[Skip to Content]
[Skip to Content Landing]
Views 65
Citations 0
Comment & Response
July 6, 2020

Limiting Supplemental Nutrition Assistance Program Eligibility May Increase Sudden Death—Reply

Author Affiliations
  • 1Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Massachusetts
  • 2Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts
JAMA Intern Med. 2020;180(9):1260. doi:10.1001/jamainternmed.2020.1915

In Reply Davari et al address an important issue regarding the potential for proposed Supplemental Nutrition Assistance Program (SNAP) eligibility changes to disproportionately impact rural communities and contribute to sudden death. Although the data set we used in our analysis1 did not allow for direct comparisons of SNAP enrollment type or mortality rates on the basis of rural residence, high rates of food insecurity, chronic illness, and poverty are noted in rural communities.2,3 It is possible that loss of financial and nutritional benefits in already-vulnerable rural families might contribute to worsening health and/or longevity. If the proposed SNAP eligibility rollbacks continue, we believe it would be necessary to carefully monitor health outcomes in affected families, including those living in rural areas, to reduce the risk of causing significant harm. Finally, we share the authors’ worries about limiting food supports during the current coronavirus disease 2019 public health emergency and were encouraged by the passage of recent federal legislation to temporarily enhance nutritional assistance programs.4,5

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words