1. P OLICY & C ULTURE ECS 154 October 22, 2008 Ano Lobb

2. W RAP UP POINTS What is it? Policy could be a law, regulation, guideline, recommendation, legislation. Anything that attempts to guide the practice or application of something (health, education, housing) etc.. A plan of action aimed at achieving certain desired outcomes, and avoiding undesired outcomes. May be vague and ambiguous, may also be the law of the land Many interests, some of them foreign to PH

3. P OLICY AND CULTURE “Does culture change precede policy change or does policy change reflect cultural change?” Can we assume anything about policy and/or culture by what we observe? For example……

4. Berkman, Ch.8

5. Berkman, Ch.4

7. Baiker K, Chandra A. Health Affairs 2004

8. 2003 US Census Data

11. Minnesota 2020 is a progressive, non-partisan think tank, focused on what really matters. We focus public policy debate on the issues that matter for Minnesota's future success. LEAST: WA, FL,NV, WY,SD,TN,TX NH,AL,IL,PA MOST: DE, CA, MT, ME, VT, NE,ID, SC, OH,MN

12. 1.Mississippi 2. Alabama 3. West Virginia 4. Louisiana 5. Kentucky 6. Tennessee 7. Arkansas 8. Indiana (tie for 8th) 9. South Carolina (tie for 8th) 10. Texas 1. Colorado 2. Hawaii 3. Massachusetts 4. Rhode Island 5. Vermont 6. Connecticut 7. Montana 4. Arizona 9. Utah 10. Nevada 10 MOST obese states 10 LEAST obese states 2006 BRFSS

13. Rank State Index 1 Minnesota 60.2% 2 South Dakota 57.9% 3 Montana 56.6% 4 Vermont 54.9% 5 Maine 52.1% 6 Wisconsin 50.9% 7 Wyoming 50.5% 8 Rhode Island 50.5% 9 Michigan 50.1% 10 Oregon 49.8% 11 Missouri 49.4% 12 Iowa 48.0% 13 Nebraska 47.7% 14 Ohio 46.7% 15 Colorado 46.5% 16 Washington 45.9% 17 North Dakota 45.6% 18 Idaho 45.0% 19 Maryland 44.5% 20 Louisiana 44.3% 21 Alaska 43.4% 22 Kansas 43.3% 23 Connecticut 43.3% 24 Virginia 42.9% 25 Pennsylvania 42.7% 26 Delaware 42.6% 27 Massachusetts 42.6% 28 New Mexico 41.8% 29 New Hampshire 40.7% 30 Kentucky 40.7% 31 Illinois 40.2% 32 Tennessee 39.1% 33 Arkansas 38.6% 34 California 38.3% 35 New Jersey 38.1% 36 Arizona 38.0% 37 Hawaii 37.1% 38 Indiana 36.2% 39 Oklahoma 35.3% 40 Nevada 35.2% 41 South Carolina 35.0% 42 Alabama 34.1% 43 Georgia 33.7% 44 Utah 33.1% 45 West Virginia 32.2% 46 New York 31.8% 47 Florida 31.8% 48 North Carolina 31.4% 49 Mississippi 28.9% 50 Texas 28.4% United States 42.4% 2007 voter turn out rates, non-presidential George Mason University

14. 2003, US Census