April 30th, 2020

// COVID-19 has unveiled shortcomings of US health policy, Baker Institute expert says

COVID-19 has unveiled shortcomings of US health policy, Baker Institute expert says

HOUSTON – (April 30, 2020) – When it comes to keeping the nation healthy, "medical care is actually a pretty small piece,” according to an expert in health policy at Rice University’s Baker Institute for Public Policy. 

Elena Marks, a nonresident fellow in health policy at the Baker Institute and the president and chief executive officer of the Houston-based Episcopal Health Foundation, is available to discuss how the U.S. can improve public health in the wake of the COVID-19 pandemic.

“Despite our obsession with health care in this country, it’s actually social, economic and behavioral factors that are much more influential and more determinative of our health status and our health outcomes,” she said.

According to Marks, the drivers of public health don’t come from hospitals — health is largely related to factors such as education, income, family or social support, housing, pollution, diet and exercise, and community safety.

“It’s the nonmedical factors that have exacerbated the effects of (COVID-19),” Marks said. Social, economic and behavioral factors such as chronic conditions, employment, housing and food security have contributed to the spread and intensity of the virus among vulnerable populations, she argued. 

Marks presented a webinar April 23 to explain how a lack of investment in public health in the U.S. has contributed to the coronavirus outbreak. Her research shows medical services account for over 97% of the nation’s $3.6 trillion in national health expenditures — including public, private, insurance, tax and government dollars — while only 2.6% is spent on public health.

“It’s the public health workforce that watches for patterns of disease, that plans for prevention and containment and promotes testing and contact tracing to stop the spread of infectious diseases,” she said.

Public health efforts — creating laws, policies and regulations that provide widespread access to preventative care and support healthy environments — are crucial, according to Marks.

“The inequities in our system grow even more so during disaster,” Marks said. “It’s time to deal with it.”

To schedule an interview with Marks, or for more information, contact Avery Franklin, media relations specialist at Rice, at averyrf@rice.edu or 713-348-6327.

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Related materials:

Marks bio: https://www.bakerinstitute.org/experts/elena-m-marks/

Follow the Baker Institute via Twitter @BakerInstitute.

Follow Rice News and Media Relations via Twitter @RiceUNews.

This news release can be found online at news.rice.edu.

Founded in 1993, Rice University’s Baker Institute ranks as the No. 2 university-affiliated think tank in the world and the No. 1 energy think tank in the world. As a premier nonpartisan think tank, the institute conducts research on domestic and foreign policy issues with the goal of bridging the gap between the theory and practice of public policy. The institute’s strong track record of achievement reflects the work of its endowed fellows, Rice University faculty scholars and staff, coupled with its outreach to the Rice student body through fellow-taught classes — including a public policy course — and student leadership and internship programs. Learn more about the institute at www.bakerinstitute.org or on the institute’s blog, http://blog.bakerinstitute.org.

Located on a 300-acre forested campus in Houston, Rice University is consistently ranked among the nation’s top 20 universities by U.S. News & World Report. Rice has highly respected schools of Architecture, Business, Continuing Studies, Engineering, Humanities, Music, Natural Sciences and Social Sciences and is home to the Baker Institute for Public Policy. With 3,962 undergraduates and 3,027 graduate students, Rice’s undergraduate student-to-faculty ratio is just under 6-to-1. Its residential college system builds close-knit communities and lifelong friendships, just one reason why Rice is ranked No. 1 for lots of race/class interaction and No. 4 for quality of life by the Princeton Review. Rice is also rated as a best value among private universities by Kiplinger’s Personal Finance.

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