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A Case for Refocusing Upstream:

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by

Daphne Whittaker

on 15 April 2015

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Transcript of A Case for Refocusing Upstream:

A Case for Refocusing Upstream:
The Political Economy of Illness


River Analogy

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.
Recommended Action
Conclusion:

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
Downstream:
Physicians
Nurses
Short-Term
Road Map
Arrival
Health Workers:
Arrive Late
After Habit
After Damage
Behavioral Science
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.
Low SES
High SES
Stats
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
Society
Prevailing ideolog involved assigning culpability to particular individuals and groups for the manifestation of either disease or at-risk behavior.

AKA Stereotyping
Health Professionals
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
Legal Intervention
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?
Public Education
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
Upstream:
Individuals
Interest Groups
Corporations
Highlight activities of the "manufacturers of illness"

Develop a case for refocussing toward political and economic forces
Family
Community
Political-economic Spectrum
Manufacturers:
Create
Promote
Supply
Large-Scale Corporations
Way 1:
Way 2:
Way 3:
Survival
Food
Clothing
Shelter
Secondary
Dental care
Exercise
Balanced diet
Secondary
Dental care
Exercise
Balanced diet
Survival
Food
Clothing
Shelter
Full transcript