Our economic and social system is trashing our environment, undermining our health, and creating large health inequalities.
Dr. Trevor Hancock
18 August 2025
702 words
Last month I noted a growing recognition that the many challenges we face, from environmental degradation to concentration of wealth, structural inequality and exclusion, are a product of the economic and other societal systems we have created. If that is the case, we clearly need to radically change the systems that are the source of the problems. As Saul Klein and Arti Freeman stated (Times Colonist, July 11th), we need to “envision new ways of organizing our economies, our democracies, and our relationships with one another and the planet.”
So how do we do that? That is work I have been doing, one way or another, for decades. My work on population and planetary health has led me to a deep understanding of how our economic and social system is trashing our environment, undermining the most fundamental determinants of our health, while creating large health inequalities. As a health futurist, I have led projects from the local to the global about envisioning a preferable future and figuring out how to get there. My work in public health and health promotion has had a strong focus on how we create healthy cities and communities.
Nowadays I am especially focused on how we create what the World Health Organization calls a Wellbeing society. To that end, I am the Interim Convenor of an emerging national health sector coalition that is working both to address the health implications of crossing multiple planetary boundaries and on the creation of a Wellbeing society as a way of addressing this and other elements of the global polycrisis we face.
One approach we are impressed by is the Welsh Wellbeing of Future Generations Act, the first and so far the only such legislation in the world. The Act requires “public bodies in Wales to think about the long-term impact of their decisions, to work better with people, communities and each other, and to prevent persistent problems such as poverty, health inequalities and climate change”.
It also establishes the position of a Commissioner for Future Generations as an independent officer of the legislature whose job it is to protect and promote the needs of future generations, report on progress, make recommendations and provide advice.
This laudable legislation came about because Wales, when it was created in 1998 as a country within the sovereign stateof the UK, put in its founding constitution an explicit duty to promote sustainable development.
This led, in 2007, to the public recognition that “we need to cut Wales’ ecological footprint by 75 percent to live within our fair share of the planet’s resources”. Then in 2009 the then First Minister announced a new vision, One Wales, One Planet, followed in 2011 by a Bill “embedding sustainable development as the central organising principle in all actions across government and public bodies”.
But what I find particularly important was that in 2014 there was a large national conversation about The Wales We Want “involving thousands of people sharing their views on what would improve their communities”. It was “one big involvement exercise – by the people, for the people”, and it was seen as crucial to supporting the passage of the wellbeing of Future Generations Act, according to the current Future Generations Commissioner.
Which is why I am proposing the creation of what I call a People’s Commission on Wellbeing, modeled on the People’s Food Commission of the late 1970s. Such a Commission should travel across the country – both in person and virtually – engaging people in discussing the Canada they want for their children and grandchildren, crafting a new national vision and considering how to get there.
The Commission needs to be based on the public recognition of the scale and severity of the ecological and social challenges we face – something that our governments have not yet done. But it also needs to identify the positive local actions already underway.
By bringing people together locally it would solidify and strengthen local networks and local action, while also weaving a national Wellbeing Society Network. Hopefully, it would also lead to the passage of Wellbeing of Future Generations Acts federally and across Canada and the creation of Future Generations Commissioners. What a worthwhile legacy that would be!
© Trevor Hancock, 2025
Dr. Trevor Hancock is a retired professor and senior scholar at the University of Victoria’s School of Public Health and Social Policy
Dr. Trevor Hancock - Healthy people, healthy communities, a healthy planet 