This chart, via Jennifer Keesmaat, shows the important nexus between the infrastructure design and public health.. As evident from the chart, when it comes to building healthy communities the United States has a long way to go in catching up with their counterparts and the huge (no pun intended) disparity in % of obese people shows how unhealthy we are as a nation.

Health implications of city design: more walking, cycling and transit means less obesity + chronic disease (via @jen_keesmaat on Twitter)

Spurred by this tweet, I went looking for data on healthcare spending in the US vs. other OECD countries. Sigh! The chart below shows how much we spend on health compared to other countries (slightly older data).  If we spent a few billion dollars on building more walking/biking/transit infrastructure instead of building more highways and encouraged more people to walk/bike/ride transit, may be we don’t have to incur such an expensive medical bills after all.  Despite all the evidence, our lawmakers seems to be favoring the highway lobbies (and the optics of ribbon cutting for new highways) but talk endlessly about healthcare spending every election cycle!

U.S health spending vs. other countries

Here is a snapshot of the US health spending, according to the OECD:

• Health expenditure per capita: $8,713
• Expenditure as a pct. of GDP: 16.4%
•  Obesity rate: 35.3%
• Life expectancy: 78.8 yrs

“Health spending in the United States (excluding investment expenditure in the health sector) was 16.4% of GDP in 2013, well above the OECD average of 8.9% and the next highest spenders – the Netherlands (11.1%), Switzerland (11.1%) and Sweden (11.0%). The share of GDP spent on healthcare has remained unchanged since 2009 and health spending growth has matched economic growth. The share of government spending in the United States as a share of total spending on health has increased from around 44% in 2000 to above 48% by 2013. Over this period there has been an increase in health coverage for the population – in 2006, Medicare Part D, a voluntary drug benefit programme for seniors and certain disabled persons was introduced.

(Source: Bloomberg & Guardian, UK; Photo: Daily Mail, UK)

• Carrier received more than 700 complaints last year
  
• Two-thirds of Americans are considered overweight
  
• UA may boot obese fliers off full planes and charge them for two tickets on the next departure.

United Airlines, the third-largest U.S. carrier, may force some obese travelers to buy a second seat when flights are full and other passengers complain about being cramped.

The policy brings practices at UAL Corp.’s United in line with those at the other five biggest U.S. carriers including Delta Air Lines Inc. The rule took effect today after being adopted in January, said a United spokeswoman.

United passengers previously “had to share their seat with the oversized guest” on full planes, Urbanski said. Chicago- based United acted after receiving “hundreds” of public complaints each year, she said.

Urbanski said obese passengers on United will be reassigned to a pair of empty seats and won’t be charged for an extra ticket on flights that aren’t full. Travelers must be able to put the arm rest between seats down to its normal position and buckle a seat belt with one extension belt, she said. 

United spokeswoman Robin Urbanski said the policy applies to passengers who cannot buckle up with a single seatbelt extender or lower the armrests or who infringe on their neighbours.

Zervios of the Obesity Action Coalition said cramped airline cabins cause many disruptions.

“What if the person in front of me puts back their seat and encroaches into my space, or if the person next to me has a puffy coat or leaves their light on when I want to take a nap?” he said. “We need to keep in mind that it’s just a form of transportation from Point A to Point B.”

U.S. Obesity Rate

About 34 percent of Americans are obese, double the rate from 30 years ago, according to the U.S. Centers for Disease Control and Prevention. Only one state, Colorado, has an obesity rate of less than 20 percent.

“I don’t happen to be overly wide but I am tall, and as far as I’m concerned I’d like to charge the guy in front of me every time he reclines his seat into my knees,” he said. ‚”There are a lot of dimensions to this problem.”

Obesity is defined as having a “body mass index,” a measure of body fat based on height and weight, of 30 or more. Using that calculation, a person who is 5 feet 9 inches tall (175 centimeters) and weighs at least 203 pounds (92 kilograms) would be considered obese, according to the CDC.

But aviation industry analyst and consultant Robert Mann said it remains unclear how aggressively flight attendants will implement it.

United spokeswoman Robin Janikowski said the policy applies to passengers who cannot buckle up with a single seatbelt extender or lower the armrests or who infringe on their neighbours.

Note: TransportGooru would like to point the readers to a legal battle in Canada on this issue.  Click here to read all about it.