Brian Rahmer
@brianrahmer
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Dad to three, connecting the dots. Views are mine.
Joined December 2008
What We Mean By Social Determinants of Health. Vicente Navarro, 2009. #HiAP #SDoH #PEoH
https://t.co/ibtXvClSr5
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Power matters. “Politics is not a game or a puzzle. Even in the richest societies, and even during ‘normal’ times, power has the potential to kill, or to allow people to thrive.” https://t.co/mX5VnzxMKI
https://t.co/hIweNZ0312
#Interdependence #VitalConditions ♾️
"The point is that power matters, and the less you have of it, the harder it is to get more." #HiAP #SDoH #PEoH
https://t.co/qQEU2ySIWN
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I can personally vouch for a dozen of these - from the genius silverware storage, to the perfect leggings with 70+ reviews, to the hands-down best pillows on earth.
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Power matters. It’s time to evolve our frameworks to support the movement for health equity on all fronts—be that strengthening the civic muscle of communities or pushing those who have power to use it for the greater good. And when we have power, use it.
Power, control, communities & health inequalities... “Power over the rules is real power. If you want to understand the deepest malfunctions of systems, pay attention to the rules & who has power over them.” - Dana Meadows #SDoH #PDoH #Interdependence 🧵🧶
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Outcomes of public health policy are directly linked to civic participation levels (🔗 https://t.co/Dra71qDcqU). Vote Early, By Mail, Via Ballot Drop Box, or In Person on Nov. 5 & MAKE A DIFFERENCE in the health of your community! #VoteDownBallot
#Election2024 #GetOutTheVote
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“…care is essential to our survival, not just from pandemics, but from the enormous pressures modern life puts on our ability to flourish in this world.” #PDoH #SDoH
The social drivers of health are political constructions. They are produced & reproduced within a political economy that is designed to not value the #VitalConditions for well-being as fundamental pillars for freedom & democracy. This can—and must—be changed. #PDoH #SDoH #CDoH
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“This is about life and death—and care for our people is directly linked to care for our planet.” #Interdependence #VitalConditions #SDoH #PDoH
Care work is the work that makes all other work possible. The care economy as an infrastructure investment https://t.co/ByRpVYgB0o 🧵🧶 #PDoH #SDoH
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“…care can center both short-term policy pushes—like childcare, elder care, and paid sick leave—and long-term thinking about how we build back better & create an economy that works for all of us, rather than grinding us down day by day.” https://t.co/Eq81ZSMifo
#VitalConditions
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"...importance of comparing the US, and its uniquely private & difficult to access healthcare system, to universal health systems elsewhere.... not dying is a really low baseline for what we’re going for with parents of babies in the US" #VitalConditions
“In the US... maternal deaths are treated as a private tragedy rather than as a public health catastrophe.”
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Nearly every demographic group of American moms dies at a higher rate than all mothers in peer nations. White mothers in America die at a rate of 19 per 100,000. Black moms die at a rate of 49.5 per 100,000, roughly 2.5 times the rate of white Americans.
theguardian.com
Alarming disparities persist, particularly between white and Black mothers, according to new report by Commonwealth Fund
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The United States continues to have the highest rate of maternal deaths of any high-income nation.... within the U.S., the rate is by far the highest for Black women. These deaths are preventable. #SDoH #PDoH #VitalConditions
commonwealthfund.org
U.S. policymakers and delivery system leaders could learn from international models of maternity care, including for postpartum support and workforce composition.
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“Part of it just comes down to continuing to build up centers of working-class power to fight for these types of priorities in the political system.”
How can differences in 'control over destiny' lead to socio-economic inequalities in health? https://t.co/FBwKxgI9Wy
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there’s growing social & political polarization & disillusionment with institutions…there’s an opening for some fundamental shifts in the way our economy runs. It’s not a great leap for many working people to imagine that life might be better with ownership & control…” #HiAP
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“Worker-owned firms have less wage inequality, greater job security, higher job satisfaction, stronger community ties, and greater resilience during economic downturns. The model needs to spread.” #SDoH #PDoH
#Interdependence #VitalConditions
jacobin.com
Worker-owned firms have less wage inequality, greater job security, higher job satisfaction, stronger community ties, and greater resilience during economic downturns. The model needs to spread.
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“When you talk about moral injury it says to them this isn't about you, it’s about the places and ways you’re being asked to work.” “That revelation, is what is currently empowering health care workers to fight aggressively for change.”
Moral injury: “...perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs & expectations... a deep soul wound that pierces a person’s identity, sense of morality, and relationship to society.” https://t.co/JnjHGihoBU
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“…there’s no question that the root cause of this crisis is ‘financialization’ in health care and the extraction of money to line the pockets of financial interests…” #VitalConditions #Interdependence #PDoH #SDoH
https://t.co/ULAKcsEq7D
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“When you combine rapidly rising rents, that it just costs more per month for people to get into a place and keep a place, you get this vicious game of musical chairs." #Interdependence #VitalConditions #HumaneHousing 🧶
“Housing justice movements proved that basic housing protections are possible, that they work, and that they save lives. And that grassroots power itself is essential for our collective wellbeing.” #Interdependence #VitalConditions 🧵♾️
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“This year's big jump was driven by people who lost housing for the first time… The largest increase was among families, and a significant rise among Hispanics. Nearly 40% of the unhoused are Black or African-American, and a quarter are seniors.” #PDoH #SDoH #VitalConditions
“We are not short on ideas. We are short on investment… investing in affordable housing isn’t only necessary to prevent evictions and end homelessness. It is also essential because the success of all other opportunity-expanding initiatives depends on it.”#VitalConditions 🧵
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“Homelessness in America spiked last year, reaching a record high… up a whopping 12% from the year before.” https://t.co/RwLq97CpRD
#VitalConditions #SDoH
npr.org
The jump is 12% more than the year before and came as rents and inflation skyrocketed. The increase was driven by families and those who lost housing for the first time.
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The social drivers of health are political constructions. They are produced & reproduced within a political economy that is designed to not value the #VitalConditions for well-being as fundamental pillars for freedom & democracy. This can—and must—be changed. #PDoH #SDoH #CDoH
The task before us is to rebalance the primary focus of America’s economy from merely enduring and alleviating adversity to expanding well-being. https://t.co/db0k1lPRo1
#Interdependence #PDoH #SDoH
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“States’ politics — and their resulting policies — are shaving years off American lives.” https://t.co/WdaizSIkTr
#PDoH #SDoH
washingtonpost.com
Along Lake Erie, three states show how Republican lawmakers’ decisions over decades on cigarettes and seat belts are shortening life spans.
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“Many of the public health outcomes are a direct result of political decisions…” #Interdependence #VitalConditions
US State Polarization, Policymaking Power, and Population Health “Population health problems are mainly caused by the actions of wealthy individuals, corporations, and the policy and legal structures they cultivate...” https://t.co/cPTJwaTDyn
#PDoH #SDoH #Interdependence
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