In a perusal of literature on ‘the commons’, it is striking how rarely medicine and health services are mentioned as potential commons. Nor is the concept of the commons discussed in medical and health journals, where database searches turn up only the odd article using the term in a title or abstract. This essay evolved as an inquiry into what benefit might be gained from conceiving of a health commons.
Operationalizing a 'Right' to Health
A Social Enterprise Approach to Sustainability Education
This article discusses lessons learned from a social enterprise project supporting sustainability education in central North Carolina (U.S.A.). Since 2011, Eco-Cycle,1 a retail shop featuring creative-reuse has provided support for a community meeting space that offers weekly environmental education workshops. Many approaches to social justice-oriented green initiatives in the United States emulate urban agriculture models and tend to be grant-dependent in early years, only achieving economic sustainability with difficulty. In contrast, our non-profit co-op of upcycler crafters and vintage vendors grew out of production and marketing of upcycled rain barrels, based on a social enterprise approach rather than a traditional model. I discuss the stepping-stones to this venture, which originated through a neighbourhood energy conservation initiative, followed by alliance-building with non-profits to promote green job creation. I relate the complications and surprising forms of synergism emerging from the social enterprise approach to social theory on cooperatives and community-based development models.