THESE VITAL SPEECHES

“Patient Ruth.” She appeared at the
admitting station late on a cold winter
night, homeless and helpless. Her
feet were swollen. She wore a pair of
flimsy house shoes. Raw leg ulcers made
walking painful. Her medical chart was
thick. She’d been to the hospital many
times before. We did what we always
did-gave her a few hours in a warm bed,
some antibiotics, a decent meal. But the
next morning she had to go because according
to the “rules” our job was done.
So she limped out the door, straight
back into the dark tunnel of problems
she faced every day: No home. No job.
Lousy food, and no family or friends
to turn to for help. Our care ended
at the front door of the hospital, and
that is so short-sighted. What if instead
of ushering her back into the cold,
we could have asked what she needed
to keep from having to come back?
And then, what if we linked her to all
the things outside the clinic that she
needed to get better and stay healthier?
That was my light bulb moment. And
believe me, once that light turns on,
you can’t help but see that health is
influenced by every aspect of how and
where we live.
Do you know that your zip code
may be as important as your genetic
code in predicting how well, and how
long you live? Take a look at this map
of New Orleans. A person living in
Lakewood—over there on the left—
can expect to live 25 years longer than
someone over there, in Iberville, near
the French Quarter. Twenty five years!
And what’s even more eye-opening is
that the stretch between these two communities
is only six miles. That’s just a
few minutes by car. And still, the unemployment
rate in Iberville is three times
higher than Lakeview. The crime rate is
60 percent higher. And the high school
graduation rate is 18 percent lower.
Now, this map was drawn a few
years after Hurricane Katrina devastated
New Orleans. And I’m happy to say
that the folks there, who are working
hard to bring the city back, are striving
to address disparities like this openly
and honestly. Still, I could show you
maps of Chicago, Atlanta, Las Vegas,
Seattle … and lots of other places
where the contrast in life expectancy is
as high as 15, or even 20 years. Think
about your hometown. What would
that map look like?
All across America there are neighborhoods
where parents are afraid to
let their kids got out to play, or walk
to school. And when they do get to
school, the playground is nothing but
a chewed up piece of asphalt, littered
with broken glass and trash. No monkey
bars. No slides. No swings. In too
many neighborhoods to count there
are more liquor stores than grocery
stores. And I am not exaggerating
when I say, it’s easier to buy a gun,
than it is to buy fresh fruit.
The foundation I lead has a vision
for a better way of living. We want
to get everyone in America invested
in building a Culture of Health—for
ourselves and the people we love.
Now, whenever I mention that
phrase, I can see people trying to
work it out in their heads: A Culture
of Health…What does she mean by
that? Well, let’s start thinking of the
word “culture.”
Last year, the Merriam-Webster Dictionary
named “culture” its word of the
year because people use it so broadly. It
can mean art and music. It can mean
history and heritage. But basically, it
boils down to this: Culture is how we do
things around here…How we do things
within our families…Within our communities
and workplaces…And how we
do things as a nation.
When we talk about a Culture of
Health, it means recognizing that
health is an essential part of everything
we do. Think of what a difference it
would make if our communities were
places that were intentionally designed
to encourage health, instead of it being
places where it’s so damn hard to make
a healthy choice.
What if everyone—no matter how
much money they have–had the opportunity
to stay safe, to be vital, and
be active? And what if we not only
provided our children with the promise
of upward mobility, but with real
pathways to achieve it?
I believe this is something our nation
can achieve. But we’ve got a long way to
31
go. Because, let’s be honest, right now
our health, and the state of our entire
health care system, aren’t exactly badges
of pride. We spend nearly 3 trillion
dollars on health care—more than any
other developed nation on the planet.
But we lose nearly 226 billion dollars
in productivity every year because of
personal and family health issues.
Heart disease, cancer, and stroke still
account for more than 50 percent of all
deaths in America each year—regardless
of income or ethnicity. And about
one-third of our kids are overweight or
obese, giving them the very real chance
of becoming the first generation to
live sicker, and die younger than their
parents’ generation.
(slide) This is Jose Gomez Marquez
from the famous Little Devices lab at
MIT. Not too long ago, I heard him talk
about innovation. He told a story about
how he showed a picture of a blind
person to a group of students and asked
them: Can this person drive a car? And,
of course, the students began to debate
whether it was possible, or not.
Then, the professor showed the
same picture to a different group of
students and asked: How can this
person drive a car? And—you guessed
it—the students instantly started coming
up with ways to make it work. I’ve
thought about this a lot. And it’s made
me change the way I talk about building
a Culture of Health. I’ve stopped
asking if it’s possible. And I’ve started
talking about how we can do it. How
can you and I do it? How can urban
and rural communities do it? How can
land developers, and architects, and
families do it? How can we all work
together to make getting healthier a
national movement?
Well, one way is to start making the
automatic things we do every day a
little healthier. I’m sure you’ve heard
that sitting is the new smoking—as if
the “old” smoking wasn’t bad enough!
Studies show that sitting 8-10 hours a
day is associated with diabetes, heart
disease, all kinds of bad things. What
you may not know, is that research
has also found that if you walk for just
two minutes after sitting for an hour,
you can combat some of those bad
CICERO 2016