Building a world of
resilient communities.

Health systems, neoliberalism, and the end of growth: The World Health Organization in denial

The WHO (World Health Organization) has released its latest in a series of reports...I find the report psychologically dissociative, ethically compromised, and in an intellectual malaise.

Power, Identity and Social Change as We Enter Degrowth

I want to speak to those who feel...either confounded or bludgeoned and “powerless” facing the intransigence of modern civilization to recognize overshoot and the limits to growth. I speak also to those who have a seemingly contrary reaction: flickers of intrepidness and hope despite recognition of enormous obstacles and dilemmas...

Deciphering Detropia: The Power of Degrowth, the Destructiveness of Neoliberalism

Detropia stirs anxiety and disorientation among its viewers through poignant visuals of the desolate and denuded cityscape blended with the accounts of Detroiters. But what are we to learn from this surfacing of collective dread?

Public health, thermodynamics and the cat food commission

A previous article discusses the future of health systems operating under neoliberal ideology as it comes a cropper in a world undergoing degrowth. Here I consider how this thrusts public health into in a “Which side are you on?” dilemma likely to separate its institutional administration from its frontline professionals –and the public it is meant serve- as part of the …

Neoliberalism, degrowth and the fate of health systems

There are unprecedented and widely unappreciated dangers posed to public health, nursing, medicine and allied health professions by the ongoing global economic contraction. This is a multilayered and, frankly, emotionally difficult topic to digest. Before discussing how health systems are affected we first lay out the larger social-ecological context of modern society’s predicament. This …

Crafting Resilient Health Systems: An Introduction

During the 20th century an indispensible yet unrecognized factor allowed the health sciences to attain dizzying levels of organizational complexity and achieve countless life saving and prolonging breakthroughs. The health professions drew upon ever-increasing amounts of human and natural resources, particularly energy...Therefore, the complexity of modern health systems and their …

A review of the Localization Reader

The Localization Reader: Adapting to the Coming Downshift, by Raymond De Young and Thomas Princen, aims at the work and struggle ahead for those who realize that the modern world is arrantly unsustainable. The book is scholarly yet accessible, practical and action oriented. It faces the nitty-gritty issues raised by natural resource depletion, and, overall, the sundry predicaments posed by …

Goodbye to Bad Knowledge

A year ago I asked, “How to understand health care’s inability to recognize that modern society has reached the limits to growth?” Since then I’ve unsuccessfully attempted to write on the urgent and bedeviling question, “What are the nuts and bolts of organizing a “small is beautiful” health system?” Here I want to lay the ground for exploring this second question while weaving in final …

Bad knowledge and the promise of the university (response to Immanuel Wallerstein)

In a recent blog-post sociologist Immanuel Wallerstein writes, “the universities were supposed to play the role of one major locus … of analysis of the realities of our world-system. It is such analyses that may make possible the successful navigation of the chaotic transition towards a new, and hopefully better, world order.”...Wallerstein has developed a world systems model of modernization …

Rx for Greece: A dose of Thanatos

In this essay I argue that the rapid decline of Greece’s health system –and socioeconomic conditions throughout the nation- is proximately due to a fiscal/economic crisis that political and financial leaders have chosen to address by imposing draconian austerity measures upon most of the Greek people so as to: a.) protect the wealth, status and power of dominant elites, and b.) shield and …
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