Parks, street lights and farmer's markets are health care expenditures? In the alternate reality of Washington, DC, they are. Michael Kranish of the Boston Globe reports:

Sweeping healthcare legislation working its way through Congress is more than an effort to provide insurance to millions of Americans without coverage. Tucked within is a provision that could provide billions of dollars for walking paths, streetlights, jungle gyms, and even farmers' markets.

The add-ons - characterized as part of a broad effort to improve the nation's health "infrastructure'' - appear in House and Senate versions of the bill.

Critics argue the provision is a thinly disguised effort to insert pork-barrel spending into a bill that has been widely portrayed to the public as dealing with expanding health coverage and cutting medical costs. A leading critic, Senator Mike Enzi, a Wyoming Republican, ridicules the local projects, asking: "How can Democrats justify the wasteful spending in this bill?''

But advocates, including Senator Edward M. Kennedy of Massachusetts, defend the proposed spending as a necessary way to promote healthier lives and, in the long run, cut medical costs. "These are not public works grants; they are community transformation grants,'' said Anthony Coley, a spokesman for Kennedy, chairman of the Senate health committee whose healthcare bill includes the projects.