There are a lot of pre-existing opinions, advice and strategies for health care and promotion that are deep-rooted into many layers of current policies and understanding of health across all different groups of people. Many of these messages and strategies are actually harmful to health promotion and health which has been redefined through the Ottawa Charter and WHO among others. I believe that generational differences in opinions about all aspects of life also contribute to the lack of people actually trying to understand new concepts and the importance of health promotion on a population level. People can become "stuck in their old ways and understandings", perhaps.

It is arguably more important to target disadvantage groups when discussing health promotion strategies, as currently, they are much less likely to receive and understand information about the underlying causes of health, as more of their basic prerequisites for health are unlikely to be met

A reminder to readers that equity should be at the forefront of health promotion and action

This highlights that it is crucial for governments and policy makers to make change and adjust systems that affect health, as although the determinants are listed in academic literature - they are incredibly relevant in our everyday lives and contribute to ease and dis-ease for all groups of people

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