From the Editor
Editor's Notes: November/December 2013
Michael P. O'Donnell, PhD, MBA, MPH
Further Erosion of Our Moral Compass: Failure to Expand Medicaid to Low-Income People in All States
Expanding Medicaid eligibility to all of the 13 million U.S. citizens who do not have medical insurance and earn up to 138% of poverty is projected to reduce their annual death rate 30% and prevent 44,789 premature deaths a year. However 21 states representing 6.3 million newly eligible people have conﬁrmed that they will NOT expand Medicaid eligibility and 5 more, representing 1.8 million more, have not yet made a decision, despite the fact that the federal government will pay 100% of the cost the ﬁrst 3 years, and 90% on an ongoing basis. Is the failure to expand because of party politics? Is it sound economic analysis? Is it beliefs about the role of government? The answers are, of course, maybe not, and probably...but it is not as simple as I ﬁrst thought. <<full article>>
What Works Best in Health Promotion?
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Definition of Health Promotion
Health Promotion is the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them in changing their lifestyle to move toward a state of optimal health. Optimal health is a dynamic balance of physical, emotional, social, spiritual, and intellectual health. Lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills and, most important, through the creation of opportunities that open access to environments that make positive health practices the easiest choice.