winter '08–spring '09 issue 11

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THIS ISSUE: 

The nation's economy has taken a deep dive into a recession. It is becoming increasingly more vital to reevaluate every aspect of our lives. Afterall, what does your socioeconomic status offer? Can you afford a decent education? Can you afford to buy healthy, vitamin enriched food? Can you keep your electricity bill paid? Can you afford a healthcare plan? The last question normally draws a shudder. The dismal truth is that many citizens cannot financiallly invest in the future of their health. Yet, many citizens have never been able to managably pay for a healthcare plan. Trouble on Wallstreet will hopefully make us reevaluate our spending habits. However, the recession cannot take complete responsibility for the failures of the nation's healthcare system. In this issue of The Indypendent Reader, we take a closer look at public health. Now, more than ever, it is critical to ultimately focus our eyes on population heath. We look to productively analyze the social determinants of health in Baltimore City.

If you are reading this paper,chances are that you reside in Baltimore. This is your population group. Population health is chiefly concerned with the health of individual groups. To go further, population health studies the determinants of a group's health.What we must do is focus our attention on each determinant. What does this determinant mean considering the outcomes rendered to inequality in health across populations? For instance, Baltimore is home to a number of world-renowned medical institutions. Nevertheless, in the shadow of these mega-medical centers, an HIV/AIDS epidemic plagues Baltimore’s poorest communities. In order to define the systematic differences in population heath, we take a look at the absence of these institutions in the fight against HIV/AIDS here at home.

Health Care is a concern for all of us. For supporters of universal health care policy, the long uphill battle has often been plagued by politician supported reform policies that only maintain the nation's exclusory and privatized healthcare structure. Two of our articles explore the possibility of a nonexclusory, full-coverage, single payer healthcare system.While acquiring universal healthcare is doubtlessly at the forefront of the population health battle, there are still many other factors that make a healthy population. Afterall, what are we feeding our children at school? Baltimore is also a city deep in the throes of the influences and consequences of drugs. What does all of this mean? We, The Indypendent Reader, aim to explore all of these issues.

Take a look at our table of contents. It will lead you to your article of choice. Don't hesitate to read the issue from cover-to-cover. Cover-to-cover readings will fill you with excellent news articles, a cheeky cartoon, terrific images and particular pieces that, underneath all the statistics, assess the ethical basis for discussions on population health. Commuity leaders, activists, and journalists put their pens to paper (or rather their fingers to a keyboard) and give us the following discourses. Consider your health, turn the page....

--Nicholas Petr and Corey Reidy for the editors

cover: Teddy Johnson

articles: 

Single-Payer to the Rescue: Why a National Healthcare System Will Save Our Cities — by Jeff Muckensturm

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The U.S. and its cities are in the midst of a healthcare crisis caused by a broken system that values profit over quality, affordable care.

Cities faced with rapidly increasing employee health insurance premiums, including Baltimore, are cutting back on much needed services to balance their budgets.

City residents aren't better off. Increasingly, people are going without insurance, while they put off care or rely on extremely expensive emergency rooms for preventable issues.

Where's the spinach? Healthy food makes healthy minds — by Michael Kaplan

“Nothing that breathes air should have to eat that food,” said Twandini, in reference to the food served in Baltimore City Schools. Twandini has personal experience to back up this claim. For he is a junior at a high school in Baltimore City. What makes Twandini care to tell his tale? Twandini is also active in the Baltimore Algebra Project.

Wars on Drugs — by Seth Greenbaum

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Last December, the Dutch police commission led by Max Daniel ordered the closing of 43 of Amsterdam’s 223 establishments known locally as “coffee shops.” Yet it wasn’t coffee which prompted the action, but cannabis. With one of the most lenient drug policies in Europe, the Netherlands made a reputation for itself by ignoring the international ban against marijuana and allowing its quasi-legal sale in designated shops, attracting thousands of “drug-tourists” from around the world.

Baltimore's HIV/AIDS Crisis — by Lauren Schneiderman

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Local, Renowned Medical Institutions Absent in the Face of an Epidemic

HIV/AIDS affects millions of people world wide, but in the US, Baltimore is ranked second for HIV/AIDS rates, with over 16,000 known cases in our city. The Baltimore City Commission on HIV/AIDS Prevention and Treatment believes that at least another 6,000 residents are currently infected with this disease but have not been tested, either because they refuse to be, or lack the proper knowledge.

THE PROSPECTS FOR HEALTH CARE REFORM IN ANNAPOLIS, 2009 — by Bill Harvey

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At the beginning of the recent presidential campaign season, health care reform was generally regarded as a high priority. That was until early in 2008, when the magnitude of the economic crisis began to overshadow the need for restructuring America’s health care system.

Creating Community with Baltimore’s Urban Gardeners — By Sarah Krones

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Urban green spaces benefit communities by improving aesthetics, increasing property values, and providing space for outdoor recreation and socializing. While municipally-managed parks are essential components of a city’s outdoor recreation spaces, a large portion of Baltimore’s green infrastructure exists as community gardens, restored vacant lots, and pocket parks. These spaces are often developed and managed by volunteers who depend on unreliable and often one-time donations from local businesses and neighbors.

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