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Ron Shore (17)

Lecture #2- Jan 18.docx

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Health Studies
HLTH 237
Ron Shore

Lecture #2- January 18 th th Policy Paper- 5theek Essay Due- 10 week Part 1 - Always talk and think about drugs having all the power o Inaccurate! It’s the relationship between it and the person o Need to pay attention to the role of society; “health is a resource for everyday living” - As costs keep increasing the demand keeps increasing for more resources (i.e. dental, pharmaceuticals, etc.) o Inequitable access o Health care is the centre of the Canadian reputation; what is our social responsibility towards someone else? o Health policy distinction: who deserves the support and who doesn’t? We tend to think of it in a way similar to “who’s responsible for their consequences?”  Sense of deservedness - Distribution of health as a resource o Health is associated with an absence of disease; illness is associated with doctors and having a disease o Health is more complicated- it’s a resource we use every day to succeed in day- to-day life o Disability= we tend to have empathy, requires a social responsibility o Health equity= those who have health for everyday life and those who don’t. The distribution shows the deprivation (don’t have enough income) by clustering in certain neighbours.  Comparing health distribution to this income distribution; lower income families spend more time in the emergency rooms and stay longer statistically, EXCEPT for injuries (due to expensive sports)  Poverty increases many health risks; more likely to smoke, be obese, diabetes, drug and lung problems o Illness is a part of human life o And yet those who are “ill” are looked at differently o Assessed psychologically for what they would’ve done to ‘deserve’ it o Addiction is a problem we don’t understand so we judge the behaviour - Social determinates of health: factors that influence our health besides our own choices; i.e. income, neighbourhood, parents, etc. - The way we perceive the world is a lens, which is the product of our upbringing o Always a construct with a time and place o Drugs change the lens; short term and can affect the reprogram the brain long- term o Alter our consciousness; physical basis converts into a ‘thought’  Shows we are physical animals are o We are integrated with the world o Drugs show us that we aren’t that separated from our world; we are far more integrated then we like to admit - We make an association between the behaviour and the drug o We tend to look at it as a choice someone has made  Different than diseases like cancer that no one has a choice about o We “choose” to use the drug and so we assign a different theory to it o Setting is the leading theory of why you CHOOSE to use a drug o Another important one is genetic influence; impulsive behaviours, not necessarily addiction - Zinberg- role of setting; during Vietnam war there were huge social movements in campuses, free love, experimentation, etc. Huge opposition to Vietnam War; men were sent over there and had access to heroine (85%), 54% tried it, 35% of those who tried it became addicted. Come home to the U.S.A. to huge conflict and lack of health care. After a year only 12% were addicted. Setting was key to their usage! Not just about the substan
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