Social Determinants of Health in Canada
Introduction
Canada is considered to be the second richest developed nation globally. Despite the high economic status in the nation, there have been warnings concerning the consequences of increased economic inequality according to the sectors of social development in the nation. Conversely, as the nation is increasing in its overall economic capacity, the wealth distribution divides increasing the rift between the wealthy individuals and the poor.
According to the 19th-century research by Rudolph Virchow and his colleagues, there exist an association between the lifestyle opportunities of a population and its health outcomes. Arguably, the lifestyle of a nation is the direct outcome of the economic
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Why Inequality in Wealth Distribution and Income is An Issue
In Canada, the members of the population are unaware that the income status in addition to wealth distribution shapes the health outcomes of the society (Mikkonen, & Raphael, 2010). The quality of health in the society rests on the contribution of factors that range from the housing of the population and food insecurity in addition to education and employment opportunities that impact the working conditions of the members of the community.
Notably, all the social and economic aspects that are also social determining factors of health hinge on aspects of income and wealth distribution for the public. According to the Organisation for Economic Corporation and Development, Canada is among the two wealthiest developed nations globally (Groff, & Goldberg, 2000). However, the wealth of the nation is subject to various social and economic forces that result in the nation reporting some of the highest outcomes of income inequalities and
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I noticed that in a health care system, the individuals from the low economic divide has to struggle from government funding and the subsidized health programs that are often with minimal regulation and management. On the other hand, the wealthy individuals not only enjoy living conditions that favor good health outcomes, but they also have access to sufficient income and insurance that guarantees them access to the best treatment and care facilities. The economic divide in Canada is disturbing with its contribution to health
The Health and Wealth connection distilled is our health will most commonly reflect from our amount of wealth. The wealthy can afford the cost of quality care and the time to take care of themselves. Within the textbook, Dimensions of Human Behavior Hutchison writes. Public health experts have long noted the association of poor clinical outcomes, in all body systems, with low income, low education, unsanitary housing, poor healthcare, on stable employment, and uncertain physical environment (Hutchison, 2015). Easily demonstrated throughout American society the rather dubious and is a somewhat perplexing phenomenon of the Health-and-Wealth connection theory. The gap between the haves and have-nots are ever expanding. Those who have the funding to pay for resources will pay to get those resources. And those who do not have sufficient funds to pay for said resources will, unfortunately, have to stand in the long lines to receive seemingly, deceptively, scarce resources.
In 1967, Tommy Douglas had a great impact in establishing Canada’s universal health care system which guarantees health care to its residents regardless of factors such as race or ethnicity, religion, income, and age (Tommy Douglas: The Father of Medicare, n.d., para.1). In the 1974 Lalonde Report it emphasizes that health services were only one of the many factors that affect health (A New Perspective On the Health of Canadians, 1974). Others factors which include income, food security, the level of education, shelter, status of health, social status, employment and working conditions, and living conditions also contribute to the status of ones’ health. These factors are known as the social determinants of health or one’s socio-economic status that provide an insight to the health of Canadians.
The issue of economic inequality has ruined the economy of the United States completely. This issue is making its way to Canada, which is causing more of its citizens to go into poverty. When this problem first started to arise, it was strongly ignored by the government because they believed it would not cause a problem. However, over the past twenty years, it has increased rapidly which caused the gap between rich and poor to became enormous. Moreover, the wealth of the rich strongly depends on the disadvantage of the poor. The only way the rich will stay rich is if the poor stay poor. The top one percent of Canadians receive 318,000 dollars on average whereas the bottom ninety percent receive only 28,000 dollars. If the poor start getting high
A nation's success and standard of living is determined by its economic growth, which is measured by percentage in real GDP. Capitalism is an economic system that yields strong incentives for rapid increases in output of commodities. The most advanced capitalist economies have been more successful in raising productivity, as a result of their low unemployment rates and ability to adjust to new and improving economies. Developed countries in general, contain a lot of natural resources, which can be used as income. As stated in Sarah Ahmed’s book “Why Happiness, Why Now?”, developing countries are shown to be happier than undeveloped ones (3). Would this supposed happiness be due to the progression of their country? A country’s growth and advancement
The Health and wealth connection distilled is our health will most commonly reflect from our amount of wealth. The wealthy can afford the cost of quality care and the time to take care of them selves. Within the textbook, Dimensions of Human Behavior Hutchison writes. Public health experts have long noted the association of poor health outcomes, in all body systems, with low income, low education, unsanitary housing, in adequate healthcare, on stable employment, and unsafe physical environment (Hutchison, 2015). Easily demonstrated throughout American society the rather dubious and is somewhat perplexing phenomenon of the Health-and-Wealth connection theory. The gap between the haves and have-nots are ever expanding. Those who have the funding to pay for resources will pay to get those resources. And those who do not have adequate funding to pay for said resources will unfortunately have to stand in the long lines to receive seemingly, deceptively, scarce resources.
According to Dennis Raphael, the conditions that overcome lifestyle activities such as daily smoking, physical activity, and eating habits are living and working conditions an individual endures daily (2016). In Canada, and in many countries just like it, focuses a lot on the biomedical approach which looks at treatment of disease, rather than prevention and the behavioural approach that is every individualized and its main target is to prevent disease through cultivating a lifestyle that encourages activities that work towards it (Raphael, 2016). These approaches aren’t the most effective because people continue to deteriorate as they require to work multiple precarious jobs that have a very poor condition and still not being able to live their fullest potential due to several barriers such as low wages (Raphael, 2016). This has a lot to do with how a society distributes social and economic resources among its citizens which shape the overall health and well-being of these people (Raphael, 2016). The chapter presents various frameworks that correlate with each other to influence health outcomes which all have a lot in common (Raphael, 2016). Such as the materialist framework discusses how the social determinants of health impact individual’s health outcomes by looking at
When discussing health care systems, Canada’s is often used as a possible model for the US. The two countries systems are very different being that Canada has a single payer, mostly publicly funded system, while the US has a multi-payer, heavily private system. So much of the appeal of the Canadian system is that is does more for less. They provide universal access to health care for its citizens, while almost one in five non-elderly Americans are uninsured. Many of these findings come from the results of the Joint Canada/United States Survey of Health from 2002-2003. This survey revealed that the health status is for the most part similar in the two countries, but income-related health disparities exist. For example, Americans in the poorest income bracket are more likely to have poor health compared to their “counterparts” in Canada. In "Health Status, Health Care, and Inequality: Canada vs. the U.S.," (NBER Working Paper 13429) June O 'Neill and Dave M. O 'Neill take a closer look at the U.S. and Canadian health care systems. They examine whether the Canadian system delivers better health outcomes and distributes health resources more justifiably than the U.S. system. After conducting their own research, they have different findings then the survey. They feel that in the US we have too many outside factors contributing to our health to really be able to compare the two systems. Let’s take a deeper look into the different systems.
Public Policies strive to protect all citizens across the nation, includes low-income citizens who often go unrecognized in society. To make sure this happens, legislature has put forth the “The Canada Health Act”, which requires the provincial government to meet certain expectations regarding public-health care and insurance plans. Though this act states that health services are free and accessible facilities, issues arise when citizens need urgent medical attention but appointment are unavailable until weeks later. Many of these poor individuals cannot afford to pay the extra amount to receive faster care as oppose to their rich counterparts.
Currently, the author is trying to tell the audience that social problems can be more problematic than clinical problems. The author also discusses how the living standards for Canadians are not distributed equally. Since everything is unequal, those who are in a higher social position have more control over the economy and try their best to avoid risks and diseases (Graham, 2004). The main argument from the author is that healthcare determines the heath outcome of an individual. The author also addresses that all Canadians should have equal access to all the social determinants of health to avoid getting sick in the first place. That being said, the author is briefly addressing all the social determinants of health and how the all connect to health, but with inequality as an underlying issue. The dispute on how social determinants of health is a notion that directs attention to the social factors shaping people’s health is also discussed in the article (Graham, 2004).
Income is an important element of the social determinants of health because it appears in many different experiences and is a key determinant of the premature mortality and premature years of lives lost from diseases among Canadians (Raphael, 2009, p 8). The poor are those who fall below the low-income cut off line as established from Statistics Canada’s data. Such people do not have the basic income for food, clothing or shelter. These are people who are either unemployed, laid - off, non-beneficiaries of social service assistance just to mention a few and are unlikely to have three meals a day. Curry -Stevens (2009, p. 52) explained that those at the bottom already show the worst form of market failure and as a result their market income is not enough for themselves and their families to survive on.
“Aboriginal & Torres Strait Islander people have a greater amount of disadvantage and significantly more health problems than the non-Aboriginal & Torres strait Islander population in Australia”
Inequality in Canada is not as prominent as many other places around the world, although it does remain in certain segments of Canada. There are many forms of inequality in Canada and internationally, although this papers main focus is going to be the inequality of wealth. According to Steven Kerstetter “Canadians may view their country as a land of opportunity, but it is also a land of deep and abiding inequality in the distribution of personal wealth” (Kerstetter 2002). The “gaps between the rich and poor remain evident in Canadian statistics” (Kerstetter 2002), Canadians have always kept financial security as an essential element of life and have tried to obtain and sustain it within their lives. Frank Cunningham’s article, “What’s
The Social Determinants of Health are the living conditions people experience, which plays a vital role in shaping population health (Mikkonen & Raphael, 2010). Government policy is one of the Social Determinants of Health and also the one that can strengthen or weaken the other Social Determinants of Health such as education, income, employment etc. The Social Determinants of Health for Canadian young adults become worse today while the older Canadians today, young Canadians a generation ago, experience better Social Determinants of Health. This is because the Canadian government and policy maker put less effort to develop public policy so that the Social Determinants of Health are not strengthened today (Mikkonen & Raphael, 2010). I choose
Economic inequality can impact Canadians directly or indirectly (Raphael, 2016). The relation between health and wealth is important to note, as an individual who obtains a higher income will lead a healthier lifestyle (Raphael, 2016). Through analysis of statistics, one is made aware
Currently there are many problems and flaws with the way the Canadian government’s policies deal with healthcare, income inequality and poverty. Time to time changes in policies have been made, perhaps to improve these issues, however, the gap between rich and poor keeps increasing and there is very little improvement in healthcare and the economy. In fact, healthcare keeps on becoming costly. Major issues like income inequality and poverty are not being taken care of by the government. According to Dr. Raphael (2002) poverty is caused by several reasons such as inequality in people’s income, weak social services and lack of other social supports (p.VI). He states, “Poverty directly harms the health of those with low incomes while income