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Tag: health

It’s time to make the link between health and transportation

Most of the news coverage about what is happening in Washington compartmentalizes health and transportation, missing key connections between the two.

This week, Americans from around the country will speak to their representatives, seeking to emphasize those links. The “health fly-in” will commence Thursday and is sponsored by Transportation for America, the American Public Health Association, the Complete Streets campaign and PolicyLink, a research institute specializing in social equity.

The U.S. transportation system – our roads, bridges and highways, as well as bicycle and pedestrian paths – propels our social and economic lives. Unfortunately, the system we have takes a significant toll on our health and safety.

By building neighborhoods, towns and cities that require a car trip for nearly every move we make, we have literally engineered physical activity out of our daily lives. In many sprawling communities, driving is the only option for getting to school, work and recreation, and new road projects tend to favor speeding cars over the people who cross the street.

Poor air quality resulting from pollution contributes between $40 billion and $60 billion to U.S. health care costs annually. Each hour spent in the car increases the risk of obesity. And further, the lack of emphasis on transit, walking and biking lowers mobility for disadvantaged Americans and makes our streets less safe for people both behind the wheel and on foot.

Transportation policy can no longer be viewed in isolation. That is why groups like the American Public Health Association are educating people about the links between the built environment and our personal well-being and organizations from different policy arenas that never saw the need to work with each other before are joining hands.

This week has been all about making the health and transportation link more concrete, and there is more to come.

Republican Senator says more transit = better health

John EnsignLast week, an offhand comment by Republican Senator John Ensign about the link between health and transportation policy didn’t make the headlines, but it did make an interesting connection.

Ensign was wrong in asserting that the United States has the highest life expectancy among developed countries when gun and automobile accidents are ignored. But he was on target when he mentioned America’s auto-dependent ways and how that negatively impacts our health.

Compared to Europe, “we’re just a much more mobile society,” he said. “We drive our cars a lot more, they do public transportation. So you have to compare health care system with health care system.”

While misunderstanding mobility as just traveling a high number of miles, Ensign correctly implies that driving more and walking less contributes to poor health and makes us more prone to death (in a car) than our European neighbors, which the data suggests to be true. The most obese cities in the United States — Miami, Oklahoma City and Ensign’s own constituents in Las Vegas — are known for their auto-oriented sprawl.

A recent study in the Journal of Physical Activity and Health confirms a correlation between the more active walking habits of Europeans and lower obesity rates, backing up American research from earlier this decade by Smart Growth America and others showing that residents of sprawling places are more likely to be obese.

If we want to boost mobility while bringing health costs down, we need our transportation policy to create more travel options for everyone and make it safer and easier to walk and bike.

Mobility isn’t an end of itself, nor is it just about going long distances on a regular basis. Mobility is about access to destinations and opportunity. We’re spending hours in the car not because ordinary Americans think that having high “mobility” is important — we’re doing it out of necessity just to get around our increasingly spread out cities.

No one would argue that our transportation priorities are the driving force — no pun intended — behind lower health outcomes. But there is enough evidence to suggest they should be a serious part of the discussion.

56 million people in rural America looking for better transportation solutions

Ray LaHood on a trainA 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.