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The Body Economic: Why Austerity Kills Hardcover – Illustrated, May 21, 2013

4.5 4.5 out of 5 stars 98 ratings

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Politicians have talked endlessly about the seismic economic and social impacts of the recent financial crisis, but many continue to ignore its disastrous effects on human health—and have even exacerbated them, by adopting harsh austerity measures and cutting key social programs at a time when constituents need them most. The result, as pioneering public health experts David Stuckler and Sanjay Basu reveal in this provocative book, is that many countries have turned their recessions into veritable epidemics, ruining or extinguishing thousands of lives in a misguided attempt to balance budgets and shore up financial markets. Yet sound alternative policies could instead help improve economies and protect public health at the same time.

In
The Body Economic, Stuckler and Basu mine data from around the globe and throughout history to show how government policy becomes a matter of life and death during financial crises. In a series of historical case studies stretching from 1930s America, to Russia and Indonesia in the 1990s, to present-day Greece, Britain, Spain, and the U.S., Stuckler and Basu reveal that governmental mismanagement of financial strife has resulted in a grim array of human tragedies, from suicides to HIV infections. Yet people can and do stay healthy, and even get healthier, during downturns. During the Great Depression, U.S. deaths actually plummeted, and today Iceland, Norway, and Japan are happier and healthier than ever, proof that public wellbeing need not be sacrificed for fiscal health.

Full of shocking and counterintuitive revelations and bold policy recommendations,
The Body Economic offers an alternative to austerity—one that will prevent widespread suffering, both now and in the future.

Editorial Reviews

From Publishers Weekly

Can the economic crisis have an effect on our health? Oxford Senior Research leader Stuckler and Stanford epidemiologist Basu offer insight into the economic crisis—including the Great Recession—and its effect on public health, arguing that countries attempt to fix recessions by balancing budgets, but have failed to protect public well-being. They demonstrate how maintaining a healthy populace is intimately entwined with the health of the social environment. Filled with graphs and charts, the book shows how government's investment in social welfare improves the public's health, due to the creation of unemployment programs, pensions, and housing support. Each chapter offers historical facts from the 1930s in United States, to Russia and Indonesia in the 1990s, to present-day Greece, Britain, Spain, and the U.S., revealing how the government's mismanagement of the economic crisis has resulted in the public's poor health and an epidemic of diseases. The authors argue that it is the politicians' job to ensure that people's health needs are met, rather than their ability to pay. Societies will prosper when they invest in people's health both in good times and in bad. The question remains: what steps need to be taken to prevent widespread suffering both now and in the future? (June)

From Booklist

Stuckler and Basu, academics and public-health experts, examine how governmental budgets and economic choices affect life and death, as well as resilience and risk, for entire populations. With extensive study on the health effects of global economic policies during the December 2007 recession, they conclude that economies paid a deadly price for austerity in terms of ticks to growth rates, life lost, and avoidable deaths. Instead of austerity, the authors recommend evidence-based policies (stimulus) to protect health during hard times: If administered correctly, these programs don’t bust the budget, but . . . boost economic growth and improve public health. Stuckler and Basu ultimately blame the failure of austerity on the economic ideology of those who support small government and free markets over state intervention; they contend that governments that have increased public-sector spending have seen faster economic recoveries, which in turn helps them to grow out of debt. This informative book will add important perspective to the ongoing debate on the consequences of economic policies. --Mary Whaley

Product details

  • ASIN ‏ : ‎ 0465063985
  • Publisher ‏ : ‎ Basic Books; Illustrated edition (May 21, 2013)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 240 pages
  • ISBN-10 ‏ : ‎ 9780465063987
  • ISBN-13 ‏ : ‎ 978-0465063987
  • Reading age ‏ : ‎ 13 years and up
  • Grade level ‏ : ‎ 8 and up
  • Item Weight ‏ : ‎ 15.2 ounces
  • Dimensions ‏ : ‎ 6.25 x 1 x 9.25 inches
  • Customer Reviews:
    4.5 4.5 out of 5 stars 98 ratings

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4.5 out of 5 stars
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Customers find the book well-documented, well-written, and accessible. They also say it provides a deeper insight into the separation of India, and is unapologetic and strongly backed by solid data.

"...and global reach of "Development as Freedom" but has a remarkably accessible language, especially given that the authors are academicians..." Read more

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"This is a really striking book. The meme "neoliberalism kill" is beginning to spread, and this book puts flesh on the bones of that meme...." Read more

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Top reviews from the United States

Reviewed in the United States on May 9, 2013
The Body Economic is a refreshing change in the monotonous age of blogs that have no accountability,articles that haven't been reviewed by critical peers, and books that are backed up with nothing but ideology (and a willing publisher).

The book starts by saying that we are all part of a clinical trial. This sounds cute at first but becomes more chilling as you read along. The book looks at populations around the world (Iceland, Greece, historical and contemporary United States, the UK, Sweden, Thailand, post-Soviet Nations etc) and how they fared based on which decisions their governments made (cut spending or maintain social programs). The results are unequivocal and will threaten the ideologues on the right but can actually change their minds, if they give data a chance.

This book has the passion of "Pathologies of Power", but takes a more direct look at the economic determinants of health. It has the empathy and global reach of "Development as Freedom" but has a remarkably accessible language, especially given that the authors are academicians (sorry Amartya Sen, you are a brilliant economist but you work faster than Ambien for the average Jane). It has the data-driven approach of "Poor Economics" but it is unapologetic in its conclusion that austerity kills.

The last point is sure to ruffle some feathers. Academics who make conclusions that are backed by politically-neutral data often take a cautious approach in their language, perhaps in an attempt to engage those who might be turned off by a subtitle as seemingly polarizing as "Why Austerity Kills". However, The Body Economic is unapologetic and strongly backed by solid data. Kudos to the authors for using something like 60 pages for notes and references so that you can look at the primary sources if you wanted to (also made for a faster read!) And these aren't your bogus speeches/opinions/whatnot that are referenced as some scholarly work (I am looking at you, NYT best-selling author Glenn Beck). The papers that this book is based on are published in some of the most prestigious journals in the world (The Lancet, BMJ etc), meaning they have undergone a very critical review process that peruses data and rips apart conclusions that have no empirical backing. I didn't recognize all the journals (that doesn't mean much) but it is hard to ignore a book that is based on data and statistical methods that were closely scrutinized. Like I said, a refreshing change in the wordpress era where everyone is an expert on anything.

I did start the book by being slightly turned off by the unapologetic tone that bashes austerity from page one (or actually, the cover). However after reading the book, I can see why the authors chose to place the central focus on the logical conclusion that cutting down critical services in the name of "tightening the belt" makes people sick and kills them, at a rate much higher than what happened in other places where the belt wasn't tightened, despite the overwhelming forces trying to make them cut back.

My other gripe about the book is its focus -as is apparent in its subtitle- on just deaths. This risks giving the impression that they have ignored the other very important measure of illness: disability. Upon closer reading, there is a lot dedicated to the effect of economic policies not just on mortality but also on disability (perhaps "Why Austerity Kills... and causes Disability" is not as catchy?) It is also possible that mortality data were easier to access and compare across countries vs. data on disability-adjusted life-years (DALYs) from physical and neuropsychiatric conditions.

Overall, a good read that is pertinent to the heated discussions on government spending. It shows a clear way forward by presenting cases from around the world. Liberals will have an easier time relating to and agreeing with the book. So will fiscal conservatives, as long as they are willing to get past the rhetoric and look at the hard data that the authors have compiled.
39 people found this helpful
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Reviewed in the United States on May 25, 2013
So, conservatives will hate this book. They will blather on about spending beyond our means, governments being broke, all derived from the common fallacy that national budgets are like those of families, when the truth is that governments can and often run in the red unlike you and me. Rank and file conservatives largely don't understand economics and the excesses of conservative economists like Ken Rogoff and Carmen Reinhart's anti-Keynesianism have been roundly debunked. No one is defending unnecessary, profligate spending or ignoring deficits in the long term, but austerity in the short-term during economic slumps doesn't promote growth--look at the UK and the Eurozone for your textbook case.
But even if you still want to hold onto austerity as a policy preference, you'll have to deal with Basu and Stuckler's book. The science here has been peer reviewed. Unless you're also hanging onto conspiracy theories about the Lancet and the British Medical Journal being under the control of some modern version of the Freemasons or the Illuminati, in hanging onto austerity as a creed, you'll have to take on the consequences of your policy preferences as well. Basu and Stuckler go through the data step by step and show that infectious disease deaths and deaths due to mental illness and substance use spike under austerity; it's not bad economic times that are bad for your health, it's how your government responds to recessions and depressions. If safety net programs are cut, the facts show that people die in greater numbers than in places where key social programs remain intact or are enhanced during crises.
If you want to argue with the data, go to the original papers and critique the methodology used to derive the conclusions made in the book. You don't get to make ad hominem arguments or change the subject to something more to your liking.
Basu and Stuckler's book will end up as a classic. They've made a direct connection between the reigning economic ideology of the early 21st century and excess mortality and morbidity and have indeed shown that austerity kills. The saddest thing is that European and American politicians will likely ignore their findings and turn a blind eye to the suffering of millions. All in a day's work for the bureaucrats of Washington DC, Brussels and Berlin I suppose.
What we can hope is that future leaders will learn from our mistakes in 2013. Ordinary Greeks, Spaniards, Italians, Americans are paying with their lives for what our governments have done in our names in this most inauspicious of beginnings to a new century.
Gregg Gonsalves
Yale University
New Haven, CT
6 people found this helpful
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Reviewed in the United States on November 11, 2013
Initially, I learned about this book when the authors were speaking on NPR and I decided to read the book, and so glad that I did, because it explained so much in very simple terms. I am not economy savvy and yet I easily understood all the data and facts presented in this important book. This is a must read for anyone who is truly interested in understanding the mess the USA is in and why it could have been avoided, not only in this country, but in others where austerity programs won out over the alternatives presented.
One person found this helpful
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Reviewed in the United States on November 16, 2013
This is a really striking book. The meme "neoliberalism kill" is beginning to spread, and this book puts flesh on the bones of that meme. It provides a wonderful amount of gory detail about the consequences of the choice of austerity policy over deficit spending, showing that the global financial elites and the politicians they've bought are certainly murderers by spreadsheet. We need to put an end to neoliberalism; and this book provides critical facts that will help us do that.
2 people found this helpful
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Reviewed in the United States on October 22, 2013
This research based report analyzes economic strategies of austerity versus putting a umbrella over those who may be adversely affected by economic trying times. It uses public health statistics to measure the impact of the Great Recession, the Depression, the conversion of the former Soviet Republic and its satellites, and relates the impact of these events to economic recovery rates in countries throughout the world. Reading this piece cuts through the dialogue between liberal and conservative debate and gives the ready the data to back up their argument for or against reaching out to others in times of economic stress.

It reinforces my belief that more for the many, rather than a few, benefits everyone in the long run.
One person found this helpful
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Top reviews from other countries

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Lodovico Mazzolin
5.0 out of 5 stars Inspiring reflections on how to exit from the austerity loophole
Reviewed in Italy on March 3, 2019
You may agree or not but austerity principles have resulted in many flaws in the last decade. This book illustrate a different point of view that a politician should take in mind in order to devise an effective program to manage the new era.
alexandre
5.0 out of 5 stars Data-driven, easy to read and powerful book
Reviewed in Brazil on September 20, 2015
Excellent book to understand why austerity measures suck!
The authors do so with no ideology basis, but with strong evidences.
I only missed some analysis from the depevoling countries perspectives. Even though I believe the essence presented int he book may be expanded to other countries, a more detailed work with strong data and comparisons between poor countries is still missing. I hope the authors work on that in the future.
C Miller
5.0 out of 5 stars Great review of how politics influence our health
Reviewed in Canada on August 14, 2013
I just finished reading this book for a course I'm about to start, and wanted to write a review to let everyone know how great this book is. It's easy to read (unlike some policy books) and was interesting and attention grabbing. The book is chock full of facts and stats that make a solid case for how government policies have had very real health benefits and consequences, and how this in turn effects the economy. It has very real micro and macro examples of how this has played out in countries all over the world, with a lot of up to date relevant information regarding the recent worldwide recession. It is based on hard evidence and an emormous amount of research, and challenges some of the ideology that is fueling some of the most dangerous policy decisions of our time. Highly recommended for anyone interested in social or economic policy, health research, health statistics, the 2008 recession, austerity vs stimulus research, the IMF, international economy, at-risk populations etc.
One person found this helpful
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Andreas Kalk
4.0 out of 5 stars la vrai visage de l'austérité
Reviewed in France on September 9, 2013
Le livre décrit d'une manière convainquante les effets déstastreux de l'austérité - en termes de santé comme en termes économiques. Il devrait être considéré comme lecture obligatoire pour tous ceux qui travaillent dans la santé publique et dans l'aide au développement pour la santé.
2 people found this helpful
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Koret
5.0 out of 5 stars An outstanding book for all those who oppose austerity and want to know the full facts.
Reviewed in the United Kingdom on August 20, 2013
The Body Economic Why Austerity Kills should be required reading for everyone particularly our politicians. Both the writers are serious academics who have succeeded in getting across their message that austerity economics equate to a disaster for health care through out the world and kills people. This is why everyone should oppose austerity as it does kill people.Stuckler and Basu prove this from their analysis of countries internationally that wherever privatisation of healthcare and austerity economics are invoked this always results in disaster for everyone unless they are the rich and powerful.

The authors warn of the continued disaster posed by the UK Tory/Lib Dem coalition government and how their privatisation of the NHS will result in an American system of Health care where gross profits of insurance companies, dug companies and privatised medical care are the driving force and not the right of everyone to excellent healthcare which is free to all citizen's at the point of delivery. This book is an outstanding contribution to this ongoing debate which is based on facts and not the Tories false and untruthful assertions about our NHS.
One person found this helpful
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