Department of Health & Exercise Science Winter Quarter 2016

HLSC 317 HEALTH, SOCIETY, AND THE CONSUMER (4 units) CRN 5496

Date: Winter 2016 Place: ZSB Rm 249 Time: 13:00 – 14:50 – M - W Phone: Office phone: 951-785-2174 Instructor: Andress, William, DrPH, MPH, MA, MCHES Email: [email protected] Health and Exercise Science Trailer – Room C Office Hours: M: 3:00 – 4:30 pm; W: 3:00-4:30 pm; R: 9:00 – 11:00 am Other hours by appointment

DESCRIPTION The course introduces major themes in the evolution of public health policy and practice in America, from the industrial revolution to the present. Emphasis is placed on the role of political, social, and religious movements (especially Seventh-day Adventist) in the development and practice of health care. Additionally it addresses the progressive impact of the health sciences and technology on life expectancy, disease causation and the quality of life. Both allopathic and alternative modalities of care will be critically analyzed, compared and contrasted. A key aspect of the course is the application of principles of social ethics in evaluating health care cost and insurance, the pros and cons of various modalities of complementary/ alternative medicine, and the roles of the public and private sectors in promoting health.

REQUIRED TEXTS J. Thomas Butler. Consumer Health: Making Informed Decisions. Burlington, MA. Jones & Bartlett Publishing. 2012. [ISBN – 978-1–4496–4645-5]

William C. Andress. Adventist Heritage of Health, Hope, and Healing. Brushton, NY: Teach Services. 2014. [ISBN - 978-1-4796-0266-7] (A reserve copy is available in the library. Also available as an e-book on Amazon and Kindle)

OBJECTIVES Achieving the following course objectives will provide the student with the essential foundation for being an intelligent consumer and/or producer in the health care marketplace.

1. Define health and articulate a philosophy of health that is both comprehensive and coherent. (SLO #1 which states Demonstrate critical thinking skills in addressing discipline-based questions.)

2. Describe major social and political movements arising during the past one hundred-fifty years which have influenced the development of health care attitudes and practices in America today. (SLO #8 which states Describe the U.S. health profile, including key indicators, determinants, disparities, access to health services, historical and contemporary trends and implications.)

3. Compare the health status of important social groups within America and discuss historical and socio-cultural factors which help to initiate or aggravate health disparities among such groups. (SLO #7 which states Recognize how the social, cultural, economic, political, religious, and biological environments affect personal & community health.)

4. Gain an understanding of the history of Seventh-day Adventists, their philosophy of health and how their teachings continue to impact scientific discovery. (SLO #7 which states Recognize how the social, cultural, economic, political, religious, and biological environments affect personal & community health.)

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5. Discuss the pros and cons of a variety of alternative medicine modalities. (SLO #1 which states Demonstrate critical thinking skills in addressing discipline-based questions.)

6. Compare and contrast socialized health care systems, (such as those in Canada and Sweden), with a capitalistic system, (such as that in the USA), including a concise critique of the role that economics play in the quality of available health care. (SLO #3 which states Familiarity with standards, ethics, and expectations of professional communities related to human movement and health and SLO #7 which states Recognize how the social, cultural, economic, political, religious, and biological environments affect personal & community health.)

7. Identify factors contained in the 2010 Health Reform Bill in an attempt to identify possible long term outcomes. (SLO #3 which states Familiarity with standards, ethics, and expectations of professional communities related to human movement and health.)

8. Learn how to become a better consumer of health products by engaging in practical projects that address advertising, weight loss products, fitness products, medicinal, skin care products, and miscellaneous health-care goods. (SLO #2 which states Demonstrate knowledge and skills of research principles and methodologies relevant to the discipline.)

INSTRUCTIONAL METHODS AND ACADEMIC INTEGRITY

Methods of Instruction. The basic method of instruction will be lecture-discussion. There will also be take-home learning experiences, group discussion topics, critical analysis, and careful writing. Anecdotes, guest speakers, and documentary videos may also be used to enhance motivation and learning.

Academic Integrity and Ethics. The student is expected to practice honesty in all activities related to this course. Original work is expected from the student, unless appropriate credit is given to specific work cited. Plagiarism is unacceptable, as are other types of cheating. This policy equally applied to exercise sessions; what you record on your exercise log must reflect exercise you actually performed. For details please see: http://lasierra.edu/academic-integrity/

Appropriate penalties will be enforced. All instances of academic misconduct will be reported to the Academic Integrity Committee. To be sure that you have no misunderstandings about definitions of academic honesty or academic dishonesty, refer to your LSU Student Handbook. The University has significant penalties for academic dishonesty, so please take this suggestion seriously. La Sierra University’s policy and other important information regarding academic honesty can be found at: http://lasierra.edu/academic- integrity/ For your convenience a portion of this policy is posted on Blackboard.

All members of the community of scholars (students and faculty) at the university must agree to the following Academic Integrity Statement.

Understand that enrolling in this course constitutes your agreement with the following statements:

ü I will act with integrity and responsibility in my activities as a La Sierra University student or faculty member. ü I will not participate in violations of academic integrity, including plagiarism, cheating, or fabricating information. ü I will not stand by when others do these things.

ü I will follow the academic integrity policy.

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Disabilities: The University provides reasonable accommodations for students with documented physical or learning disabilities. Contact the Office of Disability Services for evaluation and guidance on such matters at (951) 785-2453 or [email protected]. The office is located in La Sierra Hall, Suite 100. Students with such documented disabilities that require reasonable accommodations in order to participate in course activities or meet course requirements should contact the instructor during posted office hours or by appointment during the first two weeks of the quarter.

Campus Email: Students are expected to check their campus email regularly for information regarding this course and to stay abreast of news and events at the University. Important data such as PowerPoint slides and study review guides will be placed on Blackboard.

Approach to Scholarship. Students of LSU are expected to approach scholarship with eagerness and a Positive attitude to the subject, to the instructor, to classmates, and to their own abilities and worth. Basic to a successful learning experience are the following disciplined behaviors:

Consistent reading of the text and other relevant resource material as the basic source of information. Class periods are most meaningful when they are preceded by some critical level of engagement with the subject matter.

Active listening and thoughtful responses and inquiry during lecture/discussion exercises.

Active involvement in group discussions.

Conscientious and timely performance of all written assignments. Assignments are due at the beginning of class on the designated dates. Papers that are up to one week late will receive a 50% reduction in grade. Assignments turned in more than one week after the due date will not be accepted except under emergency conditions where prior written approval has been granted.

Avoid negative distractions in class. These include late arrival and early departure, unnecessary private conversations, the use of cell phones, sleeping, and obtrusive rustling of papers, books and chairs before the teacher dismisses the class.

LEARNING OPPORTUNITIES

The final grade earned will be determined by how well the student takes advantage of the following learning opportunities and on the quality of work actually produced.

1. Attendance and Positive participation are expected in group discussions (60 points) – In this course, a wide variety of health issues are covered and discussed. Because interaction and discussion are vital parts of this class, absences will be viewed negatively. Two absences (two 50-minute periods) will be permitted without penalty. Each absence above that (whether excused or unexcused will result in a two point reduction.) Keep in mind that university policy states that an excess of eight absences may result in an automatic failure of the course. In cases of verified illnesses or unavoidable emergencies it is the student’s responsibility to notify the professor as soon as possible.

2. Sectional Quizzes (180 points) – In place of a mid-term and a comprehensive final exam, there will be three sectional exams, each worth 60 points. Questions will cover a range of formats including multiple choice, matching, fill in the blank, and short essay. Exams will be based on textbook

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material and classroom presentations and discussions.

Sectional Exam Dates – Exam 1 – Wednesday, January 20 Exam 2 - Wednesday, Feb. 22 Exam 3 (Final) – Tuesday, March 15

One Book Report (60 points). Each student is to read and submit a book report on Adventist Heritage of Health, Hope, and Healing, by Professor Andress. (Reserve copies in the library) The three-four page report should include four components: 1) A cover page with the book’s title, author, and date of publication; 2) an adequate summary of the book’s content; 3) a critical evaluation of the book’s contents; 4) a description of the book’s impact on the student. Additional guidelines are presented at the end of the syllabus. This assignment meets HES departmental SLO’s #7, 8 - Recognize how the social, cultural, economic, political, and biological environments affect personal & community health and Describe the U.S. health profile, including key indicators, determinants, disparities, access to health services, historical and contemporary trends and implications. Deadline – February 10.

3. One Classroom PowerPoint Presentation (60 points) Each student will present a 10-15 minute PowerPoint presentation on a topic selected from topics at the end of the syllabus. Further instructions regarding content will be given in class.

Logical organization and flow of thought and careful and correct use of the English language are expected. Superficial work hastily put together that disregards the principles of documentation and style will be graded accordingly. This assignment meets HES departmental objective #1 – Demonstrate critical thinking skills in addressing discipline-based questions, and objective #4 – To demonstrate competencies in activities and experiences. Deadline – Various Dates

4. Three Mini Assignments (10 points each) 1. Personality quiz - Due Jan 6 2. Dr. Bruzinski – Innovator or charlatan? - Due Feb. 3 3. Alternative modality template - Due March 7

EVALUATION AND GRADING A maximum of 390 points may be earned for this course. Final grades will be distributed by percentage according to the following criteria:

A= 93-100; B+ =88-89; C+=78-79; D+=64-67; A-=90-92; B =83-87; C=70-77; D=60-63; B- =80-82; C- =68-69; F=59 and below.

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PRESENTATION SCHEDULE

Week 1 Jan. 4, 6 INTRODUCTION AND PREVIEW M. Introduction, Expectations and Learning Opportunities Chapter 1 – Being a Good Consumer

W. Chapter 1 – Being a Good Consumer Personality type questionnaire Chapter 2 – The American Health Care System

Week 2 Jan. 11,13 AMERICAN HEALTH CARE SYSTEM – (Chapter 2, 3) M. Chapter 2 – The American Health Care System Video – World Class Health Care – Why Isn’t America the Best? (Group discussions)

W. Chapter 3 – Fraud

Week 3 Jan. 18, 20 THE INFORMED CONSUMER - M. Martin Luther King Holiday

W. Exam 1 – Chapters 1-3 (Wednesday) Video – Who Plays God (Group discussion)

Week 4 Jan 25, 27 HEALTH ADVERTISING M. Stanislaw Burzynski – Fraud or Healer? (Group discussion)

W. Feedback on Exam 1 Chapter 9 - Advertising

Week 5 Feb. 1, 3 ETHICAL ISSUES M. Video – The Persuaders

W. Student Presentations on Health Ads

Week 6 Feb. 8,10 HISTORY OF HEALTH CARE IN AMERICA-- M. History of Western Medicine (Greeks – Middle Ages) Days of Blood, Drugs, and Tears

W. Ellen G. White, Health Reform and Seventh-day Adventism Adventist Heritage of Health, John Harvey Kellogg and “The Temple of Health.” Hope and Healing report due Andress, William – Winter 2016 – HLSC 317.pdf 5

Wednesday, February 10.

Week 7 ADVENTIST HEALTH CARE SYSTEM – Feb 15, 17 . President’s Day Holiday – Monday

W. The Loma Linda Miracle Blue Zones and The Adventist Health Study

Week 8 INTRO TO ALTERNATIVE MODALITIES Feb. 22, 24 M. Exam 2 – (Ethical Issues and History of Adventist Health Care) History of Alternative Medicine in America (Chapter 6)

W. Feedback on Exam 2 History of Alternative Medicine in America (Chapter 6) continued

Week 9 Feb 29, March 2

ALTERNATIVE MODALITIES M. Student presentations on Alternative Modalities

W. Student presentations on Weight Loss Programs (Group discussions)

Week 10 March 7, 9 MISCELLANEOUS ISSUES M. Student presentations on Diet/Nutritional Supplements Alternative Med Outline due (Chapter 8)

W Student Presentations on MISC topics (Chapters 5, 7) (Feedback papers) Dr. Andress at Health Conference at Loma Linda

Week 11 FINAL EXAMINATION: -- Final Exam - March 15 – 11:00 am Covers Alternative Medicine and Student Presentations –

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Guidelines for Book Review HLSC 317 – Health, Society, and the Consumer Winter Semester – 2016

§ Read the following: o Adventist Heritage of Health, Hope, and Healing by Professor Andress

§ Write a 3-4 page double-spaced summary. Include the following: o A complete cover page o In 2-3 paragraphs briefly describe the book’s thesis providing supporting evidence (include page numbers). The thesis is stated in the Introduction. If there are premises that you disagree with, please state them and explain why. (10 points) o Briefly summarize the content. Include the following in your critical evaluation: (4 points each) § How did Greek philosophy affect the way medicine was practiced in America up until the Civil War? § Describe two alternative health movements that were prominent during the 1830’s to 1850’s. § How did the writings of Ellen G. White influence Adventists’ early emphasis on healthy living? § Identify three significant and unique contributions Dr. John Harvey Kellogg made to health care. § Two messages or concepts that were particularly meaningful to you. Explain why these ideas were meaningful. § In what way, if any, do our physical habits of life influence our spiritual lives? o Summarize your impressions of the book with a paragraph describing your own personal Philosophy of Health. (6 points)

Attach a page that identifies in one or two sentences the significant contributions that 10 of these individuals made to medicine or science or the field of healthy living in general. (10 points)

1. Howard Carter 9. Abraham Flexner 2. Imhotep 10. Ernst Wynder 3. Benjamin Rush 11. Dr. Roland Phillips 4. Sylvester Graham 12. Nathan Pritikin 5. Joel Shew 13. Dr. Mervyn Hardinge 6. Russell Trall 14. Hulda Crooks 7. Caleb Jackson 15. Harry Miller 8. John Burden

Grammar and spelling will count another 10 points.

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Options for PowerPoint Presentations

Alternative Modalities f. Hair restoration a. Reflexology g. Anti-wrinkle products b. Chelation therapy h. Viagra/sex enhancement drugs c. Colonics i. Growth hormone d. Therapeutic Touch e. Chiropractic Other ______f. Naturopathy Other ______g. Yoga h. Reiki i. Christian Science Nutrition j. Herbal medicine a. Protein supplements b. Vitamin supplements Weight Control c. Ginseng a. Atkins Diet d. Garlic b. South Beach Diet e. Ginger c. Hallelujah Diet f. Saw Palmetto d. Weight Watchers g. Energy drinks e. Liposuction h. Hydroxycut f. Grain Belly i. Human growth hormone g. Mediterranean Diet h. Medifast Miscellaneous i. Nutrisystem a. Alkaline water j. Paleo-diet b. Genetically modified foods c. Recreational marijuana Advertisements d. E-cigarettes a. Gravity inversion devices e. Tanning devices b. Abdominal toners f. Body piercings c. Smoking ads g. Tattoos d. Pharmaceuticals h. Breast enhancement options e. Fast foods

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