The Issue of the Rich-Poor Gap and How It Effects Health in Canada
Trinelle Brown
University of Ontario Institute of Technology
100618168
HLSC1811U Social Determinants of Health - Section 004
March 17th, 2017
Introduction This paper will discuss certain social determinants of health and how they affect the health of Canadians. Social determinants of health (SDH) are financial and social conditions that impact the health of people and communities. This paper will also examine the article “Rich-Poor Gap is making Canadians sick” by Rob Rainer and Linda Silas, which discusses the difference of income among Canadians and how it affects their health. This article addresses all the SDH, but the one focused on the
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The problem that reaches public attention is how income affects the health of Canadians. People living with low incomes are less healthy and have more medical conditions and symptoms of illness than people living with higher incomes (Williamson et al., 2006). There is an unequal distribution of SDH in Canada, which is mostly influenced by the part of the public with more power (Williamson et al., 2006). A survey was done about the public opinion about income-related health inequalities in Ontario. Almost 73% of Ontarians agreed with the general idea that all people are not equally healthy in Ontario because of the income gap (Shankardass, Lofters, Kirst, & Quinonez, 2012). In another survey based off the subject of income and health equity, almost 53% of participants agreed that the rich are much healthier than the poor. 64.1% agreed that the poor are less likely to live into old age than the rich, and 56.5% agreed that rich people have been getting healthier relative to poor people recently (Shankardass et al., 2012). In democracies such as Canada, the opinion of the public can greatly affect the political outcome on social and health related issues (Shankardass et al., 2012). While the outcomes of health care reform are relevant to all Canadians, government and public choices affecting the cost, delivery, and access to health care services have specifically significant …show more content…
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For decades, a person’s socioeconomic status or SES has affected the health care that people receive due to race and “wealth”. This problem has plagued American society because of these factors leading to many receiving inadequate health care. All of these factors for someone’s SES, has changed a lot in the health care domain that is unfair to many who are not the “ideal” and are a minority. Due to this the perception, experiences with health care waver and are different between the stages of these SES’s. No matter the status of a person they should receive the same amount of care, treatment, and closer.
The one major difference between the Canadian health care system and the American health care system is that is that they have a privatized health care system. A documentary such as “Sicko directed by Michael Moore” demonstrates the crisis of American citizens without health care coverage. Canada’s universal health care system ensures those who cannot pay for health to not suffer, contrary to the Sicko
Income Inequality is the unequal distribution of wealth; it is pertinent to understand how the sample participants come to explain the unequal distribution of wealth in a country that works under the ideology that it is a representative democracy. From the sample group examined, the explanation for income inequality in Canada are the lack of opportunities in post-secondary education and employment. Majority of participants were aware of the wealth disparity in Canada. The ability to gain access to resources such as post-secondary education and money is viewed as a key to upward social mobility. “Getting a job after university is like winning the lottery, it’s so hard to get your foot in the door,” said participant three.
Epidemiologists have known that poverty is interrelated with higher morbidity and mortality rates. Recent research has suggested a positive
It is generally accepted that poverty is a serious social problem in Canada, and one of its most obvious indicators is homelessness (Chappell, 2014). However, the practice of 'squeegeeing ' among entrepreneurial homeless youth in Toronto during the 1990s reveals that social welfare policy development did not address poverty and homelessness sufficiently at that time. In response to concerns about the income-generating practices of youth who are homeless, the Government of Ontario passed the Safe Streets Act (SSA) in 1999. The provincial government designed the SSA to regulate and eliminate indicators of poverty in public places, including squeegeeing and panhandling, rather than address the root causes of this social problem (Esmonde, 2002).
The term social determinants of health, can be defined as a ‘set of conditions in which people are born, grow up, live and work.’ These conditions include housing, education, financial security and the environment along with the healthcare service. (http://www.rcn.org.uk/__data/assets/pdf_file/0007/438838/01.12_Health_inequalities_and_the_social_determinants_of_health.pdf) These factors are affected by the amount of money, power and resources that are available at a global, national and local level. Social determinants of health are linked to health inequalities according to the World Health Organisation, health inequalities are ‘the unfair and avoidable differences in health status seen within and between countries.’
Better Now : 6 Big Ideas by Dr. Danielle Martin is a compilation of ideas to try and fix the Canadian Healthcare system. Martin gained popularity after a schooling Republicans at the United States committee led by the Independent Senator Bernie Sanders. The Canadian doctor was invited at the panel to represent Canada, alongside other countries like France, Denmark Taiwan, to discuss the nation’s healthcare system and what the United States could learn from it. Inevitably, one of the issues often brought up by Canadians is the long waiting periods that Capitalists like to blame on the single payer system. Martin argued that when Australia switched to a multi-payer system in the 1990’s, statistics showed that wait times in the public health
This essay aims to identify and evaluate the inequalities in health care in different areas of society, namely disability and gender. Firstly, it is important to understand what we mean by health inequalities. It is commonly understood that health inequality refers to unjust differences in the health status, usually preventable, between different groups, populations or individuals. The existence of such inequalities is attributed to the unequal distributions of social, environmental and economic conditions within societies. Such conditions determine the risk of individuals getting ill, their ability to prevent sickness, as well as opportunities to access to the right treatments.
(Daily Commercial News, 2004) There is a national realization in Canada about worldwide poverty reduction, with
Analysis of Healthcare to Thesis Healthcare is important to our well being, which is why we have free health care. That also means that Canadians have the burden of paying higher taxes in order to have free health care. Argument #4: The Aging
The Canadian 1986 health care act directs that Canadians should receive universal access to care services despite their employment, age, status, income, or state of health (Bielska et al. 4). Despite the pros of universal healthcare services in Canada, the downside outweighs them. The downsides include the long lead times. Canada
Canada enjoys the benefits of a “universal” insurance plan funded by the federal government. The idea of having a publicly administered, accessible hospital and medical services with comprehensive coverage, universality and portability has its own complex history, more so, than the many challenges in trying to accommodate the responsibility of a shared-cost agreement between federal and provincial governments. (Tiedemann, 2008) Canada’s health care system has gone through many reforms, always with the intent to deliver the most adequate health care to Canadians. The British North American Act, Hospital Insurance and Diagnostic Services Act, Saskatchewan’s Medical Care Act, and the Canada Health Act are four Acts that have played an important
Health inequalities are a result of unequal exposure to risk factors associated with socio-economic inequalities, such as social, economic and environmental conditions (Thomson, Bambra, McNamara, Huijts, & Todd, 2016). These inequalities in health, between people belonging to different socio-economic groups, were firstly recognized in the Nineteenth century, when public health figures in different European countries dedicated their studies to these issues (Mackenbach, 2006). Villermé (1782-1863), conducted a study in Paris, and showed districts with lower socio-economic statuses had higher mortality rates compared to neighborhoods with a higher socio-economic status, and came to the conclusion that life and death are related to social circumstances
Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience chronic ill-health and die earlier than those who are more advantaged. Health inequalities are not only apparent between people of different socio-economic groups – they exist between different genders and different ethnic groups (“Health inequalities,” n.d.). The situation in which people are born, grow, develop, work and age are affected by social, economic, environmental and most importantly political factors.
At the end of the projects, findings are presented at the Capstone Symposium for discussions and networking. This will be a great platform to work on my case study, share and learn new ideas on health inequalities. The School of Public Policy & Governance, University of Toronto runs a comprehensive Master of Public Policy program. With opportunities for collaborative programs, internships, gaining valuable interdisciplinary knowledge and policy experience; I anticipate several exposures towards a better understanding of health