- Participants will be aware that most health services are provided within the context of "disease care systems". The term "health system" is a misnomer at best, and disingenuous at worst, as most of the resources are currently consumed by activities designed to diagnose and fix problems that are largely unfixable (e.g., incurable chronic complex diseases), or are directed to providing medical responses to social problems, instead of being used to deal with curable conditions for which medicine is very good.
- The group will be ready to depart from the usual approaches to "re-thinking health", most of which are based on opportunities to secure the sustainability of the healthcare system[41], to contain the tsunami of chronic diseases [42], to promote behaviour change[43], to deal with inequity, human rights violations and other forms of injustice [44,45] or to usher in "precision medicine" [46,47].
- Similarly, the group will welcome an opportunity to avoid following more conventional paths to "re-thinking well-being", which tend to focus on new opportunities to enhance human freedom and capabilities [48], to eliminate suffering [49], to "reassemble" power structures around labour [50] or to foster human happiness [51].
- The discussions of the group will also acknowledge that it is impossible to define health or well-being. A definition would require "an exact statement or description of the nature, scope, or meaning of something" [52]. The reason that makes defining complex terms with precise words impossible is that "we know more than we can tell". This is what has been called "The Tacit Dimension" [53] or tacit knowledge [54].
- All participants will appreciate the value of the proposed conceptualizations, which aim at translating abstract ideas (or constructs) using words, recognizing their limitations, and not expecting to produce an exact description [55,56]. Therefore, they should view the conceptualizations of health and well-being presented here as open to continuous discussion and improvement.
- By considering them not as states but as abilities, the group will recognize that it is possible to be healthy even in the presence of illness (including terminal conditions) and to experience positive levels of well-being even in the presence of unmet material needs.
- The experiences in Colombia will be welcome as sources of inspiration for new opportunities to make better use of existing healthcare and social services, rather than rejected as inapplicable, unadaptable or unbelievable.
- The participants will understand that efforts to promote a pandemic of health and well-being will likely trigger a push back from those who profit from the medicalization of life or the provision of dysfunctional social services.
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INPUT REQUEST #4: Assumptions
- Which assumptions are unclear to you?
- Which assumptions do you strongly disagree with?
- What assumptions do you think should be added to the list?
Please respond in the comments section