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The Condition of the Working Class in England (hereafter, CWCE) by Friedrich Engels is a masterpiece of urban research not only for its explicit descriptions of the living and working conditions of members of the Victorian-era working class and their effects on health but also its insights into the sources of these conditions through a political economy analysis. For Engels, the capitalist economic system, with the support of the state apparatus, prematurely sickened and killed men, women and children in its unrestrained pursuit of profits. Our reading of CWCE in 2023 concludes that Engels identified virtually every social determinant of health now found in contemporary discourse with his insights into how their quality and distribution shape health clearly relevant to present-day Canada. Revisiting CWCE directs our attention to how the same economic and political forces that sickened and killed members of the English working class in 1845 now do so in present-day Canada. Engels's insights also suggest means of responding to these forces. We place these findings within Derrida's concept of spectre and Rainey and Hanson's concept of trace to show how ideas from the past can inform the present., (© 2023 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)

The unlimited economic growth that fuels capitalism's metabolism has profoundly transformed a large portion of Earth. The resulting environmental destruction has led to an unprecedented rate of biodiversity loss. Following large-scale losses of habitats and species, it was recognized that biodiversity is crucial to maintaining functional ecosystems. We sought to continue the debate on the contradictions between economic growth and biodiversity in the conservation science literature and thus invite scholars to engage in reversing the biodiversity crisis through acknowledging the impacts of economic growth. In the 1970s, a global agenda was set to develop different milestones related to sustainable development, including green-blue economic growth, which despite not specifically addressing biodiversity reinforced the idea that economic development based on profit is compatible with the planet's ecology. Only after biodiversity loss captured the attention of environmental sciences researchers in the early 2000s was a global biodiversity agenda implemented. The agenda highlights biodiversity conservation as a major international challenge and recognizes that the main drivers of biodiversity loss derive from economic activities. The post-2000 biodiversity agendas, including the 2030 Agenda for Sustainable Development and the post-2020 Convention on Biological Diversity Global Strategy Framework, do not consider the negative impacts of growth-oriented strategies on biodiversity. As a result, global biodiversity conservation priorities are governed by the economic value of biodiversity and its assumed contribution to people's welfare. A large body of empirical evidence shows that unlimited economic growth is the main driver of biodiversity loss in the Anthropocene; thus, we strongly argue for sustainable degrowth and a fundamental shift in societal values. An equitable downscaling of the physical economy can improve ecological conditions, thus reducing biodiversity loss and consequently enhancing human well-being., (© 2021 The Authors. Conservation Biology published by Wiley Periodicals LLC on behalf of Society for Conservation Biology.)

This paper argues that studies of the 'commercial determinants of health' (CDoH) need to acknowledge fully the part the capitalist mode of commodity production and exchange plays in producing negative health outcomes. This proposition is supported by recourse to a recent development in political economy that has established a more-than-human, relational and monist (or 'flat') ontology of capitalism, in place of the more conventional neo-Marxist perspective. This ontology reveals a dynamic to capitalism that operates beyond human intentionality, driven by the supply of, and demand for the capacities of commodities. This dynamic determines the production and consumption of all commodities, some among which (such as tobacco, alcohol and processed foods) contribute to ill-health. A case study of food consumption reveals how these supply and demand affects drive 'unhealthy' food choices by consumers. Ways to undermine this more-than-human dynamic are offered as an innovative approach to addressing the effects of commerce and capitalism upon health., (Copyright © 2024 The Author. Published by Elsevier Ltd.. All rights reserved.)

The characteristic features of 21st-century corporate capitalism - monopoly and financialization - are increasingly being recognized by public health scholars as undermining the foundations of human health. While the "vectors" through which this is occurring are well known - poverty, inequality, climate change among others - locating the root cause of this process in the nature and institutions of contemporary capitalism is relatively new. Researchers have been somewhat slow to study the relationship between contemporary capitalism and human health. In this paper, we focus on one of the leading causes of death in the United States; cancer, and empirically estimate the relationship between various measures of financialization and monopoly in the US healthcare system and cancer mortality. The measures we focus on are for the hospital industry, the health insurance industry, and the pharmaceutical industry. Using a fixed effects model with different specifications and control variables, our analysis is at the state level for the years 2012-2019. These variables include data on population demographic controls, social and economic factors, and health behavior and clinical care. We compare Medicaid expansion states with non-Medicaid expansion states to investigate variations in state-level funded health insurance coverage. The results show a statistically significant positive correlation between the HHI index in the individual healthcare market and cancer mortality and the opioid dispensing rate and cancer mortality., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

There are important calls for greater inclusion of Indigenous and racialised communities in oral microbiome research. This paper uses the concept of racial capitalism (the extractive continuity of colonialism) to critically examine this inclusion agenda. Racial capitalism explicitly links capitalist exploitations with wider social oppressions e.g., racisms, sexism, ableism. It is not confined to the commercial sector but pervades white institutions, including universities. By using the lens of racial capitalism, we find inclusion agendas allow white institutions to extract social and economic value from relations of race. Racially inclusive research is perceived as a social good, therefore, it attracts funding. Knowledge and treatments developed from research create immense value for universities and pharmaceutical companies with limited benefits for the communities themselves. Moreover, microbiome research tends to drift from conceptualisations that recognise it as something that is shaped by the social, including racisms, to one that is determined genetically and biologically. This location of problems within racialised bodies reinforces racial oppressions and allows companies to further profit from raciality. Inclusion in oral microbiome research must consider ways to mitigate racial capitalism. Researchers can be less extractive by using an anti-racism praxis framework. This includes working with communities to co-design studies, create safer spaces, giving marginalised communities the power to set and frame agendas, sharing research knowledges and treatments through accessible knowledge distributions, open publications, and open health technologies. Most importantly, inclusion agendas must not displace ambitions of the deeper anti-oppression social reforms needed to tackle health inequalities and create meaningful inclusion., (Copyright© 2024 Dennis Barber Ltd.)

Patient online record access (ORA) is spreading worldwide, and in some countries, including Sweden, and the USA, access is advanced with patients obtaining rapid access to their full records. In the UK context, from 31 October 2023 as part of the new NHS England general practitioner (GP) contract it will be mandatory for GPs to offer ORA to patients aged 16 and older. Patients report many benefits from reading their clinical records including feeling more empowered, better understanding and remembering their treatment plan, and greater awareness about medications including possible adverse effects. However, a variety of indirect evidence suggests these benefits are unlikely to accrue without supplementation from internet-based resources. Using such routes to augment interpretation of the data and notes housed in electronic health records, however, comes with trade-offs in terms of exposing sensitive patient information to internet corporations. Furthermore, increased work burdens on clinicians, including the unique demands of ORA, combined with the easy availability and capability of a new generation of large language model (LLM)-powered chatbots, create a perfect collision course for exposing sensitive patient information to private tech companies. This paper surveys how ORA intersects with internet associated privacy risks and offers a variety of multilevel suggestions for how these risks might be better mitigated., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)

Healthcare under the auspices of late-stage capitalism is a total institution that mortifies nurses and patients alike, demanding conformity, obedience, perfection. This capture, which resembles Deleuze's enclosure, entangles nurses in carceral systems and gives way to a postenclosure society, an institution without walls. These societies of control constitute another sort of total institution, more covert and insidious for their invisibility (Deleuze, 1992). While Delezue (1992) named physical technologies like electronic identification badges as key to understanding these societies of control, the political economy of late-stage capitalism functions as a total institution with no cohesive, centralized, connected material apparatus required. In this manuscript, we outline the ways in which the healthcare industrial complex demands nurse conformity and how that, in turn, operationalizes nurses in service to the institution. This foundation leads to the assertion that nursing must foster a radical imagination for itself, unbound by reality as it presently exists, in order that we might conjure more just, equitable futures for caregivers and care receivers alike. To tease out what a radical imagination might look like, we dwell in paradox: getting folks the care they need in capitalist healthcare systems; engaging nursing's deep history to inspire alternative understandings for the future of the discipline; and how nursing might divest from extractive institutional structures. This paper is a jumping-off place to interrogate the ways institutions telescope and where nursing fits into the arrangement., (© 2023 John Wiley & Sons Ltd.)

This paper examines the types of work that jurists have historically undertaken and maps how opportunities for legal practice have been shaped by social origins across three centuries: after constitutional independence in the mid-1800s, during industrial capitalism in the mid-1900s, and at present-day advanced capitalism. I analyze historical archive data on law graduates from the 19th and 20th centuries in combination with administrative registry data from the 1990s onwards and employ correspondence analysis to explore how social backgrounds shape careers, considering transformations in class structures and the changing significance of juridical expertise over time. Within each period, jurists have served in very different roles including those that craft and cater to the institutional make-up of the state and the markets. My analysis shows that the impact of social origin on occupational outcomes has undergone significant changes, mirroring shifts in the broader social structure; from the importance of legal and political capital (within regional jurisdictions) in the 19th century to the significance of economic capital as the main structuring principle, but also a greater significance of cultural capital, in contemporary times. The ability to reach the most powerful positions among law graduates-within the polity in the 19th century, and the economy in the 21st century-has been differently structured by origins. I argue that expansion of the student body, the declining standing of the university, and heightened differentiation of the social structure and the juridical field have made intimate familiarity with the business world pivotal for forging mutually beneficial alliances between jurists and the increasingly dominant capitalist class. Today, a select group of jurists have managed to connect with and contribute to the rising power of private capital. Thus, the historical tale of jurists cannot be accurately captured by notions of uniform descent from national power structures., (© 2023 The Authors. The British Journal of Sociology published by John Wiley & Sons Ltd on behalf of London School of Economics and Political Science.)

Digital health technologies transform practices, roles, and relationships in medicine. New possibilities for a ubiquitous and constant data collection and the processing of data in real-time enable more personalized health services. These technologies might also allow users to actively participate in health practices, thus potentially changing the role of patients from passive receivers of healthcare to active agents. The crucial driving force of this transformation is the implementation of data-intensive surveillance and monitoring as well as self-monitoring technologies. Some commentators use terms like revolution, democratization, and empowerment to describe the aforementioned transformation process in medicine. The public debate as well as most of the ethical discourse on digital health tends to focus on the technologies themselves, mostly ignoring the economic framework of their design and implementation. Analyzing the transformation process connected to digital health technologies needs an epistemic lens that also considers said economic framework, which I argue is surveillance capitalism. This paper introduces the concept of liquid health as such an epistemic lens. Liquid health is based on Zygmunt Bauman's framing of modernity as a process of liquefaction that dissolves traditional norms and standards, roles, and relations. By using liquid health as an epistemic lens, I aim to show how digital health technologies reshape concepts of health and illness, change the scope of the medical domain, and liquify roles and relationships that surround health and healthcare. The basic hypothesis is that although digital health technologies can lead to personalization of treatment and empowerment of users, their economic framework of surveillance capitalism may undermine these very goals. Using liquid health as a concept allows us to better understand and describe practices of health and healthcare that are shaped by digital technologies and the specific economic practices they are inseparably attached to., (Copyright © 2023 The Author. Published by Elsevier Ltd.. All rights reserved.)

Many developed countries, including Japan, have capitalist economies based on market principles. In capitalism, businesses try to develop new products and increase their added value, and expand the market in order to generate new profits. Owing to the universalization of capitalist efficiency, our daily lives are becoming condensed to only the necessary things in life. In addition, the advancement of science and technology, which is the driving force behind the expansion of profits, has forced people to become obsessed with new technology and information, and as a result, we have also lost our mental comfort. In this paper, first, we explain the time required to secure the energy necessary for human survival throughout human history. Second, we describe labor productivity with the emergence and development of capitalism. Third, we explain the difference between essential time and pressure-free time, and consider the necessity of pressure-free time during working hours. Finally, we discuss the relationships among pressure-free time, presenteeism, and work engagement.

Rates of mental illness have increased dramatically over the past 15 years in the United States [Products-Data Briefs-Number 283-August 2017. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/products/databriefs/db283.htm . Published August 15, 2017]. Additionally, life expectancy has fallen over the past several years due to increases in death from suicide, opioid overdose, and alcoholic liver cirrhosis as reported by Case and Deaton [Deaths of despair and the future of capitalism. Princeton University Press, 2020]. Over the last decade some have questioned whether these changes are due to neoliberal capitalist policies and ideologies. Neoliberal capitalism incorporates theories of eliminating all restrictions on the market and decreasing government assistance programs as reported by Harvey [A brief history of neoliberalism, Oxford University Press, 2005]. Since then these policies have led to income inequality, disempowerment of workers, outsourcing of manufacturing jobs, inadequate social services, mass incarceration and an expensive and ineffective healthcare system as reported by Case and Deaton [Deaths of despair and the future of capitalism. Princeton University Press, 2020] and Nkansah-Amankra et al. [International Journal of Health Services 43(2):217-240, 2013]. Studies have shown that the consequences of these policies and ideologies likely have a role in increasing rates of mental illness. This paper will discuss how these factors increase mental distress and postulate ways that mental health professionals can advocate for change., (© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Background: Critical scholars agree that contemporary globalised and industrialised food systems are in profound and deepening crises; and that these systems are generative of accelerating multiple crises in the earth's life systems. Why and how did we arrive at this point? This paper argues that, conceiving each individual human as one cell in the greater human body, we are afflicted by what John McMurtry termed 'the cancer stage of capitalism.' This provocative framing is adopted here in response to growing calls by climate, earth and physical scientists not to 'mince words' in the description and analysis of humanity's current predicament, but rather 'tell it like it is.', Methods: Proceeding from McMurtry's application of the seven defining medical properties of a 'cancer invasion [of] an individual organism' to the broader body politic and the earth's life system, this paper draws on literature from diverse disciplines to investigate the fundamental cause of food systems crises. The paper references several empirical studies and meta-reviews that indicate the hastening decline in the integrity of human and ecological health, with a particular focus on the grain-oilseed-livestock complex and the accompanying social and ecological impacts on the southern cone countries of South America., Results: The cause of food system crises is to be found in the core logic of capital accumulation, the profit imperative, and the relentless and expanding processes of commodification and financialization. The key metric of 'economic growth' is problematised and discussed. An embryonic 'social immune response' is now observable, in the diverse practices of de-commodification, proposals for de-growth and commoning that together constitute an emerging 'food as a commons' movement., Conclusion: As currently framed, the Food as Commons proposal lacks coherence, rigour and a viable strategy to move beyond the current crisis. Its transformative potential can be strengthened through a more explicitly political grounding based on appeals to and support of anti- and post-capitalist movements and initiatives., (© 2021 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.)

The paper offers a provocation to the geographies of health in relation to one of our governing concepts, that of wellbeing. The paper brings together government survey data from the United Kingdom with other published research into a critical argument that the dominant ways of conceptualising and practising subjective wellbeing have become toxic and harmful to wellbeing outcomes. The paper argues that a 'hyper-individualised and thwarted self' and 'supermarket model' of social resources for individual wellbeing underpins the contemporary dominant understanding of subjective wellbeing. This approach neglects wider spatial and temporal considerations such as inequality, inter-generationality and sustainability, and the rise of wellbeing as a technology of soft capitalism. The paper discusses the potential for relational approaches from the social sciences to provide a more 'wholesome tonic' to current understandings of subjective wellbeing that might rehabilitate its capability to do helpful rather than harmful work and argues for an ethical obligation to sustain critical engagement., (Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.)