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Political Exercise

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Lawrence D. Brown presents five case studies of cities that have promoted active living with varying success through a range of approaches. He shows how and why the transformation of a call for pub...
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  • 08 March 2022
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The public health benefits of giving city dwellers increased opportunities to lead physically active lifestyles are well known to urban planners, public health scholars, and government officials. Moreover, increases in “active living,” such as walking and cycling, help the environment, support local businesses, and reduce traffic congestion, among other advantages. But despite wide agreement that active living is both achievable and valuable, best practices are not easy to implement.

In Political Exercise, Lawrence D. Brown presents five case studies of cities that have promoted active living with varying success through a range of approaches. He shows how and why the transformation of a call for public intervention into projects, programs, and policies is inescapably political. Brown argues that in order to implement policies that support active living, their proponents must give communities a sense of ownership of recommended changes in the built environment, filter the public health agenda through a range of public and private organizations, and secure committed political champions. At the intersection of public health and urban planning, Political Exercise offers a framework for scholars, policy makers, and reformers to more productively address both the rationales behind active living and the political strategies that spur change.

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Price: $35.00
Pages: 320
Publisher: Columbia University Press
Imprint: Columbia University Press
Publication Date: 08 March 2022
Trim Size: 8.50 X 5.50 in
ISBN: 9780231173513
Format: Paperback
BISACs: POLITICAL SCIENCE / Public Policy / City Planning & Urban Development, MEDICAL / Public Health, ARCHITECTURE / Urban & Land Use Planning
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In the lively, elegant, and finely crafted Political Exercise, Lawrence D. Brown begins with a simple and completely uncontroversial idea: active living is a key to health and happiness. And yet it’s devilishly hard to configure cities in a way that promotes this idea. In the little steps toward active living taken in five cities, Brown finds lessons, cautions, and tempered success. An enjoyable and very readable book with lessons and advice for urbanists, policy analysts, health care specialists, and reformers.
Lawrence D. Brown is professor of health policy and management in the Mailman School of Public Health at Columbia University. He is the author of Politics and Health Care Organization: HMOs as Federal Policy (1983) and coauthor of The Private Abuse of the Public Interest: Market Myths and Policy Muddles (2008) and has published widely on health care policy.

Acknowledgments
Introduction
1. Wilkes-Barre: Active Living on the Trail to Recovery
2. Louisville: The Politics of Piecemeal Progress
3. Albuquerque: Reshaping a Cultural Landscape
4. Sacramento: Active Living as a Breath of Fresh Air
5. New York City: Flourishing at the Margins of Policy
6. Evaluation Meets Implementation: The Struggle for the Real
Conclusion: Active Living and Beyond: Bringing Implementation Back Into Health Promotion
Notes
References
Index