Monday, September 28, 2009
Wednesday, September 9, 2009
This was not written as a blog entry. It was written as an op-ed piece for a newspaper. However, 4 major newspapers have rejected it, but I would like someone to read it, so I am sharing it with you. I wrote this piece because even before the health reform debate devolved into a depressing spectacle of shouting and fear-mongering, almost noone was talking about how reforms might actually improve health. Use your freedom of speech to make your views known on this critical national issue.
Where is Health?
Where is health in the debate over health care reform? The mass media debate is almost completely about improving health care coverage, reducing health care costs, and paying for the increased coverage. There is a great deal of media attention to the proposed public option for insurance, and we hear a lot from hospital groups, insurance companies, and the pharmaceutical industry about what the proposals would do to their businesses. But people’s health is virtually absent from the mass media debate; an afterthought at best. Every so often there is a passing mention of prevention or enhanced primary care, but no explanation of what that might mean.
Where is health in the Congressional debates? Believe it or not, health is present in discussions of preventing disease to both control health care costs and improve the health of Americans. Did you know that in the Senate three committees are working on health reform and one of those is focused on prevention and public health? I’m guessing you did not know that. I’ve been looking for reports on their work, and I don’t find them in the mass media.
Where is health on the minds of the American people? Surprise, it’s the number one priority for health reform. A May 2009 Trust for America’s Health poll of 1014 US voters identified prevention as the top priority of six health reform proposals that included universal health care coverage and prohibiting insurance companies from denying coverage based on pre-existing conditions. What’s more, 76% of voters supported investing more money in prevention, and that included at least 70% of Republicans, Democrats, and Independents.
Why is the public debate on health care so discrepant from the public’s interest in health improvement? This is a question that needs to be answered by media organizations, but here is my guess. The debate is being driven by money, health care industry money. Hospitals, insurance companies, pharmaceutical companies, medical device makers, medical testing companies, and physician groups are the beneficiaries of the current system that spends $2 trillion annually. They are on the receiving end of the unrelenting rise in health care costs. They have something to lose if Americans become healthier, so I imagine they are sending the most letters and emails to news organizations and lobbyists to Capitol Hill. Their primary concern is the financial health of their companies, so excuse them if they don’t talk much about the health of the American people.
Who is representing the voice of the American people who want a health system that helps them stay healthy and prevent disease? Almost nobody. There are public interest groups and foundations that are trying to make their voices heard and find some scraps for prevention, but they are no match for the lobbying activities of giant health care industries. If you are one of the 76% of American voters who wants health reform to create a health system that invests much more in prevention, you are going to have to speak for yourself. Express your opinion to your representatives and to news outlets.
But as we prepare to speak our minds, let’s be clear about what prevention really is. In the health care debate, prevention usually refers to mammograms, prostate screening, and cholesterol testing. These are worthy but not at the heart of making people healthier. Prevention can summed up by “3four50”. This means that 3 behaviors (smoking, inactivity, poor diet) contribute to four leading diseases (heart disease, cancers, diabetes, and lung disease) that in turn are responsible for 50% of all deaths in the world, more in the
Wednesday, September 2, 2009
Wednesday, August 5, 2009
Thursday, July 30, 2009
Wednesday, July 22, 2009
In August 1989 the SPARK study began, with funding from the National Heart, Lung, and Blood Institute. Our goal was to create a national model of physical education designed to respond to children’s health needs. We wanted to not only get kids active, but “turn them on” to activity and build the physical and behavior-change competencies they needed to remain active and healthy.
Twenty years later, I can say we succeeded beyond my wildest expectations! The SPARK and M-SPAN studies provided some of the evidence that led The Community Guide to strongly recommend enhanced physical education as an evidence-based intervention. We now have a suite of physical activity and school health programs to help young people remain active. There is a network of talented trainers across the country who provide hundreds of enthusiastically-received trainings every year. We have shown that when teachers learn to use SPARK, they keep using it for years. Most importantly, well over 1 million children benefit from SPARK every day. I often say SPARK is the most fulfilling experience of my career.
Of course, I was just a catalyst for what SPARK has become. Thom McKenzie is the architect who built a fabulous program. Paul Rosengard is the mastermind behind the blossoming of SPARK into a powerful force for improving health throughout the nation (and hopefully, soon, the world). It is a rare combination of skills to go from being an award-winning coach to a PE innovator to directing the phenomenal growth of SPARK, while maintaining quality and our strong reputation the whole time.
Recently, the SPARK staff and the master trainers got together to celebrate SPARK’s 20th birthday. It was a special occasion for me for many reasons. I really enjoyed paying tribute to Thom, Paul, and all the fabulous staff. It was a special treat to recognize SPARK employee numero uno, Kecia Carrasco. She was number one then, and she is number one now. We are all blessed that she is still devoting her considerable talents to SPARK. And it wouldn’t have been a SPARK party without a lot of fun activities. The master trainers led us in 3 great dances under the
With all that the SPARK team has accomplished, it is not nearly enough. While SPARK was growing, so was the obesity epidemic. It is very fortunate that we created some solutions for this problem, because concern about childhood obesity is certainly driving much of the interest in what we can provide. But still most schools do not have evidence-based activity-focused physical education. Most after-school, preschool, and recreation programs are not active enough. We have much more to do. But “with a little help from our friends” we will “come together” and SPARK the “revolution” that is needed to get every child active so they can be healthier and happier.
Wednesday, July 8, 2009
Nope – this ATM is the SPARK Annual Trainers Meeting and it’s one of those special things that sets SPARK apart from other organizations. Each year, SPARK brings its top trainers to
SPARK is a training organization at heart, because we know from research that the most efficacious of what we refer to as the “essential components” (i.e., curriculum, staff development, follow up support, and equipment) is the teacher training. And, if you can change (for the better) the way a teacher teaches, then you have a chance to impact many children over time. So, SPARK invests to find the best presenters, train them well, and support their ongoing development.
Each SPARK program (Early Childhood, After School, Physical Education K-2, 3-6, Middle and High school, and Coordinated School Health) has a Lead Trainer. The Lead Trainers mentor their flock and gather feedback on how to improve their program’s content, instruction, and equipment lists.
Trainers begin as novices and once they complete an extensive training program, they can advance to Certified, Master, and Elite levels. Today, SPARK is proud to have more than a dozen trainers with over a decade worth of experience conducting SPARK workshops. And in this case, experience matters.
So, the next time you’re ready to deposit or withdraw money from your ATM, think about our ATM. Yours might have a lot of cash stored inside, but ours is priceless.