An unhoused man holds a sign that reads "Seeking human kindness" on the MBTA

Hunger & Homelessness Awareness Can Change Lives

Hunger and Homelessness Awareness Week is an annual observance when people and organizations across the country draw attention to the problems of hunger and homelessness. While the problems are broad and causes are varied, the solutions that have been shown to work (but are rarely implemented in the United States) are centered around harm reduction as opposed to criminalization.


Homelessness can take many forms, with people living on the street, in encampments or shelters, in transitional housing programs, or staying with family or friends. While the U.S. government reports 1.5 million people a year experience homelessness, other estimates find up to twice this number of people are actually without housing in any given year. Housing can greatly affect access to healthcare, and lack of access to affordable healthcare can equally affect housing.


Being excluded from access to affordable healthcare can be a barrier in itself to getting a job and escaping poverty. Unhoused people face significant barriers when trying to access healthcare and are at high risk for pneumonia, infections, symptoms from exposure, mental illness, and substance abuse. Lack of affordable healthcare on its own can contribute to homelessness. For families and individuals who struggle to pay rent, a serious illness or disability can lead to a downward spiral into homelessness: a person could lose their job due to inability to work, deplete their savings to pay for healthcare, and eventually be evicted from their homes with reduced or no income — and it could happen to almost anyone.


As a marginalized group, unhoused people are often victims of structural violence. The rise of hostile architecture — uncomfortably slanted, curved, or divided public benches; spikes and uneven stones outside buildings or under bridges; fenced off or raised grate covers — sends the message that people without housing are not welcome in public spaces. Policies such as panhandling/loitering laws and sit-lie ordinances actively criminalize poverty and homelessness. Unhoused people in cities throughout the United States often report feeling safer spending a night in open public space than they do in shelters, but policy and hostile architecture forces people without housing to reevaluate where they can sleep. Daytime services are not always accessible, yet cities continue to take away access to areas where people without housing seek refuge throughout all hours of the day.


Mental illness is prevalent in unhoused populations, with 25% of people without housing living with serious mental health conditions and an estimated 46% with any mental illness. Several studies have shown that people with mental illnesses often find themselves unhoused primarily as the result of poverty and a lack of low-income housing — not as a direct result of their mental health. Homelessness is often a traumatic event in itself that further influences a person’s symptoms of mental illness. People with untreated mental illness are overrepresented in every part of the penal system, including deadly encounters with law enforcement.


Beyond the structural violence of society and institutions that prevent marginalized people from meeting their basic needs, unhoused people are often victims of interpersonal violence. People experiencing homelessness are be more likely to be victims of crimes such as murder, sexual assaults, beatings, and maiming, as well as harassments such as having things thrown at them or being threatened, intimidated, and discriminated against. Systemic failures often affect unhoused people trying to get justice for violence committed against them, continuing a cycle of dehumanization for vulnerable and marginalized people.


One does not need to be unhoused to go hungry. Almost fifty million people lack access to food in the United States, which makes food insecurity one of the nation’s leading health and nutrition issues. Food insecurity is associated with increased risks of birth defects, anemia, diabetes, lower nutrient intakes, cognitive problems, aggression, and anxiety. It is also associated with higher risks of being hospitalized and poorer general health from having asthma, behavioral problems, depression, suicidal ideation, and worse oral health


Food deserts” are areas where access to affordable healthy food options is limited or nonexistent because grocery stores are too far away. About 23.5 million people live in U.S. food deserts, nearly half of whom are low-income. The number of people living in food deserts may be under-reported due to small corner grocery stores which often primarily sell processed/packaged food being counted alongside supermarkets that sell a variety of fresh fruits and vegetables. People living in food deserts often have a hard time finding foods that are culturally relevant or meet their dietary restrictions, and are more likely to eat low-nutrient fast food. According to the U.S. Department of Agriculture (USDA), Americans waste 30% to 40% of our food supply while millions of people struggle to have enough healthy food.


COVID-19 has had a tremendous impact on people without housing and those in danger of losing housing. As many as 35 million people in the United States whose livelihoods have been negatively impacted by pandemic-related economic shutdown are at risk of homelessness following the lifting of a federal eviction moratorium. Any attempts to count the number of unhoused people who have died from COVID have been vastly undercounted. The Centers for Disease Control and Prevention (CDC) recommended allowing people to remain living in encampments while congregate shelters had to downsize their occupancy due to funding cuts and social distancing restrictions early in the pandemic, as well recommending providing access to clean water, hand washing stations, bathrooms, and regular trash pick up for people living outdoors


Despite CDC recommendations and reduced resources, unhoused communities have been forced to move encampments or lose what personal property they have to law enforcement sweeps. When encampments become too large after being kettled together, unhoused people are often subject to arrest or involuntary medical care that can disqualify them from housing options and perpetuates harm. The most cost-effective way to address homelessness is by providing housing. Police response to nonviolent unhoused people and compulsory treatment for purported addicts are far more expensive and much less effective than addressing the shortage of safe and stable housing. Our failure to meaningfully address hunger and homelessness has brought unnecessary financial and human costs to our communities.


NeedyMeds has nearly 100 disease-specific resource sites for many conditions — Diagnosis Information Pages — including those that disproportionately affect unhoused and food insecure people. Our website has a database of over 17,000 free, low cost, or sliding scale clinics. Search your ZIP code for clinics in your area. There are also free/low-cost clinics listed that offer mental health and addiction services. Some of the programs listed in our Diagnosis Based Assistance (DBA) database even offer meal deliveries. The free NeedyMeds Drug Discount Card can be used by anyone to help save money on their prescribed medication — even over-the-counter medicine that’s been prescribed by a doctor — regardless of housing or immigration status. The card is available physically via mail, in a printable form, or as a smartphone app for Apple and Android devices. For more help finding information, call our toll-free helpline Monday-Friday 9am-5pm Eastern Time at 1-800-503-6897.


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Welcome to the NeedyMeds Voice! We look forward to presenting you with timely, provocative pieces on healthcare reform, patient advocacy, medication and healthcare access, and other health-related news. Our goals are to educate, enlighten, and elucidate; together, we will try to make sense of the myriad and ongoing healthcare-related changes in the U.S. today.