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The National Consumer League believes that the consumer interest is best served when all have the opportunity to earn a living wage.  Opportunities for adequate levels of income for all should be pursued vigorously, including for youth, minorities, people with disabilities, women, and low-income workers.  Neither responsible consumers nor policymakers want lower prices at the cost of worker exploitation.

The National Consumers League urges:

1. Employment of all workers to the fullest extent possible; maximum employment goals should be integrated into basic national economic policy.

2. Coverage of all workers by minimum wage laws, with rates periodically reviewed and raised as productivity and living costs require. These laws must be monitored and vigorously enforced. The feasibility of moderate reductions in the work week, flextime, and part-time work with maintenance of wages and benefits should be examined, as a means of increasing worker productivity and health.  NCL does not support the use of a contingency workforce as a means to avoid providing benefits or paying an adequate wage.  Serious consideration should be given to substituting an automatic index based on average nonagricultural wage increases that would tie wages to an average rate.

3. Support of the right of all workers to form unions, collectively bargain, and be protected by public authorities from unfair disruptions in these pursuits.  First contract disputes of newly organized workers should receive mediation and arbitration.  Stronger penalties should be established for violation of employee rights when workers seek to form a union and during first contract negotiations. The role of the National Labor Relations Board, as guardian and arbitrator of fair labor-management practices, as well as that of state Public Employees Relations Boards and the National Mediation Board must be strengthened. Intrusion into the privacy of employees must be prohibited.

4. Accident prevention programs, safety training, and effective safeguards against toxic materials and hazards in order to maintain healthy conditions in the workplace should be updated and expanded on a regular basis.

5. Increased relevancy and accessibility of workforce and vocational rehabilitation training programs and career counseling, particularly for minorities, older workers, and women returning to the labor market.  The private as well as public sector should institute retraining to equip workers faced with changing technologies.  The federal employment service and other employment programs should be strengthened to encourage full employment and assure wide opportunities for training and for jobs.  Private employment agencies should be regulated to prevent abuses, excessive fees, or unethical practices.

6. Expansion of workers’ compensation programs and unemployment insurance and enactment of federal minimum standards for these programs.

7. Elimination of discrimination in hiring, promoting or firing, and strong enforcement of anti-discrimination laws by the Equal Employment Opportunity Commission.

8. Effective enforcement of fair labor standards and worker protections at all levels of government in the U.S. and abroad, including compliance with international agreements, made possible by adequate staffing levels of compliance officers.

9. Equal fair labor standards protection and coverage at all levels of government for agricultural and non-agricultural workers.

10. Child labor policies that protect children’s health, the quality of their lives, and their ability to produce effectively as adults.

11. Stronger protections in the U.S. and abroad safeguarding youth from excessive, inappropriate, and hazardous child labor.

12. Adoption of international conventions that promote fair labor standards and worker protections in the U.S. and abroad.

13. Family and medical leave policies that promote worker productivity and health.

14. Working to improve workplace accessibility so that all workers can contribute fully and equally with their colleagues.

––Adopted October 1, 2004

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LEADING PATIENT ADVOCATES LAUNCH PRETERM BIRTH PREVENTION ALLIANCE TO PROTECT CRITICAL ACCESS TO THE SOLE FDA-APPROVED CLASS OF THERAPIES TO REDUCE RECURRENT PRETERM BIRTH

WASHINGTON, DC, April 20, 2021 – Today, the National Consumers League (NCL), along with a coalition of patient advocacy organizations dedicated to advancing the health of mothers and infants, announced the launch of the >Preterm Birth Prevention Alliance.

Members of the Alliance are joining forces in an effort to preserve patient access to the only Food & Drug Administration-approved class of treatments for pregnant women who have previously had an unexpected, or spontaneous, preterm birth. Together, Alliance members seek to ensure that the Food & Drug Administration (FDA) hears concerns from the full range of stakeholders about the potential risks and impact of withdrawal for at-risk pregnant women and their providers.

For the fifth year in a row, the U.S. preterm birth rate has increased (to 10.2 percent of births), and preterm birth and its complications were the second largest contributor to infant death across the country. Preterm birth also represents a significant racial health disparity, with Black women in America experiencing premature delivery at a rate 50 percent higher than other racial groups throughout the country.

However, in 2020, the FDA >proposed withdrawing hydroxyprogesterone caproate, commonly called “17P” or “17-OHPC”, the only FDA-approved class of branded and generic treatments to help prevent the risk of preterm birth in women with a history of spontaneous preterm birth. The FDA is currently determining whether to hold a hearing on the status of 17P, based on conflicting efficacy data from two studies composed of vastly different patient populations, one inclusive of women in the U.S. most vulnerable to preterm birth and one not.

“We’re fighting for a more inclusive healthcare system that gives everyone an equal chance to have the best outcomes possible,” said Sally Greenberg, executive director of the National Consumers League. “We don’t believe that removing 17P from the market without gaining a better understanding of who could benefit the most from its use is in the best interests of patients, nor their healthcare providers, particularly as there are no other approved treatment options available.”

To date, 14 organizations have joined NCL to advocate for the health interests of at-risk pregnant women and infants, including: 1,000 Days; 2020 Mom; American Association of Birth Centers; Black Mamas Matter Alliance; Black Women’s Health Imperative; Expecting Health; Healthy Mothers, Healthy Babies Montana; HealthyWomen; Miracle Babies; National Birth Equity Collaborative; National Black Midwives Alliance; National Partnership for Women & Families; Sidelines High-Risk National Support Network; and SisterReach.

“As a trained obstetrician and gynecologist, I know firsthand the impact of preterm birth on Black women and birthing people. I also know that racism – not race – is the driving factor leading the disproportionate impact of preterm birth on Black women and birthing people thereby exacerbating systemic inequities in maternal and infant health. To achieve birth equity, which is the assurance of the conditions of optimal births for all people with a willingness to address racial and social inequities in a sustained effort, we must work to protect and uphold a standard of care for spontaneous, recurrent preterm births and ensure it remains accessible and affordable for all who stand in need,” added Dr. Joia Crear Perry, founder and president of the National Birth Equity Collaborative.

The Preterm Birth Prevention Alliance is calling for the FDA to grant a public hearing to fully consider all of the data, additional research methods, and stakeholder perspectives before deciding whether to withdraw approval of this critical class of therapies. The health of America’s moms and babies warrants the utmost care and consideration.

###

ABOUT THE PRETERM BIRTH PREVENTION ALLIANCE

The Preterm Birth Prevention Alliance is a coalition of maternal and women’s health advocates who share a common concern about the state of preterm birth in the United States and the proposed market withdrawal of 17P, the only FDA-approved class of treatments to help prevent spontaneous, recurrent preterm birth. Formed in 2021 by the National Consumers League, we seek to improve preterm birth outcomes in the United States by maintaining access to safe, FDA-approved treatment options and advocating for more diverse medical research that adequately represents the experiences of women and newborns of color. Women of color need a seat at the table. To learn more, visit www.pretermbirthalliance.org.

Initial support for the Preterm Birth Prevention Alliance is provided by Covis Pharma.

MEDIA CONTACT:

Carol McKay, carolm@nclnet.org

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