Morrison Institute for Public Policy Publications Archives

This report follows The Coming of Age report produced in 2002 by some of the principals involved in this project, and published by St. Luke’s Health Initiatives. That research showed that Arizona had much to do to get ready for the baby boomer age wave. The results of Unlocking Resilience from new survey data, interviews, and secondary research indicates Arizona still has much to do to prepare for aging and must make concrete policy decisions about aging.

High costs alone are enough to make anyone dizzy. How can health care and health insurance be understood now when tight budgets are presenting tougher and tougher choices to individuals and policy makers? One answer is to step back and take another look at what quality research says about the costs and benefits of health and health insurance and match those facts and figures with experiences among Arizonans. This report does just that. It also presents recommendations that could help Arizona fare better in the coming years. Money may make the world go round, but choices determine the future. In addition to reviews of state and national economic studies, focus groups and interviews were held with metro Phoenix and metro Tucson residents who did not have, or recently lost, health insurance. Participants’ own words are used throughout the report to illustrate a variety of research findings.

Aging affects all dimensions of our society, but none so much as health care. Thus, St. Luke’s Health Initiatives (SLHI) decided to dedicate part of its Arizona Health Futures program to exploring Arizona’s capacity to meet the health care demands of an aging population. SLHI asked the Arizona State University School of Public Affairs and Morrison Institute for Public Policy to collaborate on The Coming of Age to inform Arizona’s policy leaders and residents about these critical issues. The Coming of Age engaged demographers, economists, public policy analysts, human service and medical professionals and citizens. Through its research, the team developed a realistic picture of Arizona’s "capacity to care" for an elder population. The results of the research are presented in The Coming of Age: Aging, Health and Arizona’s Capacity to Care.

Majorities of all panelists statewide named crime/public safety as among the chief indicators of “quality of life” and as among the top issues their officials should address. Nearly half said they thought crime was getting worse. But looking beneath these overall views reveals a pair of seeming paradoxes. The first is that, despite their strong concerns about crime, most respondents also said that their own neighborhoods are relatively safe places, and that they felt safe walking alone at night. The second paradox is that, generally speaking, those Arizonans who are less personally liable to become victims seem more emphatic in their concern about crime than those who seem more likely to be victimized.

When they’re not sleeping, working, or tending to other duties, Arizonans keep busy. From museum tours to farmer’s markets, softball to spiritual quests, they spend their personal time on a wide array of different activities, from high culture to casual pastime. And—little surprise here—they tend to like to do them outside. These findings arise from a survey asking Arizonans about their leisure-time pursuits, leaving it for them to decide what they consider to be “arts and culture” or “leisure activities and pastimes.” In response, 45% of panelists say they regularly attend at least one type of arts and cultural event, and 77% say they say they regularly participate in leisure activities and pastimes.

Good jobs and good schools—few would disagree that these are essential elements of a secure and rewarding life. Both are also vital components of a healthy society: Good jobs create revenue to support quality schools, which in turn produce a superior workforce to fill those jobs. Based on survey panelists’ responses, most Arizonans seem to feel that they’re doing well on the employment front, but not quite so well concerning education.

Arizonans have gained a reputation for their low opinion of government, despite -- or perhaps because of -- the major role played by all governmental levels in residents’ daily lives. This view was reflected in the responses to this segment of the survey, as panelists generally gave low ratings to the government services they were asked to judge. This was especially true of lower-income panelists. But the respondents’ low ratings might not always have been based upon personal experience: Few panelists said they had sought information from government or community agencies. This may be due to the increasing popularity of the Internet as a self-help source, but it could also mean that relatively few residents need the services or know they are available. In any case, more than half of those who did seek information said they were satisfied with the result. Panelists were not dismissive of all collective efforts at social betterment. They expressed high levels of agreement that good community-based programs can prevent many social problems, from drug and alcohol addiction to child abuse and juvenile delinquency. Asked how they themselves would distribute public funds for social problems, most respondents choose programs for children, affordable housing, and health insurance.

What a difference a year makes. In June 2008, AZ Views reported that “Arizonans have a strong sense of job security, despite the national economic slump and the state’s budget crisis.” That is no longer true, as this edition of AZ Views shows, and Arizona’s economic situation arguably is the best example of the worst case.

St. Luke's Health Initiatives and the Flinn Foundation strive to make Arizona a better place to live for all of its residents. Despite our state's assets, Arizona has many issues to address, with health and poverty among the most important. Our organizations have been pleased to sponsor the state capacity research that provided the background and impetus for "More Promises to Keep: Sustaining Arizona's Capacity for Welfare and Health Reform." St. Luke's Health Initiatives and the Flinn Foundation view the information and analysis provided in this report as a good way to stimulate discussion of health and welfare policy options and community actions. Research and dialogue are essential steps in the process of constructive change, as is communication with the public. We urge readers to consider the ideas presented in this paper and to continue to work together to improve the health and welfare of all Arizonans.