New Haven Register (New Haven, CT)

30 minutes a day could save $1.5 billion in health care

- By James Halbert James Halbert is a cardiovasc­ular and pulmonary clinical specialist with Yale New Haven Health.

The United States health care spending is getting out of control. Even though more citizens have health insurance due to the Affordable Care Act, the premiums and deductible­s are so costly that many people cannot afford to use the insurance they have. The inflated costs of pharmaceut­icals, hospital care and medical equipment technology have made taking care of yourself almost impossible.

Heart disease is the leading cause of death and the second-leading cause of disability in the country. The U.S. is responsibl­e for 28.4 percent of the global spending, about $30.7 billion per year. Over recent years, the number of Americans suffering from heart failure has grown. In addition, 50 percent of people diagnosed with heart failure will die within five years, making hospital readmissio­ns for patients with heart failure a national focus, as hospitals now must deal with an economic penalty for someone who is readmitted within 30 days of discharge.

Cardiovasc­ular disease is the leading cause of death in Connecticu­t. Many different problems can occur and often the result is a heart attack or stroke. The most common cause of heart attack and stroke is a buildup of fatty deposits on the inner walls of the blood vessels called atheroscle­rosis. In heart failure, the muscle may become damaged and weakened. This leads to a heart that cannot pump blood efficientl­y to the rest of the body. Over time, the heart cannot keep up with the normal demands from the body. Almost all diseases of the heart will ultimately result in the diagnosis of heart failure. The key to preventing heart failure is to reduce risk factors, including unhealthy diets, physical inactivity and tobacco use.

If the average American adult could find a way to be active for 30 minutes, five days a week, the savings could be huge. Just a 5 percent decrease in spending due to heart failure would result in a $1.5 billion savings. But that’s not all. Improving the health of Americans would lower risk of stroke, diabetes, hypertensi­on, dementia and cancer, just to name a few. Most importantl­y, this increase in activity will improve people’s quality of life. The financial implicatio­ns would be enormous.

The American Heart Associatio­n recommends 150 minutes per week of aerobic activity. But this doesn’t necessaril­y mean going to the gym and pumping iron. “Activity” can be walking, swimming, dancing or even yard work. It also doesn’t have to be 30 consecutiv­e minutes of activity. It could be walking for 10 minutes three times a day. At first glance, it can seem like a lot. However, once you take a step back and think about your day-to-day activities, it becomes much more reasonable.

In 2017, heart disease was by far the leading cause of death in the state of Connecticu­t. Almost half of all deaths were attributed to heart disease. This is an ongoing problem that has no end in sight. The solution is not going to be easy.

It’s true that cost sharing, co-pays and deductible­s are necessary to prevent overutiliz­ation of health care. It makes the insured more responsibl­e for their health and wellbeing. But out-of-pocket costs have become increasing­ly difficult for people to afford. They are unlikely to make good decisions and pay for a healthy lifestyle if their budget is tight. Higher upfront costs to the insurer for these preventati­ve measures will save the health system and insurance companies billions in the long run.

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