My grandfather was the son of Italian immigrants—many of whom settled in north central West Virginia to work in the coal mines. He worked hard his whole life and built a better life for himself and our family. According to family legend, he famously told my grandmother early in their courtship,“Stick with me, and you’ll wear diamonds.”She did.
My grandfather died of black lung disease in 1988.
Thirty years later, there’s no way that other families should be going through what mine andso many others have. And yet today the disease is making astrong and frightening resurgence. How is black lung related to economic development and mine reclamation? It turns out Congress has an opportunity to address all three by passing theRECLAIM Act—but only if leaders don’t take their eyes off the ball.
What is black lung disease?
The effect of black lung disease. Photo: LeRoy Woodson, Wikimedia
Coal worker’s pneumoconiosis—known as black lung disease or simply black lung—results from long-term exposure to coal dust. Thesmall particles build up in the lungs over time, since the body can’t expel them, leading to inflammation, fibrosis (the buildup of excess connective tissue), and in the worst-case scenario, necrosis (cellular death). Black lung is similar to other forms of lung disease caused by exposure to silica dust. The early stage of the disease is called simple black lung, while the later stage (and more debilitating) form is called complicated black lung.
As the disease progresses, it quite literally becomesharder and harder to breathe. Thedisease has no cure(short of a lung transplant, only available for miners healthy enough to qualify).
Black lung is, however,entirely preventable—simply by avoiding inhalation of coal dust.
The Obama administration developed stricter rules to lower the level of呼吸道尘埃, and to protect coal miners from the health dangers of exposure. Coal companies fought the rule tooth and nail, andlost in court.
But now the current administration is “reevaluating” the rule meant to protect miners’ health as part of itsanti-regulatory agenda, although the current head of the Mine Safety and Health Administration claims that the agency has “no immediate plans” to weaken the rule.
“Mining disasters get monuments. Black lung deaths get tombstones.”
In my grandfather’s time underground, the causes of black lung weren’t well understood. But now we know how to prevent the disease—by reducing exposure to coal dust.
And yet, now, near the end of the second decade of the 21stcentury,the disease is actually on the rise. The National Institute for Occupational Safety and Health (NIOSH) hasuncoveredthelargest cluster of complicated black lung cases ever reported: 416 cases reported in three central Appalachian clinics from 2013 to 2017. The study followed anNPR的调查last year that found 963 cases from 11 clinics since the beginning of the decade. In NPR’songoing coverage, some 2,000 cases have been documented, far more than government statistics.
Even more alarming, the disease seems to be影响年轻的矿工, in their 50s, 40s, and even 30s. Why? Epidemiologists havelinkedthe new wave of black lung cases to breathing in more silica dust, likelythe result of a long-term shiftto mining thinner seams of coal. Getting to these thinner seams requires cutting into surrounding rock—creating silica dust that is also breathed by miners.
The human cost of this disease isalmost immeasurable. Have alisten to NPR’s audio reporton the NIOSH study, whichfeatures several miners suffering with the disease. Local officials call this cluster apublic health emergency. As one clinic directornotes(also in the NPR story):
Mining disasters get monuments. Black lung deaths get tombstones. And I’ve seen many a tombstone in 28 years from black lung. And I’m seeing more now. A lot more now.
Federal support
According to theDepartment of Labor, 76,000 miners have died of black lung since 1968. To support miners and families when the coal company can’t be identified or is no longer in business, in 1977 Congress set up theBlack Lung Disability Trust Fund, which has so far shelled out$45 billionin compensation to miners and their families. (When the coal company responsible for a miner’s disabilitycanbe identified, itoften takes many years for miners to receive compensation, because the company can hire expensive lawyers and its own doctors to dispute the diagnosis, creating an endless backlog of red tape and bureaucracy.)
Payments from the trust fund go to present and former coal miners in part for medical payments arising from disability from working in the mines. The fund also provides monthly payments to disabled miners and their surviving dependents. My grandmother received those payments after my grandfather passed away.
The money for the fund comes from aper ton excise tax on coal, paid by coal companies.
That tax, though, is set to revert to low, 1977 levels at the end of 2018. The Government Accountability Office iscurrently studyinghow this reduction would affect the solvency of the Trust Fund. With all the coal companies going bankrupt in the last few years, there may well be a funding crisis on hand for the Black Lung Disability Trust Fund.
Congressional action?
What does all this have to do with abandoned coal mines and economic development?
As I’ve written, the RECLAIM Act,H.R.1731, would release $1 billion over 5 years to clean up and repurpose long-abandoned coal mines. The House version wouldprioritize projects that spur local economic development. This would represent a win-win for coal communities suffering from the downturn in the industry. Rep. Hal Rogers (R-KY) has championed this legislation in Congress.
Even thoughRECLAIM would release moneyfrom the Abandoned Mine Land Fund, it still represents a payment out of the Treasury; because of budgeting rules, the legislation requires a “pay-for”, meaning adding new revenue or new cuts to offset the payments. Rep. Rogers worked with his colleagues and proposedextending the coal excise tax for the Black Lung Disability Trust Fundat current levels for an additional 10 years.
With that change, the bill now represents awin-win-win保证急需的延续medical payments and compensation for minerswhile alsocleaning up abandoned mine sitesby funding projects that simultaneouslyspur local economic and community development.
Opposition from the usual suspects
Rogers and his supporters are working to attach the bill to the Omnibus spending bill for Fiscal Year 2018, which must be completed by March 23 to keep the government open.
Coal mining companies and their national trade association the National Mining Association (NMA), though,hate the RECLAIM Actandare working hard to kill it. All of their lobbying in the name of reducing taxes that would pay for the mess they’ve made, in terms of bothenvironmental destruction and human suffering.
Where’s the leadership?
US House leadership is currently putting together its omnibus spending bill for FY 2018.Is RECLAIM on their minds?
Senate Majority Leader Mitch McConnell, who hails from Kentucky, says that he supports RECLAIM, butactions speak louder than words. Will he acknowledge thebroad public support for RECLAIMby his constituents?
As a first generation American,我的祖父是骄傲的pay his taxes. Coal companies should be too. It’s unconscionable—and sadly, unsurprising—thatcoal companies continue to put profits over people.
UPDATE (3/23/18): As of Friday morning, both the House and Senate have approved the $1.3 trillion spending plan for FY 2018, although its fate remains a bit unclear after threats of a veto from the president. Congressional leaders failed to include the RECLAIM Act in the bill–an utter failure of leadership to address real and pressing problems in coal country.