Day 95: Friday
I’m in a class on the US Healthcare system with students from numerous academic areas — business, law, public policy, social services, and medical. It’s a remarkable experience to have each of those perspectives represented in a dialogue.
We recently had a delightful conversation about social determinants of health, particularly within a rural setting. Social determinants are all of the things outside of your actual health that impact the person — their ability to retain housing, get transportation as needed, obtain food, clothing, etc. Coming from the business side of things, I’m always pleased when I hear others so passionate about others — thinking about how to set up society for human flourishing on a macro level while making a significant difference on particular individuals on a micro level.
Our dialogue around social determinants quickly turned to responsibility (and for good measure, genomics was brought in to make sure we had clinical determinants!). Questions ranged from personal responsibility — how much should the individual be held accountable for their own health — to that of a society, which naturally had substantive dependencies on the answer to personal responsibility.
Responsibility is fascinating. We each want to believe we have so much control, and act accordingly. We take credit for our actions (at least when good!) and blame others for theirs. We hand out awards for success, perhaps even a shiny medal. Yet, at the same time, we recognize that this responsibility might be overstated. When pushed, we recognize that there are myriad factors that impact each of us, shaping how we act, shaping who we become.
One of those factors for me was my childhood spent in a rural setting. I learned a lot there. I learned about simplicity, about living within means and not in abundance. I learned about working with your hands, about hard work. I learned about taking care of others in the community, because that’s what neighbors do.
There were also things I didn’t learn. Like that drinks had calories.
Tim, I didn’t learn drinks could have calories until I went to college.
Yes, we are shaped by much around us. And for some, that impact is particularly negative, and something we should strive to recognize and address. Yet the story doesn’t end there — for others, there are opportunities to be uniquely positioned to make an impact.
I’m feeling a weight to think more about rural healthcare. There’s got to be a way to bring health and vitality to rural communities.
Or at least let them know that drinks have calories…