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“Like you failed at life”: Debt, health and neoliberal subjectivity

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  • Sweet, Elizabeth

Abstract

The need to more explicitly incorporate political economy and neoliberalism into research on social inequalities in health has been acknowledged across disciplines. This paper explores neoliberalism as it relates to consumer financial debt and internalized feelings of personal responsibility and failure for adults in Boston, Massachusetts. Using data from a mixed-methods study (n = 286), findings show that endorsing a neoliberalized view of personal debt as failure is associated with significantly worse health across a range of measures, including blood pressure, adiposity, self-reported physical and emotional symptoms, depression, anxiety, and perceived stress, even when controlling for several socio-demographic confounders. Results are discussed within the context of both neoliberal economic policies that funnel consumers into chronic debt and neoliberal sociocultural ideologies that promote self-judgments of indebtedness as personal failure. Findings highlight the importance of neoliberalism as an important contemporary social determinant of health and suggest new directions for research to explore.

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  • Sweet, Elizabeth, 2018. "“Like you failed at life”: Debt, health and neoliberal subjectivity," Social Science & Medicine, Elsevier, vol. 212(C), pages 86-93.
    • Handle: RePEc:eee:socmed:v:212:y:2018:i:c:p:86-93
    DOI: 10.1016/j.socscimed.2018.07.017
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    2. Angela M. O’Rand & Jenifer Hamil-Luker, 2020. "Landfall After the Perfect Storm: Cohort Differences in the Relationship Between Debt and Risk of Heart Attack," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2199-2220, December.
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    7. Barlow, P. & Thow, A.M., 2021. "Neoliberal discourse, actor power, and the politics of nutrition policy: A qualitative analysis of informal challenges to nutrition labelling regulations at the World Trade Organization, 2007–2019," Social Science & Medicine, Elsevier, vol. 273(C).
    8. Susan L. Prescott & Alan C. Logan, 2019. "Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene," Challenges, MDPI, vol. 10(1), pages 1-26, February.
    9. Giorgos Gouzoulis & Panagiotis (Takis) Iliopoulos & Giorgos Galanis, 2023. "Financialization and the rise of atypical work," British Journal of Industrial Relations, London School of Economics, vol. 61(1), pages 24-45, March.
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    11. Hiilamo, Aapo, 2020. "Debt matters? Mental wellbeing of older adults with household debt in England," LSE Research Online Documents on Economics 106507, London School of Economics and Political Science, LSE Library.

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