In the influential 1995 article “Social Conditions as Fundamental Causes of Disease,” Bruce Link and Jo Phelan described social and political factors as “fundamental causes” of death and disease. Whitney Pirtle has recently declared racial capitalism another such fundamental cause. Using the case of the water crisis in Flint, Michigan, she has argued that racial capitalism's role in that situation meets each of the criteria Link and Phelan's article outlines: racial capitalism influenced multiple disease outcomes, affected disease outcomes through multiple risk factors, involved access to flexible resources that can be used to minimize both risks and the consequences of disease, and was reproduced over time through the continual replacement of intervening mechanisms. We argue for Pirtle's conclusion using the extensive literature on racial capitalism and case studies concerning housing in the United States and Brazil and what Naomi Klein has termed “corona capitalism” in India. If races correspond to hierarchies of material security, as suggested by Ruth Wilson Gilmore, then these hierarchies and their causal effects are fundamental determinants of public health.

中文翻译：

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物质不安全、种族资本主义和公共卫生

在 1995 年有影响力的文章“社会条件是疾病的根本原因”中，布鲁斯·林克和乔·费兰将社会和政治因素描述为死亡和疾病的“根本原因”。惠特尼·皮特尔最近宣布种族资本主义是另一个这样的根本原因。以密歇根州弗林特的水危机为例，她认为种族资本主义在这种情况下的作用符合 Link 和 Phelan 文章概述的每个标准：种族资本主义影响多种疾病结果，通过多种风险因素影响疾病结果，涉及获取灵活的资源，可用于最大限度地减少疾病的风险和后果，并通过不断更换干预机制随着时间的推移而复制。我们为皮特尔辩护' 该结论使用了关于种族资本主义的大量文献和关于美国和巴西住房的案例研究，以及 Naomi Klein 所说的印度的“新冠资本主义”。如果种族对应于物质安全的等级，如露丝威尔逊吉尔摩所建议的那样，那么这些等级及其因果影响是公共卫生的基本决定因素.