It’s secure 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 persistent, 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 targeted totally on stopping sickness and infectious illness has developed right into a broader need to dwell 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 common American didn’t train recurrently, if in any respect. By the late Nineteen Seventies, nevertheless, train as a behavior for well being had gone mainstream.
Now, health is an enormous world trade—valued at round $87 billion—with infinite methods to take part. You may work out at house, be part of a gymnasium, take lessons in a studio or on-line, go high-intensity or low-impact, carry weights or stick 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 grow to be more and more politicized. Increasingly more, it’s framed as an particular person accountability moderately than a collective undertaking supported by households, communities, governments, and well being methods.
Some argue that good well being just isn’t a proper however a private responsibility—and that poor well being displays ethical failure, the results of unhealthy habits moderately than structural limitations which can be out of their management.
This ideology is named healthism.
Healthism in Motion
Even should you don’t know the time period, you’ve seemingly seen healthism at work.
-
Throughout the Covid-19 pandemic, some folks rejected masks and vaccines—public well being measures that profit people and communities—in favor of unproven alternate options like vitamin C, zinc, or Ivermectin, which had been framed as particular person fixes.
-
Influencers gas healthism by promoting dietary supplements, liver cleanses, or fearmongering about seed oils—insisting that should you observe their protocols, you’ll obtain “optimum well being.”
-
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 advised 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 advised The Washington Put up: “Individuals ought to bear the price of their very own unhealthy choices, not simply because it’s unsuitable to pressure different folks to bear these prices, however as a result of then they’re much less prone 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 methods of oppression comparable to racism, sexism, classism, and ableism. These methods protect the established order in any respect prices, encouraging hierarchies and biases that create unequal entry to energy and privilege.
The Nationwide Fairness Venture explains: “Systemic oppression exists on the degree of establishments (dangerous insurance policies and practices) and throughout buildings (training, well being, transportation, financial 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 decisions, rewards compliance, and punishes deviation. It suits neatly into the framework of different methods 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 private way of life decisions.
Crawford acknowledged well being as inherently political. He understood that well being outcomes mirror socio-economic divisions, now known as the social determinants of well being—”the circumstances wherein persons are born, develop, dwell, work, and age, in addition to their entry to energy, cash, and sources” (as outlined by WHO).
These determinants embrace genetics, revenue, training, setting, and kind of labor—all of which play essential 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 an alternative 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 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 decisions 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 advised to eat “wholesome meals,” train recurrently, 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 that “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 mother or father who works two jobs to make ends meet and assist their household imagined to put aside the time to hit the gymnasium 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 USA. 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 alternative. 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 can be outdoors of our personal private management.
What RFK Jr and so a lot of his trustworthy MAHA followers promote is the concept that everybody ought to be capable to overcome all of the social determinants of well being by 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 persons 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 many who match a slender ultimate—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 companies, and freedom.
A Higher Path: Democratizing Well being
If we wish actual well being fairness, we should look past private decisions and tackle systemic limitations. Which means:
-
Common healthcare: Accessible, inexpensive, and obtainable to all.
-
Environmental justice: Clear air, water, and soil, particularly in low-income and concrete communities.
-
Financial assist: Common Fundamental Revenue (UBI) to scale back monetary stress and increase entry to more healthy decisions.
These actions and insurance policies could be a begin towards democratizing well being and leveling the taking part in discipline.
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 software to implement all of them. That’s partly as a result of healthism assumes a taking part in discipline that merely isn’t there. And when it stubbornly attributes societal and group outcomes to ‘particular person decisions,’ it reinforces the biases going through marginalized communities.”
Closing Ideas
If we wish more healthy communities, we should confront the social determinants of well being and dismantle methods of oppression that deny entry to care and wholesome choices. Well being can’t be lowered to particular person decisions 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 aren’t.
Right here’s to redefining well being with no consideration, not a privilege. –Naomi
