At What Cost
Modern Capitalism and the Future of Health
Nicholas Freudenberg
Reviews and Awards
"an important contribution" -- Omar Khan, Family Medicine
"At What Cost is a must-read for anyone who wants to understand why food insecurity, low-wage work, chronic disease, and environmental degradation are such widespread and seemingly intractable problems. Capitalism may not be their only cause, but it is common to all of them. This important book provides compelling evidence for the need to join together to change this system to one better for people and the planet." -- Marion Nestle, PhD, MPH, Professor Emerita of Nutrition, Food Studies, and Public Health, New York University and author of Unsavory Truth
"If there's an upside to this era of heat and disease, it's that we finally have no choice but to ask some very basic questions about the framework of our world. This book takes some important steps in precisely that direction!" -- Bill McKibben, author of Falter: Has the Human Game Begun to Play Itself Out?
"In At What Cost, Freudenberg details the need for a better economic system and shows how only through this change can we hope to see global health and justice." -- Mark Bittman, author of Animal Vegetable Junk
"Freudenberg's timely analysis of what he terms 'modern capitalism' is critical reading for health professionals who are seeking evidence and ideas to understand why and how globalized and national prioritizing of private profit and privatization wreak such harms to people's health and planetary health. Analyzing the intertwined cases of food, education, healthcare, work, transportation, and social connection, he clarifies why movements for social change are crucial for building an equitable, sustainable, and healthy future." -- Nancy Krieger, PhD, Professor of Social Epidemiology, Harvard School of Public Health
"In At What Cost, Freudenberg offers an insightful analysis reminding us that the pathologies with which we must contend most urgently aren't simply those that happen under our skin but those that happen at the level of our economics and politics. At What Cost is required reading for those who recognize the imperative for political action for public health." -- Abdul El-Sayed, MD, physician, epidemiologist, and progressive activist