MNÁwesome: What Happens When We Legalise Abortion?

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If you follow me (or probably any other Irish person) (or read Irish news) (or are passingly aware of when Ireland makes foreign headlines), you probably heard that the Republic of Ireland voted last month to repeal the 8th Amendment of the Irish Constitution (Bunreacht na hÉireann). It was a massive, multiyear campaign that took off running after the tragic—and completely preventable—death of Irish dentist Savita Halappanavar.

I know that this topic is hard for many people and that there are a lot of very strong emotions. As a devout Roman Catholic, I’m familiar with both sides of the issue. I’m not going to dig into the intricacies of the philosophy on when life begins, but I will say this: I desperately wish that I lived in a world without abortion. I wish that I lived in a world in which every pregnancy was planned and healthy and no one ever had to make the decision whether to terminate their pregnancy. I wish I lived in that world, but it doesn’t exist. It is not my place to tell someone else what they need to do with their body and in no other instance do we insist that it is.

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Reframing Violence as a Community Epidemic

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In a previous post, I discussed the intergenerational effects of violence and trauma, but today I’d like to dig a bit more into violence as a disease in communities. We often think of violence as something that one person does to another—and that is certainly accurate—but the individuals who commit that violence have often experienced it themselves. Like influenza spreads through a community from person-to-person, family-to-family, violence also spreads through the spaces we inhabit.

We model what we see and what we live and then pass on the love and pain we experience to others. Please be warned that some of what I’ll discuss may be upsetting or trigger memories of abuse that you may have suffered. Please be gentle with yourself. 

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Sitting with our Grief: Mental Health Matters

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My grandfather died yesterday. He was quite elderly and was battling an aggressive case of cancer, so his death was not unexpected, but it is painful all the same. We had known the end was near for several days and every time my father called I had expected it to be with the sad news. As a consequence, I have found myself feeling as though my grief were already all poured out and that I'm drowning under the weight of my guilt for being so stopped up. It reminds me a bit of the emotional equivalent of when I had appendicitis and, after days of agony, finally crawled to my bathroom consumed with the thought that I would feel better if I could just vomit. I don't expect that vomiting would do me much good this time, but I can't help think that I would feel so much better if I could just have a good cry. 

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We Carry Them With Us: How the Health of our Great-Grandparents Shapes Our Own

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Last week was both Columbus Day and Indigenous People’s Day in the United States. Thanksgiving is right around the corner. These days remind me of the stories I heard in school as a child about the “discovery” of America and the “first people” to come here. As an immigrant family, the stories of these holidays weren’t a part of our home life, but they certainly appeared at school each autumn. I remember being told to memorise a poem about Columbus in first grade and the narrative of the first thanksgiving appearing in each US history course I took. 

While having time off from school and work is nice (I certainly enjoy that part of civil service), these days are also wonderful opportunities to talk about the health disparities we see between Native American/Alaska Native (AIAN) and other groups in the US. Native writers have spoken and written and researched this far better than I will here, but it’s important for all public health practitioners to discuss the ways that the health of the people who grew us and raised us shapes our own health. 

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A Tale of Two Cities: What's Happening in Cascadia?

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I've always been fascinated how the United States, despite being so advanced and spending so much on healthcare, can still rank so lowly in health outcomes. When I talk to friends and family in the UK, Canada, or Ireland about our healthcare, they're often baffled at how our system runs. "You send the ambulance away? But why?" "Because it costs $500 and I can drive myself for much less." My son's birth was uncomplicated and I delivered him myself in the hospital's bathroom, but received a $35,000 bill for the trouble. One of my cousins delivered her baby a couple of weeks later in Northern Ireland, received excellent care, and never saw a bill for the process because healthcare there doesn't have a fee-at-point-of-service model. She didn't have to get "pre-authorization" to birth her baby because that isn't a thing. Her health insurance company didn't say her unborn child couldn't be insured because he didn't have a birthday yet because that is absolutely ludicrous. 

We know that health and healthcare are different (though related) things, but what are the outcomes of such different social policy landscapes on the health of the people that live there? Do government social policies really make for better health? Let's discuss! 

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Health: More than Healthcare

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Exploring the ways that our social connections, the community we live in, and economics influence our health

When we think of our health, our first thought is usually of going to see a physician (or other medical provider) and having tests like an MRI done, but access to medical care only makes up a small proportion of our overall health. Our health is shaped much more by the social determinants around us–the air we breathe; the water we drink; the amount of education we have; the safety and accessibility of our housing, nutrition, and public transportation. Together those factors build a framework that we call “The Social Determinants of Health.”

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