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The capitalist world-system and international health

R H Elling

    International Journal of Health Services : Planning, Administration, Evaluation
    |January 1, 1981
    PubMed
    Summary

    Global health issues are interconnected with the capitalist political-economic system. This framework highlights how capitalist practices, like resource exploitation and medical imperialism, negatively impact health in peripheral nations, suggesting distinct "world capitalist health" and "world socialist health" outcomes.

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    Area of Science:

    • Global Health
    • Political Economy
    • Medical Sociology

    Background:

    • Traditional explanations for global health disparities often fail to account for systemic economic factors.
    • Issues like infant mortality, malnutrition, and the export of harmful products are frequently analyzed in isolation.

    Purpose of the Study:

    • To analyze world health problems as interconnected issues within the capitalist political-economic world-system.
    • To critique inadequate explanations for global health inequalities, including those ignoring class structure and resource distribution.

    Main Methods:

    • Systemic analysis of global health issues through a political-economic lens.
    • Critique of existing health paradigms and proposed alternative frameworks.

    Main Results:

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    • Capitalist practices, including medical imperialism and resource expropriation, significantly contribute to poor health in peripheral nations.
    • Explanations focusing solely on national structures, culture, or individual behavior are insufficient.
    • A worldwide cultural and medical hegemony serves ruling class interests.

    Conclusions:

    • A unified concept of "international health" is inadequate; instead, distinct "world capitalist health" and "world socialist health" should be recognized.
    • Socialist-oriented nations, less integrated into the capitalist world-system, experience fewer negative health effects.
    • Addressing global health requires understanding and challenging the capitalist political-economic system and its hegemonic influence.