The Political Determinants of Health

Daniel E. Dawes, David R. Williams

• Publisher: Johns Hopkins University Press
• Year: 2020
• eBook ISBN: 9781421437903
• Edition: 0
• Topic: Medicine
• Subtopic: Health Policy

How do policy and politics influence the social conditions that generate health outcomes?

Reduced life expectancy, worsening health outcomes, health inequity, and declining health care options—these are now realities for most Americans. However, in a country of more than 325 million people, addressing everyone's issues is challenging. How can we effect beneficial change for everyone so we all can thrive? What is the great equalizer?

In this book, Daniel E. Dawes argues that political determinants of health create the social drivers—including poor environmental conditions, inadequate transportation, unsafe neighborhoods, and lack of healthy food options—that affect all other dynamics of health. By understanding these determinants, their origins, and their impact on the equitable distribution of opportunities and resources, we will be better equipped to develop and implement actionable solutions to close the health gap.

Dawes draws on his firsthand experience helping to shape major federal policies, including the Affordable Care Act, to describe the history of efforts to address the political determinants that have resulted in health inequities. Taking us further upstream to the underlying source of the causes of inequities, Dawes examines the political decisions that lead to our social conditions, makes the social determinants of health more accessible, and provides a playbook for how we can address them effectively. A thought-provoking and evocative account that considers both the policies we think of as "health policy" and those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.

Table of contents

• Cover Page
• Title Page
• Copyright Page
• Dedication
• Contents
• Foreword, by David R. Williams
• 1. The Allegory of the Orchard: The Political Determinants of Health Inequities
• 2. Setting the Precedent: America’s Attempts to Address the Political Determinants of Health Inequities
• 3. The Political Determinants of Health Model
• 4. How the Game Is Played: Successful Employment of the Political Determinants of Health
• 5. Winning the Game That Never Ends: Success Means Continuous Employment of the Political Determinants of Health
• 6. Growing Pains: Tackling the Political Determinants of Health Inequities during a Challenging Period
• 7. The Future of Health Equity Begins and Ends with the Political Determinants of Health
• Acknowledgments
• Notes
• Bibliography
• Index
• About the Author