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