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Uber To Start Banning Passengers With Low Ratings

Uber announced this week that it is changing policies and banning riders with low scores.

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Uber has unveiled a new policy that enables the company to kick riders with low ratings to the curb.

For years, Uber allowed passengers to rate drivers on a star system, ultimately allowing customers to influence whether drivers can stay behind the wheel. Internal charts from 2014 published by Business Insider showed that drivers with ratings of 4.6 or below were at risk for the boot.

Though drivers could rate passengers, there was no equivalency in consequences. But now Uber’s drivers will have a greater say about the behavior of passengers.

“Respect is a two-way street, and so is accountability,” Kate Parker, Uber’s head of Safety Brand and Initiatives, said in a statement released Tuesday. Parker added, “While we expect only a small number of riders to ultimately be impacted by ratings-based deactivations, it’s the right thing to do.”

The shift will begin in the United States and Canada, the company said.

Riders will start to see a screen on the app that summarizes community guidelines and then asks them to confirm their understanding of the new terms. They will receive tips on how to increase their scores — suggestions like being polite, taking their trash out of the vehicle and refraining from asking drivers to speed.

Before passengers are deactivated, they will have multiple chances to boost their scores.

Uber didn’t say what the thresholds will be for passengers to lose access to the ride-hailing service.

“Each city has its own minimum threshold which is directly related to the average rider rating in that city,” Uber spokesperson Grant Klinzman told NPR by email.

Anyone can check their rating on the Uber app by visiting the main menu and looking at the number under their username.

Riders will also lose access to Uber’s food delivery app and JUMP, which allows people to rent electric bikes and scooters, Klinzman added.

A spokesperson for the Independent Drivers Guild, which represents more than 65,000 app-based drivers in New York, praised Uber’s announcement as a way to protect drivers in addition to riders.

“While most riders are respectful, banning riders who threaten driver safety, spew racist rants, and disrespect or damage our vehicles is the right thing to do,” spokesperson Moira Muntz said in a statement. “For too long there has been one-sided accountability and this is a positive step toward correcting that.”

Video footage recently showed a Lyft driver being brutally beaten by a rider in Queens.

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‘Sports Illustrated’ Is Sold Again, But Publishing Won’t Shift To New Owner Yet

Copies of the Sports Illustrated swimsuit issue for sale on a bookstore shelf Tuesday in New York City. Media company Meredith has announced that it has agreed to sell the magazine brand to entertainment company Authentic Brands Group for $110 million.

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Sports Illustrated has been sold for the second time in less than two years. This time, however, the $110 million purchase by Authentic Brands Group places far more importance on the iconic magazine’s reputation than the publication itself — pushing the name further into such ventures as gambling and live events.

The Meredith Corp. acquired Sports Illustrated in January 2018 along with a bunch of other titles as part of its purchase of Time Inc. Meredith moved to unload most Time Inc. magazines that were not focused on its primary audience: female readers. And those moves also reflected the flagging finances of major legacy publications.

So Meredith sold Time magazine to Salesforce co-founder Marc Benioff and his wife, Lynne Benioff; it dealt Fortune to a Thai entrepreneur, Chatchaval Jiaravanon, and it killed Money magazine’s print edition.

Sports Illustrated dominated sports journalism for decades, featuring the articles of such powerful writers as Frank Deford, George Plimpton and Gary Smith, and the photojournalism of such photographers as Neil Leifer. The magazine incorporated clear-eyed looks at civil and human rights, politics, power and money through the prism of professional, collegiate and amateur sport. A cover was considered a feat the equal to many accomplishments on the field of play.

Yet the immediacy of sports news, on cable television and online, in particular, from nimble and caustic websites to TV giant ESPN, chipped away at its seeming indispensability. So did larger societal shifts in how people consume information and news.

Sports Illustrated had so much residual goodwill among its readers and entire audience,” Terry McDonell, the former top editor over the magazine, tells NPR. “Everybody remembered something about sports in relationship to Sports Illustrated. I don’t think that’s gone away. It might have shrunk a bit.”

A Meredith spokeswoman says Sports Illustrated remains profitable with a 27-issue-per-year schedule. Yet the company has now sold Sports Illustrated to Authentic Brands in a deal that hinges on the acquisition of the magazine’s intellectual property. That includes its photo archive, its past sportsman and sportswoman of the year covers, and the annual swimsuit issues, which feature female models in bikinis — including supermodels from Cheryl Tiegs and Christie Brinkley in decades past to Tyra Banks.

“As a trailblazer and cultural phenomenon, Sports Illustrated has created moments and experiences for its readers that are unmatched by any other sports brand,” Nick Woodhouse, president and chief marketing officer of Authentic Brands, said in a statement. “We look forward to working with Meredith to extend Sports Illustrated’s legacy and connect the brand with new audiences around the world.

Authentic Brands also controls the rights to a wide array of brands, including such pop cultural figures as Marilyn Monroe and Elvis Presley; such sports figures as Julius Erving and Shaquille O’Neill; and such fashion lines as Juicy Couture.

Meredith will continue to publish the magazine and run its website for now — paying Authentic Brands a licensing fee to do so while maintaining editorial independence, according to both companies. Meredith’s president of national media said he would integrate SI‘s print and digital products into Meredith’s operations.

In a memo to staff, Sports Illustrated editor in chief Chris Stone wrote that the magazine would seek to reach greater audiences on other platforms — including in live events, conferences, gambling and video games. He also cited the development of television shows from SI material. And he praised Meredith for striking a deal that honored the magazine’s work.

“This deal only made sense if we continue to generate premium journalism and storytelling,” Stone said. The guarantee that the magazine would continue to publish under Meredith, however, lasts just two years.

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‘American Soil’ Is Increasingly Foreign Owned

A loaded combine during a late corn harvest in Hamilton, Ohio.

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American soil.

Those are two words that are commonly used to stir up patriotic feelings. They are also words that can’t be be taken for granted, because today nearly 30 million acres of U.S. farmland are held by foreign investors. That number has doubled in the past two decades, which is raising alarm bells in farming communities.

When the stock market tanked during the last recession, foreign investors began buying up big swaths of U.S. farmland. And because there are no federal restrictions on the amount of land that can be foreign-owned, it’s been left up to individual states to decide on any limitations.

It’s likely that even more American land will end up in foreign hands, especially in states with no restrictions on ownership. With the median age of U.S. farmers at 55, many face retirement with no prospect of family members willing to take over. The National Young Farmers Coalition anticipates that two-thirds of the nation’s farmland will change hands in the next few decades.

“Texas is kind of a free-for-all, so they don’t have a limit on how much land can be owned,” say’s Ohio Farm Bureau’s Ty Higgins, “You look at Iowa and they restrict it — no land in Iowa is owned by a foreign entity.”

Ohio, like Texas, also has no restrictions, and nearly half a million acres of prime farmland are held by foreign-owned entities. In the northwestern corner of the state, below Toledo, companies from the Netherlands alone have purchased 64,000 acres for wind farms.

There are two counties in this region with the highest concentration of foreign-owned farmland — more than 41,000 acres each. One of those is Paulding County, where three wind farms straddle the Ohio-Indiana line.

Higgins says that this kind of consumption of farmland by foreign entities is starting to cause concern. “One of the main reasons that we’re watching this … is because once a foreign entity buys up however many acres they want, Americans might never be able to secure that land again. So, once we lose it, we may lose it for good.”

His other concern is that every acre of productive farmland that is converted over to something other than agriculture, is an acre of land that no longer produces food. That loss is felt from the state level all the way down to rural communities, where one in six Ohioans has ties to agriculture.

Angela Huffman is a 6th-generation farmer in Wyandot County, which, along with Paulding County, has over 41,000 acres of foreign-owned farmland. Her modest, two-story white farmhouse has been in her family for almost 200 years. Her grandfather was the last person to actively farm the land here. When he got out of of farming due to declining markets, none of his five children wanted to take over, and the cropland is now leased.

But Huffman, a young millennial who lives here with her mother, wants to try to keep the farm going and revive her family heritage.

Walking out to the barn, a huge white Great Pyrenees dog watches over a small flock of sheep. Huffman says she’s worried about the effects of foreign land ownership on her rural community — which she describes as similar to Walmart pushing local businesses out of the market.

“Right out my back door here, Chinese-owned Smithfield Foods, the largest pork producer in the world, has recently bought out a couple grain elevators,” Huffman says, pointing across the field behind her house, “basically extracting the wealth out of the community.”

To be fair, U.S. farmers and corporations also invest in overseas agriculture, owning billions of dollars of farmland from Australia to Brazil, but the Smithfield Food buyout has really raised concerns with American farmers. As part of that 2013 sale, a Chinese company now owns 146,000 acres of prime U.S. farmland.

Back in the Huffman farmhouse, Joe Maxwell is typing on a laptop at the kitchen table. Maxwell is a fourth generation farmer from Missouri. He and Huffman are part of the Organization for Competitive Markets, an advocacy group of farmers and ranchers across the nation.

Maxwell points to the Smithfield Foods elevators across the field: “The money that those elevators used to make stayed within the community. Today the money those elevators make, will go into the pocket of someone thousands of thousands of miles away. This is going on across America.”

Maxwell is concerned that, as other states put restrictions on foreign purchases in place, Ohio in particular is being targeted. “So when they’re looking for investments in the U.S. and agriculture,” he says, “Ohio’s a great ag state and you don’t have any restrictions like other states.”

Nationwide, Canadian investors own the most farmland. In Ohio, it’s Germany, with 71,000 acres.

On the southern central part of the state, John Trimmer manages 30,000 acres of corn and soybeans for German investors. He’s been working with German families that have wanted to get into U.S. agriculture since the 1980s. “They started to buy land in Iowa and Minnesota,” Trimmer explains, “but right when they started, [Iowa and Minnesota] passed state laws which restricted foreign ownership.”

“None of them have an interest in the farm.”

Instead, the Germans turned to Ohio.

But, Trimmer says, there is a misconception about about foreign owners — that they aren’t good neighbors or good stewards of the land. What he sees is a growing divide between older family members who still live on the farm, and their children who have no interest in the family business and want to cash out the land.

“The last two farms we bought here, through an owner, her and her brothers and sisters inherited it from their mother, and none of them wanted to farm. None of them have an interest in the farm.” Trimmer explains that his German clients have established a reputation in the community for letting the tenants — often aging parents or grown children — continue to live in the houses on the farms they buy.

Sellers work directly with his German clients — instead of putting the property up on the market, the sale ensures that family members can live out their lives in the family homestead, while still getting cash value for the farmland.

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Olympic Track Star Rebukes Sponsorship Pay Penalties For Pregnant Athletes

NPR’s Michel Martin speaks with Olympic track runner Alysia Montano about how sport endorsement companies treat maternity leave.



MICHEL MARTIN, HOST:

Alysia Montano is an Olympian and a U.S. champion. You might remember her as the pregnant runner. She competed in 2014 when she was eight months pregnant with her first child. Two weeks ago, Montano made headlines again when, in a video for The New York Times, she called out the sports industry in general and sponsors like Nike and ASICS in particular for cutting off pay and health benefits to female athletes when they take time off to give birth and recover. That encouraged other women athletes to speak out about their experiences with sponsors. We called Montano to ask her to tell us more, starting with the financial realities of competing in track and field.

ALYSIA MONTANO: We’re not paid a huge salary by a league at all. Instead, our income comes almost exclusively from sponsorship deals with inked apparel companies, like Nike and ASICS, that keeps them bound for three to five years. And we don’t get rich.

MARTIN: No, point taken. Well, when you decided to have a baby, like, what happened? I mean, did you tell your contact at Nike? Did your agent speak to them? Like, what happened?

MONTANO: Back in 2012, I just finished the Olympic year. And I finished fifth at the Olympics. I noted hey, you know, you guys, it’s – I’m looking at my contract here, and there aren’t any protections in place. And they would not provide me with what would happen to me. That led us to kind of seeking out other options. ASICS came into play and kind of stated the same thing. Hey, I plan on expanding my family. ASICS at the time had said, we appreciate full athletes. Come over here. And so I did. I finished a year with them in which I finished with a bronze medal at world championships.

And so in that off-year, I’d hoped that we would conceive and be able to have our daughter and return to the sport. And I did conceive. I did have my daughter. And my daughter was two months old. And I got a phone call that said, I want to talk about your contracts in regard to your performance this year – which means – you mean the year that I’ve been with child? And then I was – my payment was reduced.

MARTIN: And what about your health benefits? I mean, that was another thing that emerged in the reporting on this is that there are athletes whose health insurance was terminated. And I can’t think a very thing – many things more frightening than either being pregnant or having a child or having a newborn with no health insurance – summarily terminated. So what about you? Did you at least have health insurance to cover the delivery or the postpartum period?

MONTANO: Yes. So the way that it works is a tier system. The luck that I did have with my daughter was I fell within the tier system because I made the Olympic team in 2012, and the protection was there for me. Now, if I didn’t make the Olympic team in 2012 and I became pregnant, I would lose my health insurance. My point and my stance is this should not be because I am an Olympian. This needs to be something that is in place for women athletes regardless.

MARTIN: I mean, this whole question of women and their reproductive choices is very much in the news right now. And I just have to ask you very directly, do you feel that you are getting messages from your sport that if you want to be a top-tier athlete, you should not have children?

MONTANO: Yes, absolutely. Before I had my daughter, I had a few examples of women that I looked up to who had returned to sport. I was very excited about – one of them being Kara Goucher. She talked about the difficult part of her motherhood and in resuming training and how she went on all these unpaid appearances with Nike. And her son ends up being extremely ill. And she, you know, she ends up having to leave him while he was dangerously ill to go compete at a race to restart her pay.

And that, to me, is a very strong message, like, your family is not first. Running and the sport is first regardless of – and also, we want you to prove to us, are you as focused, are you as dedicated? And the message is being sent that, if you’re a serious athlete, you do not want to be a mother, and motherhood is not for serious athletes.

MARTIN: Before we let you go, I do have to ask. There are those who will say it just isn’t their job. In fact, this is an argument that came up during the discussions over reauthorizing the Affordable Care Act or Obamacare. There were those who said during testimony well, you know, I’m a man, why should I pay for maternity benefits? It’s not my problem. It has nothing to do with me. So for people who feel that way, that, you know what, it’s a private decision, there isn’t any broader social responsibility to support this. You know, what would you say?

MONTANO: Of course that’s what somebody would say that. It’s oozing with privilege, right? When we look at women’s issues, women’s rights, this is a scope in which a man should not have any say on. And I think that it’s so asinine for people to – men in particular – to think, like, this is a personal issue. This is something that is true in the world. It’s – it can only happen to women. Men will never have to face pregnancy ever. And the people who are going to talk about policies and these protections are going to be men.

MARTIN: Is it true that all the people who negotiate these contracts at Nike are men?

MONTANO: They’re all men that are – within house at Nike have been and are all men. It’s an old boys club. The culture at Nike is – that’s – it remains to be an old boys club. And this is the time for it to be exposed. You know, the time is now.

MARTIN: That was Olympian and former USA champion Alysia Montano. Alysia Montano, thank you so much for talking to us.

MONTANO: Thank you so much for having me.

MARTIN: After we spoke with Montano, two news organizations reported that a Nike vice president, in a memo to staff, said the company was eliminating a performance requirement for 12 months for those athletes who decide to have a baby.

So we called Alysia Montano back to get her reaction. And she told us she wants to acknowledge movement on this issue, but she has not yet seen an actual contract. She says she wants to make sure Nike writes this protection into the contracts of new and current female athletes because, she says, track and field athletes tend to sign contracts before they are the age in which women typically start thinking about having families, and by the time they do, they are locked into contracts without protections for maternity leave.

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NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Why Suburban Moms Are Delivering Your Groceries

“I had one day, I worked six hours and made $50. It really wasn’t worth it. … But it doesn’t happen that often,” says Hilary Gordon, who works as a shopper for the grocery-delivery app Instacart in Sacramento, Calif. “The other day I worked 11-and-a-half hours and made $265. Great? No. But good.”

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At 6:30 am, four of five Gordon family members are roaming around their suburban Sacramento house — if you only count the humans. There’s also four dogs, a bunny, a tortoise, chickens, ducks, goats, and a not-so-miniature miniature pig named Squiggy.

Hilary Gordon is discussing the day’s schedule with her husband in the middle of wrapping a breakfast sandwich for their 14-year-old, checking on cereal for their 17-year-old, and staring down their 11-year-old who just realized he forgot to finish today’s math homework.

Having time like this with her family is a major reason why Gordon, 47, works as a shopper for the grocery-delivery app Instacart, in a suburb of Sacramento. “I find it fun. It gives me something to do, I’m not out spending money. And I love the flexibility,” she says.

Instacart is one of a slew of similar apps — DoorDash, Postmates, Shipt — paying tens of thousands of workers like Gordon to deliver packages, food or groceries to strangers. Similar to those who drive for rideshare apps Uber and Lyft, delivery workers can choose when to work. But they don’t have to invite strangers into their cars.

This draws women — often in their 40s and 50s — who now make up more than half of the contractors working for major food delivery apps.

Instacart told NPR more than 50% of people who shop for the app are women. DoorDash said women make up more than 50% of its “dashers” in rural and suburban areas, and more than 60% in urban areas. Target’s Shipt declined to share this statistic. Postmates said an April survey of its workers showed 48% were female, and 38% had a child at home.

Gordon and a half-dozen other women shared details of working for delivery apps to NPR, which paint a picture of the epitome of gig work: Accessible but high-intensity, with pay that’s quick but unpredictable and hours that are flexible but unreliable.

“I tell people, it’s a great thing to have, if you’re looking for extra money but you don’t really need it,” said Christina Lewkowitz, 50, who works for Instacart, DoorDash, Shipt, Deliv and a vineyard in Sacramento.

‘I will not work for free’

After splitting up school drop-offs with her husband, Hilary Gordon parks her Subaru SUV in a grocery store parking lot. Her Instacart shift today is 8 am to 6 pm. She’s got her shopping sneakers on and a fully charged phone — watching the screen for incoming grocery orders, which she will both shop and deliver.

The first “batch,” as they call it, is a bust: $8 with no tip, for seven items, to be taken 4 miles. But the store is 8 miles away. Instacart says it pays 60 cents per mile for delivery to the customer, but doesn’t pay for the drive to the store in the first place. The company explains that it can’t be sure that the worker, for example, isn’t doing a non-Instacart gig until they begin shopping.

Before accepting an orders, Gordon estimates the cost of gas for the drive to and from the store. She looks out for addresses known to require climbing stairs and very heavy items like a 50-pound bag of dog food or 13 cases of water.

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Logging miles is a big cost of the job. Some days Gordon might drive a hundred miles, filling up the tank at least once a day. For every order, she does quick math to calculate the gas expense. This $8 order doesn’t cut it. Gordon picks one of her canned responses to Instacart: “Pay too low. I will not work for free!”

“It’s really hard to say yes to that, because you feel like, then they’re thinking, ‘Oh, well, see, they’ll work for that’ — and I don’t want to work for that,” Gordon says.

But you can’t skip too many orders — the app will think you stopped working. Gordon gets a good one: eight items, for $9.87 plus a promise of a $6 tip. But most importantly, it’s only 1.5 miles of driving. She can knock it out in about 20 minutes.

Shopping for other people is a bit like a scavenger hunt, except the app is timing you. You rush through the whole store, scanning every item that goes in the basket and messaging the customer with updates.

Gordon checks each bell pepper for blemishes, throws a hail-mary on the ripeness of avocados, tells Instacart that “organic celery” is out of stock. The app suggests she grab “spring water” instead. Gordon laughs out loud.

After almost a year and a half with Instacart, Gordon says she still loves grocery shopping. And she especially loves meeting new people — chatting up store workers for help and playing with friendly pets she meets at customers’ homes.

‘Hopefully tomorrow is better’

Like a lot of gig workers, this is not a career Gordon pictured for herself. She has two master’s degrees — in counseling and family therapy.

She worked as a therapist in other states, but a move to California required more classes and exams, right as her oldest was born. Gordon became a social worker, until she made the calculation familiar to many working women: Her job took up mornings and evenings, with a not-so-great salary.

“When you’re going to pay the majority of it to let someone else raise your kids? Just didn’t make any sense,” Gordon says.

After a week off for college visits, Gordon is hustling to keep up the number of hours worked for Instacart. She has to log at least 90 hours in three weeks to get “early access” to the app’s schedule of shifts. It’s the only way she can get predictable and long enough hours to make the gig worth it for her.

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A few years later, the recession hit. Her husband lost his job in finance. Their house value dropped. They’re still paying down the debt that stacked up. But now, there’s also soccer, swim team, lacrosse, broken cleats, a junior prom dress, trips to look at colleges, AP exams, SAT tests and summer camp.

This rhythm is all-too familiar for women doing app work. Gigs help cover some expenses of child and health care — an opportunity for side-income on top of a steadier job, either the deliverer’s or their partner’s. Workers who do app-based jobs to supplement income is a growing cohort within the gig economy, says Shelly Steward of the Future of Work Initiative at the Aspen Institute.

Gig workers are often “independent contractors” who don’t get benefits like health insurance or sick leave. And when families piece together multiple jobs and gigs to make a living, “the system of workplace benefits that’s been in place does not adequately cover nearly as many workers,” Steward says.

Stacie Ballard, 43, pieces together work for at least seven apps while building her own business in Atlanta. She keeps a stack of t-shirts in her trunk — green for Instacart, green and white to walk dogs for Wag, green and grey to deliver packages for Shipt — changing between gigs as she earns extra cash for her teenager’s graduation and other expenses.

“If you’re a mom or a caregiver or something, it’s really flexible,” Ballard said. “It can be frustrating when you know you have certain bills that are coming up, and you’re like, ‘Ok, I need to make this much money. Hopefully tomorrow is better,’ But so far it’s always worked out.”

All the things to consider

Ballard, like many women in the gig economy, works for apps part time. For one, hustling full-time is exhausting. But also, hours can be hard to get.

On Instacart, available hour-long shifts get claimed within seconds, workers said. Part-time workers like Ballard and Lewkowitz often stalk the app all day, hoping to grab some.

Gordon is one of the Instacart regulars who gets “early access” to a full week’s worth of shifts so she can get hours predictable and long enough to make the work worth it for her. But to qualify, she commits to doing this “gig” full-time, because “early access” requires working at least 90 hours in three weeks or 25 hours in three weekends.

Instacart says it’s announced a pilot of a new way to qualify, which would encourage good customer ratings instead of long hours.

Even for full-timers like Gordon, signing up for shifts is “anxiety-inducing.” She describes frantic clicking on Sunday mornings, when the schedule opens, selecting all the hour-slots before they get claimed, within minutes.

And after all that, as any gig worker knows, having more hours doesn’t assure a huge paycheck bump. It might be a slow day, or long distances might make orders not worth the cost of gas. Workers also consider less obvious cost of these jobs. Is the order too complicated and time consuming? Too heavy?

Once, Gordon accidentally accepted a Costco batch with 81 cases of water. She says Instacart told her she could do multiple trips, but she refused and had to return — and ultimately give up — the whole order. So today, Gordon is eagle-eyed, spotting 13 cases of water in an otherwise appealing $32 batch.

One final thing she always checks is whether she knows the delivery address. Many delivery workers keep a mental track of locations that require climbing stairs, like apartments without elevators. On Gordon’s mental list are also a house with the guy who greeted her in a robe, and an older man who pressured her into bringing his groceries inside and said he’d been tracking her.

And then there’s the matter of tipping. Orders from businesses are notorious for being large and lacking tips. Workers say they wish the apps more aggressively encouraged their users to tip. Instacart recently changed its tipping system and retroactively compensated workers after workers and labor advocates fought a policy that counted tips toward base payments that Instacart promised for deliveries — sometimes offsetting what Instacart paid out of its own pocket.

Today, Gordon delivered eight orders in 10 hours, and made $133, before extra bumps for heavy orders and good reviews. Today was okay. There was one day when she made $50 in six hours. That wasn’t worth it. Gordon’s best day’s haul was $255 — when she worked almost 12 hours.

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In Midst Of Opioid Crisis, FDA May Block New Addiction Drug From Market

The drug buprenorphine blocks the cravings associated with addiction. It comes in tablets and dissolvable film. The only injectable form available is a drug called Sublocade; a rival drug is ready for market but may be blocked for several years by the FDA.

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More than 130 people in the U.S. die of an opioid overdose every day. One of the most effective ways to save lives is to get those struggling with addiction treated with medication to stop their cravings. But a loophole in federal law might block at least one new opioid-addiction drug from coming to market for years.

Many patients have to try several medications before finding one that works for them and that they can stick with.

“It’s important to have multiple different treatment options for different patients, different circumstances,” says Carolyn Bogdon, a family nurse practitioner who oversees outpatient medication-assisted treatment programs at the Medical University of South Carolina in Charleston, S.C.

Some use methadone, which they get every day. Others use Vivitrol, which can be injected once a month. And many use buprenorphine, which comes in tablets and a dissolvable film that people take once or twice a day. Buprenorphine is an opiate, but it blocks the cravings associated with addiction without giving people the same high.

A handful of patients at the university’s clinics have moved to a form of buprenorphine called Sublocade that’s injected just once a month.

And if the company that makes Sublocade gets its way, the drug will be the only long-acting buprenorphine on the market for five more years.

FDA and ‘orphan drugs’

That’s because a quirk in federal law may prevent a competing drug called Brixadi from going on sale until 2024. “It’s ready for market now,” says Mike Derkacz, CEO of Braeburn, which makes Brixadi. “We are deemed safe and effective by FDA, but we are unable to make the product available to patients during this crisis.”

Sublocade was approved for sale in 2017 and, like any new drug, was granted three years of exclusive access to U.S. markets. That time is up next year. But in December, the Food and Drug Administration told Braeburn it might have to wait four more years because Sublocade was designated an “orphan drug,” which gives it seven years of exclusive access.

Sublocade, which is made by Indivior, isn’t an orphan drug in the traditional sense. Normally, these are medications that treat illnesses affecting fewer than 200,000 people a year.

Opioid addiction is not a rare disease.

In 2017, according to the National Institute on Drug Abuse, about 2.3 million people in the U.S. were addicted to prescription opioids or illicit opiates such as heroin, and 47,000 people died of an overdose.

The Trump administration declared opioid addiction a public health emergency that same year — just a month before Sublocade hit the market — and made helping people get medication-assisted treatment a priority.

That’s why the makers of Brixadi were shocked when the FDA gave their product only tentative approval in December. Derkacz says it doesn’t make sense, in the middle of what many call an epidemic, to treat buprenorphine drugs as if they treat a rare disease.

“There have been studies that show a reduction in mortality by 40% with buprenorphine,” Braeburn’s CEO says. “That keeps people alive. That gives people a chance to get back to their lives and recover fully.”

A back-door approach

So why is Sublocade considered an orphan drug? Like many things related to prescription drugs, the reasons are wonky and sort of irrational.

Indivior created its first buprenorphine-based drug, called Subutex, in the 1990s. At the time, treating addiction with other drugs wasn’t mainstream. There were methadone clinics in some U.S. cities, but they were heavily regulated by law.

The company asked the FDA to give it orphan drug status — but instead of saying there weren’t many potential patients, Indivior said it had little hope of earning back its investment in Subutex and needed extra time with no competition. Few drugs have ever received orphan status this way. But at the time, it made sense to the FDA.

The orphan designation was granted, and Subutex hit the market in 2002.

Since then, Indivior has made billions in revenue from sales of the drug and its successors, Suboxone and Sublocade, partly because the orphan designation is automatically attached to every new formulation of buprenorphine the company makes.

Indivior’s executives declined to be interviewed for this story. But in response to written questions, the company says, “Indivior stands by FDA’s decision, which was supported by both the law and the facts at that time.”

Derkacz says Braeburn has asked the Food and Drug Administration to revoke Sublocade’s orphan status. And an FDA spokeswoman says the agency is actively considering that request.

The right drug ‘can save their life’

Long-acting, injectable treatments for addiction have some advantages over tablets and dissolvable films. Patients don’t have to remember to take medication each day, and they can avoid the drugstore.

“It provides a little bit more anonymity for patients that don’t want to disclose that they have an opiate use disorder,” says Michelle Lofwall, a psychiatrist and medical director at two University of Kentucky clinics that treat patients struggling with opioid addiction.

“Some patients have felt stigmatized when going to the pharmacy, like they don’t feel like they’re necessarily treated all that well once they show their prescription,” she says.

Lofwall participated in Brixadi’s clinical trial, so she’s one of the few health care providers who has used both medications. She says they’re slightly different and that she’d like to have the choice to offer her patients.

“From a public health perspective, and just as a provider physician trying to treat patients, they need to have all the options,” Lofwall says. Being on the right drug “literally can save their life.”

“As a clinician, it’s always important for me to have more tools,” Andrea Barthwell, an addiction treatment specialist, wrote in public comments on Braeburn’s FDA petition. “Moreover, there are gaps in care from the current buprenorphine treatment options that Brixadi may fill.”

Brixadi can be used weekly as well as monthly, allowing doctors to see their patients more frequently and monitor them more closely at the start of treatment, according to several comments.

Another issue is cost.

Sublocade costs about $1,580 per month, according to marketing materials from Indivior, and some insurance companies won’t pay for it. “In Kentucky,” Lofwall says, “we haven’t been able to get it for patients who are on several different Medicaid managed-care programs.”

By contrast, a generic version of the buprenorphine film costs about $140 a month, according to the website GoodRX.com.

Daniel Smith, who leads the medication-assisted treatment program at Mary’s Center in Washington, D.C., says he doesn’t know any doctors who use Sublocade now.

“Long-acting buprenorphine is definitely advantageous over short-acting for many reasons, but cost and availability have been the challenge,” he says.

But if a competitor drug came on the market, Smith says the price of Sublocade might fall, and he might then be willing to prescribe it to his patients.

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Facebook Removed Nearly 3.4 Billion Fake Accounts In Last Six Months

Facebook CEO Mark Zuckerberg, pictured earlier this month in France, told reporters on Thursday, the tech giant is making great strides in fighting hate speech and crime online.

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Facebook says it removed 3.39 billion fake accounts from October to March. That’s twice the number of fraudulent accounts deleted in the previous six-month period.

In the company’s latest Community Standards Enforcement Report, released Thursday, Facebook said nearly all of the fake accounts were caught by artificial intelligence and more human monitoring. They also attributed the skyrocketing number to “automated attacks by bad actors who attempt to create large volumes of accounts at one time.”

The fake accounts are roughly a billion more than the 2.4 billion actual people on Facebook worldwide, according to the company’s own count.

“Most of these accounts were blocked within minutes of their creation before they could do any harm,” Facebook CEO Mark Zuckerberg told reporters in a call on Thursday.

While acknowledging that Facebook “knows that there’s a lot of work ahead,” Zuckerberg also touted the company’s progress in curbing hate speech and graphic violence across the platform.

“We are increasingly catching it before people report it to us,” he said, adding that 65% of the hate speech on the site was removed before any users alerted the company. That is an increase from about 24% a year ago, Zuckerberg said.

During the same period, Facebook identified about 83% of posts and comments trying to sell drugs, before the company was informed about them, he added.

Facebook is facing a number of controversies on its platform including election interference, misinformation and privacy concerns. And a growing number of critics, including politicians and one of its co-founders, are calling for the company to be broken up. They argue Facebook, which has acquired Instagram and WhatsApp in recent years, wields far too much power and has a monopoly in the industry.

Chris Hughes, who co-founded the company in 2004, told NPR earlier this month, Zuckerberg “is unaccountable.”

“He’s unaccountable to his shareholders. He’s unaccountable to his users, and he’s unaccountable to government. And I think that that’s fundamentally un-American. And I think government should step up, break up the company and regulate it,” he said.

He added that the company “totally dominates the social networking space.”

“Of every dollar that’s spent on ads and social networking, 84% goes to Facebook,” Hughes said. “If you look at the time spent on the site, you know, the average user [is] spending an hour on Facebook and another 53 minutes on Instagram, not to mention what they’re spending on WhatsApp.”

Dipayan Ghosh, co-director of the Platform Accountability Project at the Harvard University’s Kennedy School, previously served as Facebook’s privacy and policy advisor. “Without some sort of public transparency into steps the company takes to take down nefarious accounts, we should not conclude it’s doing enough,” he told NPR.

But on Thursday, Zuckerberg argued the new report is evidence of the company’s efforts to be more transparent. He also asserted that breaking up Facebook would only make it harder to quash fake news and phony accounts across the site.

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Lawyer Who Handled Sept. 11 Victims Fund To Mediate Talks Between Bayer, Plaintiffs

Kenneth Feinberg has been appointed to oversee talks between Bayer’s lawyers and plaintiffs’ representatives for a court-mandated settlement over claims that the weedkiller Roundup caused cancer.

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Kenneth Feinberg has been called on to tackle the emotionally grueling job of figuring out the monetary value of victims’ lives following a slew of tragedies. And now, a federal judge in California has appointed the prominent attorney to do it again.

This time, Feinberg will serve as mediator for court-mandated settlement talks between Bayer and people who say the company’s glysophate-based weedkiller, Roundup, gave them cancer, The Associated Press reports.

Judge Vince Chhabria, who is hearing a group of lawsuits against Bayer in San Francisco, ordered lawyers for the company and for the plaintiffs to meet over the next 14 days.

As NPR’s Richard Gonzales reported earlier this month, “a California jury awarded a couple more than $2 billion in a verdict against Monsanto, a subsidiary of Bayer. This is the third recent court decision involving claims that the company’s Roundup weedkiller caused cancer.”

The company is appealing each of the verdicts and insists there is no link between Roundup and the illnesses.

Feinberg previously administered the September 11 Victim Compensation Fund as special master, allocating more than $7 billion of taxpayer money to surviving victims and families of the terrorist attack.

In an interview with NPR in 2016, Feinberg called the project a “tsunami.”

“I never had any appreciation of what it would be like and what I would go through in compensating about 5,300 victims and their families,” he said.

After the Deepwater Horizon oil rig exploded in the Gulf of Mexico, Feinberg coordinated the distribution of BP’s $20 billion compensation fund. He also calculated the loss-of-life values following more than 100 fatalities caused by defective ignition switches in General Motors vehicles.

In 1984, he mediated the class-action lawsuit brought by 250,000 Vietnam War veterans against the manufacturers of Agent Orange.

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McDonald’s Facing New Charges Of Sexual Harassment

McDonald’s workers marching in Los Angeles in September 2018 as part of a multi-state strike seeking to combat sexual harassment in the workplace.

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For the third time in three years, McDonald’s Corp. is facing allegations of rampant sexual harassment of female employees by male coworkers and managers.

Twenty-three new complaints against McDonald’s — 20 of which were filed with the U.S. Equal Employment Opportunity Commission — were announced Tuesday by the American Civil Liberties Union, the labor group Fight for $15, and the TIME’S UP Legal Defense Fund. Three of the complaints were filed as civil rights lawsuits, and two suits stemmed from previous allegations.

The complaints of gender-based discrimination and sexual harassment of low-wage workers include inappropriate touching, indecent exposure, lewd comments and requests for sex, as well as retaliation for reporting such conduct. The incidents are alleged to have occurred at corporate and franchise stores in 20 cities.

“It’s a brutal reality across the fast food industry that at least one in four workers — especially women of color working low-wage jobs — experience sexual harassment as a routine part of their job,” said Sharyn Tejani, director of the TIME’S UP Legal Defense Fund, in a statement. “Every day, workers are forced to choose between getting a paycheck or speaking up about their abuse. When they report harassment, workers are often fired or have their shifts cut — and since nothing is done to stop it, the scourge continues.”

In one complaint, Jamelia Fairley, an employee in Sanford, Fla., alleges that she was sexually harassed over a period of several months, including hearing sexual comments about her 1-year-old daughter. Fairley alleges that after she reported the incidents her work hours were reduced. Her complaint is partially redacted in order to conceal the identities of her alleged assailants and the managers to whom she reported the incidents.

A spokeswoman for McDonald’s declined to comment on the EEOC filings. But the company’s CEO Steve Easterbrook said in a May 19, 2019, letter that “McDonald’s is committed to ensuring a harassment and bias-free workplace.”

“By strengthening our overall policy, creating interactive training, a third-party managed anonymous hotline and importantly, listening to employees across the system, McDonald’s is sending a clear message that we are committed to creating and sustaining a culture of trust where employees feel safe, valued and respected,” Easterbrook wrote. He said that posters defining the company’s anti-harassment policy have been sent “to all 14,000 restaurants in the McDonald’s system.”

Easterbrook’s letter was addressed to author and actress Padma Lakshmi, who attended a rally in support of the complainants in front of McDonald’s headquarters in Chicago on Tuesday.

Critics say the fast-food giant has made promises of reforms before. The EEOC filings are “the third and largest round of EEOC complaints that workers have filed against McDonald’s in the last three years,” according to The New York Times.

In September 2018, McDonald’s employees staged a one-day strike in 10 cities to protest sexual harassment in the workplace.

Sexual harassment in the restaurant industry is common, according to a 2016 survey that found that 40% of female fast food workers said they felt forced to accept that behavior or risk losing their jobs.

The vast majority of those who experience sexual harassment — an estimated 87% to 94% — never file a formal legal complaint, according to a study by the National Women’s Law Center. Despite that, in 2016, nearly 7,000 sexual harassment complaints were filed with the EEOC.

Advocates say they hope the complaints brought against McDonald’s, one of the most globally recognized brands, will “be a catalyst for significant change.”

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Top Reason For CEO Departures Among Largest Companies Is Now Misconduct, Study Finds

Marchers protest sexual harassment in January 2018 in Seattle.

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Heads are rolling in the corner office.

For decades, the main reason chief executives were ousted from their jobs was the firm’s financial performance. In 2018, that all changed. Misconduct and ethical lapses occurring in the #MeToo era are now the biggest driver behind a chief executive falling from the top.

That’s according to a new study from the consulting division of PwC, one the nation’s largest auditing firms.

It is the first time since the group began tracking executive turnover 19 years ago that scandals over bad behavior rather than poor financial performance was the leading cause of leadership dismissals among the world’s 2,500 largest public companies.

“A lot of bad actors are being cleared out of the reaches of corporate American,” John Paul Rollert, a professor at the University of Chicago who studies the ethics of leadership, told NPR.

Thirty-nine percent of the 89 CEOs who departed in 2018 left for reasons related to unethical behavior stemming from allegations of sexual misconduct or ethical lapses connected to things like fraud, bribery and insider trading, the study found.

Executives are still being pushed out because of poor financial performance, but only about 35% of the time.

And that shift, the researchers say, is meaningful.

Increasingly, according to the study, corporate boards are approaching allegations of executive misconduct with a “zero-tolerance stance,” fueled in part by societal pressures since the rise of the #MeToo movement.

“For companies, they are recognizing that if they don’t get aggressive with this type of behavior, they are going to face exceptional liabilities when it comes to court cases,” Rollert said. “And so better to address these concerns now than to deal with multi-million-dollar lawsuit and the bad PR that comes with that sometime down the road.”

Some former CEOs say the study is proof that more women are feeling emboldened to share stories of alleged abuse or misconduct, and it is reshaping corporate America.

“Employees are starting to say, ‘how can you enforce a policy on us without holding CEOs accountable?’ ” said Bill George, a senior fellow at Harvard Business School and former chief executive of Medtronic, who has served on the boards of Goldman Sachs and Exxon Mobil. “The CEO’s behavior has to be beyond reproach. Boards are aware of this and are really feeling pressure around that now.”

Corporate boards, George said, realize “there’s a greater reputational hit of not acting than acting” to remove the executive.

Communication companies were hardest hit, reporting executive turnover around 24 percent, followed by materials and energy business. Health care companies logged the lowest rate of CEO attrition at around 11 percent.

Scores of CEOs were knocked down after allegations of sexual misconduct or impropriety in 2018. In July, the chief executive of Barnes & Noble was forced out. Two months later, Les Moonves, CBS’s chairman and chief executive, resigned after facing accusations from a dozen women.

The year also saw the chiefs of apparel company Lululemon and Intel exit after an internal findings of a violation of the company’s ethical guidelines.

The purge from the upper echelons of white collar jobs, Rollert predicts, will start to hit company leaders who may not be as well known as media executives and the heads of brands that are household names. Soon, he said, the movement that is forcing out top bosses will make its way down to smaller firms, and he said could even reach into blue-collar workplaces.

“The first wave of #MeToo took out some of the most high-profile figures,” Rollert said. “What we’re beginning to see in this second and now third wave is corporate America taking responsibility for itself,” he said. “There are clearly a lot of bad actors who are still hiding in the shadows that need to be swept out.”

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