Health isn’t just influenced by the choices we make. It’s also determined by public policy.

That’s the message of a new report that examines how health in Michigan is limping behind others around the country. On average, resident lifespans are shorter, infant mortality rates are higher, and Michiganders are more likely to suffer from cancer and other diseases. 

Why is this the case? And, what is the state’s role in getting us to move our bodies more, and to expand our minds so we can live longer, healthier lives?

Karley Abramson is a health policy research associate for the Citizens Research Council, which published the report. She spoke with host Robyn Vincent.

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The National Poll on Healthy Aging found many older adults have disabilities. However, they do not identify with being disabled, nor do they request accommodations, in part due to stigma. 

The poll found 19% of adults 50 years old and older have a disability but, they are less likely to ask for accommodations. 

Dr. Michelle Mead is a professor in the Department of Physical Medicine and Rehabilitation and Family Medicine at the University of Michigan.  

She says many older adults look at disabilities as a natural part of aging rather than a disability, and don’t want to be stigmatized. 

“Even though the groups who are 65 and older are more likely to actually have a disability, they were less likely to identify as having one,” she says. 

The survey is part of the National Opinion Research Center, conducted at the University of Chicago for the Institute for Healthcare Policy and Innovation at the University of Michigan. 

Mead says despite older adults not seeking accommodations, half of older adults may legally qualify for accommodations, especially for those who are 65 and up.

 “This is what the Americans with Disabilities Act, the Rehabilitation Act, Section 504, and this other legislation was about doing. It’s about including, providing opportunities, ensuring that a functional limitation, a diagnosis or impairment doesn’t stop people. But the stigma is that it still does,” she explains. 

Mead says older adults face stigma and barriers to living healthy lives.

“The stigma is one built into our society. We have ageism that says it’s bad to get older. That does not value the various skills and strengths that you learn and the different ways of doing things that are required through experience,” she explains.

Clinician support

The survey hopes to educate clinicians on how to serve older adults better.

“Many of the individuals with disabilities, I know, are fantastic problem solvers. They have to be. But unfortunately, the world still isn’t set up to work with, to consider, to involve people with disabilities. So, until that happens, we need to develop workarounds,” she shares.

The University of Michigan Center for Disability Health and Wellness, where Mead is the founding director, created several tip sheets for clinicians to gather relevant information to serve older adults with disabilities.

“I think what I’m hoping to do with this research is to increase awareness about the importance of asking the right questions, developing processes to allow the best care to occur, and making sure that we connect the dots to both reduce healthcare costs and improve lives,” she says. 

The poll surveyed over 3,800 adults 50 and up by phone and online. 

America’s health insurance is distributed in a patchwork way. There are public health insurers, like Medicaid and Medicare, and then there are private ones. That’s where a lot of citizens and state residents get their health insurance — through their work or through the private market. 

That insurance may become harder to come by for over 200,000 residents. Two health insurance agencies, Health Alliance Plan and Molina Healthcare, will no longer offer coverage through the Affordable Care Act in Michigan. And, Meridian Health Plan will be significantly shrinking its coverage for state residents. 

That’s happening as premium costs are expected to go through the roof because the Republican-controlled Congress did not include an extension of health insurance tax credits in the One Big Beautiful Bill Act. 

Robyn Vincent spoke with Brian Peters, CEO of the Michigan Health & Hospital Association, about what these changes will mean for Michiganders who sign up for healthcare through the Affordable Care Act, and how hospitals will be impacted.

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Alzheimer’s research has come a long way in recent years. Blood tests to identify an abnormal protein called ptau217 can mean diagnosing Alzheimer’s disease before symptoms like memory loss show up.

Early intervention is key, says Dr. Rany Aburashed, a neurologist and CEO of Neurogen Biomarking.

“The whole game now is determining as early as possible if you have these plaques developing in the brain. The earlier we know, before the symptoms are significant, the more we can interact and actually change the disease itself.”

The blood tests identify sticky amyloid plaques and tangled fibers, which are the hallmarks of Alzheimer’s disease.

Diagnosing Alzheimer’s based on biology instead of symptoms means early interventions could reduce progression or severity of Alzheimer’s symptoms later in life.

“Just because you have a genetic predisposition, it does not mean you’re going to progress to dementia […] but you can only change that if you’re in front of it,” says Dr. Aburashed.

Some people have genetic predispositions, and lifestyle factors in 40’s, 50’s and 60’s can trigger the disease, especially drinking alcohol and smoking, adds Dr. Aburashed.

The FDA approved several new tests for Alzheimer’s diagnosis this year.

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The final medical decisions in a person’s life are among the most difficult anyone can make. They can include how to proceed with treatment for someone with a terminal illness, or to cease treatment all together. When that person is unconscious or unable to make that decision themselves, family, or next of kin, are often the ones who decide.

But, in practice, carrying out the wishes of a loved one is not as simple as it seems. 

Without having the necessary paperwork already completed, a person needs to gain legal guardianship before they can make medical decisions on their loved ones’ behalf. That process is complicated and can waste precious, fleeting moments on bureaucracy.

State Rep. Jamie Thompson (R-Brownstown) is co-sponsoring a bipartisan bill along with Angela Witwer (D-Delta Township) to close the medical decision-making gap in Michigan.

Rep. Thompson joined the Metro to discuss the details of the bill, and her personal experience which highlights Michigan’s need for a next-of-kin law in the state.

Guest:

• State Rep. Jamie Thompson represents Michigan’s 28th House District and serves as Vice Chair of the House Health Policy Committee.

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