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• W2267856875 abstract "It has become something of a tired cliché to talk about a National Disease Service. The idea that doctors don't do health but only disease is an easy hit, a sharp elbow in the side of a privileged profession. As anyone who has actually seen a doctor at work knows, it isn't true. Anyway, it would be foolish to think that the health of an individual should be left to doctors alone. And if personal health is beyond the reach of the doctor, a healthy society is certainly beyond the mandate of the medical profession. By “healthy society” I don't mean one in which we have extinguished the social determinants of health. A healthy society is much more than a community in which the causes of disease are minimised. It is one where, at the very least, human creativity is free to flourish, individuals have the liberty to be who they wish to be (without violating the liberties of others), and the spirit of life (all life and not merely human life) prospers. Can nations struggling with a multitude of imperfections turn themselves into healthy societies? The most important task of any government is to protect and strengthen its national security. But what if governments defined security in a broader way—as the health not only of its people but also its society. Last week, a seminar investigated the idea of a healthy society. The country where the seminar was held is irrelevant since the principles it sought to discover are universal. Prescriptions were varied. But their diversity accurately reflected the complex qualities that are likely needed to fully realise the idea of social health. Ontogeny recapitulates phylogeny, we were once taught at school. One might also say that human destiny recapitulates social pathology. The peak period for human creativity is between 30 and 40 years. If we accept this harsh judgment, society's future health must be powered by the (relatively) young. There are five qualities that make creativity possible. First, a base of mastery. You can't escape the need to know things. Abstract genius is a fairy tale. Without a foundation of knowledge and skill, we will live permanently in a state of societal ill health. Any nation aspiring to be a healthy society needs solid sources of fact (eg, a world-class university or two). Second, breadth. Original thinkers who can foster healthy societies will not worship geekery. To solve global problems, people will need to look beyond the knowledge they have mastered. They will have to seek insights between disparate disciplines in ways that our current educational apparatus disincentivises. Third, the ability to frame new questions. What matters is not problem solving. It is problem finding. Fourth, courage. Are you brave enough to explore avenues others think are hopeless cul-de-sacs? Are you confident enough to survive failure? If yes, you might have a big contribution to make to the health of your society. Finally, openness. Never close your mind. Enjoy the idea of ideas. Bask in a sea of hypotheses. Countries often stop at the first quality—mastery of technical knowledge. But even these five characteristics are probably insufficient to ensure social health. The rule of law is the foundation for all health and prosperity. As is equity. A country with its richest quintile living a five-star life while the bottom quintile struggles on subsistence to survive will never be a healthy society. Sincerity is a further feature of a healthy society. If nations do not believe what you say, your country will promulgate (internally and among neighbouring nations) feelings of fear and uncertainty. Avoiding misunderstanding is an important survival skill. Countries that take the health of their society seriously feel the need to explain themselves. Cooperation matters too. Splendid isolation is not a healthy behaviour. A commitment to new knowledge also seems critical. Countries that spend less than 3% of their domestic budget on research rarely escape low-income or middle-income status. Nor do those that recoil from investing in education. Finally, academic freedom is an absolute pre-requisite for a healthy society. Without the freedom to write and speak, to challenge and dissent, a country will become malnourished, anaemic, and stunted. Doctors can't solve all the world's problems. But they might reasonably have something useful to say about the health of the societies in which they live and work. Health is an important human value. Governments should take its social implications much more seriously." @default.
• W2267856875 created "2016-06-24" @default.
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• W2267856875 date "2016-01-01" @default.
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• W2267856875 title "Offline: The secrets of a healthy society" @default.
• W2267856875 doi "https://doi.org/10.1016/s0140-6736(16)00106-9" @default.
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