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Social Determinants of Health

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Subject:
From:
Diana Liw <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Sat, 10 Nov 2007 06:39:43 -0800
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Why are people dying in a country that has universal health care?  Aren't they being care for?  Isn't universal health care "universal" regardless of income?  What's wrong with this picture?  

Poor people die from diabetes, because they get diabetes.  They don't die of something without getting them first.  Everyone may get diabetes, regardless of income.  If you are saying "poor people" are dying from the disease, what's your country's prevention efforts targeted toward the "poor people"?  To prevent someone dying from diabetes (rich or poor), the disease needs to be managed.  What's wrong with your Public Health and health care system?  Getting poor person to be wealthy will not cure him/her.  I fail to see your logic.

>>> Dennis Raphael <[log in to unmask]> 11/10/07 5:05 AM >>>
The Toronto Star has another "epidemic of diabetes" story complete with 
obesity being the cause of it all.

http://www.thestar.com/News/article/275323

Dear Editor:

There is no "epidemic" of diabetes in Canada.  The incidence rate for 
diabetes -- new cases per year adjusted for age -- is not increasing. This 
was documented by Drs. Ohinmaa,  Jacobs, Simpson and colleagues in their 
article "The projection of prevalence and cost of diabetes in Canada: 2000 
to 2016" published in the Canadian Journal of  Diabetes. 2004;28:116-123. 
There is however an epidemic of poor people dying from diabetes in Canada. 
 This is documented by Dr. Wilkins and colleagues "Trends in mortality by 
neighbourhood income in urban Canada from 1971 to 1996" in Health Reports 
(Stats Can), 13(Supplement), 1-28. Perhaps this "epidemic of death" rather 
than non-existent "epidemics of diabetes" should have more attention paid 
to it.

Dennis Raphael, PhD
Professor and Undergraduate Program Director
School of Health Policy and Management
York University
4700 Keele Street
Toronto ON M3J 1P3
416-736-2100, ext. 22134
email: [log in to unmask]
http://www.atkinson.yorku.ca/draphael

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