Tag Archives: personal

Dear Public Health: the public despises you, so you are probably doing it wrong

by Carl V Phillips

A collection of disjointed, though related, thoughts I have had for days, months, and years have coalesced together in a very interesting way. The thesis here is a theory I have evolved based on experience and focused thought over a couple of decades, not some flight-of-fancy. Still, I grant that this story is necessarily simplified and certainly there is room for debate. Also, as will quickly become apparent, this is not a typical post for this blog, but it is quite relevant.

The title of this post is something I paraphrase periodically in a tweet. But that phrasing is something I would have rejected a decade-and-a-half ago, when I first started working in THR. At that time, I repeatedly objected to the opponents of harm reduction being referred to as public health, which is of course the diametric opposite of what they were and are, assuming we think that public health is about improving people’s health.  Continue reading