Free Health Tips Biography
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The contents of the medicine bottle included a variety of information, including a Web address to National Wildlife Refuges, a guide to animal tracks, Leave No Trace tips, a link to information on planting native vegetation to help bring back butterfly and bird migration routes, a Power Bar, and other items – including a temporary tattoo of migratory birds.
The label read: Directions: Use daily, outdoors in nature. Go on a nature walk, watch birds, and observe trees. Practice respectful outdoor behavior in solitude or take with friends and family. Refill: Unlimited. Expires: Never.
Here’s a cost-effective way to improve the health of children and adults. An expanding body of primarily correlative scientific evidence points in a single, common-sense direction: Getting children outside can be good for their health. And getting them outside in nature may well offer special benefits.
Contact with the natural world appears to significantly reduce symptoms of attention deficit disorder in children as young as five. Nearby nature, and even a view of nature from a bedroom window, can reduce stress in children. Children in greener neighborhoods appear to have lower body weight changes. Spending time outdoors may help prevent myopia.
Natural environments, such as parks, foster recovery from mental fatigue and may help children as well as adults learn. Green exercise may offer added benefits when compared to equal exertion in indoor gyms. In hospitals, clinics and medical offices, incorporating nature into the design helps people of all ages reduces stress, improves health and cognition. What if our schools, homes, workplaces and cities were designed with such natural benefits in mind?
Within the health professions, interest in the nature prescription is already growing. Healing gardens on hospital grounds are now popular. Dr. Daphne Miller, a general practitioner in Noe Valley, California., envisions nature prescriptions as part of the burgeoning field of integrated medicine. “Nature is another tool in our toolbox,” says Miller, who, in addition to her medical practice, is associate clinical professor in the Department of Family and Community Medicine, University of California, San Francisco. She also believes that park rangers can, in effect, become para-health professionals.
So can whole park districts. Santa Fe, New Mexico, in an effort to fight the high rate of diabetes there, launched its Prescription Trails program, which is partially funded by the Centers for Disease Control and Prevention. Besides trail time, physicians can refer their patients to a trail guide. In 2010, a pilot program in Portland, Ore., began pairing physicians with park professionals, who will record whether the outdoor prescriptions are fulfilled; the park prescription program will be part of a longitudinal study to measure the effect on health.
By applying what I call the Nature Principle, city planners, developers, architects, educators and many other professionals could improve the nation’s health. But pediatricians have taken the first steps. They play an especially powerful role.
Any parent whose child has ever been sick – which means all of us – has deep respect, even love, for the pediatricians and other pediatric health providers in their lives.
It’s one thing to put our trust for our own lives in a doctor’s hands; it’s quite another thing when the lives at stake are our children’s. The gift pediatricians give us is much more than their technical knowledge. They give us their kindness and wisdom. They calm our fears. By prescribing time in the natural world, pediatricians and pediatric nurse practitioners can improve children’s physical and psychological health, their ability to learn, their capacity for wonder – their ability to feel fully alive in a very real world – for generations to come.
Other resources:
C&NN’s “Grow Outside!”: Tools and Resources for Pediatric Health Professionals
Video: Pediatrician Lewis First from Vermont Children’s Hospital at Fletcher Allen talks about the importance of getting your child outside each day to experience nature.
Doctor’s Orders: Get Outside: Washington Post
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Richard Louv is Chairman Emeritus of The Children and Nature Network and the author of “The Nature Principle” and “Last Child in the Woods.” This column, distributed by Citiwire.net, is adapted from “The Nature Principle” and his plenary keynote address to the American Academy of Pediatrics National Conference.
This column was originally published by Citiwire.net. Citiwire columns are not copyrighted and may be reproduced in print or electronically; please show authorship, credit Citiwire.net and send an electronic copy of usage to webmaster@citiwire.net. Also, see Citiscope, an online magazine covering breakthroughs, trends, and innovations from cities around the globe.
According to Professor Cochrane: “…we should transition to fully individual-based health insurance.” This is the Holy Grail of free-market reformers, and likely unattainable as long as ObamaCare’s political opponents are unwilling to take the risk of a reform that can be twisted as “taking away” employer-based benefits. (Although, as I have described in a previous post, the task would not be impossible if free-market reformers improved our communications skills.)
In Professor Cochrane’s approach, each individual would buy health insurance that actually combines two policies. The first would cover the beneficiary for catastrophic illness and accidents this year. The second, called health-status insurance, is insurance against being underwritten again in future years.
Traditional employer-based coverage is re-underwritten every year (sometimes within limits prescribed by state laws). Before ObamaCare, individual insurance was never re-underwritten, but that fell apart if the beneficiary switched insurers. Healthy beneficiaries found it easy to switch insurers, but people who became sick were forced to stay with their plans, even if they preferred to switch.
ObamaCare addresses this problem by forcing health insurers to accept everyone, without regard to health status, at the same premium (with some variation for age). With Professor Cochrane’s health-status insurance, a patient who is diagnosed with an expensive condition, who wants to move from one insurer to another, takes with him a sum of money (from the previous insurer) that will cover the higher premiums. The whole model is best explained by Professor Cochrane in a paper he wrote in 2009.
How can we get there, in a world where everyone who promotes the idea will be accused of “taking away” citizens’ employer-based benefits? The ground is being prepared with a relatively recent innovation: Private health-benefit exchanges.
According to a recent survey sponsored by a coalition of employers’ groups, 45 percent of employers have or are considering using private exchanges to offer health benefits to their employees before 2018. A November survey by David Franklin of the independent equity research firm Blueshift reported similarly high interest in private exchanges.
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