GDP and Health: A Historical Perspective

As one of the most illustrious rock stars of the sustainability movement, Tim Jackson suggests that we must “f**k the patriarchy” to get beyond capitalism. In his new book, The Care Economy, Jackson argues that our growth-obsessed capitalist economic system is fundamentally dysfunctional, prioritizing wealth accumulation over health and wellbeing. He advocates replacing GDP-focused metrics with care-based economics that emphasizes balance and restoration rather than endless expansion. Jackson critiques how Big Food and Big Pharma profit from making people sick then selling expensive treatments, creating a "false economy." Drawing a dotted line from Bobby Kennedy to RFK Jr., he sees health as the unifying political issue that will enable us to bridge traditional divides.

five key takeaways

1. Redefine Prosperity as Health, Not Wealth True prosperity should be measured by health (physical, psychological, and community wellbeing) rather than GDP growth. Jackson argues that endless accumulation undermines the balance necessary for genuine human flourishing.

2. The Food-Pharma Industrial Complex is a "False Economy" Big Food creates addictive, unhealthy products that cause chronic disease, then Big Pharma profits from treating symptoms rather than causes. This cycle generates GDP growth while systematically undermining public health.

3. Care Work is the Foundation of All Economic Activity The predominantly female-performed labor of caring for children, elderly, and sick people is invisible to traditional economics but essential for society's functioning. This unpaid work must be recognized and valued.

4. Individual Solutions Can't Fix Systemic Problems While people can make personal health choices, expecting individuals to overcome an engineered food environment designed to exploit human psychology is unrealistic. Systemic change is required.

5. Health Could Unite Across Political Divides Unlike abstract environmental concerns, health is universally relatable and could serve as a rallying point for economic reform that appeals to both working-class and affluent communities.

Tim Jackson is an ecological economist and writer. Since 2016 he has been Director of the Centre for the Understanding of Sustainable Prosperity (CUSP). CUSP is a multidisciplinary research centre which aims to understand the economic, social and political dimensions of sustainable prosperity. Its guiding vision for prosperity is one in which people everywhere have the capability to flourish as human beings—within the ecological and resource constraints of a finite planet. Tim has been at the forefront of international debates on sustainability for three decades and has worked closely with the UK Government, the United Nations, the European Commission, numerous NGOs, private companies and foundations to bring economic and social science research into sustainability. During five years at the Stockholm Environment Institute in the early 1990s, he pioneered the concept of preventative environmental management—a core principle of the circular economy—outlined in his 1996 book Material Concerns: Pollution Profit and Quality of life. From 2004 to 2011 he was Economics Commissioner for the UK Sustainable Development Commission where his work culminated in the publication of his controversial and ground-breaking book Prosperity without Growth (2009/2017) which has subsequently been translated into twenty foreign languages. It was named as a Financial Times ‘book of the year’ in 2010 and UnHerd’s economics book of the decade in 2019. In 2016, Tim was awarded the Hillary Laureate for exceptional international leadership in sustainability. His book Post Growth—life after capitalism (Polity Press, 2021) won the 2022 Eric Zencey Prize for Economics. His latest book The Care Economy was published in April 2025. Tim holds degrees in mathematics (MA, Cambridge), philosophy (MA, Uni Western Ontario) and physics (PhD, St Andrews). He also holds honorary degrees at the University of Brighton in the UK and the Université Catholique de Louvain in Belgium. He is a Fellow of the Royal Society for the Arts, the Academy of Social Sciences and the Belgian Royal Academy of Science. In addition to his academic work, he is an award-winning dramatist with numerous radio-writing credits for the BBC.

Named as one of the "100 most connected men" by GQ magazine, Andrew Keen is amongst the world's best known broadcasters and commentators. In addition to presenting the daily KEEN ON show, he is the host of the long-running How To Fix Democracy interview series. He is also the author of four prescient books about digital technology: CULT OF THE AMATEUR, DIGITAL VERTIGO, THE INTERNET IS NOT THE ANSWER and HOW TO FIX THE FUTURE. Andrew lives in San Francisco, is married to Cassandra Knight, Google's VP of Litigation & Discovery, and has two grown children.

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