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Wednesday, November 13, 2024
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Much has been discussed and debated over the food stamp program of the Farm Bill, however, as you may know the Bill includes many other programs such as international food aid.  This food aid program has been largely left unchanged in the current version, even though in recent months it was reported that the Obama administration was looking to address the major weaknesses of the program.

Currently, the US grows and ships most of the food that makes up its international food assistance, which has been found to be an inefficient and more costly process than if the US bought locally produced food.  One provision of the current program is that 75% of US-funded food aid is to be transported on US-flag vessels, which often results in monthly delays of food aid when it’s needed the most, and the money spent on this transport amounts to an additional $1 billion.

In addition, the US Government Accountability Office has found the process of “monetization,” which involves buying food from US farmers and selling it overseas, to be largely inefficient and costly, as well as having a negative impact on local markets. The money recovered from these transactions is often 58-70% of the original value.  These losses could be avoided by changing the way the aid is distributed. According to  supporters of the program reform, 17 million more people could benefit from the money saved on these costs.

Unfortunately, the proposed shift in how food is procured has been met with opposition from organizations like the USA Rice Federation and the USA Maritime, among others, who have expressed concern for jobs lost if the government no longer shipped US-grown food overseas. However, the proportion of current food aid accounts for less than 1% of the US agricultural exports, which is a “small drop in the market” and not an “important revenue stream for U.S. agriculture,” according to Veronica Nigh, an economist with the American Farm Bureau Federation.

With the proposed changes, more than half of the food would still be grown by US farmers and shipped overseas, and a pilot program of buying food locally would be extended, which would ultimately result in feeding more people at a lower cost.

USAID humanitarian aid in Amman Photo credit: The Guardian

USAID humanitarian aid in Amman
Photo credit: The Guardian

Much has been discussed and debated over

childbirthing center

I also blog for JAMA News Forum on policy matters, along with some other folks. My latest post deals with transforming maternity services in the U.S.  I’m hoping that it is fodder for conversations and actions to give women more birthing choices and improve maternal, child, and financial outcomes at the same time. Check it out:  http://jama.md/13ZTN9M  JAMA doesn’t let others post comments, so I’d welcome people’s thoughts on this HealthCetera post regarding how to move forward with this transformation.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

I also blog for JAMA News Forum

Joy Jacobson is the CHMP’s poet-in-residence. Follow her on Twitter: @joyjaco.

I came across a study last week that lends even more concrete support to the idea that writing has healing properties (abstract here). In the July issue of Psychosomatic Medicine, New Zealand researchers Koschwanez and colleagues report that they randomly split 49 elderly subjects into two groups: one group wrote about traumatic life events (“expressive writing”), while the other wrote about their daily lives (“time management”). Members of both groups wrote for 20 minutes a day for three days; two weeks later all received a small skin biopsy on the inner arm. For three weeks the researchers photographed the wounds and asked subjects to rate their levels of stress and depression, recorded the number of doctor visits, and measured proinflammatory cytokines, a biomarker of stress.

At Day 11, 72% of the expressive-writing group showed full wound healing, while only 42% of the time-management group did. There were no changes found in the other measures.

This adds weight to prior studies: a 2008 study found similar effects of expressive writing on wound healing and a 1999 study found writing about stressful events led to clinical improvements for people with asthma or rheumatoid arthritis. Many others have been conducted into this exciting field.

So how does expressive writing work to improve health? The New Zealand researchers don’t put forth any theories, saying only that more research is needed into “the underlying cognitive, psychosocial, and biological mechanisms.” But it seems that in many of the studies in which benefits are shown it’s not just the mere act of writing that holds the power; it’s expressive writing, documenting stressful or traumatic memories, that holds the key.

My colleague Jim Stubenrauch and I have been incorporating such writing techniques into our work with hospital nurses and nursing students, and we’ve found that many nurses respond quite well to writing prompts that encourage them to explore emotionally charged memories. James Pennebaker is at the forefront of research in this area. Watch the video embedded here for his description of the “expressive writing method” and the effects on immune function and behavioral health measures. And Jim and I will continue to blog here on our work with nurses and other clinicians or patient groups.
[youtube=http://www.youtube.com/watch?v=XsHIV9PxAV4]

Joy Jacobson is the CHMP’s poet-in-residence. Follow