Date: Wed, 6 Feb 2008 09:15:57 -0600

From: Debra Lafler <deblafler@CHARTER.NET>

Subject: healthy people cost more study

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A report that might spark some HEDIR discussion..

Healthy People Cost Society More: Study

Feb 4, 2008, Associated Press

London - Preventing obesity and smoking can save lives, but it doesn't save

money, researchers reported Monday.

Chicago Sun Times article:

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#211

Date: Wed, 6 Feb 2008 10:27:29 -0500

From: Suzy Harrington <harringtonsuzy@AOL.COM>

Subject: Fwd: healthy people cost more study

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Interesting study.=C2=A0

I would like to see a similar study that tracks the ratio of work productivi=

ty vs "disabled" (quality of life and social impact) rather than simply heal=

thcare costs. I don't think this one did that? I haven't seen the actual stu=

dy.

Suzy Harrington, DNP, MS, RN, CHES

HIP on Health

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#212

Date: Wed, 6 Feb 2008 10:52:06 -0500

From: Maura Proser <MProser@DHMH.STATE.MD.US>

Subject: Re: Fwd: healthy people cost more study

My issue with it is that it's basically saying that healthy people cost more in the long run by staying alive longer and utilizing the health care system longer. Obese people and smokers die sooner so they cost less in the long term.

But doesn't this defeat the purpose of public health? Aren't we trying to decrease morbidity and mortality and increase the length and quality of people's lives?

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#213

Date: Wed, 6 Feb 2008 11:06:34 -0500

From: Michael McNeil <mm3117@COLUMBIA.EDU>

Subject: Re: Fwd: healthy people cost more study

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On this subject, I proposed the following in an ethics debate about 2 yrs ago.

What will happen to our economy and natural resources if we (PH/HP) are successful? If people live longer, with less illness, how many people in health care (sick care) will lose jobs, what natural resources will be threatened, etc? In essence, is it in our interest as the collective human race to be successful in helping people live longer healthier lives? (Remove the individual from consideration here).

Something to think about…

In health,

M2

PS - I don't have the answer to my own questions, but it certainly makes my brain hurt thinking about it...

______

Michael P. McNeil, MS

Assistant Director, Alice! Health Promotion

Health Services at Columbia

212-854-5453 phone

mm3117@columbia.edu

Chair, ACHA Health Promotion Section

ACHA Alternate Representative, IATF

Downstate NY Coordinator, The Bacchus Network

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#215

Date: Wed, 6 Feb 2008 11:11:13 -0500

From: Richard A Fee <professor@LOUISVILLE.EDU>

Subject: Re: Fwd: healthy people cost more study

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Yes, OF course it does defeat the purpose. But looks where it comes

from. The real question here is what is the value of human life? Are

we only valuable to society when we are productive and healthy? Or do

we as the infirm and aged just use up valuable resources.

Its really a question of the sanctity of human life.

Just my 2 cents worth.

Regards,

Richard Fee 502-852-0549 FAX 852-4534

“Give us clear vision that we may know where to stand and what to

anything.”

Peter Marshall, U.S. Senate Chaplain

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#216

Date: Wed, 6 Feb 2008 10:17:53 -0600

From: "Perko, Mike" <mperko@CHES.UA.EDU>

Subject: Re: Fwd: healthy people cost more study

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If economic arguments like this are taken at face value, then what's to

stop Social Darwinism from rearing its perverse head.

The beauty of these arguments (and this is not the first time that

economic arguments have been made for the heart attack that doesn't

happen) is that it lets the Health Education/Public Health profession

re-emphasize it's well thought-out and defended position that extending

quality human life, whether it be through the reduction of horrific

death or the loss of ten pounds, is part of a universal value system

woven into the global fabric.

If the argument held any water then we might as well have all our teeth

removed and replaced with false teeth - we will save billions by not

having to go to the dentist twice yearly as well as costly surgery, etc.

MP

------------------------------------

University of Alabama

Mike Perko, Ph.D., CHES, FAAHE

Associate Professor & Chair

mperko@ches.ua.edu

Department of Health Science

College of Human Environmental Sciences

210 E. Annex

Tuscaloosa, Alabama, 35487

tel: 205-348-2956

fax: 205-348-7568

------------------------------------

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#217

Date: Wed, 6 Feb 2008 11:31:14 -0500

From: "Craig M. Becker, Ph.D." <beckerc@ECU.EDU>

Subject: Re: healthy people cost more study

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Interesting question. I thought Aaron Antonovsky summarized the concept well

in one of his articles, "The Salutogenic Model as a Theory to Guide Health

Promotion." Of course Antonovsky espoused and developed the concept of

salutogenesis, the study of the origins of health, as a complement to

pathogenesis, the study of the origins of disease. In the article I

mentioned (which can be obtained at:

"The concept of health promotion is surely attractive and has given birth to

some bright ideas. There have also been significant controversies. Thus for

example, the cost-saving claim has hardly been well documented. People who

are healthy presumably are people who will live longer and so, in the long

run, might well have more years of economic dependency. My hunch is that one

had best make the arguments for health promotion in value rather than in

market oriented terms. No one contends that museums pay off in cash." (p.12)

To me that captures the concept well.

Reference for article:

Antonovsky A. The salutogenic model as a theory to guide health promotion.

Health Promot Int. 1996;11:11-18.

--

Be Wellr,

Craig M. Becker, Ph.D.

Department of Health Education & Promotion

East Carolina University

Greenville, NC 27858

Telephone: 252-328-5312

beckerc@ecu.edu

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#218

Date: Wed, 6 Feb 2008 11:30:18 -0500

From: "Edwards, Michael F CTR USAF AFSPC 45 ADOS/SGGZ"

<Michael.Edwards@PATRICK.AF.MIL>

Subject: Re: Fwd: healthy people cost more study

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Yes, it certainly is. The main thing we have to do, however, is to

stress SELF-CARE. Without it, you're right, all hell would break loose.

As today. If those who practice self-care would stop, things would fall

apart-hospitals would be overrun, doctors and clinics would be swamped

and people would wait until they were overwhelmed with disease before

going in for treatment. (At least that's my take on things..) We need to

enlighten and educate on how to PREVENT diseases and illnesses.

Michael F. Edwards, MA, CHES, RHEd, CHt

HAWC Health Education Program Manager

Specturm Healthcare Resources

45 ADOS/SGGZ Patrick AFB, FL 32925

Tel. (321) 494-2660 DSN 854-2660

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#219

Date: Wed, 6 Feb 2008 11:53:27 -0500

From: Richard A Fee <professor@LOUISVILLE.EDU>

Subject: Re: Fwd: healthy people cost more study

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Michael

Help me understand your argument... is your argument that natural

resources are more valuable than us, the human resource?

I just need some clarity here.

Thanks and be well...

Regards,

Richard Fee 502-852-0549 FAX 852-4534

“Give us clear vision that we may know where to stand and what to

anything.”

Peter Marshall, U.S. Senate Chaplain

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>>> Michael McNeil <mm3117@COLUMBIA.EDU> 2/6/2008 11:06 AM >>>

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#220

Date: Wed, 6 Feb 2008 10:00:02 -0700

From: Christy Lohof <clohof@UWYO.EDU>

Subject: Re: HEDIR-L Digest - 4 Feb 2008 to 5 Feb 2008 (#2008-33)

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Please remove me.

Christy Lohof

clohof@uwyo.edu

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#222

Date: Wed, 6 Feb 2008 11:30:08 -0600

From: "Amy L. Versnik Nowak" <aversnik@D.UMN.EDU>

Subject: "Story of Stuff"

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In case you haven't seen it...

Here is the description from its main page...

"From its extraction through sale, use and disposal, all the stuff in

our lives affects communities at home and abroad, yet most of this is

hidden from view. The Story of Stuff is a 20-minute, fast-paced, fact-

filled look at the underside of our production and consumption

patterns. The Story of Stuff exposes the connections between a huge

number of environmental and social issues, and calls us together to

create a more sustainable and just world. It'll teach you something,

it'll make you laugh, and it just may change the way you look at all

the stuff in your life forever."

This is a great addition to any health or environmental health

course. It raises questions for us as individuals and societies. It

really spurred discussion among my undergraduate environmental health

students. I hope it will spur discussion on the HEDIR as well.

Amy

Amy L. Versnik Nowak, PhD

Assistant Professor of Health Education

University of Minnesota Duluth

Department of Health, Physical Education & Recreation

108 Sports & Recreation Center

1216 Ordean Court

Duluth, MN 55812-3032

218-726-8334

aversnik@d.umn.edu

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#223

Date: Wed, 6 Feb 2008 10:14:44 -0800

From: Dawn Graff-Haight <dghaight@LINFIELD.EDU>

Subject: Re: healthy people cost more study

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Hasn't it occurred to anyone that those healthy people who are living longer

may cost public health more in the long run, but they are also PAYING THEIR

OWN WAY by working longer, paying their share of insurance costs, as well as

contributing to the economy during the duration of their lifespan?

Dawn

Dawn Graff-Haight

Professor of Health Education

Chair, Department of Health, Human Performance and Athletics

Senior Woman Administrator of Athletics

Linfield College

900 SE Baker Street

McMinnville, OR 97128

503-883-2641 (office)

503-883-2453 (fax)

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#224

Date: Wed, 6 Feb 2008 16:16:25 -0500

From: Priya Banerjee <pbanerje@BROCKPORT.EDU>

Subject: International research

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Good afternoon!

Does anyone have any experience getting Institutional Review Board

(Human Subjects Board) approval for non-clinical research in India,

China and Nepal?

I have been looking for IRBs affiliated with colleges/universities

and haven't been able to find any.

Any and all help is appreciated.

Thank you all in advance.

**********************************************************

Dr. Banerjee

Associate Professor

Dept. of Health Science

17/A Hartwell Hall

SUNY Brockport

Brockport, NY 14420

585-395-2643 xt. 5442

585-395-5246 (fax)

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