1. Health as a Social Institution

2. Our society must make it right and possible for old people not to fear the young or be deserted by them, for the test of a civilization is the way that it cares for its helpless members.~Pearl S. Buck (1892-1973), My Several Worlds [1954]. The test of the morality of a society is what it does for its children. ~Dietrich Bonhoeffer A decent provision for the poor is the true test of civilization. ~Samuel Johnson, Boswell: Life of Johnson

3. "...the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; those who are in the shadows of life; the sick, the needy and the handicapped. " ~ Last Speech of Hubert H. Humphrey "A nation's greatness is measured by how it treats its weakest members." ~ Mahatma Gandhi "A society will be judged on the basis of how it treats its weakest members and among the most vulnerable are surely the unborn and the dying," ~Pope John Paul II "...the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; those who are in the shadows of life; the sick, the needy and the handicapped. " ~ Last Speech of Hubert H. Humphrey "A nation's greatness is measured by how it treats its weakest members." ~ Mahatma Gandhi "A society will be judged on the basis of how it treats its weakest members and among the most vulnerable are surely the unborn and the dying," ~Pope John Paul II

4. Health is an institution of society. Health is an institution of society. Just like school, there are certain roles -Easy to identify: -What are they? Just like school, there are certain roles -Easy to identify: -What are they? Doctor Doctor Nurse Nurse Patient Patient

5. There are other roles though. There are other roles though. Let’s say I give you a big assignment. It is due next Friday. Let’s say I give you a big assignment. It is due next Friday. You start getting a scratchy throat on Monday, it turns into a full out cough on Tuesday. You start getting a scratchy throat on Monday, it turns into a full out cough on Tuesday. “Sick” = “Postpone assignment.” “Sick” = “Postpone assignment.” What about friends though? What about friends though? Need a doctor to take on the “sick” role. Need a doctor to take on the “sick” role.

6. Healthcare is a huge priority for most Canadians. Healthcare is a huge priority for most Canadians. Not just here either. Not just here either. Think of the movie. Think of the movie. Canada spends approximately $5800 per Canadian on healthcare. This is double the American rate. Canada spends approximately $5800 per Canadian on healthcare. This is double the American rate.

7. Biomedical Model Illness is caused mainly by physical and biological factors and is best treated by scientifically trained doctors. Illness is caused mainly by physical and biological factors and is best treated by scientifically trained doctors. Western medicine has allowed society to defeat a variety of diseases: Polio, smallpox, TB, Cholera, thyphoid, etc. Western medicine has allowed society to defeat a variety of diseases: Polio, smallpox, TB, Cholera, thyphoid, etc. Other diseases are no longer death sentences: AIDS, Cancer, Diabetes. Other diseases are no longer death sentences: AIDS, Cancer, Diabetes.

8. Culture-bound Syndrome Some illnesses are specific to certain cultures. Some cultures are immune to other diseases Some illnesses are specific to certain cultures. Some cultures are immune to other diseases Susto – Latin America Susto – Latin America Latah – Southeast-Asia Latah – Southeast-Asia Yuppie flu – North America Yuppie flu – North America “Asian Glow” – Alcohol Flush Reaction “Asian Glow” – Alcohol Flush Reaction

9. Schizophrenia “Voices” in the head “Voices” in the head Tough to cure Tough to cure Treatment has varied. Treatment has varied. Mental institutions, electroshock, drugs, lobotomy Mental institutions, electroshock, drugs, lobotomy Bad stigma with this disease. Bad stigma with this disease.

11. Chapter 5 Questions Page 192-193 Page 192-193 #1-11 (EXCEPT 3 and 4) #1-11 (EXCEPT 3 and 4)