SOCL213 Final Flashcards

1
Q

Segregation: effects on social

A

Socially, it can lead to divisions and limited interactions between different groups, hindering understanding and unity.

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2
Q

Segregation: effects on physical environment

A

Physical environment, segregated communities may lack access to quality infrastructure and amenities.

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3
Q

Segregation: effects on economic

A

Economically, segregation can contribute to disparities in opportunities and resources, perpetuating inequality.

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4
Q

Segregation: effects on health behaviors and outcomes

A

Health behaviors and outcomes, segregation can contribute to disparities in healthcare access and quality, leading to poorer health outcomes for marginalized communities.

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5
Q

Segregation: effects on care access

A

Limited access to healthcare facilities and services can also impact preventive care and early detection of illnesses.

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6
Q

Segregation: effects on social networks

A

Social networks, as individuals may have limited exposure to diverse perspectives and experiences, leading to further isolation and limited opportunities for social mobility.

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7
Q

Causes of segregation: gentrification

A

Gentrification occurs when wealthier individuals move into lower-income neighborhoods, leading to displacement and the reshaping of the community’s demographics.

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8
Q

Causes of segregation: place stratification theory

A

Place stratification theory suggests that social and economic inequalities contribute to the spatial separation of different groups within a city or region.

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9
Q

Causes of segregation: redlining

A

Redlining, on the other hand, refers to discriminatory practices by which certain neighborhoods, often inhabited by minority groups, were denied access to financial services and resources.

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10
Q

Rural health

A

In rural areas, access to healthcare facilities and services can be more limited due to geographical distance and resource availability. This can result in challenges in receiving timely and specialized care.

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11
Q

Environmental racism

A

Environmental racism refers to the disproportionate exposure of marginalized communities, particularly communities of color, to environmental hazards and pollutants. This systemic issue stems from discriminatory practices that result in the siting of polluting industries, waste facilities, and other environmental hazards in these communities. The consequences of environmental racism can include adverse health effects, such as respiratory illnesses and higher rates of pollution-related diseases.

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12
Q

Urban health

A

Urban areas generally have more healthcare options and better access to medical facilities. However, urban environments may also come with their own health challenges, such as higher levels of pollution and increased risk of certain diseases due to population density.

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13
Q

Social Networks- network position

A

Network position refers to an individual’s position within a social network, such as being well-connected or having limited connections. This can influence access to resources, support, and information, which can impact health outcomes.

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14
Q

Social Networks- network structure

A

Network structure refers to the overall pattern and connections within a social network. For example, a dense network with strong ties can provide a strong support system, while a fragmented network may limit access to support and resources.

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15
Q

Social Networks- network effects on health

A

The network effects on health are the ways in which social networks can influence health behaviors and outcomes. Positive influences can include social support, encouragement for healthy behaviors, and access to health information. Conversely, negative influences can include peer pressure, unhealthy behaviors, and exposure to stressors.

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16
Q

Types of social support: Emotional

A

Emotional support involves empathy, understanding, and listening to someone’s feelings and concerns. It helps individuals feel validated and less alone in their experiences.

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17
Q

Types of social support: Practical

A

Practical support refers to tangible assistance, such as helping with daily tasks, providing resources, or offering practical advice. This type of support can help alleviate stress and make challenging situations more manageable.

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18
Q

Types of social support: Informational

A

Informational support involves sharing knowledge, guidance, and information to help someone make informed decisions or navigate a particular situation. It can include providing resources, suggestions, or expert advice.

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19
Q

Types of social support: Social companionship

A

Social companionship support, which involves having someone to spend time with, engage in activities, and provide a sense of belonging and social connection.

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20
Q

Social capital

A

Social capital refers to the resources and benefits that arise from social networks and relationships. It encompasses the trust, reciprocity, and shared norms within a community or group. Social capital can manifest in various forms, such as access to information, opportunities, support, and collective action. It plays a crucial role in fostering social cohesion, resilience, and overall well-being within communities. Building and nurturing social capital can lead to positive outcomes, including improved health, increased social support, and enhanced community development. It’s like having a network of friends who support and uplift each other.

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21
Q

Strength of weak ties

A

The strength of weak ties refers to the idea that connections with acquaintances or individuals outside of our close social circles can be valuable. These weak ties can provide access to new information, diverse perspectives, and opportunities that may not be present within our immediate network. While strong ties, such as close friends and family, offer support and emotional connection, weak ties can offer unique insights, job opportunities, and connections to different social circles.

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22
Q

Social policies and health outcomes

A

Social policies can have a significant impact on health outcomes. Policies that prioritize access to healthcare, education, affordable housing, and social safety nets can contribute to improved health and well-being. For example, ensuring universal healthcare coverage can help individuals receive necessary medical care, leading to better health outcomes. Similarly, policies that address social determinants of health, such as poverty and inequality, can help reduce health disparities and promote overall population health.

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23
Q

Neoliberalism and health

A

Neoliberalism is an economic and political ideology that emphasizes free markets, deregulation, and individual responsibility. Its impact on health is complex and debated. Some argue that neoliberal policies can lead to health inequalities, as they prioritize market forces over social welfare and may reduce access to healthcare for marginalized populations. Others suggest that neoliberalism can promote innovation and efficiency in healthcare systems.

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24
Q

Definition: hegemony

A

Hegemony refers to the dominance or leadership of one group or ideology over others. It involves the exercise of power and control to establish and maintain authority. In the context of social, cultural, or political systems, hegemony can shape norms, values, and beliefs, influencing the behavior and perspectives of individuals and groups. It often involves the exertion of power by a dominant group to maintain its position and suppress alternative viewpoints.

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25
Q

Definition: hybridization

A

hybridization refers to the blending or mixing of different elements, ideas, or cultures. It occurs when different cultures or ideologies interact and influence each other, resulting in the creation of something new and unique. Hybridization can lead to cultural diversity, the emergence of new identities, and the transformation of traditions and practices. It is often associated with globalization and the interconnectedness of societies.

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26
Q

Global governance – definition, actors

A

Global governance refers to the collective efforts and mechanisms aimed at addressing global issues and challenges that transcend national boundaries. It involves the coordination, cooperation, and regulation of various actors, including states, international organizations, non-governmental organizations (NGOs), and other stakeholders. These actors work together to develop policies, norms, and regulations to tackle issues such as climate change, human rights, trade, and security on a global scale.

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27
Q

Structural adjustment programs

A

Structural adjustment programs (SAPs) were economic policies implemented by international financial institutions, such as the International Monetary Fund (IMF) and the World Bank, in the 1980s and 1990s. These programs were typically imposed on developing countries as conditions for receiving financial assistance or loans. SAPs aimed to promote economic stability and growth by implementing measures such as fiscal austerity, deregulation, privatization, and trade liberalization. However, they often had negative social consequences, including increased poverty, inequality, and reduced access to social services. The impact of SAPs is a topic of ongoing debate, with critics highlighting their potential negative effects on vulnerable populations.

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28
Q

Globalization and COVID-19

A

The COVID-19 pandemic has had a significant impact on globalization. With travel restrictions, disruptions in global supply chains, and a shift towards remote work, it has forced us to rethink how interconnected our world truly is. On one hand, it has highlighted the vulnerabilities and risks of a highly globalized world. On the other hand, it has also shown the importance of international cooperation and the need for global solutions to combat a global crisis.

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29
Q

international surrogacy

A

International surrogacy is one example where individuals from one country may choose to have a surrogate mother from another country.

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30
Q

sweatshop labor

A

Sweatshop labor is another example, where workers in developing countries often face poor working conditions and low wages.

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31
Q

unhealthy foods

A

Unhealthy foods can also be a result of globalization, as multinational corporations may introduce processed and fast food options that have negative health impacts.

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32
Q

agricultural development

A

Agricultural development can be both positive and negative, as it can lead to increased food production and economic growth, but it can also contribute to environmental degradation and displacement of local farmers.

33
Q

climate change

A

Climate change is a global issue that requires international cooperation to address its impacts

34
Q

Global labor force - “race to the bottom”

A

The concept of the “race to the bottom” in the global labor force is an important aspect of globalization. It refers to the competition among countries to attract businesses by offering lower wages, fewer labor regulations, and weaker worker protections. This can lead to a downward spiral where workers’ rights and standards are compromised in order to stay competitive. It’s a complex issue with economic and social implications.

35
Q

Migration and health

A

When it comes to migration, there are various ways in which it can impact health. Migrants may face unique challenges in accessing healthcare, such as language barriers, cultural differences, and lack of documentation. Additionally, migration can also contribute to the spread of infectious diseases across borders. Ensuring equitable access to healthcare for migrants and addressing their specific health needs is crucial for promoting overall well-being.

36
Q

Pharmaceutical patents

A

They grant exclusive rights to the inventors of new drugs, allowing them to have a monopoly on the sale and production of the medication for a certain period. Patents provide protection for the significant investment made in research and development, encouraging innovation and the discovery of new treatments. However, the exclusivity granted by patents can also contribute to high drug prices, as there is limited competition during the patent period.

37
Q

Reasons for high pharmaceutical spending

A

One reason is the high cost of research and development for new drugs. Pharmaceutical companies invest significant resources in discovering and testing new medications, which can be a lengthy and expensive process. Additionally, advertising and marketing expenses also contribute to the overall cost. Another factor is the patent protection granted to pharmaceutical companies, allowing them to have a monopoly on the sale of a particular drug for a certain period. This lack of competition can lead to higher prices. Government regulations and policies, as well as the complexity of the healthcare system, can also affect drug pricing.

38
Q

Interactions between pharmaceutical companies and researchers, physicians, FDA

A

Pharmaceutical companies often collaborate with researchers and physicians to conduct clinical trials and gather data on the safety and effectiveness of their drugs. These collaborations help ensure that new medications are thoroughly tested before they are approved by regulatory bodies like the FDA. The FDA plays a vital role in evaluating the safety and efficacy of drugs and deciding whether they can be marketed and sold to the public.

39
Q

Causes of the opioid epidemic in the US: Porter and Jick letter

A

Porter and Jick Letter: The Porter and Jick letter, published in the New England Journal of Medicine in 1980, has been cited as a key factor in the opioid epidemic. The letter, authored by Hershel Jick and Jane Porter, reported on the low incidence of addiction among patients treated with opioids for pain in a hospital setting. However, the letter’s findings were misinterpreted and widely disseminated, leading to the misconception that opioid painkillers were not addictive when prescribed for legitimate medical purposes. This contributed to a surge in opioid prescribing by healthcare providers, leading to widespread overuse, misuse, and addiction to prescription opioids.

40
Q

Causes of the opioid epidemic in the US: “deaths of despair”

A

Deaths of Despair: The concept of “deaths of despair” refers to deaths caused by suicide, alcohol-related liver disease, and drug overdoses, particularly opioids. Economic factors, including job loss, financial insecurity, and declining opportunities for upward mobility, are believed to contribute to feelings of hopelessness, despair, and social isolation among individuals experiencing economic hardship. These factors can increase the risk of substance abuse and addiction as individuals turn to drugs as a means of coping with stress, trauma, and mental health challenges. Deaths of despair have been identified as a significant driver of the opioid epidemic, particularly in regions experiencing economic decline and social dislocation.

41
Q

Medicalization/pharmaceuticalization

A

Medicalization involves the expansion of medical definitions and treatments to encompass more conditions and behaviors, while pharmaceuticalization focuses on the growing influence of pharmaceutical drugs in addressing health issues. These phenomena can have both positive and negative effects. On one hand, they may lead to improved access to medical care and effective treatments. On the other hand, they can contribute to overdiagnosis, overprescribing, and the reliance on medications as a quick fix for complex social problems.

42
Q

Occupational segregation: choice of specialty

A

Occupational segregation refers to the unequal distribution of individuals across different occupations based on factors like gender, race, or socioeconomic status. When it comes to the choice of specialty in professions like medicine, there can be variations in the preferences and interests of individuals. Some factors that contribute to occupational segregation within the medical field include societal expectations, cultural norms, and personal preferences.

43
Q

Occupational segregation: wage and prestige gaps

A

In terms of wage and prestige gaps, studies have shown that certain medical specialties tend to have higher salaries and greater social prestige compared to others. This can be influenced by factors such as the demand for certain specialties, the level of training required, and the perceived value of the services provided

44
Q

Lack of diversity in medicine – causes and consequences

A
  • Some of the causes include historical inequalities, systemic biases, and limited access to educational opportunities for underrepresented groups. These factors can result in a lack of diversity in medical schools, residency programs, and healthcare professions.
  • The consequences of this lack of diversity are far-reaching. It can lead to disparities in healthcare access, quality of care, and patient outcomes. Patients from marginalized communities may face barriers in receiving culturally competent care, which can contribute to health inequities. Additionally, diverse perspectives and experiences are essential for addressing the unique healthcare needs of diverse populations and improving overall healthcare delivery.
45
Q

Medical profession and expert authority

A

-Medical professionals, such as doctors, are highly trained and possess extensive knowledge and expertise in their respective fields. Their authority is derived from their education, experience, and ongoing professional development.
- Expert authority allows medical professionals to make informed decisions, diagnose and treat patients effectively, and provide evidence-based care.

46
Q

Challenges to the medical profession (“countervailing powers”)

A

One challenge is the increasing influence of insurance companies and healthcare systems on medical decision-making. Sometimes, these external forces can prioritize cost-cutting measures over patient care, which can create tensions between providers and administrators.

47
Q

provider resistance

A

Provider resistance can also be a factor, as some doctors may resist changes in healthcare policies or protocols that they perceive as interfering with their autonomy or the quality of care they can provide. This resistance can stem from a desire to maintain traditional practices or a fear of increased administrative burdens.

48
Q

Drivers of high health care spending

A

Some of the main drivers include the cost of medical technology and innovation, the aging population and increased prevalence of chronic diseases, administrative costs, and the high prices of prescription drugs. Additionally, the fee-for-service payment model, defensive medicine practices, and the lack of price transparency all play a role in driving up healthcare costs.

49
Q

Uninsured: definitions, causes, effects on health

A
  • Uninsured, refers to individuals who don’t have any health insurance coverage at all.
  • For the uninsured, it can be due to factors like unemployment, not qualifying for public insurance programs, or simply not being able to afford private insurance.
  • Without insurance, people may delay or forgo necessary medical care, leading to undiagnosed or untreated conditions. This can result in poorer health outcomes and increased healthcare costs in the long run.
50
Q

Types of health insurance: employer

A

Employer-Sponsored Health Insurance: Many employers offer health insurance as part of their employee benefits package. These plans are typically provided by private insurance companies and can vary in terms of coverage and cost.

51
Q

underinsured: definitions, causes, effects on health

A
  • On the other hand, the underinsured refers to people who have health insurance, but their coverage is insufficient to fully meet their healthcare needs.
  • Underinsurance can occur when individuals have insurance, but the plans have high deductibles, limited coverage, or high out-of-pocket costs.
  • Underinsured individuals may face financial burdens and have difficulties accessing the care they need due to cost constraints.
52
Q

Types of health insurance: individual health insurance

A

Individual Health Insurance: Individuals can purchase health insurance plans directly from insurance providers. These plans can be tailored to the individual’s needs and can be obtained through the Health Insurance Marketplace or directly from insurance companies.

53
Q

Types of health insurance: government programs

A

Government Programs: Governments offer various health insurance programs to provide coverage for specific populations. Examples include Medicare for individuals aged 65 and older, Medicaid for low-income individuals and families, and the Children’s Health Insurance Program (CHIP) for children from low-income families.

54
Q

Types of health insurance: high deducible health plans

A

High-Deductible Health Plans (HDHP) with Health Savings Account (HSA): HDHPs have higher deductibles, but they are paired with an HSA, which allows individuals to save pre-tax money for medical expenses.

55
Q

Types of health insurance: preferred provider organization

A

Preferred Provider Organization (PPO): PPOs offer more flexibility in choosing healthcare providers. While there is a network of preferred providers, individuals can see out-of-network providers for a higher cost.

56
Q

Types of health insurance: health maintenance organization

A

Health Maintenance Organization (HMO): HMOs require individuals to choose a primary care physician (PCP) who coordinates their healthcare. Referrals from the PCP are usually needed to see specialists, and out-of-network care is typically not covered.

57
Q

Health care models around the world: National health service model

A

National Health Service (NHS) Model: This model, used in the United Kingdom, is funded through taxes and provides healthcare services that are free at the point of delivery. The government owns and operates most healthcare facilities.

58
Q

Affordable Care Act – description, effect on health care and economic outcomes

A
  • The Affordable Care Act (ACA), also known as Obamacare, was a healthcare reform law passed in the United States in 2010. Its main goal was to increase access to affordable healthcare for all Americans. The ACA introduced several key provisions, including:
    • Individual Mandate: This required most individuals to have health insurance or pay a penalty.
    • Health Insurance Marketplaces: These online platforms allowed individuals to compare and purchase health insurance plans.
    • Medicaid Expansion: The ACA expanded Medicaid eligibility to cover more low-income adults.
    • Essential Health Benefits: Health insurance plans were required to cover essential services such as preventive care, prescription drugs, and maternity care.
  • The ACA had significant effects on healthcare and economic outcomes. On the healthcare front, it expanded insurance coverage, reducing the number of uninsured individuals. It also improved access to preventive care and essential services, leading to better health outcomes for many.
  • Economically, the ACA had both positive and negative effects. It stimulated job growth in the healthcare sector and provided financial assistance to individuals and families to help them afford insurance. However, some argued that it increased healthcare costs for certain groups and imposed additional burdens on businesses.
59
Q

Health care models around the world: single payer model

A

Single-Payer Model: In countries like Canada, Australia, and Taiwan, a single-payer system is in place. The government is the sole payer for healthcare services, and citizens have access to publicly funded healthcare.

60
Q

Health care models around the world: social health insurance model

A

Social Health Insurance Model: This model, used in countries like Germany, Japan, and the Netherlands, combines elements of public and private insurance. Citizens are required to have health insurance, and contributions are made through payroll deductions.

61
Q

Health care models around the world: out of pocket model

A

Out-of-Pocket Model: In some low-income countries, healthcare is primarily paid for out-of-pocket. Individuals directly pay for the services they receive, which can pose challenges in terms of affordability and access.

62
Q

Health care models around the world: Bismarck model

A

Bismarck Model: Named after the German Chancellor Otto von Bismarck, this model is used in countries like France and Switzerland. It relies on a system of mandatory health insurance, with contributions shared by employers and employees.

63
Q

Public health investment: disease prevention and control

A

Disease Prevention and Control: Investing in public health allows for the development and implementation of preventive measures, such as vaccination programs, health education campaigns, and disease surveillance systems. These efforts help reduce the incidence and spread of diseases.

64
Q

Public health investment: health promotion

A

Health Promotion: Public health investment supports initiatives that promote healthy behaviors and lifestyles. This can include programs aimed at encouraging physical activity, tobacco cessation, healthy eating, and mental well-being.

65
Q

Public health investment health infrastructure

A

Healthcare Infrastructure: Allocating funds to public health enables the establishment and maintenance of healthcare infrastructure, including clinics, hospitals, laboratories, and emergency response systems. This ensures that communities have access to essential healthcare services.

66
Q

Public health investment: research and innovation

A

Research and Innovation: Public health investment supports research and innovation in areas such as epidemiology, public health policy, and healthcare delivery. This leads to advancements in understanding diseases, improving healthcare practices, and developing new treatments or interventions.

67
Q

Public health investment: preparedness and response

A

Preparedness and Response: Investing in public health strengthens a country’s ability to respond to emergencies and outbreaks. This includes building robust public health emergency preparedness plans, training healthcare workers, and stockpiling necessary medical supplies.

68
Q

Resilience – individual

A

On an individual level, resilience refers to the ability to bounce back from adversity, cope with stress, and adapt to challenging situations. It involves developing skills, building a support network, and maintaining a positive mindset.

69
Q

Health literacy – insurance-specific

A
  • Health literacy is the ability to understand and use health information to make informed decisions about one’s health. When it comes to insurance, health literacy is important for individuals to navigate the complexities of insurance plans and understand their coverage. Here are a few key points specific to insurance and health literacy:
    • Understanding Insurance Terminology: Insurance policies can be filled with technical terms and jargon. Developing health literacy skills can help individuals decipher these terms and understand what they mean for their coverage.
    • Knowing Your Coverage: Being health literate means understanding the details of your insurance plan, such as what services are covered, what the deductibles and copayments are, and any limitations or restrictions on coverage. This knowledge allows individuals to make informed decisions about seeking healthcare services.
    • Comparing Plans: Health literacy empowers individuals to compare different insurance plans and evaluate which one best meets their needs. This includes understanding the costs, benefits, and network of providers associated with each plan.
    • Navigating Insurance Processes: Health literacy helps individuals navigate the administrative aspects of insurance, such as understanding how to file claims, appeal denials, and utilize preventive services covered by their plan.
    • Making Informed Decisions: With health literacy, individuals can make informed decisions about their healthcare choices, taking into account factors such as the cost of services, the quality of providers, and the potential impact on their overall health.
70
Q

Equity

A

Equity focuses on addressing the specific needs and circumstances of individuals to ensure fairness. It recognizes that not everyone starts from the same place or has the same advantages. Equity involves providing resources or opportunities in a way that accounts for these differences and aims to level the playing field.

71
Q

Resilience – community

A

Communities can also exhibit resilience by coming together, supporting one another, and working collectively to overcome challenges. A strong sense of community can provide a support system during difficult times, foster social connections, and promote a shared responsibility for resilience.

72
Q

Equality

A

Equality refers to treating everyone the same and providing equal opportunities or resources to all individuals. It assumes that everyone starts from the same position and has the same needs. However, equality does not take into account the fact that different individuals may require different levels of support or accommodations to achieve the same outcome.

73
Q

Gerrymandering

A

Gerrymandering refers to the manipulation of electoral district boundaries to benefit a particular political party or group. It involves drawing district lines in a way that gives one party an unfair advantage by concentrating or diluting the voting power of certain communities. This practice can undermine the principle of fair representation and distort the democratic process.

74
Q

Disenfranchisement

A

Disenfranchisement, on the other hand, refers to the denial or restriction of voting rights to certain individuals or groups. This can happen through various means, such as imposing strict voter ID laws, purging voter rolls, or limiting access to polling places. Disenfranchisement disproportionately affects marginalized communities, including racial and ethnic minorities, low-income individuals, and young voters.

75
Q

Activism: definition and types (indirect vs. direct)

A
  • Activism is all about taking action to bring about social or political change. It involves actively engaging in efforts to address and raise awareness about issues that you care about.
    • Indirect activism focuses on creating change through non-confrontational means, such as raising awareness, education, and advocacy. This can involve organizing campaigns, writing articles or blog posts, creating art or media, or participating in peaceful protests. Indirect activism aims to influence public opinion and policy through peaceful and nonviolent means.
    • Direct activism, on the other hand, involves more direct and confrontational actions to bring about change. This can include activities like civil disobedience, sit-ins, strikes, or other forms of direct action. Direct activism often aims to disrupt the status quo and draw attention to an issue by engaging in acts of protest or resistance.
76
Q

Activism: the “problem tree”

A

A problem tree helps identify the root causes of a particular issue by breaking it down into its underlying factors and consequences. This helps activists develop strategies and actions that target the core of the problem.

77
Q

Activism: awareness insufficient

A

Awareness is a crucial first step, but it needs to be followed by concrete actions that address the root causes of the issue. This can involve organizing campaigns, advocating for policy changes, mobilizing communities, or supporting organizations that work directly to address the problem.

78
Q

Social empathy

A
  • Social empathy is an important concept that involves understanding and sharing the feelings, experiences, and perspectives of others in society. It goes beyond simply recognizing the emotions of others and extends to actively caring about their well-being and taking action to support them.
  • When we practice social empathy, we strive to put ourselves in the shoes of others and see the world from their perspective. It helps us develop a deeper understanding of the challenges, struggles, and joys that different individuals and communities face. Social empathy allows us to build connections, bridge divides, and foster a more inclusive and compassionate society.
  • Social empathy is about actively engaging with their experiences and taking action to support them. It involves listening, learning, and amplifying marginalized voices, standing up against injustice, and advocating for change.