Tyranny Of Health Summary

‘Health’ is a very broad notion, affected by a wide range of individual characteristics, behaviours and contextual factors.

In 1946 the World Health Organisation (WHO) defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. This definition integrates the main concepts of health and identifies that health can be viewed differently by individuals and groups (Bowden, 2006). Health and well-being are the result of a combination of physical, social, intellectual and emotional factors (Dunkley, 2000a).

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:

Seven in ten deaths in the United States, are attributable to chronic disease (“Leading Causes” 1). These diseases are not on account of bacteria or viruses, which could be treated with an appropriate prescription or vaccine. Chronic conditions are developed through unhealthy lifestyles and behaviors such as a lack of exercise, poor nutrition, poor sleeping habits, and substance use (e.g. tobacco). Consequently, seven in ten of every death can be prevented with changes in lifestyle. The CDC states that these conditions, “are among the most common, costly, and preventable of all health problems” (“Chronic Disease” 1). Although these conditions have clear and definite causes (knowing the exact reason and “cure” for them), they are becoming more prevalent rather than domesticated. According to Wu and Green, “Between 2000 and 2030 the number of Americans with chronic conditions will increase by 37 percent, an increase of 46 million people” (1). This increase comes with an increase in health care costs: the CDC reported that the U.S. spent three trillion dollars on health care in 2014 (“Health Expenditures” 1). 86% of these costs was associated with these conditions (“Prevention” 1). Despite there being a range of causes of why patients make these choices, one issue that may be less familiar to others is the lack of knowledge in preventative medicine among health care professionals. Current training standards are not adequately educating or equipping health care professionals

Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.

According to the dictionary, the word health is “the state of being free from illness.” At a first glance, this defination seems to be very direct and simple, however the meaning of the word ‘health’ nowadays is much more complex. The above definition pretty much sums up our view of health in the first half of the 20th century.

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (World Health Organisation, 2011)

The definition of health is fluid, ever changing and carries different meanings across individuals, societies and cultures. Although it is difficult

Firstly, looking at the positive definition of health, it is a positive concept, highlighting social and personal resources together with physical capacities. According to the World

Health can define in many different ways. Dr Roslyn Franklin defines health as “A multilayered social and ecological phenomenon created in the context of community life. (Dr. Franklin. R, C 2016) The dimensions of health include physical, mental, emotional, social, spiritual and social health. During the first week our reflections included what we believed being healthy meant. I listed enjoying being the ideal weight for my height, participating in regular exercise and eating the right foods. This is how I defined being healthy. Through our PHP, nutrition, physical activity, relationships and

Prior to determining what specific actions and policies to take within the U.S. health care system, we must first look into who is taking part in these unhealthy behaviors and if there are any particular reason why. According to a report from the National Center for Health

“Don’t treat the disease, treat the patient” [9]. The concept of health has seemed to become complex in definition over the centuries as science improves. “Health is a complete state of physical, mental and social well-being and not merely the absence of disease and infirmity.”-World Health Definition of Health (1948) [9]

In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.

During the past 20 years, it has been noted that personal behaviors which includes, tobacco use, alcohol abuse, unhealthy diet and obesity contributes to the death of millions. According Orleans, Ulmer and Gruman, “research findings over the past two decades have established that modifying these behavioral risk factors leads to improved health and quality of life and to reduce health costs and burden” (as cited in Knickman, Jonas & Kovner, 2015, p. 120). Many of us can relate to these personal behaviors that have caused health issues. Smokers pay more for insurance becomes of the dire consequences associated with cigarettes. Alcohol abuse can cause liver damage as well as other health issues. Unhealthy diet and obesity can go hand in hand and can lead to cardiovascular disease and diabetes.

The social view of health is incorporated