The Role of Medical Care:
Is the shift in the causes of death attributable to the changes in medical care over the last
aspirin, EKG, blood transfusions, antibiotics, insulin, polio vaccination, structure of
DNA, CT scanners, anti-HIV, etc.
Aristotle and Causes:
Material-that out of which a thing comes to be (bro
Formal-statement of essence
Efficient-primary source of change
Final-the end; that for the sake of which the thing is done
Wood is what the table is made of. Fo
Measuring Socioeconomic Status:
Status (descendants, aristocrat, user of Apple, charisma)
Age-adjusted Death Rates in 25-64 year olds according to education, income, race, sex
Being wealthier, w
Components of Religion:
Observance or participation
Religiosity or spirituality (transcends your individual life)
People can be spiritual but completely irreligious
The [possible] role of religion in health:
People often suffer more from non-pain symptoms than from pain symptoms.
It is much easier to treat pain symptoms.
Fatigue, shortness of breath, depression
In the last week of life, the let go of their will to live, their loved ones, their b
*In section, ask about the difference between social selection and social causation.
*Bias vs. Uncertainty in treatment
Natural vs. Artificial Aristocracy:
Thomas Jefferson to John Adams, October 28, 1813
A Report Card on Terminal Care in the US
Be free of pain
Not be a burden to family
Have a doctor who listens
Die at home
Know what to expect
Important things: non-abandonment, being honest,
Types of Euthanasia:
Active vs. Pass
The Health Transition:
What determines Health?
Individuals or Environment?
Does medical care make any difference at all?
The U.S. spends more on healthcare than any country ($5000+ per capita) but without
the corresponding results
How do we explain the di