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Vice President Kamala Harris urges Congress to pass the George Floyd Justice in Policing Act, the House begins the process to impeach the Homeland Security Secretary, and the Federal Reserve nudges interest rates up.


Is bird flu, inflation or price gouging to blame for astronomical egg prices? Pregnancy can be life-changing or life-ending depending on where you live, and nine tribal schools are transforming their outdoor spaces into community gathering areas.

New Study: Most Americans' Hearts Not in Great Shape


Thursday, July 21, 2022   

Good heart health is associated with avoiding a range of medical issues. But new research shows only one in five Americans has optimal cardiovascular health.

South Dakota's medical community says there's a lot of complexities when considering prevention.

This summer's new study, appearing in the journal Circulation, used the American Heart Association's new "Life's Essential 8" scoring system. It found that 80% of adults landed at a low or moderate level.

Dr. Dave Kapaska is the retired president and CEO from Avera McKennan Hospital in Sioux Falls. He said providers face a challenge in motivating patients to embrace healthier lifestyles, but he added there are other things beyond a person's control.

"Genetically, [and] there certainly are socioeconomic realities that occur," said Kapaska. "And all of these things fold together to make it a very complex, interrelated challenge."

Kapaska volunteers with the AHA as co-chair of its South Dakota Cabinet for Medicaid Expansion, part of a broader coalition to expand Medicaid in the state. The question goes before voters this fall.

Supporters say closing the insurance coverage gap allows marginalized residents to seek preventive-care visits. Opponents, including Gov. Kristi Noem, cite cost concerns and liken the issue to providing an entitlement to able-bodied individuals.

But the coalition notes the federal government covers most of the expansion costs. And Kapaska said expanding coverage so more South Dakotans can avoid chronic health issues such as heart disease, shouldn't be viewed as a handout - but rather a way to strengthen the state's workforce.

"These are people that are working," said Kapaska. "Every one of those people that we can keep healthy that can come to work and not have to take days or weeks off is important."

South Dakota's nonpartisan Legislative Research Council estimates that more than 40,000 residents would receive coverage if Medicaid expansion were to move forward.

Of the total cost of $1.5 billion, the state's share would be $166 million. And the council says the state's contribution could be even lower, through added federal incentives and general fund savings.

The estimates cover a five year period.

Disclosure: American Heart Association of South Dakota contributes to our fund for reporting on Health Issues, Poverty Issues, Senior Issues, Smoking Prevention. If you would like to help support news in the public interest, click here.

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