A Free Press article last week centered on a new report that exposes the high cost of obesity, which now makes up an estimated 9.1% of all medical spending.

Obesity’s not just dangerous, it’s expensive. New research shows medical spending averages $1,400 more a year for an obese person than for someone who’s normal weight.

Overall obesity-related health spending reaches $147 billion, double what it was nearly a decade ago, says the study published today by the journal Health Affairs.

RTI health economist Eric Finkelstein offers a blunt message for lawmakers trying to revamp the health care system: “Unless you address obesity, you’re never going to address rising health care costs.”

Earlier this week we covered a new report from the CDC that gave strategies on how to reduce America’s obesity rate. Those strategies included investing in our communities to make them more walkable and bikable.

More bike lanes, more sidewalks, etc.

So if obesity costs $147 billion annually, with roughly half financed by Medicare and Medicaid, how much does the federal transportation bill invest in bicycle and pedestrian facilities?

$541 million in 2008 or 0.7% of the obesity-related Medicare and Medicaid costs.

This is further justification to take a more holistic approach to transportation funding. It’s not just about mobility and concrete.

Wise investments in more livable, walkable, and bikeable communities can reduce obesity and the related federal medical spending — as well as everyones health insurance costs.

This week the Centers for Disease Control and Prevention (CDC) released a report called Recommended Community Strategies and Measurements to Prevent Obesity in the United States.

In the report, they recommend the following strategies:

Communities Should Enhance Infrastructure Supporting Bicycling

Enhancing infrastructure supporting bicycling includes creating bike lanes, shared-use paths, and routes on existing and new roads; and providing bike racks in the vicinity of commercial and other public spaces. Improving bicycling infrastructure can be effective in increasing frequency of cycling for utilitarian purposes (e.g., commuting to work and school, bicycling for errands). Research demonstrates a strong association between bicycling infrastructure and frequency of bicycling.

The report also cites evidence that “improving bicycling infrastructure is associated with increased frequency of bicycling.” In other words, if you build it, they will bike it.

Also their suggested means for measuring success is the “total miles of designated shared-use paths and bike lanes relative to the total street miles (excluding limited access highways).”

Note that shared-used paths are trails that are nearly always within their own right-of-way (e.g. rail trails.) They should not be confused with side paths or sidewalks, often called safety paths within Oakland County, which should not be designated bicycle facilities according to national guidelines.

Other related suggested strategies include:

• Enhance infrastructure supporting walking.
• Improve access to public transportation.
• Zone for mixed-use development.
• Support locating schools within easy walking distance of residential areas.

If this sounds like the CDC is promoting Complete Streets then you’re certainly in agreement with Barbara McCann from the National Complete Streets Coalition.

And if you’re interested in staying on top of the Complete Streets movement within Michigan, visit the relatively new Michigan Complete Streets web site.

(via Streetsblog)

Bicycle facility funding often takes verbal punches from some conservative voices who don’t consider it as a valid transportation option as driving.

Here are a couple advocacy approaches that might be more successful when appealing to conservative audiences.

Increasing National Security

William Lind, director of the Center for Cultural Conservatism at the Free Congress Foundation, was recently intereviewed in the Infrastructurist. And though he was talking about public transit, one could easily substitute biking into this same argument.

National Security is always a big interest to conservatives and any time you can talk in those terms, you’re going to have their attention. Virtually every American knows that our greatest single national security vulnerability at the moment, the one that has enmeshed us in the middle east, is our dependence on foreign oil, most of it coming from unstable parts of the world. And this can drag us into unwanted wars, as it has it can result not only in high gas prices, like we had last summer, but in complete cutoffs like we had in ’73 and ’79, where events halfway around the world suddenly leave our gas stations without any gas to sell. And at present, if that happens, most Americans have no backup.

Reducing Public Health Costs

The Associated Press recently noted a new report on obesity in the U.S. and its affect on Medicare costs.

Health economists once made the harsh financial calculation that the obese would save money by dying sooner, notes Jeff Levi, executive director of the Trust for America’s Health, a nonprofit public health group. But more recent research instead suggests they live nearly as long but are much sicker for longer, requiring such costly interventions as knee replacements and diabetes care and dialysis. Studies show Medicare spends anywhere from $1,400 to $6,000 more annually on health care for an obese senior than for the non-obese.

“There isn’t a magic bullet. We don’t have a pill for it,” said Levi, whose group is pushing for health reform legislation to include community-level programs that help people make healthier choices like building sidewalks so people can walk their neighborhoods instead of drive, and providing healthier school lunches.

“It’s not going to be solved in the doctor’s office but in the community, where we change norms,” Levi said.

Making our communities more bikeable can play a major role in reducing obesity and reducing public health care costs.

Where does Michigan stand? Here are some health statistics from the report:

• 29% of Michigan adults are obese
• Michigan has the ranked ninth in the percentage of obese adults
• 12% of Michigan high school students are obese
• On average, this obesity costs Michigan residents $291 per person in medical expenses. This is $33 per person above the national average.

Which state is the fattest? Mississippi has the highest obesity rate at nearly 33% — a title they’ve held for the past five years.

by Austrian artist Erwin Wurm

A recent study by the University of Tennessee’s Obesity Research Center documents the relationship between obesity rates and active transportation (i.e. biking, walking, and public transit.)

The study’s lead author, David Bassett, co-director of the Obesity Research Center and professor in the Department of Exercise, Sport and Leisure Studies, said more people are thinking about transportation issues to save gas and money. On top of that, Americans are obsessed with losing weight, and the latest statistics show about one in three U.S. adults are obese.

“Many people blame this on things like technology, TV, Internet and sedentary jobs, but what we found was that there are other industrialized nations who have similar, high standards of living, who do not suffer from obesity to nearly the same extent that the U.S. does,” he said. “I truly believe that the transportation modes in various countries are important in explaining international differences in obesity rates.”

This study’s results are just another justification for building more biking and walking infrastructure in Metro Detroit.

And it also supports the Safe Routes to School concept, especially given the amount of childhood obesity in Michigan.  In 2007, 12% of children in Michigan were obese (>20% overweight.)

Unfortunately many of those responsible for transportation decisions have little experience or background in health.  Improving community health is not on their radar.  But one thing road engineers are good are is understanding numbers — and this study provides them.

• In 2000, Europeans walked an average of 239 miles per person per year.  Americans walked 88 miles. And while Europeans biked 118 miles per year on average, Americans rode only 25 miles.
• In Atlanta, every hour per day spent driving was associated with a 6 percent increase in the likelihood of being obese.

One caveat is the results do not prove causality.  However, the authors note the results “suggest that active transportation could be one of the factors that explain international differences in obesity rates.”

A recent government study confirms what many of us already believed or at least suspected. Moderate exercise, such as riding a bike, makes you healthier.

From HealthDay:

Even a moderate amount of exercise can dramatically prolong a man’s life, new research on middle-aged and elderly American veterans reveals.

The government-sponsored analysis — the largest such study ever — found that a regimen of brisk walking 30 minutes a day at least four to six days a week was enough to halve the risk of premature death from all causes.

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