Why the poor can't be healthy

    “Better to be poor but healthy than rich but sick” are the first words that come to my mind for many of my patients, and these words have ceased to be relevant since 1946, when the charter of the World Health Organization was adopted.

    Since 1946, the poor man has ceased to be considered healthy. Poverty became the same defect as the absence of a part of the body or the presence of a disability due to a chronic disease.

    A qualitative leap has taken place from understanding health, as the absence of diseases and injuries, to health, as a result of complete physical, mental and social well-being . Quality of life has become another measure of health. To console myself with the fact that I am not sick, because I do not really need wealth, it does not work out anymore.

    Medicine is a very conservative field of activity, and paradigm changes are slow and gradual. The concept of a biomedical model of medicine that prevails until the end of World War II, crystallizes into a biopsychosocial model of medicine only at the beginning of the third millennium .

    If for the biomedical model the absence of illness or injury is enough to consider the patient healthy, then for the biopsychosocial model of medicine, factors of quality of life are also important (the lifestyle of both a healthy and a sick person).

    “Healthy lifestyle”, healthy lifestyle - words that are found everywhere and, as usual, are understood in the context: went to the gym - ate salads and fruits. About sleep patterns and the environment less often. About the quality of work, friendships and family relations is even less common. Quality sex, as a healthy lifestyle factor, pops up from memory sometimes. But money, as a health factor, is a taboo.

    At the same time, physical, mental and social well-being depend on monetary income. The amount of money earned reflects poorly - everyone needs their own level of cash flow in order to live in abundance. Affluence is a relative condition.

    Here is an approximate list of questions that you should ask yourself in order to understand whether you live in abundance:

    • What is the balance of expenses and incomes (accumulation, live in debt or in zero)?
    • Is there a financial “airbag” (cash accumulation that allows them to live on normal consumption for two months)?
    • Do you save on the quality of food, can you fully eat 2-3 times a day?
    • Do you have a daily linen change, a full set of clothes and shoes according to the weather?
    • Do you have a separate space for life?
    • How much free time do you have besides work and travel from / to work?
    • Do you have time to sleep?
    • Can you afford to buy “unnecessary” things?
    • Do you have time and money to recover from work and rest?
    • How safe and confident do you feel financially in a relationship (with family and friends, at work)?
    • How many sources of income do you have?
    • How many hundreds of items on your wish list do you have?

    Poverty is quickly revealed by a list of these issues. Even well-earned people find on this list those uncomfortable questions that ask the question: “If I am so successful, why is it bad here and here?”

    As soon as there is an understanding that prosperity involves not only the amount of money, but also the knowledge and skills to properly manage it, the biopsychosocial model of medicine enters the scene. The key role in this model consists in training to find patterns of behavior that are optimal for human health, to work independently on the quality of one’s life, and to change the public worldview to improve public and personal health.

    An example of the introduction of new principles of understanding health is the UN program to eradicate poverty and poverty, integrate people with disabilities into society, gender equality, decent work and sustainable growth, maintain the environment ...

    National programs are good, but how can I be specific? It is impossible to give a definite answer to this question. There are a lot of individual factors that only you and financial literacy programs can take into account that help you develop your own strategy for achieving prosperity.

    UPD. Not everyone was able to notice references in the text to the official definition of “health” from the WHO charter : “Health is a state of complete physical, mental and social well-being, and not just the absence of diseases and physical defects.”

    And a review article on the establishment of a biopsychosocial approach to medicine .

    Health is more than just the absence of disease or injury, and one of the components of health is a state of affluence. The topic is painful for many, I will be glad if the article helps in understanding the health problems of Habr readers.

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