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April 8, 2025 27 mins

What if better health relied more on our environment than on doctors or medication? 

Elena Marks challenges conventional health care perspectives by emphasizing the non-medical drivers of health, like access to nutritious food and safe environments. Her work at the Baker Institute aims to reallocate health dollars towards these factors. Marks advocates for a system where investing in these areas takes precedence for better and cost-effective health outcomes.

Key Questions Answered

1. What are non-medical drivers of health, and why are they considered to have a greater impact on health outcomes than medical care itself?

2. Can you tell us about the Baker Institute for Public Policy and your role there?

3. What are some of the focus areas within the Center for Health Policy at the Baker Institute?

4. How do programs like "Food is Medicine" work to address health outcomes?

5. Why is it more effective and cost-efficient to address environmental factors such as mold in asthma patients' homes rather than just providing medical treatment?

6. What is the status of Medicaid expansion in Texas, and what population does this currently exclude?

7. Who does get Medicaid in Texas, and how is that coverage limited?

8. How has the Affordable Care Act (ACA) affected health coverage in Texas, particularly for the uninsured?

9. What are some potential risks to the Affordable Care Act's benefits, such as enhanced subsidies and navigator funding?

10. Looking to the future, what does Elena Marks envision as a goal for a healthier healthcare system in the U.S.?

Timestamped Overview

00:00 Rethinking Health: Beyond Medicine

06:32 Addressing Non-Medical Health Factors

08:23 Prioritize Environmental Solutions for Asthma

13:49 Medicaid Expansion Benefits Vulnerable Groups

16:15 Insurance Mandates and Marketplaces

18:07 Patient Plan Transition Challenges

22:09 Funding Cuts Threaten Insurance Navigators

25:02 "Social Spending Boosts Health"

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