The issue of bicycling and bike lanes has landed front and center in the Star Tribune's news and opinion pages again recently. What often gets lost in the discussion is just how important bicycling is to the health of Twin Cities residents. Bike commuting has been a significant part of my health and fitness for the past eight years. There is a direct correlation between health and health outcomes and physical activity like biking. A joint University of Minnesota and Minnesota Department of Transportation study released earlier this year found that "bicycle commuting three times per week is linked to 46 percent lower odds of metabolic syndrome, 31 percent lower odds of obesity, and 28 percent lower odds of hypertension — all of which lowers medical costs." In other words, frequent bicycling reduces heart disease and the likelihood of stroke, which has a significant and positive impact on what all of us pay in increased health care, health insurance and tax costs associated with obesity and poor health. Bike lanes and other bicycle infrastructure are critical to these positive health outcomes, because the safer and easier it is to bike, the more likely people will do it.
Sueling Schardin, Bloomington
The writer is senior director of community health for the American Heart Association, Minnesota.
MENTAL HEALTH
Commerce Department backs insurance compliance legislation
As Minnesota's insurance regulator, I want to affirm and add to Sue Abderholden's Oct. 25 call to action ("Completing Paul Wellstone's legacy is up to us") for Minnesota to realize the promise of the bipartisan 2008 federal law, championed by Minnesota's Paul Wellstone and Jim Ramstad, that puts coverage for mental health and substance use disorders on an equal footing with other health care coverage.
Earlier this year the state Commerce Department supported NAMI Minnesota's bipartisan legislation to better identify and address how health insurance plans might be improperly limiting the scope or duration of benefits for treatment. These insurance practices can include excessive medical necessity and prior authorization requirements, restrictive drug formularies, narrow access to in-network providers and unfavorable provider reimbursement rules and rates.
This legislation would also bolster Commerce's ability to protect consumers with stricter compliance and reporting requirements for insurers. We hope NAMI Minnesota's legislation passes in 2018.
Thanks to a federal grant, Commerce recently launched a "know your rights" educational campaign to empower patients and their families to understand the coverage guaranteed by law and where to turn for help if, directly or indirectly, they are denied coverage for needed treatment. This has resulted in complaints and ongoing Commerce investigations about practices that some insurers may be using to avoid paying Minnesotans' claims for mental health or substance use disorder care.
Because his older brother struggled with severe mental illness, Wellstone knew the anguish and financial burden for so many families, especially when they cannot get the full help and support they need. For him, ending insurance discrimination against people with mental illness and substance use disorders was always a matter of both civil rights and basic human decency. Thanks to him, it is now also a matter of law. The challenge remains to fulfill both the letter and spirit of that law.
Mike Rothman, commissioner, Minnesota Department of Commerce
WOLF MANAGEMENT
The solution is greater dispersal in parklands around the state
I found the Oct. 21 commentary by Collette Adkins ("Minnesota's gray wolves are under attack — again") well-written if you agree with her assumptions rather than the facts. The information gathered by the Minnesota Department of Natural Resources shows a different picture.