No Time to Rest

As most Americans are aware, the Obama family is vacationing this week on Martha's Vineyard. As summer winds down, it is tempting to sit back, relax, and enjoy the last days of the summer. However, as we have reached a critical point in the health care reform process, it is no time to take a vacation from advocating for prevention. It would be easy to just follow the news on health care reform, its trials and tribulations, and let others decide on the best plan for America. I found one article in particular troubling - Young Obama Backers AWOL from Health Care Fight. As a specific sector with interest in health care reform, the health and fitness industry needs to make sure health, wellness, and prevention are represented in the promised reform. The nation cannot afford to leave prevention out of the health care equation -our collective waistline is expanding every minute. Was your voice heard? Did you tell your story? It is not too late!

Congressional members are still on August recess in their home states, as close and approachable as they will ever be! Now is the time to schedule a meeting with your local Congressional representatives and ask for their support of the WHIP and PHIT Acts. Or, send an email.

Now, take a nap on the beach. You deserve it!

- Rosemary Lavery

Outrage

Yesterday’s headlines probably signal the end of the “public option” in the health care plan, a measure championed by liberals and charred by conservatives. The “public option” issue, with its ability to extract vile insults from its protagonists and opposers, is tailor-made for media stories. The legislation, of course, is dreary, but the passion it induces is wonderful theater.

The theater, however, has crowded out several issues deserving of greater public awareness.

Of particular note, (this is a blog about physical activity, after all) is the lack of any provision in the health care proposals that would incentivize Americans to live healthier lifestyles. No WHIP. No PHIT.

Perhaps a few facts will help muster up enough public outrage to warrant a grainy YouTube video from a townhall meeting...

- Individuals who live unhealthy lifestyles are more likely to develop a chronic disease
- Chronic disease accounts for 75% of health care costs
- Active adults spend less money on health care

Are you outraged? Join the Campaign for a Healthier America and help lead the charge for health reform based on healthy living. Also, make sure the batteries in your video camera are charged.

- Tom Richards

Everyday Leaders Bring Health Reform to Life

Joe Moore, IHRSA's President and CEO appears on the homepage of the Washington Post with a guest column in the "Focus on Leadership." While Congress is busy debating the various health care reform bills, Mr. Moore writes "Leaders must emerge from all industries, sectors, and corners of the country, while existing leaders must make the health of their followers, employees and students a priority." Read the full column.

Health Care Reform, Prevention, Cost-Savings

President Barack Obama will address the nation tonight in a prime time news conference on health care reform. This is the latest event in what has been a full court press by the White House in recent days to try to build awareness and momentum around the debate. At a White House Rose Garden event on Tuesday, Obama said, “We've agreed that our health reform bill will emphasize prevention and wellness by investing in programs that help Americans live healthier lives. We will save money, prevent illness, and increase the competitiveness of our country. “

IHRSA and its partners continue to encourage legislators to use prevention to contain skyrocketing costs. In a statement released Monday, the Partnership to Fight Chronic Disease (PFCD) urged Congress to focus on the number one driver of health care costs- chronic disease. "We must focus on disease prevention and wellness in order to reduce unnecessary - and often preventable - costs and create a sustainable health care system," said Ken Thorpe, Ph.D., PFCD Executive Director. "We hope that as other Senate and House committees continue through mark ups, they will make certain that their bills contain adequate measures to address the economic burden of chronic disease and control costs in order to insure the passage of comprehensive, sustainable health care reform legislation in 2009."

While members of Congress and the Obama administration discuss health care reform, the President continues to call on Congress to move bills out of committee and to vote before the scheduled August recess. Though some in Washington are beginning to call the deadline impossible, committees are working very quickly to mark up the bills as soon as possible making this a crucial time for IHRSA’s Personal Health Investment Today Act and Workplace Health Improvement Program Act.

“Our DC team has been actively engaging with key legislators in both the House and the Senate on including the WHIP and PHIT Acts in health care reform,” said Helen Durkin, executive vice president IHRSA public policy. “But we do not have a million dollars a day to spend like the insurance and pharmaceutical lobbies. Our strength is the number of fitness professionals across America that are passionate about creating a culture of wellness in our nation.”

Fitness professionals can do their part by writing an email to Congress asking for their support of exercise as part of prevention in health care reform. All of the details are provided online at http://ihrsa.org/campaign. Clubs will be speaking out for legislation that not only encourages Americans to lead healthy lives but also provides them tax incentives to do so while promoting health clubs and growing the number of Americans with gym memberships.

- Breanne McGahey

Obama Nominates Surgeon General

Earlier today in a White House Rose Garden ceremony, President Barack Obama nominated Dr. Regina Benjamin to serve as the next Surgeon General of the United States. By all accounts, she is a qualified doctor who is exceptionally dedicated to her patients in Bayou La Batre, Ala. (yes, Forest Gump fans the same shrimping community Bubba was from). But what position will Dr. Benjamin take on exercise, prevention and wellness?

As the fitness industry, we hope that the Surgeon General will make use of the high profile of her office to shed light on the impact that a healthy lifestyle can have on the health of all Americans. Bush's Surgeon General, Dr. Richard Carmona was a proponent of healthy lifestyles, he even spoke at an IHRSA Convention a few years back. Acting Surgeon General Dr. Steven Galson, has also promoted exercise and been a friend to the issue, especially during the release of the Physical Activity Guidelines.

According to Obama's statement today, "[Dr. Benjamin]'s been a relentless promoter of prevention and wellness programs, having treated too many costly and -- diseases and complications that didn't have to happen." This is great, but given her focus on rural health care one has to wonder how will so many important areas of health care be handled by a small staff with a limited budget. Coming from Alabama, Dr. Benjamin must be keenly familiar with the impact of a sedentary lifestyle. The Trust for America's Health reported earlier this month that Alabama has the second highest adult obesity rate in the nation at over 31% of the adult population. That is a shocking statistic.

I am curious to learn if Dr. Benjamin led efforts in her community to increase physical activity and improve eating habits. If so, she could very well become a powerful role model for the changes that need to occur in our communities that are hardest hit by the obesity epidemic. Only time will tell.

Dr. Benjamin said during her statement that she wants to become America's family physician. I hope that she and all family physicians across America start to better advise their patients on the importance of regular exercise and healthy diets.

- Breanne McGahey

Twists and Turns Create Urgency and Road Blocks for Health Care Reform

The health care reform debate is fast becoming a thrilling political drama with non-stop action. As Democrats in Congress and the White House push for passage of reform legislation by the end of the year, some by August, the breakneck pace is hitting some significant roadblocks.

As reported in last week’s issue of Capitol Report, the Congressional Budget Office estimated that the initial bill proposed by Senator Edward M. Kennedy’s (D-MA) Health, Education, Labor and Pension Committee would cost over $1 trillion, and leave more than 37 million Americans uninsured after ten years. Since that report, the Senate Committee on Finance has delayed the release of its bipartisan bill in an effort to trim the costs of the plan before it is made public. The White House has been working very closely with Senator Max Baucus (D-MT) and the Finance Committee, as many observers believe that it is the best chance to produce bi-partisan support.

White House Chief of Staff Rahm Emmanuel, HHS Secretary Kathleen Sebelius, and White House health reform director Nancy-Ann DeParle meet on Tuesday with Democratic Senators, from both committees to discuss the issue. Later today, President Obama will host a town hall meeting on health care at the White House after holding a meeting with five governors that hosted regional health care forums.

Meanwhile, the House held numerous hearings on health care reform this week. Introduced last Friday, the House legislation is the work of three House Committees. The bill lacks funding sources and has not yet been reviewed by the CBO.

- Breanne McGahey

Teen Fitness Connection - Empower a Teen This Summer

As the nation waits this summer for long-anticipated health care reform and for prevention to play a critical role, you may be asking what more you can do to have your voice heard and how to play a part in keeping Americans healthy this summer. You should, of course, write or call your Congressional representative and ask for their support of Workforce Health Improvement Program (WHIP) Act and the Personal Health Investment Today (PHIT) Act. If you submitted a video for IHRSA’s Campaign for a Healthier America, we thank you and encourge you to invite your staff to do the same. If you are looking for a program to make a difference in a young person’s life this summer, I would ask you to consider running the Teen Fitness Connection (TFC) in your club.

The TFC is a nationwide initiative designed to introduce exercise to teens by offering free summer matinee memberships. Now in its second year as an IHRSA program, it is designed as a community outreach initiative that invites club owners and operators to fight teen obesity and physical inactivity on a local level. Geoff Dyer, Founder of Lifestyle Family Fitness health clubs and the TFC, began the program three years ago with the intent to provide an outlet for teenagers to raise their self-esteem, get in control of their physical health, and to fight teenage obesity.

Adopting a healthy lifestyle begins at an early age, and needs to be reinforced in order to become habit. The TFC gives teens a fun activity to engage in during the summer months and to explore the offerings and support health clubs give. Clubs can modify and adjust the program as they see fit.

The program takes place at IHRSA clubs across the country from July 1 - August 31, 2009. Please visit http://www.ihrsa.org/teenfitnessconnection for more information and enrollment.
I urge you to consider implementing this program in your club and join in empowering teens with fitness this summer!

- Rosemary Lavery

Costs, Including Prevention, Come Under Fire in Health Care Debate

The Senate Committee on Health, Education, Labor and Pension (HELP) held its first meeting yesterday on proposed health care reform legislation. The meeting, led by Senator Chris Dodd (D-CT) in Chairman Edward Kennedy’s (D-MA) absence due to illness, comes amid increasing talk of costs and implications on the federal deficit.

Earlier this week the Congressional Budget Office (CBO) reviewed the HELP bill in response to inquiries from Senators Kent Conrad (D-ND) and Judd Gregg (R-NH). The CBO estimated the plan currently being considered by the Committee would leave 37 million Americans uninsured and cost more than $1 trillion over ten years.

One of the areas addressed in the report is the cost for preventative care and wellness in health care reform. Overall, the report concludes that increasing access to preventative services and wellness could decrease costs by making people healthier but may not materialize savings because long-term empirical evidence is lacking for the broad array of services considered under this category, including programs to decrease obesity. One scenario presented is that while reducing chronic disease through healthy lifestyles would help people live longer, it could cost the government more in Social Security benefits.

In April, IHRSA along with the Partnership to Fight Chronic Disease called on House leadership to update how the CBO produces estimates for health care bills. It made several recommendations for how the CBO can accurately estimate the fiscal impact of prevention legislation, such as including the deteriorating health of the population its estimated impact in the future, scoring beyond ten years to capture the long-term value of prevention, and incorporating broader economic impact, such as worker productivity. "The inability of the CBO to accurately account for savings created by prevention and wellness further demonstrates the lack of historical support for wellness initiatives in Washington," says Helen Durkin, J.D. IHRSA Executive Vice President of Global Public Policy. "With Congress and the White House calling on prevention as a key component of reform, the CBO needs to reevaluate its outdated modeling."

Meanwhile, the Senate Finance Committee and House Democrats are preparing to introduce their own reform bills shortly. Early estimates on the not yet public Finance Committee bill are $1.6 trillion over ten years. It is unclear how many Americans would be covered under the plan. Reportedly Chairman Max Baucus (D-MT) wants the bill under $1 trillion. One thing that does seem apparent is that all options remain on the table. Despite some partisan banter, both sides seem willing to address health care reform. Costs and impact on the deficit will likely remain major points of contention throughout the debate.

- Breanne McGahey

The Personal Health Investment Today Act (H.R. 2105)

The following is detailed information on the Personal Health Investment Today (PHIT) Act (H.R. 2105). This bill is currently before the U.S. House of Representatives Committee on Ways & Means. If you would like to support this bill, join the virtual march on Washington by visiting http://campaign4health.org.

The PHIT Act (H.R. 2105) would eliminate a federal policy barrier and create a financial incentive for Americans to engage in physical fitness and exercise.

Americans could utilize up to $1,000 annually from their tax-favored accounts (such as FSAs and MSAs) to make expenditures related to organized individual and team sports, fitness and exercise, recreation and other physical activities. The PHIT Act would not increase the total contribution limits to those pre-tax accounts.

• 64% of American adults and 34% of American children suffer from overweight, obesity, and physical inactivity. These rising rates of obesity and Americans’ proclivity for inactivity are resulting in double digit annual increases in healthcare costs to the government and business.

• The Centers for Disease Control and Prevention (CDC) estimates that healthcare costs directly associated with inactivity were $76.6 billion in 2000; roughly one-third of those costs ($25 billion) fall directly on U.S. taxpayers since approximately one in three Americans is covered by a taxpayer-funded health plan.

• The PHIT Act would help to reverse the trend of increasing physical inactivity and obesity by eliminating a federal policy barrier and providing an important tax incentive to promote exercise.

• Public health experts agree that regular physical activity substantially reduces the risk and symptoms of numerous chronic diseases and medical conditions, resulting in fewer hospitalizations, physician visits, medications and lower health care costs.

• The PHIT Act would change the types of expenditures that could be payable out of tax-favored investment accounts: flexible spending accounts (FSAs), medical savings accounts (MSAs) and/or medical reimbursement arrangements.

• Under the current set-up, Americans predominantly use pre-tax accounts to pay for treatment and detection of illnesses: prescription drugs, doctor visits, examinations and screenings.

• The PHIT Act would allow consumers to to pay with pre-tax dollars for prevention in the form of increased physical activity, including:

• fitness center dues
• group exercise classes
• youth sports league fees
• some exercise equipment
• other fees associated with physical activity programs

• Depending upon their income tax bracket, the PHIT Act could help Americans save 20-30% on the cost of physical activities, exercise programs and related expenses.

• The PHIT Act tax incentive represents an important tangible benefit that the federal government can provide to promote healthier lifestyles and reverse the rising costs of treating obesity-related chronic diseases.

• Fitness-related tax savings would provide a great incentive for Americans to take an important first step toward reversing their sedentary lifestyles and lowering healthcare costs.

Why is the PHIT Act necessary?
The PHIT Act would eliminate a federal policy barrier and create a financial incentive to engage in physical fitness and exercise.

What will the PHIT Act do?
The PHIT Act would change the types of expenditures that could be payable out of tax-favored investment accounts (such as FSAs and MSAs). Under the current set-up, Americans predominantly use pre-tax accounts to pay for treatment and detection of illnesses: prescription drugs, doctor visits, examinations and screenings.

The PHIT Act would allow consumers to set aside up to $1,000 ($2,000 per family) annually from their tax-favored accounts to make expenditures related to prevention in the form of increased physical activity, allowing fitness center dues, payments for some exercise equipment, and other fees associated with physical activity programs to be paid with pre-tax dollars.

What will the PHIT Act cost?
IHRSA has met with the Congressional Joint Committee on Taxation and has requested an immediate “score” for the PHIT Act, which will determine the total cost of implementing the bill over a ten year period.

Who is supporting the PHIT Act?
IHRSA has gathered broad support for the PHIT Act during previous sessions of Congress. The PHIT Act was re-introduced in the U.S. House of Representatives on April 27, 2009 by Representative Ron Kind (D-WI) and referred to the House Committee on Ways and Means. Co-sponsors, at the time of introduction, include Representatives Earl Blumenauer (D-OR), Kevin Brady (R-TX), and Zach Wamp (R-TN). (Full co-sponsor list.)

Obama Urges Congress to Pass Health Care Reform by August

Makes Economic Case for Reform, Includes Prevention
President Barack Obama has asked Congress to pass health care reform legislation before their August recess and called this a “make or break period.” The move comes as health care reform is increasingly a key issue for the White House. Yesterday, a major report was released and Obama met with Senate Democrats on key Committees to discuss reform.

The report, released early in the day, presented the economic case for health care reform from the White House Council of Economic Advisers. It covers the current economic impact of health care on the nation’s economy and a forecast of what could happen without reform. It then discusses key components of reform that would have major economic impacts, including slowing health care cost growth and expanding coverage.

The role of healthier lifestyles was noted as a key element of successful health care reform. “It will also be important to encourage individuals through education and incentives to make healthier lifestyle choices, such as exercising and healthy eating,” the report stated. “This is important because healthier lifestyle choices have positive, direct benefits on lowering costs.”

Yesterday afternoon, President Obama met with about two-dozen Democrats on the Senate Committee on Finance and the Senate Committee on Health, Education, Labor and Pensions. Both Committees are working to create their own health care reform bills. Obama’s message to them coincided with the report from earlier in the day, that it is a major imperative for the White House that long-term costs are driven down. In addition, the group discussed how to fund immediate changes to the nation’s health care system. According to reports, there was talk about the taxation of health benefits, which Senator Max Baucus of Montana claims will raise $250 billion annually. A White House statement said that Obama prefers funding methods outlined in earlier reports that do not include such taxes.

Underscoring the days events was the sense of urgency being conveyed by Obama. "We can't afford to put this off," Obama said at the start of a meeting the Senate Democrats. "This window between now and the [Senate's] August recess I think is going to be the make-or-break period. This is the time where we've got to get this running."

Legislating a Healthier Future for Our Children

The following is an excerpt from the June 2009 issue of Club Business International, IHRSA's monthly magazine reaching almost 25,000 fitness professionals around the world.

The children of America are on the verge of a health crisis—and, ultimately, so, too, is the nation’s healthcare system. About one in three children and youth are already overweight or obese. In fact, today’s kids could be the first generation of Americans to live shorter lives than their parents.

Across the spectrum, it’s widely agreed that a lack of physical activity and poor nutrition are two of the leading culprits. According to the Alliance for a Healthier Generation, an initiative of the William J. Clinton Foundation, 92% of elementary schools do not offer daily physical education classes year-round, and only about 20% of high school students report eating fruits and green vegetables five or more times a day.

Fortunately, there’s a growing awareness of the issue. Congress, many state legislators, the Centers for Disease Control and Prevention (CDC), the Surgeon General, and political leaders are actively working to improve the health of America’s kids.

So far this year, 26 states have introduced physical education (PE) legislation. Many of the bills seek to impose specific requirements on PE programs’ weekly duration, standards, and implementation requirements, or create an assessment mechanism. In Illinois, House Bill 2291 proposes requiring each school board to have an annual assessment on the physical fitness levels of all students in grades five, seven, and nine. The results would be available in report cards, along with the average number of minutes of exercise PE students receive per week at each grade level.

Legislators in Mississippi are taking a different approach. They’re currently considering House Bill 791, which would require that children’s Body Mass Index (BMI) be measured starting in kindergarten and then every other year through tenth grade. The results, including percentile and an explanation, would be provided to parents. Montana is also considering a similar bill.

During these tough economic times, three states are currently weighing the merits of tax credits to encourage physical activity among youth. In Illinois and Maryland, families could be eligible for $500 tax credits for qualified youth physical fitness programs. The Maryland bill is part of a broader legislation that also includes tax credits for adults and seniors, including $500 tax credits for health club membership dues.

In 2007, the Canadian government began providing parents with a $500 children’s fitness tax credit for eligible expenses for children under age 16. While the U.S. federal government doesn’t offer such an incentive, the Personal Health Investment Today (PHIT) bill, one of IHRSA’s signature pieces of proposed federal legislation, would allow parents to pay for children’s physical fitness expenses with money from their family’s pre-tax savings account. These accounts are typically used for such health-related costs as doctor visits and prescription drug co-pays. This bill would allow parents to pay for exercise expenses that could prevent diseases associated with obesity. The pre-tax savings would grant many families access to youth fitness activities, such as little league and soccer. [Advocate for passage of the PHIT Act on campaign4health.org.]

It’s not just legislators who are taking aim at childhood obesity. Acting Surgeon General Rear Admiral Steven K. Galson, M.D., M.P.H., has launched an initiative called Healthy Youth for a Healthy Future. The goal of the program is to highlight local communities that are coming together to motivate kids to exercise and eat nutritious foods as well as teaching them to make healthy choices.

“Teaching our children the importance of eating well and being physically active at a young age is crucial to reversing the trend of obesity in this country,” said Galson. “Everyone has a role to play in this fight to prevent childhood obesity.”

IHRSA actively supports efforts to improve the health of children through physical activity and proper nutrition. In 2008, via work with the National Coalition for Promoting Physical Activity, IHRSA supported the addition of PE requirements in the Elementary and Secondary Education Act in Congress.

For more information, visit www.ihrsa.org/publicpolicy.

Baucus, Grassley Release Report on Financing Health Care Reform

The following is an excerpt from Capitol Report, a weekly e-newsletter from IHRSA Public Policy. IHRSA Members- subscribe today!

On Monday, Senate Finance Committee Chairman Max Baucus (D-Mont.) and Ranking Member Chuck Grassley (R-Iowa) released a report on policy options for financing comprehensive health care reform. This is the third and final report from the Committee before they begin to mark up legislation in June. Three potential areas for funding are explored in the report; two are significant for IHRSA’s health promotion efforts.

One section the report explores current health care tax expenditures. Among those, are nine different policy options including modifying or eliminating Flexible Spending Accounts (FSAs). Any change to FSAs is of particular importance to the fitness industry as it is the main tax vehicle for the Personal Health Investment Today (PHIT) Act (H.R. 2105).

While this report is not an outline of legislation that the Committee will consider, it does indicate the direction of the policies the Committee could well pursue. IHRSA has been and continues to heavily lobby members of the Senate Finance Committee and other Senators for their support of the PHIT Act. In fact, two Senators have expressed strong interest in introducing the bill in the Senate (it is currently, and historically has been, introduced in the House only). Fitness professionals are also speaking out. Earlier this month during the Summit for a Healthier America, fitness professionals met with staffers on the Committee and the offices of Senators on the Committee. It will be vital to the potential inclusion in any health care reform legislation that there is vocal support for Americans to continue to have access to FSAs and that FSAs be expanded to encourage healthy lifestyles.

The Senate report did address lifestyle tax proposals to “promote wellness and healthy lifestyle choices, and curb activities that increase overall health care costs.” The two policy options presented included the taxation of alcoholic beverages and excise tax on sugar-sweetened beverages. These measures demonstrate the Committee’s recognition that tax policy is a proven way to effect individual behavior change.

While these policies might “curb activities that increase overall health care costs” they do not go far enough to “promote wellness and healthy lifestyle choices.” Diet is only one part of the balance needed for a healthy lifestyle. Physical activity provides health benefits that diet alone cannot achieve. IHRSA will continue to lobby the Finance Committee and key Members of Congress for their support of tax policies that encourage physical activity as part of health care reform.

While IHRSA lobbies key Members, it is important that all Members of Congress hear from fitness professionals in their districts about the power of exercise and its impact on the people that they represent on Capitol Hill. You can make your voice heard by joining the Campaign for a Healthier America’s virtual march on Washington.

- Breanne McGahey

GOP: Prevention & Wellness

I attended a briefing this morning hosted by the U.S. Senate Republican Policy Committee, "GOP Health Care Hearing: Prevention Through Healthy Behavior - A Key to Health Care Reform." The briefing room included two signs: 1) "Healthy Living Through Wellness & Prevention;" and "Healthy Living: Lowering Health Care Costs." I must confess to spending maybe a little too much time wondering if i could pull off wearing the signs as a sandwich board around Capitol Hill.

The briefing was on message, including high praise for financial wellness incentives from Governor Huckabee, Steve Burd (CEO of Safeway), and Dr. Andrew Baldwin (try googling him if you want to feel inadequate). The Senators in attendance (Senator Alexander, R-Tenn; Senator Ensign, R-Nev; Senator Thune, R-SD, Senator Burr, R-NC, and WHIP Co-Champion...Senator Cornyn - R-TX) seemed to agree. In fact, the executive summary distributed by the Policy Committee noted that health care reform should include "clarifying tax rules to make clear that any incentives provided in connection with wellness programs are not taxable income."

The health care reform debate includes many contentious issues, but the importance of prevention and wellness does not seem to be one of them. It's the perfect post-partisan issue! Tell your legislators about it here.

- Tom Richards

Rep. Ron Kind: Promoting Healthy Lifestyles

Last week, IHRSA fitness professionals gathered in DC for the Campaign for a Healthier America to lobby for support of the Workforce Health Improvement Program (WHIP) Act (HR 2106/S 913) and the Personal Health Investment Today (PHIT) Act (HR 2105). US Representative Ron Kind was the lead sponsor of both bills in the House. The following is a post by Representative Kind on The Hill Blog.

Let’s face it; Americans have been too sedentary, too long. Sixty-four percent of American adults and 34% of children suffer from chronic disease, often brought about by obesity and lack of physical activity. A recent study even found that 20% of our four-year olds are obese. If lifestyle changes aren’t made, these kids are going to become obese adults and struggle with chronic disease all their lives. This is something we must reverse.

There’s a lot we could be doing at home to take care of our health. In our everyday lives, we have control over exercising more, eating better and giving up smoking. And the better we take care of ourselves, the more dramatic decline we’ll see in health care costs.

The Centers for Disease Control and Prevention (CDC) estimates that health care costs directly associated with inactivity were $76.6 billion in 2000. By using the tax code to incentivize physical activity, through the WHIP and PHIT Acts, we can cut these outrageous health care costs.

That’s why I and Rep. Zach Wamp, along with several other likeminded members of Congress, recently introduced the WHIP (Workforce Health Improvement Program) and PHIT (Personal Health Investment Today) Acts - to give people the incentive they need to get active; further preventing illness and disease, improving worker productivity and reducing the amount spent by consumers and government on managing major health issues every year.

The bills give employees pre-tax advantages for wellness activities, encouraging people to increase their physical activity. Not only does the WHIP Act affirm an employer’s right to deduct the cost of subsidizing or providing fitness center benefits to employees, encouraging them to offer the perk, but it also eliminates the income tax paid by employees on these benefits, giving them an incentive to get active. The PHIT bill increases the types of expenditures payable out of pre-tax health investment accounts, allowing taxpayers to use up to $1,000 annually for preventative exercise costs including fitness center dues, some exercise equipment, and sports activity fees, among others.

The WHIP and PHIT bills put us on the right track to reforming health care by keeping preventative measures in mind. These bills help remove the cost barrier associated with getting fit and promote a healthy lifestyle, furthering preventative health efforts and reducing our nation’s health care costs.

http://blog.thehill.com/2009/05/06/promoting-healthy-lifestyles-rep-ron-kind/

How Do We Define "The Best?"

I was recently asked by a journalist to recommend several IHRSA member clubs for an upcoming feature highlighting the “best” health clubs in America. This prompted me to think of how IHRSA as an organization defines a great health club, how consumers define a great club, and how any given facility might consider their club among the best.

Certainly, factors such as customer service, cleanliness, quality of equipment, space, classes, and programming could all be factors in this equation. Clubs with cutting-edge technology, cater to specific populations, employ green-friendly practices and are industry innovators could be considerations as well. We could look strictly at numbers – revenues, total memberships, facilities owned. To my knowledge, there is no set definition that would categorize a club as being among the best.

To attempt to answer this question, I would ask each club, “What percentage of your members are happy, getting healthy and meeting their fitness goals?” When it comes down to it, a club that has older equipment but happy members should be considered just as effective and great as one that has the newest products, most members, or significant square footage. My contention is that the clubs making a big difference in members’ lives, ones aiding members in living better in the here and now are the greatest, best clubs. The best varies for every individual.

If clubs struggle with measuring their effectiveness and their level of “greatness”, look to the members for answers. Ask them how you can help them meet their goals. Ask what it will take for them to be feeling better and living better. IHRSA has many, many member clubs that I would categorize among the best in the business.

-Rosemary Lavery