I have asthma. According to the CDC, I am one of 831,787 Ohioans and 25.9 million Americans living with this condition (PDF). That means that 1 out of every 12 Americans is living with asthma, up from 1 out of 14 in 2001.
While people who may not have firsthand experience with this illness may not understand, asthma is far more than just an inconvenience. I’ve heard and seen children with asthma describe feeling like fish out of water when they are suffering an attack. It’s terrifying to not be able to get the air you need. While I don’t think I was ever really in any acute danger, the fact remains that 185 children and 3,262 adults died of asthma in 2007.
As much as I hate to admit it, asthma came to define much of my childhood. From the day that I was diagnosed at either 5 or 6 (I can’t remember the exact date), my severe asthma was omnipresent. Many of my memories from this period involve such episodes, including the role that my mom played in helping me deal with these attacks. Growing up, my mom routinely worked 60-hour weeks and stayed until 3:00 a.m. or later every Tuesday night to edit her newspapers. Despite this, she was always there to listen to my lungs to see if I was wheezing; to pick me up from school or practice if I had an attack; to ferry me to and from the the ER when I needed treatment; and to sit next to me in the hospital for the long hours while I underwent tests, got chest x-rays, and did my nebulizer treatments.
I vividly remember my first major asthma attack. It was the spring of 1993, and I started having breathing trouble towards the end of the school day. The attack only got worse throughout the afternoon, and when my mom got home from work around 6:00 p.m., she immediately drove me to the ER at Fairview Hospital. We sat in that ER for hours before a doctor could see me and for several hours more before they were able to admit me for care. My mom stayed with me right until they took me up to my room for admittance at 3:30 a.m. I ended up spending three days in the hospital for treatment and observation (thankfully, it was the only time that I actually got admitted for asthma). This is just one of the thousand acts of kindness from her that I can never fully repay.
Fortunately, as I got older, I began to grow out of this severe asthma. Today, I am able to live a normal life without worrying about when my next attack will come. But, at the same time, I know that the threat remains, and I have my emergency inhaler on hand, just in case. I was reminded of this quite vividly back in the fall of 2005 when I went in for routine surgery. The procedure required me to go under general anesthesia, so the doctors intubated me. But, after the surgery, when they tried to remove the tube, I suffered a severe bronchial spasm that cut off my breathing. My blood-oxygen saturation levels plummeted into the mid to upper 60s (normal levels are 95-100%), and I ended up spending the next 24 hours in the ICU, an experience I recommend avoiding, if at all possible.
I have no idea how much my asthma diagnosis ended up costing my parents in medical bills and lost time at work, but I imagine the amount was substantial. I did see the medical bills that came in during my stay at the ICU and, even with insurance, they were staggering. For the millions of Americans who suffer with asthma everyday, many of whom do not have insurance, this diagnosis is a real burden. On average, asthmatics spend $3,300 in medical costs each year. According to CDC numbers, asthma costs total $56 billion in direct medical costs, lost school and work days, and premature deaths. Everyday in this country, 36,000 children miss school and 27,000 adults miss work due to this condition.
My past (and present) as someone living with asthma has made me an advocate for clean air. We know that air pollution is both a root cause of the condition and a proximate trigger of asthma attacks. And that’s what pisses me off so much at SB 310. By crippling Ohio’s clean energy industry and protecting the fossil fuel industry, it will directly contribute to more asthma attacks and more chronic pulmonary diseases. This bill will carry a high cost in blood and treasure for our state.
It’s great to focus on how this bill will destroy jobs and harm a thriving clean energy industry in the state (which I’ve done), but SB 310 proponents just counter with their BS “war on coal” retort, a completely disingenuous argument that is, nonetheless, powerful in this state. But it’s another thing entirely for proponents of this bill to hear about the ways that it will directly affect the health of thousands of Ohioans and just not even give a shit.
Yesterday. the Ohio Environmental Council released this infographic showing the benefits of the state’s clean energy standards during 2013:
Using these numbers and EPA incidence factors, we can roughly calculate the economic and health benefits of the clean energy standards in 2013 alone. According to 2011 EPA standards, every ton of NOx, SO2, and PM2.5 has has the following benefits:
Accordingly, using these numbers, the reductions in NOx and SO2 emissions saved 3.5 lives, 267 lost work days, 59 asthma attacks, and 2.5 non-fatal heart attacks last year alone. And, based on Lepuele et al.’s economic benefit estimates, these standards had a health-related economic benefit of $208,620,000 in 2013.
But these numbers don’t even take into account the social benefit of the greenhouse gas emissions avoided by the standards. The US government currently uses $37 per ton as its social cost of carbon emissions. Accordingly, given that these standards saved 1,061,300 tons of GHGs in 2013, they created an economic benefit of $39,268,100. In total, using these conservative estimates, Ohio’s clean energy standards generated an additional economic benefit of $247,888,100 in 2013 alone.
These savings are not included in other analyses, but they are real, and they affect the lives of ordinary Ohioans everyday. The facts are clear – a vote for SB 310 is a vote for more asthma attacks, more heart attacks, more work and school days missed, more trips to the ER, more premature deaths, and more of the carbon pollution that is driving climate change. These are the the stakes.
If SB 310 proponents really wanted to show the real cost of these standards on Ohioans’ electric bills, as they claim, they should include a provision in the bill that requires the inclusion of these numbers. Somehow I doubt that would go over too well.
Update (5/5/2020): Now that I have more expertise, I reran these numbers through U.S. EPA’s Co-Benefits Risk Assessment (COBRA) Health Impact Screening and Assessment Tool. My initial estimates weren’t too bad – the $208,620,000 I estimated in public health benefits from the NOx and SO2 emissions fall within the model’s range of $121,966,781-275,797,802. But the health impact numbers I came up with are too low. COBRA reports that SB221 would have prevented 13-29 premature deaths, 1.6-14.6 nonfatal heart attacks, 7 ER visits due to asthma (all too familiar to me, as you’ve read), 8,991 minor restricted activity days, 1,502 work loss days, and 322 asthma attacks.