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 continual, impacts high quality of life.
Defining Well being Past the Absence of Sickness
Well being, in fact, is extra than simply the dearth of sickness. In keeping 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 as we speak. However our relationship to well being has shifted.
How Our Pursuit of Well being Has Modified
What was as soon as targeted totally on stopping sickness and infectious illness has advanced right into a broader want to reside longer and higher than earlier generations.
A few of this modification stems from advances in science and our rising understanding of the human physique and what it must thrive.
Take bodily health for instance. Earlier than the Nineteen Fifties, the typical American didn’t train often, if in any respect. By the late Seventies, nevertheless, train as a behavior for well being had gone mainstream.
Now, health is a large world business—valued at round $87 billion—with limitless methods to take part. You possibly can work out at residence, be part of a fitness center, take courses in a studio or on-line, go high-intensity or low-impact, carry weights or follow cardio.
Health is now not only a interest 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. Increasingly, it’s framed as an particular person accountability reasonably than a collective venture supported by households, communities, governments, and well being programs.
Some argue that good well being shouldn’t be a proper however a private obligation—and that poor well being displays ethical failure, the results of dangerous habits reasonably than structural obstacles which can be out of their management.
This ideology is called healthism.
Healthism in Motion
Even in the event you don’t know the time period, you’ve doubtless seen healthism at work.
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Throughout the Covid-19 pandemic, some individuals 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 in the event you 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 an alternative, he prompt that individuals who smoke, drink soda, or eat doughnuts shouldn’t count on others to pay for his or her medical care.
As Michael Cannon, Director of Well being Coverage Research at the Cato Institute later instructed The Washington Publish: “Individuals ought to bear the price of their very own unhealthy selections, not simply because it’s unsuitable to power different individuals to bear these prices, however as a result of then they’re much less prone to make unhealthy selections.”
That’s healthism in a nutshell.
Healthism and Methods of Oppression
Healthism doesn’t function in isolation. It intersects with—and reinforces—different programs of oppression comparable 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 Mission explains: “Systemic oppression exists on the stage of establishments (dangerous insurance policies and practices) and throughout buildings (schooling, well being, transportation, economic system, and so forth.) which can be interconnected and reinforcing over time.”
Healthism, then, turns into a type of physique fascism—a system that dictates acceptable way of life selections, rewards compliance, and punishes deviation. It suits 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 way of private way of life selections.
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 situations through which persons are born, develop, reside, work, and age, in addition to their entry to energy, cash, and sources” (as outlined by WHO).
These determinants embrace genetics, revenue, schooling, surroundings, and kind 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 private selections 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 an alternative to the establishments and legal guidelines that perpetuate inequality.
Well being, Capitalism, and Social Management
Healthism additionally acts as social management—demanding individuals conform to particular life 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 selections whereas dismissing systemic inequities.
However in a for-profit healthcare system, not everybody can entry care. Not everybody can afford it. Well being, due to this fact, turns into a privilege—not a common proper.
Capitalism additional complicates this image. To be thought-about “wholesome,” we’re instructed to eat “wholesome meals,” train often, 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, typically to 2 weeks or much less –however for a lot of, paid go away isn’t assured.
Healthism promotes the concept “all of us have the identical 24 hours in a day” and it’s merely a matter of selecting to allocate that point “accurately.” However how is a guardian who works two jobs to make ends meet and assist their household presupposed to put aside the time to hit the fitness center on a regular basis? What in case your city has just one grocery retailer and so they not often inventory any respectable produce? These are realities confronted by many in america. We don’t all have equal entry to wholesome choices or the sources to have interaction in wholesome actions.
In actuality, good well being is simply accessible to some, even whereas all are anticipated to realize it.
Why Healthism Feels Fascist
The American “pull your self up by the bootstraps” ideology fuels the concept good well being is only 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 components which can be exterior of our personal private management.
What RFK Jr and so a lot of his devoted MAHA followers promote is the concept everybody ought to be capable of overcome all of the social determinants of well being by way of good selections and exhausting 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 obstacles to well being that persons are born into and reside 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 slim perfect—echoing eugenics-like pondering. Solely those that make the “proper” selections, look a sure manner, or meet inflexible requirements are granted security, entry to authorities companies, and freedom.
A Higher Path: Democratizing Well being
If we would like actual well being fairness, we should look past private selections and deal with systemic obstacles. Which means:
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Common healthcare: Accessible, reasonably priced, and accessible 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 Primary Earnings (UBI) to cut back monetary stress and broaden entry to more healthy selections.
These actions and insurance policies can be a begin towards democratizing well being and leveling the taking part in area.
As creator Aubrey Gordon wrote in Self journal in 2020:
“To be clear, healthism isn’t the basis explanation for transphobia, ableism, racism, anti-fatness, or misogyny—however it may be a instrument to implement all of them. That’s partially as a result of healthism assumes a taking part in area that merely isn’t there. And when it stubbornly attributes societal and group outcomes to ‘particular person selections,’ it reinforces the biases going through marginalized communities.”
Last Ideas
If we would like 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 lowered to particular person selections whereas ignoring the inequities baked into our society.
In any other case, we’re successfully saying some persons are worthy of well being—and others are usually not.
Right here’s to redefining well being without any consideration, not a privilege. –Naomi