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Better measures of social differentiation and hierarchy are needed
| The first 150 words of the full text of this article appear below. |
EDITOR
Mackenbach's editorial reads like an obituary for the
hypothesis that income inequality is related to population
health.1 But a substantial body of evidence of such a
relation has accumulated over the past 20 years, not only in the United
States but also in Brazil, Russia, Taiwan, and England. Attempts to
explain away this relation are rarely relevant to more than one of the
many contexts in which it occurs.
The fact that health is more closely related to income in developed societies than to differences in income between them suggests effects of relative income or social status.2 But if income distribution has its main effect through differences in social status, and individual income (or education) is a proxy for individual social status, controlling income distribution for individual income makes little sense.3 It is a difference without a distinction, and more status equality is likely to improve average health.
As
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