In the U.S. we have a "tough guy" attitude towards health that is seen in many outcomes across #populationhealth metrics. This false dichotomy between economy and health is not new. We have poor sick leave or parental leave. Healthcare a "benefit" of employment.
https://twitter.com/DrTomFrieden/status/1276681496624070657
Not sure why my #MedTwitter peers are so shocked by the way the U.S. has responded to a preventable #publichealth crisis
US docs, selves, want individualism & personal financial gain
over
systems for a common good
@Health_Affairs on AMA vs Medicare
healthaffairs.org/do/10.1377/hbl…
US docs, selves, want individualism & personal financial gain
over
systems for a common good
@Health_Affairs on AMA vs Medicare
healthaffairs.org/do/10.1377/hbl…
The “government can’t tell me what to do for the protection of others - I know best” is a common thread in U.S. history & culture of rugged individualism
I mean, this is a country that started by throwing others’ property in ocean to protest government. history.com/topics/america…
I mean, this is a country that started by throwing others’ property in ocean to protest government. history.com/topics/america…
Then add the growing distrust of science.
So when you post that meme of “don’t mistake your google search for my degree” it may make you feel better to snark but it only reinforces the idea that scientists are elitist “vs” the average Joe.
nature.com/articles/nbt11…
So when you post that meme of “don’t mistake your google search for my degree” it may make you feel better to snark but it only reinforces the idea that scientists are elitist “vs” the average Joe.
nature.com/articles/nbt11…
This makes the argument that Americans have always been distrustful of science. There is a strong case to be made for that.
If you look at cultural values and historical patterns, predictable.
This is the ivory tower vs regular American divide.
zocalopublicsquare.org/2019/07/19/dis…
If you look at cultural values and historical patterns, predictable.
This is the ivory tower vs regular American divide.
zocalopublicsquare.org/2019/07/19/dis…
I see people constantly making the analogy to seatbelts being common sense & universal. Clearly they’re not aware of the fact that New Hampshire does not have a seatbelt law.
“Live free or die” is the state motto.
Rejects public safety regulations.
nhpr.org/post/you-asked…
“Live free or die” is the state motto.
Rejects public safety regulations.
nhpr.org/post/you-asked…
In fact there was this brutal piece (which I do NOT agree with) by esteemed “father of #EBM”: denies evidence to justify #preventivemedicine in comparison to curative medicine. This was cited to me by an anti-WHO ob/gyn I encountered on #MedTwitter
cmaj.ca/content/167/4/…
cmaj.ca/content/167/4/…
In fact this internal opposition within #healthcare and #medicine vs #preventivehealth
is precisely why the @AmerAcadPeds was formed in the first place - child/family minded physicians walked out of the AMA over #publichealth legislation
jamanetwork.com/journals/jama/…
is precisely why the @AmerAcadPeds was formed in the first place - child/family minded physicians walked out of the AMA over #publichealth legislation
jamanetwork.com/journals/jama/…
claim: curative health more “proven”
than preventative health
motives not necessary so pure
does not hurt that there is much greater financial incentive to treat via surgery or medications
than to prevent
prevention: 💰 for society
cure: 💰for 👨⚕️ 🏥
nytimes.com/2020/05/15/us/…
than preventative health
motives not necessary so pure
does not hurt that there is much greater financial incentive to treat via surgery or medications
than to prevent
prevention: 💰 for society
cure: 💰for 👨⚕️ 🏥
nytimes.com/2020/05/15/us/…
Or take Wakefield - we wonder why we have hard to control rogue physicians
Not U.S. but same #academic culture
-Reward if in “right” journals
-Staff bullied: unethical testing of their children at bday party
-COI not reported
-etc
=Cult of personality
Not U.S. but same #academic culture
-Reward if in “right” journals
-Staff bullied: unethical testing of their children at bday party
-COI not reported
-etc
=Cult of personality
https://twitter.com/usnehal/status/1127611838240382976?s=21https://t.co/F1ZPn1tWBs
If we did not make special allowances for people we deem:
to be “important”
bringing in 💰
good for reputation
if we were less elitist, hierarchical
then physicians & academics might have already earned & established credibility with public
on common good
when a pandemic hits
to be “important”
bringing in 💰
good for reputation
if we were less elitist, hierarchical
then physicians & academics might have already earned & established credibility with public
on common good
when a pandemic hits
We repeatedly exclude the very people who are closest to communities (=hubris) & most aware of what the average person values & thinks
WOC clinicians’ authority questioned more - frustrating.. yet gives us more insights to actual thoughts people have
WOC clinicians’ authority questioned more - frustrating.. yet gives us more insights to actual thoughts people have
https://twitter.com/usnehal/status/1254743180290994176?s=21https://t.co/kYOTXP2SkB
When Minnesota needed to address antivaxx targeting #refugee communities - spreading anti-science fear to already traumatized populations (with high rates of #PTSD)
MN used true #communityengagement methods with good results
statnews.com/2017/05/08/mea…
mnmed.org/MMA/media/Minn…
MN used true #communityengagement methods with good results
statnews.com/2017/05/08/mea…
mnmed.org/MMA/media/Minn…
What is missing from so-called “#culturalcompetency”
recognition that the U.S. itself is several nations & cultures
Americans from one part of the country or socio-economic strata do not know how to #communicate to other Americans
=#SciComm failure
businessinsider.com/the-11-nations…
recognition that the U.S. itself is several nations & cultures
Americans from one part of the country or socio-economic strata do not know how to #communicate to other Americans
=#SciComm failure
businessinsider.com/the-11-nations…
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