Maternal & Child Health: a Public Health Model for Social Justice (video)

NICU

A few weeks ago, I gave the guest reflection at the Unitarian Universalist Church of Tucson on maternal and child health in Arizona. Below is the text of my talk or you can listen to the podcast here. I have been talking with people for months about this topic, and many of you have expressed an interest in working on solutions to improve maternal and child health. My plan is to hold stakeholder meetings on the state of Maternal and Child Health in Arizona, with the goal of crafting bills for the 2020 session. Stay tuned on the PowersForThePeople.net blog and on my Facebook page. I will be giving another talk on this topic at the Salt of the Earth Labor College on September 21, 2019.

Prevention: A Public Health Model for Social Justice (reflection text)

As the Public Health Parable in the Message for All Ages previewed, today, we are going to talk about prevention not only a public health strategy but also a social justice strategy.

Like the industrious carpenter in the video, we are going to assess the current problems, walk upstream to examine the root causes, and brainstorm long-term solutions to tackle those root causes.

Rather than focus solely on putting out fires today—as our government often does—the Public Health Parable teaches us to not only put out the current fire but also to devote significant effort to preventing those fires in the future.

My original idea for today was to discuss three unfolding public health crises: migration, housing security, and maternal and child health, but when I started to pull everything together, I realized we would be here all day if we tackled upstream solutions for those three, highly complex issues.

These three seem like disparate topics– migration, housing security, and maternal and child health—but they have commonalities.

Can you name some?  

[Pause for audience to shout out ideas.]

Poverty is a big factor in all of these, right?

But many of the “isms” are also involved: racism, sexism, classism, capitalism. And let’s not forget capitalism’s destructive cousins: war, austerity and bad policy.

How we tackle the unfolding crises of migration, housing security, and maternal and child health could have wide-ranging, positive OR negative repercussions on children, families, communities, future generations, and the climate.

Now we’re talking interconnectedness of all life, right?

Today, I want to focus on the area that has received the least amount of attention: maternal and child health. We hear a lot in the news about migration and housing, but there is a statewide and nationwide crisis in maternal and child health that is being ignored.

Continue reading Maternal & Child Health: a Public Health Model for Social Justice (video)

The Yin & Yang of Public Policy: Can We Achieve Balance?

On one hand, the news media often tells us that we are a country divided. Social media fuels this idea with countless stories of political and ideological intransigence despite mounting societal needs.

On the other hand, the news media also often tells us how much the general population agrees on certain topics. For example, although Congressional Republicans have been working for seven years to repeal the Affordable Care Act (ACA or “Obamacare”) and return to the glory days of market-driven health insurance, polls show an increasing majority of Americans “believe the federal government has a responsibility to make sure all Americans have health care coverage.”

An Associated Press story published today reported that “Americans overwhelmingly want lawmakers of both parties to work out health-care changes, with only 13 percent supporting Republican moves to repeal ‘Obamacare’ absent a replacement.”

Affordable Care Act
An old meme from 2014 refers to the movie Elysium, where Matt Damon and others are doomed to live on Earth with no workplace safety, no health insurance and squalid conditions, while the rich live on a floating space station (Elysium) with luxuries including a machine that heals disease.

“Nearly everyone wants changes to the Obama law, while hardly anyone wants to see it abolished without a substitute in place,” according to the AP. If 80-90% of Americans think Republicans and Democrats should work together on healthcare insurance reform, why not do this? Why the complete disconnect between what the people want, what’s good for the health of the population, and what the Republicans in Congress are doing?

Continue reading The Yin & Yang of Public Policy: Can We Achieve Balance?