Last month, health minister Andy Burnham
told us he had no intention of telling people not to smoke.
Apparently, he doesn't believe in finger wagging (Daily Post
July 2009).
Burnham made his remarks during an interview to discuss 'health
inequalities' - a strange term which essentially means your
chances of being an unhealthy, chain-smoking, alcoholic are largely
dictated by where you live.
For Liverpool, this is bad news. To illustrate the point, 164 under
75s per 100,000 Liverpudlians die from cancer compared to only 79
per 100,000 in Kensington and Chelsea. Deaths caused by smoking in
Liverpool account for 329.4 per 100,000, among the highest in
England and it's a similar story for alcohol-related harm. The
average Liverpool female will die ten years younger than her
Kensington and Chelsea counterpart, who'll check out aged 87.
So what? Well, the term inequality implies an 'unfairness'
and as such the government wants to do something about it. Besides,
if they don't, we'll end up footing a rather large bill.
Recent estimates by the
National Social Marketing Centre suggest avoidable
ill-health is already costing us £200billion!
Some would argue if a person wants to eat, drink and smoke
themselves to an early death then that's their problem. After
all it's a free country so what's the big deal? Well, at
£200billion, that's a very costly big deal.
Failure to address increases in illnesses triggered by bad diet,
tobacco smoking and alcohol abuse is putting massive pressure on
the NHS and society at large, and the situation will only get worse
as the UK's population expands.
So what's the solution? Well, Brunham wants us to take more
exercise; swimming's his big thing.
"The figures on free swimming are very impressive. There has
been a big increase in physical activity and....once active, people
make healthier choices about diet, drinking and smoking."
This principle will be extended to the government's Change4Life
health campaigns with sub-promotions for Walk4Life, Cycle4Life and
even, don't laugh, Dance4Life!
Will Brunham's softly, softly approach work? Perhaps. A few
will take note, while many others will carry on regardless.
Personally, I believe you need both carrot and stick. A stern
reminder of the horrendous consequences of over-indulgence,
combined with a seductive message about the obvious benefits of a
healthy lifestyle.
What would you advocate if you were health minister?
Ultimately, the responsibility for change lies with you and me, and
a willingness to confront what we already know. See you down the
gym then?
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