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Document Type

Research Article - Refereed

Abstract

Health is a major challenge for people who live in subsistence because poverty heightens exposure to disease and weakens access to care. Yet it has received limited and fragmented attention in subsistence marketplaces research. Health decisions are made within the same trade-offs, uncertainty, unfamiliarity and relational exchange that shape other subsistence consumption. At the same time, health also goes beyond other mundane consumption decisions: it demands abstract causal reasoning, carries heightened vulnerability, and depends on information and trust that consumers cannot easily verify. Therefore, this paper argues that health should be treated as a core area of study in subsistence marketplaces, with particular attention to how market forces shape who can access, afford and benefit from health goods and services. The paper outlines four directions for future research: (1) over-the-counter medicine use, (2) traditional and Indigenous health knowledge, (3) health systems and (4) marketplace exclusion in health. It then shows how these four directions are connected to major health challenges.

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