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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Tue, 30 Nov 2004 09:08:19 -0500
Content-Type:
text/plain
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Hi Mark:

You work on the assumption that "policy follows evidence".  I suggest the
opposite is likely more accurate: "Evidence follows policy" in that once
the powers-that-be have made a decision based on ideology and values, then
they seek evidence to justify the action.  The evidence about the social
deteminants of health has been around since 1850.  Some jurisdictions act
upon this; others do not.  Do you think that one more study is going to
convince policymakers to implement something that goes against their world
view?

How much evidence would be necessary to develop family-friendly policies in
the USA?  Or what study would convince Americans to reinstitute useful
progressive tax policies? Or why are labour unions disdained in some
nations despite their profound positive effect upon individual health and
healthy public policy?

Thanks for the debate!

dennis

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