HREQ 1930 Chapter Notes -Justice As Fairness, Health Equity, Equal Opportunity

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Middle income groups in a more unequal society will have worse health than comparable or even poorer groups in a society with greater equality. 4. 2 social determinants of health: some basic findings. Income / health gradients not result of fixed or determinate laws of economic development, however influenced by policy choices. Us richest nation, however poor health indicators. Determining factor in steepness of the gradient appears to be extent of income inequality in a society. High income inequality for middle income groups may have lower health status. Hypotheses: income inequality has its effect on health inequalities only above some threshold level of inequality, a threshold cross in the us and more unequal countries, but not met in more egalitarian countries. Not resources, but degree of relative deprivation (not the goods needed for survival, but lack of sources of self-respect that are deemed essential for full participation in society)

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