Corporate Profits and the Health of Americans

A large and growing empirical literature documents that privatization, deregulation, financialization, and under-regulation of harmful industries are associated with adverse health outcomes in the United States. However, this evidence remains fragmented across sectors and rarely articulates a unifying causal framework. This paper advances the literature by integrating findings across health care, harmful-product industries, and economic and social policy to demonstrate that <b>corporate profit maximization functions as a cross-cutting driver of health disparities and premature mortality in the United States.</b> We synthesize evidence showing that profit-driven incentives shape insurance markets, hospital and physician practice ownership, pharmaceutical marketing, and the aggressive promotion of tobacco, alcohol, ultra-processed foods, opioids, firearms, and fossil fuels-together contributing to more than one million deaths annually. We further document how corporate influence over public policy has increased poverty, economic inequality, and discrimination, all of which are powerful social determinants of health. In contrast to sector-specific analyses, this paper presents a unified, systems-level account of how profit-first governance undermines population health. We conclude by describing how a social movement to achieve a single payer system that provides Medicare for All would not only vastly improve public health, it would be a catalyst for numerous other reforms that enhance the general wellbeing.

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Publication Details

Journal
Healthcare
Published
2026-01-04
DOI
https://doi.org/10.3390/healthcare14010119
Primary Topic
Employment and Welfare Studies
Type
article
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article

Corporate Profits and the Health of Americans

Anthony Biglan, Ronald J. Prinz, Diana H. Fishbein
Healthcare
Employment and Welfare Studies
article

Corporate Profits and the Health of Americans

Anthony Biglan, Ronald J. Prinz, Diana H. Fishbein
article en

Abstract

A large and growing empirical literature documents that privatization, deregulation, financialization, and under-regulation of harmful industries are associated with adverse health outcomes in the United States. However, this evidence remains fragmented across sectors and rarely articulates a unifying causal framework. This paper advances the literature by integrating findings across health care, harmful-product industries, and economic and social policy to demonstrate that <b>corporate profit maximization functions as a cross-cutting driver of health disparities and premature mortality in the United States.</b> We synthesize evidence showing that profit-driven incentives shape insurance markets, hospital and physician practice ownership, pharmaceutical marketing, and the aggressive promotion of tobacco, alcohol, ultra-processed foods, opioids, firearms, and fossil fuels-together contributing to more than one million deaths annually. We further document how corporate influence over public policy has increased poverty, economic inequality, and discrimination, all of which are powerful social determinants of health. In contrast to sector-specific analyses, this paper presents a unified, systems-level account of how profit-first governance undermines population health. We conclude by describing how a social movement to achieve a single payer system that provides Medicare for All would not only vastly improve public health, it would be a catalyst for numerous other reforms that enhance the general wellbeing.

HealthcareVol. 14(1)
Pennsylvania State University (US), National Coalition for Cancer Survivorship (US), Oregon Research Institute (US), University of South Carolina (US), Child Development Center (QA)
No poverty
Openalex Percentile: Top 98%
Employment and Welfare Studies
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Corporate Profits and the Health of Americans — Anthony Biglan, Ronald J. Prinz, et al. · Healthcare (2026) | TGRS Research Map | TGRS