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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 5 May 2022 11:51:59 +0000
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https://journals.sagepub.com/doi/full/10.1177/03098168221092649

Corporate and business domination of food banks and food diversion schemes in Canada

Abstract
Critics have identified the corporate and business sector as contributing to household food insecurity through its endorsement of low wages, anti-union activities and lobbying for retrenchment of the Canadian welfare state. It is therefore troubling that this same corporate and business sector has come to dominate positions on the boards of directors of civil society organizations with missions to reduce household food insecurity. Fisher uses the term ‘Big Hunger’ to describe how this ‘hunger-industrial complex’ of food banks, food diversion schemes and corporations and companies are accruing benefits to themselves yet do little to reduce household food insecurity. We consider such processes as illustrating two key political economy concepts: (1) Marx’s concepts of base and superstructure and (2) Gramsci’s cultural hegemony. We carry out a critical case study of the relevance of these concepts to the Canadian household food insecurity scene by examining how the corporate and business sector now dominates the boards of directors of four major civil society organizations concerned with reducing household food insecurity. We find evidence of these civil society organizations exhibiting agenda distortion, reciprocity and loss of integrity, all reflecting their becoming part of the superstructure of capitalist society whose ruling elites come to dominate the ideas and values of society. Issues of wages, unionization and collective agreement bargaining, taxes and taxation, income inequality and retrenchment of the welfare state – all important contributors to household food insecurity and key concerns of the corporate and business community – are for the most part absent from these civil society organizations’ reports, documents and statements. We specify the implications these developments have for addressing household food insecurity and the inequitable distribution of other social determinants of health.

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