"If you're smoking three packs of cigarettes a day, should you expect society to pay when you get sick?" He added that while Americans would always have the right to "eat donuts all day," nevertheless, "should you then expect society to care for you when you predictably get very sick at the same level as somebody who was born with a congenital illness?"
"It's a critical public health concept called the social determinants of health, which the World Health Organization explains this way: "The conditions in which people are born, grow, live, work, and age, and people's access to power, money and resources-have a powerful influence on health inequities. These are the unfair and avoidable differences in health status seen within and between countries.""
"Simply put, everything in your life-your wealth or lack thereof, your job and hours, your housing, your access to healthy food and exercise, etc.-either enhances or restricts your ability to stay healthy. Poverty, which can lead to inadequate nutrition, unsafe and unsanitary (or nonexistent) housing, is the enemy of good health. So is working at multiple low-wage jobs just to pay essential bills, often forcing the worker to either rely on fast food or convenience-store junk or go hungry."
A focus on personal responsibility underpins policies that encourage states to bar SNAP purchases of items deemed "junk food." Individual decisions affect health, but capacity to make healthy choices varies widely. The social determinants of health encompass conditions of birth, growth, living, work, aging, and access to power, money, and resources; they powerfully influence health inequities. Wealth, job conditions, housing, and access to healthy food and exercise either enhance or restrict health. Poverty produces inadequate nutrition and unsafe or nonexistent housing. Working multiple low-wage jobs often forces reliance on fast food or convenience-store junk or results in hunger, worsening health outcomes.
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