Questions on the Mckeown's Thesis

In 1798 utilitarian Thomas Malthus published An Essay on the Principle of Population as an argument against an utopian society based on social and economic equality. Malthus believed that if the human population is left unchecked then the population would outgrow the resources necessary to maintain the population. Malthus’s argued that the population will continue to grow and the burden will unavoidably put on the poor population. However, the inequality of population would be a good thing in terms of controlling the population.

From an economic perspective, there is an increased recognition of the benefits of society from the promotion of health and the prevention of disease, disability, and premature death. In addition, financing health care has been focused on medicine and some progress has been made towards health promotion and disease prevention; however, the progress in this direction is very slow due to social and institutional beliefs and values.

In the Middle ages, the modern idea of society taking responsibility for its poor with public health care was established. Many of these ideas stemmed from religious groups.

In the “Marmot Review: Fair Society Healthy Lives” written by “Professor Michael Marmot” himself, he proposes the most effective evidence-based strategies for reducing health inequalities in England. Inequality is unjust and unfair and therefore it is a matter of social justice in cases where everyone has an equal,social, political and economical rights and opportunities.He simply stated that to reduce the steepness of the gradient sufficiently “actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage” Even though resources may be scarce and it is tempting to focus these limited resources on the most needy, we are eliminating some parts of the society and therefore only tackling a small part of the overall problem. Part of his solution was to “implement an evidence-based programme of ill health preventive interventions that are effective across the social gradient such as Increasing and improving the scale and quality of treatment programmes and focusing on public health interventions such as smoking cessation programmes on reducing the social gradient” Michael Marmot also raises the benefits to which reducing health inequalities will help the economy as well as socially. “It is estimated that inequality in illness accounts for productivity losses of £31-33 billion per year, lost taxes and higher welfare payments in the range of £20-32 billion per

In some way, public health is seen as a modern philosophical and ideological perspective based on ‘equity’ and aimed to determine inequitable in society. It seen as a ‘science’ and ‘art’ in the sense that it deals with the cause of disease, treatment of illness as well as it involves laboratory experiments, intervention and

A healthy population is not only vital but also a necessity for a country’s economic growth and development. There is an inherently strong connection between the health status of the population and the level of development of a country. Most countries that are exceptionally developed have an overwhelmingly healthy population,

Barsukiewicz, C. K., Raffel, M. W., & Raffel, N. K. (2010). The U.S. health system: Origins and functions. (6th ed.). Mason, OH: Cengage Learning.

Good health for all people has turned out to be an acknowledged global objective and the records reveal that there have been extensive achievements in life expectancy over the past century. However, there has been persistence in health disproportions between affluent and deprived despite the fact that the prospects for upcoming health trends depend more and more on the latest processes of globalization. In the previous times, globalization has frequently been observed as an economic process comparatively. At the present times, however, it is progressively perceived as a wide-ranging trend fashioned by a multitude of aspects and incidents that are restructuring and changing the format of our society swiftly (Huynen, Martens & Hilderink, 2005).

The sociological approach to health and illness focuses on the social determinants of health and how this affects the health of society. It explores where we are on the socio-economic ladder and how this determines access to healthy food, a healthy lifestyle, education, income, accommodation, healthcare, transportation and good working conditions. This approach considers culture, the behaviour of individuals and the social structures we live in, with a belief that when treating health and illness if all these areas are considered and changes are made in conjunction with modern medicine then the health of society will be improved. “If the major determinants of health are social, so must be the remedies. Treating existing disease is urgent and will always receive high priority but should not be to the exclusion of taking action on the underlying social determinants of health” (Marmot, 2005: 1103).

Health service in most cases is crafted by the economic and social values systems of each respective country. It contributes to a country’s economic GDP (gross domestic product), by creating various areas of employment opportunities, examples including and not limited to the delivery of medical services, research and development of new drugs for the treatment of various ailments, insurance services to name a few (Barton, 2010, p. 3).

Response Paper 4 – How have economic development and globalization changed the ecology of human health and disease? In your discussion, include aging, infectious disease, and chronic disease. You should discuss the concept of epidemiological transitions

Healthcare in early America was not based on scientific medicine and healthcare facilities were limited to “at home” care. The view of health care was focused on epidemics of acute infections related to poor food, water, housing and sanitation resulting limited to untrained physicians an d nurses that were inadequate to provide sustainable life saving care (Williams & Torrens, 2008). Since health care was limited to the home or charity, very little progress was made to on the prevention of diseases. During the early 1800’s towns like North Carolina had no way to combat the spread of diseases like small pox, therefore their only option was to introduce maritime quarantine that would later lay the groundwork for advances in control measures for epidemic diseases (Watson, 2013). These measures helped limit the spread of the disease but failed to address disease management. However the advancement of medical schools such as Harvard

In “The McKeown Thesis: A Historical Controversy and Its Enduring Influence,” by James Colgrove (2002) discussed the controversies of Thomas McKeown’s work and the continuance influence his work has on public health research and policy. Colgrove stated Thomas McKeown’s theory, “population growth is due primarily to a decline in mortality from infectious disease” (Colgrove, 2002, p. 725). Moreover, we should improve the overall standard of living specifically, diet and nutritional status. This thesis became controversial for many scholars.

With the introduction of agricultural and the rise of the Industrial Revolution, living standards have been elevated, while epidemics and famine have been diminished (prb.org). Ever since the 18th century, the human race has only continued to make improvements. For example, in the medical field. The creation of vaccines, medicine, and an increased knowledge of the spread of diseases have all helped to eliminate common causes of death, leading to overpopulation. Not only is overpopulation caused by an accelerated number of births, but it is also due to a decrease in the number of deaths, with 360,000 people are being born every day and only 151,600 deaths a day

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