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A Case for Refocusing Upstream:
Transcript of A Case for Refocusing Upstream:
The Political Economy of Illness
The Notion of a Need Hierarchy
How Preventive is Prevention?
The Case of Food
$161 billion industry for production and distribution of food and beverages
An Unequal Battle
Why "Manufacturers of Illness" seem to have an assured win
The Binding of At-Riskness to Culture
The Ascription of Responsibility and Moral Entrepreneurship
Today's society likes to blame the victim. In other words we blame people for being sick, we blame them for being fat, and we blame them for being poor.
In order to truly keep people healthy we need to completely rework the system so that people are better educated and people aren't getting money for causing disease.
Downstream vs. Upstream
Ineffective Health Media
Too Much Defence
The health field is too focused on winning the war, so they simply focus on counteracting what the manufacturers of illness have done
Instead they should step back and question the premises, legitimacy, and utility of the war itself
If a person would only do X, then they would also be doing Y and Z.
If a person would only do X, than he/she would be doing pretty much the same as is done or recommended by such prestigious people as A and B.
If a person does not do X, or will not do X, then they are either deficient in some important respect, or they are some kind of liability for the social system.
40% US Adults are overweight or fat
Eat 126LBS of sugar a year
21-25% fewer dairy products
70-80% more sugary snacks and soft drinks
Most eat processed and synthetic food rather than natural
Money in Food
$500 million chemical additives
$3 billion candy industry
$2 billion manipulative ads
$71 million Coca-Cola ads
Prevailing ideolog involved assigning culpability to particular individuals and groups for the manifestation of either disease or at-risk behavior.
Acquired a mandate to determine the morality of different behaviors
Have knowledge and resources that they can "legitimately" deploy for removal or alteration of stereotypes
Health intervention is a part of a wide pattern of social regulation
More stringent, enforceable restriction on advertising
Health Tax/ Ratio of Risk to Benefit Tax (RRBT)
$1 million to advertising
$3 million to health
FDA or FTC Distribution Responsibility
The Question of Lobbying
Who is Lobbying for What?
Who are They Lobbying With?
What Tactics are They Using?
Consequences for Health Legislation?
Not simply advocating what people "ought to be doing" and persecuting what they "ought not to be doing."
Instead, focus on the whole story and reasoning.
Based on Jim Harvey's speech structures
Highlight activities of the "manufacturers of illness"
Develop a case for refocussing toward political and economic forces