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University of Cambridge

THE POLITICAL ECONOMY OF LIFE AND DEATH IN THE U.S.A.

Abstract

dc:description.abstract

This research charts the structural transformations of American capitalism and attendant shifts in the distribution of health and illness at the dawn of the 21st century. Through the analytic lens of the political economy of public health, I shed novel light on the upstream determinants of America's overdose epidemic, which is claiming tens of thousands of lives every single year, and on deepening social inequalities in life expectancy, all-cause mortality, and premature mortality risk. Economic decline, notably in the form of deindustrialisation, has fractured working class communities and spawned a highly stratified social structure. In response to this development, American social policy has undergone a distinctive transformation involving a historically unprecedented expansion of the penal system. This has resulted in the rapid swelling of the correctional population, reaching almost 7 million people in 2012, of whom over 2.2 million find themselves behind bars. Despite the salience and magnitude of these phenomena, virtually no existing research has investigated the connections between deindustrialisation, incarceration, and America's public health crisis. This thesis fills this gap by using new data from U.S. states and counties between 1980 and 2014 to examine the social, economic, and political roots of increasing health inequality.

Degree

thesis:*
Name dc:type.qualificationname
Doctor of Philosophy (PhD)
Level dc:type.qualificationlevel
Doctoral
Grantor dc:publisher.institution
University of Cambridge
Year dc:date.issued
2019

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Nosrati, Elias
Advisor dc:contributor.advisor
  • King, Lawrence

Subjects

dc:subject × 4

Rights

dc:rights
Language dc:language
en

Identifiers

dc:identifier.*
DOI dc:identifier.doi
https://doi.org/10.17863/CAM.40442
OAI identifier oai:identifier
oai:www.repository.cam.ac.uk:1810/293288

Chain of custody

source
Harvested from
Cambridge University
Base URL
api.repository.cam.ac.uk/server/oai/request
Last updated
2026-07-22
Source record
OAI-PMH GetRecord
citation

Nosrati, Elias. THE POLITICAL ECONOMY OF LIFE AND DEATH IN THE U.S.A.. Doctoral thesis, University of Cambridge, 2019. https://doi.org/10.17863/CAM.40442