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Description
Bloomsbury presents The Health Gap by Michael Marmot, read by Chris Courtenay.
'Punchily written … He leaves the reader with a sense of the gross injustice of a world where health outcomes are so unevenly distributed' Times Literary Supplement
'Splendid and necessary' Henry Marsh, author of Do No Harm, New Statesman
There are dramatic differences in health between countries and within countries. But this is not a simple matter of rich and poor.
A poor man in Glasgow is rich compared to the average Indian, but the Glaswegian's life expectancy is 8 years shorter. The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death, suicide, heart disease linked to a rich country's version of disadvantage. In all countries, people at relative social disadvantage suffer health disadvantage, dramatically so. Within countries, the higher the social status of individuals the better is their health.
These health inequalities defy usual explanations. Conventional approaches to improving health have emphasised access to technical solutions – improved medical care, sanitation, and control of disease vectors; or behaviours – smoking, drinking – obesity, linked to diabetes, heart disease and cancer. These approaches only go so far. Creating the conditions for people to lead flourishing lives, and thus empowering individuals and communities, is key to reduction of health inequalities.
In addition to the scale of material success, your position in the social hierarchy also directly affects your health, the higher you are on the social scale, the longer you will live and the better your health will be. As people change rank, so their health risk changes.
What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller. This new evidence is compelling. It has the potential to change radically the way we think about health, and indeed society.
Product details
| Published | Jun 20 2024 |
|---|---|
| Format | Audiobook |
| Duration | 13 hours and 53 minutes |
| ISBN | 9781526680860 |
| Imprint | Bloomsbury Press |
| Publisher | Bloomsbury Publishing |
About the contributors
Reviews
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Michael Marmot's path-breaking work on the social determinants of health has made all of us rethink healthcare and social medicine. This is a lesson of tremendous practical importance to the world.
Amartya Sen
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Marmot convincingly details how socioeconomic inequities lead to health inequities . . . [He] passionately argues for people everywhere to promote a more 'just distribution of health' . . . Like a good courtroom attorney, Marmot builds a strong case and calls for action.
Booklist
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[T]he author creates a strong case for policy changes that address human needs for autonomy, empowerment, and freedom in order to improve the well-being of people globally who are living in vulnerable and disadvantaged circumstances.
Library Journal
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[Marmot's] research over the years has generated a catalogue of shocking headline findings, which are collected in this book to devastating effect. Page after page rams home the message that the poorer you are, the more likely you are to live a shorter, less healthy and in all likelihood less happy life . . . The Health Gap briskly and coherently explores why this might be the case . . . But Marmot is no doom-monger. Quite the opposite . . . this is a fundamentally optimistic book.
The Independent
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Dr. Marmot weaves a masterful treatise on world financial and trade policy, availability of education to all people, and the robustness of infrastructure to support health status . . . To learn more about creative initiatives throughout the world that are improving conditions for human beings, buy this book, a bargain at any price.
New York Journal of Books
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Now's the time to . . change the way we think about health. In his new book, UCL professor Michael Marmot reveals that the average person would have eight extra years of healthy life if they had the same opportunities as the richest in our society . . It's time to stop seeing health as a matter of lifestyle choice and start campaigning for justice--for all our sakes.
The Observer

























