Health

Republicans Push Back Against Proposed Dietary Guidelines

Published

9 years ago

June 26, 2015

In this Jan. 18, 2010 file photo, steaks and other beef products are displayed for sale at a grocery store in McLean, Va. Congressional Republicans are pushing back on proposed dietary guidelines that urge Americans to consider the environment when deciding what foods to eat. (AP Photo/J. Scott Applewhite, file)

MARY CLARE JALONICK, Associated Press
LAURAN NEERGAARD, Associated Press

WASHINGTON (AP) — Congressional Republicans are pushing back against proposed dietary guidelines that urge Americans to consider the environment when deciding what foods to eat.

House and Senate spending bills say the guidelines must focus only on nutrition and diet. That’s a clear effort to thwart a recommendation by the Dietary Guidelines Advisory Committee that eating a diet higher in vegetables and other plant-based foods is better for the environment than eating a diet based more on foods from animals.

The advice from a government advisory panel of independent doctors and nutrition experts has raised the ire of the meat industry.

The dietary guidelines come out every five years, and the government advice informs everything from school lunches and food package labels to advice from your doctor. The departments of Agriculture and Health and Human Services are expected to issue a final version by year’s end based on the advisory committee’s February recommendations.

While the guidelines always have been subject to intense lobbying by food industries, this year’s version has set off unprecedented political debate, fueled by Republicans’ claims the Obama administration has gone too far in telling people what to eat.

The advisory panel also suggested a tax on sugary drinks and snacks as one way people could be coaxed into eating better. That idea angered beverage companies and conservatives in Congress.

Two spending bills in the House would set a new threshold for the science that can be used in setting the guidelines, saying the government only can make recommendations based on the strongest science. One of the bills was approved by a spending subcommittee last week, while the other was approved by the House Appropriations Committee Wednesday. Rep. Rosa DeLauro, D-Conn., offered an amendment to strike the dietary guidelines language from the bill but it was rejected.

The guidelines panel had used three grades to determine the strength of the science supporting its recommendations: Grade 1 is strong, Grade 2 is moderate and Grade 3 is limited.

The advisory committee sent a letter to lawmakers Tuesday strongly opposing the legislation.

“I don’t think public policy should be driven by the economic interests or the lobbyists,” panel chairman Barbara Millen said in an interview. “It needs to be driven by science, and good science.”

Millen said “strong” recommendations are unlikely to change over the years and are much harder to come by with limited research dollars.

The recommendation that a more plant-based diet is better for the environment is based on science rated “moderate” in the report. The moderate threshold means there’s a strong body of scientific evidence to support the recommendation, but it’s not as conclusive.

“Research evolves and we expect it to change,” Millen said. “That doesn’t negate the importance of a large body of consistent data that may have limitations of a certain kind.”

Rep. Robert Aderholt, the author of one of the House bills, said the goal “should not be to ‘dumb down’ the standards but instead increase the science certainty of each guideline.” Aderholt, R-Ala., also has pushed back against healthier school lunch rules, and his bill tries to delay federal menu labeling requirements.

Republican Rep. Tom Cole of Oklahoma, the author of the other House spending bill, said the advisory committee had “enormously expanded” the scope of the guidelines.

The bill has frustrated groups such as the American Cancer Society, which says the legislation could strip the dietary guidelines of a recommendation that reducing consumption of red meat and processed meats can lower the risk of colon cancer. The cancer society’s own guidelines have long urged people to take the same step.

“We wouldn’t make that recommendation in our own guidelines if we didn’t feel that the evidence was convincing,” said Gregg Haifley of the American Cancer Society Cancer Action Network.

Based on the Grade 1 parameters, the guidelines also may be prevented from making recommendations on physical activity, including advising increased exercise based on its benefits for heart health and other disease prevention. It could also prevent the panel’s recommendations on package labeling and health and wellness in the workplace.

A Senate bill overseeing spending for the Health and Human Services Department is vaguer, saying the guidelines must be “based only on a preponderance of nutritional and scientific evidence and not extraneous information.”

The advisory committee should have made “recommendations based on sound nutritional science and not issues they don’t have the authority or expertise to consider,” said Missouri Sen. Roy Blunt, the panel’s Republican chairman, after it approved the legislation Tuesday.

___

Follow Mary Clare Jalonick on Twitter http://twitter.com/mcjalonick

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Activism

NAACP California-Hawaii State Convention Highlights Black Voter Engagement, and More

A Friday panel featuring NAACP Chairman Leon W. Russell and Regina Wilson, Executive Director of California Black Media, examined Project 2025, an initiative perceived as a potential threat to civil rights, healthcare access, and environmental protection. This session emphasized Project 2025’s projected impact on Black communities, noting that policies within the initiative could diminish gains in civil and environmental rights over decades. Russell and Wilson highlighted the need for vigilant monitoring and community mobilization to address these challenges.

Published

1 day ago

November 4, 2024

Oakland Post

NAACP State Conference President Rick Callender (right) engages in a discussion on voter engagement and community advocacy with NAACP President and CEO Derrick Johnson during the 37th NAACP California-Hawaii State Convention in Los Angeles. Photo by Rich Woods.

By Bo Tefu, California Black Media

The 37th NAACP California-Hawaii State Convention concluded on Sunday, Oct 27, following four days of discussions and workshops at the Los Angeles Airport Marriott. Bringing together civil rights leaders, policymakers, and advocates from California and Hawaii, the convention operated under the theme “All In.” The participants discussed critical issues impacting Black communities, including criminal justice reform, health equity, economic empowerment, education, environmental justice, and voting rights.

On Saturday, the President’s Fireside Chat brought together NAACP President Derrick Johnson and CA/HI State Conference President Rick Callender, who discussed the urgency of voter engagement and community advocacy.

Guest speakers included Congresswoman Maxine Waters (D-CA-43), who spoke at the Women in NAACP (WIN) Labor Luncheon about the intersection of labor rights and civil rights. California State Superintendent Tony Thurmond delivered remarks at the Leadership Dinner on education equity, focusing on policies to ensure all students have access to high-quality education.

Honors were given to longtime social justice advocate and former Assemblymember Mike Davis for his work in community activism. At the same time, actor and activist Danny Glover and the Rev. Dr. Amos C. Brown received the 2024 Legacy Hall of Fame Awards, recognizing their lifelong commitments to advancing civil rights.

The convention also offered practical workshops, including “What’s On Your Ballot?,” where coalition leaders provided analyses of California propositions, explaining their potential impacts on community rights and resources. The Voter Turnout Workshop provided background and encouraged participants to promote voter turnout through community-centered outreach strategies.

Sunday’s events closed with a Prayer and Memorial Breakfast honoring the contributions of past and current civil rights leaders.

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Activism

Atty Gen Bonta: U.S. Law Mandating Emergency Care to All Patients Faces Threats

The attorney general highlighted that EMTALA is vital for ensuring that no individual is turned away from emergency services based on financial status or insurance coverage. Bonta stated that the law has been a cornerstone of emergency healthcare for decades, providing peace of mind to millions of Americans who might otherwise hesitate to seek urgent medical attention due to cost concerns.

Published

2 days ago

November 3, 2024

Oakland Post

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By Bo Tefu, California Black Media

California Attorney General Rob Bonta emphasized the critical need to protect the Emergency Medical Treatment and Labor Act (EMTALA), mandating that hospitals provide emergency care to all patients regardless of their ability to pay.

In a recent statement, Bonta highlighted the potential threats to this essential legislation amid ongoing discussions about healthcare accessibility in the U.S.

“EMTALA ensures that no one is denied access to emergency medical care, including abortion care, and this federal law is more imperative than ever following the overturn of Roe v. Wade,” said Bonta.

This decision to support the federal government’s case comes at a time when many healthcare providers are facing pressure from rising costs and legislative changes that could undermine existing protections. Bonta called on lawmakers to reinforce EMTALA’s provisions and to combat any efforts aimed at weakening the act, asserting that equitable access to emergency care is a fundamental right.

He urged state and federal governments to ensure that all Americans, particularly marginalized communities, have the necessary access to emergency services without fear of financial repercussions. The brief indicates the coalition’s commitment to healthcare equity, emphasizing that maintaining strong protections under EMTALA is crucial for safeguarding public health.

As discussions around healthcare policy continue, Bonta remains steadfast in promoting initiatives that protect emergency care access, asserting that everyone deserves timely and appropriate medical treatment in emergencies. His efforts align with ongoing legal and advocacy battles to preserve the rights established by EMTALA in the face of evolving healthcare challenges.

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Alameda County

Access Better Health with Medically Tailored Meals – Transforming Health Through Nutrition for Medi-Cal Patients

Launched in 2018, the Medically Tailored Meals pilot program was designed to help Medi-Cal patients with congestive heart failure by reducing hospital readmissions and emergency department visits by providing tailored meals meeting specific dietary needs. The program’s success in improving health outcomes and reducing costly emergency room visits encouraged the Department of Health Care Services (DHCS) to expand the Medically Tailored Meals program to all 58 counties through Medi-Cal transformation and a new set of services called Community Supports.

Published

7 days ago

October 29, 2024

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The program’s success in improving health outcomes and reducing costly emergency room visits encouraged the Department of Health Care Services (DHCS) to expand the Medically Tailored Meals program to all 58 counties through Medi-Cal transformation and a new set of services called Community Supports.

Medically Tailored Meals are one of 14 new services offered through Medi-Cal that provide members with access to new and improved services to get well-rounded care that goes beyond the doctor’s office or hospital.

Medically Tailored Meals: Overview

Malnutrition and poor nutrition can lead to severe health outcomes, especially among Medi-Cal patients with chronic health conditions. Medically Tailored Meals aim to improve health outcomes, reduce hospital readmissions, and enhance patient satisfaction by providing essential nutrition.

Key Features:

Post-Discharge Delivery: Meals are delivered to patients’ homes immediately following discharge from a hospital or nursing home.
Customized Nutrition: Meals are tailored to meet the dietary needs of those with chronic diseases, designed by registered dietitians (RD) or certified nutrition professionals based on evidence-based guidelines.
Comprehensive Services: Includes medically tailored groceries, healthy food vouchers, and food pharmacies.
Educational Support: Behavioral, cooking, and nutrition education is included when paired with direct food assistance.

Key Benefits:

Address Food Insecurity: Mitigates poor health outcomes linked to food insecurity.

Support Complex Care Needs: Tailored to individuals with chronic conditions.

Improve Health Outcomes: Studies show improvements in diabetes control, fall prevention, and medication adherence.

Patient Testimonial:

“My diabetes has gotten better with the meals. I’ve kept my weight down, and I feel much better now than I have in a long time. I’m one of the people this program is meant for.” — Brett

Eligibility:

Eligible Populations: Eligible Medi-Cal members include those with chronic conditions like diabetes, cardiovascular disorders, congestive heart failure, stroke, chronic lung disorders, HIV, cancer, gestational diabetes, and chronic mental or behavioral health disorders. Also, those being discharged from a hospital or skilled nursing facility or at high risk of hospitalization or nursing facility placement are also eligible.

Service Limitations: Up to two meals per day for up to 12 weeks, extendable if medically necessary. Meals eligible for reimbursement by alternate programs are not covered.

Cost Savings and Improved Health Outcomes:

Health Outcomes: Research indicates a 22% to 58% decrease in emergency department visits and a 27% to 63% decrease in inpatient admissions among Medically Tailored Meals recipients, translating to significant health care cost savings.

Project Open Hand: A Success Story

Project Open Hand has been a leader in providing Medically Tailored Meals, significantly impacting the lives of Bay Area Medi-Cal patients with chronic illnesses. Since its inception, Project Open Hand has delivered nutritious meals to individuals with diabetes, HIV, and other serious health conditions, demonstrating remarkable health improvements and cost savings.

Key Achievements:

Improved Health Outcomes: Project Open Hand’s research found a 50% increase in medication adherence among recipients of Medically Tailored Meals.

Reduced Hospitalizations: Their program showed a 63% reduction in hospitalizations for patients with diabetes and HIV.

Enhanced Quality of Life: Patients reported better health and increased energy levels.

Project Open Hand ensures that each meal is prepared using fresh, wholesome ingredients tailored to meet the specific dietary needs of its clients. By partnering with Medi-Cal managed care plans, Project Open Hand continues to provide life-saving nutrition to those who need it most.

Join Us in Our Mission

You can experience the profound impact of Medically Tailored Meals by joining the Medi-Cal Community Supports services initiative. Your involvement can make a difference in promoting your health through nutrition.

Learn More

For more information about Medically Tailored Meals and how to get involved, call the state’s Medi-Cal Health Care options at 800-430-4263 or contact your local managed care plan.

In Alameda County, Medi-Cal recipients can contact:

* Alameda Alliance for Health: 510-747-4567

* Kaiser Permanente: 855-839-7613

In Contra Costa County, Medi-Cal recipients can contact:
* Contra Costa Health Plan: 877-661-6230

* Kaiser Permanente: 855-839-7613

In Marin County, Medi-Cal recipients can contact:
* Partnership Health Plan of California: 800-863-4155

* Kaiser Permanente: 855-839-7613

In Solano County, Medi-Cal recipients can contact:
* Partnership Health Plan of California: 800-863-4155

* Kaiser Permanente: 855-839-7613
Your health and well-being are your health care provider’s top priority. Medically Tailored Meals are designed to enhance quality of life by advancing health care through the power of nutrition. Experience the benefits today, and take the first step toward a healthier you.