Posts Tagged ‘Texas’

Most Obese States Drop Medicaid Expansion

October 17th, 2012

If you follow developments in obesity at all, you are familiar with the CDC maps showing the increases in obesity across the nation. Likewise, it is clear from these maps, the obesity is a major problem in the South.

Unfortunately, and tragically for many obese poor persons, the governors of Florida, Louisiana, Georgia, South Carolina and Texas have now been joined by the governor of Mississippi in rejecting the expansion of Medicaid in their states. The expansion is authorized under the Affordable Care Act (Obamacare). St.LouisPostDispatch_Mississippi Decides Medicaid Dollars not Worth Cost

Under the Affordable Care Act, the federal government will pay 100% of the cost of expanding Medicaid from 2014 to 2016. Between 2017 and 2020, the federal share drops to 90% and the states’ contribution gradually rises. The Kaiser Family Foundation projected that Mississippi would receive $23 dollars from Washington for every $1 from the state.

While state budgets are clearly under pressure, many see politics at work as all of the Governors in these states are Republicans and are opposed to Obamacare. Regardless, Mississippi has the highest rate of childhood obesity in the nation with nearly 40% of children up to age 17 meeting the obesity criteria. In all of these states, the lower income groups, who would be covered by the expansion of Medicaid, have major health problems. Refusing to participate in the Medicaid expansion only perpetuates these issues.

 

Texas Grapples with Costs of Bariatric Surgery

June 24th, 2012

The New York Times reports on the issue of Texas, which has one of the highest rates of obesity in the country, grappling with the costs of bariatric surgery in Medicare and Medicaid. NYT:Spending for Weigh Loss Surgery Increases in Texas

No doubt this scenario will be played out in many states in the coming years. I’ve always said, “Obesity is too expensive to treat and it is too expensive not to treat.” This article bears this out. The tipping point for me is that at least with treating, we are reducing suffering for some humans. Predictably, at the end of the article a professor is cited as saying that the state could reach many more people with less expensive lifestyle interventions and improve their health enough to save far more dollars than bariatric surgeries do. This would be true if any lifestyle intervention was shown to achieve bariatric surgery’s long term, significant weight loss, with a reduction in co-morbidities, such as type 2 diabetes. But the professor’s statement is still, after millions of dollars of research on lifestyle changes, only a hypothesis, yet to be established.

 

Texas pol caught exaggerating obesity death figures

May 31st, 2011

Texas Rep overstates obesity mortality rates. PoliticFacts gives updated figures PolitiFact Texas | State Rep. Rob Eissler says 34 children die from obesity every hour

Schools and Children

September 27th, 2009

As concern about childhood obesity has increased, the school environment has received increased attention.

Retooling school food offerings can help. The Somerville MA experiment Retooling food service for early elementary school…[Prev Chronic Dis. 2009] – PubMed Result

A very positive study on the value of nutrition education in the schools Effectiveness of school programs in preventing chi…[Am J Public Health. 2005] – PubMed Result

Effect of the school food environment Association between school food environment and pr…[J Am Diet Assoc. 2009] – PubMed Result

School food environments and practices affect diet…[J Am Diet Assoc. 2009] – PubMed Result

Schools are making progress in addressing obesity. Schools and obesity prevention: creating school en…[Milbank Q. 2009] – PubMed Result

International Journal of Obesity – Abstract of article: Childhood overweight and elementary school outcomes

Overweight affect school performance in girls but not boys. See: http://www.rand.org/pubs/reprints/2008/RAND_RP1315.pdf

Impact of removing low nutrition foods in schools. The Impact of Removing Snacks of Low Nutritional V…[Health Educ Behav. 2009] – PubMed Result

Food use in middle and high school fundraising: do…[J Am Diet Assoc. 2009] – PubMed Result

School Environment gets worse with higher grades. School food environments and policies in US public…[Pediatrics. 2008] – PubMed Result

BMI measurement in schools Body mass index measurement in schools. [J Sch Health. 2007] – PubMed Result

Journal of Public Health Policy – Disparities in Physical Activity and Sedentary Behaviors Among US Children and Adolescents: Prevalence, Correlates, and Intervention Implications

Journal of Public Health Policy – Arkansas Act 1220 of 2003 to Reduce Childhood Obesity: Its Implementation and Impact on Child and Adolescent Body Mass Index

Journal of Public Health Policy – Early Impact of the Federally Mandated Local Wellness Policy on Physical Activity in Rural, Low-Income Elementary Schools in Colorado

Journal of Public Health Policy – Preventing Childhood Obesity through State Policy: Qualitative Assessment of Enablers and Barriers

Journal of Public Health Policy – Correlates of Walking to School and Implications for Public Policies: Survey Results from Parents of Elementary School Children in Austin, Texas

Journal of Public Health Policy – Sociodemographic, Family, and Environmental Factors Associated with Active Commuting to School among US Adolescents

Journal of Public Health Policy – Implementation of Texas Senate Bill 19 to Increase Physical Activity in Elementary Schools