The ProPublica report on the taxes paid by the ultrawealthy is an important backdrop in a syndemic framework for evaluating health. A strong tax base contributes directly to health in several ways. Public parks, social services, education, community health centers, strong infrastructure, and Medicaid rely on tax dollars. Medical research is often funded by NIH…
In The “New” Medical Morality: Hippocrates or Bioethics? Jeffrey Hall Dobken writes, “…the neo-discipline of bioethics must be examined for moral effectiveness as well as clinical outcome.” By examining whose “needs and interests” are served by bioethics, Dobken criticizes the marginalization of both the doctor and patient voice. Dobken also questions the four principles and…
The public policy theory of multiple streams formulated by John Kingdon in 1984 applies to problems at a time when they become ripe for solving. By aligning the problem, policy, and political “streams” a window to solving the problem arises. In public health, the analysis was applied to UK health disparities and to obesity in…