21
Feb 14

Chapter 2-3

As a pre-med student, I have encountered the argument for public health many times. Each side to the argument poses great challenges and finding a balance is imperative to making the system work. Firstly, all people deserve the opportunity to preserve their own lives regardless of their economic standing. This is simple. The challenges with this, of course, includes money. Who pays for it? It is very easy to say now that the government should just add it to their tab. In addition, the quality of healthcare severely decreases when doctors are being paid less, because they have less incentive to become doctors. The argument can go on and on.

However, I have also heard about an organization called Mayo Clinic, which is a non-profit research group and medical practice.

http://en.wikipedia.org/wiki/Mayo_Clinic

It is essentially a public health care system on a scale not quite as large as the entire country but has many locations in the southern and western states. One might wonder if this project would work on a larger scale and if its core principles would remain intact if the country were to mimic its ideas in fixing up its own health care system.

On a side note, an ER doctor i was speaking to noted that at hospitals, doctors can treat symptoms and cures for many diseases. However, in many cases the true cause behind the symptoms is extreme drug abuse. I believe he was hinting that many cases he has seen could have been prevented on a psychological level. Sadly, sometimes we are led to believe that social inequality breeds these sort of problems. Regardless, many different aspects of the population’s health need to be addressed when talking about a public health system.


21
Feb 14

Ch. 2 & 3 reflection

Reading the chapters on structural approaches to public health reminded me of a discussion that recently took place in another one of my classes. Even though the class is called Writing for the Social Sciences, we got into a little debate yesterday about health care and obesity because two essays in our handbook-thing focused on them. One of them, by David Zinczenko, made sense to me and lines up (though less radically) with the chapters we read for today: it’s called Don’t Blame the Eater, and explores factors that make it difficult for people to make healthy choices. The other one, though, was a bit of an adventure (ahem) to read. It was written by Radley Balko (a pretty hardcore libertarian, I think) who was going on about “personal responsibility” and how he doesn’t want other people’s “choices” to affect the cost of his healthcare. I put those in scare quotes because I find them to be inaccurate and incomplete understandings of the real situation. Balko repeatedly used scary rhetoric and made lots of sociological errors (mostly, failing to account for factors besides “personal choice” in food decisions).

On the note of obesity, though, here’s an interesting (short) article that presents the other side of the issue, namely that fat stigma is more of a problem than fat itself: http://healthateverysizeblog.org/2011/08/19/the-haes-files-fat-stigma-not-fat-%E2%80%93-is-the-real-enemy/. Definitely worth some thought if we’re going to be continuing our conversations about obesity.


21
Feb 14

Structural Approaches

This week’s reading discussed the problem that public health has, in that it has grown from its beginnings as a social force, to more of a biological one, placing a policy of “individual responsibility” in its place.The reason it is a problem is that being health is something you don’t choose, for if it were, we would all choose to be healthy. The author suggests that public health needs to return to its roots, battling unhealthy conditions, working as a social movement, and incorporating minority groups. I agree. Without the power to affect social change, public health is useless. This stems from a realization that our social standings affect our health, no matter who we are.

Having discussed healthcare with many people of differing political opinions, I feel that it comes down to whether you think everyone deserves to be healthy, or just those who can afford it should be healthy. It reminds me of one time quite recently when I wasn’t feeling well, so I Googled my symptoms (as one does). I happened upon a post of someone asking what could be wrong with them, saying they couldn’t afford to go to the emergency room, and that they’d just rather die than get another $8,000 bill. That struck me as incredibly sad, and only reinforced my belief that there is something wrong with out healthcare. I am not one who believes in strong central governments, but I do think everyone deserves good health care.