It’s protected to say that most individuals need to be wholesome. Nobody enjoys being sick, nevertheless it’s greater than that—sickness, whether or not acute or power, impacts high quality of life.
Defining Well being Past the Absence of Sickness
Well being, in fact, is extra than simply the shortage of sickness. In line with the World Well being Group (WHO), well being is outlined as “a state of full bodily, psychological, and social well-being and never merely the absence of illness or infirmity.”
This definition, established in 1946, stays related at this time. However our relationship to well being has shifted.
How Our Pursuit of Well being Has Modified
What was as soon as centered totally on stopping sickness and infectious illness has advanced right into a broader want to dwell longer and higher than earlier generations.
A few of this transformation stems from advances in science and our rising understanding of the human physique and what it must thrive.
Take bodily health for example. Earlier than the Nineteen Fifties, the common American didn’t train commonly, if in any respect. By the late Nineteen Seventies, nevertheless, train as a behavior for well being had gone mainstream.
Now, health is a large international trade—valued at round $87 billion—with limitless methods to take part. You’ll be able to work out at house, be a part of a fitness center, take lessons in a studio or on-line, go high-intensity or low-impact, raise weights or persist with cardio.
Health is now not only a passion or behavior—it’s a cultural expectation.
When Well being Turns into Political
Over the previous decade, well being has develop into more and more politicized. An increasing number of, it’s framed as an particular person accountability moderately than a collective challenge supported by households, communities, governments, and well being programs.
Some argue that good well being shouldn’t be a proper however a private responsibility—and that poor well being displays ethical failure, the results of dangerous habits moderately than structural limitations which might be out of their management.
This ideology is named healthism.
Healthism in Motion
Even if you happen to don’t know the time period, you’ve possible seen healthism at work.
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In the course of the Covid-19 pandemic, some folks rejected masks and vaccines—public well being measures that profit people and communities—in favor of unproven options like vitamin C, zinc, or Ivermectin, which had been framed as particular person fixes.
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Influencers gas healthism by promoting dietary supplements, liver cleanses, or fearmongering about seed oils—insisting that if you happen to observe their protocols, you’ll obtain “optimum well being.”
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In politics, Robert F. Kennedy Jr. made headlines in April 2025 when, throughout Senate affirmation hearings, he refused to say that healthcare is a human proper. As a substitute, he recommended that individuals who smoke, drink soda, or eat doughnuts shouldn’t anticipate others to pay for his or her medical care.
As Michael Cannon, Director of Well being Coverage Research at the Cato Institute later advised The Washington Publish: “Individuals ought to bear the price of their very own unhealthy choices, not simply because it’s fallacious to power different folks to bear these prices, however as a result of then they’re much less more likely to make unhealthy choices.”
That’s healthism in a nutshell.
Healthism and Programs of Oppression
Healthism doesn’t function in isolation. It intersects with—and reinforces—different programs of oppression similar to racism, sexism, classism, and ableism. These programs protect the established order in any respect prices, encouraging hierarchies and biases that create unequal entry to energy and privilege.
The Nationwide Fairness Challenge explains: “Systemic oppression exists on the stage of establishments (dangerous insurance policies and practices) and throughout buildings (schooling, well being, transportation, economic system, and many others.) which might be interconnected and reinforcing over time.”
Healthism, then, turns into a type of physique fascism—a system that dictates acceptable way of life decisions, rewards compliance, and punishes deviation. It matches neatly into the framework of different programs designed to distinguish and designate energy to a choose few.
The place the Time period “Healthism” Got here From
The time period “healthism” was coined in 1980 by sociologist Robert Crawford, who noticed a rising cultural fixation on well being—particularly by means of private way of life decisions.
Crawford acknowledged well being as inherently political. He understood that well being outcomes replicate socio-economic divisions, now known as the social determinants of well being—”the circumstances by which individuals are born, develop, dwell, work, and age, in addition to their entry to energy, cash, and sources” (as outlined by WHO).
These determinants embody genetics, revenue, schooling, atmosphere, and sort of labor—all of which play vital roles in figuring out your well being standing.
Recognizing structural points like classism, racism, or sexism would shift blame from people to the establishments and legal guidelines that perpetuate inequality.
Healthism dismisses the social determinants of well being and ignore the inequities in accessing good well being in favor of the concept that private decisions alone dictate well being outcomes.
If the systemic problems with classism, racism, sexism had been included within the causes of poor well being, the blame would shift from solely the person and as a substitute to the establishments and legal guidelines that perpetuate inequality.
Well being, Capitalism, and Social Management
Healthism additionally acts as social management—demanding folks conform to particular existence or physique beliefs to be deemed “worthy” of well being.
For instance, when RFK Jr. claimed “our altering meals provide” is “poisoning” Individuals and used that reasoning to argue in opposition to common healthcare, he was reinforcing healthism: tying ethical worth to particular person well being decisions whereas dismissing systemic inequities.
However in a for-profit healthcare system, not everybody can entry care. Not everybody can afford it. Well being, subsequently, turns into a privilege—not a common proper.
Capitalism additional complicates this image. To be thought of “wholesome,” we’re advised to eat “wholesome meals,” train commonly, get good sleep, have time to spend with our family and friends—yet capitalism requires us to work lengthy hours, the place many are underpaid and barely making sufficient to scrape by regardless of working full-time hours. Paid trip time is proscribed, usually to 2 weeks or much less –however for a lot of, paid go away isn’t assured.
Healthism promotes the concept that “all of us have the identical 24 hours in a day” and it’s merely a matter of selecting to allocate that point “appropriately.” However how is a father or mother who works two jobs to make ends meet and assist their household imagined to put aside the time to hit the fitness center on a regular basis? What in case your city has just one grocery retailer they usually hardly ever inventory any respectable produce? These are realities confronted by many in the US. We don’t all have equal entry to wholesome choices or the sources to interact in wholesome actions.
In actuality, good well being is barely obtainable to some, even whereas all are anticipated to attain it.
Why Healthism Feels Fascist
The American “pull your self up by the bootstraps” ideology fuels the concept that good well being is solely a mirrored image of particular person selection. However in actuality, private habits don’t exist in a vacuum as a result of the contributors to well being standing are multi-faceted and advanced and generally contain elements which might be exterior of our personal private management.
What RFK Jr and so a lot of his devoted MAHA followers promote is the concept that everybody ought to be capable of overcome all of the social determinants of well being by means of good decisions and arduous work. However that place is a privileged one.
Nobody is arguing that folks shouldn’t be maintaining a healthy diet meals, exercising, getting high quality sleep, and fostering good relationships. All of us agree that these behaviors have monumental advantages. However to say that these issues are equally accessible to everybody and, on their very own, are sufficient to beat the entire socio-economic limitations to well being that individuals are born into and dwell with is grossly out of contact with actuality.
Healthism turns into fascist when advantages, rights, entry, and inclusion are reserved for individuals who match a slender very best—echoing eugenics-like pondering. Solely those that make the “proper” decisions, look a sure means, or meet inflexible requirements are granted security, entry to authorities providers, and freedom.
A Higher Path: Democratizing Well being
If we wish actual well being fairness, we should look past private decisions and deal with systemic limitations. Meaning:
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Common healthcare: Accessible, reasonably priced, and obtainable to all.
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Environmental justice: Clear air, water, and soil, particularly in low-income and concrete communities.
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Financial assist: Common Fundamental Earnings (UBI) to scale back monetary stress and broaden entry to more healthy decisions.
These actions and insurance policies could be a begin towards democratizing well being and leveling the enjoying subject.
As creator Aubrey Gordon wrote in Self journal in 2020:
“To be clear, healthism isn’t the foundation reason behind transphobia, ableism, racism, anti-fatness, or misogyny—however it may be a device to implement all of them. That’s partially as a result of healthism assumes a enjoying subject that merely isn’t there. And when it stubbornly attributes societal and neighborhood outcomes to ‘particular person decisions,’ it reinforces the biases dealing with marginalized communities.”
Closing Ideas
If we wish more healthy communities, we should confront the social determinants of well being and dismantle programs of oppression that deny entry to care and wholesome choices. Well being can’t be diminished to particular person decisions whereas ignoring the inequities baked into our society.
In any other case, we’re successfully saying some individuals are worthy of well being—and others aren’t.
Right here’s to redefining well being with no consideration, not a privilege. –Naomi
