I used to very politely say that if there is free will then it's in all sorts of boring places, like whether you're going to pick up this or that fork as you begin your meal. There really is none: It's all biology.
Robert SapolskyRead
I expected social rank to be the determining factor in health, and in some ways that's true. But far more important is what sort of society that rank occurs in. Being low ranking in a benevolent troop is a hell of a lot better for your blood pressure than being low ranking in an aggressive troop.
Interpretation
Social rank affects health, but the nature of the society plays a crucial role.
The quote emphasizes that while an individual's social status can influence their health, the characteristics of the surrounding society or community are even more significant. Being part of a supportive and benevolent group can offer better health outcomes than being in a hostile environment, regardless of one's social position within that group.
In practice
During a seminar on community health, this quote can illustrate the importance of social support systems.
I used to very politely say that if there is free will then it's in all sorts of boring places, like whether you're going to pick up this or that fork as you begin your meal. There really is none: It's all biology.
When you've wised up enough, there is a very clear conclusion that you have to reach after a while, which is, at the end of the day, it is really impossible for one person to make a difference.
My adolescent rebellions took the form of, if anything, passive aggressively doing what was asked of me but doing it ten times more than what was asked of me, so that eventually they'd have to beg me to stop.
When humans invented material inequality, they came up with a way of subjugating the low-ranking like nothing ever seen before in the primate world.
Yes, genes are important for understanding our behavior. Incredibly important - after all, they code for every protein pertinent to brain function, endocrinology, etc., etc. But the regulation of genes is often more interesting than the genes themselves, and it's the environment that regulates genes.
That's what stress management is about, that's what psychotherapy is about, finding religion, or finding your loved one or your hobby - any of those, they give you more outlets, more of a sense of control, more of a sense of predictability, of social support. They give you the means to psychologically finesse ambiguous outside reality.
As has been well documented, I smoked pot as a kid, and I view it as a bad habit and a vice, not very different from the cigarettes that I smoked as a young person up through a big chunk of my adult life. I don't think it is more dangerous than alcohol.
Expanding health coverage is not a technical issue but a political one; it should be seen as a right and a means to development.
Public health is a powerful tool to level that playing field, to bend the arc of our country away from distrust and disparities and back towards equity and justice.
Never affirm or repeat about your health what you do not wish to be true.
And so our goal on health care is, if we can get, instead of health care costs going up 6 percent a year, it's going up at the level of inflation, maybe just slightly above inflation, we've made huge progress. And by the way, that is the single most important thing we could do in terms of reducing our deficit. That's why we did it.
Medical professionals, not insurance company bureaucrats, should be making health care decisions.
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