How investing in public health could cure many health care problems

October 3, 2017
by Linda Fried
Los Angeles Times

Other studies also have shown that preventing illness is far less expensive than paying for treatment. Trust for America’s Health estimates that “an investment of $10 per person per year in proven community-based programs to increase physical activity, improve nutrition, and prevent smoking and other tobacco use could save the country more than $16 billion annually within five years. This is a return of $5.60 for every $1.” With ever-rising health care costs, how can we overlook such opportunities?

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Public health groups united against ACA repeal

September 25, 2017
by David
Public Health Newswire

The nation’s public health organizations stand in opposition to the Graham-Cassidy bill, the latest effort to overturn the Affordable Care Act, which may come to a vote in the Senate this week.

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With New Health Bill, Republicans Face United Opposition

September 25, 2017
by VIKAS BAJAJ and STUART A. THOMPSON
New York Times

Below, we list those we’ve been able to identify as for and against the bill. Conservative religious and anti-abortion groups favored the bill because it prevented people on Medicaid from using their insurance at Planned Parenthood clinics and prevented health care plans sold on the federal health care marketplace from covering abortion beyond existing limitations.

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Graham-Cassidy is Legislative Malpractice – It Would Greatly Harm the Nation’s Health

Joint Statement from American Public Health Association, Prevention Institute, Public Health Institute, and Trust for America’s Health

 

Washington, D.C., September 25, 2017 – Below is a statement from American Public Health Association, Prevention Institute, Public Health Institute, and Trust for America’s Health on Graham-Cassidy, which would cause millions to lose healthcare coverage, decrease access to clinical preventive services, and eliminate the Prevention and Public Health Fund.

“Graham-Cassidy would do untold damage to the nation’s health, unraveling the progress we’ve made to expand access to quality, affordable healthcare, reorient our healthcare system to value prevention and equity, and invest in a healthier future for all Americans.

Graham-Cassidy upends efforts to improve the nation’s health in the future by threatening to strip people of access to preventive care and zeroing out the Prevention and Public Health Fund. Over the next five years alone, states and communities stand to lose more than $3 billion in funding to prevent chronic disease, stop the spread of infectious diseases, and invest in resources that support health and equity. The Prevention and Public Health Fund also provides 12 percent of the Centers for Disease Control and Prevention’s annual budget. Losing this much funding—about $900 million a year—would irreparably damage our public health infrastructure, including our ability to respond to disasters and emerging epidemics. These short-term cuts will lead to more chronic conditions and exact a heavy burden of preventable illness and death – as well as higher healthcare expenditures for worse health outcomes – down the line.

Investing in public health makes the difference between health and illness, safety and injury, and life and death. The deep cuts this bill proposes – to Medicaid, to public health and prevention – would touch every community, especially those communities that are struggling most with longstanding inequities in health and safety.

Passing Graham-Cassidy is tantamount to legislative malpractice. The undersigned groups find this approach unacceptable and strongly urge Congress to work in a bipartisan manner  to improve the nation’s public health and healthcare systems.”

Advocates optimistic as youth obesity rates hold steady

September 20, 2017
by CHRISTINE HAUGHNEY
Politico

The Trump administration has targeted some Obama-era policies aimed at improving school lunches and nutrition. Groups like the Robert Wood Johnson Foundation and Trust for America’s Health, which helped publicize the report, said policymakers need to keep current nutrition standards for school foods, require menu labeling and invest in public health programs. Pros, more about the study here.

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Despite progress, the health of our nation’s children is at risk

September 20, 2017
by RICHARD BESSER AND JOHN AUERBACH
The Hill

Seven years ago, Congress enacted landmark legislation directing the U.S. Department of Agriculture (USDA) to update nutrition standards for school meals. It was a long overdue step. Childhood obesity rates in the United States had tripled over the previous three decades, but it had been 15 years since nutrition standards for those programs had been updated.

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Obesity Rates Have Stopped Rising for Young Americans

September 19, 2017
HealthDay

The findings were recently detailed in the annual State of Obesity report from the RWJF (a philanthropy that supports research and programs targeting health issues in America) and the nonprofit Trust for America’s Health.

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National Youth Obesity Rate Holds Steady, New Data Show

Three out of 10 youth ages 10 to 17 are overweight or obese

Princeton, N.J., September 19, 2017—Roughly three out of 10 young people in the United States, 31.2 percent, are overweight or obese, according to the newest available data. Seven states—Alabama, Florida, Mississippi, North Dakota, Rhode Island, Tennessee, and West Virginia—have rates of overweight and obesity that exceed 35 percent. Only one state, Utah, has a rate under 20 percent.

The 2016 state-by-state rates for children and adolescents ages 10 to 17 were recently released on the Data Resource Center for Child and Adolescent Health (DRC) website (www.childhealthdata.org) and are reported at stateofobesity.org/children1017. This is the first update to this national data set since 2011-12.

The release of these new youth data follow the recent publication of the annual State of Obesity report by the Robert Wood Johnson Foundation (RWJF) and Trust for America’s Health (TFAH), which includes state-by-state adult obesity rates. Together, the two data sets show that obesity rates may be levelling off, but that progress could be eroded if policies are weakened or programs are cut.

At the time of the State of Obesity release in August, the leaders of RWJF and TFAH shared their perspectives:

Richard Besser, president and CEO of RWJF:

“Obesity rates are still far too high, but the progress we’ve seen in recent years is real and it’s encouraging. That progress could be easily undermined if leaders and policymakers at all levels don’t continue to prioritize efforts that help all Americans lead healthier lives.”

John Auerbach, president and CEO of TFAH:

“It’s clear that the progress we’ve made in fighting obesity is fragile—and that we’re at a critical juncture where continuation of the policies that show promise and increased support and resources could truly help bend the rising tide of obesity rates. We’re far from out of the woods when it comes to obesity. But we have many reasons to be optimistic thanks to parents, educators, business owners, health officials, and other local leaders. Our nation’s policymakers must follow their example to build a culture of health.”

To accelerate progress in addressing obesity, RWJF and TFAH urge policymakers to:

  • Invest in prevention at the federal, state and local levels, including full funding for the Centers for Disease Control and Prevention and the Prevention and Public Health Fund.
  • Prioritize early childhood policies and programs, including support for Head Start and the Child and Adult Care Food Program.
  • Maintain progress on school-based policies and programs, including full implementation of current nutrition standards for school foods.
  • Invest in community-based policies and programs, including nutrition assistance programs such as the Supplemental Nutrition Assistance Program (SNAP), and transportation, housing, and community development policies and programs that support physical activity.
  • Fully implement menu labeling rules and the updated Nutrition Facts label.
  • Expand healthcare coverage and care, including continued Medicare and Medicaid coverage of the full range of obesity prevention, treatment, and management services.

The stateofobesity.org site provides a new feature examining relevant policies at the state level and an interactive feature reporting on the latest obesity rates by state. The DRC website, www.childhealthdata.org, enables visitors to examine youth obesity rates by race/ethnicity, household income, and other demographic factors, as well as other relevant variables, such as physical activity rates.

About the new youth data

The new overweight and obesity rates among 10- to 17-year-olds are from the 2016 edition of the National Survey of Children’s Health (NSCH). The Maternal and Child Health Bureau (MCHB) funds and directs the NSCH, and develops survey content in collaboration with a national technical expert panel and the U.S. Census Bureau, which then conducts the survey. The NSCH uses parent reports of a child’s or adolescent’s height and weight to calculate body mass index.

The NSCH methods and sample size changed between 2011-12 and 2016, meaning it is not advisable to directly compare results across years. But the data do indicate a consistent stabilization in national and state rates of childhood overweight and obesity over the last decade. The NSCH is planned as an annual survey going forward, so these and other trends can be evaluated.

The Child and Adolescent Health Measurement Initiative (CAHMI) at the Johns Hopkins Bloomberg School of Public Health partners with MCHB in the design of the NSCH and analyzes and publishes state by state findings on its Data Resource Center for Child and Adolescent Health website, which is where the data reported here were obtained. RWJF and TFAH worked with CAHMI to announce the latest obesity rate data.

Overweight and Obesity Rate Among Youth Ages 10-17 by State, 2016

1.       Tennessee

37.7

18.          Georgia

32.2

35.      Minnesota

27.7

2.       North Dakota

37.1

19.          Michigan

32

36.      Colorado

27.2

3.       Mississippi

37

20.          New York

31.8

37.      Virginia

27.2

4.       Florida

36.6

21.          New Jersey

31.7

38.      Wyoming

27.1

5.       Rhode Island

36.3

22.          Pennsylvania

31.7

39.      Illinois

27

6.       Alabama

35.5

23.          South Dakota

31.4

40.      Arizona

26.9

7.       West Virginia

35.1

24.          California

31.2

41.      Massachusetts

26.6

8.       Louisiana

34

25.          Delaware

30.9

42.      Alaska

26.3

9.       Arkansas

33.9

26.          Kansas

30.9

43.      Idaho

26

10.   Indiana

33.9

27.       North Carolina

30.9

44.      Hawaii

25.5

11.   District of Columbia

33.8

28.          Nevada

30.5

45.      Washington

25.5

12.   Oklahoma

33.8

29.          Connecticut

30.2

46.      New Mexico

24.9

13.   Maryland

33.6

30.          Iowa

29.9

47.      New Hampshire

23.8

14.   Kentucky

33.5

31.          Wisconsin

29.5

48.      Montana

23.2

15.   Texas

33.3

32.          Missouri

29.4

49.      Vermont

22.2

16.   Ohio

33.1

33.          Nebraska

29.2

50.      Oregon

20.3

17.   South Carolina

32.9

34.          Maine

28.2

51.      Utah

19.2

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Trust for America‘s Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority.

For more than 40 years the Robert Wood Johnson Foundation has worked to improve health and health care. We are striving to build a national Culture of Health that will enable all to live longer, healthier lives now and for generations to come. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.