The political economy of racialized health inequities: a panoramic view

Despite significant advancements in health at global, regional, and national levels, inequalities linked to race, ethnicity, and indigeneity remain. This chapter examines the influence of colonial and imperial histories in the United States, Canada, and the United Kingdom on the unequal distribution of social determinants of health. This inequality subsequently perpetuates health inequities among social classes and groups. The author’s main goal is to identify the fundamental causes of these inequities, confront existing obstacles, and suggest innovative solutions. He utilizes theoretical and empirical evidence to underscore the urgency of practical steps towards health equity. A critical political economy perspective is crucial in understanding and responding to racialized health inequities. This analytical lens exposes the interplay between neoliberal capitalism, colonialism, imperialism, and racism, shaping unequal health outcomes. It is essential to replace these exploitative and oppressive systems with a new societal framework to achieve economic and racial equity toward health justice realization.