The social determinants of health by Marmot and Wilkinson are a list of social circumstances that impede or positively influence good health. Pointing out barriers to achieving health, the social determinants set the backdrop for justice-based bioethics. Access to good jobs in which one has agency or discretion and a living wage and access to…
The current estimated life expectancy of a Black man in the US is now 68 years. That is seven years less than White and Hispanic male life expectancy. It is a gap that cannot be explained entirely by the medical causes of death in the CDC report. To solve the disparity, people must look to…
Bioethics must recognize a syndemics approach to ethical solutions to the obesity epidemic in the US. The line between public health and personal health is artificial. Economic, political, and social structures influence the body in the doctor’s office. Public health approaches obesity various ways—usually by recommendations of exercise and lifestyles that are unattainable. Public programs…
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…
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…