It would be foolish to attribute cancer solely to the development of capitalism when evidence is available that cancer has existed at least throughout written history. However there can be no question that only in the present century has it reached such epidemic proportions that it now accounts for 20% of all deaths in Britain (Sunday Times article: “Cancer: How to cut the risk,” 13th June 1976.)
Evidence suggests that most diseases are the result of the environment, and it must be remembered that the environment, especially today, is largely man-made. Consequently it should be within man’s power to alter that environment to one more favourable to good health.
This to a large extent has already been achieved. With better sanitation, nutrition and living conditions (together with antibiotics) the epidemic infectious diseases of the last century have largely been eradicated. It must, however, be remembered that the introduction of these measures was purely for economic expediency, since a healthy work force, being more productive, ensures “healthier” profits. Proof of this can be seen in the underdeveloped countries whose populations are suffering similar diseases only because it is not yet “economically viable”, in capitalist terms, to divert the necessary resources to public health measures. (For a good historical account of this see F. Engels’s Condition of the Working Class in England in 1844.)
Whether a similar change can be effected in the incidence of chronic diseases such as cancer and heart disease which have replaced the infectious diseases as the prime killers, depends upon whether other (removable) factors in the environment are to blame.
But before we consider this aspect, we must first dispose of two common beliefs about the reason for the increasing incidence of chronic diseases. These are: (1) That chronic diseases largely affect elderly people and with the increase in life expectancy there has been a consequent increase in the incidence of these diseases. (2) Due to better diagnostic techniques these diseases are more often recorded now.
These ideas are attacked as fallacies by, amongst others, David L. Ledge and Walter T. Martin in their book Social Stress and Chronic Illness — Mortality patterns in Industrial Society, (London, 1970). They claim in answer to fallacy No. 1:
“. . . the variability of chronic disease mortality patterns in the United States suggests causation other than changes in age, or other biological factors.”
And fallacy No. 2:
"While improved training of medical personnel and modern advances in diagnostic technology undoubtedly have had some effect in recorded incidence and prevalence of these diseases, these factors are not regarded as accounting for a significant proportion of the changes or variation observed. For example, how can this explanation account for the fact that death rates for males increased more rapidly than those of females in the case of disease of the cardiovascular system? . . . Are we to understand that physicians are becoming more effective in diagnosing diseases only in the case of males?"
That chronic diseases are engendered by our social and physical environment is beyond doubt: as one microbiologist has said:
Each civilization has its own kind of pestilence and can control it only by reforming itself . . . just as the great epidemics of the nineteenth century were precipitated by environmental factors which favoured the activities of pathogenic microorganisms, so many of the diseases characteristic of our times have their origin in some faulty factor of the modern environment . . . (Rene Dubos, Mirage of Health: Utopias, progress, and biological change. New York, 1959.)
So the question we must now ask is: is there such a “faulty factor” in the modern environment and is capitalism capable of “reforming” it? Scientists who reject the idea that cancer is caused by viruses or is inherited appear to be divided basically into two camps as to what the “faulty factor” is.
The first theory can be best summed up by the report in the World Health Chronicle (No. 3 Vol. 30, March 1976) of a symposium held at Lyons, France, 3rd-5th Nov. 1975.
Addressing the symposium Dr. John Higginson, Director of The International Agency for Research on Cancer (IARC), observed that there is good circumstantial evidence that 80-90% of all cancers are dependent, directly or indirectly, on environmental factors, and that at least 90% of these factors are chemical in nature. For the majority of cancers, racial or hereditary factors are relatively minor compared with environmental factors. Hence the importance of the control or elimination of the latter as a means of primary prevention.
This is based on evidence that many chemicals found in food, for instance, have been proved to be carcinogenic (cancer causing). But many of these chemicals are in the form of additives (“The average Briton eats some 3.2 lbs. of food additives a year — equivalent to about 12 aspirin-sized tablets a day”. Sunday Times, ibid.) and at least half of these additives are used purely to “improve” flavour, and consequently cut costs thereby “improving” profits. Compounding this are the toxic chemicals released into the air by nuclear explosions, factories who “can’t afford” anti-pollution devices, etc.
The other theory is on something more familiar to most people.
Stress increases the amount of corticosteroid hormones (produced by the cortex of the adrenal gland) circulating in the body and this suppresses the immune processes which protect the body. White blood cells circulating through the body kill abnormal cells, which are constantly being formed in the body, before they turn into uncontrolled cancers. This process may be interfered with by the corticosteroid hormones produced under stress.(Sunday Times, ibid.)
Stress has been defined as the response of the body to any demand made upon it, whether pleasant or unpleasant, that requires it to readjust to an entirely new situation and consequently some degree of stress will always be present. But in today’s industrial capitalist world, stress has become a constant and excessive feature. The “rat-race” by its very nature, the myriad anxieties over money, work, the threat of wars, etc., are all part and parcel of capitalism, and all engender stress. So does the phenomenal increase in noise due to traffic and aircraft.
An illustration of the effect of socially-induced stress on a population is that of Germany during the twenties. Following an abrupt fall at the end of the first world war, tuberculosis mortality increased sharply during the years of inflation and fell again with the stabilization of the currency. (Dubos — Man Adapting.)
Whether capitalism is capable of curing cancer is uncertain. Much research is still being funded by charity and it is one of the more detestable contradictions of capitalism that more resources are spent on finding the most efficient ways of killing people than of preventing their deaths from disease. The two researchers mentioned earlier (Lodge and Martin) who have constructed a theoretical model for predicting the prevalence of socially induced stress, point out that:
"while the overall testing design suggested . . . is theoretically possible, the tremendous costs involved in compiling the necessary data make it unlikely that these tests will be carried out in the near future.”
Capitalism revolves round this nexus of cost and profitability.
Much medicine today reflects acceptance of the framework of capitalism and therefore is, analogous to placing an ambulance at the bottom of a cliff rather than fencing off the top. This was pointed out by the World Health Organisation:
In its preoccupation with the minutiae of diagnosis and the pathogenesis of disease, medicine is in danger of neglecting its most powerful resource — the manipulation of the external environment.
We cannot say that Socialist society will eradicate diseases completely, but we can say that in a society where the “manipulation” of the environment will be on the basis of catering solely for human need, not profit, conditions will be more conducive for the total wellbeing of man than the present, moribund, society.
Paul Moody
















