The Challenge of Treating Obesity and Overweight Proceedings of a Workshop (2017) / Chapter Skim
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9 Policy Considerations
9 Policy Considerations
Pages 65-72
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From page 65... ...
The workshop took place during a time of heightened debate around health policy with respect to the Patient Protection and Affordable Care Act (ACA) and other health-related legislation, noted Lisel Loy, vice president of programs for the Bipartisan Policy Center and moderator of the panel on policy considerations.
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From page 66... ...
Gallivan explained that beyond the debate over the ACA, more legislators are coming to understand the impact that patients with multiple chronic conditions are having on the federal budget, state budgets, and the social safety net, and the importance of access to high-quality care for improving patient outcomes. "There is a bipartisan recognition of that having to be an area of focus, and a large driver of that is patients combating obesity," he said.
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From page 67... ...
In addition, he noted, Section 2713 of the ACA required that private plans cover U.S. Preventive Services Task Force recommendations with grades of A or B, including obesity screening and counseling for children and adults, without cost sharing.
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From page 68... ...
He suggested that one way to incentivize such initiatives, which could reinforce reforms in medical care and policy systems and environmental change, would be to offer communities matching grants and prioritize disadvantaged communities so that existing disparities do not increase. Parekh reported that the Bipartisan Policy Center has promoted the idea of a secretarial task force on obesity that would focus on prevention as well as treatment.
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From page 69... ...
"It should benefit us all if we pass that legislation." Nadglowski, too, stressed that obesity is a bipartisan issue. "In my 12 years of doing this," he said, "I have had equal success working with Democrats and Republicans at both the state and the federal level." For that reason, he added, talking with elected officials about obesity is relatively easy, because "you are wearing a white cape when you go in there -- you are the superhero." Nadglowski cited as a major challenge is that obesity prevention and treatment does not have a large number of champions among policy makers.
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From page 70... ...
Loy noted that new initiatives often achieve more change when they intersect with ongoing work, such as the Senate's Chronic Care Working Group: "We have looked hard at existing opportunities where members are already engaged on issues that they care about that may or may not carry the label obesity, but that would enable them to engage on these issues." Parekh observed that the creation of a secretarial task force "only gets
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From page 71... ...
"We need more people engaged. We need more champions." In comparison with a secretarial task force, she added, congressional commissions can have a greater impact, especially because "Congress probably needs some advice on how we get at all of these broader issues." That, she suggested, would help integrate consideration of obesity "into every single piece of our policy-making apparatus and policy execution and implementation."
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