In this paper the authors are attempting to define the concepts of poverty, equity, and human rights in relation to health (Braverman 2003). This paper also proposes five general areas of focus that can be used to address poverty, equity, and human rights through health sectors. The paper also assert that poverty, equity, and human rights are connected in concept and operation leading the reader to become more aware of areas to strengthen the work need to improve poverty, equity, and human rights when related to health outcomes.
In the opening paragraph Braverman asserts that the health sector has no control over the major contributing factors of health outcomes such as education, and although true, the health sector has far more direct effects on health outcome based on its overall cost for health care. Health care expenditures have doubled between 1999 and 2009 (Auerbach 2011). Healthy People 2020 shoes that
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If governments are charged with ensuring access to health care for all its citizens, then we would not have a class in addressing health disparities. There may be some improvements needed in order to fully hold governments accountable, but it is something that will not change in the near future (Hathaway 2002). Furthermore, Braverman continues to charge the governments responsible for providing a right to health, but in reality most governments are limited in resources to address these issues. Some governments may have very dysfunctional systems in place that are not capable to provide equal health to all its citizens.
Something that can be agreed on is the emphasis on education as a means to improve health outcomes. Education is an important factor in the social determinants of health that can improve and empower individuals. Those who are educated showed lower morbidity rates and were more likely to have better health (Picker
As Americans we should all be afforded access to healthcare. Access to healthcare is an individual right according to the human rights amendment. The human right to health guarantees a system of health protection for all. The human right to health means that everyone has the right to the highest attainable standard of physical and mental health, which includes access to all medical services, sanitation, adequate food, decent housing, healthy working conditions and a clean environment (What is the Human Right to Health and Health Care, 2015). However there are strengths and weaknesses to every healthcare system and the U.S. Healthcare system is not exempt. I plan to discuss the strengths and weaknesses of the U. S. Healthcare system (What is the Human Right to Health and Health Care, 2015).
Healthy People 2020 is a promotion to help raise public awareness by providing measureable objectives and goals for individuals to obtain higher qualities of lives, decrease premature deaths, and promote a higher quality of life (US Department of Health and Human Services, 2014). Healthy People 2020 has monitored its progress for over three decades between communities over the nation to understand where prevention measures are needed most. Fielding, Teutsch, & Koh (2012) projected that Healthy People 2020 will project a greater emphasis on social needs when it comes to health care disparities and will focus on education and income across the reform. One strength I noticed, when navigating through U.S. Department of Health and Human Services
The need to distribute wealth amongst the population is another way to promote health equity as it pertains to ensuring that the balance of power is not too one-sided by the rich. Another example of improving the health state is to improve the gap of economic levels by making sure that the poor does not get poorer and the middle class does not become too strained. Lastly, health is dependent on the resources available. If communities are empowered and advocate for change in their health, there is a better chance of improving the health disparities within communities (Adelman, 2008).
I assume that in today’s world, there is a lot of information and scholarly research available that shows factors such as economic status, income, social situations, education, ethnicity, employment, availability of affordable housing and geographical (place where one was born and lives) conditions have a tremendous impact on the health and well-being of individuals, countries and communities (Amaro, 2014). Inequalities in health and well-being are created by social determinants and economic conditions for many in our community (Brannigan &Boss). The people that are affected the most are people with low income and minority groups here in the United States. This creates health disparities and unequal care (Brannigan &Boss). In many developing and under-developed countries, the situation is dire: lack of modern health services, illiteracy, poor economic conditions has created a cultural situation of desperation and unhealthy behaviors. Corruption by African governments is rampant. To improve the health and wellbeing of communities, we need to start thinking of how we can create a culture of health.
Healthy People 2020 define health equality as “the attainment of the highest level of health for all people.” Comprehension of this ideal brings forth the conclusion that everyone should receive equal amount of attention to prevent inequalities, injustices, and to remove health and health care disparities. According to the National Institute of Health, health disparities are resulted from multiple factors defined by race/ethnicity, sex, education, geographic location, income, and disability status. These disparities can stem from many elements like increase risk for disease, which may originate genetically, by ethnicity, or familial factors, occupational exposure, and if access to health care is available. Health inequality has
“We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights that among these are Life, Liberty, and the Pursuit of Happiness.” If these words are true then why should we segregate one another by a precondition such as Universal Health care? A system that should allow residents of a specific region the opportunity to have healthcare coverage. This paper argues stipulations that all residents should be given the opportunities stated in the founding documents as well as the right to suitable healthcare, economic productivity and, a base for a just nation. In 2014 according to the US Census Bureau 33 million people in the United States which equates to 10.4% did not have health insurance. Thus, possibly assisting with the inability to provide residents with lifesaving treatments and accurate care for those in dire need but were unable to receive certain previsions due to not having health care.
“Among all the known contributors to health, access to health care plays a minor role. Until the United States definitively addresses inequities in those social and economic domains that are key to health, such as behaviors, education, income, and environment, inequalities in health will persist” (Lyon, et. al, 2014).
Education is closely tied to socioeconomic status, and effective education for children and lifelong learning for adults are key contributors to health and prosperity for individuals, and for the country. Education contributes to health and prosperity by equipping people with knowledge and skills for problem solving, and helps provide a sense of control and mastery over life circumstances. It increases
Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.
Education is an important social determinant of health because it affects many other determinants. Generally, people with worst health status have low education levels. Furthermore, people with low levels of education are more likely to have lifestyles which can lead to a chronic illness. Education empowers people with skills to
According to the Centers for Disease Control (CDC), “health equity is achieved when every person has the opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances” (U.S. Department of Health and Human Services, 2015). Satcher (2010) reports that health inequities are “systematic, avoidable, and unjust” disparities (p. 6). He also states that the World Health Organization (WHO) concluded that social conditions are the most important determinant of a person’s health. Social conditions “determine access to health services and influence lifestyle choices” (Satcher, 2010, p. 6). These determinants must be addressed in order to reduce health inequity. Inequity can be
“Health is a state of complete physical, mental, spiritual and social wellbeing, and not just the absence of disease” (WHO, 1974). Health inequalities are the differences in health or healthcare opportunities in different societies this may be due to income,
This paper discusses the ideas presented by Richard Wilkinson, in the video How economic inequality harms societies (2011). Three compelling concepts arise from the video which are that there was no longer a correlation between gross national income and health and social problems; it is also possible to attain greater equality as evidenced by what some countries are doing to reduce the income gap; and inequalities vary based on their health impact across the social gradient but nonetheless is present from top to bottom. In order to tackle the health problems and improve the health of individuals within societies, social justice actions geared at the inequalities seen in the healthcare system and other institutions are crucial. This paper also
The role of education in society has proven to service the people through the spreading of information, teaching of lessons and simply giving the gift of knowledge. With the gift of knowledge, we ultimately give the other the right and the ability, more importantly, to make their own informed choices. An educated mind can go beyond the limits set out by society and can make wise decisions regarding their health, success and general well being by simply using rationale. The level of education one obtains is directly related to the health of that individual, whereby it determines the person’s quality of life and life expectancy. Further more, one may be lead to believe that education is the most
Paula Braveman’s education is as follows: MD, MPH is Professor of Family and Community Medicine and