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    August 3, 2023

    Michiganders are Among the Least Healthy Americans

    Ranked 39th in overall health outcomes, Michigan has persistent disparities in health by race, ethnicity, socioeconomic status, and geography.

    Livonia, MI – Altarum and the Citizens Research Council of Michigan today released Health Challenges and Opportunities, the third in a series of five papers. The research series, Michigan’s Path to a Prosperous Future: Challenges and Opportunities, addresses a variety of recent statewide trends, from population change to health outcomes to infrastructure quality, many of which are progressing unfavorably, and how Michigan can support a more prosperous, thriving future.  

    Altarum and the Research Council joined forces to address these threats and present opportunities, releasing a realistic, data-informed vision of Michigan’s future based on current trajectories across multiple dimensions: demographic, economic, workforce, infrastructure, environment, and public services. The first three of these papers can be found on the Research Council and Altarum websites and the two remaining papers will be released over the coming months.  

    The research shows that Michigan is losing its competitive edge and stagnant population growth is a major contributing factor. Michigan is in the bottom third of many national rankings, including 34th in household income, 36th in K-12 educational outcomes, and dropped from 32nd in health outcomes in 2008 to 39th today. This stands in contrast even to neighboring Midwestern states, who have experienced on average better overall health outcomes over the last two decades. And as the state’s population continues to age, challenges to Michigan’s overall health outcomes are expected to intensify.  

    “Even though Michiganders, on average, have greater access to health care and we have strong anchor institutions offering world class medical care, the health of our population is generally worse than national averages,” said Corey Rhyan, Research Director, Health Economics and Policy at Altarum. “This outcome reflects the environmental, social, and economic factors that strongly predict our residents’ health.  

    “Michiganders are dying sooner than other Americans, with health outcomes that unfortunately have barely improved over the last 20 years.”  

    The report details significant and persistent health disparities by race, with the premature death rate among Black Michiganders being nearly twice as high as White and Hispanic populations and communities of color having fewer dedicated health care providers than White communities. Most notably: Black infant mortality rates are three times as high as White infant mortality rates.  

    Socioeconomic status and geography are considerable factors determining health outcomes and Michigan ranks 37th out of 50 states in social and economic factors, such as the rate of children living in poverty, residents experiencing food insecurity, and residential segregation. People living in Michigan’s rural communities, such as parts of the northern Lower Peninsula and much of the Upper Peninsula, have little to no access to health providers to meet needs such as primary, maternity, prenatal, and behavioral health care.  

    The report notes that Michigan’s future depends on communities of color, which will represent 40% of the working-age population by 2050. Yet Black and Brown residents are in poorer health than their White neighbors. Removing the stark socioeconomic and racial disparities in healthcare based on where one lives in Michigan is imperative.  

    “We need to take a whole society approach to understanding the root causes of health by strengthening Michigan’s public health system, and investing in research, education, and policies regarding social determinants of health outcomes,” said Eric Lupher, president of the Citizens Research Council.  

    “Equity must be top-of-mind when it comes to our state’s health care system. We must make sure our state’s robust health care systems, from affordable insurance plans to world class hospitals, serve all Michiganders, regardless of race and ethnicity, income or geography.”  

    The series was funded by Charles Stewart Mott Foundation, The Kresge Foundation, Ralph C. Wilson, Jr. Foundation, Hudson-Webber Foundation, Grand Rapids Community Foundation, W.K. Kellogg Foundation, Max M. and Marjorie S. Fisher Foundation, Michigan Health Endowment Fund, The Joyce Foundation, The Skillman Foundation, and the Ballmer Group.   Stay on top of future research as it is released by bookmarking: www.crcmich.org/publications/prosperous-future and https://altarum.org/news/altarum-and-citizens-research-council-michigan-publish-michigan-s-path-prosperous-future  

    MEDIA CONTACTS
    Katy Dowd
    Altarum
    katy.dowd@altarum.org
    314.504.3693  

    Maureen McNulty-Saxton
    Citizens Research Council of Michigan
    msaxton@crcmich.org
    517.899.5513  

    Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. They work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. Altarum combines their expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Altarum’s innovative solutions and proven processes lead to better value and health for all. For more information, visit www.altarum.org  

    Founded in 1916, the Citizens Research Council of Michigan works to improve government in Michigan. The organization provides factual, unbiased, independent information concerning significant issues of state and local government organization, policy, and finance. By delivery of this information to policymakers and citizens, the Research Council aims to ensure sound and rational public policy formation in Michigan. For more information, visit www.crcmich.org.   ###
    President

    About The Author

    Eric Lupher

    President

    Eric has been President of the Citizens Research Council since September of 2014. He has been with the Citizens Research Council since 1987, the first two years as a Lent Upson-Loren Miller Fellow, and since then as a Research Associate and, later, as Director of Local Affairs. Eric has researched such issues as state taxes, state revenue sharing, highway funding, unemployment insurance, economic development incentives, and stadium funding. His recent work focused on local government matters, including intergovernmental cooperation, governance issues, and municipal finance. Eric is a past president of the Governmental Research Association and also served as vice-chairman of the Governmental Accounting Standards Advisory Council (GASAC), an advisory body for the Governmental Accounting Standards Board (GASB), representing the user community on behalf of the Governmental Research Association.

    Michiganders are Among the Least Healthy Americans

    Ranked 39th in overall health outcomes, Michigan has persistent disparities in health by race, ethnicity, socioeconomic status, and geography.

    Livonia, MI – Altarum and the Citizens Research Council of Michigan today released Health Challenges and Opportunities, the third in a series of five papers. The research series, Michigan’s Path to a Prosperous Future: Challenges and Opportunities, addresses a variety of recent statewide trends, from population change to health outcomes to infrastructure quality, many of which are progressing unfavorably, and how Michigan can support a more prosperous, thriving future.  

    Altarum and the Research Council joined forces to address these threats and present opportunities, releasing a realistic, data-informed vision of Michigan’s future based on current trajectories across multiple dimensions: demographic, economic, workforce, infrastructure, environment, and public services. The first three of these papers can be found on the Research Council and Altarum websites and the two remaining papers will be released over the coming months.  

    The research shows that Michigan is losing its competitive edge and stagnant population growth is a major contributing factor. Michigan is in the bottom third of many national rankings, including 34th in household income, 36th in K-12 educational outcomes, and dropped from 32nd in health outcomes in 2008 to 39th today. This stands in contrast even to neighboring Midwestern states, who have experienced on average better overall health outcomes over the last two decades. And as the state’s population continues to age, challenges to Michigan’s overall health outcomes are expected to intensify.  

    “Even though Michiganders, on average, have greater access to health care and we have strong anchor institutions offering world class medical care, the health of our population is generally worse than national averages,” said Corey Rhyan, Research Director, Health Economics and Policy at Altarum. “This outcome reflects the environmental, social, and economic factors that strongly predict our residents’ health.  

    “Michiganders are dying sooner than other Americans, with health outcomes that unfortunately have barely improved over the last 20 years.”  

    The report details significant and persistent health disparities by race, with the premature death rate among Black Michiganders being nearly twice as high as White and Hispanic populations and communities of color having fewer dedicated health care providers than White communities. Most notably: Black infant mortality rates are three times as high as White infant mortality rates.  

    Socioeconomic status and geography are considerable factors determining health outcomes and Michigan ranks 37th out of 50 states in social and economic factors, such as the rate of children living in poverty, residents experiencing food insecurity, and residential segregation. People living in Michigan’s rural communities, such as parts of the northern Lower Peninsula and much of the Upper Peninsula, have little to no access to health providers to meet needs such as primary, maternity, prenatal, and behavioral health care.  

    The report notes that Michigan’s future depends on communities of color, which will represent 40% of the working-age population by 2050. Yet Black and Brown residents are in poorer health than their White neighbors. Removing the stark socioeconomic and racial disparities in healthcare based on where one lives in Michigan is imperative.  

    “We need to take a whole society approach to understanding the root causes of health by strengthening Michigan’s public health system, and investing in research, education, and policies regarding social determinants of health outcomes,” said Eric Lupher, president of the Citizens Research Council.  

    “Equity must be top-of-mind when it comes to our state’s health care system. We must make sure our state’s robust health care systems, from affordable insurance plans to world class hospitals, serve all Michiganders, regardless of race and ethnicity, income or geography.”  

    The series was funded by Charles Stewart Mott Foundation, The Kresge Foundation, Ralph C. Wilson, Jr. Foundation, Hudson-Webber Foundation, Grand Rapids Community Foundation, W.K. Kellogg Foundation, Max M. and Marjorie S. Fisher Foundation, Michigan Health Endowment Fund, The Joyce Foundation, The Skillman Foundation, and the Ballmer Group.   Stay on top of future research as it is released by bookmarking: www.crcmich.org/publications/prosperous-future and https://altarum.org/news/altarum-and-citizens-research-council-michigan-publish-michigan-s-path-prosperous-future  

    MEDIA CONTACTS
    Katy Dowd
    Altarum
    katy.dowd@altarum.org
    314.504.3693  

    Maureen McNulty-Saxton
    Citizens Research Council of Michigan
    msaxton@crcmich.org
    517.899.5513  

    Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. They work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. Altarum combines their expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Altarum’s innovative solutions and proven processes lead to better value and health for all. For more information, visit www.altarum.org  

    Founded in 1916, the Citizens Research Council of Michigan works to improve government in Michigan. The organization provides factual, unbiased, independent information concerning significant issues of state and local government organization, policy, and finance. By delivery of this information to policymakers and citizens, the Research Council aims to ensure sound and rational public policy formation in Michigan. For more information, visit www.crcmich.org.   ###
  • Permission to reprint this blog post in whole or in part is hereby granted, provided that the Citizens Research Council of Michigan is properly cited.

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  • Stay informed of new research published and other Citizens Research Council news.


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    President

    About The Author

    Eric Lupher

    President

    Eric has been President of the Citizens Research Council since September of 2014. He has been with the Citizens Research Council since 1987, the first two years as a Lent Upson-Loren Miller Fellow, and since then as a Research Associate and, later, as Director of Local Affairs. Eric has researched such issues as state taxes, state revenue sharing, highway funding, unemployment insurance, economic development incentives, and stadium funding. His recent work focused on local government matters, including intergovernmental cooperation, governance issues, and municipal finance. Eric is a past president of the Governmental Research Association and also served as vice-chairman of the Governmental Accounting Standards Advisory Council (GASAC), an advisory body for the Governmental Accounting Standards Board (GASB), representing the user community on behalf of the Governmental Research Association.

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