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| jingskibgaq | Date: Thursday, 2013-03-21, 8:54 AM | Message # 8326 |
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The full implementation in 2014 of the 2010 health care law could improve health statistics overall, experts say, but real change in health statistics can come only if Americans start eating better and exercising more.
Along with the higher death rates in the least healthy counties, researchers from the University of Wisconsin Population Health Institute and the Robert Wood Johnson <a href=http://www.balenciaga-outelts.com>Balenciaga Outlet</a> Foundation found:
More than one in five children live in poverty.
Violent crime has decreased by 50 percent during the past 20 years.
Places with higher death rates have the highest rates of smoking, teen births, physical inactivity and preventable hospital stays.
In 2014, most Americans will be required by the new law to purchase health insurance or face a fine, and about half of the nations states will expand Medicaid to people who fall beneath 138 percent of the federal poverty level.
I dont think there is any question that the law will make a difference, especially for our poorer populations, said Ron Pollack, executive director of Families USA. The statistics are clear that the uninsured are sicker and dying younger.
Access to quality health care, however, accounts for only 20 percent of a countys ranking, said Joe Marx, a spokesman for the Robert Wood Johnson <a href=http://www.balenciaga-outelts.com>Balenciaga Outlets</a> Foundation.
The physical environment is weighed the most heavily in the rankings, he said.
Health behaviors, such as healthy eating habits and how many people <a href=http://www.2013saclouisvuitton.com/71-sac-louis-vuitton-totally>Sac Louis Vuitton Totally</a> smoke, and a countys physical environment, including parks and water quality, are key components of the ratings.
Although the laws provisions calling for preventive screenings <a href=http://www.sacs-balenciaga.com/48-sac-balenciaga-giant-brief>Sac Balenciaga Giant Brief</a> and a doctors advice for improved eating and exercise habits will help, Pollack said, people will continue to suffer from preventable health problems if they cant find fresh produce or parks where they can exercise.
The law may improve things, but it almost certainly wont affect the ratings, said Jim Marks, director of the foundations health group. Access to health care doesnt affect obesity.
In Pennsylvania, for example, Philadelphia ranked first in health care but worst in overall health, Marks said.
In Kansas City, the mayor was concerned about the rankings, so he talked to hospital officials, Marks said. They said, We do well for those who are ill, but we have no say <a href=http://www.2013saclouisvuitton.com/32-sac-louis-vuitton-hommes>Sac Louis Vuitton Homme</a> in how they get there.
A doctor can tell a poor woman in her mid-50s that she has diabetes, and the doctor can recommend healthy foods and exercise to control that disease.
But if she goes home and theres no grocery store or its not safe to get there, shell get sicker faster all due to things outside medical care, Marks said. We cant heal ourselves out of our medical care costs. Thats the central message of these county health rankings.
One provision of the law requiring not-for-profit hospitals to conduct community needs assessments to determine how to make their areas healthier may improve overall health, said Bridget Catlin, director of the County Health Rankings & Roadmaps.
Thats an exciting change, Catlin said. Weve seen that the community-wide projects are more effective than advice from a doctor.
As examples, she cited smoking bans or setting aside an area for a park so people have a free place to exercise.
The report shows how each of a states counties compares with the others, which gives leaders a chance to see how they can create healthier environments.
The shame can lead to change, Catlin said. Many counties had no idea they compared.
The County Health Rankings created a Roadways to Health contest aimed at creating model programs for counties to use.
In Wyandotte County, Kan., officials lured a grocery store to locate in a low-income neighborhood that had become a food desert that had not had such a store in 45 years. Hernando County, Miss., added a community farmers market within walking distance of a low-income neighborhood.
Were seeing mayors and civic leaders starting to get this, Marks said.
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