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National 211 hotline calls for food assistance quadrupled in a matter of days, a magnitude typically seen during disasters

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Last Updated on November 16, 2025 by Daily News Staff

National 211 hotline calls for food assistance quadrupled in a matter of days, a magnitude typically seen during disasters
Sharp spikes in calls for food assistance are rare outside of natural disasters.
AP Photo/Eric Gay

National 211 hotline calls for food assistance quadrupled in a matter of days, a magnitude typically seen during disasters

Matthew W. Kreuter, Washington University in St. Louis and Rachel Garg, Washington University in St. Louis

Between January and mid-October 2025, calls to local 211 helplines from people seeking food pantries in their community held steady at nearly 1,000 calls per day.

But as the government shutdown entered its fourth week in late October, states began to warn residents that Supplemental Nutrition Assistance Program benefits, sometimes known as food stamps, would likely be affected. Nearly 42 million Americans receive SNAP benefits each month.

Over the next several days, calls to 211 from people seeking food pantries doubled to over 2,200 per day. Then on Oct. 26, the Trump administration announced that SNAP benefits would not be arriving as scheduled in November. The next day, food pantry calls skyrocketed to 3,324. The following day, calls reached 3,870. By Wednesday, it was 4,214.

We are public health scientists specializing in health communication and unmet social needs. We and our colleagues have been working closely with the 211 network of helplines across the U.S. for 18 years.

Excluding disasters, sudden surges of this magnitude in requests for food or any other need are rare at 211s, and can signal both public worry and need, as happened in the first weeks of the COVID-19 pandemic.

What is 211?

Like 911 for emergencies, 211 is a national three-digit dialing code, launched in 2000, that connects callers to information specialists at the nearest local 211 helpline. Those specialists listen to callers’ needs and provide them with referrals to health and social service providers near them that may be able to help.

Every call to 211 is classified by the need of the caller, such as shelter, rent, utilities or food – each of which has its own code.

Callers are disproportionately women, most of whom have children or teens living in their homes. Most don’t make enough money to make ends meet. They call 211 seeking help paying rent or utility bills, getting food to feed their family, or securing household necessities like a winter coat for a child, or a mattress.

The hotline does not solve these problems for callers, but 211 information specialists use the most current local information available to refer callers to service agencies that are most likely to have resources to help.

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The 211 network is the closest thing the U.S. has to a real-time surveillance system of the needs of low-income Americans.

There are roughly 200 state and local 211s in the U.S., and on an average day they will collectively field between 35,000 and 40,000 requests for help. Each request is coded using a taxonomy of over 10,000 need types, is time- and date-stamped, and is linked to the caller’s ZIP code. In addition to phone calls received by their helplines, 211s increasingly track requests they receive online, through their websites. The national network of 211s covers all 50 states and 99% of the U.S. population.

It’s encouraging to us that with each passing year of giving talks and lectures about 211, more and more audience members raise their hands when asked if they’ve ever heard of 211. But it’s far from 100%. If you are one of those with your hand down, here’s what you need to know.

Food banks around the country are having trouble keeping their shelves stocked.

Gaining local insights

Our team aims to deploy the latest methods from data science, predictive analytics and artificial intelligence to detect trends in critical needs sooner and at a more localized level, increasing the speed and efficiency of getting needed help to local community members.

Our research has described the needs of callers who reach out to 211, community capacity to respond to callers’ needs, the ability of 211 to detect rapid changes in community needs, and the benefits of integrating health referrals into 211s.

When we saw food requests rising sharply in late October, we reached out to local leaders at 211 call centers to get insights into what they were hearing from callers.

Robin Pokojski, vice president of 211 and community partnerships at United Way of Greater St. Louis, reported that with all the uncertainty around SNAP benefits, callers were initially “anticipating” a need for food pantries. Tiffany Olson, who directs essential services at Crisis Connections and its 211 call center in Washington state, shared that even callers who rely heavily on their SNAP benefits sometimes need to use food banks as a supplement.

Those callers know that pivoting to rely solely on food banks probably won’t be enough to meet their food needs in full. They realize that food pantries and food banks will be more heavily burdened if SNAP benefits are unavailable.

Increasing the impact of 211 data

The trove of daily data on the needs of U.S. callers to 211 at the ZIP code level is unparalleled. Yet for years it was virtually invisible to anyone who didn’t work at a 211 hotline.

Even for people who work and volunteer within the 211 system, formal reporting on caller needs within a community was minimal, such as a one-page annual summary.

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That changed in 2013.

Working with 211s across the country, our team created 211 Counts, a collection of user-friendly, public-facing data dashboards for local 211s across the U.S.

The dashboards allow users to explore the top needs in their community, see which neighborhoods are affected most and understand how needs are changing over time. The data can be sorted by legislative districts, school districts and counties to make the findings more relevant to different audiences.

Data on 211 requests are updated each night. Now in its 12th year, 211 Counts includes data on over 90 million requests from 211 callers in all or parts of 44 states. The local dashboards have been visited millions of times.

211 as an early-warning system

This is not the first time data collected through 211 hotlines has detected early signs of trouble for some Americans. Just weeks ago, we found that calls from people seeking assistance making car payments have been increasing steadily for five months, with daily calls peaking in October, at nearly twice the rate of May 2025.

Before that, 211s were months ahead of news reporting in seeing public distress associated with the 2022 baby formula shortage, the 2016 Flint water crisis and the 2007 subprime mortgage crisis.

When requests for major needs like food increase three- to fourfold overnight, every local 211 is likely to register this abrupt change.

But when less frequent needs, such as car payment assistance, creep up slowly, with an extra call here and there over several months, it’s unlikely that any local 211 hotline would notice.

That’s when the advantages of big data are greatest. By combining caller needs from 211s across the country, patterns emerge that would otherwise be missed. New data science tools are rapidly improving the speed and accuracy of detecting slight changes. When community and national leaders are made aware of potential rising threats, those threats can be tracked more closely and responses prepared.

It’s easy to lose sight of the fact that each data point is a hungry child or a worried parent.

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Hotlines and food banks and food pantries need support in this moment to feed people. But most local safety net systems struggle to meet their community’s needs all the time. Data that documents the magnitude of need won’t fix the scarcity of local assistance, but it can help guide communities in allocating limited resources.

Matthew W. Kreuter, Kahn Family Professor of Public Health, Washington University in St. Louis and Rachel Garg, Assistant Professor of Public Health, Washington University in St. Louis

This article is republished from The Conversation under a Creative Commons license. Read the original article.

STM Daily News is a vibrant news blog dedicated to sharing the brighter side of human experiences. Emphasizing positive, uplifting stories, the site focuses on delivering inspiring, informative, and well-researched content. With a commitment to accurate, fair, and responsible journalism, STM Daily News aims to foster a community of readers passionate about positive change and engaged in meaningful conversations. Join the movement and explore stories that celebrate the positive impacts shaping our world.

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Economy

Donor States vs. Recipient States: Where Does Your Federal Tax Dollar Go?

Some states send Washington more money than they receive, while others receive considerably more federal spending. Here’s what “donor state” really means—and why the numbers don’t necessarily measure government dependency.

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Donor States.
Photo by Ivan Dražić on Pexels.com

Every year, Americans send trillions of dollars to Washington through income taxes, payroll taxes, corporate taxes and other federal revenues. The federal government then sends trillions back across the country through Social Security, Medicare, Medicaid, military spending, federal salaries, contracts, grants, infrastructure projects and dozens of other programs.

But the money doesn’t necessarily return to the states in the same proportions in which it was collected.

That’s where the terms “donor state” and “recipient state” come in.

What Is a Donor State?

Simply put, a donor state sends more money to the federal government than it receives back in federal spending.

Imagine taxpayers and businesses in a state contribute $100 billion to the federal government during a year. If federal spending within that state totals only $80 billion, the state has effectively contributed $20 billion more to the federal government than it received.

A recipient state experiences the opposite: federal expenditures within the state exceed the amount collected there in federal revenue.

These aren’t official federal government classifications, however. They’re terms commonly used by researchers analyzing the flow of money between individual states and Washington.

Only Three Donor States in 2023?

According to an August 2025 analysis from the Rockefeller Institute of Government using preliminary federal fiscal year 2023 data, only three states had negative balances—meaning they contributed more federal revenue than they received in federal expenditures.

Those states were:

New Jersey: approximately $18.9 billion more contributed than received.

Massachusetts: approximately $6.8 billion more contributed than received.

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Washington: approximately $54 million more contributed than received.

At first glance, that might suggest nearly every other state depends financially on those three states.

The reality is considerably more complicated.

Some states send Washington more money than they receive, while others receive considerably more federal spending. Here’s what “donor state” really means—and why the numbers don't necessarily measure government dependency.

COVID Changed the Numbers

Historically, several wealthy states—including California and New York—have frequently appeared on the donor side of the equation.

The enormous federal response to the COVID-19 pandemic disrupted that pattern.

Trillions of dollars in extraordinary federal spending flowed into states through stimulus payments, business assistance, unemployment programs, healthcare funding, state and local government assistance and other programs.

Even after the emergency phase of the pandemic ended, some of those expenditures continued influencing federal balance-of-payments calculations.

That’s one reason examining a single year can produce a misleading picture.

California: Recipient Today, Historical Donor

California provides perhaps the best example.

In fiscal year 2023, California technically received slightly more federal spending than it contributed—approximately $342 more per person.

But look at the longer-term numbers and the picture changes.

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Using a nine-year average that excludes COVID-related spending, Rockefeller Institute researchers calculated California’s average balance at approximately negative $29 billion.

In other words, over a more typical period, California has historically contributed substantially more to the federal government than it received.

Its enormous economy, high incomes and large number of taxpayers generate tremendous amounts of federal revenue.

New York Tells a Similar Story

New York has also historically ranked among America’s major donor states.

Yet in 2023, New York had a positive federal balance of approximately $13.3 billion, receiving roughly $1.04 in federal expenditures for every $1 it contributed.

Researchers attributed much of the change from New York’s historical pattern to lingering pandemic-era federal expenditures.

As those programs disappear from the calculations, New York could return to its traditional position as a donor state.

Arizona Is a Net Recipient

Arizona presents a different picture.

Over the Rockefeller Institute’s nine-year analysis, Arizona averaged a positive federal balance of approximately $44.5 billion.

Even after excluding COVID-related spending, Arizona’s average remained positive at roughly $35.3 billion.

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That means federal expenditures flowing into Arizona have substantially exceeded federal revenue collected from the state.

But that doesn’t mean Arizona simply receives tens of billions of dollars in “welfare.”

Federal spending includes far more than public assistance.

Arizona hosts military installations, federal lands and agencies, defense and aerospace operations, veterans programs and a significant retiree population receiving Social Security and Medicare.

All of those expenditures count toward the state’s federal balance.

Texas Receives More Than It Sends

Texas also had a substantial positive balance in 2023.

Federal expenditures exceeded revenues collected from Texas by approximately $80 billion, making it one of the country’s largest net recipients in total dollars that year.

Again, the number needs context.

Texas is home to major military installations, NASA operations, defense contractors, federal infrastructure projects and millions of Social Security and Medicare recipients.

Those federal dollars all count as money flowing back into the state.

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The Surprising Leader: Virginia

If recipient-state status simply meant dependency on federal welfare programs, Virginia would seem like an unlikely candidate to lead the country.

Yet Virginia recorded the nation’s largest positive federal balance in 2023 at approximately $145.4 billion.

Why?

Location.

Virginia sits next to Washington, D.C., and contains an enormous concentration of federal employees, military installations, government contractors and defense spending.

Neighboring Maryland ranked second with a positive balance of approximately $81.1 billion.

The numbers illustrate why federal balance-of-payments statistics should not automatically be interpreted as measurements of welfare dependency.

A recipient state isn’t necessarily a “welfare state.” Federal expenditures include Social Security, Medicare, military installations, defense contracts, federal salaries, research, infrastructure, grants and other programs.

Where Does the Federal Money Actually Go?

Federal expenditures flowing into a state can include:

  • Social Security
  • Medicare and Medicaid
  • Military bases and personnel
  • Defense contracts
  • Federal employee salaries
  • Highway and transit funding
  • Scientific and university research
  • Agricultural programs
  • Veterans benefits
  • Disaster assistance
  • Federal grants
  • Infrastructure projects
  • Federal agency operations

A state containing a large military installation, federal laboratory or government agency can therefore receive billions of federal dollars without that money having anything to do with traditional public assistance programs.

Why Wealthier States Often Become Donors

Federal income taxes are progressive.

People with higher incomes generally pay a larger percentage of their income in federal income taxes.

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States containing large concentrations of high-income households and highly profitable companies can consequently generate enormous amounts of federal revenue.

That helps explain why states such as California, New York, New Jersey and Massachusetts have historically appeared frequently among net contributors.

The federal government doesn’t earmark the taxes collected in California exclusively for California.

The money enters the national treasury and helps finance programs throughout the United States.

In that sense, federal taxation intentionally redistributes resources geographically as well as economically.

So Are Donor States “Subsidizing” Recipient States?

In a broad accounting sense, yes.

Federal revenue collected disproportionately from some states helps finance federal expenditures occurring elsewhere.

But describing the relationship simply as one state “paying for” another leaves out important context.

Federal spending follows national priorities rather than state borders.

A Navy base in Virginia protects the entire country. NASA facilities in Texas conduct missions funded by taxpayers nationwide. Social Security benefits paid to a retiree in Arizona may reflect payroll taxes that person paid while working decades earlier in California, Illinois or New York.

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Americans and businesses also move between states throughout their lives.

The federal system was never designed to ensure that every dollar collected within a state’s borders would eventually return to that same state.

The Bigger Picture

The donor-state debate is often used as political ammunition, particularly when politicians argue about which parts of the country are supporting others.

The numbers are real, but they require context.

A state can move from donor to recipient status because of a recession, natural disaster, military spending, demographic changes, infrastructure investments or extraordinary events such as the COVID-19 pandemic.

That’s why examining several years of data generally tells us more than looking at a single year.

Ultimately, the donor-versus-recipient calculation reveals something fundamental about the United States:

Federal taxes don’t remain where they’re collected.

They become part of a national pool used to fund programs, obligations and investments across all 50 states.

And depending on where you live, your state may be putting more into that pool—or taking more out—at any particular moment.

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Food Truths

The Truth About the “Chemical” in McDonald’s Burger Buns: Should Consumers Be Concerned?

What’s in the Burger Buns:The “yoga mat chemical” controversy changed how consumers view food additives. Here’s what azodicarbonamide is, why McDonald’s removed it, and what the science actually says.

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The Truth About the "Yoga Mat Chemical" in McDonald's Burger Buns
Image Credit: Adobe Stock

For years, headlines and social media posts have warned consumers about a so-called “yoga mat chemical” found in hamburger buns served by major fast-food chains. The claims sparked widespread concern, prompted petitions, and eventually led several restaurant companies—including McDonald’s—to change their recipes.

But what was the chemical, and is there actually a health risk today?

What Was the Controversial Ingredient?

The ingredient at the center of the controversy was azodicarbonamide (ADA), a chemical used as a dough conditioner. It helped improve the texture of bread, making dough easier to handle and producing softer, more consistent buns.

Ironically, the same compound is also used in manufacturing certain foamed plastics, including some yoga mats and shoe soles. That connection gave rise to the viral nickname, “the yoga mat chemical.”

While the comparison was technically accurate, it also lacked important context. Food-grade azodicarbonamide and industrial applications are very different, and many chemicals have multiple uses across industries.

Why Did People Become Concerned?

The concern wasn’t simply that ADA was used in food. Scientists focused on what happens during baking.

When bread is baked, most azodicarbonamide breaks down into other compounds. Some laboratory studies involving animals raised questions about one of these breakdown products, called semicarbazide (SEM), when administered in high doses.

Those findings prompted some countries to take a more cautious regulatory approach.

mouthwatering close up of a double patty hamburger 2026 03 26 04 39 10 utc
Image Credit: Adobe Stock

Why Is It Banned in Some Countries?

The European Union and Canada do not permit azodicarbonamide as a flour treatment agent. Their food safety policies often follow the precautionary principle, removing ingredients when safer alternatives exist or when scientific uncertainty remains.

In contrast, the U.S. Food and Drug Administration has determined that azodicarbonamide is safe when used within approved limits.

These differing regulations don’t necessarily mean one side believes the ingredient is dangerous while the other believes it is harmless. Instead, they reflect different philosophies about regulating food additives.

Does McDonald’s Still Use It?

No.

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McDonald’s removed azodicarbonamide from its U.S. hamburger buns in 2014 following growing consumer demand for simpler ingredient lists.

Today’s buns no longer contain the ingredient, joining a broader trend among food manufacturers to eliminate additives that have become controversial with consumers.

Are There Other Ingredients Consumers Should Know About?

Modern commercial bread still contains ingredients designed to improve freshness, texture, and shelf life.

These may include:

  • Calcium propionate to prevent mold
  • Ascorbic acid (Vitamin C) as a dough conditioner
  • Enzymes that improve consistency
  • Emulsifiers that help maintain softness

These ingredients have been evaluated by food safety agencies and are generally recognized as safe when used according to regulations.

The Bigger Health Picture

Nutrition experts generally agree that focusing on one ingredient can distract from the larger issue.

The greatest health risks associated with fast food are more closely linked to:

  • High sodium intake
  • Excess saturated fat
  • Added sugars
  • Large portion sizes
  • Frequent consumption of ultra-processed foods

An occasional fast-food meal is unlikely to determine someone’s long-term health. Overall dietary patterns, physical activity, sleep, and other lifestyle factors have a much greater impact.

Consumer Awareness Is Changing the Food Industry

Whether or not an ingredient poses a measurable health risk, public concern can influence corporate decisions.

Over the past decade, many food companies have reformulated products to remove controversial ingredients, reduce artificial additives, and simplify ingredient labels. In many cases, those changes have been driven as much by consumer preferences as by regulatory requirements.

The Bottom Line

The “yoga mat chemical” story captured public attention because it combined science, food safety, and memorable marketing. While azodicarbonamide was once used in some hamburger buns, including those supplied to McDonald’s, the company removed it from its U.S. buns years ago.

Current evidence suggests consumers are better served by paying attention to their overall diet rather than worrying about a single ingredient that has already disappeared from many products.

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Being an informed consumer means looking beyond the headlines, understanding the science, and recognizing that nutrition is about the complete picture—not just one ingredient.

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STM Blog

Association of Black Cardiologists to Celebrate Legacy and Leadership at 16th Annual Spirit of the Heart Awards

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The Association of Black Cardiologists (ABC) is bringing its signature celebration of impact back to New York City this fall—spotlighting leaders and organizations working to make cardiovascular care more equitable, more accessible, and more effective. The 16th Annual Spirit of the Heart Awards Program & Fundraiser is set for Saturday, October 3, 2026 (6:00 p.m.–9:00 p.m.) at Cipriani Wall Street in Manhattan.

For ABC, the evening is more than a high-profile awards program. It’s a cornerstone fundraising event that helps power the organization’s year-round work—supporting medical student scholarships, fellowships, education, and programs designed to strengthen the pipeline of diverse clinicians and researchers while improving outcomes in communities that carry a disproportionate burden of heart disease.

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The official invitation for the ABC 16th Annual Spirit of the Heart Awards Program & Fundraiser, taking place October 3, 2026, at Cipriani Wall Street in New York City.

A fundraising night with long-term stakes

ABC leaders say the Spirit of the Heart Awards is built around a simple idea: celebrating progress while investing in the people who will drive the next wave of change.

Event co-chair Icilma Fergus, MD—Director of the Cardiovascular Disparities Center at Mount Sinai Medical Center and Board Chair of ABC—framed the night as a forward-looking commitment.

“This gathering is about more than one evening of celebration; it is about investing in the future of cardiovascular health for years to come,” Fergus said in the announcement. She added that the support generated through the event helps expand opportunities for aspiring clinicians, researchers, and leaders whose work can transform care and improve lives nationwide.

Honorary Chairperson: Samin K. Sharma, MD

ABC announced Samin K. Sharma, MD as the event’s Honorary Chairperson. Sharma serves as Chief of Clinical Cardiology, Director of the Cardiovascular Clinical Institute, and the Anandi Lal Sharma Professor of Medicine at the Icahn School of Medicine at Mount Sinai.

In the release, ABC highlighted Sharma’s international reputation in interventional cardiology and physician education, noting that he has trained cardiovascular specialists from around the world while advancing the field through research, mentorship, and patient care.

“I am honored to serve as Honorary Chairperson for this important event,” Sharma said. “The Spirit of the Heart Awards Program reflects the power of partnership, philanthropy, and leadership to advance cardiovascular health.”

The Association of Black Cardiologists will host the 16th Annual Spirit of the Heart Awards Oct. 3, 2026 in NYC to honor leaders advancing heart health equity and fund scholarships.
The official invitation schedule for the ABC 16th Annual Spirit of the Heart Awards Program & Fundraiser, taking place October 3, 2026, at Cipriani Wall Street in New York City.

A full weekend of impact, including policy

The awards program is part of a broader weekend of programming. On Friday, October 2, ABC will host its Annual Policy Pulse Summit at Venable LLP in New York City, convening leaders to discuss policy issues shaping the future of cardiovascular health.

What to expect at the Spirit of the Heart Awards

ABC is positioning the evening as both a celebration and a community gathering—bringing together leaders from healthcare, philanthropy, industry, and advocacy.

The event will be co-emceed by:

  • Sandra Bookman, award-winning journalist and anchor of Eyewitness News on ABC7/WABC-TV New York
  • Thomas Cunningham IV, President and Chief Content Officer of BrandCunningham

The program is expected to include:

  • Presentation of the Spirit of the Heart Awards
  • Recognition of medical student scholarship recipients
  • Special guest appearances
  • live auction
  • Musical entertainment

Event co-chair Barbara Hutchinson, MD, PhD, President of Chesapeake Cardiac Care, emphasized the role of sustained collaboration in moving the needle on heart health.

“The Spirit of the Heart Awards Program is a reminder that lasting progress in cardiovascular health is achieved through vision, partnership, and sustained commitment,” Hutchinson said.

How to attend, sponsor, or support

ABC is directing attendees and supporters to its event site for tickets, sponsorship opportunities, and donations:

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About the Association of Black Cardiologists

Founded on the belief that “every heart counts,” the Association of Black Cardiologists works to promote prevention and treatment of cardiovascular disease and to advance health equity by eliminating disparities. ABC’s membership is open to all, regardless of race, ethnicity, or vocation. The organization’s work spans education, advocacy, research, patient and community outreach, and leadership development.

Source and media contact

Media Contact (from the release):

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