38 thoughts on “Social Determinants of Health: Claire Pomeroy at TEDxUCDavis

  1. She urged us to not allow the social determinants a person is born into affect their health and outcomes. However, she didn't let her social determinants affect her outcome. That was the only part I felt was inconsistent with her talk. Good points and explanations regarding Social Determinants of health overall.

  2. Very inspiring for a healthcare worker who see's the wasteful nature of our healthcare system. Our administrative costs are far larger than other countries who provide more healthcare for their citizens. Our healthcare today is dominated by large corporate health systems who are gobbling up the smaller more efficient run community hospitals and community practices. I agree we must ditch the present system for a more efficient, humane, affordable run "health" care where the population is paramount compared to survival of the big corporate giants whom are not improving just getting larger and larger by the day.

  3. poor USA is screwed now with Trump as their President, social determinants of health……………..gone………………………

  4. I am so glad I live in Australia where we have universal health care. It is not perfect, but it is far better than the US model where insurance companies and pharmaceutical companies control health care provision.

  5. Claire's admits her survival was dependent on her rescuers. Michael Marmot goes further than experiences, he quotes fascinating and thorough studies. His conclusion (ref: Wikipedia) is as Claire says "socio-economic is an impotant determinant for health outcomes." but his clincher is; "This causal benefit results from the psychic benefit of BEING IN CONTROL."

  6. It starts with those that believe this good philosophy to give more. I hear this philosophy a lot and yet those who "preach" this don't give as much as they can, could. Lead the way is always best.

  7. Interesting topic, would have been better if she actually explained exactly HOW we challenge inequalities rather than just highlighting the US spending issues. Perhaps the first 6 minutes talking about herself could have instead been devoted to addressing this.

  8. THANK YOU. I am myself trying to work my way up the social ladder to hopefully make a change. To help those who need it most. Your speech just inspired me to work even harder to get there. My exams in sociology are coming up where health is a big topic. This was so helpful.

  9. it was HARD TO LISTEN to her……..SHE would always SCREAM AT RANDOM times…….good VIDEO THOUGH!

  10. Good luck with this government, we all have wonderful ideas and know WHERE we should be going, but the government will not allow it because they are all about their deep pockets and making people healthy before they need health care, well that cuts their pockets in half, so that is a big no-no…..pathetic society we have built.

  11. In a country dominated and motivated by the making of money, this talk will unfortunately bring no improvement. Corporations (including health care companies) don't embrace any responsibility beyond the care of those who are already sick. They're businesses, so their philosophy will always be that if you lack the money, you're on your own.

  12. The most interesting point made in this video to me is that 90% of a community's health is determined by social and behavioral factors, rather than healthcare or even "sick care" factors.  It is interesting, but also sad.  A factor like that, determined through extensive evidence, paves a path for nurses in a community role.  This role is clearly imperative, but currently under-appreciated.  As the field of nursing grows, in both importance and number of participants, more attention needs to be directed in our society to fixing social and behavioral issues that cause the cataclysmic decline of our public health.  Based on my observations and experience, our general public seems to be getting older, but also seems to be getting sicker.  As Claire touched on, why doesn't our society, or at least our nurses–the greatest advocate for patients and people in general–put a much greater value on preventative measures and education, rather than just spending time and money on people once they are already afflicted by serious, chronic illnesses?  As sad as it does, I have personal experience, viewing individuals who are underprivileged and under-appreciated being, more or less, turned away by our health care.  These same individuals, down the line, returned with legitimate medical conditions that were difficult or impossible to manage or cure.  My example from my own experiences highlights the problem with social determinants of health.  I, as not only a nursing student but as a normal human being, wish that cheaper and more effective healthcare was available to all people in our society; I believe that it is one of the most basic human rights in modern times.  Viewing this video reinforced my belief that the system, as well as the role of health care workers, needs to be re-evaluated and needs to adopt a more wholesome and caring approach to any and all individuals from our overall population.

  13. The speech by Claire Pomeroy was very enlightening as well as encouraging. As she told about her own life story and the social determinants of health that she once experienced as a young teen living in an abusive home then leaving with no where to go, no insurance, and eventually being forced through the child services system from home to home, but then going onto become a Doctor. It reminded me of my own life and how I have pushed through some of these same experiences, but still continue to strive for the best for myself, my family, as well as reach out to others who also experience some of these same experiences.
    She expressed the need for everyone to come together to address the social determinants of health and its inequalities which requires health to not be limited to a single domain, but instead, there should be social policies created that talk about the impact of health which will help ensure better health for everyone. According to Allender, Rector, and Warner (2014), when protecting their people and their health the most effective way is through collaboration of different professions, organizations, populations, and stakeholder groups. It is sad to hear that the USA spends twice the amount of money on health care than any of the other developed countries, but still have the worst health outcomes. If something can be done, such as being proactive rather than reactive, as Claire Pomeroy stated, then indeed that is what should be the case. Why wait to the conditions are at its worst to try and make change when it can be prevented before it even happens, causing less problems and saving money, which can then be spent elsewhere.
    Its like driving a car continuously without putting oil in it. When you put oil in the car it keeps it driving right and helps prevent the car from having issues, but if you stop putting oil in the car, eventually your car will over heat and everything will begin to go down hill after that. So instead of spending $5.99 on a quart of oil to keep the car running correct, one may end up having to buy a whole new engine for that car which is $599.00 and more just to keep the car, given it is able to be fixed. The same goes for health care for all people no matter their socioeconomic status. Think about it!

    Allender, J. A., Rector, C., & Warner, K. D. (2014). Community and public health nursing: promoting the public's health (8th Ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

  14. I found Dr. Pomeroy speech on social determinates of health to be very inspirational and very interesting.  I liked how she used her real life example to give the audience an idea of what she went through to get were she is at.  After listening to Dr. Pomeroy talk about her experience when working with HIV patients it made me realized of the injustice that there is in our healthcare system. Hearing how our healthcare is characterized by unconscious disparities is very shameful because then not everyone is receiving the same healthcare. One should not receive better care because of their social status, educational status, or resources.  Most often in low-income groups and people with few education, health promotions and preventative health services are needed, but the community as a whole will benefit (Allender, Rector, & Warner, 2014). I have seen and instance in which usually it’s the vulnerable population aren’t getting the flu vaccine. I have notice that it is due to the lack of resources and also not receiving any education on the flu vaccine. Dr. Pomeroy stated that our health care system could be corrected with a new paradigm that is proactive and not reactive. I agree with her statement “ reaching out in kindness can save a life”, just like the kind couple that became foster parents to give her a home. 

    Reference
    Allender, J., Rector, C., & Warner, K. (2014). Community & public health nursing: Promoting the public's health (8th ed.). Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.
     

  15. What a powerful and motivational speech. The more people that know and understand the concept of social determinants of health, the healthier our world will be as a whole. She did a great job explaining the importance of social justice and its impact on the community. Telling the story of the little girl and her journey into greatness was inspirational. According to Allender, Rector, and Warner social justice is described as “the view that everyone deserves equal economic, political and social rights and responsibilities” (2014, pg 106). This description can be better understood with the real life situation she was placed in and the social justice she was given through her foster parents which allowed her the ability achieve anything possible. 

    Allender, J., Warner, K. & Rector, C. (2014). Community and public health nursing : promoting the public's health. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health.

  16. Dr. Claire Pomeroy’s speech was very poignant and to the point. She raised the issue of a very real crisis in health care—socioeconomics in relation to the provision of health care and treatment. What made her speech more powerful was that she was not just giving a presentation on something that she may or may not be passionate about as many individuals do, but that she gave us a glimpse into her past life and just how what she’s educating us all on directly affected her. Sometimes we know there are issues and/or misdeeds present in our lives, especially as health care professionals, but I feel we can only be as empathetic as our experiences allow. That’s not to say we don’t want to be or that we don’t strive to be, but sometimes when we are not directly affected by a problem we don’t fully understand the significance until we delve deeper. As years have progressed we've all heard about different changes in political bills/laws to help with the issue of health care and health insurance. Some changes have been for the better and others not so much, but it still remains evident that there are individuals like, Dr. Pomeroy, who are fighting for those who are facing health disparities. With Healthy People 2020, education systems, clinics, and numerous other sources of representation and support I believe that it is possible for us to eventually find a way to face all of these problems head on and eventually find a means to provide a resolution. Yes, this will take time and a lot of effort, but we need to provide for the generations to come as well as the current generations. We need to protect and advocate for all of those individuals who believe they have no voice and/or no means to an end. One individual should not have more health care opportunities than another just because he or she makes more money, etc. We all are created equal and we all deserve to be given equal treatment, especially with health care. All of this is just fuel for the fire of which is Community Nursing. We are going to come into contact with those patients who don’t have all the opportunities and finances to acquire health care and treatment. We need to find ways to provide these opportunities to them by working towards fixing the health care system as well as putting them in touch with agencies that can help lessen the burdens they may face with their need for health care services.

    Allender, J. A., Rector, C., & Warner, K. D. (2014). Community and public health nursing: Promoting the public’s health (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
     
    HealthyPeople.gov. (2014). Access to health services. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/2020-Topics-and-Objectives-Objectives-A-Z

  17. This video on the social determinants of health is inspirational. I feel that there should be equal healthcare for everybody regardless of socioeconomic level. I liked her idea of having a more proactive healthcare system, rather than a reactive system. In the last several years there has been an increase of disease prevention through education. I think people are becoming more aware of risk factors and are trying to live healthier lives. The teaching has resulted in a shift towards a more proactive healthcare system.
    A lot of times I don't go to the doctor unless absolutely necessary, but a few weeks ago I decided I just needed a full physical exam since I have not had an actual physical since seven years ago. I needed to be proactive in my health rather than wait until I was sick. Another example of a proactive healthcare system would be going to the dentist every six months to get my teeth cleaned and evaluated.

  18. Dr. Pomeroy did an excellent job getting her point across. Her personal experience of hardship and deceit as a young child gave her a great transition to describe how someone such as herself can turn their life around and better their self. I found it very powerful that she kept repeating that she was trying to recruit individuals to help better health care. 

    I found it very disturbing, yet very true that socioeconomic status has a huge impact on our country's health status. No individual should ever have less or worse health care than an individual of a higher socioeconomic status, and Dr. Pomeroy made it very clear that we currently are facing this problem in the United States, and it is unacceptable. For example, if there are two individuals from different levels of socioeconomic status, they should both receive the same level of care at an individualized care. The care the patient receives should NOT be based on what their socioeconomic status is. We need to realize that everyone is human, and should be treated equally regardless of their socioeconomic status. 

  19. The video edited by Claire Pomeroy is uplifting in that it teaches us as individuals that social determinant of health are of utmost importance as it deals primarily with economics and social conditions.  Ms. Pomeroy speaks of her experience in foster care within various cultural backgrounds. I think these situations taught Ms. Pomeroy the differences in cultural and the importance in understanding cultural differences.

    Claire Pomeroy speaks on the lack of coverage or the lack of sufficient coverage for the American people.  In essence she speaks of the disparity based on race, ethnicity, geography, socioeconomic status, orientation, etc.  It is my opinion that health care or the provision of health care should not be based on any superficial characteristics.  What was most interesting in listening to this video is that The United States spends twice the amount as any other country of comparable means, yet the United States, according to Ms. Pomeroy has the worst healthcare outcomes.  I agree with her statement that health care should be primary care based and not acute intervention.  It would seem if healthcare was more proactive than reactive, it would be possible to meet the objective of a better healthcare outcome.

    A real life situation I can relay to this situation is my uncle who passed this last year of hepatitis C and cirrhosis of the liver, it is my opinion, because of his socioeconomic status, the care he received, despite the fact that he was schedule and visited his physician regularly, was not optimal.  Including the morning he presented himself to the emergency room where unnecessary surgeries were performed on an exploratory level rather than one based on previous patient records which should have been readily available to the emergency room staff. 

  20. This speech is very inspirational and definitely puts into perspective how healthcare within the US works. There is a definite need for change. I completely agree with the want to have health promotion and disease prevention. Throughout community nursing there is a great want and need to prevent disease through education. Socioeconomically there should not be predetermined health level. Everyone deserves the right to choose lifestyle choices to better their health rather than hinder. Many under educated individuals do not understand the risks of their behaviors, such as smoking. This speech definitely encourages me to want to share the education and understanding to prevent diseases that can arise from high risk behaviors. And in return lower the cost of "sick care" and increase preventative measures would benefit the community as a whole. 

  21. I really enjoyed this talk. The woman Claire Pomeroy was very passionate in her speech and kept you interested in what she was saying. Now as to her content I very much agree with her. Social detriments do have an effect on how healthy a person is. If a person is poor and cannot afford education or any other necessities how are they supposed to gain the right knowledge or items needed to maintain good health. I really was interested in Pomeroy’s statement of how our health system is reactive instead of proactive. This is something I definitely believe. If we are to wish and hope for a health society how are we supposed to attain it if our citizens are not knowledgeable? Again how we even think to ask for this change if society does not provide the means? Allender, Rector, and warner, explain the stages of change which are unfreezing, changing, and refreezing. Unfreezing involves the realization of a want for change occurs. In this stage something that does not work is found out and people want to begin the process of change. During the changing stage a movement is made. People will research the source of the problem, begin to make a plan, and put that plan into place. The last step, refreezing, occurs when the change is found to be a good one and the change is here to stay (Allender, Rector, & Warner, 2014). If this process could occur within our communities programs may be able to develop to educate people about their health. Less expense would go to treating sick people and more to primary means of treatment.
    Allender, J., Rector, C., Warner, K. (2014). Community and public health nursing: Promoting the public’s health. Market Street, Philadelphia: Wolters Kluwer.
    Maddison Moore

  22. I commend Dr. Pomeroy in speaking out to America and advocating addressing health of Americans through social determinants. I agree that health should not only be available to those who are fortunate to be born in a high income socioeconomic status and that all should have access to education that provides them with choices that they can make that allow them to live a long, healthy life, regardless of their income, education, or ethnic background.  Was Dr. Pomeroy fortunate in her path of foster homes because of her race? She noted that she knew of other young individuals that were not as fortunate in their foster care placement and whose health was then affected. 
     
    Should a single abused mother only receive help from resources just because she was fortunate enough to have the education from friends and family that these resources exist or should informed resources of how to safely exit and survive an abusive situation be taught in all our school systems at a young age?
       
    Should the young and the old continue to visit the ER for multiple occurrences of asthma attacks because they could only afford living in a home that unknowingly to them is overgrown with mold because the mold was allowed to be overlooked in a housing inspection?

    I feel there should be “Health in All Policies”, which suggests that all policies no matter what sector,(agricultural, education, energy, environment, global, warming, housing, trade and transportation and others) be viewed through a health lens (Allender, Rector, & Warner, 2014, p. 363). As Dr. Pomeroy explains, it will be beneficial to spend our money on becoming a proactive instead of reactive in healthcare.  

    Dr. Pomeroy gave a very impressive talk!
    Thank you, Dr. Pomeroy for advocating a proactive health initiative involving social determinants.
     
    Reference
    Allender, J., Rector, C., & Warner, K. (2014). Community & public health nursing: Promoting the public's health (8th ed.). Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.

  23. I found this video on the social determinants of health to be very enlightening. I thought she did an excellent job of relating to her audience and the topic she was addressing by describing her rough childhood. While I do not personally have experience relating to this situation, I am a substitute teacher at an elementary school and deal with several students who are placed in foster care and have had a difficult childhood. It is heartbreaking to know the situations that children especially are placed in and as time goes on, these children have a hard time becoming successful through the adversity they face. I found the message in the video to be incredibly helpful as a healthcare provider. I am beginning to realize the importance of being proactive about healthcare with patients and trying to prevent sickness from happening. Not only does this tend to a person’s physical needs, but it also can assist with mental and emotional issues as well. I thought Dr. Pomeroy did a good job of describing how there is a misconception that the government does not have the money to change the direction of healthcare to a more preventative approach as compared to treating symptoms. She stated that we are spending too much money on treating illness and the way to change this is to put more emphasis and funds into preventing illness, which will in return reduce the cost of treating illnesses. 
    With the use of Healthy People 20/20, we have a better grasp of what issues need to be addressed and treated. This gives a great starting point for finding ways to prevent illnesses and provide education to the community on seeking out healthcare for more than just treatment. While it has been noted that lower income groups are mostly in need of health promotion and disease prevention, the community as a whole could show improvement with more development of health promotion (Allender, Rector, & Warner, 2014). Ultimately, regardless of the funding that is received, it is the responsibility of any healthcare provider to provide as much information as possible to the patient about how they can remain healthy. While ideally healthcare would shift to a more preventative approach, in the meantime it is important to take responsibility to provide as much for the patient as we can. 

    Allender, J. A., Rector, C., & Warner, K. D. (2014). Community and public health nursing: Promoting the public’s health (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

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