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HLTC24H3 (7)
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Chapter 6

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Health Studies

Week 9 Reading- Health and Illness Chapter 6 Public Policy and the Social Determinants of Health Governments and policy makers have the ability to shape public policies that will support and encourage health One of the major things preventing the appropriate actions from being taken in Canada is the political economy. The marketplace, instead of the government through laws and regulations, is the dominating institution that is shaping the structures and conditions that add force to the social determinants of health The governmental policy-making associated with this form of political economy most often does not support the perspective that places its priorities on the’ pathway through which social conditions translate into health impacts’ Shaping a Context for Public Policy Public policy s a course of action or inaction take by public authorities, usually governments to address a problem or a set of problems These activities are anchored in a set of values and beliefs that shape whether this situation will even be seen as a public problem if it is then they would define what the proper government response to it would be. For example- Access to child care for families can have great benefits for women pursuing careers and their families, however it is not seen as a public problem that needs to be addressed by the government Values plays a role in public policy when looking at issues such as employment security and working conditions, wages and benefits, and food and housing insecurity. Most social- democratic and continental European nations have developed public policies that look to provide citizens with the living conditions needed for a healthy life. The primary value in these countries is equality and maintaining solidarity Role of values also important in poverty rates. Many nations find that reducing poverty and promoting early child development is a central concern of governments and officials Public policy is extremely important in improving the socio- economic conditions that make up SDOH Policies concerned with providing equal distribution of income would also respond to issues of: Housing and food insecurity Early child development Social exclusion Health ethicist David Seedhouse says to achieve adequate and responsive care people must be provided with four things: Resources to meet basic needs of food, water, shelter, warmth Access to the widest possible info about all factors that have an influence on a persons life Skills of numeracy and literacy and the confidence to use this info Opportunities to be connected with others in their community and larger society Mary Shaw et al. States that health-related public policy plays its greatest role in assisting ppl to navigate significant life- course transition during which they are esp. vulnerable to health disadvantage. These moments include: Foetal development nutritional growth and health in childhood, leaving home, entering the labour market, job loss or insecurity episodes of illness and treatment Material deprivation and absence of societal support during the times listed above work against health Risk are of two types: universal risks such as the life transitions and non-universal risks such as premature diseases, injuries and accidents, and family and breakups Societies individualize risk when they fail to provide public and collective benefits and services to address these problems Epsing- Anderson primary factors shaping children’s cognitive ability are health, income poverty and developmental priming mechanisms that set the stage for life-long learning. He maintains that a strong welfare state can minimize the income poverty Population Health and Public Policy: The Indicators Canada is one of the wealthiest nations in the world in terms of size of economy but this does not mean we have the best health o
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