The reality is that humans haven't suddenly lost all control, our environment has changed Foods that used to be expensive rare options are now freely available at virtually no cost Exercise is harder to come by as we move to a more dense urban way of life And on, and on
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At each stage in this cycle, social factors get in the way If you don't have a phone, you can't access an app If you don't understand the language used for the app, you can't download or use it And on, and on
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Ultimately, personal responsibility is a great thing to tell an individual, but not useful at all at the population level
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If you truly want to improve outcomes, you have to address larger social outcomes rather than talking about what actions individuals do and do not take
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I've written about all of this before - it's more expensive and politically difficult to change the environment, but if we don't we'll probably never address many of our disease problemshttps://medium.com/@gidmk/personal-responsibility-is-a-meaningless-term-8c1f7732993b …
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Also important to note, this is not just limited to health. As this thread aptly demonstrates, welfare and social programs are interlinked with healthcare effortshttps://twitter.com/drcbond/status/1059568949359038465 …
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