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Gen-H is Proud to Endorse Issue 7 - Hamilton County
We believe Issue 7 will strengthen our regional public transportation system, making it more accessible and equitable for all.

Generation Health or Gen-H is a long-term, systems-change health initiative. We work collaboratively to ensure everyone has the opportunity to be healthy through convening, education, and advocacy. We know social and economic factors like access to transportation, affordable and safe housing, and access to healthy food have more impact on an individual’s overall health status than clinical care. That’s why Gen-H is proud to endorse Issue 7, Hamilton County’s transportation levy.   We believe Issue 7 will strengthen our regional public transportation system, making it more accessible and equitable for all. 


Access to affordable, convenient transportation plays a crucial role in the overall health status of individuals and the community at large. The cost and time required for daily travel greatly impacts the quality of life for us all. Those who can afford it get around easier, with less stress and hassle. Those who cannot afford it face long commutes, crowded buses, and often miss out on life-improving opportunities that they simply can’t get to on a reliable basis.


Since October 2018, we’ve been working with clinical and community partners to screen Medicare and Medicaid beneficiaries for their social needs through the federally funded Accountable Health Communities model*.  The data shows close to 1,500 of those screened (of the 6,950 screened in a three-county region) indicated a lack of reliable transportation kept them from medical appointments, meetings, work or from getting to things needed for daily living in the previous 12-month period.  The most frequent referrals made were for medical and public transportation assistance which includes discounted and/or free bus fare passes. 


A robust, affordable, and reliable public transit system means better access to education and jobs, recreational and after-school activities, healthier food options and importantly, health care facilities. Lack of transportation may result in missed or delayed health care services, increased health expenditures and overall poorer health outcomes. In addition, transportation is interrelated with other social determinants of health such as poverty and social isolation.


With less waiting, extended hours and shorter trip times along with Bus Rapid Transit, Issue 7 will ensure Greater Cincinnati has a modern, efficient transit system that drives the region forward. Issue 7 will also enable the creation of a fund to provide free or discounted bus passes to eligible low-income citizens, making it possible to access the transit system.


The time is now to address our regional transportation system. The health of our community depends on it.  


*The project described above was supported by Funding Opportunity Number CMS 1P1CMS331598-01-00 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services.