As the Covid-19 epidemic has abolished, the United States has been climbing on mortality due to other reasons, reflecting the distressed trends seen in any other high-income country. Despite the US health care expenses in 2022, despite having around $ 13,500 per person–two times in colleagues countries-its people are likely to be less than suicide and drug overdose or by complications of delivery, preventive and healing reasons (see (see (see go.nature.com/4i41oqcThis is not due to any law of nature, but a system-wide failure.
Instead of investing in public care, American politics has given priority to market-based ideologies. This means that a process that is known as privatization of public health – to operate businesses and private insurance, to strengthen businesses and donations to pharmaceutical companies and private insurance while reducing public health and social services. It generates great benefits by increasing medical requirements and costs but leaves millions without care.
‘Is silent
Medicid, US Indian Health Service, National Institute of Health and US Centers for Disease Control and Prevention as well as food-help and housing programs proposed or enacted by the Trump administration is likely to disintegrate public health systems, these fatal dynamics are likely to decrease. Trump, under the control of the nation’s health systems, an anti-vaccine and anti-cycle activist, Robert F. Kennedy Junior is also kept.
In response, many health leaders have Reduced politicization of public healthPainting it as a neutral domain under siege by political forces. But this describes the problem as wrong and obscure the solution.
The real crisis is not that public health – which is originally about the policies determining the distribution of resources required to protect human life – has been politicized. This is that almost enough political has not been done.
Decades of bipartisan failure set the platform for this moment. As the journalist is described in Ed Yong Atlantic In 2021 (see go.nature.com/4bun7hv), Public health “voluntarily silenced its political voice”. American political leaders and health officials have left a time-latest truth that political reforms to combat poverty, inequality and insufficient social services are important to prevent diseases. A medical field that focuses on the treatment of the disease as an alternative to prevent the disease through public policies, now reduces the alleged infiltration of politics in health.
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But there can never be a political approach to public health. For example, policy options about infrastructure, taxes and economic inequality, environment and consumer rules, public housing and labor rights care are naturally political. They determine who lives and who dies, whose life matters and how much.
Health for partisan capture has left us so insecure that it is not an excess of politics, but a pathology of public health that cures individualistic medical care and personal responsibility, rather than public responsibility to address the original social and environmental causes of illness and care of people, instead of public responsibility. It weakens communities, fuel displeasure and social partitions, limit political imagination and reduce political events between groups that can achieve changes.
American medical profession, which has long been conservative, is quite responsible. We doctors have historically avoided engagement with politics, except policies that can affect our compensation and power, often scientific and professionalism by appealing for neutrality and professionalism justify our inaction. But, as Trump has clarified, our refusal to engage politically has not protected public health or medical science – it has left both defenseless.
