Skip to main content

Our Role & Results

OK, so we've been doing a lot of blog-tificating.  But what is it that we are doing to make things better?  And are we really still needed--if we ever were?

When I founded what became Healthy Future US, I knew our task was extremely difficult. (As they say: “if it was easy, it would have been done already.”)  But I thought it would be quicker & easier than it has been.  After all, wasn't it increasingly obvious that our health and related costs were devastatingly out of control, with an urgent need to address the primary root causes of inactivity & unhealthy nutrition?

As we enter Year 8 of full-time social entrepreneurship & advocacy, it's helpful to review our track record and rethink our future based on lessons learned.  This blog format is not great for lengthy explanations, but here are a few key points:

- Start-ups always take longer and cost more than you think--even more so in the social sector, where public-policy timeframes stretch into decades.

- The status quo is incredibly entrenched and hard to change, across the board: whether education, health, business, government, etc.

- Yet key trends are starting to favor prevention & school-based approaches, e.g., key supporting data & evidence-based strategies, health sector incentives, awareness of the role of social determinants of health, pandemic-era perspective on preexisting conditions & inequities, concerns about the consequences of such narrow K-12 education, etc.

- Healthy Future US has hit key milestones, including: 

-- a state & national network of highly respected advisors; 

-- a systematic systemic evidence-&-ROI-based plan; 

-- the AZ school recess law, increasing physical activity by 50% for 250,000 K-5 students; 

-- the AZ State Board of Ed resolution & potential approaches to add PE, health & arts education to the state school A-F accountability system, providing a compelling incentive for school superintendents to invest more school time & resources in PE & health ed; 

-- a comprehensive credible ROI case for health sector investment in K-12 health promotion, showing major immediate, near-term & long-term savings potential for providers, plans, agencies, businesses & legislatures; 

-- a national oped with Heritage Foundation, while continuing to work on a nonpartisan basis with both conservative & progressive leaders.

Yet we have still barely scratched the surface, in terms of our ultimate metrics of reversing the preventable chronic disease epidemic.  

The need is there more than ever for our role in catalyzing the critical combination of Plans & People, Policies, Programs, & Payment with Payback, in order to scalably, cost-effectively, & sustainably move the needle on our nation's health--starting through schools. We have gotten frustrated many times along the way, but have also made a lot of progress--and we have barely begun to fight!



Comments

Popular posts from this blog

Is it a “Miracle Drug”?...if it Costs a Fortune and Creates Lifelong Dependency...&...Saggy Faces!?

[It’s been a while since our last blog post.  A lot has happened since– including some “miracles” ! So we’re going to do two posts in a row…] Normally we should all be happy about miracle drugs... shouldn't we ? Yes, there is lots of upside from taking semaglutide (Ozempic, Wegovy), tirzepatide (Montjaro)--and upcoming new, even-more-miraculous drugs TBD:  losing huge amounts of weight quickly, a much lower risk of diabetes–and probably less heart disease and other chronic conditions as well.  But what if the “miracle” requires:   $200-300/week, with a lifetime cost of hundreds of thousands of dollars…  a drug that you can never quit…because if you stop taking it, you gain back all the weight it helped you lose–not to mention the chronic diseases which the drugs kept at bay… and it leaves your face (and the rest of your skin?) sagging …    (plus, it’s so new at such high dosages– who knows what happens after years of use…? ) No doubt, in spit...

Urban food myth #1: it costs more to eat healthy than to eat fast food

I get so tired of hearing this: "It costs less to buy a burger from McDonald's that to eat healthy food from the supermarket." "Low-income families just buy processed food, they don't cook their own food anymore." That always sounded questionable.  Here is a study showing in great detail that fast food is much more expensive than healthy food bought at the supermarket . Also, it turns out that the vast majority of meals eaten by low-income families are prepared at home: Blisard N, Stewart H. How low-income households allocate their food budget relative to the cost of the Thrifty Food Plan. Economic research report, United States. Washington, DC: Department of Agriculture, Economic Research Service, 2006;20. What is true is that buying healthy vs. unhealthy foods can cost $1.50/person/day more, at retail prices.  However, when health cost consequences are factored in, unhealthy foods cost twice as much .

Health "benefits"?: Oh well...

We meet them all the time:  people trapped in their job, in order to keep their health benefits.   We need a study on the negative impact on entrepreneurship and the economy from people health-handcuffed to their current jobs.  From my limited anecdoctal evidence, the costs are astronomical.   Two-income families have made the labor market much more geographically immobile, and now health insurance is exacerbating the job-jail. Modern Healthcare just summarized results of a new Peterson-Kaiser study  on employer health insurance and the actual cost to employee families, of the combination of employee share of premiums plus employee out-of-pocket health costs. Employers keep shifting more and more health costs to employees. The only good news is that employers are still paying a (fast-shrinking) % of premiums--so health costs are still cheaper than being self-employed.  [Also, if we end up back in the uncovered pre-existing conditions bad-...