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Political Authority and Power: the fundamental determinant of modern Public Health outcome

An in-depth look into the moral principles of legitimizing severance between Individual Rights in defiance of Personalized Healthcare


This article was originally published in Data Driven Investor


Photo by Phil Shaw on Unsplash

Power and authority are often used synonymously to demonstrate one’s ability to sway public discourse as well as destiny. It merely serves as a tool to gain the populace’s attention, but not necessarily their unconditional trust. Power of authority has taken over every aspect of our lives, and the healthcare system has not been immune from its malice of abuse.

An article published by a journal of global public health shines a light on the power and how it merely affects our healthcare systems. According to the study published, Investigators have documented the impact of power and authority on public health throughout the entire healthcare realm. They have also studied influence by various actors commonly deemed influential from locals up to the global arena. The paper even points out the actors, profit groups, and exercises not usually perceived as politically ethical towards health policy.

Within the societal context, authority serves as the legal capacity an individual or a group retains and exercises over another. The element of lawfulness is essential to the concept of charge and is generally considered the significant compromise by which authority is distinguished from the more general power concept. However, such a distinction is fragile as an authority can easily cross over to a kind of power instrument of tyranny.

Power of Authority to influence or command opinion and attitude is a freedom granted or taken by a person’s governing body. And it is prudent to assume that there are innumerable agents of domination in the healthcare system.

Question of the Political Authority legitimacy

Political authority legitimacy is one of the central puzzles of political philosophy. This door to the critical question is the affair with the philosophical arguments that arise near the justification of political authority. One that examines the concept, meaning What defines a political leader, which is aimed to determine political authority from political power. The latter also establishes the idea of morally legitimate political authority from identifying ideas of control and between authority in the sense of ethically justified oppression and domination as the agent of capacity to levy duties on others and end from authority as the right to rule.

Further differentiation solicitude is about the nature of the duties that political authority imposes on subjects. What was just highlighted supports; a democratic assembly has a right to rule, not discordant with the clue that there are boundaries to that right. Hence, the patterns of authority in a given society will perpetually change. There will likely be a greater appreciation of the importance of moral and personal education in a world of pluralistic values and ends.

Obedience gives way to Compliance in the modern Authority paradox.

Obedience is a social influence method where an individual retorts to a direct order from another person. In contrast to conformity, obedience transpires when someone holding authority is told to do something, whereas harmony arises through social pressure or the majority’s norms. Obedience involves a state of hierarchy. Therefore, the person ordering has a more leading status than the person accepting that order.

The psychology of obedience and authority is also well recognized in today’s public health arena. Not uncommonly, we witness the available turn into political figures for better medical care and healthy life and take the obedient citizen’s path instead of a responsible citizen. Political figures have discovered the entrance into the political philosophy of healthcare authoritarianism. Since the people’s will defines political authority, public health under the population health model gives in to the “groupthink phenomenon.” That follows the kind of decision-making that can be impaired and results in administrative and clinical negligence, potentially hurting patients. In healthcare, we obey orders, policies, and procedures merely because that is part and parcel of our clinical world’s statutes, not necessarily what is the best for the public, even though the everyday rhetoric pertains to being on the side of the people. As a result, healthcare suffers the consequence of the low application of the risk-benefit ratio in medical practice.

The problem with Political Authority, particularly in Healthcare

There is a multitude of arguments for and against the legitimacy of political authority. However, the delineation of why, how, by whom, and how long such authority is granted to someone or entity is noteworthy. With more expanded health-related topics growing politicized today, it is becoming laborious to grip politics out of the patient exam room. With ever-polarized political systems worldwide, particularly in the U.S., healthcare delivery has entered the realm of political authoritarianism. Four years ago, the amelioration or repeal of the Patient Protection and Affordable Care Act (ACA) was a priority for Donald Trump’s crusade; forthwith, the push for “Medicare for All” separates the Democratic party.

The 21st-century Public health is politically ambiguous because the employment of public authority and the exercise of population health stand in practical tautness that misrepresents their vague promise. Today, political leaders are irrational, unacquainted, and entertained by big-moneyed medical profits, hence deterring the sound healthcare policies that epidemiologists and other public health experts could offer.

Power, Politics, and Health Spending Priorities

According to a study published in the AMA Journal of Ethics, the United States spends approximately $2.7 trillion on healthcare annually. Compared to the other developed countries, the U.S. does not get a good yield on its healthcare spending. The mismatch between where spending goes and where it is most needed goes beyond the study’s boundaries. Many assert that the healthcare delivery system places too much priority on specialty care and insufficient primary care. But I believe it is neither and nor! Although prevention may be the essential point of the argument, the monopoly of who should do what must determine the factor. It would be more logical to promote preventative services as all physicians’ responsibility (of course, limited to their field of expertise).

Physicians should ideally be compensated based on what they deliver rather than who offers what preventative service. For instance, an endocrinologist can efficiently provide diabetes prevention service for the exact cost by delivering comparable quality of service as a general practitioner. That way, there will be a lesser burden on the general practitioner. The idea of mandating additional responsibilities to one physician through arm-twisting authoritarian policies is not inky counterproductive but also obscured. On the other hand, Advocates who contend for increased spending on prevention claim “only” 5% of the money disbursed on healthcare is dedicated to population-wide health improvement. According to a study, Differences in wealth often translate into greater political power, hence offering a partial solution. Consistent with this view, one study established that disease groups with adequate help to lobby Congress could affect NIH funding prerogatives by impacting congressional earmarks.

Navigating the new Healthcare Politics

Cognizance and conquest of new perspectives have long been emblems of public health. For instance, there is a new definition of roles assigned as generalist and specialist skills that challenge. Public health and healthcare today Public health has become a vocation with particular skills of its own and a profession, which implies contemplation of its mission by political means. For instance, today’s public health gains its legitimacy and leverage not by promulgating designs for healthy living based on epidemiological imperatives but somewhat by injecting itself artfully into the shapes of modern healthcare systems and the public policies that shape them. Public health leaders who cannot speak constructively to debates about health-shaping policies on income distribution, housing, employment, and social inclusion, undercut their claims to the influence they seek.

Suppose the intent of health policy is better health of the population. In that case, today’s public health field engages more fully with the social determinants that form health and the broad and growing range of welfare state programs, some of which are conceptually and institutionally quite different from the healthcare sphere.

Health policies do not arise from scientific evidence; instead, it is the upshot of the policymaking process and the cast of institutional characters that shape its outcomes for better and for worse.

Public policies are joint productions of knowledge and politics. Nothing in contemporary healthcare is gained by asking scientists to think independently, but one may earn much from the more fluent political authoritarianism.

To be specific, the state approval doctrine raises many interrogatories. For one, we must ask whether the consent of states that do not represent their peoples is a genuinely legitimating exploit. Besides, we must ask about the integrity of the conditions under which permission is granted.

#politics #authority #Publichealth #healthcare

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