The Parallel Parliament

by Glen Pearson

Tag: health

Hope In An Age of Shadows

So often it feels as though we are losing the battle to better humanity across most fronts. The unpredictable nature of modern life has meant that we far more quickly hear negative stories of our future than positive ones. At times we don’t hear of any hopeful news on the global scale for weeks at a time.

A number of months ago we talked about how significant strides have been made globally to assist those in the direst of poverty. Now from the World Health Organization (WHO) we learn of some significant advances being made in the realm of health. In its annual World Health Statistics report (available here) we learn the following:

  1. The global under-5 mortality rate declined by 44% since 2000.
  2. Since 2000, new HIV cases have decreased by 35%.
  3. In 2015, about 60% of the population that is at risk for malaria had access to insecticide-treated nets, compared to just 34% in 2010
  4. 86% of children receive their DTP3 vaccine, and administration of all three doses of hepatitis B vaccine reached 84% in 2015.
  5. The risk of dying from one of the four major non-communicable diseases – diabetes, cancer, chronic lung disease, and cardiovascular disease – declined by 17% among people ages 30-70 since 2000.

This is in every way a significant finding. The global effort on the UN’s Sustainable Development Goals (SDGs) has helped to coordinate international response on a number of issues that threaten the planet, including climate change, poverty, and the lack of gender equality. That collaboration is now having effect and the tangible results are now becoming apparent.

Nevertheless, WHO’s report also contains many sobering reminders of how far we have yet to journey to create a chance a wellness for everyone. Yet nations, civil society, health workers, NGOs, companies, the UN, and many other partners are coming together in a significant enough fashion that there is now a concrete chance that the SDGs can prove truly effective.

WHO’s annual reports contain world health statistics for the use of its 194 member states, and includes helpful data on life expectancy in nations around the world. The 2017 edition also includes, for the first time, success stories from several countries that are making progress towards the health-related SDG targets. The graphic below reveals how some of the member countries are faring.

Martin Luther King Jr. called it right decades ago when he proclaimed: “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” The WHO’s 2017 report reminds us critical differences can be made when nations and their people understand the essence of King’s meaning.

Identity – If You Eat, You’re In

jpp1168bCommon vernacular says we are “what” we eat. There’s truth in that, but it’s actually how we organize ourselves in the pursuit of food, which all of us require, that can surely set us apart as a community with a unique identity. This isn’t about supporting your local food bank. Instead, it’s about how we’ve permitted our collective identity to be decided for us by a modern food system that is inefficient, dangerous to our health, expensive, and ultimately alienating. How we change that paradigm as a community will largely determine who we are as a people. For if we are citizens blithely transporting ourselves to food stores on the periphery of our city, buying the same products, looking at the endless array of packaging, then ultimately transporting all that packaging to our landfills, we have become automatons – following where we are led.

This seems to be the standard pattern in my city of London, Ontario, but actually it isn’t. Citizens are realizing that how we eat is of equal importance to what we digest. They are figuring out that community gardens are a means of acquiring needed and healthy foodstuffs. Local farmers permit citizens to use land to grow produce for those in need. Londoners are using their influence as consumers to begin supporting local markets that sell local products. And what they are all discovering in the process is that this new food system is actually bringing them together, just as food always has from the beginning.

Consider the town of Tadmorden, England. It had many concerns about the modern food system, just as we do, but they also understood that their community was growing apart, vulnerable to global forces that seemed like a juggernaut. Some citizens got together, traveled through the town, and made plans to turn it into a moveable feast. They used parkways beside streets to plant produce gardens. They even turned the land in front of their police station into part of the local food supply chain. They altered the curriculum of the local high school to include new ideas of food sourcing and school land to make it work.

You can see all this in the video below, but what is so remarkable about it is that local citizens didn’t ask for a study plan, research project, or city funds – they just did it. They didn’t ask for permission; instead, they got local institutions onside and today the village of Tadmorden looks more like a living, breathing orchard than a concrete or asphalt jungle.

This is what citizens do when they grow weary of others telling them how they must order their lives. They live in communities for a reason, visit with neighbours for a reason, and adjust their kids to their environs for a reason.  Our communities are ours to grow and develop, or waste and neglect – it’s up to us.

In the last few weeks I have met some remarkable people who are attempting to bring the miracles of places like Tadmorden about in London, Ontario.  There is only one problem: the establishment isn’t interested – not really. We are surrounded by some of the richest farmland in the world but have somehow permitted cement to become our land of choice. We are asphalting over farmland at the same time as our citizens are breaking up parking lots to make room for community growing plots. It’s all a kind of insanity that reflects poorly on all of us.

Jim Rutten is a new friend of mine. He not only designed a sustainable food security system for a community, he built it and made it work in Cape Breton. Now back on the family farm outside of London, he is attempting to find new ways to bring citizens back into the natural food chain.  Hundreds of other engaged citizens are involved in similar efforts around whole food systems.  I have met apartment dwellers growing produce on their balconies, and building owners growing gardens on their roofs. I have discovered farmers desirous of bring healthier food into the city and citizens willing to travel to those farms to help with the effort. I have enjoyed breakfast at a local market on Saturday mornings with my daughter only to discover hundreds of families doing the same thing in fresh food markets throughout the city.

London, Ontario has a food charter, a food network, and a fertile food base. But the components remain largely separate from one another. Many have waited for the City to bring it all together, giving it resources and profile. They wait in vain. This isn’t about funding; it’s about food. It’s about healthy produce and meats and their ability to draw communities back together in ways that are not only meaningful but which help us to define a new generation of citizens.

Throughout the city I have found people standing at the ready – already leaps ahead of established leaders in innovating around a local food system. It’s time we just started by supporting these champions. Should we coordinate our efforts of how we eat, we will discover that food is the great gatherer, the great empowerer of any community in transition. Look at the video below and tell me it can’t be done. You can’t. It doesn’t require City Hall or government funding. It only needs us, and our ability to remake ourselves, and our identity, as a community.

Yes He Can; No We Won’t

Unlike Canada, our counterparts in the United States have known of the liabilities of their health system for years.  Like Social Security, the “third rail” of American politics, healthcare stymied everyone and anyone who dared touch it to bring about reform.  Political careers were lost over attempts to expand public healthcare at the state and federal levels.

Until Obama came along. His was a transformational presidency, at least in intent.  Following a difficult first year, he and House Speaker Nancy Pelosi conspired to break out of the democratic malaise and go for the gold ring.  Their success, though mixed, is a clear sign that our neighbour is going through a revolution some have likened to the civil rights legislative triumphs of the 1960s.

Canadians witnessed this with a kind of collective smugness.  “Now they’re starting to think our way,” some mused, with a certain measure of truth.  Yet there remains this one fundamental difference in approach: the Americans have broken free and moved forward on this massive issue, while Canadians are desperately holding on to a health system in decline and refusing to admit it.  The issue is not so much about healthcare; it’s about leadership.

It was less than a decade ago that we heard that the federal and provincial governments had constructed a new healthcare act for the new generation.  Few seemed to notice, or care, that the federal government had just adroitly negotiated a deal that downloaded a virtual monopoly of health responsibilities and costs to the provinces themselves.  The result left Canadians with no real partner in Ottawa for health and healthcare and a gradual decline in services across the board.

Are Canadians aware of this current reality?  Seniors definitely are.  As they scan the various options available to them for their later years, they are increasingly aware that affordability will be a challenge.  This encroaching “grey tsunami” will likely challenge the very underpinnings of our entire system, and with the bulk of Canadians approaching retirement age in the next few years, many with less than healthy pension plans, the optics just aren’t good.

Internationally, the decline of our once robust healthcare system has brought on some embarrassments.  Cuba, for instance, which has 1/40th of the GDP of Canada, nevertheless has the same level of outcomes as this country for child and maternal health.  How can we explain that?  One of Obama’s first acts as President was the granting of $25 billion (US) for basic research funding in health, yet we just finished cutting $148 million from health councils and $27.6 million from the National Research Council.

A recent poll by Nik Nanos revealed what we already know: “Nine of out ten Canadians remain supportive of universal healthcare … delivered by a single insurer, the government.”  Yet this very system is receiving precious little support from their federal government – hasn’t been for years.  Every occasion where this subject has been introduced in the House of Commons has met with the same answer: “We are working with the provinces and territories.”  Yet at all levels the plea has been for more federal leadership in a system that is deemed national in scope.

Canada’s ability to properly sustain its health and healthcare system is far simpler than what the Americans are now embarking upon; yet the outcome will be decided by political leadership itself.  It hardly requires a “Canadian Obama” to set this right, but it does reveal the urgency for the kind of visionary leadership that established our universal system in the first place.  It’s not coming.  When Obama lifted the multitudes be saying, “Yes, we can,” his counterparts in the north could only mutter, “Not right now.”

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