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Prescription for a Healthy Nation: A New Approach to Improving Our Lives by Fixing Our Everyday World
 
 
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Prescription for a Healthy Nation: A New Approach to Improving Our Lives by Fixing Our Everyday World [Hardcover]

Tom Farley (Author), Deborah A. Cohen (Author)
4.5 out of 5 stars  See all reviews (6 customer reviews)


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Book Description

May 15, 2005
America spends more than twice as much for health care as any other nation. So why are Americans among the sickest people in the industrialized world?

Public health experts Tom Farley and Deborah A. Cohen show that the answer does not lie in our medical care system but rather in the world around us. As they explain, the leading killers of our time fall almost entirely into two categories: injuries and chronic diseases such as heart disease, lung and breast cancer, diabetes, and stroke. For all its inspiring, high-tech cures, modern medicine is just not very effective at combating these illnesses. Our health, as Farley and Cohen explain, depends much less on medicine than on how we lead our lives. And as their surprising and illuminating examples show, our behavior and our health are in fact shaped by our everyday world-from the design of our cities to the rules that govern our organizations.

Obesity, for example, has emerged as a major health threat because our environment makes it difficult to be physically active and because prepared high-calorie foods-from chips and candy bars to fast food and "food on the go"-saturate our surroundings. Though we'd like to believe that we could stay slim through individual self-discipline, our everyday world overwhelms our resolve. In similar ways, the world around us influences whether we live our lives in ways that increase or decrease our chances of dying from killers as wide-ranging as cancer and car crashes.

In the last part of the book, Farley and Cohen remind us of once-controversial changes to our physical environment that have saved tens of thousands of lives and outline many other ways in which we can change our daily environment so we can all live longer and healthier.

Prescription for a Healthy Nation is at once an exposé of how various industries influence our health for the worse, a paradigm-shifting argument about health and disease, and a positive blueprint for how to create a healthier society.


Editorial Reviews

From Publishers Weekly

In this latest look at the poor state of America's health, Farley, a medical doctor who teaches at Tulane's School of Public Health, and Cohen, a scientist at the RAND Corporation, tell us once again that Americans are overweight, sedentary and indulgent in a host of life-diminishing habits, the abuse of tobacco and alcohol chief among them. These habits, along with Americans' propensity for serious accidents, lead to premature death for hundreds of thousands a year. In the authors' view, the ongoing miracle of medical science has produced in the American public a laissez-faire attitude to their own health; Americans can live as they choose and hope that the market will produce a cure to save them before it's too late. Since it is, in Farley and Cohen's view, our "physical and social environment" that's making us sick, we should make small changes in that environment to encourage health, such as lowering the price of healthy foods and enforcing such rules as a workplace ban on snack food in cubicles. Unfortunately, throughout this litany of human foibles and social and governmental failures, there's a pervasive tone of puritanical disapproval, and Americans are unlikely to pay attention to this pair of scolds. (May)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Booklist

Farley and Cohen approach the U.S.' top causes of death, such as heart disease, cancer, AIDS, accidents, and guns, from a different angle. Rather than improving the health-care system, they suggest we would be better served by removing or, at the very least, restricting the catalysts that increase risks of illness, accident, and death. Taking a page from public-health policies that promote creating a healthier environment, they make a case for legislating, regulating, and/or taxing such things as salty, high-fat, and sugary foods, guns, alcohol, and highway speed limits. In addition, they suggest improving the recreational value of neighborhood parks, redesigning walking- and biking-friendly communities, and integrating our neighborhoods. If we can create an environment that makes us sick, they contend, we can create an environment more conducive to good health. It's just more challenging to do so. They acknowledge that creating a world in which chocolate bars are exorbitantly expensive isn't as politically appealing as legislating clean water or fortified bread flour. Still, they propose several paths to its realization. Donna Chavez
Copyright © American Library Association. All rights reserved

Product Details

  • Hardcover: 296 pages
  • Publisher: Beacon Press (May 15, 2005)
  • Language: English
  • ISBN-10: 0807021164
  • ISBN-13: 978-0807021163
  • Product Dimensions: 9.1 x 6.3 x 1.2 inches
  • Shipping Weight: 1.2 pounds
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (6 customer reviews)
  • Amazon Best Sellers Rank: #485,744 in Books (See Top 100 in Books)

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Customer Reviews

6 Reviews
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Average Customer Review
4.5 out of 5 stars (6 customer reviews)
 
 
 
 
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12 of 12 people found the following review helpful:
5.0 out of 5 stars Great writing, good ideas - best quick read in public health, April 25, 2005
By 
RS (California) - See all my reviews
This review is from: Prescription for a Healthy Nation: A New Approach to Improving Our Lives by Fixing Our Everyday World (Hardcover)
There have been a number of recent books about health habits and the environment, but this is by far the most enjoyable read. The writing is outstanding and not the clunky prose you often encounter in books written by academics - I wish I could write like them. Although written for a general audience, with (good) human interest anecdotes, the book nevertheless covers some deeper ideas, such as "curve shifting". The idea is that how often we encounter extreme outcomes, whether severe obesity, alcoholism, HIV, depends on "normal" or average behavior in the population. The early chapters that elaborate on those ideas alone are worth reading the book. I don't care too much about "passionate advocacy" and while the authors do fall into the advocacy camp, there is very little of the whining or scolding that has turned me off in other related books. Instead, arguments are generally well balanced even if you know on which side the authors are going to come down. It made a great read for a long flight.
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1 of 1 people found the following review helpful:
5.0 out of 5 stars Insightful and interesting ideas. A worthy read among the masses of healthcare ideas., November 20, 2010
By 
In reading Prescription for a Healthy Nation by Tom Farley, M.D., Deborah A. Cohen M.D. this week, I pondered our health care system. It really does seem like we're looking at the wrong factors. With rising rates of diabetes, hypertension, obesity, we wonder how can we reduce the costs of medication, healthcare and fix health insurance in general, while our population is becoming more unhealthy with each passing minute. It's true, something needs to change.

I am in the business of health care. I care about health. I want to live a healthy lifestyle, unencumbered by disease or injury myself. I'd also like to see that for the rest of our society. But we live in a world where it seems that fitness and health are not priorities, rather, they are additional responsiblities on people's already too busy lifestyles. Which is why this book was actually quite interesting, discussing things like shelf space devoted to food products, pricing as related to people's consumption/purchasing tendencies, children walking to school now vs 20 years ago-- generally questioning our assumptions on what's broken with healthcare and society and how it could be changed. (Cutting healthcare costs and improving medicine vs changing lifestyles and cityscapes.)

It's not just the system that's broken, it's also the people who are using it. Just looking around, it's obvious that most people are not healthy, fit or at a comfortable weight. In my office alone, a non-scientific survey says more than 50% (and likely nearer 75%) would like to lose weight, but what are they doing about it? Most talk about it, but do not act on it.

The suggestion of this book is to work on changing society to create an environment which encourges healthy choices, whether it's by walking and biking, planting a garden, handing out free condoms, or installing safety bars so children don't fall off balconies. It is less about education (most education does not affect the rates of smoking, condom use, weight loss, and so on) and guilting people into improving behaviours than it is about making healhy choices accessible and easy.

[...]
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1 of 1 people found the following review helpful:
5.0 out of 5 stars The future of public health, July 31, 2009
By 
This book clearly and concisely lays out what must be done to reign in the major killers of our time, such as heart disease, diabetes, obesity, and injuries. Right off the bat, the authors present formidable evidence showing that access to health care is not the answer to ending these problems. From there, a strategy is laid out showing just EXACTLY what we can do as a nation to curb the modern epidemics. The authors base their strategy on the groundbreaking work done by epidemiologist Geoffrey Rose Rose's Strategy of Preventive Medicine, as well as classic public health experts like Edwin Chadwick and John Snow. The book is convincing, logical, and backed up by a huge amount of new and old evidence. This is cutting edge public health and it is what students of medicine and public health are being taught in the classroom.
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Inside This Book (learn more)
First Sentence:
As we have all been told, health care in the United States is in crisis. Read the first page
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, New York, New Orleans, Burger King, Cecelia Turner, Broad Street, National Institutes of Health, Coke Classic, Geoffrey Rose, Gwen Longworth, Health Belief Model, Nicole Scott, San Diego, World War, Arlette King, Grand Theft Auto, Christian Workman, Lucky Strike, Value Meal, William Haddon, Los Angeles County, Postponing Sexual Involvement
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