The United States spends billions of dollars annually on social and economic policies aimed at improving the lives of its citizens, but the health consequences associated with these policies are rarely considered. In Making Americans Healthier, a group of multidisciplinary experts shows how social and economic policies seemingly unrelated to medical well-being have dramatic consequences for the health of the American people. Most previous research concerning problems with health and healthcare in the United States has focused narrowly on issues of medical care and insurance coverage, but Making Americans Healthier demonstrates the important health consequences that policymakers overlook in traditional cost-benefit evaluations of social policy. The contributors examine six critical policy areas: civil rights, education, income support, employment, welfare, and neighborhood and housing. Among the important findings in this book, David Cutler and Adriana Lleras-Muney document the robust relationship between educational attainment and health, and estimate that the health benefits of education may exceed even the well-documented financial returns of education. Pamela Herd, James House, and Robert Schoeni discover notable health benefits associated with the Supplemental Security Income Program, which provides financial support for elderly and disabled Americans. George Kaplan, Nalini Ranjit, and Sarah Burgard document a large and unanticipated improvement in the health of African-American women following the enactment of civil rights legislation in the 1960s. Making Americans Healthier presents ground-breaking evidence that the health impact of many social policies is substantial. The important findings in this book pave the way for promising new avenues for intervention and convincingly demonstrate that ultimately social and economic policy is health policy. A Volume in the National Poverty Center Series on Poverty and Public Policy

NATIONAL BESTSELLER! If Americans want to know why their health care is so costly and getting costlier, they need only look in the mirror. Americans are notoriously unhealthy—we eat too much, drink too much, and sit too much. When roughly 80 percent of cardiovascular disease and 40 percent of all cancer cases could be prevented by simple lifestyle changes, it is time to take a deeper look at the problem and ask who is truly responsible. Consider that: · After seventy years of innovation, heart disease and cancer remain the top two causes of death in the United States. · In 1960, health care spending was 5 percent of America's GDP; today, it is 17.5 percent. · The government spends over $1 trillion annually on health care. · Nearly one in five American deaths is associated with poor diets. · Simply reducing sodium intake by 1,200 mg per day could save up to $20 billion a year in medical costs. In Make America Healthy Again, Nicole Saphier, a Memorial Sloan Kettering physician, nationally recognized patient advocate, and media personality, reveals how individual negligence and big government incompetence have destroyed America’s health care system. Combining historical events, economic trends, and essential lifestyle advice, with her unique perspective, she offers concrete solutions to address this epic problem. We don’t need socialized medicine—we need to take better care of ourselves. By getting healthier and adopting preventative measures, Saphier believes, we can reduce the astronomical costs of treatment and improve overall care. The only way to lower medical costs for everyone is to stop incentivizing bad health decisions. Policies such as the Affordable Care Act and single-payer plans ignore something crucial to lowering the overall financial burden: personal responsibility. We can no longer expect doctors and the government to fix illnesses we have the power to prevent. Regardless of which health policy is adopted, our nation will flounder unless we take action. It is up to the American people to make America healthy again.

The environment that we construct affects both humans and our natural world in myriad ways. There is a pressing need to create healthy places and to reduce the health threats inherent in places already built. However, there has been little awareness of the adverse effects of what we have constructed-or the positive benefits of well designed built environments. This book provides a far-reaching follow-up to the pathbreaking Urban Sprawl and Public Health, published in 2004. That book sparked a range of inquiries into the connections between constructed environments, particularly cities and suburbs, and the health of residents, especially humans. Since then, numerous studies have extended and refined the book's research and reporting. Making Healthy Places offers a fresh and comprehensive look at this vital subject today. There is no other book with the depth, breadth, vision, and accessibility that this book offers. In addition to being of particular interest to undergraduate and graduate students in public health and urban planning, it will be essential reading for public health officials, planners, architects, landscape architects, environmentalists, and all those who care about the design of their communities. Like a well-trained doctor, Making Healthy Places presents a diagnosis of--and offers treatment for--problems related to the built environment. Drawing on the latest scientific evidence, with contributions from experts in a range of fields, it imparts a wealth of practical information, with an emphasis on demonstrated and promising solutions to commonly occurring problems.

Winner of the IBPA Benjamin Franklin Award for Best Health Title It's no secret that African-Americans top the list of groups afflicted by hypertension, stroke, diabetes, heart disease, renal failure, and cancer. What the statistics do not show is the pain, misery, and despair that these conditions create, not only for the individual, but also for family and friends. As an African-American doctor, Dr. Richard Walker has studied these conditions among his patients for many years. Now, for the first time, Dr. Walker believes that research has found a commonsense way to prevent, reduce, and possibly eliminate these killers, turning the tide of African-American health. Dr. Walker begins by looking at the black community's lifestyle, which has radically changed over the centuries, shifting people from hours spent under a blazing sun to a life of minimum sunlight exposure. From there, it is clear that the missing puzzle piece of African-American health is a chronic lack of Vitamin D3. Most important, Dr. Walker explains how this crucial factor can be added to a daily routine along with components such as nutritional supplements, diet, and exercise. He then focuses on each major illness affecting the black community and explores what it is, what its symptoms are, and how the reader can avoid or treat the problem. A concise yet critical guide, African-American Healthy offers an important first step towards achieving a healthier, longer life for millions of people.

Making Healthy Places surveys the many intersections between health and the built environment, from the scale of buildings to the scale of metro areas, and across a range of outcomes, from cardiovascular health and infectious disease to social connectedness and happiness. This new edition is significantly updated, with a special emphasis on equity and sustainability, and takes a global perspective. It provides current evidence not only on how poorly designed places may threaten well-being, but also on solutions that have been found to be effective. Making Healthy Places is a must-read for students, academics, and professionals in health, architecture, urban planning, civil engineering, parks and recreation, and related fields.

For the first time in a thousand years, Americans are experiencing a reversal in lifespan. Despite living in one of the safest and most secure eras in human history, one in five adults suffers from anxiety as does one-third of adolescents. Nearly half of the US population is overweight or obese and one-third of Americans suffer from chronic pain – the highest level in the world. In the United States, fatalities due to prescription pain medications now surpass those of heroin and cocaine combined, and each year 10% of all students on American college campuses contemplate suicide. With the proliferation of social media and the algorithms for social sharing that prey upon our emotional brains, inaccurate or misleading health articles and videos now move faster through social media networks than do reputable ones. This book is about modern health – or lack of it. The authors make two key arguments: that our deteriorating wellness is rapidly becoming a health emergency, and two, that much of these trends are rooted in the way our highly evolved hardwired brains and bodies deal with modern social change. The co-authors: a PhD from the world of social science and an MD from the world of medicine – combine forces to bring this emerging human crisis to light. Densely packed with fascinating facts and little-told stories, the authors weave together real-life cases that describe how our ancient evolutionary drives are propelling us toward ill health and disease. Over the course of seven chapters, the authors unlock the mysteries of our top health vices: why hospitals are more dangerous than warzones, our addiction to sugar, salt, and stress, our emotionally-driven brains, our relentless pursuit of happiness, our sleepless society, our understanding of risk, and finally, how world history can be a valuable tutor. Through these varied themes, the authors illustrate how our social lives are more of a determinant of health outcome than at any other time in our history, and to truly understand our plight, we need to recognize when our decisions and behavior are being directed by our survival-seeking hardwired brains and bodies.

Providing concrete steps that federal policymakers should take to promote prevention both within and outside our healthcare sector, Prevention First not only sounds the alarm about the terrible consequences of preventable disease but serves as a rallying cry that we can and must do better in this country to reduce preventable deaths.