I agree that Logan (see previous article) is almost certainly not a totalitarian. However I stand by my contention that there is indeed no such thing as ‘public health’ except for communicable diseases not because I disagree with his self evident statement that ‘The field of public health is primarily concerned with prevention of disease’ but that ‘health’ is not in fact legitimately ‘public’ except in the case of communicable disease (and possibly some mental illnesses as well) as it goes to who owns a person’s body.
Most other health related matters are essentially only legitimately private rather than public matters. I have no problem whatsoever with anyone spending non-appropriated monies (such as a philanthropic fund) to preach high and low the virtues of folate in bread/low fat diets/wearing seat belts/not smoking/not taking crack cocaine/wearing sensible shoes/eat more fish/eat less fish/avoid mad cow beef or whatever the health scare de jour is… provided the people being preached to ‘for their own good’ are free to respond with a loud yawn and a rude gesture if they are so inclined. Yes, it is legitimate to ‘educate, persuade, and cajole individuals to take folate’… and to induce (not mandate) companies to produce folate bread… but it is not legitimate to mandate it and it was that I was objecting to.
To mass medicate, such as putting folic acid in bread or fluoride in water in such a way that people cannot realistically avoid changes to their body chemistry, is to suggest that the state and its experts actually have some over-riding ownership of everyone’s physical body and they may adjust its chemistry as the likes of Professor N.J. Wald and Professor A.V. Hoffbrand see fit. Now it that is not a totalitarian value then I don’t know what is. The issue here is not health but who owns your body!
