{"id":50737,"date":"2021-07-30T09:21:44","date_gmt":"2021-07-30T08:21:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=50737"},"modified":"2021-08-06T11:40:00","modified_gmt":"2021-08-06T10:40:00","slug":"why-health-should-replace-wealth-as-the-heart-of-prosperity","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/07\/30\/why-health-should-replace-wealth-as-the-heart-of-prosperity\/","title":{"rendered":"Why health should replace wealth as the heart of prosperity"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Ask people what matters most in their lives and the chances are that health will come out somewhere near the top. Health for ourselves. Health for our friends and our families. Health too\u2014sometimes\u2014for the fragile planet on which we live and on whose health we depend.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The same lesson must surely top those we learnt over the last eighteen months. As Covid spread, there was a sense everywhere of priorities being reshuffled. Without health, all routes to wellbeing become impassable. The trappings of material affluence, hitherto sacred to our vision of prosperity, seem at best ephemeral and at worst irrelevant.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Yet, as the epidemiological (and ideological) battles over \u201cFreedom Day\u201d attest, those precious lessons were both hard won and swiftly forgotten. A matter of months after we applauded our nurses from the doorstep, they were offered the paltriest of pay rises. Now once again our carers find themselves at the mercy of a cold economic calculus: faced with escalating covid-19 hospital admissions and the potentially deadly postponement of other emergency treatments\u2014purely to satisfy the libertarian mood of the day.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Appointing an ex-Chancellor of the Exchequer as Secretary of State for Health and Social care may be a good way for bullish politicians to pander to a fickle profit-driven corner of the electorate. But whatever the economic outcome achieved by an \u201cirreversible\u201d\u2019 lifting of restrictions, society will be forever poorer if we forego this opportunity to ask what kind of economy we now need, what kind of \u201crecovery\u201d we should aim for. What can prosperity possibly mean for a promiscuous species on a finite planet?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The question is almost as old as the hills. But the contemporary answer to it is paralyzingly narrow. Cast in the garb of late capitalism, prosperity has been captured by the ideology of \u201ceternal growth:\u201d a mantra that insists that more is always better. Despite overwhelming evidence that relentless expansion is undermining nature and driving us towards a devastating climate emergency, the myth of growth still reigns supreme.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Even as we write, New York city has been paralysed by floods, a heat dome over British Colombia has led to temperatures 10-20\u00b0C above seasonal averages, and Europe and the UK have experienced flash floods. These events kill. Sudden deaths rose nearly 200 per cent during the heatwave in British Columbia. <\/span><a href=\"blank\"><span style=\"font-weight: 400\">Lawsuits<\/span><\/a><span style=\"font-weight: 400\"> are being filed against the oil majors who knew about the possibility of climate change as much as forty years ago. But the price will be too high even for the oil-rich giants to pay.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The planetary damage caused by this expansionary zeal is compounded by another very human cost. Capitalism needs selfish, insatiable consumers to achieve its ambitions for growth. So it incentivises that kind of behaviour. It lionises those who excel at it. Simultaneously, it undervalues the tasks that matter most to society\u2014care work, for example\u2014and denigrates those who labour there. Capitalism has \u201cgaslighted\u201d us into accepting a tainted view of ourselves and a tawdry substitute for human fulfilment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If we are to have any chance of living well within the limits of the planet, we must dethrone the myths that haunt economics\u2014to see them for what they are rather than the hard-nosed \u201ctruths\u201d they claim to be. To reclaim our own humanity, we must look elsewhere for our governing metaphors.<\/span><\/p>\n<p><span style=\"font-weight: 400\">To turn at this point to the idea of prosperity as health is to do more than reiterate the lessons of the pandemic. As Aristotle pointed out in his <\/span><i><span style=\"font-weight: 400\">Nicomachean Ethics <\/span><\/i><span style=\"font-weight: 400\">(a book named after his physician father), the good life must always be seen\u2014not as the continual pursuit of more\u2014but as a fine line between deficiency and excess. Balance\u2014rather than growth\u2014is the governing metaphor of health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Population health provides the most obvious example of this idea. Too little food and we\u2019re struggling with diseases of malnutrition. Too much and we\u2019re tipped into the \u201cdiseases of affluence\u201d<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">obesity, hypertension, diabetes\u2014that now kill more people than undernutrition does. Good health depends on finding and nurturing this balance.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">That task is always tricky of course, even at the individual level. Just think about the challenge of keeping your exercise, your diet, and your appetites in line with the outcome of a healthy body weight. But living inside a system that has its sights continually focused on more makes the task near impossible. Capitalism not only fails to recognise the point where balance lies. It has no idea how to stop when it gets there.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The focus on health triggered by the coronavirus was a vindication of the wisdom conveyed more than two centuries ago by Thomas Jefferson. \u201cThe care of human life and happiness\u2014and not its destruction,\u201d he said, \u201cis the first and only task of government.\u201d As we re-orient ourselves to new realities, the lessons of the last 18 months offer us a unique opportunity to re-balance both our individual lives and our sense of social progress. It is health rather than wealth that lies at the heart of our wellbeing and provides the true foundation for a lasting prosperity.\u00a0<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Tim Jackson<\/strong> is professor of Sustainable Development at the University of Surrey and author of <\/span><span style=\"font-weight: 400\">Post Growth \u2013 Life after Capitalism.<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Julian Sheather<\/strong> is a writer and ethicist. He is special adviser in ethics and human rights to the British Medical Association, ethics consultant to MSF and co-author of <\/span><span style=\"font-weight: 400\">Medical Ethics Today<\/span><span style=\"font-weight: 400\">.\u00a0<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Competing interests<\/strong>: none declared.<\/span><\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ask people what matters most in their lives and the chances are that health will come out somewhere near the top. Health for ourselves. Health for our friends and our [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/07\/30\/why-health-should-replace-wealth-as-the-heart-of-prosperity\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":50743,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-50737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-climate-change"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Why health should replace wealth as the heart of prosperity - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/07\/30\/why-health-should-replace-wealth-as-the-heart-of-prosperity\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why health should replace wealth as the heart of prosperity - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Ask people what matters most in their lives and the chances are that health will come out somewhere near the top. 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Health for ourselves. 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