2020 2021 DISCUSSION PACKET - Global Wellness: It's More Than Just Health Care - Minnesota State High School League

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2020 – 2021
 DISCUSSION PACKET

Global Wellness: It’s More
 Than Just Health Care
           Rachel Schott, Class A

          Mike Worcester, Class AA

     Minnesota State High School League
          2100 Freeway Boulevard
       Brooklyn Center, MN 55430-1735
               www.mshsl.org
Overview of Discussion
“Problem-solving Discussion is an effort on the part of a small group to reach a
solution to a problem through informal interchange of facts, inferences, and
judgments. This method of discussion seeks consensus rather than majority rule.
The focus of this event should be the encouragement of cooperation and critical
thinking to arrive at the collective goal of better understanding and problem
solving.” (MSHSL Rules and Policies Manual)

The purpose and goal of the category of Discussion is to help students learn critical
thinking skills, what constitutes quality research, effective group communication tactics,
and problem-solving techniques. Discussion emphasizes that participants utilize
consensus building tools to accomplish their goals. Encouraging a thoughtful exchange
of substantive information, positive group interactions, and full participation by all should
be the goal of every coach, student, and judge involved in this category. Game-playing
and confrontational verbal (or non-verbal) tactics should be dissuaded.

               Overview of This Year’s Topic
At first glance, the word wellness is often used in the context of free of disease or infirmity.
Wellness, however, can mean so much more than that. It can mean well-being of mind,
well-being of environment, well-being of spirit. This year’s topic will accept a broad
definition of “wellness” as it applies to our global community. It will be more than just
health care and related. How global inhabitants achieve wellness in all unique areas of
their lives deserves exploration and understanding. While at first glance this may seem
daunting, the specific sub-points were chosen to provide direction to coaches,
competitors, and judges.
TASK INFORMATION
                  Tasks at Invitational Tournaments
While the Minnesota State High School League does not limit the use of topic areas used
for Discussion at invitational speech tournaments, the Discussion Committee
recommends the following schedule to give students experience with all parts of the
outline:
       ●   Start of Regular Invitational Season – February 21: Subsection Topics
       ●   February 22 – Last Regular Season Invitational: Section Topics
       ● State Tournament Tasks – Students should be prepared for tasks from both
       areas of the outline.

Tournament Managers Please Note: Whether or not you choose to follow the above
schedule, it is vital that you communicate to your participating schools which part(s) of
the outline you will use and how you will be organizing your Discussion rounds.

      Tasks at Subsection and Section Tournaments
Tasks for subsection and section tournaments will follow the procedure instituted in the 2016
season – Tournaments will no longer receive a full slate of tasks from which to choose.
Instead they will receive a set of four or five tasks for those tournaments. Those tasks will be
date specific (unique to one or two sets of tournaments) and will not be repeated at other
tournaments.
While the actual tasks shall not be shared beforehand with teams competing at subsection or
section tournaments, the specific outline sub-points used will be sent with the sets and,
following procedure established in 2018, must be communicated to all coaches in your sub
and/or section within a time frame that affords adequate preparation for participating teams.
For example – “Our [subsection/section] tournament will use Area 1, Sub-points A, C, D, J.”

                        Tasks at State Tournament
State tournament tasks will follow the same procedure as previous seasons. Separate sets
will be written for each day and chosen at random for each round of competition. Participants
should be prepared for tasks from both areas of the outline.
2020 – 2021 MSHSL Discussion Topic Outline

                        Global Wellness:
                It’s More Than Just Health Care

I. Global Wellness Through A Domestic Lens (Sub-section Topics)
      A. US involvement in international cooperative agreements/organizations (WHO,
          UNICEF, Paris Climate Accords)
      B. Role of Pharmaceutical Companies (benevolence vs. profit)
      C. Treatment of Mental Health concerns
      D. Treatment of Displaced Peoples and Lost Livelihoods (employment, housing,
          refugees)
      E. Emerging Dangers -- Medical, Climate, Economic
      F. Role of Governmental Organizations in Aiding Wellness (CDC, NIH, FDA, et al)
      G. Economic/Financial Wellness Based on Geography, Class, and Other
          Demographic Factors
      H. Access to equitable education
      I. Food insecurities and the distribution of food products.
      J. Impact of Climate-Related Events (hurricanes, fires, floods, droughts)

II. Global Wellness Through An International Lens (Section Topics)
       A. Appropriate Role of International Cooperative Agreements/Organizations
       B. Emerging Dangers -- Medical, Climate/Ecological, Economic
       C. Access to equitable/affordable health care for all demographic groups
       D. Food insecurities and the distribution of food products.
       E. Cultural Considerations in Promoting Wellness (sensitivity to local norms, religious
           issues, etc.)
       F. Global Best Practices - What can be learned from other nations’ experiences.
       G. Role of Non-Governmental Organizations In Aiding Wellness (Red Cross, Oxfam,
           Red Crescent, Doctors Without Borders)
       H. Wellness in the Face of Gender Inequities
       I. Wellness In The Face of Class Disparities (inequities in evaluation of/access to
           wellness and wellness programs)
       J. Response to Climate-Related Events (hurricanes, fires, floods, droughts)

      .
BIBLIOGRAPHY

The bibliography is intended as a starting point for researching this topic, with each sub-point having at
least three citations. General interest web sites are listed at the end. It is not meant to be exhaustive
and represents a fraction of the resources available to prepare for Discussion rounds. A source listed in
one area may be applicable to other subtopic points.

I. Global Wellness Through A Domestic Lens (Sub-section Topics)

        A. US involvement in international cooperative agreements/organizations (WHO,
        UNICEF, Paris Climate Accords)

           1. The U.S. Government and Global Health. Kaiser Family Foundation, 30 July
              2019. https://www.kff.org/global-health-policy/fact-sheet/the-u-s-government-and-
              global-health/
           2. The United States of America: Partner in global health. World Health
              Organization. https://www.who.int/about/funding/contributors/us-impact
           3. Analysis: U.S. Role In The Paris Agreement. Climate Interactive. 27 April 2017.
              https://www.climateinteractive.org/analysis/us-role-in-paris/
           4. Here's what we'll lose if the U.S. cuts ties with the WHO. National Geographic,
              July 2020. https://www.nationalgeographic.com/science/2020/07/what-we-will-
              lose-if-united-states-cuts-ties-with-world-health-organization/

        B. Role of Pharmaceutical Companies (benevolence vs. profit, intellectual property)

           1. Collaborating to address our global public health challenges. McKinsey &
              Company, 12 June 2018. https://www.mckinsey.com/industries/pharmaceuticals-
              and-medical-products/our-insights/collaborating-to-address-our-global-public-
              health-challenges
           2. Global pharmaceutical industry - statistics & facts. Statista. 14 October 2020.
              https://www.statista.com/topics/1764/global-pharmaceutical-industry/
           3. Drug Companies Are Focusing on the Poor After Decades of Ignoring Them.
              New York Times. 24 June 2019.
              https://www.nytimes.com/2019/06/24/health/drugs-poor-countries-africa.html

        C. Mental Health Concerns (treatment availability and funding, stigma)

           1. Elevating mental health on the world stage. American Psychological Association.
              1 January 2020. https://www.apa.org/monitor/2020/01/cover-trends-mental-
              health
           2. Mental Health. The World Bank. Updated 2 April 2020.
              https://www.worldbank.org/en/topic/mental-health
3. Mental Health Conditions and Substance Use: Comparing U.S. Needs and
     Treatment Capacity with Those in Other High-Income Countries. The
     Commonwealth Fund, 21 May 2020
     https://www.commonwealthfund.org/publications/issue-briefs/2020/may/mental-
     health-conditions-substance-use-comparing-us-other-countries

D. Treatment of Displaced Peoples and Lost Livelihoods (employment, housing,
refugees)

  1. The Human Downsides of Job Loss in Good Times and Bad. Scholars Strategy
     Network. 5 June 2018. https://scholars.org/contribution/human-downsides-job-
     loss-good-times-and-bad
  2. Draft Global Action Plan ‘Promoting the health of refugees and migrants (2019-
     2023). World Health Organization. https://www.who.int/migrants/en/ (Access the
     PDF of the Draft Action Plan referenced in the article)
  3. Can Health Systems Solve America’s Social Inequities? Kahn, Karen. Nonprofit
     Quarterly. 6 April 2018. https://nonprofitquarterly.org/can-health-systems-solve-
     americas-social-inequities/

E. Emerging Dangers -- Medical, Climate, Economic

  1. Climate Change is Having a Major Impact on Global Health. Scientific American.
     1 March 2019. https://www.scientificamerican.com/article/climate-change-is-
     having-a-major-impact-on-global-health/
  2. Plan: Preventing Future Pandemics Requires Sweeping U.S. Action on Wildlife
     Trade. Natural Resources Defense Council. 18 May 2020.
     https://www.nrdc.org/media/2020/200518
  3. Income Inequality: It’s Also Bad for Your Health. New York Times, 30 March
     2015. https://www.nytimes.com/2015/03/31/upshot/income-inequality-its-also-
     bad-for-your-health.html

F. Role of Governmental Organizations in Aiding Wellness (CDC, NIH, FDA, et al)

  1. AP-NORC/USAFacts Poll: US Trust in COVID-19 Information Down. Minneapolis
     Star Tribune. 20 October 2020. https://www.startribune.com/ap-norc-usafacts-
     poll-us-trust-in-covid-19-information-down/572802442/
  2. Do we need protection from ourselves to live healthy? Philly Voice, 31 July 2020.
     https://www.phillyvoice.com/public-health-regulations-governmental-control-
     covid-19-pandemic-coronavirus-obesity-smoking/
  3. The Federal And State Role In Mental Health. Mental Health America.
     https://www.mhanational.org/issues/federal-and-state-role-mental-health
G. Economic/Financial Wellness Based on Geography, Class, and Other Demographic
Factors

  1. Healthy People 2030. Center for Disease Control and Prevention. 18 August
     2020. https://www.cdc.gov/nchs/healthy_people/hp2030/hp2030.htm
  2. How Financial Inclusion Can Boost a Nation’s Health & Well-Being. Consultative
     Group to Assist the Poor. 5 October 2016. https://www.cgap.org/blog/how-
     financial-inclusion-can-boost-nations-health-well-being
  3. Geography of economic inequality. Washington Center for Equitable Growth, 31
     October 2016. https://equitablegrowth.org/geography-of-economic-inequality/

H. Access to equitable education

  1. Teacher & Principal School Report: Barriers to Equity in Education. Scholastic.
     https://www.scholastic.com/teacherprincipalreport/barriers-to-equity.htm
  2. 10 Barriers to Education That Children Living in Poverty Face. Global Citizen. 13
     August 2019. https://www.globalcitizen.org/en/content/10-barriers-to-education-
     around-the-world-2/
  3. Distance Learning During The Coronavirus Pandemic: Equity And Access
     Questions For School Leaders. Forbes, 17 March 2020.
     https://www.forbes.com/sites/colinseale/2020/03/17/distance-learning-during-the-
     coronavirus-pandemic-equity-and-access-questions-for-school-
     leaders/#3bfac281d4d8

I. Food insecurities and the distribution of food products.

  1. Social Determinants of Health: Food Insecurity in the United States. Altarum
     Healthcare Value Hub. June 2020.
     https://www.healthcarevaluehub.org/advocate-resources/publications/social-
     determinants-health-food-insecurity-united-states
  2. Food Security and Nutrition Assistance. U.S. Department of Agriculture,
     Economic Research Service. https://www.ers.usda.gov/data-products/ag-and-
     food-statistics-charting-the-essentials/food-security-and-nutrition-
     assistance/#:~:text=In%202019%2C%2089.5%20percent%20of,than%202018%
     20(11.1%20percent).
  3. Food Insecurity In The U.S. By The Numbers. National Public Radio, 27
     September 2020. https://www.npr.org/2020/09/27/912486921/food-insecurity-in-
     the-u-s-by-the-numbers

J. Impact of Climate-Related Events (hurricanes, fires, floods, droughts)

  1. How Health Systems Are Meeting the Challenge of Climate Change. Harvard
     Business Review. 18 September 2019. https://hbr.org/2019/09/how-health-
     systems-are-meeting-the-challenge-of-climate-change
2. Extreme Weather Events Linked to Poor Mental Health. Science Daily. 5
           September 2019.
           https://www.sciencedaily.com/releases/2019/09/190905080114.htm
        3. How Extreme Weather Events Affect Mental Health. American Psychiatric
           Association, https://www.psychiatry.org/patients-families/climate-change-and-
           mental-health-connections 4

II. Global Wellness Through An International Lens (Section Topics)

      A. Appropriate Role of International Cooperative Agreements/Organizations

        1. How to Fix the WHO, According to an Expert. Vox. 29 May 2020.
           https://www.vox.com/2020/4/19/21224305/world-health-organization-trump-
           reform-q-a
        2. Role of non-governmental organizations in global health. International Journal of
           Medicine & Community Health, January 2016.
           https://www.researchgate.net/publication/288891855_Role_of_non-
           governmental_organizations_in_global_health
        3. Global Health Equity and Advocacy: The roles of international Non-governmental
           Organizations. Health, Culture & Society (2012).
           https://hcs.pitt.edu/ojs/index.php/hcs/article/view/41/97

      B. Emerging Dangers -- Medical, Climate/Ecological, Economic

        1. These are the 10 Biggest Global Health Threats of the Decade. World Economic
           Forum. 17 February 2020. https://www.weforum.org/agenda/2020/02/who-
           healthcare-challenges-2020s-climate-conflict-epidemics/
        2. Global Health Threats of the 21st Century. International Monetary Fund.
           https://www.imf.org/external/pubs/ft/fandd/2014/12/jonas.htm
        3. Top five risks to the global economy in 2020. The Economist. 27 February
           2020. https://www.eiu.com/n/top-five-risks-to-the-global-economy-in-2020/

      C. Access to equitable/affordable health care for all demographic groups

        1. Legal agreements: barriers and enablers to global equitable COVID-19 vaccine
           access. The Lancet, 7 December 2020. (One example of how legal issues
           hinder equal access to care.)
           https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31873-
           0/fulltext
        2. Equity of access to health care: outlining the foundations for action. Journal of
           Epidemiology & Public Health. https://jech.bmj.com/content/58/8/655
        3. Health Equity — Are We Finally on the Edge of a New Frontier? New England
           Journal of Medicine, 10 September 2020.
           https://www.nejm.org/doi/full/10.1056/NEJMp2005944
D. Food insecurities and the distribution of food products.

  1. Who Are the World’s Food Insecure? Identifying the Risk Factors of Food
     Insecurity Around the World. Economic Research Service, US Department of
     Agriculture. 3 June 2019. https://www.ers.usda.gov/amber-waves/2019/june/who-
     are-the-world-s-food-insecure-identifying-the-risk-factors-of-food-insecurity-
     around-the-world/
  2. The State of Food Insecurity and Nutrition In The World. Food and Agricultural
     Organization of the United Nations. http://www.fao.org/publications/sofi/2020/en/
  3. Food Security. The World Bank. https://www.worldbank.org/en/topic/food-
     security

E. Cultural Considerations in Promoting Wellness (sensitivity to local norms, religious
issues, etc.)

  1. Wellness Rethink, and The Global Wellness Summit, Singapore 2019. Ageist,
     23 October 2019. https://www.weareageist.com/wellness/wellness-and-the-
     global-wellness-summit-singapore-2019/
  2. Global Challenges in Corporate Wellness - How to Turn Game Around.
     Corporate Wellness Magazine.com.
     https://www.corporatewellnessmagazine.com/article/global-challenges-in-
     corporate-wellness
  3. Multicultural Competency in Wellness. National Wellness Institute. 2020.
     https://nationalwellness.org/resources/multicultural-competency-in-wellness/
  4. The Role of Implicit Bias and Culture in Managing or Navigating Healthcare.
     Hospital for Special Surgery (HSS). 23 June 2020.
     https://www.hss.edu/conditions_role-implicit-bias-culture-managing-navigating-
     healthcare.asp

F. Global Best Practices - What can be learned from other nations’ experiences.

  1. Blomberg’s Global Health Index For 2020. World Health.Net. 18 June 2020.
     https://worldhealth.net/news/bloombergs-global-health-index-2020/
  2. From Siestas to Saunas: the 10 European wellbeing traditions everyone should
     try. The Guardian. 2 March 2020.
     https://www.theguardian.com/lifeandstyle/2020/mar/02/from-siestas-to-saunas-
     the-10-european-wellbeing-traditions-everyone-should-try
  3. Most Approve of National Response to COVID-19 in 14 Advanced Economies.
     Pew Research Center. 27 August 2020.
     https://www.pewresearch.org/global/2020/08/27/most-approve-of-national-
     response-to-covid-19-in-14-advanced-economies/
  4. How the U.S. Compares to Other Countries in Responding to COVID-19:
     Populations at Risk, Health System Capacity, and Affordability of Care.
     Commonwealth Fund, 7 April 2020.
https://www.commonwealthfund.org/blog/2020/how-us-compares-other-
     countries-responding-covid-19-populations-risk-health-system
  5. Americans give the U.S. low marks for its handling of COVID-19, and so do
     people in other countries. PEW Research Center, 21 September 2020.
     https://www.pewresearch.org/fact-tank/2020/09/21/americans-give-the-u-s-low-
     marks-for-its-handling-of-covid-19-and-so-do-people-in-other-countries/

G. Role of Non-Governmental Organizations In Aiding Wellness (Red Cross, Oxfam,
Red Crescent, Doctors Without Borders)

  1. What is an NGO (Non-Governmental Organization)? Investopedia (A good
     primer on basic definitions of terms.)
     https://www.investopedia.com/ask/answers/13/what-is-non-government-
     organization.asp
  2. The role of ngos in promoting a gender approach to health care. United Nations.
     https://www.un.org/womenwatch/daw/csw/role_ngo.htm
  3. Role of non-governmental organizations in global health. International Journal of
     Community Medicine and Public Health, January 2016.
     https://pdfs.semanticscholar.org/0a16/cc7dc90f41aef38ea6f04e68c93d461e8ef7.
     pdf

H. Wellness in the Face of Gender Inequities

  1. Gender inequality and rigid norms linked with poor health, global research
     shows. Stanford Medicine, 31 May 2019.
     https://scopeblog.stanford.edu/2019/05/31/gender-inequality-and-rigid-norms-
     linked-with-poor-health-global-research-shows/
  2. Gender and Well-Being Around the World. Brookings Institution, 20 August
     2012. https://www.brookings.edu/research/gender-and-well-being-around-the-
     world/
  3. Global wealth inequality is ‘founded on sexism,’ says Oxfam International.
     CNBC, 19 January 2020. https://www.cnbc.com/2020/01/17/global-wealth-
     inequality-is-founded-on-sexism-oxfam-international.html

I. Wellness In The Face of Class Disparities (inequities in evaluation of/access to
wellness and wellness programs)

  1. Class and Health Inequality in Later Life: Patterns, Mechanisms and Implications
     for Policy. International Journal of Environmental Research & Public Health,
     December 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750951/
  2. Evaluating Strategies For Reducing Health Disparities By Addressing The Social
     Determinants Of Health. US National Library of Medicine
  3. National Institutes of Health, August 2017.
     https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524193/
J. Response to Climate-Related Events (hurricanes, fires, floods, droughts)

          1. Responding to Climate Change. NASA.
             https://climate.nasa.gov/solutions/adaptation-mitigation/
          2. The global response to climate change. New Zealand Ministry For The
             Environment. (An example of one nation’s work in the climate change arena.)
             https://www.mfe.govt.nz/climate-change/why-climate-change-matters/global-
             response
          3. Climate change and human health. World Health Organization.
             https://www.who.int/globalchange/summary/en/index12.html
          4. Climate Change Response. US Government Accountability Office.
             https://www.gao.gov/key_issues/climate_change_response/issue_summary

Web-based Resource Examples

Global Wellness Institute. https://globalwellnessinstitute.org/what-is-wellness/

Organizations Working in Global Health. University at Albany.
https://www.albany.edu/globalhealth/organizations-working-global-health

Kaiser Family Foundation www.kff.org

Oxfam (has both International and American iterations), https://www.oxfamamerica.org/,
https://www.oxfam.org/en

Doctors Without Borders, https://www.doctorswithoutborders.org/

=======================================

If coaches have any questions regarding outline content, feel free to contact us:

      ●   Rachel Schott – rachelgschott@gmail.com

      ●   Mike Worcester – mrmike55321@yahoo.com
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