University of Huddersfield, UK.
Health (London). 2024 Jan;28(1):22-39. doi: 10.1177/13634593221113212. Epub 2022 Jul 22.
The critical political economy of health offers different explanations for the social causes of health and the social factors determining the distribution of these causes. However, the relational, post-anthropocentric and monist ontology of the new materialisms overcomes this complexity, while retaining a critical focus. In this perspective, the social, economic and political relations of capitalism act upon bodies and other matter in everyday events, rather than as 'social structures'. Using a conceptual toolkit of 'affect', 'assemblage', 'capacity' and 'micropolitics', the paper asks the question: 'what does capitalism do?' The re-analysis of the social and economic relations of capitalism in terms of a production-assemblage and a market-assemblage reveals not only the workings of capitalist accumulation, but also how previously-unremarked more-than-human affects in these assemblages simultaneously produce uncertainty, waste and inequalities. This micropolitical economy of health is illustrated with examples from recent research, including a critical assessment of health inequalities during the Covid-19 pandemic.
健康的关键政治经济学为健康的社会原因和决定这些原因分布的社会因素提供了不同的解释。然而，新唯物主义的关系论、后人类中心论和一元论本体论克服了这种复杂性，同时保持了批判性的重点。从这个角度来看，资本主义的社会、经济和政治关系在日常事件中作用于身体和其他物质，而不是作为“社会结构”。本文使用“情感”、“组合”、“能力”和“微观政治”的概念工具包，提出了一个问题：“资本主义做了什么？”从生产组合和市场组合的角度重新分析资本主义的社会和经济关系，不仅揭示了资本主义积累的运作方式，还揭示了以前未被注意到的、这些组合中同时产生不确定性、浪费和不平等的超人类情感的作用。本文通过最近的研究实例说明了这种健康的微观政治经济学，包括对新冠疫情期间健康不平等的批判性评估。
