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Capitol
Undercurrents
If wedding bells chime, but
nobody...-Republican Reps Lesil McGuire and Tom Anderson
announced at a GOP function they wed earlier this summer. Best wishes to the both of them.
Their decision is a bit more complicated than it is for most
couples-when two become one, which house district will they
claim?
Impending state/fed clash?-One of
the interesting public policy battles is coming to the fore. Iraq
and Katrina/Rita are focusing attention on who controls our National
Guard forces. The Guard role is bifurcated. They are under control
of the governors and mustered for state disasters and missions but
they also supplement Defense Department forces. Montana's governor
is complaining the "over there" mission is making it difficult to deal with local emergencies like
forest fires. Illinois' governor says the feds exceeded their
authority when they transferred fighter jets from Illinois to
Indiana. Oregon's governor worries the National Guard is becoming a
federal program. Here in Alaska many of us, including guards men and
women, expected the primary role is floods, earthquakes and other
disasters. But call-ups for Iraq are changing that and may
complicate recruitment and in-state response.
Go figure-The conservative American
Enterprise Institute, a think tank, reports that President Bush the
younger and the GOP-led Congress boosted total inflation-adjusted
discretionary spending by more than the architect of the Great
Society and overseer of the Vietnam War escalation-LBJ. The AEI
budget watchdogs note President Bush boosted discretionary spending
by 35.1 percent while LBJ boosted it 33.4 percent. On the home
front, this year's state budget was about 50 percent higher than the
average of the last ten years. That's a state budget that made it
through the GOP governor's office and the GOP-led
legislature.
More on the health front-The
National Conference of State Legislatures reports Kaiser Permanente,
a major health care provider, is experimenting with the
establishment of food markets that sell healthy foods including
whole-grain pastas, organic fruits and veggies, frozen buffalo and grass-fed
beef, and other food products. They began with one market two years
ago and have expanded the markets to 14 other Kaiser facilities. All
the inventory is approved by Kaiser's top physician. They've begun
the program because they estimate annual medical expenses attributed
to obesity were about $75 billion in 2003.

Phone:
(907) 465-4947
Fax: (907) 465-2108
Mail:
Sen. Elton, State Capitol
Juneau, AK 99801
Email:
Senator.Kim.Elton
Jesse.Kiehl
Paula.Cadiente
Web:
http://elton.akdemocrats.org
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Waistlines, healthcare costs
are both expanding dramatically
"Say yo' business!" Linda Tillery of The Cultural Heritage
Choir had the Saturday-night crowd in the JDHS auditorium shouting
the colloquialism back at her before the music even
began.
Her business that night was heart-soarin', foot-stompin'
music. My business today is less elevating. I say my business today
is to promote a sober statewide discussion on childhood obesity.
I'll begin with a few facts:
· The Centers for Disease Control say
obesity-related ailments kill 1,000 Americans a day;
· The science of the neurobiology of
preference proves we all have an inborn preference for sweet and
fatty foods;
· Overweight kids have a 70 percent
chance of being overweight adults;
· 16 percent of America's kids and
adolescents are overweight;
· The youngest generation today may be
the first generation to have shorter life spans than their
parents;
· The incidence of overweight kids has
spiked 45 percent in the last decade:
· One third of America's kids drink
three or more sodas per day;
· About 85 percent of the snacks in
school vending machines are of poor nutritional quality;
and
· Food and beverage companies spend
between $10 to $12 billion per year to persuade kids and adolescents
to buy their products.
The most startling
statistic is the first: 365,000 deaths a year blamed on
obesity-related diseases-diabetes, heart disease, kidney failure and
others. A healthy lifestyle doesn't eliminate risk but can
dramatically reduce risk. And the risk-reduction role for government is limited. Government can't do much about
the pressures on families to cut food costs and minimize food
preparation times, both of which lead to higher consumption of less
healthy convenience foods, and government can't legislate away the
couch potato syndrome.
But even if there is a
limited role for the government in obesity risk reduction, there is
no need for government to participate in risk elevation. And the
most dramatic example of governments promoting risky behavior is the
chips, candy bars and sodas in school vending machines.
I hate to sound like my
parents, but when I was a kid you couldn't buy candy or pop in
schools. Now school boards and administrators make decisions to
allow fatty, sugary foods to be sold on school campuses. It's not
even intuitive anymore to suggest that's one of the reasons four
times as many kids are fat now than when I graduated from high
school.
When school boards allow, and in some cases even promote, the
sale of unhealthy food and drink in our schools, then that important
element of local government is making a bad decision. They are
promoting an epidemic that too often leads to an early death and if
not an early death, that often leads to depression, anger, anxiety,
and other mental health problems that interfere with socialization
and learning. This bad decision by school boards and government
officials like school administrators is often driven by a good
goal-receipts from the sale of candy bars and sodas typically are
used to support student activities ranging from debate
teams to music programs to sports teams for a small percentage of
students. One inelegant way to put it is to say the students who
participate in these vending machine-supported activities are living
off the fat of the land.
At the end of last
session I introduced SB199. The bill shows some restraint. It
doesn't ban a bad vending machine decision by local government
school officials but it does encourage good decisions. Simply put,
the bill gives an incentive to fill school vending machines with
nutritional food and drink. Take out the junk and sell healthy
alternatives during school hours and you get an extra four bucks per
student to help student activities. Nothing in the bill bans the
Frito/cheese pies and sodas sold after school hours at school events
(again, that took some restraint-I didn't want the bill to be too
nannyish at the outset).
I introduced the bill
at the end of the session and over the summer have shared it with
school officials in every district across the state and with public
and private health professionals. The responses from them will
lead to some minor tweaks.
So far, the major
concern from school officials is that the $4 offset designed to
encourage healthy government decisions will not be enough to
supplant lost vending machine revenues. Research from other
jurisdictions where good food replaced junk food, though, shows that
school vending machine revenues barely fall off, if they fall off at
all, when healthy food replaces junk. The $4 should give them more
for student activities-a bigger pie to divide.
There also have been a
few who say the state ought not tell districts what to do. I'd
remind them this bill isn't a state mandate-they can continue to
make local government decisions that encourage risky health
behavior. If they do, there will be no penalty. But neither will
there be a reward.
Do I expect this is the only answer to the obesity epidemic?
No, of course not. But it is one, important, step. It fits in with
steps others are taking-Sen. Ted Stevens is promoting physical
activities in schools, our borough assembly has adopted health
incentive programs for borough workers.
These steps, when added
up, not only chip away at negative health consequences that sap
families, they make us better stewards of public dollars. They cut
insurance costs, they cut lost days of worker production, they
lessen the out-year costs of health care provision.
These government steps,
punnily summed up, are healthy steps.
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