M'ha interessat en Mackenbach al Lancet. Algú ho havia de dir, i pocs podien pensar que fos ell qui finalment ho fes tan explícit.
Les diferències en salut tenen a veure amb les persones a més de l'entorn social, ambiental i molts altres factors.
Aquest paràgraf esdevé clau:
Health inequalities researchers are no longer reluctant to include personal characteristics of individuals in their explanatory research. 10–20 years ago, this approach was unpopular because it was thought to detract from structural explanations of health inequalities, such as inadequate income, health risks in the environment, or no access to health care..
Some investigators feared that focusing on personal characteristics, such as lifestyle behaviours, personality traits, or cognitive ability, would reinforce politically conservative views, which suggest that social inequalities result from ignorance, irresponsibility, or other forms of irremediable individual failure
Un avís per a navegants que encara resten ancorats a paradigmes rancis. Venint de qui ve cal tenir-lo en compte. Una precaució tant sols en la recomanable lectura de l'article, l'èmfasi en temes cognitius cal situar-lo en el punt just, i l'èmfasi en els nens és obvi. La responsabilitat envers la salut és en primer lloc individual.
