Abstract：
The characteristic features of 21st-century corporate capitalism - monopoly and financialization - are increasingly being recognized by public health scholars as undermining the foundations of human health. While the \"vectors\" through which this is occurring are well known - poverty, inequality, climate change among others - locating the root cause of this process in the nature and institutions of contemporary capitalism is relatively new. Researchers have been somewhat slow to study the relationship between contemporary capitalism and human health. In this paper, we focus on one of the leading causes of death in the United States; cancer, and empirically estimate the relationship between various measures of financialization and monopoly in the US healthcare system and cancer mortality. The measures we focus on are for the hospital industry, the health insurance industry, and the pharmaceutical industry. Using a fixed effects model with different specifications and control variables, our analysis is at the state level for the years 2012-2019. These variables include data on population demographic controls, social and economic factors, and health behavior and clinical care. We compare Medicaid expansion states with non-Medicaid expansion states to investigate variations in state-level funded health insurance coverage. The results show a statistically significant positive correlation between the HHI index in the individual healthcare market and cancer mortality and the opioid dispensing rate and cancer mortality.
摘要：
21世纪企业资本主义的特征——垄断和金融化——越来越被公共卫生学者认为是破坏人类健康的基础。虽然发生这种情况的“媒介”是众所周知的——贫困，不平等,除其他外，气候变化-将这一过程的根本原因定位在当代资本主义的性质和制度中相对较新。研究人员在研究当代资本主义与人类健康之间的关系方面有些缓慢。在本文中,我们关注的是美国死亡的主要原因之一；癌症，并根据经验估计美国医疗保健系统中各种金融化和垄断指标与癌症死亡率之间的关系。我们重点关注的措施是针对医院行业，健康保险业,和制药业。使用具有不同规格和控制变量的固定效应模型，我们的分析是在2012-2019年的州一级。这些变量包括人口控制数据，社会和经济因素，健康行为和临床护理。我们将医疗补助扩展州与非医疗补助扩展州进行比较，以调查州一级资助的健康保险覆盖范围的变化。结果显示，个人医疗保健市场中的HHI指数与癌症死亡率以及阿片类药物分配率和癌症死亡率之间存在统计学上的显着正相关。
