Social capital is primarily an outcome of structural arrangements in
society.  It may be a mediator between these structural relations (i.e.
income distribution, job security, democratic responsiveness) and health.
It may even feed back to support these structural relations.  But it is not
a cause of health in itself.  It does not arise spontaneously, and it is
certainly a minor (though potentially marginally useful) point at which to
intervene in the service of health.

It is also a de-politicized approach that allows those in authority to
blame communities for their own problems.  It is not surprising that Robert
Putnam was a frequent guest of the Clinton White House.  Social capital can
help serve those in power.

 See four articles on community quality of life by yours truly at:

http://tinyurl.com/wjg8l


dr

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