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Social Determinants of Health

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Subject:
From:
Frank Stark <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Wed, 22 Feb 2006 12:08:26 -0500
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Robert C Bowman wrote:

>Would also appreciate some literature as well.
>
>US Commission report  may help at
>http://govinfo.library.unt.edu/ngisc/reports/7.pdf
>When I looked over parts, the gambling supportive studies seemed to read
>like the inconsistent studies in the income inequality and health report.
>The gambling benefits were spotty and local. No studies had a global impact
>to include those who locally improved and assess the dollars sucked from
>surrounding areas. Areas that improved during certain time periods also had
>statewide improvements during the same time as in Mississippi. Those
>entering late may be too late. Those unable to develop the traffic may not
>benefit from the investment and locals may suffer.
>
>3 patients of mine in the past month declared bankruptcy
>
>2 had health care roots and 2 had gambling (1 had both)
>
>Loneliness seems to be a big part as many go and eat at the casinos and
>meet people. Some cross the line and gamble, often on the penny slots. Some
>then cross the line to other areas.
>
>Stats from Omaha in the year after gambling went in across the river in
>Iowa from FBI local person
>Omaha Housing Authority delinquency rate went from 4% to 8 - 9%
>Nebraska Furniture Mart, largest retailer in area took 15% decline, first
>ever
>
>Seems to be construction benefit originally till opened, then lower income
>decline when operations continue.
>
>Dollars shifting across state lines and to Nevada and outside locations.
>
>Also studies of big winners noting lack of any long term benefit have been
>cited, but would be nice to examine.
>
>We'll see if the following assumption is accurate:
>
>Gambling appears to be a coalition of advertisers and marketers and gaming
>businesses that foster a redistribution of wealth that mostly benefits
>those who get the cash flow and has questionable overall benefits to
>society and has devastating impacts on susceptible individuals (who may be
>lower in income).
>
>Robert C. Bowman, M.D.
>[log in to unmask]
>
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Thanks for this. Appreciate your insights

Frank Stark

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