19 Population Medicine II Influencing Public Policy

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19 Population Medicine IIInfluencing Public
Policy
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Redirecting societal resourcesstop the
hemorrhage of poor people's resources going to
the rich
QUICK FIX

• Basic Income Guarantee
• Alaska Permanent Fund
• Alaska Constitution
• contrast with Norway
• Venezuela, Bolivia

• Asset Management Accounts

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NEXT STEPS

• Familiarize selves with population health
  concepts
• Find appropriate terms and phrases to use this in
  discussions with different stakeholders

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NEXT STEPS

• Familiarize selves with population health
  concepts
• Find appropriate terms and phrases to use this in
  discussions with different stakeholders
• Recognize that working on the health care system
  alone, wont do much for health

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NEXT STEPS

• Familiarize selves with population health
  concepts
• Find appropriate terms and phrases to use this in
  discussions with different stakeholders
• Recognize that working on the health care system
  alone, wont do much for health
• Understand that people (even the poor) will
  resist efforts at redistribution for they seem to
  like subsidizing the rich (paradox of poverty in
  the USA)

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NEXT STEPS

• Familiarize selves with population health
  concepts
• Find appropriate terms and phrases to use this in
  discussions with different stakeholders
• Recognize that working on the health care system
  alone, wont do much for health
• Understand that people (even the poor) will
  resist efforts at redistribution for they seem to
  like subsidizing the rich (paradox of poverty in
  the USA)
• Point out that 50 years ago, we were relatively
  healthier as a nation compared to others, and we
  need to get back there

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Tax businesses more

• Businesses pay less than half of the federal tax
  burden that they did 30 years ago. So rather
  than cut taxes, lets have them pay more, their
  profits are sky high anyway, so it wont hurt them

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Robert McIntyre and T.D. Coo Nguyen, " Corporate
Income Taxes in the Bush Years," Washington
D.C. Citizens for Tax Justice/Institute on
Taxation and Economic Policy, 2004.
Multinational Monitor Nov 2004
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VOTER TURNOUT
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Voters more likely to be from higher incomes or
more educated 1990, 92, 94, 96 federal elections
Those living in high voting inequality states Had
increased odds of self-rated fair/poor health
Blakeley et. al. AJPH 2001
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GENES
POPULATIONHEALTHFORUM Listserve info
Benjamins Law
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GLOBAL HEALTH
2003/05 Gap 50
1990/93 Gap 37
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Declining life expectancy Changes in life
expectancy in selected African countries (high
and low HIV prevalence 1950-2005)
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Dorling 2006
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Dorling 2006
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Dorling 2006
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Dorling 2006
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World Bank Annual Report 2004
DHS Wealth Index 2004
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Making Transition Work for Everyone Poverty and
Inequality in Europe and Central Asia, World Bank
2001
UNICEF SOWC 2006
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• But the actual and present condition of Africa is
  one of deep trouble, sometimes a deeper trouble
  than the worst imposed during the colonial years.
  For some time now, deserts have widened year by
  year. Broad savannahs and their communities have
  lost all means of existence, or else are sorely
  threatened. Tropical forests such as the world
  will never see again have fed the export maw.
  Cities that barely deserve the name have spawned
  plagues of poverty on a scale never known in
  earlier times, or even dreamed of. Harsh
  governments of dictatorships rule over peoples
  who distrust them to the point of hatred, and
  usually for good and sufficient reason and all
  too often one dismal tyranny gives way to a worse
  one. Despair rots civil society, the state
  becomes an enemy, bandits flourish. Meanwhile
  the "developed" world, the industrialized world,
  has continued to take its cut of Africa's
  dwindling wealth. Transfers of this wealth to
  the "developed" countries of Europe and America
  have annually expanded in value in 1988, for
  example, to what was then a record figure, an
  immense figure, paid out to "developed"
  creditors. And multitudes starved.

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Resource Depletion reduces economic growth

• Highly oil dependent countries
• increased under 5 mortality
• authoritarian
• likely civil war
• high military spending

• Highly mineral- dependent countries
• increased under 5 mortality
• population in poverty
• low life expectancy
• high income inequality
• authoritarian
• likely civil war
• high military spending

Ross Extractive Industries And the poor, Oxfam
2001
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Development Capital Flows
927 billion official bilateral and multilateral
aid, grants by private charities, trade credits
plus direct private investment and bank loans
OECD data,
1345 billion (interest and principal) to the
creditor countries does not include other
South-to-North outflows such as royalties,
dividends, repatriated profits, underpaid raw
materials etc.
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Five trillion dollars ("conservative
estimate") corruptly removed from world's
poorest countries -lodged permanently in
world's richest countries. -by American
businessman enthusiast for capitalism -in study
of how multinational corporations, wealthy
individuals and unscrupulous governments using
world's banking systems in ways that spread
poverty.
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Forbes Billionaires 2005 Poor countries
United Kingdom
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North-South RELATIONSHIPS
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Globalization and Health

• Poor Countries
• Elite form alliances with corporations to provide
  cheap labor
• Elite become wealthier
• Population increasingly urbanized in squalor
  settlements
• Race to bottom
• GAP there increases

• Rich Countries
• Low skill, low wage jobs leave with outsourcing
• High skill jobs, capital investment increases
• Wealthy become even wealthier
• Poorer segments marginalized, require alternative
  economies
• GAP there increases

HORSE AND SPARROW ECONOMICS
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US BINGOS
NI Oct 05
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