25 January 2019

Nautilus Magazine: Why Poverty Is Like a Disease

Now, new evidence is emerging suggesting the changes can go even deeper—to how our bodies assemble themselves, shifting the types of cells that they are made from, and maybe even how our genetic code is expressed, playing with it like a Rubik’s cube thrown into a running washing machine. If this science holds up, it means that poverty is more than just a socioeconomic condition. It is a collection of related symptoms that are preventable, treatable—and even inheritable. In other words, the effects of poverty begin to look very much like the symptoms of a disease.

That word—disease—carries a stigma with it. By using it here, I don’t mean that the poor are (that I am) inferior or compromised. I mean that the poor are afflicted, and told by the rest of the world that their condition is a necessary, temporary, and even positive part of modern capitalism. We tell the poor that they have the chance to escape if they just work hard enough; that we are all equally invested in a system that doles out rewards and punishments in equal measure. We point at the rare rags-to-riches stories like my own, which seem to play into the standard meritocracy template.[...]

n human children, epigenetic changes in stress receptor gene expression that lead to heightened stress responses and mood disorders have been measured in response to childhood abuse.4 And last year, researchers at Duke University found that “lower socioeconomic status during adolescence is associated with an increase in methylation of the proximal promoter of the serotonin transporter gene,” which primes the amygdala—the brain’s center for emotion and fear—for “threat-related amygdala reactivity.”5 While there may be some advantages to being primed to experience high levels of stress (learning under stress, for example, may be accelerated6), the basic message of these studies is consistent: Chronic stress and uncertainty during childhood makes stress more difficult to deal with as an adult.  [...]

The science of the biological effects of the stresses of poverty is in its early stages. Still, it has presented us with multiple mechanisms through which such effects could happen, and many of these admit an inheritable component. If a pregnant woman, for example, is exposed to the stresses of poverty, her fetus and that fetus’ gametes can both be affected, extending the effects of poverty to at least her grandchildren. And it could go further.[...]

The standard American myth of meritocracy misinterprets personal narratives like mine. The accumulated social capital of American institutions—stable transfer of power, rule of law, and entrepreneurship—certainly create economic miracles every day. But these institutions are far more suited to exponentially growing capital where it already exists, rather than creating new capital where society needs it. Stories such as mine are treated as the archetype, and we falsely believe they are the path to escape velocity for an entire segment of the population. In doing so, they leave that population behind. I am the face of the self-made rags-to-riches success story, and I’m here to say that story is a myth. The term “meritocracy” was coined in 1958 as a mockery of the very idea of evaluation by merit alone. We’ve forgotten to laugh, and the joke is on us.

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