Australia in 2030: what is our path to health for all?

• DOI: 10.5694/mja2.51020
• Publication Date: 2021-05-02T17:05:27Z
• Authors: Kathryn Backholer; Fran Baum; Summer M Finlay; Sharon Friel; Billie Giles-Corti; Alexandra Jones; Rebecca Patrick; Jane Shill; Belinda Townsend; Fiona Armstrong; Phil Baker; Kathryn Bowen; Jennifer Browne; Cara Büsst; Andrew Butt; Karla Canuto; Kootsy Canuto; Anthony Capon; Kirstan Corben; Mike Daube; Sharon Goldfeld; Robert Grenfell; Lucy Gunn; Patrick Harris; Kellie Horton; Lewis Keane; Jennifer Lacy-Nic...; Selina N Lo; Raymond W Lovett; Melanie Lowe; Jane E Martin; Nadia Neal; Anna Peeters; Tahna Pettman; Aileen Thoms; Anne Marie T Thow; Anna Timperio; Carmel Williams; Annemarie Wright; Belen Zapata-Diomedi; Sandro Demaio
• Keywords: Digital Technology; Native Hawaiian or Other Pacific Islander; Health Equity; Social Determinants of Health; 9. Industry and infrastructure; Australia; Commerce; 1. No poverty; Health Promotion; 16. Peace & justice; Community Health Planning; 3. Good health; 12. Responsible consumption; 03 medical and health sciences; 0302 clinical medicine; 13. Climate action; 11. Sustainability; Health Services, Indigenous; Humans; 10. No inequality; Environmental Health; Forecasting

CHAPTER 1: HOW AUSTRALIA IMPROVED HEALTH EQUITY THROUGH ACTION ON THE SOCIAL DETERMINANTS OF HEALTH: Do not think that the social determinants of health equity are old hat. In reality, Australia is very far away from addressing societal level drivers inequity. There little progressive policy touches on conditions daily life matter for health, and action to redress inequities in power, money resources almost non-existent. this chapter we ask you pause reality come a fantastic journey where envisage how COVID-19 was great disruptor accelerator positive action. We offer glimmers what could be like if there committed real equity. It vital sector assists convening multisectoral stakeholders necessary turn fantasy into reality. 2: ABORIGINAL AND TORRES STRAIT ISLANDER CONNECTION TO CULTURE: BUILDING STRONGER INDIVIDUAL COLLECTIVE WELLBEING: Aboriginal Torres Strait Islander peoples have long maintained culture (ie, practising, maintaining reclaiming it) good wellbeing. However, knowledge understanding has been dismissed or described as anecdotal intangible by Western research methods science. As result, poorly acknowledged determinant wellbeing, despite its significant role shaping individuals, communities societies. By extension, cultural defined until recently. an increasing amount scientific evidence supports people always said - strong plays improved Owing known gaps knowledge, aim define describe their relationship with provide full examples links also discuss future directions will enable deeper people. 3: PHYSICAL HEALTHY, LIVEABLE SUSTAINABLE COMMUNITIES: Good city planning essential protecting improving human planetary health. Until recently, however, collaboration between planners public languished. review benefits propose agenda advocacy relating health-promoting all 2030. Over next 10 years, urgent need leaders collaborate advocate evidence-informed policy, evaluate effects efforts. Importantly, integrated across levels government sectors, create healthy, liveable sustainable cities all. 4: PROMOTION IN ANTHROPOCENE: ECOLOGICAL Human inextricably linked natural environment. chapter, focus ecological including critical threats environment, opportunities promotion arising co-benefits actions protect planet. characterise Anthropocene sobering snapshot science, particularly momentous climate change impacts Australia. highlight Australia's position major fossil fuel producer exporter, country lacking cohesive timely emissions reduction policy. roadmap action, four priority directions, point scaffold guiding approaches Indigenous people's systems, economics, climate-resilient development. Our situation requires paradigm shift, demands recalibration education, practice over coming decade. 5: DISRUPTING COMMERCIAL vision 2030 Australian economy promotes optimal current generations. To achieve this, patterns corporate consumption harmful commodities services change. suggest ways forward Australia, focusing pragmatic can taken now power imbalances corporations governments citizens. begin exploring terms making must it conflicted commercial interests. examine marketing unhealthy products more effectively regulated, healthier business practices incentivised. Finally, make recommendations various hold account, ensure before profits healthy prosperous 6: DIGITAL TRANSFORMATION: live age rapid exponential technological Extraordinary digital advancements fusion technologies, such artificial intelligence, robotics, Internet Things quantum computing constitute often referred revolution Fourth Industrial Revolution (Industry 4.0). Reflections require thorough consideration technologies systems they influence. Just unfold unknown, but clear integrations fundamentally influence our wellbeing future. The response proactive, involving many stakeholders, thoughtfully considered equitable ethical applications use. 7: GOVERNANCE FOR EQUITY: A VISION OUR FUTURE: Coronavirus disease 2019 caused take stock direction relation community, jobs, environmental sustainability, income wealth. desire air. This imagines changes way govern lives value society solve issues facing most pressingly, crisis growing economic inequities. present imagined governance structures designed transparent fair behaviour those increase involvement citizens these decisions, constitutional voice peoples. imagine were made measuring progress new ways, ensuring taxation good, enshrining rights (including health) legislation, encouraging independent media. Measures overcome adopted democratic processes introduced provision housing, education community