Category: Ungleichheit

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Buzzing free

It is always a chance to be in a city that bans cars for some time from streets and bicycles and pedestrians can walk freely in the city. On September 22nd 2024 this is the case in Brussels. In addition, the public transport system allows people to buzz around the city free of charge. Of course this is an invitation to get to know areas of the city where you normally don’t take the time to visit or mix with people. The police used the time to teach children how to cycle in a city in all security and respecting basic rules despite the enthusiasm for speed or going round in circles. Unfortunately, this happens only one Sunday out of 52 in a year. It is just amazing how the feeling of safety on the road changes again. The level of noise and pollution drops to levels of the countryside. Buses and trams pass the city easily and most people get around faster than they do on other days of the year. It is a bit like a coordinated health intervention for the stressed urban survivors. This experience is a modest reminder of how nice it was in Paris during the Olympic Games 2024 when prioritizing mobility beyond cars haa been effectively implemented for several weeks.

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Sufficient

What do we mean by sufficient? Sufficient of what? French philosophers currently debate the topic under the French notion of sobriété (sobriety). They give as English translation sufficiency, but the notions do not match exactly in the usual understanding of the words. In breaking with the economic rationale of more is always better, the idea of having sufficient food, room to live in or social contacts to not feel lonely, the notion of sufficiency hints towards a rethinking of our customary lifestyles. How many trousers are sufficient? Well, as with shoes there might be gender differences or more generally interpersonal differences or preferences to come to the conclusion of how many is sufficient. If we bring in the notion of sobriety in additional, we allow another social and/or ecological dimension. This may redefine what is sufficient based on judgments how much our planet can handle (emissions) and distributional judgments. The western lifestyle of the last 100 years is no role model for other countries to follow. It is urgent to rethink our growth based economic model to develop new socially viable ways of production and consumption. It seems to be a necessary condition to reconsider the notion of wellbeing and wealth from a sufficiency perspective. It is a sobering thought, isn‘t it?

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Waiting time

A new report by Darzi, a former cancer surgeon and past minister of health in the UK, paints a dismal picture of the British health service (NHS) over the last 15 years under conservative rule. The public service has seen no increase in its budget accounting for population growth and the aging of the population. The service is no longer able “to give patients the timely care they need” (The Guardian 2024-9-12 title page). Increased waiting times lead to an estimated 14.000 premature deaths per year. Darzi presents data that show 300.000 persons had to wait longer than one year for a treatment that should have been performed within 18 weeks.

The staff seems desperate for changes as well as they have to spend more time on management of waiting times, time which is lost for real treatment. The quality of care is another issue which awaits urgent attention. Health cannot wait for most patients, but the neglect of investment in hospitals and people is expensive in the longer run. Even the reform efforts should not wait any longer. Time is a precious good and each life matters. (Image back cover of exhibition catalogue Käthe Kollwitz at MOMA 2024).

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Health GDP

A report by the WHO and the World Bank (2023) on universal health coverage and financial hardship has emphasized the difficulties to reach the goals defined by the strategic development goals (SDGs) by 2030 in this policy field. Moreover, the paper by Mazzucato and Ghebreyesus (2024) invites us to reconsider the importance of health in the overall assessment of development and progress. The authors ask us to “rethink the narrow focus on growth in gross domestic product (GDP) that typically dominates economic decision making”. There is of course a long debate on the status of health, GDP or wellbeing as major policy issues or even foundations of the a state’s major objective. For economists the question has been answered for decades to favor GDP growth and more or less the other objectives can be achieved with a time delay. Recently social scientists have highlighted the overall importance of wellbeing or happiness rather than GDP as stated in some constitutions. Health as an overall objective is another challenge to the existing economic framing of societies. In a traditional economic perspective the health sector is part of the GDP increasing public and private sector of the economy with insurers, equipment and persons contributing to it. On the other hand, health enters into the distribution or consumption part of the economy. Each country strikes its own balance between production and consumption. Put simply, in form of an equation where production equals consumption, health enters on both sides of the equation in each country. On the global, scale the distribution between costs and benefits of health have not narrowed over the past. The challenge for the world population remains steep. Considering unequal population growth across continents, the situation might get worse before it hopefully gets better. We still have to continue huge efforts to increase overall health on earth for example through large scale vaccination programs. (Image The tombstone of Molière in Paris 2024)

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Desertification

Since 2018 we have evidence of the progression of desertification into some Member States of the European Union. The mediterranean countries are concerned as well as regions of Bulgaria and Romania near the Black Sea. There are multiple sources of desertification. The 3 main reasons of desertification are soil erosion, loss of soil fertility and loss of natural and desirable vegetation besides wind or water erosion and salinization. We also know that man-made climate change is at the root of the past and recent problems. The statistical indicators of land degradation are collected by the European Joint Research Centre and these data show a dismal picture of land degradation in general and desertification as part of this process. A study by Ilea et al. published in Nature 2024 projects an intensification of extreme weather in the coming years. Higher temperatures will most likely enhance desertification and more frequent flooding will contribute to more soil erosion as well. It is a rather strange process that we know we are creating severe problems for some regions which endanger the roots of their existence and yet we do not act upon those undeniable facts (United Nations SDGs list). The amount and dynamics of land deterioration put the global South under severe pressure, but also the wealthy parts of the Mediterranean basin will be affected. It about time to acknowledge that we are all part of the global changes and challenges. (Image palm tree in Paris, Jardin du Luxembourg, 2024)

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Painter Sociologist

In going to a gallery and exhibition of paintings from the 17th century (Gemäldegalerie Berlin) you do not really expect to attend a class of sociology. However, this is exactly what the Flemish painter Frans Hals does with his paintings of various genres of society of his time. His sociological categories are for example unmarried young persons, married couples or pensioners living in a shared home. Other social categories of interest to him are a caregiver or, more common for the time, persons from noble or wealthy families. His painting „The Regents of the old men’s Almshouse” (ca 1660), the male pensioners home is one of his last paintings when he himself was already about 80 years old. Similar to a College of students the elderly home was run by a house father and house mother who took care of the daily living. The paintings of Frans Hals covered the entire life course with a cross-section perspective of society at his time. From few of his supporters he painted even several images moving towards a kind of longitudinal perspective on a person’s life course. Certainly, with “Oude-mannenhuis” (image below) he was interested not only in individual life courses, but of the conditions, forms or images of aging at his time. He probably was one of the first to challenge the negative stereotypes of aging.

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Paralympic Counting

The classification system of the Paralympic disciplines is well worked out. This ensures that competitions are on a more equal footing. The counting of medals, points and penalties is an easy task. It is more difficult to keep track of equipment and infrastructure and the adaptation status of it to Paralympic needs in a country or region. Statistics and monitoring of installations is one important step in preparing for participation and success in Paralympic disciplines. On an European open data platform we find the regional data set of “Parasportive equipment in clubs and committees of the Pays de la Loire”, for example. Transparency of structures is a first step in improving access to it. For Paralympic athletes it is the same process to gain access to sport equipment as for all other athletes. The monitoring of infrastructure and equipment is a laborious task, but the documentation of helps people on their way to obtain access. Paralympic counting, therefore, is much more than counting medals and trophies even if they are really nice looking.

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Olympic Medals

The distribution of Olympic medals across continents reveals the persistent inequality of rewards across the globe. The first African country in the overall ranking of countries by Olympic medals is Kenya on 17th place. All 11 medals including 4 gold medals were obtained in athletics and in running disciplines 800m and more. The financial resources needed to practice running as high level sport are probably the lowest one of all disciplines. Ethiopia is another African country with this tradition of high level long distance runners on the African continent. Equipment and coaching in other disciplines than athletics involves more infrastructure and becomes more costly and the possibility to reserve infrastructure for elite athletes of a country is more difficult if the infrastructure for the population at large is rather limited compared to the population size. Therefore, the Olympic tradition has to confront the challenge of unequal access to many disciplines of the Olympic Games also in Paris 2024. Being a very good athlete is just not enough if you lack the coaches, training and facilities to be able to compete with the well-equipped countries. The knowledge about the best details of a specific technique or optimization potentials are part of the Olympic challenges as well. The Americas, Europe and Asia might be confronted with new forms or another criticism of imperialist strategies, this time in the domain of sport. The winner or medalists take all. Country rankings appear a bit like the football device “money buys goals”. (Image, Fondation Louis Vuitton, Paris, Extrait of Omar Victor Diop “Diaspora” 2014-2015).

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Olympics for All

The Paris 2024 Olympic Games and the Paralympic Games have demonstrated the extraordinary competence, professionalism and competitiveness of all athletes. The television spectators and live participants in the events have been involved to a great deal.
After all this hype around sports let us consider the probability of getting involved in physical activities and sports. Additionally, it is of interest, whether people are encouraged to continue sports, maybe at higher ages as well through these sports events like Olympia.
High level athletes are most likely to continue their sports activities. In many countries the extraordinary athletes of the Paralympics faced tough challenges to pursue their sport interests and passion.
However, the public health challenge is the big unresolved issue of how to best raise an awareness for the pleasures and benefits of sport for the masses. (bibliography by BNF “Santé et activité physique). It is not only a matter of suitable infrastructure, but also the question of sports in your neighbourhood. This issue has implications for urban and rural communities and how they organize the practice of sports in an inclusive way. Each step may be a stepping stone into sports for all ages and pathologies.
The pleasure and benefit to walk or something simple as walking to or walking after work, are part of the solution to many public health issues.
The visitors of the Paris Olympics walked a lot.
This fun experience in an enthusiastic city will encourage many to continue the simple exercise without thinking about exercise. This will do the trick. Just do it, without thinking to much about it.

BNF Paris 2024-8
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Paris libéré

It is with great pleasure to follow how Paris commemorates the liberation of Paris from Nazi-Germany 80 years ago. (Quote from De Gaulle “Paris libéré”.) On the 25th of August 1944 the city of Paris was finally liberated by French armies and the support of the local resistance movement. Similar to the journey of the Olympic flame on the way to Paris, we can follow each city celebrating the liberation from the occupants. Beginning with the landing in the Normandy of the Allied troops, the chasing of the enemy has been a matter of time, but still incurred huge human losses. More than 4 years of Nazi symbols in Paris were finally brought to an end and celebrations on the streets became a symbol for the enormous relief this liberation has meant to the population of Paris, France and hope to many neighbouring, but still occupied territories.
Several documentaries on television and radio allow to empathize with the joy of this time. Enduring the hardships imposed and, for many, risking their lives in clandestine networks of the resistance were honoured by the success of the liberation of the city without the massive destruction, which was to be expected.
A book edited by Ulla Plener (2007) highlights the supporting role played by some women originally from Germany to support the French Resistance movement. It still is not common to understand the retreat of Nazi-Germany also in Germany as the progressive liberation of the country from the terrors of a dictatorship.