This essay explores the effects of morality on health policy. Moral im
ages and stereotypes, I argue, have powerful political consequences. T
hey are the difference between fighting poverty and fearing the poor,
between expanding social welfare programs and cracking down on crime,
between public health campaigns and drug wars. I begin by locating mor
ality within traditional paradigms of American politics (which are des
igned to overlook the issue); I then suggest how moral stigmas are con
structed; show how they are deployed in debates over public health iss
ues, such as alcohol abuse and drug addiction; and briefly sketch an a
lternative approach to defining community and seeking public health.