No one should have to choose between food and medicine. For many low-income people with chronic illnesses, however, it's a decision far too familiar.

Seth Berkowitz, a doctor at Massachusetts General Hospital, recalls a woman — a mother — who ended up in the hospital with dangerously high blood pressure. The woman had a prescription for a medication to keep her blood pressure down, but she hadn't filled it because it was nearing the end of the school year and her kids' final tests were coming up. Faced with the option of paying for a prescription she needed or making sure her kids weren’t going into their tests hungry, she chose to feed her kids.

This is not an uncommon dilemma. When Berkowitz conducted a study on the subject back in 2014, he discovered that a third of the chronically ill patients he saw couldn't afford both food and medication.


By skipping medications in favor of paying for food, people and families often end up spending more on health care in the long run. Medical emergencies are expensive — even just a ride in an ambulance can cost several thousands of dollars — and skipping regular checkups or other preventive care can lead to more costly problems further down the line.

Seeing firsthand how food insecurity forces people to make tough decisions, Berkowitz began work on a follow-up study.

Does helping people afford food lower their overall medical bills?

According to a new study published in JAMA Internal Medicine by Berkowitz and colleagues, food assistance through the American government’s Supplemental Nutrition Assistance Program could help low-income individuals and families save on their medical bills.

SNAP — formerly known as food stamps — is a federal program that gives low-income individuals money to spend on food. The exact implementation varies state by state, but overall about 1 in 7 Americans get help through the program.

Though the program may have started with stamps and paper bills, today funds are distributed through government issued EBT cards like this one. Photo by Justin Sullivan/Getty Images.

Berkowitz’s study looked at roughly 4,400 low-income adults, about 40% of whom were on SNAP. When Berkowitz’s team compared how much the average person in each group was spending on health care, they found the SNAP group spent about $1,400 less per year.

For comparison, the average single adult on SNAP receives about $1,500 a year in benefits.

What can we do with this knowledge?

Berkowitz’s study wasn’t able to pinpoint why these savings happen, but they have some ideas. People with SNAP benefits — now better able to feed their families — may be more likely to get their necessary prescriptions and checkups. Being able to afford healthier food might also be a factor.

This market in New York City both accepts SNAP funds and rewards the purchase of fresh fruit and vegetables with vouchers. Photo by Andrew Burton/Getty Images.

This research is especially timely as America is searching for a way to decrease its massive health care bill.

By understanding how social programs help keep people out of the hospital in the first place, studies like this one can help us understand how to keep spending down.

Not to mention how to make sure moms like Berkowitz’s patient can both feed their kids and fill their prescriptions too.

Joy

Meet Eva, the hero dog who risked her life saving her owner from a mountain lion

Wilson had been walking down a path with Eva when a mountain lion suddenly appeared.

Photo by Didssph on Unsplash

A sweet face and fierce loyalty: Belgian Malinois defends owner.

The Belgian Malinois is a special breed of dog. It's highly intelligent, extremely athletic and needs a ton of interaction. While these attributes make the Belgian Malinois the perfect dog for police and military work, they can be a bit of a handful as a typical pet.

As Belgian Malinois owner Erin Wilson jokingly told NPR, they’re basically "a German shepherd on steroids or crack or cocaine.”

It was her Malinois Eva’s natural drive, however, that ended up saving Wilson’s life.

According to a news release from the California Department of Fish and Wildlife, Wilson had been walking down a path with Eva slightly ahead of her when a mountain lion suddenly appeared and swiped Wilson across the left shoulder. She quickly yelled Eva’s name and the dog’s instincts kicked in immediately. Eva rushed in to defend her owner.

It wasn’t long, though, before the mountain lion won the upper hand, much to Wilson’s horror.

She told TODAY, “They fought for a couple seconds, and then I heard her start crying. That’s when the cat latched on to her skull.”

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Connecticut Senator Chris Murphy asked his Senate colleagues the questions millions of Americans have after a mass shooting.

Another school shooting. Another mass murder of innocent children. They were elementary school kids this time. There were 18 children killed—so far—this time.

The fact that I can say "this time" is enraging, but that's the routine nature of mass shootings in the U.S. It happened in Texas this time. At least three adults were killed this time. The shooter was a teenager this time.

The details this time may be different than the last time and the time before that, and the time before that, and the time before that. But there's one thing all mass shootings have in common. No, it's not mental illness. It's not racism or misogyny or religious extremism. It's not bad parenting or violent video games or lack of religion.

Some of those things have been factors in some shootings, but the single common denominator in every mass shooting is guns. That's not a secret. It's not controversial. It's fact. The only thing all mass shootings have in common is guns.

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Joy

Man uses TikTok to offer 'dinner with dad' to any kid that needs one, even adult ones

Summer Clayton is the father of 2.4 million kids and he couldn’t be more proud.

Come for the food, stay for the wholesomeness.

Summer Clayton is the father of 2.4 million kids and he couldn’t be more proud. His TikTok channel is dedicated to giving people intimate conversations they might long to have with their own father, but can’t. The most popular is his “Dinner With Dad” segment.

The concept is simple: Clayton, aka Dad, always sets down two plates of food. He always tells you what’s for dinner. He always blesses the food. He always checks in with how you’re doing.

I stress the stability here, because as someone who grew up with a less-than-stable relationship with their parents, it stood out immediately. I found myself breathing a sigh of relief at Clayton’s consistency. I also noticed the immediate emotional connection created just by being asked, “How was your day?” According to relationship coach and couples counselor Don Olund, these two elements—stability and connection—are fundamental cravings that children have of their parents. Perhaps we never really stop needing it from them.


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