PERSPECTIVE: Access to Healthy Foods: How Far Are You Willing to Go?
/by Garth Graham For the first time in the history of the United States, today’s youth are expected to have a shorter life-span than their parents. With medical, scientific and technological advances, this notion seems dumbfounding. But when we step away from the science and technology and take a deeper look at our communities, you can find the root causes.
Access to healthy food, public safety and environmental factors are all driving forces behind this decline in longevity. These social determinants of health are becoming increasingly influential to our health as individuals and as communities.
Increasing access to healthy foods is one of the primary social determinants of health that the Aetna Foundation is trying to address. We know that living closer to super markets or retailers that provide healthy food lowers health issues related to obesity, such as diabetes. Providing a community with healthier food doesn’t just benefit the well-being of the people that live there – it has also been show to increase economic activity.
While many of us are lucky enough to have full pantries and fridges, a large portion of the country is not as fortunate. More than 23 million Americans, including 6.5 million children, live in food deserts—places where fresh fruit and vegetables (and healthy foods in general) are largely inaccessible. A significant percentage of this group live in low-income neighborhoods, both urban and rural.
It will require more than a merger between Whole Foods and Amazon to reduce the number of food deserts across the country. Solving this problem starts by giving communities direct access to healthier options, which can help address the fact that more than 90 percent of people don’t eat the recommended amount of fruits and vegetables.
One approach that is helping communities across the country is the development of community gardens and farmer’s markets. The Aetna Foundation is committed to helping communities with this approach and has already supported 5,538 garden beds that have been planted across the country. More than three-quarters of nutrition education participants say that they consume more fruits and vegetables as a result of these activities. Some of the programs that are already making a difference in their local communities include:
- The e3p3 Live Well Perris in California is establishing community gardens and providing healthy food education and resources to its residents.
- Healthy St. Pete Empowering Change in Florida serves children, adults and seniors in low-income or low access areas of the city and designated food deserts, and also encourages policy change regarding nutritional access and availability.
Aetna is also working with groups like Meals on Wheels America to combine improved access to healthy food with innovative models for patient care coordination. Aetna recently announced a collaboration that will integrate Meals on Wheels’ daily nutritious meals, social support and critical safety checks into a continuum of care required as people age. Meals on Wheels and Aetna will pilot this model in several markets, and identify best practices intended to improve vulnerable seniors’ health outcomes.
Access to healthy food remains a pressing issue when it comes to determining the health of individuals and communities. We must find sustainable and scalable solutions that can be implemented in communities across the country. By improving access to healthy food, we can increase healthy behaviors, drive economic growth, and lower costs associated with obesity – one community at a time.
Garth Graham, M.D., MPH, is a leading authority on social determinants of health. President of the Aetna Foundation since 2013 and Vice President of Community Health for Aetna, Inc., Dr. Graham is a former deputy assistant secretary at the U.S. Department of Health and Human Services under the Obama and Bush administrations where he also ran the Office of Minority Health. Dr. Graham holds a medical degree from Yale School of Medicine, a master’s in public health from Yale School of Public Health and a bachelor of science in biology from Florida International University in Miami. He holds three board certifications including internal medicine, cardiology and interventional cardiology and serves as an Associate Professor of Medicine at the University Of Connecticut School Of Medicine. This article first appeared on HuffPost and is published here with permission of the author.

Pre-wake-up, the three sets of above data would’ve reaffirmed my embedded racial beliefs, ideas I’d ingested early and often about white people as harder working, more responsible, less threatening, smarter, and less of a drain on society. Can you see how this data could support each and every one of those beliefs?
As a child, I’d hear members of my extended family mutter “socialist devil” and yell “Oh, all you do is lie!” whenever they saw Obama on television. I was never exposed to anything positive about the president and his family until I moved from Austin, Texas, to New York City at age 16.
So I put two cable news outlets — CNN and Fox News — to the test. I livestreamed the Republican National Convention with friends, so there were no commercial breaks or commentary. For the Democratic National Convention, I decided to go back and forth between Fox and CNN. To avoid leaning left, I tried to watch more of the commentary on Fox. The results were not comforting.
Looking ahead through 2030, towns expected to gain the most population are New Haven, West Haven, Manchester, Bridgeport, Norwich, and Danbury. Greenwich, Westport, Monroe, New Fairfield and Wilton will have the largest losses.
Further, the past few years have seen a huge growth in the use of “machine learning” algorithms.

We also should consider that retirement communities have rules governing the daily activities of residents, and we should fully acquaint ourselves with them and how they will affect us personally before we sign a contract. If you own a pet or like to grill outside, you may be surprised to find that you are significantly restricted in those activities in some communities, and fines and penalties can be involved if the rules are violated.
be connected with anything that smacks even vaguely of inherited wealth or privilege. I immediately explain to people that most of that wealth is concentrated in the ''panhandle'' (Texas, Oklahoma, and Idaho all have panhandles. Why not Connecticut?), and that the rest of the state is filled with regular-guy, working-class towns. I usually get the feeling that they don't believe me.
A good number of the comments my students reacted to were… dare I say… innocent off-the-cuff remarks. Not intended to wound or draw blood. Yet in most cases, the speakers in question faced unexpected and vociferous blow back.
So, it is disconcerting to hear White folks, who are supposed to be our friends, succumbing to Trump-like attacks on our patriotism even as many of them and/or their parents were among the ones who burned the flag and ran President Lyndon Johnson out of politics and laid the foundation for the election of Richard Nixon as his successor.
In this day and age, the words of Martin Luther King, Jr. written as he sat in isolation in the Birmingham jail during one of his many battles against injustice, should not be necessary. Unfortunately, they seem to be more necessary now than ever before. It is not a racist president or that substantial part of his White base that is racist who are most confounding. It is our confused White “friends” who are most worrisome because confusion is so easily misdirected by tyrants like Trump who understand that, in the midst of confusion, logic fails and appeals to emotions dominate and symbols like the flag can be useful in manipulating the behavior of confused White people, especially when they consider themselves to be righteous as so many White folks do, and who also consider themselves to be the arbiters of what is righteous.
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