Health

Universal public services: the power of decommodifying survival

by Jason Hickel 

Capitalism relies on maintaining an artificial scarcity of essential goods and services (like housing, healthcare, transport, etc), through processes of enclosure and commodification. We know that enclosure enables monopolists to raise prices and maximize their profits (consider the rental market, the US healthcare system, or the British rail system). But it also has another effect. When essential goods are privatized and expensive, people need more income than they would otherwise require to access them. To get it they are compelled to increase their labour in capitalist markets, working to produce new things that may not be needed (with increased energy use, resource use, and ecological pressure) simply to access things that clearly are needed, and which are quite often already there.

Take housing, for example. If your rent goes up, you suddenly have to work more just to keep the same roof over your head.  At an economy-wide level, this dynamic means we need more aggregate production — more growth — in order to meet basic needs.  From the perspective of capital, this ensures a steady flow of labour for private firms, and maintains downward pressure on wages to facilitate capital accumulation. For the rest of us it means needless exploitation, insecurity, and ecological damage. Artificial scarcity also creates growth dependencies: because survival is mediated by prices and wages, when productivity improvements and recessions lead to unemployment people suffer loss of access to essential goods — even when the output of those goods is not affected — and growth is needed to create new jobs and resolve the social crisis.

There is a way out of this trap: by decommodifying essential goods and services, we can eliminate artificial scarcity and ensure public abundance, de-link human well-being from growth, and reduce growthist pressures.

New Zealand scraps world-first smoking ‘generation ban’ to fund tax cuts

in The Guardian  

Oh, FFS! Currency issuing governments do not — and as a matter of brute accountancy can not — "pay for" anything through tax revenue!

New Zealand’s new government will scrap the country’s world-leading law to ban smoking for future generations to help pay for tax cuts – a move that public health officials believe will cost thousands of lives and be “catastrophic” for Māori communities.

In 2022 the country passed pioneering legislation which introduced a steadily rising smoking age to stop those born after January 2009 from ever being able to legally buy cigarettes. The law was designed to prevent thousands of smoking-related deaths and save the health system billions of dollars.

The legislation, which is thought have inspired a plan in the UK to phase out smoking for future generations, contained a slew of other measures to make smoking less affordable and accessible. It included dramatically reducing the legal amount of nicotine in tobacco products, allowing their sale only through special tobacco stores, and slashing the number of stores legally allowed to sell cigarettes from 6,000 to just 600 nationwide.

via Sheepie

'Endemic' SARS-CoV-2 and the death of public health

for The John Snow Project  

As long as leadership misunderstands or pretends to misunderstand the link between increased mortality, morbidity and poorer economic performance and the free transmission of SARS-CoV-2, the impetus will be lacking to take the necessary steps to contain this damaging virus.

Political will is in short supply because powerful economic and corporate interests have been pushing policymakers to let the virus spread largely unchecked through the population since the very beginning of the pandemic. The reasons are simple. First, NPIs hurt general economic activity, even if only in the short term, resulting in losses on balance sheets. Second, large-scale containment efforts of the kind we only saw briefly in the first few months of the pandemic require substantial governmental support for all the people who need to pause their economic activity for the duration of effort. Such an effort also requires large-scale financial investment in, for example, contact tracing and mass testing infrastructure and providing high-quality masks. In an era dominated by laissez-faire economic dogma, this level of state investment and organization would have set too many unacceptable precedents, so in many jurisdictions it was fiercely resisted, regardless of the consequences for humanity and the economy.

None of these social and economic predicaments have been resolved. The unofficial alliance between big business and dangerous pathogens that was forged in early 2020 has emerged victorious and greatly strengthened from its battle against public health, and is poised to steamroll whatever meager opposition remains for the remainder of this, and future pandemics.

via Violet Blue

COVID cases are rising across Australia. Here's a rundown of the latest advice

in ABC News  

Australia appears to be on the cusp of an eighth COVID-19 wave, with an increase in cases across the country. 

Victoria's acting chief health officer has suggested all Melburnians consider donning masks again as community transmission surges, while NSW chief health officer Kerry Chant says case numbers will likely rise in the lead-up to Christmas.

via Daniel Bowen

A Woman Was Denied Medication for Being of ‘Childbearing Age.’ She Just Sued the Hospital

by Kylie Cheung in Jezebel  

Last September, New York resident Tara Rule posted a raw, emotional video on Tiktok saying she had been denied a medication to treat a debilitating condition called cluster headaches, because her neurologist told her she was of “childbearing age” and the medication could cause birth defects to a hypothetical fetus.

Rule said that as she sat in her neurologist’s office at Glens Falls Hospital, she told him she never planned to have kids and would have an abortion if she became pregnant; referencing the overturning of Roe v. Wade, he responded that getting the care she was seeking is “trickier now with the way things are going.” He also said she should bring her partner “in on the conversation” on her medical care. Rule asked if the issue preventing her from getting the “highly effective” medication was solely that she could become pregnant and, “If I was, like, through menopause, would [the medication] be very effective for cluster headaches?” The doctor affirmed it would. He also asked about her sex life and whether she’s “with a steady person.” Rule shared audio recordings of the appointment on TikTok at the time.