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Saturday, November 28, 2009

Kim Fenske: Health or housing?



Kim Fenske's 'American Gothic -- Wellness Benefits'
Kim Fenske's 'American Gothic -- Wellness Benefits'ENLARGE
Kim Fenske's 'American Gothic -- Wellness Benefits'
Special to the Daily
Summit County attainable wellness account benefits and Summit County attainable housing are similar. Neither is attainable for most county employees.

Prior to this year, Summit County provided a $750 reimbursement account annually for employee heath costs. This year, the county introduced an attainable reimbursement account based on four criteria: smoking, body mass index (BMI), blood pressure (BP) and cholesterol level (LDL). The standards require an employee meet rising standards until 2012, when the award of up to $750 is attained by: not smoking, BMI 24.9, BP 120/80 and LDL 140.

Six months ago, I recognized that I was unfit for the Summit County wellness standards. I only hiked 10 miles a week, with an average ascent from 9,000 to 12,000 feet, and commuted 16 miles by bicycle two days a week. The result was a BMI of 25 and variable BP. I increased my work-outs to average more than two hours of moderate exercise per day, commuting 16 miles by bicycle four days a week and continuing to hike at least 10 miles per week. I dropped 15 percent of my body weight.

On examination day, I was handed the guidelines by Maxim Health Systems. The reference used for the standards were listed: Centers for Disease Control and Prevention endorsed a BMI of 18.5 to 24.9; American Heard Association endorsed BP of less that 120/80 and LDL of less than 129 (11 milligrams less than the generous county standard for 2012); and World Heath Organization endorsed boy fat of 21 percent.

Under the first standard, I earned the base amount of $250 for showing up for a health screening and being a non-smoker. After six moths of diet adjustment and fairly intense training, a caliper test gave me a body fat measurement of 10 percent, but the electronic impedance device registered at 22 percent, a violation of the World Health Organization standard. My BMI was calculated to be 24.9 percent to award me $200.

My BP readings for the day were tricky, as usual. I measured my BP at home immediately before leaving for the screening with the same electronic device model used at the screening for a barely passing 119/74 with a pulse of 64. At the test facility, I blasted a 137/90 to fail the 2012 standard. After protesting the results and asking for a recount, the medical professional used a hand pump to register a passing grade of 109/70, a deviation error of 28 points, to win me another $100.

I now sit in breathless anticipation for a week or so to learn the results of my blood work and determine whether I earned the last $200 for cholesterol and win the wellness contest.

Since I am currently investigating the purchase of attainable housing in Summit County, I decided to calculate the wellness trade-off in terms of over-time wages. On my present wage, I am pre-approved fro a mortgage to purchase about 80 percent of a 40-year-old studio condo in Summit County. If I abandon my attempts to exercise 14 hours a week to attain the $750 wellness award provided by Summit County and am authorized to work 54 hours per week, I will gross about $17,570 more per year. On that basis, I should qualify for a mortgage to purchase an attainable two-bedroom, deed–restricted condo in Summit County by the year 2020.

Health or housing: difficult choice.


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