{"title":"Miriam Kennet","description":"\u003cp\u003eDiscover the captivating world of Miriam Kennet, where heartfelt stories and relatable characters come to life. Perfect for readers seeking emotional journeys and tales of self-discovery.\u003c\/p\u003e","products":[{"product_id":"long-term-economics-issues-and-the-green-built-environment-book-miriam-kennet-9781907543043","title":"Long Term Economics Issues and the Green Built Environment","description":null,"brand":"WoB","offers":[{"title":"GB \/ NEW \/ GARDNERS","offer_id":49737374662929,"sku":"NGR9781907543043","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/190754304X.jpg?v=1751123859"},{"product_id":"greening-of-india-book-miriam-kennet-9781907543500","title":"The Greening of India","description":"Sharing in the miracle","brand":"WoB","offers":[{"title":"- \/ - \/ -","offer_id":51216262299921,"sku":"","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"GB \/ LIKE_NEW \/ INTERNAL","offer_id":51216264724753,"sku":"GOR014025528","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/1907543503.jpg?v=1751123860"},{"product_id":"greening-of-health-and-well-being-book-miriam-kennet-9781907543760","title":"The Greening of Health and Well Being","description":"Looking ahead to 2015 \"Ahead of the Sept 25 2015, The United Nations General Assembly, which will evaluate the efforts made towards achieving the Millennium Development Goals, and look ahead to the post-2015 Development Agenda, a special issue of The Lancet focuses on the Countdown to 2015.  A new analysis of interventions to reduce maternal and child deaths in developing countries reveals that if current trends continue, just nine Countdown countries will meet internationally agreed targets to reduce the number of deaths of children under 5 to fewer than 20 deaths per 1000 births by 2035. \" The Lancet 1.1 Introduction: Green Issues in Health today in the 21st century By Dr. Katherine Kennet, MBBS BSC. And Miriam Kennet Health, Healthcare, Health systems and the Well-being of the planet, nature, humans and other species are all essential aspects of a Green Economy. Economic, social  and environmental justice all intersect at this  critical point, as our species seeks to define the way forward, in terms of improving our standards of living, the human healthcare experience, and the best way to interact with the rest of our planet's species and nature itself.The Green Economics Institute first started to address this interconnected issue with its first Green Economics and Well Being Retreat which it held at the Earthspirit Centre near Glastonbury about 7 years ago. Over 100 people came to this  event which had a guiding principle of Multiple Intelligences  and the care and health of the  whole person, forming the bedrock of any concept of  health and well-being. Every aspect of a person is valued from a Green Economics Perspective. Additionally we recognise that the start people have in life can present serious challenges to health and well-being, much as the Marmot Review, a sort of Stern Review for Health,  has just outlined.  In November 2008, Professor Sir Michael Marmot was asked by the then Secretary of State for Health to chair an independent review to propose the most effective evidence-based strategies for reducing health inequalities in England from 2010.  \"The Report Fair Society, Health Lives, was published in February 2010, and concluded that reducing health inequalities would require action on six policy objectives: 1. Give every child the best start in life 2.Enable all children, young people and adults to maximise their capabilities and have control over their lives 3. Create fair employment and good work for all 4. Ensure healthy standard of living for all 5. Create and develop healthy and sustainable places and communities 6. Strengthen the role and impact of ill-health prevention. One of the authors was asked to speak in December 2012 to the North Western  Area of the entire National Health Service of England  to put forard suggestions as to how this could be implemented. Photos from the official MHS photographer for the event, which was held at Manchester United famous football stadium and was very well attended. We, Green Economists,  also make the links and interconnections and even causality  between Democracy, Economic Power, Wealth and health and Well Being as well. Poverty, as several chapters in this book explains, impacts  on health outcomes negatively and therefore it is crucial to try to eliminate inequality and to increase equal and fair access to health for everyone.The Green Economics Institute is committed to trying its utmost to challenge inequality and to end the lack of access to health and resources so that everyone on the planet can realise their full potential unhampered by health issues and supported by free healthcare at the point of need. For example an case coming to International attention is the very low life expectancy in countries like Sierra Leone where it is only 41 years and the Health Service has all but disintegrated. Maternal and child mortality is the worst in the world and one in eight women die in childbirth often for lack of the most basic of amenities such as clean water or any experienced birth attendant or any hospital facilities and simply bleed to death.  (BBC and Amnesty International Websites, acessed 26th September 2013).  The cost of this injury to public health is very high and affects the whole economy. Hence as Green Economists we see this lack of investment in a significant part of the population as happening at the intersection of human rights, democracy,  peace and investment. No woman in 2013 should be dying in routine childbirth.Our  book also discusses how economic \"growth\" impacts on our  own health and the health of our planet. How does our physical Well-Being result from the well-being and respectful interaction with our planet and  with its other species, both plant and animal? Can we justify and where do we stand, on controversial issues such as factory farming, the obliteration of fish populations in the oceans, and the increased consumption of certain crops leading to deforestation? Are we conscious of or even concerned with, how these daily choices impact the global environmental crisis our planet is experiencing? How do social policies impact the way our human communities develop, and how can we ameliorate the prospects of the poorest and most marginalised among us? With 2015 looming on the horizon, to what extent have the Millennium Development Goals been successful, and what has our success-rate been towards the eradication of poverty and its resulting and related maladies?These questions and more are among the issues driving the discussion of Health, Healthcare, and Well-being from a Green Economics Perspective and we regard them all as linked together, indivisible inter related determinants of health outcomes, which we began to explore in our books -Green Economics and the Citizen's Income, Lord, Felton and Kennet (2012) and in Womens Unequal Pay and Poverty, (Kennet, Gale de Oliveira, Felton and Winchester. 2012) both of which books are influencing policy outcomes in some cases in governments and Ministers are using them to formulate government strategy.  There  are two main  aspects that we might propose to be  the most important  health  issues in the modern world. The first is  the investment  in  seeking out  new  and technical solutions to illness we  either  don't understand, or just can't cure yet.  The second, and  in our  opinion,  far more interesting and green aspect of health care  is the real  quest for knowledge to inform us  about  how to deliver  the skills, technology and medicines we already  have, and in some cases have  had  for decades, to  the people who need it.Distribution  to people and access to health care  is one of the  biggest challenges of the 21st century. One  c o  -  author  of this paper,  Dr  Katherine  Kennet,  says  that in her  practise, around the world , she  has  seen whole hospitals  without  a single  bar of soap. If you consider how in the  developed world we know that  the use of cleaning  and  disinfecting  and even  soap  will  be really effective  barriers to  infection spreading. Denying  patients the rights  to this  basic level of technology is what really  impacts global health  outcomes.  We have  known for over a century  that  a l ack of basic sanitation  is more than  enough to kill vulnerable  people and creating  hygenic  conditions  is one of the most effective  health care  remedies. The newer, and greener, discipline of Global Health  (The Lancet)  looks at not just modern solutions to illness, but  also  considers  the socio-economic s barriers  to rolling  out at any  level  the solutions  we already have.  A  medical  doctor's work is not always about modern science,  pharmaceuticals  and impressive  and  expensive  machines.Rather , it is increasingly about  our responsibility to care for our patients.  As Hippocrates  said, and all new doctors recite, \"first do no harm.\" It is very moving to hear 300 new Medics reciting the Hippocratic  Oath together as we recently did at Imperial College, London  University and  I think it is worth reminding readers what it says.  Although  some parts are clearly  outdated, considering  that  it is 2300  years  old it is remarkable  in its relevance  for us here. The  Hippocratic Oath as amended by the British Medical  Association  in 1997  \"The practice of medicine is a privilege which carries important responsibilities. All doctors should observe the core values of the profession which centre on the duty to help sick people and to avoid harm. I promise that my medical knowledge will be used to benefit people's health. They are my first concern. I will listen to them and provide the best care I can. I will be honest, respectful and compassionate towards patients. In emergencies, I will do my best to help anyone in medical need.I will make every effort to ensure that the rights of all patients are respected, including vulnerable groups who lack means of making their needs known, be it through immaturity, mental incapacity, imprisonment or detention or other circumstance.  My professional judgement will be exercised as independently as possible and not be influenced by political pressures nor by factors such as the social standing of the patient. I will not put personal profit or advancement above my duty to patients. I recognise the special value of human life but I also know that the prolongation of human life is not the only aim of healthcare. Where abortion is permitted, I agree that it should take place only within an ethical and legal framework. I will not provide treatments which are pointless or harmful or which an informed and competent patient refuses.  I will ensure patients receive the information and support they want to make decisions about disease prevention and improvement of their health. I will answer as truthfully as I can and respect patients' decisions unless that puts others at risk of harm. If I cannot agree with their requests, I will explain why.If my patients have limited mental awareness, I will still encourage them to participate in decisions as much as they feel able and willing to do so. I will do my best to maintain confidentiality about all patients. If there are overriding reasons which prevent my keeping a patient's confidentiality I will explain them.  I will recognise the limits of my knowledge and seek advice from colleagues when necessary. I will acknowledge my mistakes. I will do my best to keep myself and colleagues informed of new developments and ensure that poor standards or bad practices are exposed to those who can improve them.  I will show respect for all those with whom I work and be ready to share my knowledge by teaching others what I know.  I will use my training and professional standing to improve the community in which I work. I will treat patients equitably and support a fair and humane distribution of health resources. I will try to influence positively authorities whose policies harm public health. I will oppose policies which breach internationally accepted standards of human rights. I will strive to change laws which are contrary to patients' interests or to my professional ethics.\"Environmental  Health  John Snow is usually regarded  as the father of  \"Epidemiology \"  and  he  made the connection  and discovered  the relationship between  the  environment  and  health. He  made his great discovery  linking a fatal outbreak of cholera with a pump  on Broad Street in Soho, London and there was an exhibition to commemorate his work,  this year  at the London  School of Hygene  and  Tropical  Medicine. The water, he realised, was contaminated  by sewerage, making  the local residents incredibly  ill. This revelation, as recent as 1854,  showed the scientific  community that there was no  escaping the  link  between  environment, social infrastructure and health and how to  spatially  map  the  geography  of diseases.  The discipline of  \"Public Health \"  evolved  over the years to become \"International  Health\" and eventually arrived  at  its current  incarnation of \"Global Health\"  which now  widens its scope to encompass a Health  Systems approach, i.e. a view to healthcare which takes not just an ill patient into account, but  it also  considers  the social and economic landscape  which created the illness and also strives  to find solutions to their current illnesses , and  the  prevention of  future  outbreaks of  disease.Millenium  Development  Goals  (MDGs of the  United Nations  Developmnt Programme) This  issue  of  the lack  of access to healthcare is today regarded as one the key obtsacles to development,  in every sense. So much  so, that  the United  Nations has made it a priority, with its famous 8 \"M illenium  Development Goals\":1 1. To eradicate extreme  poverty  and hunger; 2. To achieve  universal  primary  education; 3. To promote  gender  equality and  empower women; 4. To reduce child  mortality; 5. To improve  maternal  health; 6. To combat HIV\/AIDS, malaria and other  diseases; 7. To ensure  environmental sustainability 8. To develop a global partnership for development.  Helen Clark  the Head  of the  United  Nations Development  Programme  and who was a lecturer  at a UK Government  training course for women  leaders which  one of the current books co -authors  taught on  gave  an interesting  speech outlining  how much progress  has  been made  as a result of the  focus  provided by the  MDGs.  She  spoke about, \"There has undoubtedly been progress on many of the indicators targeted by the MDGs. The proportion of people living in extreme poverty, on under $1.25 per day, is now half of what it was in 1990.  Good progress has been registered on access to improved water sources.  The world is within reach of seeing every child enrolled in primary school, and has achieved parity in primary education between girls and boys.  Some of the lowest income countries have made the greatest strides. Considerable progress has also been made on MDG Six on HIV\/AIDS, malaria, and TB. Alas, there are also the goals and targets where too little progress has been made  -  for example on maternal mortality reduction, universal access to reproductive health, and improved sanitation.\" She outlined the aim to be:  Accelerating MDG progress in the last 1000 days \"Despite the progress made on the MDGs, those major challenges remain: reducing hunger and undernourishment, poor sanitation, and high maternal death rates have proved to be among the most difficult targets to attain. As well, aggregate figures on MDG progress mask large disparities within and across countries  -  a matter which groups like those representing people with disabilities are emphasizing in the post-2015 consultations.\"Helen  advised  in her speech that we will still in 2015 need to acknowledge that \"By  2015 almost 1 billion people will still live in extreme poverty. Many still will not have clean water or improved sanitation. Many will still be suffering from hunger, malnutrition, the burden of preventable ill-health, gender discrimination, and more. Whether or not global MDG targets are met, such suffering is inconsistent with the vision for dignity, equity, freedom, peace, and prosperity of the Millennium Declaration.\"  And it's not just the 191 UN member states who feel these subjects are key to address. The Lancet , one of the world's leading health journals, has become a specialised Global Health journal  because Professionals  feel its so important. The Royal  Society  of Medicine in London  started an annual Global  Health  Conference in 2012. Its inaugural meeting was  on child and maternal  health and its second was on the  global burden of psychiatric disease. Both these topics are not found in mainstream economics  or medicine  and  we  think it's worth  exploring why.They are both 'unfashionable' and don't fit with the traditional Marxist view of development  and  nor do  they  fit with traditional  economists'  view s, which  are  often quoted as  being those  of the views  of \" rational economic  man\",  \" homo economicus. \"  These  issues were  swept  under the carpet,  or treated  in novels as an object  of terror in the attic like  Bertha  Mason the  wife of Mr Rochester in  the  famous  novel  Jane Eyre by Charlotte  Bronte  (1847) or  or people were stuffed into assylums when young and never let out,  a fate which  even  befell two  of the queen's own  cousins -Nerrissa and  Katherine  Bowes  -  Lyon.  Population Control  and women's health and  education  However as the medical and global health communities are  slowly  realising, these issues  and perspectives  really do form  a most  integral  part  of healthcare. Interestingly, it has been shown  that the most effective  form of population control  (a major issue  facing modern society) can only  be achieved through the empowerment of women.Where women have access to family  planning, and  the education to  be able to use it and the choice of a career, women choose to have children later, fewer of them, and both the mother and child  are healthier. Gone are the traditional roles of children as an insurance  policy for old age. In its place  is to be found  a women's economic  contribution to the household and society, making both stronger. This argument has never been played out more violently than in our \"modern\" world where Malala Yousafzai, a 14-year-old Pakistani  young girl was shot to prevent her using  her right to education  being granted and her iconic struggle back to health continues to inspire global leaders who  graphically now realise the importance of this issue to the human species over all. Women and children's health is no longer a sub-speciality, when it comes to global economics, health and development it is  the  main  performance. Without it everything  else collapses.It is true that our ancient ancestors ten thousand years ago could successfully  perform Trepannation , as early  as  7000 BC in  Ensisheim, in the French region of Alsace  (a Neolithic  early form of craniotomy to relieve raised inter -cranial pressure).  It is not only new surgeries, pharmacology and the technologies which  are  true  the modern innovations, but actually the new discovery is  much more how they are  able to be used, how they are shared and who gets access to them which is the economic, and 'global health' new  issue.  The latter is the set of issues  which  is exciting the medical community. The Marmot report, in the UK has excited social scientists  and the National Health Service  Management  and its main message is that social  deprivation leads to deprivation in health outcomes. What you put in in terms of socio economic status determines, very largely,  the outcome for a person, in terms of their  Health status  and this is a constant theme throughout our book. Improving a person's socio economic status, means that  their health  will improve. The two are completely inter- linked.Additionally,  Green Philosophy suggests that the  prevention of ill  health and  the  maintenance of Well Being is an important part of health. Hence  greens tend to consider the whole body. However this is not in  our opinion the same thing as happiness which has become a fashionable altenative buzz word in recent years  in the economics literature.  In particular ,  we find this  challenging  as the \" Greatest happiness of th e greatest number is  a Benthamite  concept from the mainstream.  The greatest happiness principle, or the principle of utility, forms the cornerstone of all Bentham's thought. By \"happiness\", he understood a predominance of \"pleasure\" over \"pain\". He wrote in The Principles of Morals and Legislation: Nature has placed mankind under the governance of two sovereign masters, pain and pleasure. It is for them alone to point out what we ought to do, as well as to determine what we shall do. On the one hand the standard of right and wrong, on the other the chain of causes and effects, are fastened to their throne. They govern us in all we do, in all we say, in all we think ..In practical  terms s and also  philosophically it would mean that in a world of say  7 billion  inhabitants  -  it would be acceptable if 1.5 billion  were starving  as all  the others were fine. However in  Green Economics, we would argue  that if  one person  out  of the 7 billion is still starving  then the  economic  theory is wrong  and other approaches need to be  sought.  There has also been great excitement over the Gross National  Happiness  Index  in Bhuttan. However, it must  be remembered  that inspite  of people from the west visiting to check this out, the fact  remains  - the choice our team has taken for  their part of this current book is the advent  of basic  sanitation,  so  far  from  being  a beacon  of best practise, once again, its the basics that people really need to maintain  good health, rather than fancy fashionable  solutions. Mental  Health  As an Institute we take a particular interest  in health  challenges and our team is  diverse and as with any community  we will find it contains people with a variety of health issues. Economists  and accountants  because of the type of work have generated a whole literature called post autistic  economics.It is a very interesting term  for many reasons. One is that it could be deemed offensive  to people on the autistic  spectrum as it's is being used in a negative way. It is also fascinating as the view of the profession was that they too must  exhibit  these more challenging  personality profiles in order to get on at work.  We  run regular  workshops about these issues  and they are  mostly  led by people who  have  a condition themselves. We try to help everyone achieve  their absolutely fullest potential  with our institute  as this gives them a thorough grounding for their successful  life  and on going career.  We pride ourselves  in how we  provide really  solid foundations for people with perhaps  personalty  challenges  or syndromes  to join our team  and in several  cases to lead it- and we all work together  in teams across  the world to achieve our common goals  and we have been remarkably  successful  with our programmes  in this respect.In particular at our annual conference at Oxford University we ran workshops on autism  and how to help  ourselves, and others if we find we recognise it also how to  take a wide balanced view of theory and of economics to include many facets that are missing  in main stream  disccourses and literature.  The workshop was run by Caroline  Hearst from \"Autism  matters\". The United Nations ,  http:\/\/www.un.org\/disabilities\/default.asp?id=1545, hows that  mental health is now ranked  with depression as no three in the global burden  of disease,  \"Millions of people worldwide have mental health conditions and an estimated one in four people globally will experience a mental health condition in their lifetime. Almost one million people die due to suicide every year, and  it is the third leading cause of death among young people. Depression is the leading cause of years lost due to disability worldwide. Mental health problems, including alcohol abuse, are among the ten leading causes of disability in both developed and developing countries. In particular, depression is ranked third in the global burden of disease, and is projected to rank first in 2030.Persons with mental and psychosocial disabilities often face stigma and discrimination, as well as experience high levels of physical and sexual abuse, which can occur in a range of settings, including prisons, hospitals and homes. The economic cost of mental health problems is vast, while reasonable investment in mental health can contribute to better mental health for people. Poor mental health is both a cause and a consequence of poverty, compromised education, gender inequality, ill-health, violence and other global challenges. It impedes the individual's capacity to work productively, realize their potential and make a contribution to their community.\" In fact the latest global The United Nations has started to try to manage th extreme burden of mental health  deficits and illness around the world seeing it as a key blocking factor to development largely due to the stress of modern life and perhaps rapid modernisation and globalisation within one generation in many  countries and the breakdown of communities  and their traditional support networks.Mental health once the poor relation has become one of the key targets  for improvement and is now included  as an important part of overall  health  delivery. The change in the United Nations and generally in research communities  supports our own views in the Green Economics Institute  expressed in the following  United Nations  quotation, that,\" Mental health well-being is closely associated to several Millennium Development Goals and economic development sectors including education, labour force participation, and productivity. Limited access to mental health care increases patient and family suffering. Unmet mental health needs have a negative effect on poverty reduction initiatives and economic development. Untreated mental conditions contribute to economic loss because they increase school and work absenteeism and dropout rates, healthcare expenditure, and unemployment.\"  Ngul et  al (2011). The Commodification  of  Care and the  elderly and frail  A key  contemporary  causal  factor in this is the commodification and globalisation of care.Whilst  some healthcare is now paid for rather than offered by the community in the traditional model, today the  person being cared for is taken out of the community, isolated and cared for in a home for money. This contributes to the calculation of the GDP figure for the nation state  but  it means that  a whole swathe of society is removed from public  life. For example, in elderly  care,  in traditional societies , the elder was a term with almost chief  like status. Everyone deferred to them  and when I was young people would get up for older  people  on the  bus  as a mark of their status.  Indeed it is believed that humans uniquely survive  their menopause  years and the input of wise elders is what has given us such an amazing power as a species.  Today, we put  older people away in homes and pay institutions to care for them for money. A  really regretable  consequence of this process means that  a) their knowledge is lost to the rest of the community  and already the literature says children today are not as academically able as previous generations, so they need the \" grandparent \" input desperately to return .Also for those communities that can't afford  to pay for  caring services , then this  is done in the home, and not in the community, as older people become invisible and something to be ashamed of and so the invisible care is done by the mother of  the house hold and the women in the community alone, putting them under even more strain.  Indeed women in their fifties often have to stop work to care for their children, their mothers  and any other  elderly  relatives. This work is not paid as \" women's\" work is assumed but not included in the GDP figures and not reported and is simply  regarded as  domestic work and  so as Waring (1990 ) exposed  -  womens'  work is not counted and it needs to be for a healthy  society. Many women provide all  the meals  for elderly parents whilst maintaining  a j ob and a family  of  their own. Additionally ,  even paid caring work is regarded as the lowest of the low and in hospitals \" care assistants\" are about the lowest paid as caring is not valued at all.We have  a major  chapter near the end of this book which presents many of leading writers, theories and ideas connected with the care  dilemas  an d the value we place  on\" elders \" and how much we are loosing  out in terms of practicality and wisdom.  However, it is also  true that infants and patients who are not \" cared for\" do not thrive  or get well. In fact caring can make all the difference between surviving or not surviving  and  getting well or succumbing to illnesses. Hence all sorts of aspects of Well Being are addressed by Greens.  Green philosophical stances encourage the use of retreats, quiet times, and at Poundbury  \"eco\" village built by Prince Charles , there is a Quiet Space Building. When I asked John Elkington author of the  book, Cannibals without forks and of  the Green Consumer Guide  and the inventor of the Triple Bottom Line, what will happen in the 21st century , in 1999 he told us  -and  we will  never forget, it will be the century of spirituality.I thought he was mad  or mistaken  or both, but no one could have foreseen that not only was he right but that  wars would once again be fought and people completely redefining  themselves  by their spirituality ,in some cases as a backlash against the modernity in what has been termed a crisis of modernity, and globalisation and unfettered consumerism. Thus  a range of alternative healthcare ideas  have  grown up. Many of these are based on traditional practises with a modern tinge. People use sweat lodges which the ancient indigenous  Americans  used to use, like a precursor to a modern sauna, festivals  where people camp out for days are increasingly popular. Healing  fields at such gatherings  are very very popular with all kinds of alternative  therapies on offer.  There is huge interest in Stone henge as an  original  gigantic  health spa from  5000 years ago. Alternative healthcare includes massage, reflexology and many  other aspects. Etienne Wenger's Multiple Intelligences informed our first Retreat, the idea of the whole person being valued and that our intelligence and our uniqueness includes, art, music, dance, physical  activity and not just academic  work.It also includes being close to nature, as it has  been proven that humans are happier when they can see trees and natural surroundings, and patients get better more quickly. Similarly,  when a patient has been cured of a disease  we don' t just cast them out to fend for themselves, the elderly and frail then need occupational therapy to avoid the same problem again and learn how to cope perhaps with a changed mobility status. Modern healthcare  deals with the whole person ,past,  present and future. As greens we want  healthcare status for everyone on the planet to be high and not just for  those who are  wealthy.  All of society does better economically  when everyone has a high health status  and  the more  equal a society is, the better its outcomes for everyone. HIV  and AIDS  The HIV and AIDS epidemics cure has been  described as 'one of the greatest success stories of modern science, not society, but science'. This seems perverse at first hearing but  when  examined it proves to be  a very true statement.Never before has a new disease had a causative agent recognised and understood, as well as  its mechanism of transfer,  not just identified but fully preventable  Although we still don't have a full cure, the life expectancy of those who contract HIV and are identified early is no shorter than those without it. However,  all of this was known to the scientific  community and the world before the bulk of the global burden of this disease occurred.  This brings  us  on to  examine  why  the HIV and AIDS pandemic happened at all.  The answer of course ,  lies in the politics, economics and social issues surrounding the subject. For us  this is the perfect example of the importance of access to medicines and lack of stigma. in finding a cure. Photo Dr Katherin e Kennet , Seeing the Doctor in Nepal, a total lack of privacy and space and time  as 3 patients are seen at the same time at the same  desk.  Seeing the Doctor in Nepal, a total  lack of privacy and space and time  as 3 patients are seen at the same time at the same  desk.Photo 2013  Dr Katherine Kennet Nepal The modern doctor training in the UK today, will learn that  gone are the days of paternalistic medicine, where the doctor knows best. No longer is a doctor necessarily  a man.  Our  own grandmother was dissuaded from becoming a doctor, as it was considered not a \" suitable job for a nice girl\" and all the doctors at that time  were men. Today in the west, your doctor is just as likely to be a woman and slightly more women are training at the UK's s top  Medical schools than men. The present day medical trainee  will be taught  that at the heart of their medical practice is so called \"patent centred medicine\" which is the the idea that the patient's informed choice is to be taken as gospel. We are taught  that it is not the doctor's role to choose the treatment, or  the lack of treatment in some cases, but to provide the necessary education for a patient to make these decisions themselves, and facilitate whatever choice they make, thus giving each patient autonomy over their body and their  own healthcare. This is certainly not the case everywhere.There are many hospitals throughout the developing world where paternalistic medicine is very much alive and well. In rural hospitals in Nepal, for example, time and financial pressures mean that a visit to the doctor involves the patient describing their health issues to a very busy Doctor in front of a whole room full of people, a brief examination, and a prescription written in English  (which the patient usually cannot read), with no explanation of what the medication is for, and often little insight into the clinicians' diagnosis. One really cannot get further from patient centred medicine. Yet despite these global differences in the practicalities of modern medicine, most new doctors still recite the Hippocratic oath, a 2000 year old promise to \"first do no harm\" and essentially (although the details have changed a bit since its first incarnation) to do right  by our patients.  What we that  hope the reader takes from this book is this; that health is a key (one could argue the key) human right  and not just because health  of  itself is important, but  also because without  it. all other developments  cannot  even begin  to take  place! References:  http:\/\/www.instituteofhealthequity.org\/projects\/fair-society-healthy-lives-the-marmot-review Accessed September 26th 2013 Stern Review of Climate Change, (2008) HM Treasury. http:\/\/www.amnesty.org\/en\/news-and-updates\/report\/maternal-death-rate-sierra-leone-quothuman-rights-emergencyquot-20090921 Accessed September 26th 2013 BBC website http:\/\/www.bbc.co.uk\/learningzone\/clips\/14005.html acessed 26th (September 2013) Lord, Felton, Kennet (2012) Green Economics and the Citizens Income. Kennet, Felton, Winchester, Gale de Oliveira, Mekonen (2012) Womens Unequal Pay and Poverty. The Green Economics Institute  http:\/\/web.bma.org.uk\/pressrel.nsf\/wall\/776B5BE6D9D1D2D0802568F50054301D?OpenDocument  The Hippocractic Oath of the BMA 1997 http:\/\/www.undp.org\/content\/undp\/en\/home\/presscenter\/speeches\/2013\/02\/27\/2013-global-mdg-conference-opening-remarks-helen-clark-undp-administrator-\/ Helen Clark and the MDG accessed  26th September 2013 WHO website, \"the Milenium Development Goals \" accessed 27\/09\/13. http:\/\/www.who.int\/topics\/millennium_development_goals\/about\/en\/index.html If Women Counted (1988) by Marilyn Waring, former New Zealand Member of Parliament http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2935265\/ Accessed 27th September 2013.Mental Health.  Ngul (2011) (Murali \u0026amp; Oyebode, 2004, p. 217). according  to Ngul  et al (2011). 010)http:\/\/www.who.int\/mental_health\/policy\/mhtargeting\/mh_policyanalysis_who_undesa. pdf  WHO  Elkington J. (1996) Cannibals without forks.  Capstone Press  Wenger, Etienne (1998). Communities of Practice: Learning, Meaning, and Identity. Cambridge: Cambridge University Press.  Bentham J.(1789)  The Principles of Morals and Legislation:","brand":"WoB","offers":[{"title":"- \/ - \/ -","offer_id":51314304385297,"sku":"","price":0.0,"currency_code":"GBP","in_stock":true},{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":51314307170577,"sku":"GOR013931065","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/1907543767.jpg?v=1751424422"},{"product_id":"rebalancing-the-economy-book-miriam-kennet-9781907543845","title":"Rebalancing the Economy","description":"Rebalancing the Economy 'It's the economy, stupid' is one of the most well-known phrases in politics and it perfectly highlights the problem with politics today. However, you cannot blame the politicians that they prioritise the economy over everything else; the problem lies in how we measure their success. GDP is the most quoted statistic about any country's economy with economic policies being judged mainly by their effect on GDP. Most other policies are heavily judged on their effect on this one statistic. Governments have risen and fallen on the back of this one statistic. In 1934 Kuznets warned against equating GDP with well-being. However, for the last 70 years that is what it has become.Growth will always trump other objectives and so these politicians only want to measure growth. This has become even more relevant since the recession, when many governments have focused on growth. Governments are voted in on their short term agendas.  One fundamental truth must be recognized: the planet cannot accommodate high income status for all 7 billion plus of its inhabitants.For every country to attain per capita GDP of $13,000 (the World Bank's definition of high income), global GDP would need to rise to $91 trillion. If, however, we already use the equivalent of 1.5 Earths to provide the resources we consume and to absorb our waste, how can we? The planet can sustainably support a GDP of around $50 trillion. If the planet already exceeds its sustainable carrying capacity, we need to be reducing our demands on it  -  not adding new ones. Simply put, we can no longer depend on GDP growth, and the limitless wealth accumulation that it implies, to solve our social and economic problems.","brand":"WoB","offers":[{"title":"- \/ - \/ -","offer_id":51765373796625,"sku":null,"price":0.0,"currency_code":"GBP","in_stock":true},{"title":"GB \/ GOOD \/ INTERNAL","offer_id":51765374058769,"sku":"GOR014394060","price":0.0,"currency_code":"GBP","in_stock":false},{"title":"GB \/ VERY_GOOD \/ INTERNAL","offer_id":51766601187601,"sku":"GOR014394394","price":0.0,"currency_code":"GBP","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0784\/4072\/6801\/files\/9781907543845.jpg?v=1751457164"}],"url":"https:\/\/www.worldofbooks.com\/en-au\/collections\/author-books-by-miriam-kennet.oembed","provider":"World of Books ","version":"1.0","type":"link"}