1. Xavier Morales, Ph.D., MRP
January 27, 2016
@LCHC_CA
@DRX_CA

3. Why is Health a Matter of Justice?

4. Social Determinants of Health
Affordable & Safe Housing
Aggressive Marketing of Unhealthy Products and Services
Community Infrastructure
Economic Justice
Educational Equity
Equitable Health Care Access
Immigration Status
Food Security
Parks & Recreational Space
The Natural Environment
Safe Neighborhoods
Hope & Efficacy
Social Connectedness
Cultural Identity
Access to Transportation & Active Transportation Options

5. Impact of Type 2 Diabetes
Today, nearly 14% of adults in California are estimated to have diabetes (diagnosed and undiagnosed)
Another 41% of adult Californians are estimated to have prediabetes.
15-30% of people with prediabetes are expected to develop diabetes within five years.
According to the American Diabetes Association, the risk of diabetes is 77% and 66% higher among African Americans and Latinos, respectively, than among white Americans.
Latinos and African Americans are 1.5 to 2 times more likely to die from diabetes than whites.

6. Type 2 Diabetes’ Discriminating Taste
CA Hospital Patients with Diabetes
27%
White
39%
African American
39%
Asian American, Pacific Islander
43%
Latino
40.3%
American Indian & Alaskan Native
Source: California Office of Statewide Health and Planning Development, 2011

7. The Urgency: Leading Causes of Deaths Among Latinos
Among Latinos, heart disease, cancer, stroke, and diabetes account for over half of all deaths.
Source: CDC Deaths: Leading Causes for 2010

8. Diabetes, Amputations & Poverty

9. Amputations and Diabetes
Between 2003 and 2013….
1,407 amputations to US soldiers fighting in Iraq and Afghanistan over 10 years
13,000 amputations annually in California; 130,000 over 10 years!
Source: Journal of Military and Veterans' Health and California Healthline

10. California Cost of Type 2 Diabetes
The economic cost of diagnosed diabetes in California, the state with the largest diabetic population, is
$37.1 billion
per year.
Source: American Diabetes Association

12. Lifetime Risk of Developing Diabetes
1 in 2 Latino and African American kids will now develop diabetes in their lifetime!
Source: CDC Diabetes Resources

13. AB XXXX (Bloom): The Healthy California Fund
Create a dedicated revenue source to comprehensively address the diabetes crisis we are experiencing in California—especially in our communities of color.
Fund the revenue source through a 2 cent per ounce health impact fee on the distribution of sugary drinks in California.
Invest the anticipated $3 Billion in a comprehensive efforts to address the complex roots of diabetes.
Target investment to the zip codes that have the highest rates of diabetes.

14. Co-Sponsors California Rural Indian Health Board
Latino Coalition for a Healthy California
California Black Health Network
Asian Pacific Partners for Empowerment and Leadership
California Primary Care Association
American Heart Association
Public Health Institute
California School Based Health Alliance
Roots of Change

15. Revenues will fund: Activities and Programs Settings
Nutrition Education
Physical Activities
Water Stations
Farm to Table
Oral Health
Community
Clinics
Schools
County Health Departments
At least 60% of the Revenues will go to the zip codes with the highest rates of diabetes!

16. The Fee is Levied on Distributors$
Excise tax: A tax on the companies that distribute sugary drinks.

17. It’s Working in Mexico
10% 7%
13%

18. Mexico: Same Trucks, Different Drinks
LOW SUGAR
WATER
Before
SUGARY
LOW SUGAR
After
SUGARY
WATER

19. Funding to Prevent Diabetes at its Roots
$3 billion
every year
to help keep us healthy in California

20. Arguments against Job killer Regressive Nanny state
Will hurt small business
Why are we picking on soda?

21. Example in Berkeley! $2 million/year
Oct Press conference on biggest single contribution in Berkeley election history ($600K), given by American Beverage Association to local opposition front group. Overall total given by ABA would later exceed $2.3 million.
Oct Story in Berkeleyside details all spending by the ABA-funded front group. Public support for campaign is high. Lawn signs in high demand.
Nov Berkeley sugary drink tax passes with 76% of the vote, a mandate of public support for the measure.

22. ¡Gracias! Si desea obtener más información: www.lchc.org @LCHC_CA
Latino Coalition for a Healthy California
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