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Social Determinants of Health

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Social Determinants of Health <[log in to unmask]>
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Robert C Bowman <[log in to unmask]>
Date:
Tue, 4 Apr 2006 08:44:01 -0500
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North Carolina went from one of the top states in prison inmates per capita
to one of the bottom, and significantly decreased prison costs.
Thomas Mortensen has done some of these studies over time out of
Postsecondary Education in Iowa. Places such as DC, Florida, Louisiana,
have some of the highest prison costs and are some of the most inefficient
places with the poorest education investments in the nation. These all fit
together in related factors.

In the US prison costs have gone up at about the same rate as education
funding has gone down. Health care costs squeeze education in two ways.
First through state budgets where Medicaid has now displaced elementary and
secondary education as the number one item (Pew Trusts) and second through
health care costs to school districts $900 to $1100 per student. The number
one item cut to make way for health care was teachers (school district
finance officers survey)

Having a tax on personal security guards and personal security technology
might actually help finance such efforts, if they are considered necessary.

People in lower and middle class areas suffer the most from crime because
communities support police protection poorly. The upper middle and top
level income folks exclude themselves in housing location and in personal
security costs. Of course this does nothing to address crime at its roots,
in lower and middle income areas, in child development, in early education,
etc.

If all spending on public and personal security were combined effectively,
there would be more than enough to greatly reduce crime, and have leftovers
for extra education to prevent crime in the future. Because we tend to wall
off and spend personal and public funds in inefficient and poorly
cooperative ways, we all cost ourselves more, now and in the future.

The states that address these areas also export teachers, nurses, and other
service oriented professionals to other states who sadly have not yet
figured out how to "grow their own" and contribute the most to national
inefficiencies and international dysfunction as these dependent states take
education and other resources from other nations also. In a Clash of
Civilizations era, the import export levels of serving professionals are
one of the best measures of winning or losing the war. We are currently
losing this war as we continue to steal the most important resources from
nations that need to be educated and healthy and stable.

Robert C. Bowman, M.D.
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