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Social Determinants of Health

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Subject:
From:
Maria Sterniczuk <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Tue, 27 Nov 2007 09:26:24 -0500
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I'm just wondering where we can get a copy of this board game?

________________________________________
Maria Sterniczuk
Project Officer, Healthy Children Healthy Communities
Agente de projet, Des enfants sains dans des communautés saines
 
United Nations Association in Canada
Association canadienne pour les Nations Unies
309 rue Cooper St, Suite 300
Ottawa, ON K2P 0G5
T +1(613) 232-5751 ext.233   F +1(613) 563-2455
[log in to unmask]  
 
more info, blogs and resources at www.unac.org/hchc


 
 

-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Ann Pobutsky
Sent: November 26, 2007 4:14 PM
To: [log in to unmask]
Subject: Re: [SDOH] The Last Straw! A Board Game on the Social Determinants of Health©

I thought when I first opened this email that it was a critique of this new Board Game on the Social Determinants of Health because of the 'last straw' phrase, but it's the opposite....you are promoting this game?

I guess it is a good idea to "build empathy with marginalized people" but wouldn't it be better for "marginalized people" if instead of building emphathy with them, maybe we could try and help them become less marginalized? Substitute the words 'poor people' for the above and it sounds idiotic...that we should build "empathy with poor people" rather than seeing them (or helping them) get out of poverty.

I guess it would be a good idea to "gain an awareness of players' own social locations to encourage learning in a fun and supportive environment"...but I guess this would just be another game for the upper middle class to play with themselves to "understand" what is going on in the lower, marginalized classes? If the 'players and 'facilitators' are from the same class, what is the point of the game?

Would this be a game to be played WITH marginalized people? Would the result be the people who are 'marginalized' and poor (those with less money) end up feeling badly because of their 'social location', while those with more money would feel  better about themselves and their 'social location'?

I guess my view has been influenced most recently by Walter Benn Michaels book titled "The Trouble With Diversity: How We Learned to Love Identity and Ignore Inequality".   

In his book he talks about "Diversity, Inc." and other businesses and consulting services available to help businesses and corporations become cultural sensitive and promote cultural diversity....and how much easier it is for for businesses and corporations to be sensitive to diverse cultures rather than pay people a living, decent wage so they can afford housing, health care etc.

This game smacks of the same kind of response....to turn social determinants into something that are "just there", existing in the world: differences in socioeconomic status or race or gender or sexual orientation that we can play around with.
 
We may not be able to change our race, ethnicity or gender, but economic inequality is not a biological trait. And it's not as if anyone could change their 'social location' overnight, especially poor, marginalized people without resources that the rich have at their disposal (property, home ownership, inheritances, private schools for their kids etc.)

This "game' strikes me as trivializing poverty and inequality and marginality. I just don't get it.

Ann Pobutsky, PhD
Chronic Disease Epidemiologist
Community Health Division
Hawaii State Department of Health
1250 Punchbowl St.
Honolulu, HI 96813
Phone: (808) 586-4485
Fax: (808) 586-4791
Email: [log in to unmask]


----- Original Message -----
From: Dennis Raphael <[log in to unmask]>
Date: Sunday, November 11, 2007 6:40 am
Subject: [SDOH] The Last Straw! A Board Game on the Social Determinants  of Health©
To: [log in to unmask]

> The Last Straw! A Board Game on the Social Determinants of Health©
> Developed by Kate Rossiter and Kate Reeve
> 
> The Last Straw is a teaching tool on the social determinants of 
> health. 
> The game has three objectives.
> to promote discussion about the social determinants of health. 
> to help players build empathy with marginalized people and gain an 
> awareness of players' own social locations
> to encourage learning in a fun and supportive environment 
> 
> In keeping with the literature on the social determinants of 
> health, 
> socioeconomic status is a primary determinant of health in this 
> game, as 
> well as race, gender, sexual orientation, and other factors.
> 
> Feedback consistently demonstrates that players gain a better 
> understanding of the social determinants of health and the 
> interplay 
> between forces at individual and community levels. Both players 
> and 
> facilitators report having a great time playing the game.
> 
> We have also developed a training manual and video to help 
> facilitators 
> get the most out of the game. 
> 
> (c) 2007 Kate Reeve and Kate Rossiter

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