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Social Determinants of Health

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Subject:
From:
Bill Braun <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Sat, 27 May 2006 19:39:12 -0400
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I am stunned at the blanket endorsement of a dichotomy between community 
and academy. For folks who are participating in a broadly systemic 
understanding of the dynamics of health, the willingness to drive one's 
sake into the ground on one side of an issue or another is astounding 
and perplexing.

It is, as I perceive it, the antithesis of a field model/understanding 
of health. To think that one dynamic that affect health can be separated 
from another with little or no consequences is a profound 
misunderstanding of the determinants of health.

Bill Braun

Chrystal Ocean wrote:
> There's the question of equitability, who's in a position of power, who gets
> paid and how much. 
>
> Academe now sees a golden opportunity to capitalize on communities which, in
> their opinion, need research done and yet are incapable of doing it
> themselves - which blends in well with the current flavour-of-the-month,
> "building community capacity." The latter is the same kind of
> underestimation for academic gain. Most community organizations and
> marginalized groups ALREADY have capacity. They just need $$. Even
> 'capacity' is inequitably defined by universities. 
>
> The whole funding scenario in and of itself separates the so-called
> knowledge brokers from community culture. It truly is divide and conquer,
> exalt and demean, in virtue of the power of money and the power of framing.
>
> As someone from the margins, I have been in both worlds - slogging away at
> the community level and aspiring to the lofty and presumed unimpeachable
> heights of the ivory tower. It took about two years on a university campus
> for the rose-coloured glasses to start to fade. I persevered - thought it
> was just me - and went on to graduate work. Found I had company. Changed
> universities and began pursuing the doctorate. More company. Changed
> universities again. More graduates expressing the same disillusionment:
> university was too detached from reality and the consequences of its
> (non)actions. Ironically, one of my majors was Philosophy, of which Ethics
> is a major field. The disconnect was too much for me. I left.
>
> Ocean
>
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