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Preventative medicine or backdoor private healthcare?
The push to move responsibility for our health onto our personal lifestyle choices is increasing – but all the evidence about growing inequality shows that traditional in-hospital care is absolutely vital, explains HELEN O’CONNOR

THE illusion that good health comes from within individuals and is entirely based on the choices individuals make is not only false, it is paving the way for NHS hospitals to be removed from local communities.

Assumptions are made that absolutely anyone can enjoy good health if only they tried a bit harder, spent more money on courses, therapy, gym memberships or special diets. Health policy is being developed and implemented around these ideas.

While there is truth in the fact that lifestyle choices can lead to good health for some, this is only half the story. Human health, like everything else, is firmly rooted in material reality — and multiple factors, including environmental conditions, play a role in determining health outcomes.

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