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Rural Americans At Higher Risk From Five Leading Causes of Death: CDC (cbsnews.com)
An anonymous reader quotes a report from CBS News: Americans living in rural areas are more likely to die from five leading causes of death than people living in urban areas, according to a new government report. Many of these deaths are preventable, officials say, with causes including heart disease, cancer, unintentional injuries, stroke, and chronic lower respiratory disease. Approximately 46 million Americans -- about 15 percent of the U.S. population -- currently live in rural areas. According to the CDC report, several demographic, environmental, economic, and social factors might put rural residents at higher risk of death from these conditions. Rural residents in the U.S., for example, tend to be older and sicker than their urban counterparts, and have higher rates of cigarette smoking, high blood pressure, and obesity. People living in rural areas also report less leisure-time physical activity and lower seatbelt use than their those living in urban areas and have higher rates of poverty, less access to health care, and are less likely to have health insurance. Specifically, the report found that in 2014, deaths among rural Americans included: 25,000 from heart disease; 19,000 from cancer; 12,000 from unintentional injuries; 11,000 from chronic lower respiratory disease; 4,000 from stroke. The percentages of deaths that were potentially preventable were higher in rural areas than in urban areas, the authors report. For the study, the researchers analyzed numbers from a national database. The CDC suggests to help close the gap, health care providers in rural areas can: Screen patients for high blood pressure; Increase cancer prevention and early detection; Encourage physical activity and healthy eating; Promote smoking cessation; Promote motor vehicle safety; Engage in safer prescribing of opioids for pain.
Escape rural American lifestyle as soon as you can.
Yeah, no. They voted to gut the nation's healthcare, imperfect as it was. They can ALL die this way. Mod me Flamebait, but you know fucking well I'm right.
Captcha: massacre
So, no more videos of hicks doing incredibly stupid stuff involving cars'n'stuff if you "Promote motor vehicle safety". Why do you hate them so much that you want to take away their god-given right to Darwin themselves?
"Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
I came here to complain about how this would generate divisive and callous political snarking, and guess what the first two comments that beat me to the punch are?
You people are thoroughly disgusting. You're the reason people outside The Six Cities That Matter don't trust liberals, and the reason true leftists like Bernie can't ever make any headway. If you keep this shit up, you're going to bring this country to the point of civil war. Good idea, I say: this side has all the guns, so we can push all you fuckers into the ocean.
1."The numbers of potentially excess deaths for each cause were assumed to follow a Poisson distribution..." 2."...rates are index measures that do not represent actual deaths but are appropriate for comparisons..." 3. "...nonmetropolitan areas might have characteristics that make deaths harder to prevent, such as long travel distances...".
Good! They don't want health care? Let's not give them health care and let them die out. It'd be cheaper for all of us who actually pay taxes to support them.
I don't respond to AC's.
What's that? There are compelling reasons to have government support of rural healthcare to improve access for those who cannot otherwise have access to preventative and interventional medical care? Leave it to the states and local governments to find a way to make a hospital or clinic profitable that serves a population of hundreds or a few thousand?
Nah...just have people drive hundreds of miles, I'm sure that will work out.
God-fearing country folk have down so well at shunning them heathen city types with their satanic "medical science" that Jaysus is rewarding their faith by bringing them to Heaven faster.
Rural is the greek word for "Not close to an ambulance"
See that "Preview" button?
Most rural people smoke and are overweight.
No. Smoking and obesity are higher in rural areas. But the majority are not smokers nor obese.
"open areas" to exercise in
If you live in the city, there are plenty of places to walk to, and even if you have a car, finding parking is a hassle. The bigger the city, the fewer fat people you see. In NYC, even the chefs are skinny. But if you live on a soybean farm in Iowa, anyplace you want to go is too far to walk. So you drive.
"12,000 from unintentional injuries;"
Otherwise known as "Hey y'all, watch this" syndrome
The life expectancy you can find in the cities just obscures the fact that the rest of the country is suffering as bad as the rest of the world.
The cause is fracking.
falling into a combine harvester.
getting caught in a tractor PTO.
falling into a hay baler.
carrying aluminum irrigation pipe under a power line.
falling into a grain silo.
Not considered in study: Any activity preceded by "Hey! Watch this!"
Have gnu, will travel.
I grew up on a farm. when the weather was decent you could walk a lot outdoors. But if it was raining it could take a while until the ground was firm enough to walk on. That could go on for weeks sometimes even during the summer. During winter and spring the ground could be wet every where all the time. The instance the ground drys out in the spring is usually time to plant.
I wonder how much things like "35+ miles to nearest doctor or pharmacy approved by government approved healthcare" factors in? Especially for those with any type of transportation challenges.
leather-dog muksihs
Blog: @muksihs
You ought to die of something. If odds are lower to die from heart disease, cancer and accident in urban areas, then what are the risks in the city?
Get the sample sufficiently small and then you damned lies statistics
The CDC suggests to help close the gap, health care providers in rural areas can: Screen patients for high blood pressure; Increase cancer prevention and early detection; Encourage physical activity and healthy eating; Promote smoking cessation; Promote motor vehicle safety; Engage in safer prescribing of opioids for pain.
I assume this is a joke. It can't be anything else.
Even if they can afford to go to a health care provider. Even if they did regularly visit a provider for health screening. I would pretty much expect their doc isn't telling them to chain smoke and binge on Twinkies and beer. So even satisfying the really big IFs, these folk are still quite unlikely to listen to their doctor telling them their lifestyle isn't advantageous any more than they will listen to us p**sy liberal socialists from the urban centers of the country telling them their lifestyle/worldview isn't particularly advantageous.
Two of my imaginary friends reproduced once
I saw some Trump voters being interviewed on TV yesterday, and they were quite certain that Trump was not just going to repeal Obamacare, he was going to replace it with something cheaper and better. I'll be curious to see how he manages that.
Maybe I'm just being bitter, but after 30 years of them putting people in charge who oppose extending healthcare to all well, they made their bed (and mine). Go sleep in it.
Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
More importantly the 5,000 deductible on each family member. Does Obamacare really help broke-ass people get medical care?
love is just extroverted narcissism
You mean when someone has a problem with something like a heart attack or a major injury, being an extra hour away from an emergency room could make a difference in survival rates?
Do tell, Sherlock.
OK I see your point regarding disputing with insurance companies... which leads me believe that the ACA was on the right path with defining certain standards that insurance companies have meet which reduces the number of loop holes found in complex cases. Yeah insurance now cost more but it is better insurance as the average joe doesn't read the fine print.
I read recently about a man who had cancer and was treated and was in remission. The wife was worried about lifetime maximums in case it came back... they called their insurance company and were relieved to hear the words that there are no more life time maximums thanks to the ACA.
It wouldn't be too hard to create a more efficient public healthcare system that makes actual sense. The current one is heavily compromised by the politics behind getting it passed to begin with.
To start off, don't rely on private insurance providers or push any responsibilities out to individual states.
And you probably live near the coasts or a major river.
I don't know. The reason Chicago is so big is that it is on a major river and I don't know how much taxes are made on activities related to that.
Escape rural American lifestyle as soon as you can.
Only if you want to die of something less common. While the article is suggestive that the life expectancy of rural americans is shorter it never actually says that which suggests that they do not have the evidence to make such a claim. So if it does not make any difference to the average life expectancy do you really care whether you end up dying from a stroke instead of a rare form of cancer?
Oh, wait...never mind.
I moved from OC/LA to a rural areas. People here are healthier, actually skinny, and overall happier. It gets dark here, which is good for my health. It's cooler here, which is better for my health. The food here is actually fresh and tastes way better here, which is better for my health. I lost over 40 pounds after I moved here and I feel better than I have in a long time.
Oh noooos, I better move back to the city, so I can breath lots of smog( The black stuff from exhaust that sticks to everything!!! ), live next to lots of unfriendly people, and eat food that defines freshness by how many weeks after it was trucked in.
I see this article as nothing more than propaganda( fake-news. ) And fuck the political morons that have infested this site with their stupidity.
I doubt it'll be hard. A lot of people had something cheaper and better before. Obamacare is better than nothing and that's about all I can say for it. Unless you're young and healthy and then nothing is actually better.
Darwinian evolution at work.
And before you throw, "What are you liberal city-dwellers gonna do when there aren't any rural dumbfucks left to grow your food", you should realize that the industry that's being automated faster than any other is agriculture.
Your time is up.
You are welcome on my lawn.
Well it's a good thing they voted for someone that will improve their healthcare. Oh wait...
Unless you're young and healthy and then nothing is actually better.
Yes, if you're not sick, why would you pay for a hospital or doctor?
Just like if your house isn't burning, you don't need the fire department, and that's the problem.
It's easy to be a carefree grasshopper in summer, but winter always comes, and it turns out bad health can strike in an instant.
What to do, what to do.
Lots of answers to that question. None of them are without cost. What will you pay?
Medical errors kill more people than respiratory problems.
nt
They believe that because that's what he's been saying. It's not impossible, either - the system is so bad right now you could only make it worse by instituting price controls.
Also more likely to vote Republican.
so you're just going to ignore it. Enjoy your heart disease & diabetes.
Also, thanks for voting to give me a tax cut paid for by you losing your health care.
"They" provide fuel, food, and electricity because "we" pay them money for it. And, by the way, "They" are large conglomerate farms, refineries, and power plants owned by people who live in NY/Chicago/SF/LA and who hire inbred hicks to do the actual work.
It wouldn't be too hard to create a more efficient public healthcare system that makes actual sense..
In any place in the world except America.
Watch this Heartland Institute video
Yes. If the people are actually broke, their healthcare is free. If they can afford some care but not much, they get tax credits to greatly reduce burden.
What, kill yourself?
You are confused. A single random person interviewed on TV does not set the POTAS policies.
It's easy to be a carefree grasshopper in summer, but winter always comes
In about 50 years. "Carefree grasshopper" also has on average more money for retirement (or self-insuring against bad health for that matter) when they're not paying for older peoples' health care.
You're acting bigoted, stereotyping a huge group of people, and wishing for them to die.
Is that really the sort of person you want to be?
The fact that so many people STILL smoke today, knowing all we know about smoking, amazes and saddens me.
The fact that so many smokers still smoke around strangers in public e.g. sitting on a restaurant patio, making a cloud of stinky nasty crap around people trying to enjoy a nice meal, really annoys me.
"Clearly, Obamacare is the reason for this and since rural voters supported Trump,..."
I see, you want to add 'stupidity' to the list.
Wow. Clearly you haven't been to Philadelphia or other major urban cities where many people are as large as the double wide---smoking and eating like there was no tomorrow.
The problem is that the focus is on the wrong word. You even used the word. The word you used was "healthcare." The problem is that the word being used when the law is being worked on is not, "care," it is ,"insurance.
The emphasis remains to provide insurance, with the assumption that care will follow. The focus needs to be on healthcare.
If it cuts out a huge slice of profit for a small number of people employed in health insurance, that must be viewed as the cost of increasing national efficiency in providing health care.
"...tend to be OLDER and sicker than their urban counterparts..." (my emphasis) Rural people being "older" says a lot more than everything else in the list. If urban people die younger, that's not a very good selling point. If urban people move to the country after getting sick from breathing all that smog and drinking chlorinated, fluoridated, trihalomethane filled tap water, that could be part of the problem. And don't forget that farms are rural. Not many farms in the suburbs. Pesticides have warning labels for a reason, often suggesting the use of safety equipment when spraying them. In my opinion, this isn't so much a matter of lifestyle nor medical care availability. This is an issue of chemicals put on our crops and in our tap water for the specific purpose of killing organisms we don't want there. But rather than risk retaliation from major industries, it's played up as being about exercise and seatbelt use...
"Carefree grasshopper" also has on average more money for retirement (or self-insuring against bad health for that matter)
Except that they are using it to pay mortgages, rent, fuel, food or whatever.
I'll see your Constitution and raise you a Queen.
Yes. If the people are actually broke, their healthcare is free. If they can afford some care but not much, they get tax credits to greatly reduce burden.
Maybe. Unless they live in California and are self-employed, then they can make more than 4x the federal poverty level and still be broke, and unable to afford to comply with the ACA. Some of us can afford either rent, or to pay our premiums. And then, I can't afford the deductible anyway. It is literally cheaper for me to fly to another country for health care.
"You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
I saw some Trump voters being interviewed on TV yesterday, and they were quite certain that Trump was not just going to repeal Obamacare, he was going to replace it with something cheaper and better. I'll be curious to see how he manages that.
Dude, there are people who think they'll be safe from the Obamacare repeal because they are covered by the ACA.
Watch and weep:
https://twitter.com/HelenKennedy/status/818522209283178498/photo/1
Easy: he'll drop the mandate while keeping all the popular provisions, like no pre-existing conditions. Then we can watch as the system collapses in on itself.
Alternatively, it's Trump: he'll just say everything is better without doing anything, and his supporters will believe him.
because no one wants to live there. also. stupid people live there.
Excellent example. For fun, I track all insurance spending and compare it to that amount that would sit in my index funds. I am only 32, but, minus claims, I would have $104,000+ sitting in an account right now from car, home, and medical insurance. It would be significantly more because, approximately 65% of that could have been tax advantaged. That is after subtracting my single ~28K medical claim, which, funny enough, may have killed me without 5 minute access to a level 1 trauma center.
Your absolutely correct... unless they are interviewing Putin.
"In America, first you get the sugar, then you get the power, then you get the women..." -H. Simpson
Yet another "study" that presumes to suggest that one life style is better than another and intentionally tinge the lifestyles the authors either don't live or approve of.
If this effort was done with Federal funds, the authors should be in jail for wasting taxpayer's money.
When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
The trouble with your proposed solution, would be taking even more power away from the states, where constitutionally, the most power in the US is supposed to reside.
Light travels faster than sound. This is why some people appear bright until you hear them speak.........
And just like the bees who are going extinct, this has absolutely nothing to do with pesticides. /s
Living near busy roads is bad for you too:
http://www.lung.org/our-initia...
Maybe this is why people like living in the suburbs?
It wouldn't be too hard to create a more efficient public healthcare system that makes actual sense. The current one is heavily compromised by the politics behind getting it passed to begin with.
To start off, don't rely on private insurance providers or push any responsibilities out to individual states.
While I agree with everything you just said, both of your proposed solutions are the exact opposite of the Republican platform on healthcare reform. That isn't hyperbole, the core of their plan is to increase reliance on private insurance and push more responsibility to the states.
-- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
While I agree with everything you just said, both of your proposed solutions are the exact opposite of the Republican platform on healthcare reform. That isn't hyperbole, the core of their plan is to increase reliance on private insurance and push more responsibility to the states.
Indeed, the Republican platform is to funnel even more money to private insurance. In fact, Paul Ryan's Medicare "reform" plan is to push all Medicare recipients onto private plans (but still paid for by the government, via vouchers) so that the private companies can make even more profits. According to this article, Medicare administrative costs are about 2% of operating expenditures while private insurance runs about 17%. This doesn't include marketing or profits for the private insurance, with those items the overhead is 20-25%. So up to a quarter if the money paid for insurance to these companies doesn't even go to actual care and Ryan wants to push our our seniors into that environment, while the rest of us pay for it (or don't, just run up the debt some more). Ryan's plan would be a huge government handout to the insurance companies, even larger than Obamacare, which was a MASSIVE insurance company handout. As this article observes, the Republican base are the exact people who would benefit most from lower-cost healthcare but for some reason in every election they manage to vote against their own self-interest. It's just mind-boggling, it seems like they would be willing to set their own world on fire rather than see a single person get something from the government that they didn't "deserve".
Enigma
The Constitution specifically grants Congress the authority to levy taxes.
Fucking mouth-breathing morons.
Of course. Hence why it's insurance.
My home insurance will most likely be a net loss for me - I'll never get back what I've paid into it.
My auto insurance will most likely be a net loss for me - I'll never get back what I've paid into it.
My health insurance will most likely be a net loss for me - I'll never get back what I've paid into it.
That's the whole point of insurance. Insurance is about rare but catastrophic cases - house burning down, horrific automobile accident, needing a heart transplant, etc.
Since insurance is about spreading the risk around a pool if the insured, most people who pay insurance will not get back what they pay in.
Mexico will pay for it.
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By your figures, your county's population is over 40k. I'm a bit more out in the woods, 4k of us sitting on 740 sq. miles. Take a look at Hinsdale County. I need to check that area out, it's getting crowded around here.
Obamacare wasn't much of an answer to America's medical problems, but it is also not much of a problem. It has helped at the margins. Unfortunately, it has helped the insurance companies more than it should have, but that's called politics.
I eagerly await Mr. Trump and his Republican colleague's "attempt" at improving things.
FTFY
Improving health care is kind of pointless if you don't make it accessible. I don't really give a fuck how much better outcomes are for people who can afford health care if I cannot afford it myself.
First if residents in Rural communities are older than Urban communities. doesn't that mean people in rural communities are healthier ?
There's more stuff to do in rural suburbia. Less air pollution too.
I can't fly my drone in an urban area. I can't park my wrangler in the summer with the top and doors off in an urban area.
People don't get insurance because it is cheaper than paying for stuff. Insurance is, by definition, more expensive than paying for stuff. You are paying for all the stuff, plus the insurance companies overhead/profit/advertising.
The thing is, things like house fires, car explosions, and 28K medical claims cost more than most people keep handy. So even though it is more expensive overall, it can make more sense to pay more but chop it up into little monthly payments.
Man, you really need that seminar!
Under Obamacare though, you can choose to not get insurance and pay the penalty. Considering how expensive the insurance is you'll save thousands. Invest that money instead of pissing it away. Now when you turn 55 and find out you have prostate cancer, go get insurance. No pre-existing conditions problem under Obamacare so no problem. You have your cake and get to eat it too.
Let's see - I have gigabit internet, satellite TV, 4G cell service, acres of land and a house that would cost you millions, and no traffic or crime in this rural American lifestyle as you call it.
I actually know my neighbors, the mayor of the town, the sheriff, and I participate in my community. My kids go to decent schools with normal people and not the psychotics that live in major cities. Despite the article above we have good health care and actually know our doctors who even make house calls. We grow a lot of our own food and have easy access to hunting. When the shit hits the fan you will be starving.
So no thanks. Keep your city lifestyle.
Well, I'm going to reply to your stupid generalization with a couple of facts: that Rural America, in particular in the Bible Belt, is drowning in a heroin epidemic and suffering from teen pregnancy at rates not seeing in urban areas. That towns in Rural America, despite the little bubbles here and there that make the life you describe possible, they are not economically viable and that nothing will prevent its depopulation.
Congratulations that you have a great life for you to enjoy, but get your head out of your ass if you think normal people predominantly live in rural areas with cities being nothing but havens for the psychotic.
This is the type of mentality by which people end up looking at rural folks as a bunch of encapsulated rubes. There is a richness of life both on rural and urban Americas, and it would serve you well to learn about them both.
It's just mind-boggling, it seems like they would be willing to set their own world on fire rather than see a single person get something from the government that they didn't "deserve".
When anyone complains about welfare queens or any other such nonsense, I equate my views on the subject with my views on criminal justice.
It is better that ten guilty persons escape than that one innocent suffer. -- William Blackstone
It is better that ten persons abuse welfare programs than that one person in need suffer.
-- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
Insurance companies have to make money, so on the average paying for the insurance is more expensive than paying for what goes wrong.
Unless you have some bad luck, in which case you're financially wiped out and likely unable to pay for health care you need.
So, there's a selection bias here for the grasshoppers. The unlucky ones have died at a higher rate, so we're comparing ants as a whole to lucky grasshoppers.
"When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
So I was out in the south forty on the John Deere spreading around some asbestos and tilling it under. i get paid a buttload to take that stuff off the hands of them rich city folks who is refurbing old homes. Anyway, there I was kicked back, steering with my leg, scarfing down a quadruple bacon and egg sanwich and finishing off my 2nd six pack of Leinenkugel's, when damn if my cigar don't just leap outta my hand and hit the floor. I figured if I pick it up before I count to 3 then no harm, no foul. Am I right? I lean over and all hell breaks loose. Fell out of the seat and almost ended up on the ground. The tractor is still puttin along but now it's headed for the river that sits between my property and the Danburry nukelear power plant. I'm hanging onto a couple spark plug wires with one hand and trying to keep from getting sucked under the rear wheel. It was at that moment that my wife called on the CB radio. "Vern" she says, "My bags are packed and I'm leaving you for the nice man we met in Jamaica last winter. So this is good bye". In about 1 second I was so mad my eyeballs about popped. Then I was in a long tunnel with a bright light at the end. That's all I remember.
The Russians have won. They have made the world a cesspool of distrust, greed, fear and hate.
So it would appear that you are wrong.
Unless you have some bad luck, in which case you're financially wiped out and likely unable to pay for health care you need.
That's one outcome. Here's two more:
2) You get some bad luck, but have time to get insurance before the bills kick in.
3) You don't have enough bad luck to justify insurance and pick up insurance when your age justifies the cost of the insurance.
Anyway, one of the big things that people often missed in their replies to me is the pool of sick people that your insurance is paying for. Young, healthy people are paying a significant premium due to these other people. But when people become unhealthy, suddenly insurance makes sense. This is the fundamental problem of insurance. It only works when enough people get it who don't immediately need it.
There is a value to not losing everything you own and/or going through bankruptcy. But it's not infinite value. And if the premium on insurance is above that value, then it's not in the would-be insuree's interests to get costly insurance. I believe we're seeing that with some of the Obamacare markets these days.
Yeah, Trump is such a great philanthropist I can bet he's going to replace Obamacare with something cheaper and better for sure. He loves having children in his lap, especially girls. Such a wonderful person.
"It is no measure of health to be well adjusted to a profoundly sick society." - Jiddu Krishnamurti
It's going to happen sooner or later. There are too many states for the current Federal system to function properly. If we combined them together into 13 or so new states, I think we'd find the Federal system would start to work a whole lot smoother.
No.
The US has been working just fine so far, and is just fine currently, no need to change.
If it does, I hope it is LOOOOONG after I'm dead and gone. I've been 101% happy with it as it is so far.
Light travels faster than sound. This is why some people appear bright until you hear them speak.........
Single payer is cheaper and better. I'm sure his children will set up a medical company 37 seconds before than announcement (and it will be named as that single payer, using a private company, since that's more "efficient" in terms of bribes, than using the government).
Learn to love Alaska
How does the federal government providing a service "take away" anything from the states? There's no requirement that the state do anything differently, unless you are talking about federal doctors providing abortions in a state where the state abolished abortion.
But that's a separate issue from the feds opening at least one hospital in every town more than 50 miles from another hospital and with more than 10,000 served users. I'm honestly curious how that would "take away" power from the states.
Learn to love Alaska
You sound like a southern slave owner in 1859.
Note, in about the same time, one could have said the same about open voting. But now "secret ballot" is considered a Constitutional Right (despite none of the founding fathers having lived to seen its widespread adoption in the US).
Learn to love Alaska
That's like saying that you'll sell your car, then replace it with something better. Usually, someone "trading up" would literally trade up. Repealing ACA under the promise of something better is simply insane. Pass the "something better", and it'll, by definition, replace ACA. But we'll see a repeal of ACA under promises of "something better" and the "something better" will never come. We should demand that "something better" be passed *as* the replacement of ACA, rather than the repeal of ACA followed by "something better" at some future time.
Learn to love Alaska
Replying to my own post - sorry. This just in "The president-elect says: "We're going to have insurance for everybody. There was a philosophy in some circles that if you can't pay for it, you don't get it. That's not going to happen with us." from today's interview with the President-Elect.
Everyone dies of something eventually. We're just rearranging the deck chairs on the Titanic. Time to stop focusing on longevity and start focusing on quality of life for those still living.