You seem to be making the point that differences in health outcomes between the poor and wealthy are due to culture factors. That they lack a "can do attitude" which keeps them from being able to take care of themselves and live a healthy lifestyle. If the "can do attitude" could be instilled into poor people then their health outcomes would improve substantially.
It seems that the evidence you have provided is
1. Some poor people have free time
2. Given free time people can improve their health outcomes.
3. Medicaid did not improve health outcomes substantially in 2 years.
It seems to me that while these are all true. They do not provide a good deal of evidence for you working model. Many things could lead to these problems.
1. Poor lack "can do attitude" which affects both job prospects and health.(YF theory of health inequality)
2. Being poor is stressful and cognitively demanding. This reduces the poor's ability to make healthy long term choices.(There is some evidence for this)
3. People who have problems with executive function(ADHD) tend to become both poor, and make unhealthy choices.( I would imagine this is true to some degree)
4. When a person becomes ill they have a much greater likelihood of being poor.(I imagine this is also true to some degree)
I don't think the fact the first three are true has any influence on how much of the health inequality is explained by your theory vs other possibilities.
It seems that the evidence you have provided is
1. Some poor people have free time
2. Given free time people can improve their health outcomes.
3. Medicaid did not improve health outcomes substantially in 2 years.
It seems to me that while these are all true. They do not provide a good deal of evidence for you working model. Many things could lead to these problems.
1. Poor lack "can do attitude" which affects both job prospects and health.(YF theory of health inequality)
2. Being poor is stressful and cognitively demanding. This reduces the poor's ability to make healthy long term choices.(There is some evidence for this)
3. People who have problems with executive function(ADHD) tend to become both poor, and make unhealthy choices.( I would imagine this is true to some degree)
4. When a person becomes ill they have a much greater likelihood of being poor.(I imagine this is also true to some degree)
I don't think the fact the first three are true has any influence on how much of the health inequality is explained by your theory vs other possibilities.