Inequality cheap bad food for the poor

November 17, 2014 12:02 am0 comments

by Farooque Chowdhury

Inequality in the area of food and health under

capitalism is egregious. With bad food, bad health and difficult or no access to health services, the poor, the low-income people, pay the
inequality. It is a payment made with life, and by the subaltern classes.
There have been huge gains in life expectancy worldwide, the OECD finds, but large disparities remain among socio-economic groups.
[E]verywhere, the richest and the most educated are in better health: at age 30, people with the highest level of education could expect to live six
years longer than people with the lowest level of education (53 years versus 47 years). Differences in life expectancy by education level are
particularly large in Central European countries, especially among men (All on Board, Making Inclusive Growth Happen, 2014, OECD).
The health inequality comes from many factors that include differences in living and working conditions, and access to and quality of health care.
Access to quality health care is influenced by financial and non-financial reasons. And, both financial and non-financial reasons are
connected to the politics of dominating classes, which are not identified by the mainstream academia.
In many OECD countries, the report said, large inequalities remain in self-rated health status across different socio-economic groups. These
inequalities reflect differences in living and working conditions, as well as in behavioural factors Poorly educated women are two to three
times more likely to be overweight and obese than those with high levels of education. People in low-income households may also have more
limited access to certain health services or use these services less for financial or non-financial reasons, notably certain preventive services. The
power that defines living and working conditions is not identified although the differences are mentioned. The two conditions living and
working are constructed by none else, but profit. The poor, the multitude is pressed into the conditions, part of competition, by capital.
The OECD report added: Access to health care varies considerably among social groups, especially in developing and emerging market
economies, but also in some OECD countries.
It is the poor that have no access. In general, the report said, access to health services continues to be out of reach to much of the low-income
population in developing countries, either for financial reasons or because it is simply unavailable. Women still often give birth without the aid of
a trained midwife, nurse, doctor or other skilled birth attendant, and coverage rates of births attended by skilled health personnel are substantially
higher among women and children in better-off families than in poor families. It is the seemingly universal law of property: the well-off always
have all the better facilities, and the poor always have all the worse. And, a human begins experiencing class difference from the moment she
steps into the crude capitalist world.
In many cases, the report said, the poor pay out of pocket for health services due to a lack of insurance coverage, which puts them at a further
disadvantage. By contrast, in most OECD countries the health needs of a majority of the population are met, but low-income individuals may face
difficulties accessing some health services. A survey, conducted in 2013 in 11 European and non-European countries, shows that low income
individuals are more likely to report unmet health care needs than people on high incomes. In the United States, nearly half of adults with below
average income reported having some type of unmet health care need due to cost in 2013. The much propagated old golden globalisation sold
anew failed to ensure access to health services to all, and not even help the US with a system of health care for all.
From an advanced capitalist economy
An advanced capitalist economy is an appropriate case to check with inequality in health and food-related areas that exists in the capitalist
system. Following are only a few and brief findings from England:
Citing Fair Society, Healthy Lives: Strategic Review of the Health Inequalities in England post-2010 (The Marmot Review Team, The Marmot
Review, London, 2010) the briefing paper Social and economic inequalities in diet and physical activity said in its introduction: Health is not
distributed equally across society. There is clear evidence of social and economic inequalities in many aspects of health. The lower a groups
socioeconomic position, the worse their health tends to be (Roberts K, Cavill N, Hancock C, Rutter H, Oxford: Public Health England Obesity
Knowledge and Intelligence, 2013).
Again referring the Fair Society the briefing paper said: [T]he higher a persons socioeconomic position, the better his or her health, and In
England people living in the poorest neighbourhoods will on average die seven years earlier than people living in the wealthiest
neighbourhoods. Life and death are class-biased!
The briefing papers conclusions included:
[T]here are socioeconomic gradients in dietary intake and physical activity behaviour. People of lower socioeconomic position tend to eat less
healthy diets and be less physically active than people of higher socioeconomic position.
The conclusion identified the following interrelated social, economic, environmental, psychological and cultural factors that may be important in

explaining these associations:

[L]ow income households may be less likely to have disposable income for non-essential costs such as leisure-time physical activity and are also
likely to be disproportionately affected by any increases in food prices compared with higher income groups.
[A]reas of greater deprivation have reduced access to environments that support physical activity such as parks, gardens or safe areas for play,
and are more likely to have transport environments less amenable to active travel.
[E]ducation is associated with diet and physical activity behaviour, with lower educational attainment associated with poorer diet and lower
physical activity levels.
Gardens, parks, leisure-time activity are off-limits to the poor. Are not all these gardens, parks, all the earthly good for the rich? It is not
strange in capitalism. Has not fate dictated the poor to build up parks and gardens for the rich, to serve the rich, and should not have any leisuretime activity? Is the reality different in Dhaka, Kolkata, Cairo, Chennai and Nairobi?
Citing surveys and studies that included Health Survey for England 2011, Low Income Diet and Nutrition Survey 20032005, Living Costs and
Food Survey, The Active People Survey, Survey of Public Attitudes and Behaviours towards the Environment 2009, the briefing paper said:
Dietary intake and eating behaviours in England are related to socioeconomic position. People from lower socioeconomic groups tend to have
diets that are less healthy than people from higher socioeconomic groups.
[F]ruit and vegetable consumption varies significantly. [T]he proportion of men and women eating five or more portions of fruit and
vegetables per day [is]: 34.6 per cent in the highest quintile compared with 19.7 per cent in the lowest quintile.
[T]he mean number of portions of fruit and vegetables consumed by adults aged 16 and over per day also increased from the lowest to highest
income quintiles, with a mean of 3 in the lowest quintile and 4.3 in the highest.
[T]he proportion of food spent on fruit and vegetables increases as equivalised income increases.
[T]he most affluent 10 per cent of households spend less on processed meat, and more on unprocessed fish and meat than the least affluent 10
per cent.
Participation in sport and active leisure pursuits is also socially patterned. 43 per cent of adults in managerial/professional [groups] take part
in sport for at least 30 minutes once a week or more, compared to 27 per cent of adults in lower supervisory/technical/routine occupations and
unemployed/students [groups].
People from lower socioeconomic groups tend to have poorer access to environments that support physical activity such as parks, gardens or safe
areas for play; are less likely to visit green space, and are more likely to live close to busy roads. The local environment appears to be a more
important influence on transport-related physical activity (walking and cycling) than recreational physical activity, which may exacerbate social
inequalities. People from lower socioeconomic groups are more likely to live in areas that do not support walking and cycling, but in turn are
more likely to need to walk and cycle for transport and to access employment.
[F]ear of traffic can be a strong disincentive to allowing children to play outside and to walking and cycling. Children in the 10 per cent most
deprived wards in the UK are more than three times as likely to be pedestrian casualties as children in the 10 per cent least deprived wards.
[W]hen food prices rose in real terms by 12 per cent in 2007, low income households were disproportionately affected with a rise of 1.6 per cent
of their household spending going on food and drink, compared with a 0.3 per cent rise in all households. [L]ower income households
responded to rises in costs by choosing to buy cheaper alternatives.
[I]ncome and cost of food has an influence on food choice and dietary intake. 36 per cent of respondents [in a survey reported] they couldnt
afford to eat balanced meals. As barriers to making positive changes to their diets as were relevant to them, 30 per cent of the respondents
identified price of healthy foods was the most frequently selected factor.
[T]he cost of food (including the perceived cost of buying more healthy food) may be a more important issue. [I]n the face of budgetary
pressures, individuals may be reluctant to risk experimentation with home cooking or different types of food. For low income families outlay on
food may be considered flexible relative to other household expenditure such as fuel, rent and water, with items such as fresh fruit and vegetables
being replaced with cheaper alternatives.
[A]ffordability may be a barrier to taking part in many sports and activities, with costs for gym membership being out of the range of many
people on low incomes. Although it may appear to cost little to take part in activities such as walking, socioeconomic factors such as
competing pressures on time for work or childcare may make this impractical for some people. 45 per cent of men and 34 per cent of women
thought work commitments were a barrier to being active. This can mean that people from lower socioeconomic groups may have a lack of
discretionary time to take part in physically active leisure pursuits even if they are free. Conversely some people on low incomes may walk out
of necessity, due to lack of access to a car or inability to pay for public transport.
It added:
People from the highest social group were much more likely than those from the lowest social group to visit green spaces frequently. [T]his
relationship is likely to be due to a complex interaction of factors including differences in access to green space, leisure time, transport options,
education, or culture.
[W]omen of lower educational attainment had less perceived control over their families food choices; less support for attempts to eat more
healthy food; fewer opportunities to observe and learn good food-related practices; more environmental barriers; and more ambiguous beliefs
about longer term health outcomes associated with diet.
Studies conducted in Australia, New Zealand and the US found that in many poorer neighbourhoods healthy food is neither available nor
accessible nor affordable.
Does not it echo Engels? The workers get what is too bad for the property-holding class. In the great towns of England everything may be had of
the best, but it costs money; and the workmen cannot afford much expense. The potatoes which the workers buy are usually poor, the
vegetables wilted, the cheese old and of poor quality, the bacon rancid, the meat lean, tough, taken from old, often diseased, cattle, or such as
have died a natural death, and not fresh even then, often half decayed (The Condition of the Working-Class in England).
The reality the facts form is not only from a single society. In Dhaka neighbourhoods dwelt mostly by the working poor, the same potatoes, the
same bananas, the same meat, from cattle and chicken, the same fruits and rice, the same colour and quality bad, tasteless, unhealthy,
unhygienic are present only to be purchased by the poor. The market places that house the shops for the poor are also unhygienic as are the
shops. And, the poor do not have the time to care for. The poor taste pilaw and biriyani, the rich food the rich consume, after these are discarded
and thrown away in near-to-rotten condition by the rich. The poor either collect it after those are thrown away after a feast, or they buy it from
petty traders, who collect it from cooks of the rich.
The children from the poor families, termed street urchins, taste drops of soft drinks from thrown away soft drink cans. The bread the poor buy,
the fish they buy, the cooked food they consume from roadside stalls are of bad quality. The rich shall never touch those even. And, in the city,
press reports over the years said, price of food sold in restaurants for the well-off vary: from Tk 600 to more than Tk 10,000 (around Tk 77=$1).
The food prepared along the city streets for the working people is priced a few takas while the rich pay Tk 60100 for a piece of candle for their

birthday party.
A Dhaka press report said: Although Bangladesh registered an overall economic growth in excess of 6 per cent per year and carried one million
tonnes of public stocks of cereals every year during 20072011, over 20 per cent of its population did not have access to minimum dietary
requirement during this time, said senior economist Quazi Shahabuddin. Many people suffer from chronic hunger in Bangladesh, making the
country home to one of the largest undernourished population in the world, said Shahabuddin, also a former director general of Bangladesh
Institute of Development Studies. (New Age, Dhaka, October 16, 2014, Hunger stalks millions despite growth in food production: World Food
Day today) The inconsistent picture is not only from Bangladesh and from England. It is in India, and it is in Nepal and South Africa also. It is
the overall reality in the world system.
Do not the facts reaffirm the reality of inequality, and the demands the working people struggle for: affordable better food, affordable better
health care, affordable better environment, safer life, affordable leisure-time? The inequality turns cruel if one compares this with profit stories of
health care and food industries.
The cited facts are fresh but the reality of inequality is old. It is an old narration of the triumphal march of capital with its devastating power.
Farooque Chowdhury is a Dhaka-based freelance writer.