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The Body Economic: Why Austerity Kills Hardcover – Illustrated, May 21, 2013
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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.
- Print length240 pages
- LanguageEnglish
- PublisherBasic Books
- Publication dateMay 21, 2013
- Grade level8 and up
- Reading age13 years and up
- Dimensions6.25 x 1 x 9.25 inches
- ISBN-109780465063987
- ISBN-13978-0465063987
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Editorial Reviews
From Publishers Weekly
From Booklist
Review
Meticulously researched and richly annotated, "The Body Economic" is nonetheless a very accessible and engaging book. The authors succeed admirably in making the case that downsizing (or dismantling) the social safety nets that exist to protect those in need directly leads to increased sickness and death within the general population.... The lessons contained within "The Body Economic" should be carefully considered by both policy makers and constituents.
"Financial Times"
Austerity kills and on a grand scale. So argue David Stuckler and Sanjay Basu in "The Body Economic," a powerful attack on efforts to curb public spending since the financial crisis, which holds belt-tightening politicians responsible for a health catastrophe.... By telling the stories of individual victims of austerity as well as analyzing its impact at the population level, Stuckler and Basu provide a wealth of evidence that it is bad for our health. That is a valuable contribution to the current debate.
"Choice"
This book is timely, very readable, well written, and informative, and should be read by those interested in the health of the economy and citizens. Highly recommended.
"Financial Times"
[Stuckler and Basu] gathered and analyzed huge sets of data on the effects that economic stringency has had on public health in recent history. They published their findings in their 2013 book "The Body Economic: Why Austerity Kills." If you think the book s title is a tad dramatic, think again. Looking at cases such as European Union-backed budget cuts in Greece and the Great Recession in the United States, Basu and Stuckler conclude, as they wrote in a New York Times op-ed, that austerity severe, immediate, indiscriminate cuts to social and health spending is not only self-defeating, but fatal.
"The New Republic"
Stuckler and Basu provide a capable summary of the basic problems with austerity economics as economics, but their signal contribution in this book is to focus on the health effects of austerity.... They find that, the more austerity was practiced in a state or country, the more people got sick and the more people died. In short, Austerity Kills is more than just a slogan. Austerity doesn t work as economics, and it kills people in the bargain.
"Foreign Affairs"
Stuckler and Basu approach austerity policies from a medical perspective, producing an extensive array of evidence to show that austerity especially cuts to spending on public health increases illness and death. Most compelling is their finding that countries that have suffered through recessions have avoided deterioration in their citizens well-being by maintaining government spending on public health.
"Bookforum"
[Stuckler and Basu] wear their expertise and statistical knowledge lightly, opting to deliver their research findings in a jazzy, casual tone.... The real power of the book lies in the epidemiological insight that it s possible to think about medicine not in the exclusive terms of the individual patient s life, but by tracking the conditions that affect health throughout society.
"The Guardian"
[This] message...is explosive, backed by a decade of research, and based on reams of publicly available data.... In a powerful new book, "The Body Economic," Stuckler and his colleague Sanjay Basu...show that austerity is now having a devastating effect on public health in Europe and North America.
"Times Higher Education"
This book deserves to be widely read and widely influential. It brings crucial arguments, set out and tested in academic papers, to a larger audience. It lays bare the madness of the conventional wisdom that the answer to the current crisis is to cut public spending, and it explains clearly why the social policy response to economic events matters. It reminds us that politicians have a devastating tendency to listen to ideology rather than history and that the cost of this approach can be counted not just in lost economic output but in human lives.
"Shelf Awareness for Readers"
Throughout the book, Stuckler and Basu rely on economic studies, most of them subjected to peer review, to underline a critical point: public health is economic health. Far from being the luxury the IMF categorizes it as, public health spending is in fact necessary to the economic recovery of a country in recession. "The Body Economic" makes the point in stark and accessible terms..... [A] thoroughly researched look into the effects of austerity policies on public health.
"Nature"
What price a healthy stock market? In this stringent economic analysis, sociologist David Stuckler and epidemiologist Sanjay Basu argue that during a recession, austerity-based cuts to social spending erode public health.... A sobering call for democratic, informed choices in response to recession.
"Salon"
Today s politicians know very well that some of their policies kill people. But they go ahead and carry out those policies anyway. How they have done it recently is brilliantly documented in this book.... The authors make a powerful case that the austerity measures adopted in some countries and imposed on some others had a direct and fatal impact on those countries public health.
"The Progressive"
"An admirable work, eminently readable and yet without skimping on rigorous analysis.
"In These Times"
Stuckler and Basu show distressingly consistent increases in such key public-health indicators as suicides, heart disease, alcoholism and HIV infection in societies embarking on steep reductions in social spending. Correspondingly, societies (such as Iceland, Sweden and Finland) that have refused to pare back their welfare states in hard times exhibit steady and, in some cases, increasing signs of public health.
"The Observer," UK
Global austerity has a rarely discussed death toll, and David Stuckler and Sanjay Basu s "The Body Economic: Why Austerity Kills" breaks the silence.
"Publishers Weekly"
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.
"Kirkus Reviews"
A dramatic study emphasizing some of the combined consequences of ideological obsessions and bureaucratic thoughtlessness.
"Booklist"
This informative book will add important perspective to the ongoing debate on the consequences of economic policies.
Paul Farmer, MD, PhD, Kolokotrones University Professor, Harvard Medical School, and Founding Director, Partners in Health
"The Body Economic" is a bold synthesis of quantitative data, historical cases, personal narratives, and sociological and clinically informed analyses about the effects of investing, or failing to invest, in public health safety nets. In investigating the causes of adverse health outcomes in populations from the United States to the Soviet Union to Greece, Iceland, and the UK, David Stuckler and Sanjay Basu expose many of the myths and mystifications that prop up the regnant ideologies of fiscal austerity. Stuckler and Basu revive the great, progressive tradition of social medicine. Their work is important not just for all those who deliver health care services, but also for anyone who might, just might, one day be a patient.
Ha-Joon Chang, PhD, Faculty of Economics, Cambridge University, and author of "23 Things They Don t Tell You About Capitalism"
A powerful and important contribution to our future. Stuckler and Basu use statistics not to dehumanize people, but to bring them to life.
Richard Parker, Lecturer in Public Policy and Senior Fellow, Shorenstein Center at Harvard Kennedy School, and author of "John Kenneth Galbraith: His Life, His Politics, His Economics"
The Great Recession s visible costs bankruptcies, foreclosures, unemployment, government deficits and their still-lingering effects are chillingly well-known. Less understood are the health consequences the suicides, epidemics, and soaring mortality rates that represent the most intimate human effects not just of our global financial collapse but also of the mistaken austerity programs that have followed. "The Body Economic" is required reading for anyone who wants to see how bad politics and worse policies have worsened suffering around the world when, by any democratic measure, our common obligation is to end suffering.
Darrell J. Bricker, CEO, Ipsos Public Affairs, and author of "The Big Shift: The Seismic Change in Canadian Politics, Business, and Culture and What It Means for Our Future"
"The Body Economic" is must reading for anyone who wants to understand the real life consequences of governments making the wrong policy decisions in response to the worst economic disruption since the Great Depression. In a debate too often dominated by ideology, Stuckler and Basu bring a refreshing, evidence-based perspective to the table. And, they present their casethat an obsession with austerity hurts both economies and peoplein an accessible, personal way. This isn t a story about spreadsheets and algorithmsit s about the ordinary people who pay the ultimate price for their government s cavalier ideological obsessions.
"
"Boston Globe"
"Meticulously researched and richly annotated, "The Body Economic" is nonetheless a very accessible and engaging book. The authors succeed admirably in making the case that downsizing (or dismantling) the social safety nets that exist to protect those in need directly leads to increased sickness and death within the general population.... The lessons contained within "The Body Economic" should be carefully considered by both policy makers and constituents."
"Financial Times"
"Austerity kills - and on a grand scale. So argue David Stuckler and Sanjay Basu in "The Body Economic," a powerful attack on efforts to curb public spending since the financial crisis, which holds belt-tightening politicians responsible for a health catastrophe.... By telling the stories of individual victims of austerity as well as analyzing its impact at the population level, Stuckler and Basu provide a wealth of evidence that it is bad for our health. That is a valuable contribution to the current debate."
"Choice"
"This book is timely, very readable, well written, and informative, and should be read by those interested in the health of the economy and citizens. Highly recommended."
"Financial Times"
"[Stuckler and Basu] gathered and analyzed huge sets of data on the effects that economic stringency has had on public health in recent history. They published their findings in their 2013 book "The Body Economic: Why Austerity Kills." If you think the book's title is a tad dramatic, think again. Looking at cases such as European Union-backed budget cuts in Greece and the Great Recession in the United States, Basu and Stuckler conclude, as they wrote in a New York Times op-ed, that 'austerity - severe, immediate, indiscriminate cuts to social and health spending - is not only self-defeating, but fatal.'"
"The New Republic"
"Stuckler and Basu provide a capable summary of the basic problems with austerity economics as economics, but their s
"Financial Times"
"Austerity kills - and on a grand scale. So argue David Stuckler and Sanjay Basu in "The Body Economic," a powerful attack on efforts to curb public spending since the financial crisis, which holds belt-tightening politicians responsible for a health catastrophe.... By telling the stories of individual victims of austerity as well as analyzing its impact at the population level, Stuckler and Basu provide a wealth of evidence that it is bad for our health. That is a valuable contribution to the current debate."
"The New Republic"
"Stuckler and Basu provide a capable summary of the basic problems with austerity economics as economics, but their signal contribution in this book is to focus on the health effects of austerity.... They find that, the more austerity was practiced in a state or country, the more people got sick and the more people died. In short, 'Austerity Kills' is more than just a slogan. Austerity doesn't work as economics, and it kills people in the bargain."
"The Guardian"
"[This] message...is explosive, backed by a decade of research, and based on reams of publicly available data.... In a powerful new book, "The Body Economic," Stuckler and his colleague Sanjay Basu...show that austerity is now having a 'devastating effect' on public health in Europe and North America."
"Nature"
"What price a healthy stock market? In this stringent economic analysis, sociologist David Stuckler and epidemiologist Sanjay Basu argue that during a recession, austerity-based cuts to social spending erode public health.... A sobering call for democratic, informed choices in response to recession."
"Kirkus Reviews"
"A dramatic study emphasizing some of the combined consequences of ideological obsessions and bureaucratic thoughtlessness."
Paul Farmer, MD, PhD, Kolokotrones University Professor, Harvard Medical School, and Founding Director, Partners in Health
""The Body Economic" is a bold synthesis of qu
"The New Republic"
"Stuckler and Basu provide a capable summary of the basic problems with austerity economics as economics, but their signal contribution in this book is to focus on the health effects of austerity.... They find that, the more austerity was practiced in a state or country, the more people got sick and the more people died. In short, 'Austerity Kills' is more than just a slogan. Austerity doesn't work as economics, and it kills people in the bargain."
"The Guardian"
"[This] message...is explosive, backed by a decade of research, and based on reams of publicly available data.... In a powerful new book, "The Body Economic," Stuckler and his colleague Sanjay Basu...show that austerity is now having a 'devastating effect' on public health in Europe and North America."
"Nature"
"What price a healthy stock market? In this stringent economic analysis, sociologist David Stuckler and epidemiologist Sanjay Basu argue that during a recession, austerity-based cuts to social spending erode public health.... A sobering call for democratic, informed choices in response to recession."
"Kirkus Reviews"
"A dramatic study emphasizing some of the combined consequences of ideological obsessions and bureaucratic thoughtlessness."
Paul Farmer, MD, PhD, Kolokotrones University Professor, Harvard Medical School, and Founding Director, Partners in Health
""The Body Economic" is a bold synthesis of quantitative data, historical cases, personal narratives, and sociological and clinically informed analyses about the effects of investing, or failing to invest, in public health safety nets. In investigating the causes of adverse health outcomes in populations from the United States to the Soviet Union to Greece, Iceland, and the UK, David Stuckler and Sanjay Basu expose many of the myths and mystifications that prop up the regnant ideologies of fiscal austerity. Stuckler and Basu revive the great, progressive tradition of social medicine.
"Kirkus Reviews"
"A dramatic study emphasizing some of the combined consequences of ideological obsessions and bureaucratic thoughtlessness."
Paul Farmer, MD, PhD, Kolokotrones University Professor, Harvard Medical School, and Founding Director, Partners in Health
""The Body Economic" is a bold synthesis of quantitative data, historical cases, personal narratives, and sociological and clinically informed analyses about the effects of investing, or failing to invest, in public health safety nets. In investigating the causes of adverse health outcomes in populations from the United States to the Soviet Union to Greece, Iceland, and the UK, David Stuckler and Sanjay Basu expose many of the myths and mystifications that prop up the regnant ideologies of fiscal austerity. Stuckler and Basu revive the great, progressive tradition of social medicine. Their work is important not just for all those who deliver health care services, but also for anyone who might, just might, one day be a patient."
Ha-Joon Chang, PhD, Faculty of Economics, Cambridge University, and author of "23 Things They Don't Tell You About Capitalism"
"A powerful and important contribution to our future. Stuckler and Basu use statistics not to dehumanize people, but to bring them to life."
Richard Parker, Lecturer in Public Policy and Senior Fellow, Shorenstein Center at Harvard Kennedy School, and author of "John Kenneth Galbraith: His Life, His Politics, His Economics"
"The Great Recession's visible costs--bankruptcies, foreclosures, unemployment, government deficits--and their still-lingering effects are chillingly well-known. Less understood are the health consequences--the suicides, epidemics, and soaring mortality rates--that represent the most intimate human effects not just of our global financial collapse but also of the mistaken austerity programs that have followed. "The Body Economic" is required reading for anyone who wants to see how bad politics and worse po
Paul Farmer, MD, PhD, Kolokotrones University Professor, Harvard Medical School, and Founding Director, Partners in Health
""The Body Economic" is a bold synthesis of quantitative data, historical cases, personal narratives, and sociological and clinically informed analyses about the effects of investing, or failing to invest, in public health safety nets. In investigating the causes of adverse health outcomes in populations from the United States to the Soviet Union to Greece, Iceland, and the UK, David Stuckler and Sanjay Basu expose many of the myths and mystifications that prop up the regnant ideologies of fiscal austerity. Stuckler and Basu revive the great, progressive tradition of social medicine. Their work is important not just for all those who deliver health care services, but also for anyone who might, just might, one day be a patient."
Ha-Joon Chang, Reader in the Political Economy of Development, University of Cambridge, and author of "23 Things They Don't Tell You About Capitalism"
"A powerful and important contribution to our future. Stuckler and Basu use statistics not to dehumanize people, but to bring them to life."
Ha-Joon Chang, Reader in the Political Economy of Development, University of Cambridge, and author of "23 Things They Don't Tell You About Capitalism"
"A powerful and important contribution to our future. Stuckler and Basu use statistics not to dehumanize people, but to bring them to life."
About the Author
Dr. Sanjay Basu is an Assistant Professor of Medicine and an epidemiologist at the Prevention Research Center of Stanford University. A former Rhodes Scholar, he lives in San Francisco.
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
- Best Sellers Rank: #1,545,565 in Books (See Top 100 in Books)
- #1,021 in Sociological Study of Medicine
- #1,173 in Economic Policy
- #1,516 in Economic Policy & Development (Books)
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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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Top reviews
Top reviews from the United States
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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.
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
It reinforces my belief that more for the many, rather than a few, benefits everyone in the long run.
Top reviews from other countries
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.
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.
