Social Justice In Public Health

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

According to Riegelman and Kirkwood (2015) there are many social determinants that influence our health. These may include, but are not limited to; income, educational level, culture, and professional status. All of these things can contribute to our health, because they are the things we are surrounded with: a way of life. Most of these determinants are structurally unequal. This means that a person doesn’t have a choice, but to be part of that determinant. We do not have the choice of being born into a rich or poor family, what culture we are raised in, and so on. These inequalities lead to heath disparities. Health disparities are the differences between groups’ health that are/ can be caused by structural inequalities (Disparities 2017). For example, Henrietta Lacks came from a poor family and her health was negatively affected by the social determinants that come along with that lifestyle. On the other hand, we could look at a rich family during that time and their health could have been positively affected. We will look at how different social determinants caused Henrietta Lacks to experience both structural inequalities and heath disparities.

Health has been influenced by many factors such as poor health status, disease risk factors, and limited access to healthcare. All these factors are due to social, economic and environmental disadvantages. According to the World Organization (WHO) (2015), “the social determinants of health are mostly responsible for health inequities, which is the unfair and avoidable differences in health status seen within and between countries”

SOCIAL JUSTICE refers to the concept of a society in which justice is involved or achieved in every aspect in life. As part of individuality in the society they have to have social justice

By applying the principles of social justice in our identification of health priorities, we can determine the impact these principles have on reducing health inequities and improving the health of the nation.

In Sridhar Venkatapuram’s (2010) article Global Justice and the Social Determinants of Health, the main argument presented is of the Commission on the Social Determinants of Health (CSDH) 2008 final report and examines the lack of general support the findings have received. The main concept of this analysis appears to mirror that of the CSDH’s report on “whether science, linked with ethics, can motivate global action, and whether the public scrutiny and deliberation…can meaningfully be brought together in global health policy” (Venkatapuram, 2010, p. 120). The premise behind this concept is that by bringing professionals together to address the strengths and weakness of the model, the theory behind social determinants of health will gain momentum.

According to the Centers for Disease Control and Prevention, “health disparities are preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities” (CDC, 2017).  It  is easy to believe that control on overall health relies solely on making  a firm decision (the “right” decision" to lead a healthy lifestyle— by being active and eating a balanced-diet. There are other factors to be considered in evaluating and understanding health disparities: why people seem to be noncompliant? Or why people aren’t seeking medical attention in a timely manner?  In reading

Social justice is the equitable distribution of health care in a societal responsibility. This can be best achieved by letting a central agency, generally the government, take over the production and distribution functions.

Health justice is a broad term. For me it means that everyone is able to receive health care despite where they are, what their background is, and how much money they have. Although this is the case, the current world health system isn’t like this. Health care is not as accessible as it should be. Many poorer, developing countries are still facing shortages of health care clinics in their area. The people in the world who do have health care, on the other hand, are the ones who are well off and have more money. Thankfully, due to the efforts of many different individuals and organizations, the healthcare system is slowly shifting over to where we want it to be. Not saying that it is perfect, we still have a long ways to go before we are able to create total health justice, but we are on our way for a world with health care that everyone is able to access and get the proper care they deserve.

As the society acknowledges the importance of human rights and dignity, the issues among the poverty, homeless, violence victims are now more considered. Although there are difference in roles between nurses from acute care, intensive care, and emergency settings nurses, community nurses engage those issues to become advocates for social justice. Health care nurses collaborate to identify strategies for incorporating social justice aims into their work environment (Johnstone, 2011). As a public nurses, there has been many researches to address vulnerability, diversity, health literacy, health care access, health care disparities and issues of particular populations such as ethnic and racial minority health, gay and lesbian health and the health of children, women and older adults (Johnstone, 2011). For example, affordable health care 2010 was implied for equitable delivery of healthcare for all individuals in United States. Although there are pro and cons on success of the system, it was aimed to promote the justice of human need to have least of health care when necessary. Among with the issues of inequality and unfairness of worldwide insurance system, this act was to provide fair access to health care. To achieve the aims of a just, accessible, affordable health care system for all, public health nurses make an effort to engage the professional advocacy.

Healthcare is the improvement of physical and mental health through the assistance of medical services. The right to health care is an internationally recognized human right. In 1948, 48 nations, including the United States, signed the United Nations Universal Declaration of Human Rights. “In this document it is stated that everyone should have the right to a standard of living adequate for the health and well being of oneself and one’s family, including medical care” (Right to Health Care ProCon.org). People have the right to receive the health care they deserve regardless of the costs. It is a basic human right to be provided with the medical care and assistance needed to live.

Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience health inequalities than people in higher socio-economic classes. Health inequalities are not only found between people of different

Health equality is a system where there are no health disparities (as cited in Yukiko, Hurley, Norheim, & Johri, 2015). There are equal opportunities for quality health care for all, regardless of race, status, or income levels. Inequality of health care is out of an individual’s control and is viewed as unfair (Yukiko et al., 2015). Health inequities measure the amount of inequality in health. “In the measurement of health equity, a question arises as to how we should classify unexplained health inequality- fair or unfair, which is an ethical question (Yukiko et al., 2015,

In public health, as in many fields there are a set of conundrums that practitioners, leaders and law makers have to address in order to provide the most appropriate service to their populations. One of these conundrums is the battle between what is good for the community vs. what is good for the individual. This topic will be broken up to the community vs. the individual, and discussed based on research done by Kass et al, and Oriola, and will be concluded by presenting possible solutions.

Social justice plays an important role in society because through these is that the communities affected by some diseases such as Ebola that has caused thousands of deaths is that Ebola survivors have received and are receiving support to move forward I understand it's who aims to prevent Ebola outbreaks. There are many ways you can help and who focuses on monitoring, managing cases, infection control, provides support, helps and giving more training, and other areas that will help the community to recover from a crisis. The costs involved are high, but the health of a population is priceless.