Primary Care Tool on Poverty

Our primary care tool kit has been updated!

Toronto Star, March 28, 2010: A Way to Reduce Poverty and Health Costs

Posted on March 28th, 2010 by Anonymous.

 

www.thestar.com/opinion/letters/article/786115--a-way-to-reduce-poverty-...

The cancellation of the Special Diet Allowance program is a blow to the health and dignity of people living in extreme poverty. The government has managed to hide a cut to welfare benefits behind a moralistic campaign to paint people living on social assistance as no-good fraudsters. This is an astonishing reiteration of the misconceptions about welfare recipients we've heard for decades.

As a physician working largely with people on welfare, I have yet to meet one person who wants to stay on social assistance, or one welfare recipient who doesn't struggle every day to feed themselves. Worse, when people have chronic medical conditions, their need for decent food increases and their capacity to meet that need diminishes.

This government could meet both its goals of reducing poverty and reigning in health-care costs in one go: by increasing the incomes of people living in the most extreme poverty. Poverty is the most powerful determinant of health, and where poverty is reduced, health costs will be reduced as well.

Under this government, money is being "saved" by increasing the depth of poverty experienced by the poorest Ontarians, which will worsen their health. This is not a sound economic choice, it is a sad moral one.

Gary Bloch MD, St. Michael's Hospital Health Centre

 

 

Gary Bloch speaks to UTMJ re: health and poverty

Posted on March 13th, 2010 by msharma.

Gary Bloch is faculty with the University of Toronto Department of Family and Community Medicine, family doctor at St. Michael's Hospital, and member of Health Providers Against Poverty. In March 2009 he speaks to the University of Toronto Medical Journal about the links between health and poverty, the history and goals of HPAP, and on how students can get involved in advocacy against poverty.

http://utmj.org/ojs/index.php/UTMJ/article/download/365/347

Mac for Medicare Talk on Poverty and Health

Posted on March 11th, 2010 by Anonymous.

Gary Bloch will be speaking at McMaster University on March 16, 2010, on "Money Matters: The Most Powerful Determinant of Health," discussing experiences as a family physician attempting to deal with poverty as a health issue for his patients and the communities he works in.

See attached poster.

Diabetes and Poverty

Posted on March 7th, 2010 by Anonymous.

Check out this map of Toronto that powerfully demonstrates the overlap between diabetes prevalence and neighbourhood poverty.

http://www.thestar.com/staticcontent/772097

 

See also this new report by Toba Bryant and Dennis Rapheal:
Type 2 Diabetes: Poverty, Priorities and Policy

The Social Determinants of the Incidence and Management of Type 2 Diabetes

http://tinyurl.com/ycysb9l

Food insecurity among Inuit preschoolers

Posted on March 1st, 2010 by msharma.

Tribunal orders Ontario to boost welfare special diet

Posted on February 28th, 2010 by apinto.

Toronto Star, Fri Feb 26 2010

by Laurie Monsebraaten

http://www.thestar.com/news/gta/article/772316--tribunal-orders-ontario-to-boost-welfare-special-diet?bn=1

"In a decision released last week, the tribunal found that the province’s Special Diet Allowance, paid to those on Ontario Works and the Ontario Disability Support Program, violates the Human Rights Code in the way it provides benefits to three people."

See the full Ontario Human Rights Commission decision here:

http://www.canlii.org/en/on/onhrt/doc/2010/2010hrto360/2010hrto360.pdf

See related analysis from the Income Security Advocacy Centre (ISAC):

http://www.incomesecurity.org/specialdietdecision.htm

Income-related differences in mortality among people with diabetes

Posted on February 25th, 2010 by apinto.

Lipscombe and colleagues found that the decrease in mortality in people with diabetes that has been seen in the last decade was substantially greater in high income groups than in low income groups. "These findings illustrate the increasing impact of income on the health of people with diabetes even in a publicly funded health care setting."

CMAJ 2010; 182 (1) doi:10.1503/cmaj.090495

http://www.cmaj.ca/cgi/content/full/182/1/E1

Strategic Review of Health Inequalities in England released (Marmot Review)

Posted on February 25th, 2010 by apinto.

This review follows the publication of the Commission on Social Determinants of Health, which advocated that national governments develop and implement strategies to improve health equity. The Marmot review is a response to that recommendation, and had the aim of proposing an evidence based strategy for reducing health inequalities from 2010.

See the full report here:

http://www.ucl.ac.uk/gheg/marmotreview

 

 

Poverty represents a serious but reversible threat to the health of Ontarians. As health providers we enjoy privilege and access to power which many others do not. As a high-impact health intervention, we will work to eliminate poverty.