Your good health (1985)

From the December 1985 issue of the Socialist Standard

How healthy are you? Good health and fitness have recently become a very popular pursuit and stylised in fashionable culture and music. We are progressively bombarded with adverts for commodities to improve our bodies with "one calorie per can. nutrasweet drinks, jams with "40 per cent less sugar", low-fat spreads and vitamin-fortified. high fibre cereals. The wholemeal market has expanded from the odd loaf to a wide range of breads, pastas and even snack bars. What were once fringe groups like the advocates of Ginseng or jogging are now part of a much larger social group seeking improved health. Sports wear, including hi-tech trainers, track suits and designer-label tennis shirts, has become a theme in contemporary fashion. Good health and fitness are. of course, desirable objectives but the problem is that so many aspects of our lives today militate against their attainment.

For the privileged minority of men and women in capitalism the achievement of good health, if desired, is no problem. The consumption of first rate cuisine, a hygienic and comfortable environment, plenty of exercise in pools and on sunny beaches and a stress-free existence are conducive of putting you in good shape. For the majority of us, however, things are a lot more difficult. With careful planning and dedication a certain number of workers do become quite fit; people with a passion for active sport for instance. But generally workers cannot enjoy a life fit as a fiddle. Pursuing a clean bill of health in capitalism is like trying to swim against the flow of a river. How, then, is your health damaged by the society in which you live?

Medical health

In a society where money speaks louder than need it is not surprising that the provision of medical care for the majority is in such a sick state. If you can afford the £1,000 a day charged by private hospitals such as Harley Street's London Clinic there is no real cause for alarm. But the majority of people are not in this situation. Hospital services for the wealth-producers are being cut because of the economic recession: 

Guy's hospital has agreed to axe 300 jobs and close 63 beds by the autumn to cope with the financial crisis. . . General Medicine and surgery units will suffer most. Their outpatients will be cut by 30 per cent and they will lose 42 beds, including some in the chest and infectious disease wards., (Guardian, 1 July 1985)

Department of Health figures issued in March 1983 showed that more than 2.000 medical doctors had been rendered socially useless, suffering from the economic illness of unemployment. To aggravate the problem still further, many medical brains have been bribed by the military services to help them improve the techniques of bacteriological and bio-chemical warfare, which in turn has drawn away many more medical brains from treating patients to research and compose reports about the predictable effects of a nuclear war. One such report, issued after "nearly two years' hard work", was produced by a team of highly skilled consultants. general practitioners and professors. Its findings are not relaxing to read:

Delay in treatment would result in a high incidence of wound infection. Ruptured drainage and sewage systems together with the presence of decaying corpses and animal carcasses would increase enormously the hazards of infection. Major radioactivity would add the problems of radiation sickness to those already wounded. . . The psychogenic effects of such a disaster can only be conjectured. . . It is apparent that any schemes in existence would be completely inadequate to deal effectively with such a situation. (The Report of the British Medical Association Board of Science and Education Inquiry into the Medical Effects of Nuclear War)

In the relentless quest for profit, medical drug companies have often been found guilty of gross negligence or rank unscrupulousness. The leading Swiss company Ciba-Geigy has admitted that it placed unprotected Egyptian children in a field so that a crop-spraying airplane could douse them with the insecticide Galecron. The object was to test the children's urine for toxic levels of the liquid, which was subsequently linked with cancer. The biggest chemical conglomerate in Britain. ICI, has also admitted that it promoted an expensive and dangerous anabolic steroid as a wonder cure for malnourished children in Bangladesh. And these are probably no more the only culprits of such malpractice than Richard Nixon and Profumo are the only dishonest politicians of our time.

The environment

The commercial profit system operates worldwide and. because it puts a priority on the making of a profit for the few, all other interests — including those of the majority of people and our environment — are subordinated to this end. If it is cheaper, and therefore more profitable, to pollute the atmosphere rather than to safely dispose of toxic waste, then the atmosphere gets polluted. The National Wildlife Federation in America reported recently on the increasing problem of acid rain. Sulphur-dioxide emissions from coal-fired power plants are damaging forests, fouling lakes and streams; in some parts of California fog is 2,000 times as acidic as natural fog and capable of burning the eyes and throat. More than 26 million tons of sulphur are emitted in the USA every year and the amount is increasing. Mr Kirk Willison, a spokesman for the Edison Electrical Institute, has opposed moves to ban such practices "because of the costs that pollution control would involve" (Daily Telegraph, 11 May 1984). Dangerous pesticides are often marketed with high pressure campaigns. with all sorts of dire results. DDT was withdrawn from the market last year but. as two investigators from Friends of the Earth recently discovered (posing as farmers). it is still possible to get this damaging substance from certain agrochemical suppliers. Chris Rose. FOE's countryside campaigner was reported in Farmers' Weekly as saying:

This was a question of cash on the counter and no questions asked. . . Allowing the sale of DDT is almost unbelievable negligence . . . obviously the company is keen on making a quick buck by flogging poisons even if they are banned.

Malnutrition

Not only do millions of people die from malnutrition each year (Oxfam has estimated the number of malnourishment-related deaths annually at 30,000.000) but millions more just "go hungry" or suffer the effects of an unhealthy diet. According to the United Nations International Emergency Children's Fund over 1,700 children die every sixty minutes (one every 2 seconds) from disease, malnutrition and war-caused disruption. This sort of sacrifice on the altar of profit also happens closer to home. Take one recent case. In August twin sisters aged 2½. died of malnutrition in Essex while their unemployed father was away from home, perhaps taking Norman Tebbit's advice, looking for work. The tragic twist to this particular story was the expertise of the unemployed father — he was a cook (Guardian, 3 August 1985). The social madness of such suffering is that, not only could we produce enough food for every human being to lead a healthy life (the United Nations Food and Agriculture Organisation estimates that using current farming methods the world could produce enough food for 33.000,000.000 people — seven times the world population) but that even today so much food and drink is produced but left to rot or be re-cycled because it cannot be sold at a profit.

Millions of litres of surplus Common Market wine, equivalent in its present distilled form to the contents of 16.000 Olympic swimming pools, should be converted into boiler fuel according to a House of Lords select committee report. (Guardian. 25 July 1985)

The Common Market's butter mountain recently reached a record level of 600,000 tonnes, adding to the gastronomic scenery of milk lakes and beef mountains. Despite the enormity of suffering from malnutrition it is still conventional wisdom for the "experts" and their journalistic echoes to refer to such food and drink as "surplus stock". The measuring rod of need in capitalism is. necessarily, not what people need but rather what the market can absorb. The Live Aid concerts earlier this year highlighted the unnecessary suffering of so many people but. clearly, the occasional well-intentioned handouts to the starving cannot solve a problem which is endemic in a society which dances to the tune of the cash register.

Employment

Employment is a euphemism for exploitation. Selling your energies to someone else or a company for your whole vital life, so that the hirer can get wealthy from your efforts, is not the formula for a healthy existence. When people work at home for their families or friends it is usually rewarding and pleasurable. But being constantly alienated from what your efforts produce for your employer is a depressing experience. In the context of employment work becomes nothing more than the reluctantly performed grind necessary to earn a living. Wherever you work — office, factory, school, hospital or mine — the conditions are usually less than extravagant, aimed at maximum productivity rather than your best health and safety. Every aspect of most working environments, including lighting, heating and cleanliness, are not what they could be. Over 1,500 people die every year as a result of their work and courts are always hearing cases of industrial accidents which could have been avoided but for unsafe but cost-saving conditions at work. The independent Office of Health Economics has reported how fear of losing their jobs is forcing more sick workers to work.

Unemployment

Enforced idleness and social uselessness takes an obvious toll, not only on its direct victims but also on their dependants. A government report at the beginning of this decade showed how unemployment leads to increased ill-health, psychological disturbance and alcoholism. Symptoms detailed in the report include depression accompanied by "insomnia, loss or gain of weight, suicidal thoughts, impulsive or violent outbursts and an increased use of alcohol or tobacco". Among physical symptoms are asthma, skin lesions, backaches and headaches. Perhaps not surprisingly, this report was not made universally accessible — only 200 copies were printed and put on sale at £6 each.

Drug abuse

In all sorts of ways the profit system offers bleak prospects for most workers. Either the routine drudge of boring work or the frustration and hopelessness of life on the dole. The pressures become the more unendurable during a deep recession, especially for the millions of young people with so much potential creativity and energy. In this sort of setting the escapism afforded by mood-altering drugs is likely to become more popular. with all the misery that is its consequence. The proliferation of the use of heroin and of solvent-abuse over the last few years is a measure of the deep dissatisfaction an increasing number of people are feeling about the sort of society they live in. The suicide rate is dramatic enough — there are on average about 12 suicide attempts every day — but for many others the regular use of these drugs means life that is almost like suicide. The statistics are not very reliable but a figure of 50,000 heroin addicts in Britain is sometimes quoted. Addressing the drug dealers, Thatcher has warned "We are after you” and Edward Gardner, chairman of a recent House of Commons all-party committee. advocated that drug dealers should be hung (while army recruitment officers have medals put around their necks). But this sort of policy cannot be successful because it seeks to tamper with the symptom of a social malady rather than its cause.

War

Wars are the extension of the economic quarrels of governments over new markets to exploit, new territories rich in mineral deposits. trade routes and strategic locations on the trade map. It is not "human nature" which impels young men (and now, in many armies, young women) to go out and murder complete strangers; it is usually conscription or the fomenting of hysterical jingoistic fervour against "the enemy", as was seen during the Falklands war. From Belfast to Beirut to Baghdad and in a score of other current wars people are being killed and maimed every day, with all the grief and despair for so many others that this leaves in its wake. It has been estimated that "The number of people around the world who are involved in wars of the old-fashioned, death producing kind comes, at a rough count, to about 701,600,000 . . . (Sunday Times, 21 March 1982). The emergency children's fund, Unicef, working in 112 countries, has a total annual income equivalent to about 4 hours of world spending on the war machines. Capitalism is not about caring for people and therefore cannot put a priority on health. One army general is paid more than five state enrolled nurses.

Getting healthy

Socialists cannot object to workers trying to get as fit and healthy as they can. but it cannot be denied that the sort of society we live in makes this a very difficult task. Class-divided society, the rat-race, is a squalid struggle for most people and only with its abolition can we seriously begin to take pleasure in individually and socially enjoying robust good health. If music is the food of love, knowledge is the food of desirable social change. The socialist case contains no artificial flavourings or election promises, just wholesome food for thought. Bon appetit.

Gary Jay