Growth and public healthA never ending competition or a prosperous cooperation?
This presentation• Some of the ideas out of a joint project with seven Swedish regions (or likewise) – responsibel for health care and for growth within their own regions - and two national institutes.
FRUSAM Folkhälsa och Regional Utveckling i SAMverkan Ett samarbetsprojekt• Region Skåne, projektägare• Västra Götalandsregionen• Regionförbundet Uppsala län• Region Halland• Jämtlands läns landsting• Statens Folkhälsoinstitut (The Swedish National Institute of Public Health)• Norrbottens läns landsting• Östsam• Tillväxtanalys (Swedish Agency for Growth Policy Analysis)
What initiated the project• Those working with health and health care on the one hand and those planning for regional growth on the other hand don´t really know in wich ways their own work affects the others.• Even less knowledge is around about how to take advantege of each other - thereby missing an increase in health as well as in GDP• They definitely should
Competition?Our quest for growth• A quest to create resources to achieve a better health, environment and welfare in our societies.Source. SCB; Bakgrundsfakta 2005:1 The overall objective for the public health work Create societal prerequisites for a good health at equal conditions for the hole population Source: Regeringens proposition 2007/08:110).
Public Health and Growth1. Suhrke et al (“The contribution of health to the economy in the European Union”)Health is wealth!2. Stiglitz-Sen-Fitoussi(“Commission on the Measurement of Economic Performance and Social Progress”)There is a need for better working indicators for Measuring REAL PROGRESS – beyond GDP3. Marmot”Closing the Gap” (” Commission on Social Determinants of Health”)
GDP and social health – social sustainability?Looking at an example from USA
Index of social health 16 indicators Children Adults All Ages Unemployment Infant mortality Average weekly Homicides Child abuse wages Alcohol-related Child poverty Health insurance traffic fatalities coverage Food stamp coverage Youth Elderly Access toTeenage suicide Poverty, ages 65 affordableTeenage drug and over housing abuse Out-of-pocket Income inequalityHigh school health costs, dropouts ages 65 and over
From the Stiglitz reportFord Carter Reagan Bush Clinton Bush
GDP is inadequate!• Doesn´t show societal progress or development.• Doesn´t show wether the money earned is good or bad for the society or environment.• Doesn´t tell about anything but how much money is spinning around• GDP has accidentally - not as a result of serious thinking - become synonymous with growth.• We need more adequate indicators.• I agree with the Stiglitz Commission
What can we do?• Try talking, meeting and learning from each other – nothing new here!• Cooperation can be difficult and awake feelings that You don´t like – like envy, suspiciousness and anger – it´s normal shit!• Endure and go on – it will pass!
What can we do?• Regions normally have one program för regional development and one for public health (and they don´t read each others)• STOP THAT• Make one program for regional development including public health – it´s really the same goal.• The participating regions tend do that now
What can You do• Read the FRUSAM home page• A framework for how to work with and develop those things.• An ”instruction manual” for sustainable Regional Development Programs.• Ideas about how to get further into a more sustainable society.