From the UK Welfare State to Digital Self-Care: Historical Context of Tracking Public Health and Quantifying Bodies

Abstract

This chapter provides a historical contextualisation of health tracking and public health communication from the post-World War Two development of the welfare state, through the birth of neoliberalism, until today’s individualising practices of digital health tracking and quantification of bodies. Through an examination of these three phases of public health quantification of bodies, encompassing the socio-economic, cultural and political shifts since 1948, combined with the development and wide adoption of digital health and self-quantifying technologies, this chapter traces the changing landscape and the dramatic implications this has had for shifting who is responsible for maintaining ‘good’ health. This chapter illustrates how neoliberal free market principles have reigned over UK public health discourse for many decades, seeing health as no longer binary to illness, but as a practice of individual self-quantification and self-care. In turn, the chapter explores how the quantification and health tracking of bodies has become a dominant discourse in public health promotion, as well as individual citizenship and patient practices. This discourse still exists pervasively as we move into the digital society of the 2020s, through the Covid-19 pandemic and beyond; with public health strategies internationally promoting the use of digital health tools in our everyday, further positioning citizens as entrepreneurial subjects, adopting extensive technological measures in an attempt to measure and ‘optimise’ health, normalising the everyday quantification of bodies.

Citation

Kent, R. (2021), "From the UK Welfare State to Digital Self-Care: Historical Context of Tracking Public Health and Quantifying Bodies", Ajana, B., Braga, J. and Guidi, S. (Ed.) The Quantification of Bodies in Health: Multidisciplinary Perspectives, Emerald Publishing Limited, Leeds, pp. 71-92. https://doi.org/10.1108/978-1-80071-883-820211007