Michelle Cohen, MD Profile picture
Mar 12 34 tweets 13 min read
For many ppl – me included – it was a shock when the pandemic sparked an affinity b/w wellness culture and the far right. The two seemed opposites, what common ground could there be?

The truth is wellness & fascism have more than just a modern connection.
Settle in for a long🧵 Screenshot of the title image of a Guardian article. It's ca
We think of wellness culture as nature-loving hippie liberalism originating in the 60s. This image clung even as wellness grew into $-driven industry by the 90s.

But Boomers didn’t create wellness, it goes back to the 19th C and shares elements with the 20th C worst ideologies.
Wellness came out of a movement called physical culture, created by history’s first fitspo influencer, Bernarr Macfadden.

He used aspirational images of his own rippling physique to sell followers on a lifestyle of regimented diet and exercise. Cover of Physical Culture magazine, with an image of BernarrCover of Physical Culture magazine, with an image of Bernarr
One of Macfadden’s most significant impacts was to bind the concept of good health to the glossy perfectionism of celebrity and beauty culture. Cover of Physical Culture magazine, with an image of thin, wCover of Physical Culture magazine, with an image of muscula
Macfadden framed health as a physical project: eating a restrictive diet & exercising by a strict regimen.

Health as a series of virtuous activities in perpetuity, a devotional practice. Where virtue is visible on the body as a muscular physique and lack of obvious disease. Cover of Physical Culture magazine, with an image of a nearlA flyer from 1909, entitled "Developing a Powerful Phys
It shouldn’t be surprising that early 20th C fascists were fans of physical culture. Macfadden and Mussolini spent time together in mutual admiration.

They shared a view of nationalism as embodied in physicality – the virtues of a country manifested in the muscles of its men. Photo of Macfadden with Italian cadets as part of a agreemenScreenshot of text from an article about Macfadden's brief r
More on Macfadden and Mussolini:
tandfonline.com/doi/full/10.10…
Macfadden’s health ideology leaned into eugenics, such as his teaching that strong parents produced strong children.

For him, individual devotion to fitness and diet was not only a personal project, but a way to improve the human race and bolster the power of the nation state. Flyer with an image of Macfadden flexing and texting advertiCover of Physical Culture magazine, with an image of thin, w
It’s hard to understate Macfadden’s influence on fitness and diet culture.

The glamorization of health, sold through glossy, aspirational imagery of a narrow physical ideal traces its origin to him. Collage of 9 covers of Physical Culture magazine. All have iCover of Physical Culture magazine, with an image of a thin,
Likewise, Macfadden’s conception of health as individual pursuit and visible demonstration of morality was important to the fitness movement.

I wrote about how we moralize health:
elemental.medium.com/being-healthy-…
Macfadden’s ideology clearly veers into body fascism - which in the intolerance to bodies that deviate from a set standard.

Of course, all modern society is hostile to bodies that don’t conform to narrow ideals. But wellness is *saturated* with Western beauty culture. Screenshot of an ad for a naturopathy retreat. The image is
Images of thin, white women lacking wrinkles are inescapable in wellness. Western beauty ideals are just as common in these spaces as stereotypical woo ideology.

It’s very common for alt-health practitioners to sell beauty products/services and these are mainly aimed at women. Screenshot of an ad for Toronto Wellness Centre. Close-up imScreenshot of Naturopathy Spa & Wellness. Close-up image of
I’ve written about Goop’s success in ♀️-targeted wellness. They’ve staked out a lucrative spot at the nexus of multiple movements. Using feminist language, Goop caught the wave of alt-health popularity and married it to aspirational lifestyle marketing.
cbc.ca/news/opinion/g…
I used to think the focus on (ageless, thin, white) beauty in wellness culture was a capitalist inevitability. Simply the way the movement monetized itself in a world already obsessed with appearance.
But now I understand how cardinal it is in wellness that health = glamourous beauty within a narrow set of standards.

It’s not just marketing, it’s a form of body fascism that ties health to Western beauty ideals. Cover of Physical Culture magazine, with an image of 2 men sCover of Physical Culture magazine, with an image of a thin,
Another area of overlap between wellness & fascism is the obsession with purity. This shared fixation inspires similar-sounding conspiracy theories about contamination.

Often there is a hearkening back to an ancestral time when humanity lived in a mythologized state of purity. Meme with images of cosmetic products. Text reads: "theMeme with an image of a child pictured from behind as she lo
This brings us to another similarity: the idea that we are poisoned by modern life – indeed by modernity itself, often depicted as a toxin that spoils the natural human state of purity.

Both wellness & fascism are deeply invested in myth-making about pre-historic humanity. Meme with an image of a cartoon tree. Above the branches theCover of a book entitled: The Quantum Wellness Cleanse: The
The food ideology Macfadden preached – obsessed with purity, ahistorical, restrictive, seeing food as medicine – inspired many others.

His influence can be felt among contemporaries like Harvey Kellogg and also as a throughline in wellness leading to today’s fad diet gurus. Meme intended to look like a dictionary definition. The textMeme with images of food. Text overlying reads: "why ou
This health ideology is very deterministic, framed as virtuous attainment in eating & exercising. The impact of social forces or plain luck are minimized.

This is an appealing fantasy of control - a semi-magical ability to forestall the inevitable through physical devotion. Meme with images of different foods. Text reads: "WellnMeme with images of food on top and a stethoscope lying on d
It makes sense that ppl who believe the individual determines their health are hostile to public health measures and sympathetic to anti-government ideas.

As @gorskon details, the anti-vax movement has long courted the far right.
Now, I want to be careful not to overstate the wellness/fascism connection. The fact that it came as a surprise to so many to see overlap between these communities means this is not a perfect political alignment.
washingtonpost.com/magazine/2021/…
After hippie counterculture became associated with wellness, liberalism became the dominant social/cultural association for rest of the 20th C. The earlier history faded from view and the lefty political affiliation seemed most relevant.
It’s this association I grew up with in a very alt-health influenced household at the end of the 20th C. What I knew of wellness in my youth was generally left-leaning, and I had no reason to question it.

Even after I rejected the blatant anti-science, wellness still had appeal
But for me the appeal was mainly where wellness overlapped with environmentalism and anti-capitalism. In the condemnation of modernity for poisoning the planet and creating a culture of compulsive exploitation and plunder.
Like the booth selling healing crystals outside the seed saving seminar, wellness floated in & out of my peripheral view as we explored leaving the city to start farming (which we eventually did).

The wellness industry continues to benefit from an association with food & nature Meme depicting two groups of food. One is grouped under the
The intersection of farming, food and health is fascinating and feels urgently important. But at the same time, it’s undeniably a space where pseudoscience, snake oil and certain deterministic ideas about health are common, often facing little pushback.
Being around wellness since childhood, I thought I was decently familiar with it. But I was FLOORED in 2020 to see a connection to the far right.

This was at odds with my understanding of wellness. I struggled to make sense of it - is this some kind of horseshoe theory shit?
To some degree I do think horseshoe theory (the idea that political extremes bend around to meet) is relevant.

Anti-government attitudes peak at the extremes, so it’s not unimaginable that opposite ends of the spectrum could find common cause against public health authorities.
Pause for a couple of good articles:
motherjones.com/politics/2020/…
But the speed with which wellness adopted Qanon ideas early in the pandemic and the long history of anti-vax engagement in far right spaces implies a more elemental connection than horseshoe-shaped platitudes can explain.
vox.com/the-goods/2257…
I’m grateful to #Conspirituality podcast for exploring many of the histories & ideologies animating these movements. Highly recommend for anyone looking to understand WTF the connection is between wellness & far right conspiracism.
vice.com/en/article/93w…
If you’re interested in learning more about the origins of wellness culture, you should listen to this @bastardspod series on Bernarr Macfadden.
iheart.com/podcast/105-be…
Understanding the larger context helped me make sense of what at first seemed incomprehensible.

And this thread can only hope to be a shallow dive into the complex ideologies, histories and cultures involved, so I encourage anyone who made it this far to keep learning!

FIN

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More from @DocMCohen

Oct 13, 2021
Prominent anti-vaxxer and PPC candidate Mark Friesen is reportedly in the ICU with COVID.

Here he is last month with far right media figures Laura-Lynn Tyler Thompson and Tyler Russell. Image
Here's Thompson platforming BC doctor Charles Hoffe while he doles out some pretty awful vaccine misinfo.
Thoughts and prayers. But the misinfo train keeps rolling! ImageImage
Read 5 tweets
Sep 6, 2021
Quick backgrounder on semen retention, because apparently this is the world we live in now.

The idea of semen having mystical and health qualities relating to masculinity goes back to the Middle Ages. No really.
Read this very interesting (and extremely well timed for the Canadian election - ty!) blog by medieval scholar @GoingMedieval
going-medieval.com/2021/09/03/on-…
In the modern day, semen retention mysticism is seen in that weird overlap between wellness pseudoscience and the right wing manosphere.

Bro wellness for the anti-science, misogynistic set.
Read 5 tweets
Sep 3, 2021
@HNHealthUnit's newly appointed public health lead has spent much of the pandemic wishing we could be more like Sweden or Florida. ImageImageImageImage
The food shaming was just a bonus, I guess.

Public health is all about shaming people into making better choices, amirite?
Curious how an ICU doctor ends up in a public health leadership position. Public health is a distinct specialty with its own 5 yr residency. Why is a public health doctor not filling this role?
Read 8 tweets
Aug 19, 2021
What's it called when you QT a question, but then block the person so they can't see it or answer you?

Cowardice? I'm going with cowardice.

And, Warren, you absolute fool, the Morgentaler decision has NOTHING to do with Catholic hospitals. I'm actually embarrassed for you. 🤦
Next time I hear about Catholic hospital denying reproductive care I'm going to ask them in my haughtiest tone if they know about the Morgentaler decision. That should work out great, according to Warren.
Fortunately for Warren, he blocked me before he could learn anything. Preserving ignorance FTW!
Read 4 tweets
Aug 19, 2021
Reproductive health advocates in Canada have been talking for DECADES about how the primary issue is ACCESS, but the strawman argument is that we are still debating the law.

So, ok, let's talk about some laws.
Let's talk about the Atlantic provinces, which have restricted abortion in violation of the Canada Health Act, which, if you recall, is totally a law.

Ottawa has done nothing but make empty threats, so yeah, I want to talk about this LEGAL ISSUE during a federal election.
Let's talk about Catholic hospitals, enshined in Canadian law to deliver religiously-specific care (no other religion has this right).

They are LEGALLY allowed to restrict not just abortion, but even options counseling for unintended pregnancies.
Read 8 tweets
Aug 19, 2021
There is no law. Just a HC service that's hard to access outside of cities and gets restricted on the whims of provincial Premiers.

But ok, sure, don't ask politicians address abortion inequity during an election. Pundits who don't work in HC assure me it's not an issue so🤷
It's a settled law folks! Don't ask any questions!
thestar.com/opinion/contri…
You know who loves to hear about how abortion is freely and legally available everywhere in the reproductive health utopia that is Canada? Catholic hospitals in rural communities. Oh yeah, they're REAL big on honouring Supreme Court decisions from 1988.
Read 5 tweets

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