56 million people in rural America looking for better transportation solutions
July 17, 2009By Lilly Shoup
A top priority in the transportation debate is addressing the mobility needs of the 56 million residents of rural areas and small towns in America – about 20 percent of the population of the United States. Rural areas and small towns often fall through the cracks of federal transportation policy, which focuses on statewide priorities for building new highways and often overlooks local needs and preferences.
Access to jobs, schools, shopping, and critical community services is just as vital for Americans living in small cities, towns and rural communities. Transportation for America has been working closely with our coalition partners on this important issue for some time. Now, it looks like Secretary of Transportation Ray LaHood is also getting on board.
Listening to folks at the La Crosse Interstate Fair in Wisconsin this week, he heard many of the same things that we already know:
- It’s getting harder financially to depend on a truck or car for all of a family’s transportation needs.
- Rural residents need public transportation just like city-dwellers do.
- Access to commercial air service is increasingly difficult for rural areas.
- Shippers of grain and other products need better freight options to get rurally produced goods to markets.
Clearly, the transportation system in rural areas and small towns faces challenges and demands that are unique from those in our metropolitan areas. Small cities and towns have higher concentrations of older Americans and families in poverty who would absolutely benefit from more affordable transportation options, beyond just driving. In addition, children in rural areas are 25 percent more likely to be overweight or obese than those in urban areas and face unique barriers to being active and maintaining a healthy weight. Non-metro areas have a larger share of people over age 65 (15 percent) than the country as a whole (12 percent) particularly across the middle of the country. (According to 2004 numbers.)
These challenges are amplified by global changes in the economic marketplace, insufficient funding to maintain substandard or unpaved roads, improve public transportation services, and upgrade or replace substandard and deteriorating bridges.
Our nation’s transportation infrastructure should provide access for all Americans, regardless of their geographic location, age, income, or disability status. While there are no easy answers here, Secretary LaHood’s comments are a good starting point for reframing the debate towards policy options that benefit all Americans, regardless of geography.
Does transportation have an impact on growing health care costs?
July 16, 2009By Stephen Lee Davis
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| Albuquerque8 Originally uploaded by Transportation for America |
| Streets safe for walking and biking — especially streets that encourage incidental exercise by encouraging walking or biking — can help residents be more healthy, lowering the health care costs associated with obesity and inactivity. |
With Congress directing their attention to the contentious debate over health care reform and how to pay for it, it seems that transportation has been relegated to the back burner. In the meantime, evidence is continuing to mount that transportation investments — what we build and where — have an enormous impact on our health and the financial bottom line of providing health care.
Last week the California Center for Public Health Advocacy (CCPHA) released The Economic Costs of Overweight, Obesity and Physical Inactivity Among California Adults. In a state making national headlines for its current budget crisis, the study found that (in 2006) “overweight, obesity and physical inactivity cost the state $41.2 billion – $21.0 billion for overweight and obesity, and $20.2 billion for physical inactivity.”
An even more shocking recent study found that the already-dangerous effects of air pollution are magnified for pregnant women living near busy roads.
According to this study from a team of researchers from the University of California, Irvine, exposure to traffic-generated air pollution during pregnancy increases the risk of preeclampsia and premature birth. The study examined over 80,000 birth records and found that the risk of the life-threatening condition preeclampsia increased 33% and the risk of premature birth rose 128% in women living closest to congested corridors.
Many other negative health effects from vehicle emissions, congestion and air pollution have already been documented — with low-income and minority populations typically experiencing the most harmful side effects due to where interstates and highways get built.
The CCPHA report on obesity included some concrete policy recommendations for improving public health, a few of which are connected to our transportation spending decisions.
- Locate residential, commercial and office buildings close together so more residents can walk and bike to meet their daily needs
- Build neighborhoods with safe and attractive parks and other places for recreational exercise
- Create transportation corridors that support pedestrians and bicyclists
Including some realistic goals for improving public health in the transportation bill — one of T4 America’s six national transportation objectives for the bill — would be a great place to start. If we’re ever going to truly move away from a prescriptive health care model to a preventative model — saving us billions in health care costs — we’re going to have to address more than just the skyrocketing costs of treating illnesses and diseases — we’re going to have to look upstream and address some of the contributing factors.
Doing so could keep us healthier and save us billions.
With research from Becca Homa
Do cars make us fat?
October 7, 2008By Andrew Bielak
It’s not too difficult to spot the connection between Americans’ worsening obesity problem and an overreliance on automobiles. (No Impact Man — Colin Beavan)





