Trevor Hancock: Public policy as if health matters

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To create a wellbeing society and develop healthy public policies, governments must put people and the planet at the heart of decision-making.

In this series of columns, I am exploring what a true health system would be like, and what that means for reform of our “health care system.”

Back in the early 1980s, building on the work of others, I came up with the concept of “healthy public policy,” which has since been taken up by the World Health Organization and many national and provincial governments. Canada even has a National Collaborating Centre on Healthy Public Policy. The UN identifies a triple crisis of climate change, biodiversity loss and pollution. So we need public policies that stop these things from happening. This means an energy policy consistent with net-zero carbon emissions, a halt to activities that further deplete biodiversity , and a restoration of biodiversity.

A second set of healthy public policies relates to the social factors that determine our health. In a society as wealthy as ours, hunger, homelessness, unhealthy housing and unsafe drinking water are not only morally outrageous, they are a threat to the health of those affected and to the wellbeing of the wider society. Healthy public policies ensure everyone has access to such basic necessities as food, adequate shelter and clean water, as well as a livable income.

 

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