A recent study I read underscores the fact that good health isn\u2019t just a matter of personal choice for Americans.<\/p>\n
It\u2019s tied \u2013 in some cases, painfully so \u2013 to income levels and geography.<\/p>\n
Funded partly through Harvard University and the University of Washington, this study looked at death rates across the U.S. by county, for each year between 1961 and 1999.<\/p>\n
It gave researchers a wakeup call, and it should be giving us one too:<\/p>\n
That the United States, for all its advances in science and medicine, is increasingly populated by two very different groups \u2013 a wealthy class that has access to good health care, and a poorer class, which does not.<\/p>\n
In some areas of the U.S. \u2013 chiefly the South, southern Midwest, Texas and areas of the Rocky Mountains \u2013 life expectancies actually have been going in reverse since the 1980s. And it\u2019s the chronic, lifestyle-related diseases which are the culprits: high blood pressure, diabetes, lung cancer, chronic obstructive pulmonary disease.<\/p>\n
Women\u2019s death rates since the 1980s also were increasing in these regions, researchers said, due to (again) chronic diseases that come from smoking and being overweight.<\/p>\n
What did this lead researchers to conclude?<\/p>\n
\u201cThe findings suggest that beginning in the early 1980s and continuing through 1999, those who were already disadvantaged did not benefit from the gains in life expectancy experienced by the advantaged, and some were even worse off.\u201d<\/p>\n
And they capped their results with this warning:<\/p>\n
\u201cThe study emphasizes just how important it is to monitor health inequalities between different groups, in order to ensure that everyone \u2013 not just the well-off \u2013 can experience gains in life expectancy.\u201d<\/p>\n
King County actually did quite well in this study, with the third-highest increase in life expectancy in Washington.<\/p>\n
But before we begin to pat ourselves on the back, we need to take a good look around us.<\/p>\n
Good health costs money. It costs money to get a checkup; it costs money to eat well. Fat free isn\u2019t free, folks.<\/p>\n
And for all of its affluence, King County has a high number of poor and working poor \u2013 the numbers of which are climbing. Since the years of this study (which ended in 1999) those numbers have continued to grow. In 2004 alone, the number of King County residents living in poverty jumped to 10.4 percent, up from 7.3 percent the previous year. And the recent setbacks in our economy, coupled with increasing costs for everything from gasoline to bread, will push these struggling families even deeper into the well of poverty.<\/p>\n
It\u2019s a no-brainer that the first thing to go is preventative health care, when you can\u2019t pay your bills. Medications also get rationed.<\/p>\n
And don\u2019t even think about shopping in the organic-food aisle.<\/p>\n
Every day I see the struggles of families here in the Kent valley, where I live.<\/p>\n
When you are hungry, you buy your food for calories and cost, more than nutritional content. It\u2019s sad to see what\u2019s rolling down the conveyor belt at the grocery store where I shop, and sadder still to see people digging through their purses and wallets attempting to pay for it. Sometimes, food gets put back.<\/p>\n
And if hot dogs are going back on the shelves, it\u2019s a safe bet that medications aren\u2019t getting filled, either.<\/p>\n
Which brings me to my original point: good health is more than just waking up one morning and deciding to eat healthier and to get some exercise.<\/p>\n
It\u2019s not just a personal choice.<\/p>\n
It\u2019s a choice that we as a society have to make.<\/p>\n
It\u2019s about making health care – and healthy food – accessible to all, regardless of their income levels.<\/p>\n
When it comes to solutions, there is no magic bullet here. In fact, I\u2019d love to hear solutions to this growing crisis – I\u2019d be happy to publish them in the pages of this newspaper.<\/p>\n
But I can tell you, the first step to this problem is looking beyond the daily grinds of our own lives, and considering the realities our neighbors must face.<\/p>\n
The ones who don\u2019t have jobs. The ones who are working multiple jobs in a desperate attempt to make ends meet.<\/p>\n
We\u2019re not really healthy until they are, too.<\/p>\n
To learn more about the study, which is titled \u201cThe Reversal of Fortunes: Trends in County Mortality and Cross-Country Mortality Disparities in the United States,\u201d please go to http:\/\/medicine.plosjournals.org.<\/p>\n
Laura Pierce is editor of the Kent Reporter<\/p>\n","protected":false},"excerpt":{"rendered":"
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