Capitalism Medicine

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.

Freedom of choice lies at the heart of American society. Yet, many Americans don't realize that these choices are illusory at best. The available options in food, healthcare, education, transportation, and even online presence are largely constructed by corporations. At What Cost confronts how globalization, financial speculation, monopolies, and control of science and technology have enhanced the ability of corporations and their allies to overwhelm influences of government, family, community, and faith.