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Health Care & Environment
News Media Matters
08.18 Climate change will likely wreck their livelihoods – but they still don't buy the science [a willfully ignorant people? or a public conned by oil-industry subsidized news media distortions?]
US Politics, Policy & 'Culture'
08.19 Living with Trump
08.18 GOP Senator Drowned Out By Cheers for 'Single Payer' at Town Hall [might our 'representatives' understand better if we took their free healthcare away?]
08.18 The United States was never immune to fascism. Not then, not now [2:54 video; “Stupid is as stupid does.” –Forrest Gump]
08.18 Trump's evangelical panel remains intact as others disband. Who are his religious cheerleaders? [“Stupid is as stupid does.” –Forrest Gump]
08.17 Stranding CEOs Too Slow To Quit, Trump Disbands His Own Business Councils [could a wider boycott accomplish resignations or positive change?]
08.16 Indiana prosecutors want to incarcerate the opioid crisis away [“Stupid is as stupid does.” –Forrest Gump]
08.18 Buses in Seoul install 'comfort women' statues to honour former sex slaves [immoral crimes are hard to forget]
Economics, Crony Capitalism
08.19 The long read: Neoliberalism: the idea that swallowed the world
08.15 Why Are Drug Prices So High? These Politicians Might Have The Answer [especially since the Citizens United Supreme Court ruling, BIG money corrupts & controls U.S. government to the public’s detriment]
International & Futurism
08.17 Investment Bank Report Predicts the Cost of Electric Vehicles Will Match Regular Cars by 2018 [pressure is building for electric utilities to become 100% renewable or we'll die]
How Inequality Kills
Digging through piles of data, John Lynch and his co-workers analyzed 282 US cities. They found if you add the ravages of poverty to the life-shortening effect of social inequality, the combination is “comparable to the combined loss of life from lung cancer, diabetes, motor vehicle crashes, HIV infections, suicides and homicides.”Most of us don’t read the scientific health journals, so we’ve missed this news. Research has appeared in the United States and Britain, over the last ten years, saying more than any physical cause of death like cigarettes, obesity, accidents, alcohol or pollution, a more potent killer is the shape of the society we live in.
Most of this comes from epidemiologists and public health researchers. The articles, dry and overlooked, are gray with columns of statistics. The earliest ones, buried in the stacks at the university, show these scientists hardly believing their own findings. It was only because George Kaplan (1) and John Lynch (2) and their associates at the University of Michigan, for example, and Richard Wilkinson (3) at the University of Sussex all made discoveries pointing in the same odd direction that this topic wasn’t dismissed as a quirk.
We’ve always known poverty is correlated with poor health. But separately, if you measure the inequality of any society—its shape, hierarchical or egalitarian—and if you correlate that with infant mortality, or death from violence, or life expectancy, the correlation number jumps off the page.
Now a whole book of collected reports has been published, showing the same patterns (4). Whether researchers compare different countries, different cities or different states, steeply unequal societies show more breakdown. Violence is up, health is down, infant mortality is up, life expectancy is shorter—and this affects all levels of society. Egalitarian societies are simply healthier.
This is a raw point at the joint between science and politics. It is going ignored. Of course this is not the first time the media have ignored inconvenient facts from health statisticians. The discovery of real hunger in America, quietly admitted by the U.S. Department of Agriculture last year (5), should have lit up the political skies, but was skipped by the press. A very readable article by Robert Sapolsky in the glossy pages of the Scientific American last year (6) should likewise have liberal politicians climbing on the tables, because his article shows that social inequality kills. It is being virtually ignored.
We dismiss this research at our peril.
Look at any community, and its rich and its poor. If you figure how much money you’d have to take from the rich to give to the poor, and keep doing that until everybody was equal, that would be the community’s score on the Robin Hood Index (7, 8), an economic measure of social inequality. Bruce Kennedy and his colleagues (9) did that for each of the 50 states in America. (Turns out the states vary considerably, with Louisiana the most unequal, New Hampshire the most equal.) Next they compared the index with mortality rates. A clear correlation jumped out. By knowing the state’s degree of social inequality, you could accurately guess its mortality rate.
The impact of inequality ripples through behavioral and criminology data too. It seems nobody tried these correlations before.
And it’s powerful. Digging through piles of data, John Lynch and his co-workers analyzed 282 US cities. They found if you add the ravages of poverty to the life-shortening effect of social inequality, the combination is “comparable to the combined loss of life from lung cancer, diabetes, motor vehicle crashes, HIV infections, suicides and homicides” (10). Is this a fact because sick people fall to the bottom of society, causing deeper inequality? No; analysis shows the reverse. The path is from inequality to bad health.
Those are the health effects, but the impact of inequality ripples through behavioral and criminology data too. It seems nobody tried these correlations before.
In one study, income inequality correlated with all of the following: low birth weight, homicide, violent crime, work disability, expenditures for medical care and police protection, rates of smoking, unemployment rates, food stamps, and imprisonment.
In a third study, George Kaplan and his associates went through the archives and found income inequality correlated with all of the following: low birth weight, homicide, violent crime, work disability, expenditures for medical care and police protection, rates of smoking, unemployment rates, food stamps, and imprisonment (11). When Ching-Chi Hsieh and M.D. Pugh, both sociologists, sifted through 34 published research studies and conducted a meta-analysis, they found 97% of the correlations reported between social inequality and violent crime were positive (12).
Exactly why is inequality toxic? They’re still working on this one, but it looks like friendships and social networks are critical in getting through stressful times. Chronic stress can damage the circulation system, cause hormone imbalances, damage the immune system and affect the brain in ways that precipitate depression—this is true for both animals and humans. Some stresses are psychological, some interpersonal. In humans, hierarchy makes friendships difficult. We can think of friendship and hierarchy as inversely related. Egalitarian networks promote camaraderie and trust, but if it is constantly pushed in our faces that we are unequals, we feel more untrusting, alone, and vulnerable.
Among some animals, it appears the accumulating stresses of the pecking order are toxic. Researchers are saying the effects are akin to rapid ageing (13).
For humans, it’s not your actual dollar income, but the experience of feeling low on the community ladder that is tied to poor health. Regardless of the nation we live in, we compare ourselves to others around us. If we feel lower, inferior, it’s stressful.
One more new point. For humans, it’s not your actual dollar income, but the experience of feeling low on the community ladder that is tied to poor health. Regardless of the nation we live in, we compare ourselves to others around us. If we feel lower, inferior, it’s stressful. So for example, people living in Greece today earn about half what Americans earn, but their life expectancy is longer. America has very steep inequalities but Greece is a more egalitarian society (14).
All this points to one conclusion. Raising a nation’s total wealth is not going to improve average health unless inequality is also reduced (15).
Julian Edney teaches college and may be reached at firstname.lastname@example.org.
1. Kaplan, G.A., E.R. Pamuck, J.W. Lynch, R.D. Cohen and J.L. Balfour, "Inequality in income and mortality in the United States: analysis of mortality and potential pathways." British Medical Journal 1996, 312, 999-1003.
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This story was published on March 30, 2006.