“We will see a return on this investment if you use this money strategically for proven, evidence-based programs,’’ Levi said in an interview, citing efforts to stop smoking and to promote physical activity. “We will prevent or reverse chronic diseases such as heart disease. . . . It will pay for itself.’’
While many may think the healthcare bill strictly aims to increase coverage, Levi said that is a mistaken impression. “This isn’t just about health insurance,’’ he said. “This bill is about creating a healthier country.’’
The group says that a modest community project can lead directly to improvements in public health. In a recent report, the group cited two examples from Massachusetts that it said were effective: Shape Up Somerville, which helped elementary school children lose weight by promoting physical activity, and the Physical Activity Club in Attleboro, which also helped children lose weight.
The idea of using the healthcare bill as a vehicle for preventing diseases has bipartisan appeal. President Obama has called for “the largest investment ever in preventive care, because that’s one of the best ways to keep our people healthy and our costs under control.’’ Enzi, too, has said that “reducing healthcare costs has to begin with promoting healthier behaviors.’’
But there is disagreement about the best way to do that. Senator Tom Harkin, an Iowa Democrat who is working closely with Kennedy on the healthcare bill, has criticized the current healthcare system for focusing on “sick care’’ and has called for more investment in a variety of measures that would help prevent diseases, including the community grants, restricting junk food in schools, and encouraging children to be more active.
“We spend 75 cents of every healthcare dollar treating people with chronic diseases like diabetes, heart disease, and asthma, and only 4 cents on prevention,’’ Harkin said in a statement. “But the majority of these diseases can be prevented through lifestyle and environmental changes.’’
However, it can be difficult to quantify the benefits of a park or pathway, leading some critics to say such funding is an example how the healthcare legislation has spiraled out of control.
Enzi has said that instead of paying for pathways, it would be more effective to encourage lower insurance premiums for individuals who can prove they have taken steps to improve their health. He said that construction grants belong in other bills.
Enzi, the top Republican on the Senate health committee, has unsuccessfully pushed an amendment that would specifically prohibit the use of funds for sidewalks, streetlights, and other infrastructure projects.
Kennedy spokesman Coley said such proposed amendments are counterproductive, stressing that the projects would be modest and are not intended to replace larger ones that can be funded in other bills. Nonetheless, he said, the projects “may be a very cost-effective and long-lasting intervention.’’
Michael Kranish can be reached by email at
kranish@globe.com
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This is what is broken in our Government. We watched the GOP do this then dems campaigned against it won and now are doing the same thing. How can they be this stupid?