Prevention Matters

A new report from the Business Roundtable, which represents CEOs of major companies, says America's health care system has become a liability in a global economy. The report says Americans in 2006 spent $1,928 per capita on health care, at least two-and-a-half times more per person than any other advanced country.

The report added a new wrinkle by taking those those costs and factoring benefits into the equation. It compares statistics on life expectancy, death rates and even cholesterol readings and blood pressures. The health measures are factored together with costs into a 100-point "value" scale. That hasn't been done before, the authors said.

The results - the United States is 23 points behind five leading economic competitors: Canada, Japan, Germany, the United Kingdom and France. The five nations cover all their citizens, and though their systems differ, in each country the government plays a much larger role than in the U.S.
The cost-benefit disparity is even wider — 46 points — when the U.S. is compared with emerging competitors: China, Brazil and India.

Former House Speaker Newt Gingrich told Michigan legislators this week that their efforts to improve the health care system should start with a focus on reforming behavior, like a ban on smoking in the workplace and mandatory exercise for school children.

Gingrich, who now heads the Center for Health Transformation, said policymakers, the public and the media often make the mistake of viewing health care reform primarily as a financial challenge, rather than a complex mix of individual behavior, cultural influence and uneven quality.

“If all you do is try to figure out how to finance the current system, you’ll go broke,” he told the state Senate Health Policy Committee. “The current system is stunningly wasteful.”

He said government can encourage healthier eating and living by providing financial and tax incentives, such as providing a food stamp bonus to recipients who purchase more fruits and vegetables, he said.

Wal-Mart continues to show how it can be a change-maker in the health world by virtue of its ability to distribute products at a high-volume for low prices. The New York Times says the world's largest retailer, which already has introduced $4 generic prescriptions and over-the-counter tobacco cessation kits priced below $10, is now working to provide electronic health records technology that will be affordable for physicians working in small offices.

"The company plans to team its Sam’s Club division with Dell for computers and eClinicalWorks, a fast-growing private company, for software," writes the Times' Steve Lohr. "...The Sam’s Club offering, to be made available this spring, will be under $25,000 for the first physician in a practice, and about $10,000 for each additional doctor. After the installation and training, continuing annual costs for maintenance and support will be $4,000 to $6,500 a year, the company estimates."

The Obama administration's plan provides financial incentives of more than $40,000 per physician over a few years, to install and use electronic health records. Only about 17 percent of the nation’s physicians currently use computerized patient records. About 200,000 health care providers, mostly doctors, are among Sam Club’s 47 million members.

A healthier workforce and a healthier community is smart business, because it makes for a healthier bottom line. That’s why Partnership for Prevention, the Campaign for Tobacco-Free Kids and United Health Foundation collaborated to develop a new resource to help businesses lower their costs by reducing the use of tobacco in the workplace.

The “toolkit,” entitled “Investing in A Tobacco-Free Future: How it Benefits Your Bottom Line & Community,” highlights the many gains from implementing tobacco control programs and policies. You can download the toolkit and get more information at www.prevent.org/tobaccofreefuture.

A multi-pronged approach is a win-win that works. Adopting a tobacco-free workplace policy not only improves the health of all workers exposed to secondhand smoke, but also cuts business expenses related to fire and property insurance costs. Providing health benefits that include access to services to help people quit their tobacco use is cost effective to implement and yields healthier employees who spend less on health care. Comprehensive tobacco-use treatment generally includes three components – screening by health professionals, counseling that can be in-person or via phone quitlines and pharmacy support that can include over-the-counter and prescription medication.

It’s also smart business to support proven state and local public policy solutions to drive down smoking rates and increase community well-being and health. Initiatives like smoke-free workplace laws, higher tobacco taxes and well-funded tobacco prevention and cessation programs are all effective strategies to save lives and reduce health care costs – a worthy goal for all.

In 2008, states received $17.60 per person on average from the U.S. Centers for Disease Control and Prevention (CDC) to spend on disease prevention and health promotion. But a new report from the Trust for America's Health and the Robert Wood Johnson Foundation shows that the difference in funding to individual states differed by as much as $40 per resident.

Alaska received the most funding from CDC of any state at $52.78 per person in FY 2008, while Indiana received the least at $12.74. The report shows that Midwestern and Southern states received less funding from the federal government than Northeastern and Western states.

Thirty years ago, the Carter Administration set standards to ensure that foods sold in schools had at least 5% of an essential nutrient, like protein, Vitamin C or calcium. But the standards, still in effect, do nothing to limit fat, calories or sodium.

But that could change this year, as Congress must reauthorize the Child Nutrition Act with an amendment by U.S. Rep. Lynn Woolsey, D-Calif., and support from the Obama administration, 88 other members of Congress and a host of public health organizations including Partnership for Prevention. The new legislation would have the U.S. Department of Agriculture update the nutrition standards for foods sold alongside school meals in cafeterias, vending machines, school stores, and elsewhere. Those standards would apply throughout the school day, and everywhere on campus.

A creative contest that helped pay for a New England high school’s prom in return for student’s pledges not to tan for it was named the Best Prevention Idea of the Week, while an amendment passed by the U.S. Senate gutting the District of Columbia’s ability to restrict the use of firearms was named the Worst Prevention Idea of the Week.

The Best/Worst honors are a regular feature of Prevention Matters. Each week, Partnership for Prevention's staff will choose the designees based on nominations of items in the previous week’s news submitted by members, staff and the public at large. To submit a nomination or for more information, contact Damon Thompson at dthompson@prevent.org.

BEST IDEA

High School Wins $1,000 for Not Tanning

Over 500 Waltham, MA, High School students promised not to tan for this year's prom - and it paid off. As part of the Your Skin is In contest, the school won $1,000 from the Melanoma Foundation of New England to use toward the spring dance. The nonprofit, dedicated to education about early detection and prevention of melanoma, asked students across New England to sign a no-tanning pledge. Schools that got at least 70 percent of their prom-going class to sign the pledge were entered into a raffle with a chance to win $1,000 or $500 in prizes and tickets to Six Flags New England. Over 5,500 students across New England signed the pledge. Schools that got at least 70 percent of their prom-going class to sign the pledge were entered into a raffle with a chance to win $1,000 or $500 in prizes and tickets to Six Flags New England. Over 5,500 students across New England signed the pledge.


WORST IDEA

Senate approves amendment gutting DC gun restrictions

District of Columbia residents would have far greater access to firearms, including semiautomatic weapons, under a measure approved recently by the U.S. Senate. The 62-36 vote was a victory for the pro-gun lobby which has waged a lengthy battle against the tough antigun laws imposed by the district on its residents. Sen. John Ensign, R-Nev., offered the measure as an amendment to legislation giving the district a vote in the House of Representatives. The Brady Campaign to Prevent Gun Violence, in protesting the amendment, said it would allow D.C. residents to cross state lines to buy handguns in neighboring states and would repeal the district's ban on military-style weapons, including sniper rifles that can pierce armor plating. It would lower from 21 to the federal limit of 18 the age when people can possess handguns and ease the district's registration requirements.