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The Health Gap: The Challenge of an Unequal World, by Michael Marmot
Download PDF The Health Gap: The Challenge of an Unequal World, by Michael Marmot
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In this groundbreaking book, Michael Marmot, president of the World Medical Association, reveals social injustice to be the greatest threat to global health
In Baltimore's inner-city neighborhood of Upton/Druid Heights, a man's life expectancy is sixty-three; not far away, in the Greater Roland Park/Poplar neighborhood, life expectancy is eighty-three. The same twenty-year avoidable disparity exists in the Calton and Lenzie neighborhoods of Glasgow, and in other cities around the world.
In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800 (and now, with the new administration chipping away at Obamacare, the statistics stand to grow even more devastating). Why?
Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone. Marmot emphasizes that the rate of illness of a society as a whole determines how well it functions; the greater the health inequity, the greater the dysfunction.
Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics (“young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countriesâ€), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.
Product details
Hardcover: 400 pages
Publisher: Bloomsbury Press; 1 edition (November 3, 2015)
Language: English
ISBN-10: 1632860783
ISBN-13: 978-1632860781
Product Dimensions:
6.5 x 1.3 x 9.6 inches
Shipping Weight: 1.4 pounds (View shipping rates and policies)
Average Customer Review:
4.4 out of 5 stars
24 customer reviews
Amazon Best Sellers Rank:
#65,180 in Books (See Top 100 in Books)
Excellent book that enlightens you with the disparity of healthcare in the United States. Comparing U.S. health both around the globe and locally. Bring forward compelling arguments and points. As well as issues wow the U.S. healthcare. Much work has to be done and this book only emphasize the healthcare issue that is VERY relevant to American politics today. Good read regarding this controversial topic!
Dr. (Sir) Marmot spoke at the American Public Health Association's 2016 conference. I was mesmerized by his discussion and ordered his book, THE HEALTH GAP at the end of his presentation. Absolutely, a thorough narrative of problems and resolutions to give everyone a fair chance at health care on a global basis.
Outstanding, clever, entertaining, and O so expert, this book is a gift and an absolute pleasure to read...in other hands it could have been dreadfully boring. If, as Einstein once said, you consider yourself to be a citizen of the world, then this book is the universal salve you've been seeking. But it, read it, enjoy!
Good book. I feel because the author is coming from an. European point of view he cannot fully understand the role race and white supremacy has played in health determination of African Americans living in America.
A simple clear message with good documentation and statistics. If the poor in you society aren't healthy your society isn't healthy and they are ways to fix it.
Such an entertaining and enjoyable book-very knowledgeable
The book cover was dirty with some spots!
great man! reading his book prior to conference and its amazing
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