health happens here...health happens here: marion b. standish the california endowment texas health...

Health Happens Here:

Marion B. StandishThe California Endowment

Texas Health inall Policies

“Geographic and racial disparities are best understoodas related to disparities in education, occupations andthe like, which are strongly associated with outcomes inevery county we studied, whether it was large, small,urban, rural, Southern or not.”

Disparities are the tip of the iceberg…

Disparities

PolicyRacism

Stress

LowEducationalAttainment

Poverty

Accessto HealthCare

Poor Housing

Unemployment

HopelessnessTobacco Use

NeighborhoodQuality

SocialSupport Access to

Nutritious Food

When the external becomes internal:How we internalize our environment

Allostatic Load

InadequateTransportation

LongCommutes

Housing

Lack of socialcapital

HighDemand-

Low ControlJobs

Lack ofaccess to

stores, jobs,services

Crime

Stress

Stress

Stress

Stress

Stress

Stress

Why Are We Unhealthy?

Greater income inequality, child poverty Less social mobility, uneven educationHoles in safety netCommunities designed around cars Limited access to primary health careMore calories, less walkingMore substance use, firearms in violence

Health Matters for Equity andEfficiency

U.S. has fallen to 5th in globalcompetitiveness and 42nd in health andprimary education.

Because so much health care is federallyfinanced, poor outcomes contributesubstantially to the federal debt.

Growing inequities predict a bleakeconomic future.

What Surrounds Us Shapes Our Health

Health in All Policies

• addresses health and equity

HealthyFood

Education

Residents

Parksand

Activities

Housing

EconomicJustice

We each have a role

Childcare

Preschool

Transportation

PolicyMakers

Jobs

SafeNeighbor-hoods

Clean Air

MedicalCare

For more information:www.calendow.org

mstandish@calendow.org