-founder of the drug development firm <a href="http://www.transparencyls.com/">Transparency Life Sciences</a>, who was previously with the pharmaceutical company Novartis.</p>

<p>How to change the norms, so that there&rsquo;s an internal commitment to reporting results from researchers and institutions? Steven Goodman, an associate dean and professor of medicine at Stanford, notes that it will be important for institutions to provide education to researchers on how to report results, and pay for staff support.</p>

<p><a href="http://www.alltrials.net/">AllTrials</a>, a nonprofit organization founded by medical doctor and public intellectual Ben Goldacre, took on the mission of pushing for clinical trial transparency. AllTrials, which started in the UK and also has a <a href="http://senseaboutscienceusa.org/alltrials/">campaign</a> in the US, thinks the laws don&rsquo;t go far enough: None of the regulations governing clinical trial reporting require sharing results retroactively (that is, before the laws are passed), which leaves many results for already-approved drugs unreported.</p>

<p>Goldacre also collaborated with a web developer and scientist, Anna Powell-Smith, to create the automatically updated <a href="https://trialstracker.ebmdatalab.net/#/">Trials Tracker</a>. The tracker scans ClinicalTrials.gov and PubMed to identify how many clinical trials have been reported by companies and institutions with 30 clinical trials or more. After working on transparency for many years, Goldacre believes &ldquo;naming and shaming&rdquo; is the main thing that will really grab the attention of those who haven&rsquo;t reported their trials.</p>

<p>Momentum seems to be gathering, although the Trump administration&rsquo;s commitment to the cause remains uncertain. In September 2016, Health and Human Services, which oversees the FDA, issued a <a href="https://www.federalregister.gov/documents/2016/09/21/2016-22129/clinical-trials-registration-and-results-information-submission">&#8220;final rule&#8221;</a> clarifying and expanding the requirements of the 2007 law: It <a href="http://www.nejm.org/doi/full/10.1056/NEJMsr1611785#t=article">specifies</a> what was meant by &ldquo;controlled clinical trials,&rdquo; among other things. (&ldquo;All interventional studies with prespecified outcome measures.&rdquo;) The rule also expands the scope of the requirement to include results from certain trials of new drugs and devices which haven&rsquo;t yet been approved by the FDA.</p>

<p>The National Institutes of Health (NIH) also announced a <a href="https://www.nih.gov/news-events/news-releases/hhs-takes-steps-provide-more-information-about-clinical-trials-public">policy</a> in September 2016 requiring that all its grant recipients publicly report their clinical trial results. The NIH policy and HHS final rule took effect on January 18. Will the organizations ramp up pressure to comply with the law, and will researchers take this obligation seriously? It&rsquo;s too soon to say.</p>
<h2 class="wp-block-heading">The obligation to research participants</h2>
<p>One reason to care about whether clinical trial results are shared is that hundreds of thousands of patients have put themselves on the line as research subjects. We owe it to them not to let the information their participation enabled get stuck in a file drawer.</p>

<p>&ldquo;If we made a pact with a person to enter into this experiment, then we have an ethical and scientific obligation to have the results out there, no matter what happened,&rdquo; said Stanford&rsquo;s Goodman.</p>

<p>Everyone who conducts a clinical trial should report their results, whatever the outcome. It&rsquo;s the law, and it&rsquo;s past time that it was followed. When researchers fail to do so, we should point that out early and often &mdash; for the sake of public health.</p>

<p><em>Stephanie Wykstra is a freelance writer and consultant with a focus on research transparency. She has recently worked with nonprofits including AllTrials USA and Robert Wood Johnson Foundation. Twitter: </em><a href="https://twitter.com/swykstr?lang=en"><em>@Swykstr</em></a><em>.</em></p>
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