Discover and read the best of Twitter Threads about #Medicalization

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This is a fascinating response from Dr. Miller, from whose work I've learned much over the years!

Some thoughts:

1/
I agree with Dr. Miller that the utility of ethicists in the #RoomWhereItHappens for public health emergency policy response ought not be assumed. That said, I strongly believe that an appropriately-trained ethicist can be helpful, at least in the following ways:

2/
(1) Trained ethicists often have facilitation skills, specifically as regards to complex normative and ethical problems unfolding in urgent or emergent contexts. Applied ethicists in practice almost never dictate or pronounce conclusion -- if they are practicing well IMO.

3/
Read 9 tweets
Honestly, the complete takeover of population health policy and approaches by a #medicalized notion of #MethodologicalIndividualism sort of fills me with despair -- not just now, but for the future of public health.

1/

npr.org/sections/healt… "This guidance acknowledges that the pandemic is not ov
Of all the missteps CDC has made, the doubling-down on approaches that position the individual as the unit of change (#MethodologicalIndividualism and b/c of the source) essentially sanctions it as the dominant mode for public health practice is arguably rock bottom.

2/
It's in the scientific guidance as well. Look at this sentence:

This is of course NOT a Whole Population Approach or even a structural approach to health equity which would require action from those with the power and agency to redress the effects of #StructuralViolence and

3/ high COVID-19 Community Levels. Public health efforts should
Read 7 tweets
I've been studying chronic pain for going on 15 years now. I have some thoughts on this, many of which I've articulated elsewhere and for some time now:

1/

The Quiet Scientific Revolution That May Solve Chronic Pain nytimes.com/2021/11/09/wel…
The headline and the article fundamentally misconstrues the primary causes of the devastating and highly inequitable undertreatment of pain in the US (and globally, but that's another conversation).

2/
The primary causes for our failures in treating people in pain humanely and effectively are not connected to lack of technical, clinical, or scientific knowledge.

3/
Read 17 tweets
#Finland's lawmakers adopted the UN convention on drugs as-is in 1971. Harry Anslingers #racist legacy reached these northern shores one vote past the bar.

Ever since #Cannabis has been the #media evil, where #alcohol kills thousands yearly.

#cannabis #denial #doublestandard
#Finland's local media has been working hard lately.

The local papers in co-operation with associations like #YAD have been generating lot of articles on how #cannabis is somehow responsible for #polydrug-use, or #abuse of drugs among #young people.

#Alcohol never mentioned. 😅
Meanwhile, Statistics #Finland's numbers on kids reveal, that 44% of finnish 14 to 16 year-olds use #alcohol.

This is never mentioned in any of the papers writing #exploitation and #scare stories on #cannabis.

Neither are the other abused #drugs: rx #medication, #amphetamines.
Read 8 tweets

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