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Health Communism

A Surplus Manifesto

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Health Communism

By: Beatrice Adler-Bolton, Artie Vierkant
Narrated by: Sarah Welborn
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About this listen

A searing analysis of health and illness under capitalism from hosts of the hit podcast Death Panel

Written by cohosts of the hit Death Panel podcast and longtime disability justice and healthcare activists Beatrice Adler-Bolton and Artie, Health Communism first examines how capital has instrumentalized health, disability, madness, and illness to create a class seen as "surplus," regarded as a fiscal and social burden. Demarcating the healthy from the surplus, the worker from the "unfit" to work, the authors argue, serves not only to undermine solidarity but to mark whole populations for extraction by the industries that have emerged to manage and contain this "surplus" population. Health Communism then looks to the grave threat capital poses to global public health, and at the rare movements around the world that have successfully challenged the extractive economy of health.

Ultimately, Adler-Bolton and Vierkant argue, we will not succeed in defeating capitalism until we sever health from capital. To do this will require a radical new politics of solidarity that centers the surplus, built on an understanding that we must not base the value of human life on one's willingness or ability to be productive within the current political economy. Capital, it turns out, only fears health.

©2022 Beatrice Adler-Bolton and Artie Vierkant (P)2022 Tantor
Political Science Thought-Provoking

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Yes, but.

While I really do feel this text makes some really important contributions and YES to centring the surplus, I find it confounding that such an analysis particularly when coming from settler colonial US wouldn’t engage more with Indigenous thinkings and anti-colonial thought, along with Black Marxist texts and a bit more from disability justice—you know, texts that already centre the surplus? And that have a more nuanced analysis of what has constituted this surplus in settler colonial capitalist nation states? I’m over Marxist economic analyses that don’t also grapple in good faith with colonialism.

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