Editor’s Note: Dr. Harold Paz is the CEO of The Ohio State University Wexner Medical Center and executive vice president and chancellor for Health Affairs at Ohio State. The views expressed in this commentary are his own. View more opinion on CNN.
Joe Burrow, quarterback of the Louisiana State University Tigers, is already a hero to many of us here in Ohio, where he was raised and where he started his football career. But earlier this month, Burrow received the kind of national attention even our best college athletes rarely get when he won the Heisman Trophy and used his acceptance speech to call attention to a phenomenon that deserves much wider coverage: food insecurity.
“Coming from southeast Ohio,” Burrow said, “it’s a very impoverished area and the poverty rate is almost two times the national average. There’s so many people there that don’t have a lot, and I’m up here for all those kids in Athens and Athens County that go home to not a lot of food on the table, hungry after school. You guys can be up here, too.”
Almost immediately after Burrow’s speech, scores of Americans began donating money to the Athens County food pantry, which serves a community where one in four children are food insecure. The donations are a heartwarming and blessed gesture, but they should be the first step toward addressing this epidemic, not the last.
Food insecurity — or a lack of regular access to the amount of food a person needs to sustain him or herself — is a much larger challenge than many of us would imagine possible in an affluent and fortunate nation like ours. According to the Economic Research Service at the U.S. Department of Agriculture, a whopping 11% of American households were food insecure at some point during 2018. The majority of these households, tragically, included at least one child.
How do we address this troubling situation? First, we must recognize it as what it truly is: a full-blown health crisis.
To address it, we must do what we do with any other pandemic: raising public awareness about the magnitude of the problem and bringing together disparate stakeholders —communities, policy makers, educators and others — to help take impactful action and turn the tide.
One insight in particular seems promising if we want to curb food insecurity quickly and efficiently: To make a real impact, we need to change the way we think about what people need to get and stay healthy. Excellent medical care accounts for only 10-20% of our overall health outcomes, according to some estimates. A significant portion, as large as 40% reports the American Hospital Association, rests on what healthcare professionals call the social determinants of health, including the resources available to us in our communities.
And disparities in community resources are alarming when it comes to food. According to a 2009 study by the US Department of Agriculture, 23.5 million Americans lack access to a supermarket within a mile of their home. The situation is much more dire in rural counties, 20 percent of which are located more than 10 miles away from the nearest supermarket.
According to a recent joint study by the Brookings Institute and the USC Schaeffer Center for Health Policy & Economics, many of the world’s developed nations have realized that health outcomes are about more than care, which is why they spend $1.70 on social services for every dollar that goes to health services. In America, the ratio is still inverted, with 56 cents going to social services for each dollar paid for health care.
We can and must inverse this ratio in the US by investing in a few rudimentary food-related social services. We can provide new mothers with the education they need to better understand the nutritional needs of their babies, can assist school districts in offering healthy food choices to struggling students without risking shame or stigma and can make sure our seniors receive healthy and nutritious meals directly to their homes.
If we do that, we may begin to address the question Americans have been asking themselves, with a growing sense of urgency, in recent years: namely why we keep spending more and more money on health care — 17.8% of our gross domestic product, more than nearly any other country on Earth — while we keep getting sicker and dying younger.
To meet the challenge of reducing food insecurity, many health systems across the nation have begun addressing the issue as they would any other public health epidemic. A few months ago, for example, my colleagues and I at The Ohio State University Wexner Medical Center teamed up with the Mid-Ohio Foodbank and the Mid-Ohio Farmacy program to identify patients whose ailments — mainly diabetes, obesity and hypertension — stem from food insecurity.
Our physicians give them not only prescriptions for medicine but also forms that provide them access to extra fresh, nutritious food at any of 12 participating food pantries. Similarly, we’re currently converting a former Columbus Public Library location into a community food education center, aware that food insecure people need not only products but also the knowledge of how to prepare and cook healthy meals to maintain a balanced and healthy diet.
This alone, again, isn’t enough. Like health organizations all over the country, we continue to work with local organizations to raise awareness that fresh, nutritious food is a basic right, not a luxury, and that fast food, however available, ought not to be the default. We work with local food-related social services, empowering them to do their important work. And we continue to educate everyone from students to policymakers about the opportunities and obligations to make sure we all have access to the food we need to survive and to thrive.
Still, you hardly have to be a doctor to see why our nation’s current approach isn’t working. All you have to do is listen to Joe Burrow, a great quarterback and a compassionate human being, who gave us all a very important and very urgent call to end food insecurity in 2020.