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Social Determinants of Health

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Subject:
From:
Vanessa Yu <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Sat, 21 Oct 2006 19:51:19 -0400
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Alternatively, the presence of high levels of social capital  
(self-sufficiency) within a group allow governments to defer  
responsibility.  When good health outcomes are apparent though,  
governments are quick to accept accountability -- and as Dennis said,  
when problems arise, communities are blamed.

Vanessa Yu

Quoting Dennis Raphael <[log in to unmask]>:

> 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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