PMID: 12765103May 27, 2003Paper

It takes a whole nation ... to create a health care system

Nursing Administration Quarterly
Leah Curtin

Abstract

The biggest failure we face today is that we argue about the effects of poverty and the benefits of welfare rather than about how to sustain a reasonably cohesive and integrated community that optimizes human development for everybody. Yet that is exactly what must happen if we are to integrate our recreational, educational, health care, and health promotion systems and employment policies to create a healthier population. Care of the sick and the elderly is not a primary wealth- (or health-) producing social function; it is a derivative activity. If a society overinvests in it, it may underinvest in the real economy ... which then will not create the jobs, stability, and wealth that support the health of the population. This is not the kind of problem that the health care system alone, or any one sector of society, can actually tackle on its own. The challenge is to create real partnerships with all sectors: employers, labor leaders, educators, police, and governmental groups.

References

Jan 18, 1992·BMJ : British Medical Journal·R G Wilkinson
Jan 1, 1987·Annual Review of Public Health·M G MarmotM A Elston
Jan 15, 1996·Annals of Internal Medicine·J E Bailey
Dec 10, 1990·Health Policy·U G Gerdtham, B Jönsson
Oct 1, 1964·Journal of Abnormal Psychology·B SEAYH F HARLOW

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