Born Sick in the USA: Improving The Health of a Nation
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In this episode of Economic Update, Richard D. Wolff examines pressing economic and social issues in the United States, beginning with a major strike by 83,000 workers in the Los Angeles Unified School District—a rare example of unified action across three unions and widespread public support. He then analyzes rising electricity costs, revealing that while overall inflation was 21% from 2021 to 2025, electricity prices rose 29%, with Texas and Alabama having the highest rates due to regulatory capture by utility commissions. Wolff highlights the stark rise in wealth inequality: the top 1% now holds 30% of national net wealth, up from 23% in 1990, while the bottom 50% saw their share drop from 3.5% to 2.5%. In the second half, Wolff interviews Dr. Stephen Bezruczka, author of *Born Sick in the USA*, who argues that illness in America is not an individual problem but a political one. Using life expectancy as a key health metric, Bezruczka shows the U.S. lags behind 50 other countries, despite spending more on healthcare than any nation. He identifies economic inequality and lack of support for early childhood development—such as paid parental leave and affordable childcare—as root causes of poor health. The episode concludes with a call to action: educate the public, especially youth, about the political roots of health outcomes and demand policy changes to build a healthier, more equitable society.
Health outcomes in the U.S. are deeply shaped by political and economic policies, not just medical care.
Economic inequality is a direct driver of poor health, with stress from inequality contributing to leading causes of death like heart disease, cancer, and unintentional injuries.
The U.S. is the only wealthy country without paid parental leave, undermining early childhood development and long-term health.
Electricity costs are rising faster than inflation, driven by regulatory failures in states like Texas and Alabama.
The top 1% now controls 30% of national wealth, while the bottom half owns just 2.5%, reflecting a decades-long trend of extreme inequality.
…and 3 more takeaways available in PodZeus
The LA School Strike and the Power of Unified Labor
“They were not each on their own fighting with the boards of education that were relevant but that they were fighting as a unified group threatening a strike at a unified time and date made them all the stronger.”
Electricity Costs and Regulatory Failure
Wolff investigates why electricity prices in the U.S. have risen 29% since 2021—50% faster than general inflation. He explains that utility commissions, meant to regulate monopolies, often enable price gouging, especially in states like Texas and Alabama, where political capture allows companies to profit at consumers' expense.
The Rise of Wealth Inequality in America
“The rich got richer and the poor got poorer.”
Health as a Political Issue: The Case for Born Sick in the USA
“We have chosen through our political process to have less so the rich can have more. So that makes us responsible for the poor health that we're having.”
“We have chosen through our political process to have less so the rich can have more. So that makes us responsible for the poor health that we're having.”
“We spend about half of the world's medical care bill in the United States. It's about $7 trillion. It's a sixth of our total economy. And we are less healthy than 50 other countries.”
“The rich got richer and the poor got poorer.”
Host
Guest
Stephen Bezruczka
person
Richard D. Wolff
person
Los Angeles Unified School District
organization
Democracy at Work
organization
Texas
place
Japan
place
Marxian Class Analysis
book
Alabama
place
Sweden
place
Understanding Capitalism
book
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