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The Health Gap: The Challenge Of An Unequal World
'Splendid and necessary' - Henry Marsh author of Do No Harm New StatesmanThere are dramatic differences in health between countries and within countries But this is not a simple matter of rich and poor A poor man in Glasgow is rich compared to the average Indian but the Glaswegian's life expectancy is 8 years shorter The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death suicide heart disease linked to a rich country's version of disadvantage In all countries people at relative social disadvantage suffer health disadvantage dramatically so Within countries the higher the social status of individuals the better is their health These health inequalities defy usual explanations Conventional approaches to improving health have emphasised access to
technical solutions - improved medical care sanitation and control of disease vectors; or behaviours - smoking drinking - obesity linked to diabetes heart disease and cancer These approaches only go so far Creating the conditions for people to lead flourishing lives and thus empowering individuals and communities is key to reduction of health inequalities In addition to the scale of material success your position in the social hierarchy also directly affects your health the higher you are on the social scale the longer you will live and the better your health will be As people change rank so their health risk changes What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller This new evidence is compelling It has the
potential to change radically the way we think about health and indeed society
technical solutions - improved medical care sanitation and control of disease vectors; or behaviours - smoking drinking - obesity linked to diabetes heart disease and cancer These approaches only go so far Creating the conditions for people to lead flourishing lives and thus empowering individuals and communities is key to reduction of health inequalities In addition to the scale of material success your position in the social hierarchy also directly affects your health the higher you are on the social scale the longer you will live and the better your health will be As people change rank so their health risk changes What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller This new evidence is compelling It has the
potential to change radically the way we think about health and indeed society
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