Capitalism Medicine

Life expectancy in the United States has recently fallen for three years in a row - a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year - and they're still rising. Case and Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class.

When American saxophonist and social activist Fred Ho was diagnosed with stage 3b colo-rectal cancer in 2006 he underwent immediate surgery to remove the tumor and began preparing for chemotherapy. Within days his friends mobilized to arrange grocery deliveries, transport, companionship, and housekeeping duties - they called themselves “Warriors for Fred”. Fred chose to write his astonishing cancer memoir as a diary, acknowledging that all the greatest warriors wrote daily diaries.

Americans are in the midst of a world-historic drug binge. Opiates, amphetamines, benzodiazepines, marijuana, antidepressants, antipsychotics—across the board, consumption has shot up in the twenty-first century. At the same time, the United States is home to the largest prison system in the world, justified in part by a now zombified "war" on drugs. How did we get here?

Antebellum New Orleans sat at the heart of America's slave and cotton kingdoms. It was also where yellow fever epidemics killed as many as 150,000 people during the nineteenth century. With little understanding of mosquito-borne viruses, a person's only protection against the scourge was to "get acclimated" by surviving the disease. Repeated epidemics bolstered New Orleans's strict racial hierarchy by introducing another hierarchy, what Kathryn Olivarius terms "immunocapital." Whereas immunity conferred privilege on whites, it relegated enslaved people to the most grueling labor.

In this substantially expanded edition of his earlier book The Monster at Our Door, the renowned activist and author Mike Davis looks at the COVID-19 pandemic now sweeping the world. He sets the current crisis in the context of previous viral catastrophes, notably the 1918 influenza disaster that killed at least 40 million people in three months and the avian flu of a decade and a half ago that sounded a tocsin, disastrously ignored by those in power, for today's devastating outbreak.