Abstract

SummaryThe meaning of the term “health” is properly the subject of social, rather than natural, investigation. The structure of modern industrial capitalist society appears to materially and unavoidably produce a meaning of “health” intrinsically involving substantially preventable disease. Because in such a society private investment responds to cyclical and geographic fluctuations in rates of return and competitive labor markets, much of the disease structure (heart disease, stroke, kidney failure, and cancer, among others) encompasses diseases which captive citizens cannot afford to do without. To prevent those diseases through environmental and workplace cleanup, full employment and geographic capital stability is to drive away the very private capital on which economic life is based. Consequently, those diseases are as intrinsic to modern capitalist society as the law of supply and demand and are, therefore, a characteristic component of the meaning of “health,” the socially optimum level of organismic condition, in this epoch. A necessary condition for the emancipation of “health” from socially preventable disease would appear to be the social, rather than private, control of production and accumulation