This is a very interesting discussion.  I believe that the policy
development process is indeed iterative, but I think the most important
part of the discussion as it relates to SDOH relates to the boundaries
placed on analysis of the "problem" and "acceptable solutions", which
are inherently political and ideological.  This is an exercise in
bounded rationality.

One approach to the issue of hunger, for example, is to treat this as a
temporary lack of access to food, and to look for a charitable solution
through food banks.  A slightly more progressive response looks at the
system of social assistance (inadequate though it is) and
redistribution.  The more radical analysis sees the problem as a lack of
opportunity for employment and other means of generating adequate income
- at least partly attributable to systemic barriers - and looks to
address those barriers.  This is the more threatening approach because
it starts to look at the way power is distributed in society, and it
means actually changing some systems.

I believe that the sort of "denial/indifference" that Dennis speaks of
comes from the ideological glasses that are worn when looking at the
data that describe a problem, or considering a solution.  And because we
like to think of ourselves as "objective", we often don't want to
acknowledge the ideology that frames the way we look at issues, or the
way we even choose to study a particular problem.


Ken Hoffman
Community Health Consultant
and Associate, The Alder Group
... promoting health and innovation

phone: 613.729.0308   fax: 613.729.0920

-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Automatic digest processor
Sent: Friday, February 04, 2005 12:00 AM
To: Recipients of SDOH digests
Subject: SDOH Digest - 2 Feb 2005 to 3 Feb 2005 (#2005-32)


--
No virus found in this incoming message.
Checked by AVG Anti-Virus.
Version: 7.0.300 / Virus Database: 265.8.4 - Release Date: 2/1/2005

--
No virus found in this outgoing message.
Checked by AVG Anti-Virus.
Version: 7.0.300 / Virus Database: 265.8.4 - Release Date: 2/1/2005

-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]


To unsubscribe, send the following message in the text section -- NOT the subject header --  to [log in to unmask]
SIGNOFF SDOH

DO NOT SEND IT BY HITTING THE REPLY BUTTON. THIS SENDS THE MESSAGE TO THE ENTIRE LISTSERV AND STILL DOES NOT REMOVE YOU.

To subscribe to the SDOH list, send the following message to [log in to unmask] in the text section, NOT in the subject header.
SUBSCRIBE SDOH yourfirstname yourlastname

To post a message to all 1000+ subscribers, send it to [log in to unmask]
Include in the Subject, its content, and location and date, if relevant.

For a list of SDOH members, send a request to [log in to unmask]

To receive messages only once a day, send the following message to [log in to unmask]
SET SDOH DIGEST

To view the SDOH archives, go to: https://listserv.yorku.ca/archives/sdoh.html