02
May 14

The Body Economic and BrBa?

I have to admit, the first thing that came to mind when I started this week’s reading in Stuckler and Basu’s The Body Economic about flawed healthcare systems was the TV show “Breaking Bad”.  And I wasn’t the only one who noticed. Daily Beast journalist Tricia Romano discusses how the entire plot of the show is only effective and plausible because it is based in the realities of modern American health care systems, as is also discussed in Chapter 6 of our reading. The authors cite the “approximately 35,000 avoidable deaths due to the lack of healthcare insurance” from a 2009 study (99) and the “cost of a private healthcare insurance plan, which could be up to $ 25,000 per year for a two-person family” (100).  Romano points to the similar situation of the fact that the main character of the show, Walter White, begins illegally cooking and dealing methamphetamine in order to pay for the $90,000 cost of his cancer treatments not covered by his insurance, and adds that he was lucky to not be one of the real “55 million Americans” without any health insurance at all (Romano). On such a large scale, the health care system in America is dealing with huge amounts of money (98), manipulative insurance companies (100), public and political pushback (99), and a lot of unnecessary deaths, which begins to make the difference between navigating a scary and difficult drug underworld and trying to get insurance coverage for serious health issues look a lot smaller.

While last week’s reading juxtaposed the economic policies of Greece and Iceland, this week showed the use of similar policies of austerity in health care systems having the same effects in both the United States and the United Kingdom, suggesting that healthcare systems that operate under the rules and polices of austerity are inherently, structurally flawed and have repeatedly led to poor health even when existing in different environments. Although Stuckler and Basu tend to present facts with elements of political bias (such as their presentation and commentary on the story of “Diane” on pages 97-99) they come up with a convincing argument supported by solid data that austerity is a policy that tends to have negative and pressurizing effects on economies and health care systems.


01
May 14

Body Economic Part III

There were two lines in this reading that I found of particular interest. The first line stated that according to the World Health Organization, “the US healthcare system was one of the worst in developed countries in terms of death rates and reduced suffering.” For a country that stakes its claim as a country of freedom and opportunity, how can there be this little regard for it’s citizen’s health? What freedom and opportunity can their citizens claim when they are struggling to pay for doctors and medications? In all fairness, I do have to remind myself that what goes into policy making is much more complex than the picture the book presents and the way budgets are divided differs based on each country’s needs. I wish I had a greater understanding of why banks are allowed to be bailed out in our country and the poor are left alone for the most part. I wish I knew why Iceland was capable of acting as a democracy.

The second line was found all the way in the conclusion and related to the oath that doctors take to do no harm. This concept would imply that policy makers must review other effects aside from the economics and finally begin to factor in people. I also thought it was witty that the writers related it back to health that way. It was great.

The homeless people chapter was moving as well but I had a concern of how exactly new immigrants were affected by austerity. In Greece they were scapegoated but in America what happens? What health risks do they receive and what funding are they cut from? It was mentioned that first generation immigrants usually have the expected life time of the country from which they came while the children do not so how does public health policy in America impact this?


01
May 14

Readings for May 9

this reading addresses policy as an element of structural approaches to public health at a general level.

ReadingMay9