Behavior Modification, at its best

[Gary Hunt]

Behavior Modification, at its best.

The following can be found at: http://www.whitehouse.gov/the-press-office/executive-order-establis...

This is an example of the Fourth Branch of Government (Who Makes the Laws?) which was created to make laws under Executive authority,
absent the participation of the Legislative branch of government

Highlight, mine; underscore, mine, except in Section titles; [Notes], mine.

There can be nothing less than social (life-style) behavior dictated by government construed from this unnumbered Executive Order. Our lives, if we comply with this, will be in the hands of the government, and,
the Advisory Board will be comprised of "experts" who have vested
interest in the economics of the policy created.

Gary Hunt

************

The White House

Office of the Press Secretary

For Immediate Release

June 10, 2010

Executive Order-- Establishing the National Prevention, Health Promotion, and Public Health Council

EXECUTIVE ORDER

ESTABLISHING THE NATIONAL PREVENTION, HEALTH PROMOTION, AND PUBLIC HEALTH COUNCIL

By the authority vested in me as President by the Constitution and the laws of the United States of America, including section 4001 of the Patient Protection and Affordable Care Act (Public Law 111-148), it
is hereby ordered as follows:

Section 1. Establishment. There is established within the Department of Health and Human Services, the National Prevention, Health Promotion, and Public Health Council (Council).

Sec. 2. Membership.

(a) The Surgeon General shall serve as the Chair of the Council, which shall be composed of:

(1) the Secretary of Agriculture;
(2) the Secretary of Labor;
(3) the Secretary of Health and Human Services;
(4) the Secretary of Transportation;
(5) the Secretary of Education;
(6) the Secretary of Homeland Security;
(7) the Administrator of the Environmental Protection Agency;
(8) the Chair of the Federal Trade Commission;
(9) the Director of National Drug Control Policy;
(10) the Assistant to the President and Director of the Domestic Policy
Council;
(11) the Assistant Secretary of the Interior for Indian Affairs;
(12) the Chairman of the Corporation for National and Community Service; and
(13) the head of any other executive department or agency that the Chair may,
from time to time, determine is appropriate.

(b) The Council shall meet at the call of the Chair.

Sec. 3. Purposes and Duties. The Council shall:

(a) provide coordination and leadership at the Federal level, and among all executive departments and agencies, with respect to prevention, wellness, and health promotion practices, the public health system, and integrative health
care in the United States;

(b) develop, after obtaining input from relevant stakeholders, a national prevention, health promotion, public health, and integrative health-care strategy that incorporates the most effective and achievable means
of improving the health status of Americans and reducing the incidence of
preventable illness and disability in the United States, as further
described in section 5 of this order;

(c) provide recommendations to the President and the Congress concerning the most pressing health issues confronting the United States and changes in Federal policy to achieve national wellness, health promotion, and public
health goals, including the reduction of tobacco use, sedentary behavior,
and poor nutrition;

(d) consider and propose evidence-based models, policies, and innovative approaches for the promotion of transformative models of prevention, integrative health, and public health on individual and community levels
across the United States;

(e) establish processes for continual public input, including input from State, regional, and local leadership communities and other relevant stakeholders, including Indian tribes and tribal organizations; [Note:
but, not individuals]

(f) submit the reports required by section 6 of this order; and

(g) carry out such other activities as are determined appropriate by the President.

Sec. 4. Advisory Group.

(a) There is established within the Department of Health and Human Services an Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Advisory Group), which shall report to the
Chair of the Council.

(b) The Advisory Group shall be composed of not more than 25 members or representatives from outside the Federal Government appointed by the President and shall include a diverse group of licensed health
professionals, including integrative health practitioners who are
representative of or have expertise in:

(1) worksite health promotion;
(2) community services, including community health centers;
(3) preventive medicine;
(4) health coaching;
(5) public health education;
(6) geriatrics; and
(7) rehabilitation medicine.

[Note: holistic and chiropractic medicine are not included]

(c) The Advisory Group shall develop policy and program recommendations and advise the Council on lifestyle-based chronic disease prevention and management, integrative health care practices, and
health promotion.

Sec. 5. National Prevention and Health Promotion Strategy. Not later than March 23, 2011, the Chair, in consultation with the Council, shall develop and
make public a national prevention, health promotion, and public health strategy
(national strategy), and shall review and revise it periodically. The national
strategy shall:

(a) set specific goals and objectives for improving the health of the United States through federally supported prevention, health promotion, and public health programs, consistent with
ongoing goal setting efforts conducted by specific agencies;

(b) establish specific and measurable actions and timelines to carry out the strategy, and determine accountability for meeting those timelines, within and across Federal departments and agencies; and

(c) make recommendations to improve Federal efforts relating to prevention, health promotion, public health, and integrative health-care practices to ensure that Federal efforts are consistent
with available standards and evidence.

Sec. 6. Reports. Not later than July 1, 2010, and annually thereafter until January 1, 2015, the Council shall submit to the President and the relevant committees of the Congress, a report that:

(a) describes the activities and efforts on prevention, health promotion, and public health and activities to develop the national strategy conducted by the Council during the period for which the
report is prepared;

(b) describes the national progress in meeting specific prevention, health promotion, and public health goals defined in the national strategy and further describes corrective actions recommended by the
Council and actions taken by relevant agencies and organizations to meet these
goals;

(c) contains a list of national priorities on health promotion and disease prevention to address lifestyle behavior modification (including smoking cessation, proper nutrition, appropriate
exercise, mental health, behavioral health, substance-use disorder, and
domestic violence screenings) and the prevention measures for the five leading
disease killers in the United States;

(d) contains specific science-based initiatives to achieve the measurable goals of the Healthy People 2020 program of the Department of Health and Human Services regarding nutrition, exercise, and
smoking cessation, and targeting the five leading disease killers in the United
States;

(e) contains specific plans for consolidating Federal health programs and centers that exist to promote healthy behavior and reduce disease risk (including eliminating programs and offices determined to
be ineffective in meeting the priority goals of the Healthy People 2020 program
of the Department of Health and Human Services);

(f) contains specific plans to ensure that all Federal health-care programs are fully coordinated with science-based prevention recommendations by the Director of the Centers for Disease Control
and Prevention; and

(g) contains specific plans to ensure that all prevention programs outside the Department of Health and Human Services are based on the science-based guidelines developed by the Centers for Disease
Control and Prevention under subsection (d) of this section.

Sec. 7. Administration.

(a) The Department of Health and Human Services shall provide funding and administrative support for the Council and the Advisory Group to the extent permitted by law and within existing
appropriations.

(b) All executive departments and agencies shall provide information and assistance to the Council as the Chair may request for purposes of carrying out the Council's functions, to the extent permitted by
law.

(c) Members of the Advisory Group shall serve without compensation, but shall be allowed travel expenses, including per diem in lieu of subsistence, as authorized by law for persons serving intermittently
in Government service (5 U.S.C. 5701-5707), consistent with the availability of
funds.

Sec. 8. General Provisions.

(a) Insofar as the Federal Advisory Committee Act, as amended (5 U.S.C App.) may apply to the Advisory Group, any functions of the President under that Act, except that of reporting to the Congress, shall be performed by the
Secretary of Health and Human Services in accordance with the guidelines
that have been issued by the Administrator of General Services.

(b) Nothing in this order shall be construed to impair or otherwise affect:

(1) authority granted by law to an executive department, agency, or the head thereof; or
(2) functions of the Director of the Office of Management and Budget relating
to budgetary, administrative, or legislative proposals.

(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or
entities, its officers, employees, or agents, or any other person.

BARACK OBAMA

THE WHITE HOUSE,
June 10, 2010

[Gary Hunt]

Guardian,
Very interesting. So, we have a choice between free market or government mandate. That seems to be the same choice that we have, or should have, in nearly every aspect of our lives. Unfortunately, the government is doing all that it can, either by assisting monopolistic practices (economic favor) in the food industry, or, well, just taking over and mandating what we do with our own lives.
What is the risk factor of kicking the government's ass (Hey, he said it, so I guess that I can, too)?
Gary

[Guardian]

I have a follow up on this Gary. I was intrigued and a bit mystified about what a "stakeholder" is and what exactly the Healthy People 2020 program is. This is what I found.

Justification for New Objective
Public health research shows that about one-half of the leading causes of deaths in the US are related to underlying voluntary risk behaviors, such as tobacco use, poor diet, lack of physical activity, drug and alcohol use, intentional injury (firearms), risky sexual behavior and failure to use seatbelts and other safety devices (McGinnis and Foege, 1993; Mokdad et.al. 2004), In addition, the number of these “preventable” deaths due to poor diet and lack of physical activity alone increased by about one-third from 1990 to 2000.
Success in reversing some of these trends, and improving the Nation’s health, requires a transformative strategy that optimizes the health of the entire population by influencing behaviors that lead to preventable conditions responsible for a majority of premature deaths.

(*This next paragraph is VERY alarming*)

Some of the most important preventable risks for poor health involve consumer wants and needs - voluntary behaviors rooted in ignorance, deliberate personal preference, convenience, etc. – that occur within the larger contexts of economic forces, changes in technology, peer and social network influences and social and cultural trends that confront the individual with often arbitrary and conflicting choices. For those interested in promoting population health, the interaction of these multiple influences on consumer behavior creates a difficult dilemma of drawing a line of intervention that crosses between individual freedom of choice and the iron hand of public policy. Fortunately the social marketing approach provides many options for promoting population health by influencing individual behaviors using strategies based on consumer choice.

The use of marketing principles and practices in the private sector provides one of the most compelling demonstrations of solving the core business problem of achieving organizational success (improving public health in this instance) through satisfying consumer wants and needs. Marketing goes beyond advertising and sales. When applied as intended, it becomes a systematic way for management to structure its relationships with consumers and stakeholders from the products and experiences it offers, the structure of the incentives and costs associated with them, and their accessibility to various population groups (segments), to how they are promoted in the marketplace with an ever expanding palette of communication tools. This same marketing management approach can be applied to the analysis, planning, implementation and sustainability of public health programs aimed at promoting healthy behaviors.

This information or letter was found at www.healthedpartners.org/clients/ihec/hp2020socialmarketingobj.pdf