The state of the healthcare system has been in crisis for years, with workforce shortages, burnout, and impending hospital closures. The climate crisis further exacerbates the situation, with extreme weather events and rising pollution levels. Despite these challenges, there has been surprisingly little discussion about the potential solution of the Green New Deal for Health. This legislative package, proposed by Sen. Edward Markey, aims to improve healthcare sustainability, support vulnerable populations, and address the health crises facing our communities. However, the lack of attention and support for this critical legislation leaves us questioning why it has not gained more traction.
The U.S. healthcare sector is responsible for a staggering 8.5% of the nation’s greenhouse gas emissions. Furthermore, pollution from the healthcare industry contributes to public health harms equivalent to those caused by preventable medical errors. This pollution has far-reaching consequences, impacting vulnerable populations and causing a myriad of health conditions. It is imperative that the healthcare sector takes immediate action to reduce its environmental footprint and mitigate the health risks associated with climate change.
While there have been some efforts to promote sustainability in healthcare, they have been piecemeal and inadequate. The Joint Commission’s voluntary sustainable healthcare certification and international sustainability standards are commendable but lack enforceability. Similarly, the voluntary health sector climate pledge launched by HHS in 2022 is a step in the right direction but does not mandate meaningful action. The fragmented nature of these initiatives allows the healthcare industry to evade significant responsibility.
One possible reason for the lack of attention and support for the Green New Deal for Health is its name. The term “Green New Deal” may not resonate with bipartisan support, and there may be hesitation to launch a campaign with uncertain impacts. However, a strategic reframing of the legislation could make it more palatable to opponents. Drawing inspiration from President Obama’s 2009 stimulus package, which successfully included climate legislation under the guise of economic benefits, the Green New Deal for Health could emphasize the economic advantages of investing in healthcare sustainability.
Cost is often cited as an impediment to implementing efficiency upgrades and sustainability initiatives in healthcare. Health systems may hesitate to invest in these measures due to upfront expenses, especially in the aftermath of the pandemic where margins have been diminished. Legislation that supports health systems, promotes resilience and sustainability, and provides upfront funds is necessary to alleviate these concerns and drive meaningful change. The Green New Deal for Health proposes allocating $100 billion to modernize and reduce the environmental impact of health facilities, which would not only support sustainability efforts but also provide critical relief to cash-strapped healthcare organizations.
The Green New Deal for Health recognizes the essential role of healthcare professionals during climate disasters. The legislation proposes hazard pay for healthcare workers who continue to care for patients under extreme conditions, ensuring both public health and access to care. Additionally, it allocates $10 billion for community planning grants and research on healthcare sustainability and resilience. This funding would address the educational needs of healthcare professionals and support the evolving demands of patient care in a changing environment.
A Call for Advocacy
The lack of labor support played a significant role in the limited success of the original Green New Deal. It is crucial for healthcare professionals, including physicians, nurses, and all stakeholders in the industry, to advocate for legislation like the Green New Deal for Health. By voicing their support and making a compelling case for its implementation, healthcare professionals can play a pivotal role in ensuring a healthy, sustainable, and climate-resilient future for our healthcare system.
In a time of escalating climate crises and a strained healthcare system, the Green New Deal for Health presents a comprehensive and urgently needed solution. We cannot afford to ignore the impact of climate change on public health and the imperative to build resilient healthcare systems. The Green New Deal for Health provides a framework for immediate action, addressing the environmental impact of the healthcare sector, supporting vulnerable populations, and promoting sustainability. It is incumbent upon all of us to champion this legislation and ensure that our healthcare system is prepared to provide the care our patients need amidst the challenges of the 21st century.
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