This Element explores the association between political democracy and population health. It reviews the rise of scholarly interest in the association, evaluates alternative indicators of democracy and population health, assesses how particular dimensions of democracy have affected population health, and explores how population health has affected democracy. It finds that democracy - optimally defined as free, fair, inclusive, and decisive elections plus basic rights - is usually, but not invariably, beneficial for population health, even after good governance is taken into account. It argues that research on democracy and population health should take measurement challenges seriously; recognize that many aspects of democracy, not just competitive elections, can affect population health; acknowledge that democracy's impact on population health will be large or small, and beneficial or harmful, depending on circumstances; and identify the relevant circumstances by combining the quantitative analysis of many cases with the qualitative study of a few cases.

The U.S. does not have a health system. Instead we have market for health-related goods and services, a market in which the few profit from the public’s ill-health. Health Care Revolt looks around the world for examples of health care systems that are effective and affordable, pictures such a system for the U.S., and creates a practical playbook for a political revolution in health care that will allow the nation to protect health while strengthening democracy. Dr. Fine writes with the wisdom of a clinician, the savvy of a state public health commissioner, the precision of a scholar, and the energy and commitment of a community organizer.

Long infamous for its severe inequality, infant mortality, and clientelist politics, Brazil in the late 20th and early 21st centuries improved the health and well-being of its populace more than any large democracy. Christopher L. Gibson sheds light on the previously poorly understood cause of this shift, arguing that it was due to a subnationally-rooted process driven by civil society actors, namely the Sanitarist Movement. Gibson improves our understanding of the political and social trajectory of Brazil and similar democracies today.

A thought-provoking and evocative account that considers both the policies we think of as "health policyand those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Countries vary systematically with respect to the incentives of politicians to provide broad public goods, and to reduce poverty. Even in developing countries that are democracies, politicians often have incentives to divert resources to political rents, and to private transfers that benefit a few citizens at the expense of many. These distortions can be traced to imperfections in political markets, that are greater in some countries than in others. The authors review the theory, and evidence on the impact of incomplete information of voters, the lack of credibility of political promises, and social polarization on political incentives. They argue that the effects of these imperfections are large, but that their implications are insufficiently integrated into the design of policy reforms aimed at improving the provision of public goods, and reducing poverty.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

The field of social inequalities in health continues its vigorous growth in the early years of the 21st century. This volume, following in the footsteps of Vicente Navarro's edited collection The Political Economy of Social Inequalities, is a compilation of recent contributions to the areas of social epidemiology, health disparities, health economics, and health services research. The overarching theme is to describe and explain the evergrowing health inequalities across social class, race, and gender, as well as neighborhood, city, region, country, and continent. The approach of this book is distinctly multi-, trans-, and interdisciplinary: the fields of public health, population health, epidemiology, economics, sociology, political science, philosophy, medicine, and history are all represented here.

Purpose: Studies show a relationship between democracy and health. This paper aimed to provide empirical evidence of the relationships between democracy and health indicators life expectancy, mortality, fertility rate and prevalence of undernourishment. Methods: A panel dataset covering 30 countries, between 1972 - 2017, classified in full democracy, flowed democracy, hybrid and authoritarian regimes was used. The relationship between democracy and health indicators was investigated through fixed-effect models using control variables per capita gross domestic product, unemployment and inflation rate. Democracy index and control variables were lagged in order to test a correlation between democracy of the year n-1 and health indicators of the year n. Results: A positive correlation between democracy and life expectancy at birth was found with an intensity depending on inflation and unemployment. Even, according to results, there were a negative correlation between democracy, fertility, mortality, and the prevalence of undernourishment. Conclusion: Our results highlight an immediate empirical impact of democracy on life expectancy, mortality rate, fertility and prevalence of undernourishment. The possible mechanisms involved are discussed.

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.