Very interesting paper. https://onlinelibrary.wiley.com/doi/full/10.1111/1468-0009.12695
However while “Structural determinants of health are the economic, cultural, political and social structures that shape the distribution of material and symbolic power and resources" and there is a statement "In the current context of the United States, the structural determinants of health enshrine and encode structural racism, White supremacy, neoliberal capitalism, cisheteronormativity, and other forms of oppression and othering" this is the only mention of "capitalism" and there is no mention of the emerging call for a "post-capitalist" society among prominent public health researchers.
Wha is the governance structure do advocates recommend for a post capitalist society?
Not clear what would replace regulated free markets. Some accept strong government, yet it depends on leaders motivations , knowledge and skills. We sometimes imagine only benign regulators . Any ideas?
David Zitner
> On Jun 3, 2024, at 8:41 AM, Dennis Raphael <[log in to unmask]> wrote: > > CAUTION: The Sender of this email is not from within Dalhousie. > > Very interesting paper. > https://onlinelibrary.wiley.com/doi/full/10.1111/1468-0009.12695 > > However while “Structural determinants of health are the economic, cultural, political and social structures that shape the distribution of material
All laid out in these articles... and here... Escaping Dystopia: Rebuilding a Public Domain https://bristoluniversitypress.co.uk/escaping-dystopia ________________________________________ From: Social Determinants of Health <[log in to unmask]> on behalf of David Zitner <[log in to unmask]> Sent: Monday, June 3, 2024 8:17 AM To: sdoh Subject: Re: [SDOH] Keeping It Political and Powerful: Defining the Structural Determinants of Health Wha is the governance structure do advocates recommend for a post capitalist society? Not clear what would replace regulated free markets. Some accept strong government, yet it depends on leaders motivations , knowledge and skills. We sometimes imagine only benign regulators . Any ideas? David Zitner > On Jun
A post-capitalist state would probably involve nationalization — or public ownership — of major industries that provide what are rights rather than commodities, such as banking, energy resources, telecommunications and transportation.61 It would involve the establishment of more credit unions and workers cooperatives and would introduce governmental structures such as participatory budgeting, by which average Canadians — not major corporations and businesses — would decide how resources are to be allocated amongst the population.62
In health care Nova Scotians resisted a system where average Canadians would decide how resources are allocated. They might have felt that government is comprised of average Canadians.
In Nova Scotia we tried to organize health care cooperatives, working with Dianne Kelderman, CEO of the Nova Scotia Cooperative Council to organize health care so that primary care clinics would have community governance and provide care to rich and poor alike. The cooperative council (Credit Unions are members) invested several millions.
