Aiming at Health Equity Through Public Health

Doctor Guidelines

There are many different answers to this, and I think it’s safe to say that the most popular answer is probably “the Medical Model.” This is also the model that the Obama Administration has used in creating the new Health Insurance Portability and Accountability Act. The Medical Model states that insurance companies can not deny medical coverage based on a pre-existing medical condition. They must allow you to purchase the insurance coverage if you can demonstrate that you have been diagnosed with a medical condition that would make obtaining insurance extremely difficult, or even impossible, if you were not able to pay for the insurance premiums. This medical model is popular because it makes the insurance companies appear to be much more responsible, and also because it forces them to perform a very important service: providing insurance coverage to the insured. 

One of the biggest questions asked by: Health Care reform advocates is whether or not the medical model will also focus on controlling air pollution. Virtually all health models currently focus on regulating two pollutants: particulates (which are often caused by factory emissions) and volatile organic compounds (VOCs). Both of these pollutants are known to cause a wide variety of serious health problems, and yet, they are generally not found in large enough concentrations to pose a significant threat to public health. Since neither VOCs nor particulates are regulated at the municipal level, it’s not clear how the models will deal with regulating these two pollutants. Will the models also regulate chemical contaminants like antibiotics and industrial solvents? 

One major area that will be addressed by: the Medical Model is preventing public nuisance behavior. If you are subjected to unwarranted harassment due to your medical condition, the model is designed to ensure that you have a “right to respond,” meaning that the company that makes the contract with the public has to either prove in court that their behavior is lawful, or that the plaintiff has a reasonable alternative to pursuing a claim in court. The problem is that even if the company believes that the harassment is lawful, the plaintiff may very well elect to pursue a claim in court anyway, because the courts are always going to take the view that the company has a “duty” to prevent the victim from experiencing further harm. The “duty to protect” often referred to in this context is a phrase that was first used in the United States in an attempt to distinguish its tort law from that of other countries.  The fact that the duty to protect is important to courts makes it extremely important for businesses to address this issue in their health care model, as it may very well determine whether or not they can avoid being required to pay a significant amount of money to a party that was injured as a result of their company’s negligence. 

One of the biggest challenges: that will be addressed by the medical model of public health is the issue of nuisance. Nudity is a term that is used to describe behavior that causes undue stress on others. The definition of “nuisance” includes behavior that creates an unreasonably dangerous situation or places people in unreasonable danger of harm. For instance, someone might argue that giving people running shoes to sit in a corner and rubbing their bottoms on the ground is a form of public nuisance. On the other hand, if a company puts their employees in a room with no flooring except for a few planks of wood, the company could be said to have created a nuisance by allowing its employees to sit on the hardwood floors without proper footwear. 

Controlling air and water pollution are another challenge: that the medical model of health would likely focus on. Air pollution consists of a variety of different factors including the amount of emissions produced by a business and the proximity of a business to an existing air quality problem. Water pollution occurs through the runoff of untreated waste into streams, rivers, and lakes. Both of these sources are likely to be controlled by the implementation of pollution control measures designed to reduce the amount of emissions and runoff and the amount of untreated waste. 

There are a number of different answers to this question: but the most important one is probably the answer that control as well as manage resources is a component of the medical model of health. Businesses would most likely focus their efforts on controlling air quality and water pollution. They may attempt to reduce their consumption of non-biodegradable materials as much as possible and try to produce goods and services using as many bio-degradable materials as possible. They may even attempt to generate the energy needed by using renewable sources such as wind and solar power. They may attempt to do things such as take part in clean coal technology or use recycled materials when possible.

In some cases, they would simply decide not to act at all.

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