Proposed slashes to monthly food stamp programs could cost more than they save[1] , suggests a University of California, San Francisco study linking limited food access to increased healthcare costs.


Published Monday in the journal Health Affairs, UCSF researchers found that California’s low-income population was more likely to be admitted to the hospital for hypoglycemia, a low-blood sugar condition linked to diabetes patients who continue to medicate without eating enough. Furthermore, risk for hypoglycemia admission in the low-income population increased 27 percent in the last week of the month[2] compared to the first, while researchers observed no weekly difference among high-income Californians.


“This is people going hungry[3] , skipping meals and ending up in the hospital,” lead study author Hilary Seligman said of the low-income patients who may run out of food stamps at the end of each month. “From my perspective as a public health researcher, it’s cheaper to make sure people don’t get hungry than to deal with the far more expensive healthcare costs of not having access to food.”


Hospital admission for hypoglycemia cost $1,200 per visit in 2003, she said, but that figure has likely risen. According to the Centers for Disease Control and Prevention, the U.S. spends more than $100 billion a year[4] treating the 25 million Americans -- 8 percent of the population -- with diabetes.


The study comes as Congress continues debates this week over a House Republican-backed $40 billion cut to SNAP benefits[5] , the food stamp program aiding 47 million Americans with $133 a month, an amount Seligman says is already not enough.


“People who work minimum wage jobs or live on benefits often have this typical pay cycle pattern[6] ,” Dr. Seligman said, adding that she and her colleagues were aware of the Congressional debate. “We wanted to examine whether there were adverse health consequences to running out of money at the end of the month.”


The issue is exacerbated by low-income people having a higher risk of diabetes in the first place, as healthier, high-nutrition diets are more expensive than diets that are high in fat and calories but low in nutrients.



“Most of these admissions for hypoglycemia are preventable by people having a stable and reliable source of food[7] ,” Seligman told Forbes. “We see much worse blood sugar control among people who are food insecure. They go high, they go low, they go high, they go low.”


In addition to hypoglycemia and hyperglycemia, Seligman says patients could also rack up costs associated with kidney failure, amputation and seizures, all complications linked to having excessively high or low blood sugar.



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  • PepsiCo


    PepsiCo lobbied the House of Representatives in 2011 on <a href="http://www.eatdrinkpolitics.com/wp-content/uploads/FoodStampsFollowtheMoneySimon.pdf" target="_hplink">restrictions on SNAP</a>, according to a June 2012 report, called "Food Stamps: Follow the Money." The company spent $750,000 lobbying Congress overall during the third quarter of 2011. At the same time, Pepsi donated money to anti-hunger groups working to fight health restrictions on SNAP.




  • Kraft


    Food stamp users "are a big part of our audience," Kraft's incoming CEO <a href="http://www.ft.com/intl/cms/s/0/7ed1db42-f932-11e1-945b-00144feabdc0.html#axzz261zpCuUt" target="_hplink">recently told the <em>Financial Times</em>.</a> He said he opposes cuts to funding for the food stamp program.




  • Walmart


    Walmart stores in Oklahoma brought in more than <a href="http://www.tulsaworld.com/news/article.aspx?subjectid=11&articleid=20110424_11_A1_Retail460109&r=6977" target="_hplink">$500 million in food stamp money</a> between June 2009 and March 2011, the <em>Tulsa World</em> reports. During that period retailers in the state took home $1.2 billion in food stamp purchases overall.




  • Coca-Cola


    Coca-Cola <a href="http://www.eatdrinkpolitics.com/wp-content/uploads/FoodStampsFollowtheMoneySimon.pdf" target="_hplink">lobbied Congress on SNAP in 2011</a>, according to a June 2012 report, "Food Stamps: Follow the Money." The soda-maker also lobbied against an early 2012 bill in Florida that would have enhanced the list of items food stamp users could buy with their benefits.




  • Yum Brands


    Yum Brands tried to convince lawmakers last year to <a href="http://www.ft.com/intl/cms/s/0/7ed1db42-f932-11e1-945b-00144feabdc0.html#axzz261zpCuUt" target="_hplink">allow the company to accept food stamps</a> in its restaurants, which include Taco Bell, KFC and Pizza Hut, according to the <em>Financial Times</em>.




  • JPMorgan Chase


    <a href="http://www.eatdrinkpolitics.com/wp-content/uploads/FoodStampsFollowtheMoneySimon.pdf" target="_hplink">JPMorgan Chase holds the contracts</a> for Electronic Benefits Transfer or EBT -- which distributes food stamps electronically -- in half of states, according to the June 2012 report, "Food Stamps: Follow the Money." In Florida, JPMorgan's contract is worth $83 million over five years, and in New York, it's worth more than $112 million over 7 years. The bank also lobbied the USDA on EBT issues in 2011, according to the report.




  • Big Lots


    Big Lots is testing accepting food stamps in large part because so many of the company's target customers use the program. CEO Steve Fishman told analysts in an August conference call, "There is no debating that a growing percentage of our consumer base is economically stressed and becoming more dependant on government assistance," <a href="http://www.bizjournals.com/columbus/blog/2012/08/big-lots-initiatives-include-food.html?page=2" target="_hplink">according to Columbus Business First</a>.




  • Cargill


    The food and agriculture producer <a href="http://www.eatdrinkpolitics.com/wp-content/uploads/FoodStampsFollowtheMoneySimon.pdf" target="_hplink">lobbied Congress and the USDA</a> in 2011 over SNAP, according to a June 2012 report called "Food Stamps: Follow the Money." The company also donated money to anti-hunger groups that oppose health-oriented changes to SNAP.




  • Kroger


    The grocery store chain <a href="http://www.eatdrinkpolitics.com/wp-content/uploads/FoodStampsFollowtheMoneySimon.pdf" target="_hplink">lobbied Congress on SNAP and WIC funding</a> in 2011, according to a June 2012 report, called "Food Stamps: Follow the Money." Kroger is one of the many leading food retailers that benefits from food stamp expansions, according to the report.