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Factors such as education, housing and connectedness have a big impact on health. There is no point telling an unemployed homeless person: 'Don't smoke, it's bad for you.' It's time the Government made a concerted effort to address the health needs of marginalised groups.
'We need to break down the silo mentality between health, welfare and education. This exists in church agencies as much as elsewhere in society. We must be committed to providing first rate health care to our patients, but also to creating a more equal society.' Text from Frank Brennan's MercyCare Oration.
Were she to suffer a broken leg or burst appendix and find herself a customer on the doorstep of our excellent and equitable healthcare system, America's best-known mouth might go home peddling a message that could change her society.
Unlike the night of Obama's election, there was no cheering to be heard in the streets after the bill passed, no roars of joy, no celebrations. If there were any exclamations, they were probably sighs of relief.
Aside from a few fanatical poverty-deniers, there is a broad consensus that we have a serious problem. Frantz Fanon reminded us nearly 50 years ago that we need a redistribution of wealth. 'Humanity must reply to this question, or be shaken to pieces by it.' We have been shaken to pieces.
Progressive Christian activist Jim Wallis is one of Barack Obama's key advisors on religious and ethical issues. He has been a key proponent of Obama's controversial health care reform legislation, which has raised the ire of some conservative Christians.
In Life and Death: How do we honour the Patient's Autonomy and the Doctor's Conscience? Frank Brennan's Sandra David Oration at St Vincent's Clinic, Darlinghurst, Sydney, 17 September 2009.
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