Commercial and Corporate Provision of Healthcare, Capitalism and the State.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Commercial and Corporate Provision of Healthcare, Capitalism and the State.
Συγγραφείς:	Fox NJ; Department of Social and Psychological Sciences, University of Huddersfield, Queensgate, Huddersfield, UK.
Πηγή:	Sociology of health & illness [Sociol Health Illn] 2026 Mar; Vol. 48 (3), pp. e70155.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Blackwell Publishing Country of Publication: England NLM ID: 8205036 Publication Model: Print Cited Medium: Internet ISSN: 1467-9566 (Electronic) Linking ISSN: 01419889 NLM ISO Abbreviation: Sociol Health Illn Subsets: MEDLINE
Imprint Name(s):	Publication: <2003->: Oxford ; Malden, MA : Blackwell Publishing Original Publication: Henley-on-Thames ; Boston, Mass. : Routledge & Kegan Paul
Ιατρικοί όροι (MeSH):	Delivery of Health Care/organization & administration , Delivery of Health Care/economics , Private Sector* , Capitalism* , Politics* , Commerce*, Humans ; United Kingdom ; Privatization ; Social Justice ; Public Sector ; Commodification
Περίληψη:	This paper explores the role of the capitalist state in promoting the commercial and corporate provision of healthcare (CCPH). First, it reviews the breadth of CCPH in contemporary liberal democracies and identifies its strengths and weaknesses for the delivery of public health. It then explores the part that the capitalist state plays in supporting and extending the private provision of healthcare in the era of globalising capitalism. This is achieved through a secondary analysis of data from a recent study of the United Kingdom state's efforts to enhance overseas trade in private healthcare. This paper concludes with a discussion of the privatisation and commodification of healthcare, the role of the liberal democratic state in promoting both public and private healthcare and what this means for health inequalities and social justice, both within developed countries and globally. (© 2026 The Author(s). Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)
References:	Acuna, J. A., J. L. Zayas‐Castro, F. Feijoo, S. Sankaranarayanan, R. Martinez, and D. A. Martinez. 2022. “The Waiting Game–How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists.” Health Care Management Science 1–26, no. 1: 100–125. https://doi.org/10.1007/s10729‐021‐09577‐x. Adkins, B. 2015. Deleuze and Guattari's A Thousand Plateaus: A Critical Introduction and Guide. Edinburgh University Press. Agamben, G. 2015. “From the State of Control to a Praxis of Destituent Power.” In Resisting Biopolitics, edited by S. E. Wilmer and A. Žukauskaitė, 33–41. Routledge. Alami, I. 2021. “State Theory in the Age of State Capitalism 3.0?” Science & Society 85, no. 2: 162–170. https://doi.org/10.1521/siso.2021.85.2.162. Allan, S., K. Gousia, and J. Forder. 2021. “Exploring Differences Between Private and Public Prices in the English Care Homes Market.” Health Economics, Policy and Law 16, no. 2: 138–153. https://doi.org/10.1017/s1744133120000018. Anderson, M., A. Cherla, G. Wharton, and E. Mossialos. 2020. “Improving Transparency and Performance of Private Hospitals.” British Medical Journal 368: m577. https://doi.org/10.1136/bmj.m577. Balarajan, Y., S. Selvaraj, and S. V. Subramanian. 2011. “Health Care and Equity in India.” Lancet 377, no. 9764: 505–515. https://doi.org/10.1016/s0140‐6736(10)61894‐6. Baru, R. V. 2013. “Challenges for Regulating the Private Health Services in India for Achieving Universal Health Care.” Indian Journal of Public Health 57, no. 4: 208–211. https://doi.org/10.4103/0019‐557x.123243. Basu, S., J. Andrews, S. Kishore, R. Panjabi, and D. Stuckler. 2012. “Comparative Performance of Private and Public Healthcare Systems in Low‐and Middle‐Income Countries: A Systematic Review.” PLoS Medicine 9, no. 6: e1001244. https://doi.org/10.1371/journal.pmed.1001244. Bourdieu, P. 2018. On the State: Lectures at the Collège de France, 1989–1992 Trans: David Fernbach. Polity. Christiansen, I. 2017. “Commodification of Healthcare and Its Consequences.” World Review of Political Economy 8, no. 1: 82–103. https://www.jstor.org/stable/10.13169/worlrevipoliecon.8.1.0082. Christophers, B. 2021. “Class, Assets and Work in Rentier Capitalism.” Historical Materialism 29, no. 2: 3–28. https://doi.org/10.1163/1569206x‐29021234. Colombo, F., and N. Tapay. 2004. Private Health Insurance in OECD Countries: The Benefits and Costs for Individuals and Health Systems (OECD Health Working Papers No. 15). OECD. Conservative and Unionist Party. 2019. Conservative and Unionist Party Manifesto 2019. Conservative Party. https://cchq2019.webflow.io/our‐plan. Deleuze, G. 1988. Spinoza: Practical Philosophy. City Lights. Deleuze, G. 1992. “Postscript on the Societies of Control.” October 59: 3–7. https://www.jstor.org/stable/778828. Deleuze, G., and F. Guattari. 1984. Anti Oedipus: Capitalism and Schizophrenia. Athlone. Deleuze, G., and F. Guattari. 1988. A Thousand Plateaus. Athlone. Dickinson, H., R. Fisher, and H. Akbar. 2023. “Improving Investment Promotion Agencies Performance in Attracting Foreign Direct Investment.” International Journal of Organizational Analysis 31, no. 3: 587–604. https://doi.org/10.1108/ijoa‐11‐2020‐2508. Dickman, S. L., D. U. Himmelstein, and S. Woolhandler. 2017. “Inequality and the Health‐Care System in the USA.” Lancet 389, no. 10077: 1431–1441. https://doi.org/10.1016/s0140‐6736(17)30398‐7. Djaoudene, O., A. Romano, Y. D. Bradai, et al. 2023. “A Global Overview of Dietary Supplements: Regulation, Market Trends, Usage During the COVID‐19 Pandemic, and Health Effects.” Nutrients 15, no. 15: 3320. https://doi.org/10.3390/nu15153320. Drake, M. S. 2010. Political Sociology for a Globalizing World. Polity. Duff, C. 2014. Assemblages of Health. Deleuze’s Empiricism and the Ethology of Life. Springer. Dunleavy, P. 2014. “The State Is a Multi‐System: Understanding the Oneness and Diversity of Government.” In Paper to the UK Political Studies Association Conference. http://eprints.lse.ac.uk/56492/. Erlenbusch, V. 2013. “The Place of Sovereignty: Mapping Power With Agamben, Butler, and Foucault.” Critical Horizons 14, no. 1: 44–69. https://doi.org/10.1179/15685160x13a.0000000003. Exley, C., N. Rousseau, C. Donaldson, and J. G. Steele. 2012. “Beyond Price: Individuals' Accounts of Deciding to Pay for Private Healthcare Treatment in the UK.” BMC Health Services Research 12, no. 1: 53. https://doi.org/10.1186/1472‐6963‐12‐53. Faulks, K. 1999. Political Sociology. Edinburgh University Press. Ferreira, M. R. J., and A. N. Mendes. 2018. “Commodification in the Reforms of the German, French and British Health Systems.” Ciência & Saúde Coletiva 23, no. 7: 2159–2170. https://doi.org/10.1590/1413‐81232018237.12972018. Fortune Business Insights. 2024. “Medical Devices Market Size, Share and Industry Analysis.” Industry Report (8 Oct 2024). https://www.fortunebusinessinsights.com/industry‐reports/medical‐devices‐market‐100085. Foucault, M. 1981. The History of Sexuality Vol.1: The Will to Knowledge. Penguin. Fox, N. J. 2017. “Personal Medical Devices, Micropolitics and Resistance: A New Materialist Analysis.” Health 21, no. 2: 136–153. https://doi.org/10.1177/1363459315590248. Fox, N. J. 2023a. “Capitalism and the State: A New Materialist Perspective.” European Journal of Social Theory 28, no. 1: 126–148. https://doi.org/10.1177/13684310231204540. Fox, N. J. 2023b. “The more‐than‐human Life of Capitalism: Assemblages, Affects and the Neoliberal Black Hole.” Social Sciences 12, no. 11: 632. https://doi.org/10.3390/socsci12110632. Fox, N. J. 2024. “Capitalism and the ‘Commercial Determinants of Health’: A More‐Than‐Human Micropolitics.” Social Science & Medicine 350: 116925. https://doi.org/10.1016/j.socscimed.2024.116925. Fox, N. J., and P. Alldred. 2015. “New Materialist Social Inquiry: Designs, Methods and the Research‐Assemblage.” International Journal of Social Research Methodology 18, no. 4: 399–414. https://doi.org/10.1080/13645579.2014.921458. Fox, N. J., and P. Alldred. 2022. “Doing New Materialist Data Analysis: A Spinozo‐Deleuzian Ethological Toolkit.” International Journal of Social Research Methodology 25, no. 5: 625–638. https://doi.org/10.1080/13645579.2021.1933070. Freeman, R. 1998. “Competition in Context: The Politics of Health Care Reform in Europe.” International Journal for Quality in Health Care 10, no. 5: 395–401. https://doi.org/10.1093/intqhc/10.5.395. Guattari, F., and A. Negri. 2010. New Lines of Alliance, New Spaces of Liberty. Minor Compositions. Healthcare UK 2020. Healthcare UK Annual Review 2019/2020. NHS England. https://www.gov.uk/government/publications/healthcare‐uk‐annual‐review‐2019‐to‐2020/healthcare‐uk‐annual‐review‐2019‐to‐2020‐webonline‐version. Hees, F., and P. B. da Rocha Paranhos. 2018. Investment Facilitation: Moving Beyond Investment Promotion (Columbia FDI Perspectives No. 228). New York: Columbia Center on Sustainable Investment. Hermann, C. 2010. “The Marketisation of Health Care in Europe.” Socialist Register 46: 125–144. https://socialistregister.com/index.php/srv/article/view/6767. Hjelmar, U., Y. Bhatti, O. H. Petersen, T. Rostgaard, and K. Vrangbæk. 2018. “Public/Private Ownership and Quality of Care: Evidence From Danish Nursing Homes.” Social Science & Medicine 216: 41–49. https://doi.org/10.1016/j.socscimed.2018.09.029. Hodgson, D. E., S. Bailey, M. Exworthy, M. Bresnen, J. Hassard, and P. Hyde. 2022. “On the Character of the New Entrepreneurial National Health Service in England: Reforming Health Care From Within?” Public Administration 100, no. 2: 338–355. https://doi.org/10.1111/padm.12797. Hunter, B., Y. Dong, S. Merz, R. Bisht, B. Salter, and S. Murray. 2023. Transnational Provisioning and the Trading of Health‐Related Services in the UK, India and China, 2019‐2023. UK Data Service. SN. https://doi.org/10.5255/UKDA‐SN‐856673. Hunter, B., and B. Salter. (n.d.). The UK in the Global Economy for Health‐Related Services. (Briefing Note to UK Department of Health and Social Care). King's College London, University of Sussex and Jawaharlal Nehru University. Jessop, B. 2007. “From Micro‐Powers to Governmentality: Foucault's Work on Statehood, State Formation, Statecraft and State Power.” Political Geography 26, no. 1: 34–40. https://doi.org/10.1016/j.polgeo.2006.08.002. Kennedy, P. 2015. “The Contradictions of Capitalist Healthcare Systems.” Critique 43, no. 2: 211–231. https://doi.org/10.1080/03017605.2015.1051780. Lang, A. 2019. “Heterodox Markets and ‘Market Distortions’ in the Global Trading System.” Journal of International Economic Law 22, no. 4: 677–719. https://doi.org/10.1093/jiel/jgz042. Lupton, D. 2016. “The Diverse Domains of Quantified Selves: Self‐Tracking Modes and Dataveillance.” Economy and Society 45, no. 1: 101–122. https://doi.org/10.1080/03085147.2016.1143726. Mackintosh, M., A. Channon, A. Karan, S. Selvaraj, E. Cavagnero, and H. Zhao. 2016. “What Is the Private Sector? Understanding Private Provision in the Health Systems of Low‐Income and Middle‐Income Countries.” Lancet 388, no. 10044: 596–605. https://doi.org/10.1016/s0140‐6736(16)00342‐1. Mackintosh, M., and M. Koivusalo. 2005. “Health Systems and Commercialization: In Search of Good Sense.” In Commercialization of Health Care: Global and Local Dynamics and Policy Responses, edited by M. Mackintosh, 3–21. Palgrave Macmillan UK. Marx, K. [2011] 1906. Capital Vol. 1. Dover. Marx, K., and F. Engels. [1848] 2017. The Communist Manifesto. Pluto Press. Massumi, B. 1992. A Users Guide to Capitalism and Schizophrenia. MIT Press. McKee, M., and D. Stuckler. 2012. “The Crisis of Capitalism and the Marketisation of Health Care: The Implications for Public Health Professionals.” Journal of Public Health Research 1, no. 3: e37. https://doi.org/10.4081/jphr.2012.e37. Merz, S., B. Hunter, R. Bisht, and S. F. Murray. 2024. “‘Not in It for Huge Profits but Because It’s Right’: The Contested Moral Economies of UK–India Exports in Health Worker Education and Training.” Sociology of Health & Illness 46, no. 2: 219–235. https://doi.org/10.1111/1467‐9566.13700. Merz, S., B. M. Hunter, S. F. Murray, and R. Bisht. 2024. “Market Making and the Production of Nurses for Export: A Case Study of India–UK Health Worker Migration.” BMJ Global Health 9, no. 2: e014096. https://doi.org/10.1136/bmjgh‐2023‐014096. Mikulic, M. 2024. “Revenue of the Worldwide Pharmaceutical Market From 2001 to 2023.” Statista Report. https://www.statista.com/statistics/263102/pharmaceutical‐market‐worldwide‐revenue‐since‐2001/. Miliband, R. 1969. The State in Capitalist Society. Weidenfeld & Nicolson. Montagu, D. 2021. “The Provision of Private Healthcare Services in European Countries: Recent Data and Lessons for Universal Health Coverage in Other Settings.” Frontiers in Public Health 9: 636750. https://doi.org/10.3389/fpubh.2021.636750. Moore, H. L. 1925. “A Moving Equilibrium of Demand and Supply.” Quarterly Journal of Economics 39, no. 3: 357–371. https://doi.org/10.2307/1882433. Morgan, R., T. Ensor, and H. Waters. 2016. “Performance of Private Sector Health Care: Implications for Universal Health Coverage.” Lancet 388, no. 10044: 606–612. https://doi.org/10.1016/s0140‐6736(16)00343‐3. Murray. 2013. “The State of US Health, 1990–2010.” JAMA Français 310, no. 6: 1–34. https://doi.org/10.1001/jama.2013.13805. Nash, K. 2010. Contemporary Political Sociology. Globalization, Politics and Power. Wiley‐Blackwell. Navarro, V. 1989. “Why Some Countries Have National Health Insurance, Others Have National Health Services, and the US Has Neither.” Social Science & Medicine 28, no. 9: 887–898. https://doi.org/10.1016/0277‐9536(89)90313‐4. Ozer, E. M., J. T. Urquhart, C. D. Brindis, M. J. Park, and C. E. Irwin. 2012. “Young Adult Preventive Health Care Guidelines: There But Can'T Be Found.” Archives of Pediatrics and Adolescent Medicine 166, no. 3: 240–247. https://doi.org/10.1001/archpediatrics.2011.794. Paccagnella, O., V. Rebba, and G. Weber. 2013. “Voluntary Private Health Insurance Among the Over 50s in Europe.” Health Economics 22, no. 3: 289–315. https://doi.org/10.1002/hec.2800. Pakulski, J. 2012. “The Weberian Foundations of Modern Elite Theory and Democratic Elitism.” Historical Social Research/Historische Sozialforschung 37, no. 1: 38–56. https://www.jstor.org/stable/41756449. Poulantzas, N. [1968] 1978. Political Power and Social Classes. Verso/New Left Books. Punton, G., A. L. Dodd, and A. McNeill. 2022. “‘You’re on the Waiting List’: An Interpretive Phenomenological Analysis of Young Adults’ Experiences of Waiting Lists Within Mental Health Services in the UK.” PLoS One 17, no. 3: e0265542. https://doi.org/10.1371/journal.pone.0265542. Read, T. 2025. Health Cover UK Data Insights Report (20Th Edition). LaingBuisson. https://go.laingbuisson.com/health‐cover‐report‐20. Reibling, N., M. Ariaans, and C. Wendt. 2019. “Worlds of Healthcare: A Healthcare System Typology of OECD Countries.” Health Policy 123, no. 7: 611–620. https://doi.org/10.1016/j.healthpol.2019.05.001. Research and Markets. 2025. Private Healthcare Global Strategic Business Report 2024. https://www.researchandmarkets.com/report/private‐healthcare#src‐pos‐1. Roffé, J. 2015. Abstract Market Theory. Palgrave. Rose, N., and P. Miller. 2010. “Political Power Beyond the State: Problematics of Government.” Supplement, British Journal of Sociology 61, no. s1: 271–303. https://doi.org/10.1111/j.1468‐4446.2009.01247.x. Rutland, P. 2018. “The Political Elite in Post‐Soviet Russia.” In The Palgrave Handbook of Political Elites, edited by J. Higley, 273–294. Palgrave Macmillan. Salisbury, C., A. Quigley, N. Hex, and C. Aznar. 2020. “Private Video Consultation Services and the Future of Primary Care.” Journal of Medical Internet Research 22, no. 10: e19415. https://doi.org/10.2196/19415. Sanderson, J. 1963. “Marx and Engels on the State.” Western Political Quarterly 16, no. 4: 946–955. https://doi.org/10.1177/106591296301600412. Sawyer, S. W. 2015. “Foucault and the State.” Tocqueville Review 36, no. 1: 135–164. https://doi.org/10.1353/toc.2015.0000. Sekhri, N., and W. Savedoff. 2006. “Regulating Private Health Insurance to Serve the Public Interest: Policy Issues for Developing Countries.” International Journal of Health Planning and Management 21, no. 4: 357–392. https://doi.org/10.1002/hpm.857. Smith, R. 2010. “Beyond Growth or Beyond Capitalism?” Real‐World Economics Review 53, no. 2: 28–42. https://paecon.net/PAEReview/issue53/Smith53.pdf. Swanson, J. 2008. “Economic Common Sense and the Depoliticization of the Economic.” Political Research Quarterly 61, no. 1: 56–67. https://doi.org/10.1177/1065912907306469. Thomson, S., A. Sagan, E. Mossialos, and J. North. 2020. “Why Private Health Insurance?” In Private Health Insurance: History, Politics and Performance, edited by S. Thomson, A. Sagan, and E. Mossialos, 1–40. Cambridge University Press. Till, C. 2014. “Exercise as Labour: Quantified Self and the Transformation of Exercise into Labour.” Societies 4, no. 3: 446–462. https://doi.org/10.3390/soc4030446. Torchia, M., A. Calabrò, and M. Morner. 2015. “Public–Private Partnerships in the Health Care Sector: A Systematic Review of the Literature.” Public Management Review 17, no. 2: 236–261. https://doi.org/10.1080/14719037.2013.792380. Waring, J., and S. Bishop. 2011. “Healthcare Identities at the Crossroads of Service Modernisation: The Transfer of NHS Clinicians to the Independent Sector?” Sociology of Health & Illness 33, no. 5: 661–676. https://doi.org/10.1111/j.1467‐9566.2010.01311.x. Westgarth, D. 2022. “Is NHS Dentistry Being Privatised by Stealth?” BDJ In Practice 35, no. 2: 14–18. https://doi.org/10.1038/s41404‐022‐1036‐0. World Health Organization. 2019. WHO Global Report on Traditional and Complementary Medicine 2019. World Health Organization.
Grant Information:	ES/S010920/1 Economic and Social Research Council
Contributed Indexing:	Keywords: capitalism; commercial provision of healthcare; neoliberalism; private healthcare; state
Entry Date(s):	Date Created: 20260305 Date Completed: 20260710 Latest Revision: 20260710
Update Code:	20260711
PubMed Central ID:	PMC12963035
DOI:	10.1111/1467-9566.70155
PMID:	41787229
Βάση Δεδομένων:	MEDLINE

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ISSN:	1467-9566
DOI:	10.1111/1467-9566.70155