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Woodward, A; Kawachi, I It is well known that social, cultural and economic factors cause substantial inequalities in health.
Woodward, A; Kawachi, I It is well known that social, cultural and economic factors cause substantial inequalities in health. Should we strive to achieve a more even share of good health, beyond improving the average health status of the population? We examine four arguments for the reduction of health inequalities.
Should we strive to achieve a more even share of good health, Olympiads Trading Atau IQ variant improving the average health status of the population? We examine four arguments for the reduction of health inequalities.
Inequalities in health are undesirable to the extent that they are unfair, or unjust. Distinguishing between health inequalities and health inequities can be contentious.
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Our view is that inequalities become "unfair" when poor health is itself the consequence of an unjust distribution of the underlying social determinants of health for example, unequal opportunities in education or employment. Conditions that lead to marked health disparities are detrimental to all members of society.
Some types of health inequalities have obvious spillover effects on the rest of society, for example, the spread of infectious diseases, the consequences of alcohol and drug misuse, or the occurrence of violence and crime.
Disparities in health are avoidable to the extent that they stem from identifiable policy options exercised by governments, such as tax policy, regulation of business and labour, welfare benefits and health care funding.
It follows that health inequalities are, in principle, amenable to policy interventions. A government that cares about improving the health of the population ought therefore to incorporate considerations of the health impact of alternative options in its policy setting process. Public health programmes that reduce health inequalities can also be cost effective.
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The case can be made to give priority to such programmes for example, improving access to cervical cancer screening in low income women on efficiency grounds.
On the other hand, few programmes designed to reduce health inequalities have been formally.