While I can share in some of the pessimism, it seems that we need to take our public health tools and provide health education to the US public health community. For better or worse it is up to us.
It also seems like we need to educate our political communities. Though the US is essentially a "two-party" system there are many parties, and a good number of them would support working on SDoH issues.
In Solidarity for Healthy Communities!
Enrique Cardiel
Urban Health Extension Coordinator, Facilitator IDHCC
505-925-7393
"Health workers have an obligation to address the issue of poverty directly rather than remain content to deal with its effects." D Raphael
"To achieve sustainable programs, we must be willing to get "boot deep in the mud" while keeping a realistic eye on the distant horizon, be that 5 or 25 years." Green & Kreuter
________________________________________
From: Social Determinants of Health [[log in to unmask]] On Behalf Of Goldberg, Daniel [[log in to unmask]]
Sent: Thursday, April 19, 2012 7:05 AM
To: [log in to unmask]
Subject: Re: [SDOH] Income Inequality, Public Health and How I Met Michael Bloomberg
But this is why I tend to think the debate over what model of public health we ought to embrace in the U.S. is so vital. If we permit a narrow model, focused on the basic 6, to dominate practice and policy, we have thereby ensured that very little of what public health actually accomplishes will have a dramatic impact either on overall population health or on compression of inequities.
This follows because, with the notable exception of sanitation, virtually none of the basic 6 really addresses the fundamental causes of disease (i.e., the SDOH). Even while there exist some plausible reasons for preferring a narrow to a broad model of public health (the latter explicitly addressing structural violence, fundamental causes, political economy, etc.), if we permit the former to hold sway as it has generally for the last century, we have virtually guaranteed that most of our actions will not have the impact that we ought to pursue.
Unfortunately, I am not optimistic about the likelihood that U.S. public health education, practice, and policy will move to a broad model any time in the near future, and Ritika’s story only deepens my pessimism.
Daniel S. Goldberg, J.D., Ph.D
Assistant Professor
Department of Bioethics & Interdisciplinary Studies
Brody School of Medicine
East Carolina University
600 Moye Blvd, Mailstop 641
Greenville, N.C. 27834
[log in to unmask]<https://legacypiratemail.ecu.edu/owa/UrlBlockedError.aspx>
http://www.ecu.edu/cs-dhs/medhum/goldberg.cfm<https://legacypiratemail.ecu.edu/owa/redir.aspx?C=d56a9b9043504f2087c41dfe6562e184&URL=http%3a%2f%2fwww.ecu.edu%2fcs-dhs%2fmedhum%2fgoldberg.cfm>
_______________
Tel: 252.744.5699
Fax: 252.744.2319
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Dennis Raphael
Sent: Thursday, April 19, 2012 8:17 AM
To: [log in to unmask]
Subject: Re: [SDOH] Income Inequality, Public Health and How I Met Michael Bloomberg
Now, can you imagine the Bloomberg School of Public Health undertaking a major initiative to study the effects of income and wealth inequality on the health of Americans? I cannot.
dr
Get a free copy of Social Determinants of Health: The Canadian Facts at http://thecanadianfacts.org
See what Jack Layton had to say about my books!
http://www.cbc.ca/news/canada/story/2011/04/10/cv-election-ndp-layton-platform.html
at 27:20
Dennis Raphael, PhD
Professor of Health Policy and Management
York University
4700 Keele Street
Room 418, HNES Building
Toronto, Ontario M3J 1P3
416-736-2100, ext. 22134
email: [log in to unmask]<mailto:[log in to unmask]>
http://www.atkinson.yorku.ca/draphael
Of interest:
* New * Poverty in Canada, 2nd edition,
Forewords by Rob Ranier and Jack Layton
http://www.cspi.org/books/poverty_canada
About Canada: Health and Illness
http://tinyurl.com/2c2tm6l
Health Promotion and Quality of Life in Canada: Essential Readings
http://tinyurl.com/3C8zteu
Social Determinants of Health: Canadian Perspectives, 2nd edition,
Forewords by Carolyn Bennett and Roy Romanow
http://tinyurl.com/3fkbr8u
Staying Alive: Critical Perspectives on Health, Illness, and Health Care, 2nd edition
Foreword by Gary Teeple
http://tinyurl.com/4xlu4up
See a lecture! The Politics of Population Health
http://msl.stream.yorku.ca/mediasite/viewer/?peid=ac604170-9ccc-4268-a1af-9a9e04b28e1d
Also, presentation on Politics and Health at the Centre for Health Disparities in Cleveland Ohio
http://www.case.edu/med/ccrhd/education
-----Social Determinants of Health <[log in to unmask]<mailto:[log in to unmask]>> wrote: -----
To: [log in to unmask]<mailto:[log in to unmask]>
From: Malcolm Lewis
Sent by: Social Determinants of Health
Date: 04/18/2012 10:55PM
Subject: Re: [SDOH] Income Inequality, Public Health and How I Met Michael Bloomberg
Thanks for this speaking truth to power.
Perhaps the reason corporate elites and neo-conservatives support a certain type of public health practice is because it deeply and fundamentally facilitates the neo-conservative project by carrying a meta-governance message that the way the world works is that the individual (and their family) is responsible for their own well being and any risks to their well-being because of their own actions. The actions of collective processes are irrelevant.
The message is that if your are fat because of your behavior, if you become sick you should have saved or insured yourself for that risk. No mention is made of the SDOH. That the message, they are not relevant, the world doe snot work that way.
Earlier in the week I posted to this group the new research paper.
Governing at a distance: Social marketing and the (bio) politics of responsibility Open access http://bit.ly/IL9Tfe
It is very worthwhile reading and quoting. It really explores teh above themes much better that I can explain.
Cheers
Malcolm
>>> "Breen, Nancy (NIH/NCI) [E]" <[log in to unmask]<mailto:[log in to unmask]>> 4/18/2012 11:51 pm >>>
Thanks very much for sharing these telling remarks from your interview with Mayor Bloomberg with the group. As you note, Mayor Bloomberg has made some remarkable contributions to public health. His remarks about income inequality (and his actions against Occupy Wall Street) are revealing but not surprising in light of the positions the mayor has taken over the years on NYC labor relations.
From: Ritika Goel [mailto:[log in to unmask]]<mailto:[mailto:[log in to unmask]]>
Sent: Wednesday, April 18, 2012 9:14 AM
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Income Inequality, Public Health and How I Met Michael Bloomberg
Thought people on this list may enjoy reading my newest blogpost on the need to discuss income inequality in public health and how Michael Bloomberg has avoided doing so.
Income Inequality, Public Health and How I Met Michael Bloomberg
http://righttohealth.ca/post/21308495650/income-inequality-public-health-and-how-i-met-michael
I would welcome people's thoughts on this.
--
Ritika
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