1. Why focus on Policy Catherine Thomasson, MD 9/20/15

2. Germany-Energiewende 25% energy from renewables 2013 >50% renewable last summer High demand for solar-reduced production costs 3% reduction in CO2 despite since 2011 despite closing 8 nuclear reactors

3. Feed In Tariff Payment for energy production at a fixed rate 50% of Germany’s renewables are owned by farmers, citizen groups and 900 energy cooperatives 400,000 new jobs Accompanied by a tax on electricity

4. CO 2 Trends since 1990 Carbon Brief

5. The effects of climate change are being felt today, and future projections represent a potentially catastrophic risk to human health Action on climate change could be the greatest global health opportunity Achieving a decarbonized global economy and security with the public health benefits it offers is no longer a technical or economic question—it is now a political one. Health community has a vital role to play in accelerating progress to tackle climate change (as it did with sanitation and smoking) 2015 Lancet Commission Report

6. “Everyone’s talents and involvement are needed to redress the damage caused by human abuse of God’s creation”. [22] All of us can cooperate as instruments of God for the care of creation, each according to his or her own culture, experience, involvements and talents.

7. LEFT ON ITS OWN, THE MARKET WILL NOT SOLVE GLOBAL WARMING Climate change is an externality—the emitter does not bear the direct costs of their action. As with any externality without policy interventions, the emitter has little motivation to consider the costs in their decision-making.

8. Theory Of Externalities Suggests Some Basic Policy Approaches For Reducing GHG Tax the emitter equivalent to the marginal external social costs Ultimately borne by households, raises revenues that can be used to achieve other goals, provides incentives to economize on the damaging activity The allocation of property rights linked with emissions trading Provides large emitters the flexibility to trade emission rights across sectors. Direct regulation Tends to place burden on industry (which generally passes on the costs to consumers—if they can/will pay) Provide financial incentives Usually popular, sends clear signals, but often suffers from free rider problem. Each option has different distributional & public finance implications.

9. Causes of Climate Change in U.S. Total Emissions in 2013 = 6,673 Million Metric Tons of CO 2 equivalentMillion Metric Tons of CO 2 equivalent 13% offset in carbon sinks in U.S. land and forests

10. Electricity Efficiency-cheapest, produces jobs Needs incentives, carbon pricing or regulation Barriers are transmission, infrastructure and demand supply fluctuations

13. Renewable Energy Act 2008-MI

14. Solar 4,316 MW in CA Powers 1,049,000 homes which is 63% of homes in OR. Solar leasing in OR is cheaper than current bills. Need for net metering/subsidies Haywood Co. solar farm: 5MW. Memphis Daily News : Lance Murphey

15. Transportation Carbon pricing Planning for mass transit, walk and bikability. Incentives CAFÉ standards Transform highway fund to transit

16. Agriculture- Loss of carbon from soil High tillage Use of marginal lands Animal Agriculture Methane –belched Concentrated manure Low till and natural fertilizer Cut the beef, then the goats, sheep, milk, then the pork, then the chickens

17. Best transportation efficiency is the energy you don’t use Average food miles 1,386/item in Iowa Interconnected issue with outsources carbon emissions

18. International Treaties COP-21 Lima Conference required all countries to set targets. US. 32% below 2005 by 2030 EU 40% below 1990 levels by 2030

19. Action on climate change could be the greatest global health opportunity Achieving a decarbonized global economy and security with the public health benefits it offers is no longer a technical or economic question—it is now a political one. 2015 Lancet Commission Report

20. Solutions—What will you do? PERSONAL CHOICE ORGANIZATIONAL POLICY Clean Power Plan Carbon pricing Ozone Standards

21. Advocacy

22. Health Professionals as Natural Advocates Objective and Credible Advocates for patients – an ethical obligation to “do no harm” Healthcare professionals are educators. Lawmakers and the public need “translators” of complicated, scientific issues

23. Join Together for Change www.PSR.org 202-667-4260