Beautiful story. But it doesn’t address whether systemic increases also 
increase prices or reduce jobs. I’m still conflicted. 



The $15 Minimum Wage Doesn’t Just Improve Lives. It Saves Them.
https://www.nytimes.com/interactive/2019/02/21/magazine/minimum-wage-saving-lives.html
(via Instapaper)

A living wage is an antidepressant. It is a sleep aid. A diet. A stress 
reliever. It is a contraceptive, preventing teenage pregnancy. It prevents 
premature death. It shields children from neglect.

Decades on the Job, and Counting The $15 Minimum Wage Doesn’t Just Improve 
Lives. It Saves Them. An Office Designed for Workers With Autism The Rise of 
the 
WeWorking Class America’s Professional Elite: Wealthy, Successful and Miserable 
The New Labor Movement Fighting for Domestic Workers’ Rights Why Aren’t Women 
Advancing More in Corporate America?

Illustration by Tracy Ma
                
A living wage is an antidepressant. It is a sleep aid. A diet. A stress 
reliever. It is a contraceptive, preventing teenage pregnancy. It prevents 
premature death. It shields children from neglect.

By MATTHEW DESMOND

Illustration by TRACY MA
Illustration by Tracy Ma
In 2014, Julio Payes was working 80 hours a week at two full-time jobs. A 
permanent resident from Guatemala who came to the United States on a work visa, 
Payes labored in Emeryville, Calif., a city of roughly 12,000 residents and 
almost 22,000 jobs, sandwiched between Oakland and Berkeley. He began his day 
with the graveyard shift at a 24-hour McDonald’s, where he served burgers and 
fries from 10 p.m. to 6 a.m. Afterward he had two hours to rest and shower. 
Then he’d clock in at Aerotek, going anywhere the temp service sent him between 
8 a.m. and 4 p.m. To stay awake, he loaded up on coffee and soda. Each job paid 
minimum wage.

“I felt like a zombie,” Payes told me. “No energy. Always sad.” Yet just to 
afford basic necessities, he had to work up to 16 hours a day, seven days a 
week. Back then, he and his mother and two siblings all shared a single, 
unfurnished room. They were a tight-knit family, but Payes’s work schedule kept 
him away. Once, his younger brother, Alexander, who was 8 at the time, told him 
he was saving money. “I want to buy one hour of your time,” Payes remembers his 
brother telling him. “How much for one hour to play with me?” Payes looked at 
his brother and wept. Not long after that, Payes fainted from exhaustion in the 
aisle of a grocery store. He was 24.

It was around that time when the Emeryville City Council began to reconsider 
the city’s minimum wage. Oakland had just passed a ballot initiative to 
increase its minimum from $9 to $12.25 an hour, and Emeryville set out to match 
it. Then the mayor, Ruth Atkin, began asking if her city could do more, 
recasting the city’s minimum wage into something closer to a living wage. When 
Payes caught wind of this possibility, he began to pray. He prayed during 
Sunday and Wednesday revival services, where he danced and shouted as the 
spirit moved him. He prayed in quiet moments at home. “God, he believes in 
justice,” he said. “I have faith. But I also have politics.”

Payes became active in the Fight for $15 political campaign, participating in 
marches and other shows of collective force. “The first time we did a strike, I 
felt very nervous,” he said. But when he showed up in his work uniform and saw 
a mass of fast-food workers, thousands strong, he found his voice. It felt like 
church.

The policymakers responded. On a historic Tuesday night in May 2015, the 
Emeryville City Council voted to raise the city’s minimum wage to about $16 an 
hour by 2019. It would amount to the highest minimum wage in the country, 
outpacing San Francisco’s and Seattle’s. Emeryville’s minimum for workplaces 
with 55 or fewer employees jumped to $13 an hour in 2016, then $14 an hour in 
2017, then $15 an hour in 2018. On July 1 of this year, it will reach $16 an 
hour for all businesses.


Julio Payes works full-time as a room attendant at a hotel and part-time as a 
cashier at Burger King. Celeste Sloman for The New York Times
Payes now makes $15 an hour at Burger King and $15.69 at a large hotel, where 
he works as a room attendant. “It’s had a big impact on my life,” he said. 
Payes can now afford to work less, logging around 48 hours a week when things 
are slow and 60 hours when they aren’t. He gets more sleep and can now exercise 
with walks in the park. “I feel better,” he said simply.

For years, when American policymakers have debated the minimum wage, they have 
debated its effect on the labor market. Economists have gone around and around, 
rehashing the same questions about how wage bumps for the poorest workers could 
reduce employment, raise prices or curtail hours. What most didn’t ask was: 
When low-wage workers receive a pay increase, how does that affect their lives?

But recently, a small group of researchers scattered around the country have 
begun to pursue this long-neglected question, specifically looking into the 
public-health effects of a higher minimum wage. A 2011 national study showed 
that low-skilled workers reported fewer unmet medical needs in states with 
higher minimum-wage rates. In high-wage states, workers were better able to pay 
for the care they needed. In low-wage states, workers skipped medical 
appointments. Or consider the research on smoking. Big Tobacco has long 
targeted low-income communities, where three in four smokers in America now 
live, but studies have found strong evidence that increases to the minimum wage 
are associated with decreased rates of smoking among low-income workers. Higher 
wages ease the grind of poverty, freeing up people’s capacities to quit.

Some of the biggest beneficiaries of minimum wage increases are children. A 
2017 study co-authored by Lindsey Bullinger, an assistant professor in the 
School of Public Policy at Georgia Institute of Technology, found that raising 
the minimum wage by $1 would reduce child-neglect reports by almost 10 percent. 
Higher wages allow parents working in the low-wage labor market to keep the 
lights on and the refrigerator stocked; failing to do so can court neglect 
charges. “These studies show the positive externalities of increasing the 
minimum wage on serious outcomes, like reducing child abuse,” Bullinger said, 
issuing an eloquent barb at economists’ obsession with the “negative 
externalities” of minimum-wage hikes.

The list goes on. Studies have linked higher minimum wages to decreases in low 
birth-weight babies, lower rates of teen alcohol consumption and declines in 
teen births. A 2016 study published in the American Journal of Public Health 
found that between roughly 2,800 and 5,500 premature deaths that occurred in 
New York City from 2008 to 2012 could have been prevented if the city’s minimum 
wage had been $15 an hour during that time, instead of a little over $7 an 
hour. That number represents up to one in 12 of all people who died prematurely 
in those five years. The chronic stress that accompanies poverty can be seen at 
the cellular level. It has been linked to a wide array of adverse conditions, 
from maternal health problems to tumor growth. Higher wages bring much-needed 
relief to poor workers. The lead author of the 2016 study, Tsu-Yu Tsao, a 
research director at the New York City Department of Health and Mental Hygiene, 
was “very surprised by the magnitude of the findings.” He is unaware of any 
drug on the market that comes close to having this big of an effect.

A $15 minimum wage is an antidepressant. It is a sleep aid. A diet. A stress 
reliever. It is a contraceptive, preventing teenage pregnancy. It prevents 
premature death. It shields children from neglect. But why? Poverty can be 
unrelenting, shame-inducing and exhausting. When people live so close to the 
bone, a small setback can quickly spiral into a major trauma. Being a few days 
behind on the rent can trigger a hefty late fee, which can lead to an eviction 
and homelessness. An unpaid traffic ticket can lead to a suspended license, 
which can cause people to lose their only means of transportation to work. In 
the same way, modest wage increases have a profound impact on people’s 
well-being and happiness. Poverty will never be ameliorated on the cheap. But 
this truth should not prevent us from acknowledging how powerfully workers 
respond to relatively small income boosts.


Dr. Margot Kushel, who directs the University of California, San Francisco 
Center for Vulnerable Populations. Celeste Sloman for The New York Times
“When the minimum wage goes up, I see it,” says Dr. Margot Kushel, who directs 
the University of California, San Francisco Center for Vulnerable Populations, 
which is based in a local hospital. San Francisco and surrounding cities raised 
the minimum wage to $15 an hour last July. When Kushel’s patients have a bit 
more money in their pockets, “they exercise more. They are less stressed and 
can quit smoking. Their mental health improves pretty dramatically. Their sleep 
gets better. And people start eating healthier almost immediately.” Kushel 
continued: “We will spend an incredible amount on a new heart drug. But if we 
increased wages by $1, we’d save more lives.”

Alexandria Cutler also works for a hospital. Two, actually: U.P.M.C. Western 
Psychiatric Hospital and U.P.M.C. Presbyterian Hospital, both in Pittsburgh. A 
23-year-old black food service worker, Cutler helps to prepare and deliver 
meals to hundreds of hospital patients. “It’s important not to mess anything 
up,” she told me. “People have allergies or have had surgeries and have to eat 
something specific. Sometimes patients can’t have straws.”

To stretch her paycheck over all her bills, Cutler often opts for the “2 for 
$5” menu at McDonald’s. Her U.P.M.C. doctor has advised her to eat better, 
especially given that both her parents have high blood pressure, and her father 
has diabetes and gout to boot, but processed fast food doesn’t demand much 
money or thought, she explained.

But in January 2018, an accounting error accidentally raised Cutler’s hourly 
wage from $12.32 to $15.50. She figured she had earned the extra pay from 
picking up more shifts, and she took it straight to the grocery store. At first 
she didn’t think she’d like broccoli, but she did. “I tried fruits and 
vegetables,” she said. “I tried salads. I experimented with foods I’ve never 
eaten. And I felt much better.” Cutler’s temporary raise didn’t launch her into 
the middle class, but it did influence her behavior in ways that benefited her 
health.

When U.P.M.C. discovered the glitch in February, Cutler was summoned to the 
director’s office. She remembers being told: “You’ve been accidentally paid. 
All that money, it’s not yours.” Her employer dropped her wage to $13.68 and 
reclaimed the overage from her next paycheck. For Cutler, it was back to 
McDonald’s.

When UPMC reduced her paycheck, Cutler took on extra shifts to cover the loss. 
It wore her down. During one shift, she tried to lift a full pan of mashed 
potatoes from the hot box. The pan was too heavy, and both Cutler and the 
potatoes crashed to the floor, hurting her back. She limped to the emergency 
room, where she was given lidocaine patches and sent home on bed rest. The next 
morning she was in so much pain that her mother had to help her get dressed. 
She missed seven days of work, for which she was not compensated.


Alexandria Cutler works for two hospitals in Pittsburgh, helping to prepare and 
deliver meals to hundreds of patients. She earns $14.42 an hour. Celeste Sloman 
for The New York Times
“I really love my job,” said Cutler, who today earns $14.42 an hour and has 
joined a group of workers trying to form a union at U.P.M.C. “I feel like when 
they appreciate me, that makes me feel great. But when the pay is low, I feel 
that they don’t see us as valuable at all.”

A living minimum wage buys prescriptions and rest and broccoli, yes; but it 
also provides something less tangible. Low wages are an affront to basic 
dignity. They make people feel small, insignificant and powerless. Subjectively 
experiencing these feelings can have real health consequences beyond the 
material hardships of poverty. This is why the poor exhibit better executive 
control and a heightened willingness to participate in social services when 
they have been affirmed, making them feel more capable and proud. It is why 
patients who are treated with dignity by their health care provider are more 
likely to follow doctor’s orders, adhering to their medical care. When we feel 
seen and valued, we are more likely to tend to ourselves.

The stress of poverty can also burden the mind, causing us to make worse 
decisions and ignore our health. In a classic 1999 study, researchers asked one 
group of people to memorize a two-digit number and another to memorize a 
seven-digit number. The subjects were then asked to wait in a lobby, where they 
were offered cake and fruit. Their willpower strained, those trying to retain 
the seven-digit number chose the cake 50 percent more often. Sendhil 
Mullainathan and Eldar Shafir, authors of the insightful book “Scarcity: Why 
Having Too Little Means So Much,” call this “the bandwidth tax.” “Being poor,” 
they write, “reduces a person’s cognitive capacity more than going a full night 
without sleep.” When we are preoccupied by poverty, “we have less mind to give 
to the rest of life.”

After his wages were increased, Payes swapped all that coffee and soda for 
water and iced tea, an act of will that became easier to achieve as his working 
hours diminished and his cognitive load eased. He has opened a modest savings 
account for emergencies and now gets to spend more time with Alexander, often 
picking him up from school.

Millions of American workers aren’t so fortunate. In 2016, 2.2 million workers 
earned at or less than the federal minimum wage of $7.25 an hour, a wage that 
hasn’t budged in a decade. These poverty wages, according to a recent review in 
Preventive Medicine, “could be viewed as occupational hazards and could be a 
target for disease prevention and health promotion efforts.” From this 
perspective, there is little difference between low wages and workers’ being 
exposed to asbestos, harmful chemicals or cruel labor conditions. These toxins 
compromise the well-being of workers and their children. The reverse is also 
true. A higher minimum wage is powerful medicine.

“Before, I felt like a slave,” Payes said. “But now I feel, ¿Cómo se dice, más 
seguro?” Safer, he said. “I feel safer.”

Matthew Desmond is a contributing writer for the magazine and a professor of 
sociology at Princeton University. His last book was “Evicted.”

Related Coverage


Decades on the Job, and Counting

Feb. 21, 2019


An Office Designed for Workers With Autism

Feb. 21, 2019


The Rise of the WeWorking Class

Feb. 21, 2019


America’s Professional Elite: Wealthy, Successful and Miserable

Feb. 21, 2019


The New Labor Movement Fighting for Domestic Workers’ Rights

Feb. 21, 2019


Why Aren’t Women Advancing More in Corporate America?

Feb. 21, 2019



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