Revisiting the Corporate and Commercial Determinants of Health

McKee, Martin; Stuckler, David

doi:10.2105/ajph.2018.304510

Cited by 216 publications

(228 citation statements)

References 39 publications

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“…This is a global narrative-it gets under the skin and into the alimentary canal; forensic analysis can identify neoliberal fingerprints and "DNA" in the microbiome of the intestinal villus and 'in the periphery', circulating as a measurable metabolome of the patient in the waiting room [145]. As pointed out by experts in public health, multi-national corporations and other commercial enterprises can maintain grey space and grotesque health inequalities by 'controlling the narrative' [146]. Often they do this with the aid of front groups and quasi-scientific organizations operating behind the façade of trust and 'science' [147].…”

Section: Narrative Neoliberalism Ncds-beyond Narrow Clinical Confinesmentioning

confidence: 99%

“…When physicians better understand the methods and sources used by commercial entities to undermine health-the ways in which operatives frame NCDs as, exclusively, issues of personal responsibility, and sow seeds of doubt in areas where there is scientific consensus-they will be better equipped to attend to the person in the waiting room [64,140,146]. The physician will more likely comprehend how the patient's narratives bump up against prevailing commercial-political-social narratives; the latter narratives otherwise press down upon the patient and take a backhoe to the notion of a biologically (and psychologically) level playing field [158,230].…”

Section: Redefining the Narrativementioning

confidence: 99%

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Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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The emerging concept of planetary health—defined as the interdependent vitality of all natural and anthropogenic ecosystems (social, political, and otherwise)—emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth’s biosphere. In the clinical setting, narrative medicine underscores the importance of absorbing, reflecting upon, and responding to the narratives—the stories—conveyed by patients. Education and interventions using the tenets of narrative medicine have demonstrated value to both patient and provider. Given the grand interconnected challenges of our time—compounded by misinformation and quasi-scientific narratives propagated by the ideology of neoliberalism—we argue that the principles and practice of narrative medicine can be applied on a larger scale, one with planetary health in mind. The role of beliefs, expectations, and agency—mindsets—in the link between narrative and planetary health are emphasized. We use a story of our own to demonstrate that the biological buffering capacity in response to a fast-food meal does not sit on a level socioeconomic playing field. Patient, community, and global health narratives are melding with powerful narratives set by commercial entities. The success of planetary health as a new concept will be strengthened by attention to the ways in which storytelling can influence positive change. No less important is an understanding of the ways in which stories contribute to what ails person, place, and planet.

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Section: Narrative Neoliberalism Ncds-beyond Narrow Clinical Confinesmentioning

confidence: 99%

Section: Redefining the Narrativementioning

confidence: 99%

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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“…Of particular concern are the "ways corporations exert power" and the need to "align corporate behaviour more closely with the public good. " 5 Kickbusch et al, for example, identify four channels through which corporations exert influence -marketing, lobbying, corporate social responsibility initiatives, and supply chain management. 4 In this way, commercial determinants press for an overdue shift in the public health gaze to more effective regulation of health-harming activities by corporations.…”

Section: Introductionmentioning

confidence: 99%

Understanding Structure and Agency as Commercial Determinants of Health Comment on "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention"

Lee

Crosbie

2019

Int J Health Policy Manag

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The limited success to date, by the public health community, to address the dramatic rise in non-communicable diseases (NCDs) has prompted growing attention to the commercial determinants of health. This has led to a much needed shift in attention, from metabolic and behavioural risk factors, to the production and consumption of health-harming products by the commercial sector. Building on Lencucha and Thow’s analysis of neoliberalism, in shaping the underlying policy environment favouring commercial interests, we argue for fuller engagement with structure and agency interaction when conceptualising, assessing, and identifying public health measures to address the commercial determinants of health.

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“…The growing literature on what are termed “the commercial determinants of health” pays particular attention to the hidden and invisible forms of power, whereby large corporations use various methods to shape thinking about what are appropriate responses to the health consequences of their products 3. In the accompanying article, Susan Greenhalgh describes how the Coca-Cola Company came to dominate obesity policy in China even though its influence was obscured behind the public face of intermediaries (doi:10.1136/bmj.k5050).…”

mentioning

confidence: 99%