Health is often approached through disease categories, risk factors, service delivery, behavioral advice, and cost-effectiveness metrics. While indispensable, these approaches remain incomplete when detached from the living relations through which persons, communities, ecosystems, and future generations are sustained. This white paper proposes a life-coherent framework for health, healing, and human flourishing grounded in the organism–niche relation. It defines health as life-capacity enabled, healing as life-capacity restored, and flourishing as life-capacity expressed in dignity, relation, meaning, participation, and ecological belonging.
The framework integrates several complementary traditions: Maturana’s structural coupling, Galtung’s analysis of violence, McMurtry’s life-value and civil-commons criterion, Antonovsky’s salutogenesis, Naviaux’s salugenesis, life-course health development, social and ecological determinants of health, commercial and digital determinants, implementation and de-implementation science, commons governance, and planetary health. Its central distinction is between salugenesis, the inner biology of healing completion, and salutogenesis, the outer field of health-generating affordances, resources, meanings, and protections.
The white paper presents a six-level architecture: cellular and biological healing architecture; organismal systems integration; psychosocial and behavioral transduction; life-course and intergenerational embedding; the salutogenic affordance field; and the life-ground and civilizational niche. Across these levels, health is sustained when exposures remain within restorative capacity; disease, distress, dysfunction, and breakdown become more likely when cumulative exposures exceed repair margins. The framework further identifies blindspots and capture modes — measurement violence, metric capture, implementation violence, commercial capture, epistemic capture, algorithmic capture, cultural masking, burden displacement, commons enclosure, and resilience-as-adaptation — that cause systems to misrecognize or normalize preventable harm.
The framework culminates in a practical life-coherent action method: recognize, rename, measure, expose, de-implement, restore commons, redesign affordances, protect margins, coordinate, monitor, and learn. It proposes ethical principles of dignity, equity and justice, solidarity, sustainability, precaution, transparency, accountability, love of life, and humility. Its purpose is to support clinical care, public health, policy, technology, governance, and research in becoming more answerable to the conditions that allow life to live, heal, participate, repair, and flourish.
