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Oct. 17, 2006 issue
Health care issues discussed at national forum hosted by EMU


By Ron Podell

 

Much like America's grassroots movements to dispose of trash, wear seat belts, impose strict penalties for drunk driving, and eliminate smoking from public facilities, it will take a groundswell of individual initiative to change the way the United States deals with health care.

At least according to Arkansas Gov. Mike Huckabee, who served as the keynote speaker for "Health Care Solutions for Michigan," a national health care policy forum hosted by Eastern Michigan University Oct. 14 at the Convocation Center.

Mike Huckabee

A HEALTHY SOLUTION: Arkansas Gov. Mike Huckabee
said the key to controlling health care costs in the
United States is to change the habits — including
improving eating and increasing exercise — of
Americans. Huckabee was the keynote speaker at a
national health care policy forum hosted by Eastern

Michigan University at the Convocation Center Oct.
14. Photo by Randy Mascharka

The forum, one of five scheduled nationally, also provided an opportunity for Michigan's legislators, including Gov. Jennifer Granholm, and others in or with an interest in the health care industry, to publicly discuss their positions on health care policy in front of a large audience. The forum was a collaboration between the National Health Policy Council, the AARP, and the National Coalition on Health Care. Allergan presented the event.

"Health care costs, by necessity, are a major issue. But the real one is 'how can we make America a healthier nation?'" said Huckabee, who was named one of the nation's top five governors last year by Time Magazine and whose name has been bandied about as a Democratic candidate for president in 2008. "If not, we will have a broken, runaway system."

Huckabee, Arkansas's governor since 1996, said 75 percent of dollars spent on health care goes toward chronic diseases — chronic diseases he said that can be prevented with lifestyle changes.

"There are three factors: eating too much, exercising too little and smoking," said Huckabee. "Americans are a lot like an NFL football team. You have 22 guys on the field who desperately need a rest and 80,000 people in the stands that desperately need exercise."

Huckabee once admitted to resembling some of those fans. In 2003, he was diagnosed with Type II diabetes before he lost 110 pounds. A product of the deep South, Huckabee joked that all food, including even Twinkies, were deep-fried and battered in that region of the country.

His eating habits changed and he began exercising after a doctor told him "he was in the last decade of his life" if he didn't change his lifestyle. Four years ago, Huckabee admitted to being winded after walking up a flight of stairs. This November, he's running the New York City Marathon.

"The prosperity of our nation has made us sick. We used to eat foods that God created and intended us to eat," Huckabee said. "Now, we eat man-made foods that are completely processed. We've not only increased our (average) size as people, but we've increased our diseases."

To make his point, he said that 16 percent of America's gross national product (GNP) is spent on health care.   No other nation — including Asia and Europe — spend more than 9.5 percent of its GNP on health care. If the United States could even reduce that percentage to 11 percent, the savings to the American public would be approximately $700 billion annually.

"How do we do it? It's a cultural change. It won't happen overnight," Huckabee said. "Why is this not being discussed. Because politicians like to talk about things we can settle in an election cycle. This issue will take a generational cycle."

In Arkansas, he has worked to get public schools to revamp their lunch menus to offer healthier fare and increasing exercise programs in schools. He also has partnered with former president Bill Clinton and the Alliance for a Healthier Generation to fight childhood obesity nationwide. The program affects approximately 54 million children nationwide.

Nationally, he said movement starts with an "attitude change" through education and advertising. Next, it takes what he called an "atmospheric change," similar to when litter baskets cropped up in the late 1960s and early 1970s   and "no smoking" signs placed in public buildings in the last five-to-10 years.

And finally, action is taken.

"Action starts when the government codifies into law what is already happening culturally," Huckabee said. "We must and can do better. Otherwise, our kids will be dying at 50."

Jennifer Granholm

HEALTH OF THE STATE: Michigan Gov. Jennifer
Granholm makes a point during a national healthcare
policy forum hosted by Eastern Michigan University
Oct. 14. She described the issue of health care as a
moral and economic one. Photo by Randy Mascharka

Granholm highlighted the work being done to provide universal access to affordable health care in Michigan. This included the two-year anniversary of the MiRx prescription drug discount card (38,000 in the state are signed up now with a goal of 50,000 by the end of the year) and continued negotiations with the federal government to implement the Michigan First Health Care Plan which, if successful, would bring in $600 million in federal monies to fund a no-frills benefits package to roughly 1.1 million Michigan residents who are uninsured.

"In the 1990s, the issue of universal health care may have been ahead of its time. I think its time has come," Granholm said. "It is a moral issue and an economic issue."

Granholm pointed out that more automobiles were manufactured in Windsor, Ontario, than in the state of Michigan last year. Granholm said a prime reason is companies located there due, in part, to lower health care costs in Canada. Approximately $1,500-$1,700 of the cost of manufacturing an American car is directly tied to health care costs, she said. In Canada, that figure is roughly $300 per car, said Larry Horwitz, president of The Economic Alliance for Michigan.

"We're not allowing a soul, running for president, in Michigan unless they talk about health care, fair trade and the global economy," Granholm joked to Huckabee.

Rep. John Dingell (D-Mich.) who provided introductory remarks, has been vigilant in his pursuit of a "Patients Bill of Rights," which will ensure patients' care is in the hands of doctors, not HMOs and insurance companies. At the beginning of every session of Congress, Dingell introduces the national health insurance bill his father sponsored when he was a member.

"Forums like these are important," Dingell said, stressing that there are approximately 1.1 million Michigan residents and 46 million nationally without health care coverage. "It's about the only way to get discussion in an informal and impartial manner."

Richard Douglass, professor of health administration at EMU, moderated the roundtable discussion, which included Horwitz, Sean Gehle, vice president for Advocacy, Ascension Health; George Rowan, a member of the Michigan Public Health Advisory Committee and the Michigan African American Health Institute; David Sloane, managing director, governmental relations, for the AARP in Washington, D.C.; and Hollis Turnham, Michigan policy director, Paraprofessional Healthcare Institute.

The group further addressed the core issues related to health care policy.