Brian Rahmer Profile picture
Aug 7, 2018 7 tweets 7 min read Twitter logo Read on Twitter
A Balanced Investment Portfolio For Equitable Health And Well-Being Is An Imperative, And Within Reach

#SDoH #HiAP #Interdependence
Social Determinants As Public Goods.

@LenMNichols & @LaurenTaylorMPH demonstrate that the underprovision of interventions on #SDoH can be addressed through a novel but practical community financing mechanism.

#Commons #Interdependence healthaffairs.org/doi/10.1377/hl…
“While the degree to which human beings pursue that which they think is good for them has not and will probably never change, what they believe is good for them can change and from time to time has, radically.”

#SDoH #HiAP #PEoH #IRoS
“Linking patients to a threadbare safety net may achieve patient population health but also edge out other community residents with an equal claim on services but without a powerful provider organization pushing them to the head of the line.” #SDoH #HiAP
“Medicalizing inequality is more appealing to most politicians than tackling income and wage inequality head-on, but it results in framing the problem of social inequality in a way that makes it technically quite difficult to solve.” #SDoH #HiAP
“...the social practices of talking, negotiating, working it out for shared goals, bringing diverse perspectives into alignment.”

“This is the processing of commoning & this is a form of democratic empowerment & governance that can happen right now...”

To build a more just and prosperous society, we need to be honest about what got us to, and keeps us in, this place of extreme inequality.

#SDoH #HiAP #IRoS

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More from @brianrahmer

Jan 3, 2018
The effects of public health policies on health inequalities: a review of reviews. Thomson et al, 2017.

“...fiscal and regulation policies were more beneficial for reducing or preventing health inequalities than educational campaigns.”

#SDoH #PEoH #HiAP thelancet.com/pdfs/journals/…
“...how broad policy initiatives for tackling inequalities in health that start off with social determinants (upstream) approach drift downstream to largely individual lifestyle factors, as well as the general trend of investing a the individual level.”
“The consequence of this is a widespread public sector culture in which well-meaning policymakers, practitioners, researchers and members of the public collude in sustaining a ‘cargo cult’ of health behaviorism.” #SDoH #HiAP #PEoH
Read 28 tweets
Dec 28, 2017
We are dying younger, in part, because of deliberate policy choices made over decades:
• Rejecting universal health care.
• Cutting taxes for the rich.
• Shunning income support.
• Abandoning universal child care.

Those choices increasingly set us apart in the world. #SDoH
“...any man’s death diminishes me,
because I am involved in mankind.
And therefore never send to know for whom the bell tolls; it tolls for thee.”
#SDoH #Interdependence #PEoH theincidentaleconomist.com/wordpress/us-l…
“We are the wealthiest nation on earth, but far from the healthiest, and things are getting worse, not better.” #SDoH #PEoH #HiAP #IRoS statnews.com/2018/01/04/lif…
Read 154 tweets

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