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Social Determinants Of Health

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Poverty and war are two social determinants of health that interact directly to shape an individuals life. Eldon Starlight in Richard Wagamese’s Medicine Walk can be identified as an alcoholic who struggles with mental injuries. Many social determinants of health impact Eldon’s health and quality of life, shaping who he is. As we examine the effects of poverty and war we come to understand their influences on Eldon’s life. Poverty and war can have permanently altering effects on an individual’s life. Severe mental injuries resulting from the posttraumatic stresses of poverty and war chronically disable an individual’s life, persuading the individual to pursue other means of overcoming their pain, retreating to alcohol and substance abuse. …show more content…

For Eldon it was war that helped persuaded him to turn to alcoholism as a way of escaping the mental injuries. As examined in War and Public Health by Berry S. Levy and Victor W. Sidel it can be seen that victims must rebuild their lives and focus on many issues associated with mental traumas post-war. More specifically, “given the brutality of war, many people survive wars only to be physically or mentally scarred for life. Millions of survivors are chronically disabled from injuries sustained during war or the immediate aftermath of war” (Sidel 2008). These mental scars can be observed throughout Eldon’s life after the war. Eldon became very secluded, burdened by the memories of what he could have done to change his outcome. The posttraumatic stress of murdering his best from left Eldon constantly battling his own thoughts and he was only able to escape these feelings when he took a drink. The abuse of a substance is a downward cycle that is not easily escaped. Eldon became trapped in the need to always have a drink in order to be able to carry on with his …show more content…

When Eldon first met Angie he did withdraw from his abuse of alcohol. The relationship Eldon held with Angie encouraged him to subside from the urges as he promised Bunky he would. This proves that Eldon did hold the motivation necessary to quit. However after so many years of substance abuse, even a small trigger was able to quickly turn Eldon back to alcoholism. This relapse did not allow him to properly care for his new family, but Eldon went against this aware of the consequences involved. Eldon experienced first hand these consequences after he loses Angie during childbirth since he was too intoxicated to take care of her when she needed him. This trauma in Eldon’s life only further accelerates his addictive behavior. Eldon reveals no incentive to change his ways. Not even the birth of his baby boy drives him to be a better man. Instead Eldon gives his only son away as he is confident that he cannot change. This lack of self-motivation and willpower further influences Eldon’s substance abuse. Although the essence of this argument is effective, it does not account for the Social Detriments of Health that influenced Eldon’s choice to join the war or to remain in a position of poverty throughout his adulthood. Eldon joined the war because of his poverty, but then endured a life of few benefits

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