Showing posts with label academic. Show all posts
Showing posts with label academic. Show all posts

Tuesday, 22 March 2016

Celebrations and health equity in Ghent


Can we justify the kind of celebrations accompanying an honorary doctorate? Putting on funny gowns and hats, having bands and choirs, and walking through the streets in procession? Not to mention the lectures and dinners that accompany such an occasion. We can indeed. Not for the first time this year – see Bangkok – I have had occasion to reflect that such celebrations are a wonderful testament to scholarship. They take us out of the everyday political concerns of austerity and cuts, the human concerns of war and refugees, the economic concerns of global slow downs and market uncertainty and allow space to reflect on what universities can contribute to our civilisation. Five of us received honorary doctorates from Gent University – it has no “h” in Flemish, but seems to have gained one in English – a statistician from Sydney, an expert in fire safety now in Brisbane, an animal physiologist from Pennsylvania, a Belgian choreographer and me.

The diversity made the occasion even more special. I can illustrate. Several years ago a visiting American colleague gave me a copy of A Civil Action by Jonathan Harr. When my guest left I glanced at the book. Then something happened that has only one or two precedents in my life – I read through the night, literally. (If I recall, TS Eliot read through the night and went south in winter. I stayed put with the book.) It is a story of a small cluster of childhood leukaemia cases in a town north of Boston. A local factory was pumping so much chemical into the water that it was coloured. The question was whether the chemical was causing the leukaemia. Difficult scientific question. Reading the book, riveted by the book, I was convinced that a legal process is not the best way to settle scientific questions of cause and effect. Louise Ryan, now a statistics professor back in her native Australia, had had some involvement in this fascinating question while at Harvard. In case you are wondering, the legal case did not resolve it satisfactorily.

Next up, I remembered a typical long article in the New Yorker. A man in Texas was executed for murdering his children. There had been a fire in his house, the children died and he was accused of arson and hence murder. A fire expert said that the pattern of the fire was typical of arson and that clinched the man’s guilt, despite his repeated professions of innocence. Later expertise, too late, questioned the conventional wisdom and showed it to be false. It turned out that the pattern of the fire was NOT typical of arson and should not have been incriminating. Professor Jose Torrero from the School of Engineering in Brisbane had been important in bringing real science to the question and revising understanding.

My ‘promotor’ was Jan de Maeseneer who built up the Department of Family Medicine and Primary Health Care of Universiteit Gent. They had been part of the knowledge network on health systems of the Commission on Social Determinants of Health. Now, under Professor Sara Willems, social determinants of health is an important theme of their department. To that end they take students out into the community to experience the reality of people’s lives and encourage their feelings of empathy and their understanding of social determinants of health.

Another theme running through each of the honorary doctorates is the importance of networks and human relations in academic life. Though their countries of work are spread,  each of the honorary graduands, now graduates, had close intellectual and personal links with their promotor at Gent. There is a global community contributing to knowledge and understanding. That surely is ample reason to have a day of celebration.



Monday, 1 June 2015

Celebrating Scholarship

It has been a fortnight of celebrations. Celebrations of scholarship.

University graduations are moving occasions: times of celebration of achievement and hope. There will be time for disappointment and frustration, time for cynicism and loss of ideals. But not now, not at graduation. Now is the opening up of possibilities to make a difference. Perhaps that is why the Americans call the completion of University studies: commencement. In Sweden they call it promotion – my fortnight was bookended by graduations in Yale and Lund. In both cases, the University itself put on a grand occasion to honour their graduates – to celebrate scholarship. It is wonderful and moving, and a special interlude in the rhythms of what we do the rest of the time.

When in Britain the previous government raised university fees, the arguments seemed to be that lucky university students will gain economic benefit from a degree; therefore, they should pay. And Universities are pushed to show that they contribute to the economy. They do. But universities are about much more than enhancing earning power for individuals and the nation. They are places of scholarship and commitment, of morality and reason. And graduation is a time to celebrate this higher calling.

I was at Yale on 18 May for their graduation. I come with my inequality baggage of course. Yet awareness that these Yale students, many of them, had enormous privilege just to get to Yale, and accumulate even more being a graduate, didn’t stop my enjoyment of the splendid occasion. In the School of Public Health graduation ceremony, Jordan Emont, who spoke, brilliantly, on behalf of the students said they were united in their desire to contribute to a healthier future for the population, to confront the challenge of health inequalities. He spoke not of increased earning power but of the special bond with his fellow students and their joy of learning.

I was slightly disoriented. The academic procession, in full academic regalia, was accompanied by Elgar’s Pomp and Circumstance March. Shades of ‘Last Night of the Proms’, the BBC’s annual patriotic flag fest. Land of Hope and Glory, a British patriotic ode, in the US? The Dean, Paul Cleary, assured me that there was no political significance; they always played Elgar at Commencement. Paul was a great host and clearly a great dean as one graduating student after another hugged him. An oxytocin surge to warm up a formal afternoon.

Yale awarded me the Centennial Winslow medal in commemoration of the Founder of Yale School of Public Health in 1915. I quoted Winslow. In 1940 he wrote: In 1890 public health was an engineering science. In 1940, it is a medical science. Tomorrow it may be a social science. We must “pay attention the social environment that man has made for himself and in which he lives and moves and has his being…” Not a bad description of social determinants of health. Thank you, Charles-Edward Amery Winslow.

Winslow understood relative inequality. He wrote: “the sense of inferiority due to living in a substandard home is a far more serious menace to the health of our children than all the in satinary plumbing in the United States.” Wish I’d said that.

Some American politicians seem to be mired in pre-enlightenment thinking. Quoting Kant, I suggest to the graduating students that each of them “have the courage to use your own understanding”; and still moved by my meeting with him, I quoted Bernard Lown: Never whisper in the presence of wrong.

Could you take someone seriously who looked like this?