I hadn't thought about SNAP cuts significantly impacting inner city groceries

This article is inspired in part by the Washington City Paper article, "Oh, SNAP: How Program Cuts Are Impacting Food Access in the DMV." From the article:

“The number of people receiving SNAP has fallen in D.C., Maryland, and Virginia,” says Katie Bergh, senior policy analyst at the Center on Budget and Policy Priorities, which tracks the impact SNAP cuts are having. Bergh, citing USDA data, tells City Paper that the number of people receiving SNAP in D.C. dropped by almost 7,500 between the law’s July 2025 enactment and March—a roughly 6 percent decrease.

Numbers are steeper in our neighboring states: “In Maryland, state data show the number of people receiving SNAP fell by more than 39,000 people between July 2025 and April 2026,” also about a 6 percent drop, says Bergh. “More than 17,000 were children.” Virginia has seen the worst with a roughly 13 percent decrease—that’s 111,000 people who are no longer receiving benefits—between July 2025 and May 2026. The federal government is also shifting a higher cost burden to states, which is making it harder for states—and D.C.—to balance their budgets.

It's always a struggle to have supermarkets, either full line or with a smaller set of items, operating in inner city neighborhoods.  

The costs are higher, including employee retention and losses due to stealing and fraud.  

Places without stores are called food deserts or food insecure places.  But this is deceiving because since people have to eat, they come up with ways to get to grocery stores, even if they have to go out of their neighborhood to do so.  

But this is something I noticed living in the H Street NE neighborhood back in the 1980s and 1990s.  People had ways to buy groceries.  Even though an independent opened in the neighborhood called MegaFoods, many didn't think it served them well enough, so they either protested, or continued to shop outside of the neighborhood.

Of course, many people use transit to grocery shop.  I hated using the bus for groceries.  Mind the subway less.  But mostly shopped by bike, putting the bags on my handlebars, and using my backpack--sadly it took me 20 years to figure out I could put my backpack on the handlebars too--imagine riding uphill from Capitol Hill to Manor Park with a watermelon in your backpack, not fun.

(Separately, the Chronicle of Philanthropy has an article on DC Central Kitchen, which is a social enterprise that in part addresses food access issues: "How DC Central Kitchen Keeps Expanding While Other Nonprofits Shrink")

Also see:

-- "Grocery stores in cities: the failure of the "15 minute grocery store"" (2023)

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Gross profit margins on groceries are minimal.  As it is, the average grocery store only makes 1.5% that is a penny and a haf per dollar of sales.  That doesn't leave a lot of room for error, or provide the ability to react when there are scalar changes in economic conditions.  Tariffs are making it worse.  Same with increased transportation costs because of the Trump Iran War.

This is why supermarkets would rather donate food to events and organizations and not money (I tried to get the grocery store cooperative in Salt Lake to fund grills at Sugar House Park and they said they had no money to give.).

Chicago: Yellow Banana's Sav-A-Lot stores on the brink of closure.  Yellow Banana is a grocery "start up" from a few years back that bought a bunch of Sav A Lot stores--a discount low number of items store operating primarily in low income areas.  Sav A Lot is a chain that has company stores and franchised stores.  

SAL was owned by Supervalu which sold it off to private equity before being acquired by UNFI.  The current owner is trying to sell off the stores, and function as a wholesaler/franchisor.  That's how YB got the stores they operate.

YB has/had seven stores in Chicago.  And they received money from the city to do so.  They had a lot of problems getting going, and the stores have to be operated for 10 years for the company to get the full amount awarded.

In the last year, the company's president died unexpectedly of a stroke, without anyone to replace him, and the "One Big Beautiful Bill" cut funding for the federal Supplementary Nutrition Assistance Program, which provides a modicum of money to poor people to buy food--the amount provided is paltry, it's a crime.  Most people getting benefits get less than $200/month.

Customers shop at Save A Lot’s remodeled West 63rd Street store in West Lawn on April 9, 2025. (Eileen T. Meslar/Chicago Tribune)

According to the Supermarket News article "Yellow Banana ready to close 7 Chicago stores, loses tie with Save A Lot":

SNAP money at the six stores accounted for almost 50% of revenue, and SNAP sales have declined about 27% year over year.

Projections at the start of the year showed the stores were getting close to breaking even but would still lose in the range of $500,000, a figure the source said was not insurmountable. Then the SNAP cuts kicked in.

SAL, which had been providing the company with inventory on credit, pulled the rug and cancelled the franchise agreement.  

The company has been crushed by the loss of SNAP-related sales.

It's not news that the Trump bill has had a lot of negative effects, including one they think is positive, which is reducing the tax rate on rich people and corporations.

Sadly, this is not an unintended consequence.  It was intended.  And this is but one of the many fallouts from the Act.

(There used to be a SAL on Chillum Road in nearby Maryland, and on occasion I would bike there to buy groceries.  It's long since closed although they still have other stores in Prince George's County.  When you're buying shortening, why pay a lot more for it at a mainline grocery when you can get it at a store like SAL or Aldi?)

Also see:

-- "Save A Lot grocery stores could shutter abruptly this week," Chicago Tribune
-- "Save A Lot grocery operator gets an extension on City Hall-funded deal amid missed deadlines, lawsuits," Chicago Sun-Times

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Thoughts.  The margin issue is real.  That, plus lack of management expertise is why government owned groceries aren't likely to be successful.  And the least bit of problem in getting the store up and running and then operating--such as community opposition for any reason--makes it that much harder to succeed.

Recently, a more upscale grocer in Cleveland, Heinen's, closed its downtown store.  They said they lost $18 million over 11 years ("Heinen’s Cleveland location was losing millions," Supermarket News). And they sold alcohol too, which has higher margins.

Grocers in hard pressed areas probably need more subsidy than people realize, considering that 1.5% margin.  I know a cooperative in Connecticut had to close because they foolishly signed a lease requiring a percentage of gross revenue be paid to the property owner, even though $1 of additional revenue yields only 1.5 cents.

One such subsidy, and I'd have been against it before, is probably, "zero property tax" until the store shows a profit.

The "new" Washington Post editorial page blows a chance to be innovative | Nudging versus "nannyism" and senior health care

I was gonna end my online subscription to the Washington Post, but some of the articles from years ago I cited in the recently submitted grant application for a playground at Sugar House Park in Salt Lake ("Forget rest stops. Plan your road trip around playgrounds," "Kids getting burned on swings and slides? Here’s how to fix it"), made me realize that despite the destruction of the Metro and Sports sections, the devastation of the Editorial Page and how the range of op ed writings went from lean progressive to "personal freedom and markets," I still get value from a subscription, both for new articles and old (and often better) articles too.

But not from the editorial page.  And the national and international coverage is still holding up, despite many gaps resulting from staff firings.

Nudging is the behavioral economic theory that people who should change their behavior but won't because it requires a change in their routine or to act, will make the right choice given a nudge.

Nudge theory is a behavioral science concept proposing that subtle changes to the environment—known as "choice architecture"—can guide people to make better decisions without restricting their freedom of choice or altering financial incentives

Nannyism is a term popularized by the English Tories who believe that encouraging people to make positive behavioral changes with "nudges" is an overinvolvement by government in people's lives, that they should be allowed the freedom to f* up and impose the costs from doing so onto the State.

According to Wikipedia:

The term was coined by MP Iain Macleod in (1965) to describe a government that over-regulates personal lifestyle choices. 

In the Nanny State Index, the UK consistently ranks among the most heavy-handed countries in Europe for dictating health and consumer regulations.

The concept manifests across several specific areas of public policy:

• Tobacco & Vaping: The UK has pushed heavily toward a "smoke-free generation," alongside severe restrictions and proposed taxes on disposable vapes.
• Diet & Food: Following the implementation of a national sugar tax, England has enforced strict rules including calorie labels on restaurant menus and bans on junk food advertising near checkouts and on TV.
• Alcohol: Measures like minimum unit pricing aim to curb consumption by hiking the cost of cheaper alcohol.

Instead, the Tories would rather pay the high costs resulting from chronic health conditions resulting from poor behaviors and choices.  After all, higher than necessary costs from health care and a static tax base means government has to shrink to pay for people's bad choices, and that's in the Tory interest because they believe government ("we the people") is unnecessary.  

I call it anarcholibertarianism.

A great example of "nudge theory" decades before the theory was coined was how the now famed criminology professor, Ronald V. Clarke, was the creation of a theory called "preventing crime in situations":

Their theory of situational crime prevention used locks, access control and vigilance. Yet the most impressive demonstration of the theory examined the relationship between the lethality of household gas usage and suicide rates in England and Wales. Their research led to decades of innovations in the design of crime prevention measures, largely following their clear theoretical framework.

Prime example: Less lethal oven gas reduced suicides Between 1963 and 1975, there was an unexpected decline in the number of suicides in England and Wales. Clarke and Mayhew then reviewed the evidence to look for any change in the opportunity structure to prevent suicide. In 1988 they published a report showing that the decline was clearly due, at least in part, to a reduction of lethality in the chemical composition of household gas. It simply became more difficult to commit suicide by just turning on the gas and lying down – then waking up alive with a headache. They concluded that the practical feasibility of carrying out a particular act has a major impact on whether or not the act will be committed – and at what rate of occurrence.

Situational crime prevention theory is but a form of "choice architecture."

The Post is all in on being against "nannyism" even with clear economic/cost-benefits.  The editorial, "Seniors are adults: They don’t need the federal government to buy them bath mats.," criticizes Senator Angus King who wants to send everyone on Medicare (that includes me) a bathmat to help reduce the likelihood of falls, because bathroom falls by the aged cost the health care system a lot of money.

Older adults with assistive devices walking on a trail in the Sawtooth National Forest, Ketchum, Idaho.

Medicare doesn't pay for prevention measures like bath mats, grab bars, and shower chairs.  

According to a pre-Trump Administration report which is scrubbed from the HUD website, Overcoming Obstacles to Policies for Preventing Falls by the Elderly Final Report,  by the Department of Housing and Urban Development, the annual cost of health care from elderly falls is at least $80 billion per year.

To put that number in perspective, if Jeff Bezos who is one of the globe's wealthiest and owns the Washington Post, was responsible for covering that cost year after year, his fortune would be wiped out in 3 years and 2 months.

Although note that Senior Housing Services programs, which used to be funded by HUD, will make these kinds of fixes, as part of broader renovation assistance aimed at keeping seniors in their homes despite infirmities--keeping people at home as long as feasible costs a lot less than nursing homes, another major health care cost, but for Medicaid.

Housing renovation data by age and economic and physical circumstances.  Years ago I saw a presentation from the Joint Center for Housing Studies.  

Right: house in the Trinidad neighborhood of DC showing severely deteriorated roof conditions.

It contrasted overall housing remodeling statistics with statistics for lower income households.

Most households do one major remodeling project annually, targeting one key element of the house, either repair, maintenance, or the creation of a new feature.  Annually, the average household spends $2,400 on improvements and $700 on repairs.

Their research finds that a disabled household spends 10% less than the average, senior households 20% less, minority households 30% less, households with houses under $100,000 in value 50% less, and households with under $20,000 annual income spend 50% less.

Households with all of these characteristics spend an average of $500 year on repairs and improvements, less than one-sixth of the national average, and a majority of these households spend no money at all.

Nursing homes/social care.  The US is running into a fiscal cliff as society ages and Medicare doesn't provide nursing home care ("New Study Explores the Need for Expanded Long-Term Care Services to Support Aging-in-Place," JHU).  

And what about social security?  Plus the fiscal cliff of Social Security benefits having to be cut because Republicans won't take proactive steps, they'd rather "defund" part of the government by letting it fail naturally ("Waiting To Rescue Social Security Has Weakened Our Options," CRFB)

In England, local government is responsible for providing what they call "social care" for the disabled and aged, and it's driving cities into bankruptcy ("Social care is bankrupting councils. Why aren't we angry?," New Statesman).  Families are sending their relatives needing care to Thailand because it is cheaper ("Families sending relatives with dementia to Thailand for care," Guardian).  Anti-nannyism has real and escalating costs.

Waiting for a ride.

These costs demonsrate the value of changing the policy on assistive devices.

In my comment on the Post editorial, I said that Medicare could make bath mats a "joining premium" like how PBS and NPR give you premiums (gifts) in return for donations.

It's an intellectual and policy failure of great proportions for the Post to not acknowledge the reality of the severe economic cost of falls.

The other thing, while the term "ableist" is in decline these days by Trump mandates against inclusion, you really get insight into the need for universal design--in the old days, the Post published articles about it, such as:

-- "Adapting Your Home To Maximize Mobility," 2006
-- "A Safe Home, Step by Step," 2010
-- "Making the case for cottage homes," 2019
-- "A major renovation yields a multigenerational home on Capitol Hill," 2021

to better deal with the changes in psychomotor prowess that come from illness, disability, and or age.  Instead, the Post's worldview is shaped by its writers being able, not infirm.

At one time too, the Post had an award winning Health section focusing on wellness and behavior change.

Last year they did one of their "Washington Post Live" events on the "Future of health policy in the United States."  Times sure have changed.

My circumstances changed in a flash.

I went from biking to work for 30 years to being a hospital "frequent flyer," but for good reason.

I had colon cancer, presented heart failure in post-op after surgery, and the biopsy found I also had an aggressive rare Lymphoma, so I started chemotherapy within a month of the colon surgery.  Without treatment for the Lymphoma the oncologist said I'd be dead within a year.

Chemotherapy f*s you up.  

I was so weak, but I didn't vomit.  Though once it did take me 3-4 hours to have a bowel movement.  Suzanne said the prednisone made me mean.  It did help my appetite.

I did use chairs in the shower some because my FIL had dementia before he died, and we kept the equipment.  I even used a transporter because for a time I couldn't handle the "long walk" from the entrance of the hospital to my heart doctors or to the radiology/lab testing section. For more than two years, I was pretty damn weak, especially because even more medical things happened:

• I was hospitalized for covid, 
• probably could have died thank god for remdesivir, but it did worsen my heart
• got a heart pacemaker
• then an additional lead
• then a stent, even though less than a year before my angiogram found limited plaques, and 
• serious reduction in appetite as a complication from chemotherapy and the medicine, 
• which led me to a few months of enteral nutrition feeding + regular eating--enteral really sucks, the tubes can clog easily, and emergency rooms aren't set up to deal with feeding tube clogs.

Plus, one of the medicines I took made me cough constantly--it turned out it was from a medicine I didn't really need, fortunately, and once I got off it, and other medication changes my appetite improved.  Although I still only weigh 20ish more pounds than my low of 110.  From a high of about 175.

Today's shower.  

And that was after I went through chemotherapy swimmingly.  I had three treatments, then covid, so treatment stopped.  In preparation for resumption 14 weeks later, testing found I no longer had the Lymphoma (thank you to mRNA maybe).

But it took me until about the past two months when everything finally came together "at once" and I am super better.  (I'm still susceptible to illnesses like norovirus which can wipe me out.)

Yet only two years ago I thought I was a candidate for a heart transplant.  My ejection fraction could be better, but I haven't been tested since my recovery kicked in.

Our shower has a "natural grab bar" the soap dish, and is a pretty tight squeeze so I could lean against the walls.  But I was damn tired, had balance problems etc.  I think I might have had assistance once or twice...

Now I don't.  It helps that last summer I joined the JCC Wagner in Salt Lake first for the pool, and weight lifting really started only this year (not much so far 30-60 pounds depending on the machine or free weights), cycling (I've just started being able to bike a bit "in the wild," after not having done so since September 2023), spa, and pool walking.  The JCC has indoor and outdoor pools, that + the spa have been incredible for me.

Another premium that should be part of Medicare: fitness memberships/a MAHA agenda for aging.  I'm not part of Medicare Advantage, so I pay from my limited social security income the monthly cost of JCC membership.  The local rec center is cheaper especially with a senior discount, but there is no pool.  The County rec centers with pools happen to be much less convenient for me to get to, triple the time.

But Medicare should consider paying for fitness memberships for all enrollees, regardless of the type of plan, because lifting weights and other fitness activities have so many positive benefits (Physical Activity Benefits for Adults 65 or Older, CDC, "Resisting decline: the neuroprotective role of resistance exercise in supporting cerebrovascular function and brain health in aging," Frontiers in Physiology, "How can strength training build healthier bodies as we age?," National Institutes on Aging).

Or a deduction program funding the purchase of bicycles like in England or Ireland ("The Benefits of Biking for Seniors, Including the Mental and Physical Payoffs," Bicycling), but instead of deducting from your payroll check, from your Social Security check.

They could do this in conjunction with County and City Recreation Centers, Senior Centers, and yes, for profits.  Better that fitness centers make money off of Medicare than prescription mills and other fraudulent activity.

If we were really about MAHA, "Make America Healthy Again," ("Dr Oz at the Center for Medicare and Medicaid Services: a chance to improve food service in hospitals") those are the kind of preventative care measures we should be instituting.  

A FitLot exercise station at the Columbus Center in the City of South Salt Lake.

While RFK has done stupid PR stunts with unhealthy people like Kid Rock ("RFK Jr.'s erotic workout video with Kid Rock sure is weird," USA Today), imagine if the FitLot exercise equipment station piloted by AARP on its 50th anniversary--they funded one, but just one, in every state--were rolled out to playgrounds and parks across the country.  

(I am working to install one at Sugar House Park.)  Especially because it turns out they aren't just used by the elderly, but by people wanting to maintain and improve their fitness.

My energy level has rebounded significantly.  The past week, although I developed a cold as a result, I worked 10 hour days for about 9 days on the grant application, doing some 8-15 discrete tasks each day.  Before the last  two months, I maybe could have done 3-4, took naps many days of the week, etc.  Now I am waking up before 7am which is what I used to do naturally, before I was sick.  I'm not taking naps.

(Oh, and I am drinking alcohol some again, and coffee.)

What about the people who are in a permanent state of debilitation?  But most people who are debilitated remain debilitated, no Lazarus Effect for them.  They need compassion and assistance.  The Post really fell down by not considering this issue more broadly than the opportunity that they saw to shoot an arrow at "government waste" and overinvolvement of government in our lives rather than "personal freedom" to be really sick and unhealthy.

Fuck you Washington Post editorial page, until your writers have similar kinds of experiences and develop some empathy.

Just based on my response, the Post clearly missed an opportunity to move better policy choices forward.

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These are articles I wrote suggesting DC could develop a wellness oriented program in association with building a new hospital in Southeast DC, where suffering from chronic conditions is high.  Of course, DC took the least innovative path.

-- "Health equity devolves to cities and states as the federal government cuts taxes for the wealthy," (2025)

-- "Ordinary versus Extraordinary Planning around the rebuilding of the United Medical Center in Southeast Washington DC | Part One: Rearticulating the system of health and wellness care East of the River" (2018)
-- "Revisiting East of the River medical care: United Medical Center" (2018)
-- "Update on DC's plans to build a new United Medical Center" (2018)
-- "A glaring illustration of the need for comprehensive health and wellness planning in DC: Providence Hospital" (2018)

-- "Community Health Improvement Planning" (2019)

-- "Hospitals as urban anchors/revitalization levers, not usually, but with great potential to serve communities in important ways: Examples are two forthcoming projects by Intermountain Health and University of Utah Health" (2023)

-- "Big omission in blog series on advance hospital/health and wellness planning, public health planning: addiction services" (2024)

-- "Costly failures in the mental health system" (2025)

Health equity devolves to cities and states as the federal government cuts taxes for the wealthy

I have a bunch of pieces on equity planning and social urbanism, touched off by my experience on a DC Grand Jury.  As one of the court reporters said "breaking the cycle--man, we're just cutting the grass."  I figured that the city spends a couple billion dollars a year on the impoverished in DC, just to keep them in place.

-- "An outline for integrated equity planning: concepts and programs" (2017)
-- "Equity planning: an update" (2020)
-- "Social urbanism and equity planning as a way to address crime, violence, and persistent poverty: (not in) DC" (2022)
-- "Experiments in Social Urbanism"
-- "'Social urbanism' experiment breathes new life into Colombia's Medellin Toronto Globe & Mail
-- "Medellín's 'social urbanism' a model for city transformation," Mail & Guardian
-- "Medellín slum gets giant outdoor escalator," Telegraph
-- "Medellín, Colombia offers an unlikely model for urban renaissance," Toronto Star

Some cities have launched poverty reduction and area-based economic development programs to address this, like GrowSouth in Dallas ("Cities Need Goals and Capital to Fight Poverty," Catalyst) or Invest SouthWest in Chicago ("Johnson Administration Breathes New Life into INVEST South/West Developments in Englewood," South Side Weekly, "Invited In Only To Be Shut Out," Block Club Chicago, Next Steps, West Humboldt Park, "City announces four new targets for Invest South/West," Crain's Chicago Business).  

United Way Greater Toronto for more than a decade has focused its program funding on languishing impoverished neighborhoods ("Guiding the United Way through the next decade," Toronto Star).  From the article:

United Way Greater Toronto just launched an incredibly ambitious 10-year strategic plan. We’re going to sustain the 10 community hubs we have and create 10 more. Hubs are like a one-stop shop for social and healthcare services in neighbourhoods that need it most. So, it improves access to services. It improves quality. It pulls together organizations under one roof, so it increases collaboration across organizations.

Our second goal is a community real estate vision. Seventy per cent of the community organizations we support are at risk of losing their space, and they’re also at risk of then being, in essence, priced out of communities that need them the most. We have a real focus on supporting those organizations to ensure the stability of those physical sites being owned by community organizations and stewarded for generations to come.

At least with the cities, the programs tend to wax and wane as new administrations succeed previous ones more committed to poverty. 

If we think that cities (and counties, see "Pontiac Michigan: a lagging African American city in one of the nation's wealthiest counties" and "East County, Montgomery County, Maryland: Council redistricting spurs ideas for revitalization | Part 1 -- Overview") should focus on addressing poverty with place-based solutions, I'm thinking it's the same with health equity.  Programs like Medicaid expansion--run at the state level in most places--provide health care to people who are medically needy.

This op-ed in City & State by NYC's health commissioner, "I am New York City’s doctor. This is how we treat chronic disease" makes the point that as the federal government cuts health programs (and medical research) cities and states should step up and fill the gap.

[RFK Jr.] has fired at least 20,000 employees from the Department of Health and Human Services. Billions of dollars in lifesaving medical research have been cut. Tens of millions of Americans, including millions of New Yorkers, will lose their Medicaid, Medicare, and Supplemental Nutrition Assistance Program (SNAP) benefits because of Republicans’ “One Big Beautiful Bill.” The record-breaking government shutdown multiplied the confusion and loss.

... My job is to support all New Yorkers in leading their healthiest lives, no matter their income or neighborhood. We have the experience and expertise to improve outcomes and even prevent chronic disease entirely. We know what approaches are proven to make a lasting impact.

That’s why, at the New York City Health Department, we recently released a city-wide chronic disease prevention strategy, which outlines how local government can address the root causes of chronic disease.

The strategy recommends promoting healthy living through nutritious foods and physical activity. But we must also meet people’s material needs. Improving access to basic resources – with direct cash payments, grocery credits and more – has a proven impact on health. And informed conversations around marketing, product design and creative media approaches can increase consumer awareness of the health impacts of the products they buy.

When people can afford the things they need – housing, health care, the ability to put healthy food on the table – they aren’t waiting to be treated in the ER once they’re in crisis.

This also comes up in Chicago, with multi-decade differences in life expectancy based on race, income, and neighborhood ("As they live Chicago's 'death gap,' a 3-generation family fights to end it," Chicago Sun-Times).

These kinds of statistics are the basis of the concept of "social determinants of health" 

and programs to address the disparities.

I have a series of articles about developing a comprehensive program at the bigger city scale on health equity, but I never termed it that way.  City and county poverty amelioration programs need to focus on health equity as an element of equity planning, and these entries lay out a way forward.

-- "Ordinary versus Extraordinary Planning around the rebuilding of the United Medical Center in Southeast Washington DC | Part One: Rearticulating the system of health and wellness care East of the River" (2018)
-- "Revisiting East of the River medical care: United Medical Center" (2018)
-- "Update on DC's plans to build a new United Medical Center" (2018)
-- "A glaring illustration of the need for comprehensive health and wellness planning in DC: Providence Hospital" (2018)

-- "Community Health Improvement Planning" (2019)

-- "Hospitals as urban anchors/revitalization levers, not usually, but with great potential to serve communities in important ways: Examples are two forthcoming projects by Intermountain Health and University of Utah Health" (2023)

-- "Big omission in blog series on advance hospital/health and wellness planning, public health planning: addiction services" (2024)

-- "Costly failures in the mental health system" (2025)