Great Wealth Poor Health

Unique and straightforward, this reference introduces many of the current issues that relate to the environment, nutrition, food, well-being, and health in contemporary society. Highlighting the role that wealth has played in creating substantial waste and unhealthy behaviors, this thorough record offers simple guidelines—and recipes—that support a healthier lifestyle. Including information on the sugar, fat, and fiber levels in foods as well as on the energy expenditure of various activities, this account will interest students taking courses in nutrition and human health as well as those attempting to improve their dietary habits.

A Nobel Prize–winning economist tells the remarkable story of how the world has grown healthier, wealthier, but also more unequal over the past two and half centuries The world is a better place than it used to be. People are healthier, wealthier, and live longer. Yet the escapes from destitution by so many has left gaping inequalities between people and nations. In The Great Escape, Nobel Prize–winning economist Angus Deaton—one of the foremost experts on economic development and on poverty—tells the remarkable story of how, beginning 250 years ago, some parts of the world experienced sustained progress, opening up gaps and setting the stage for today's disproportionately unequal world. Deaton takes an in-depth look at the historical and ongoing patterns behind the health and wealth of nations, and addresses what needs to be done to help those left behind. Deaton describes vast innovations and wrenching setbacks: the successes of antibiotics, pest control, vaccinations, and clean water on the one hand, and disastrous famines and the HIV/AIDS epidemic on the other. He examines the United States, a nation that has prospered but is today experiencing slower growth and increasing inequality. He also considers how economic growth in India and China has improved the lives of more than a billion people. Deaton argues that international aid has been ineffective and even harmful. He suggests alternative efforts—including reforming incentives to drug companies and lifting trade restrictions—that will allow the developing world to bring about its own Great Escape. Demonstrating how changes in health and living standards have transformed our lives, The Great Escape is a powerful guide to addressing the well-being of all nations.

America may be one of the wealthiest countries in the world, yet its citizens have lower life expectancy, more infant mortalities, and higher adolescent death rates than those in most other advanced industrial nations--and even some developing countries. In Healthy, Wealthy, and Fair a distinguished group of health policy experts pointedly examines this troubling paradox, as they chart the stark disparities in health and wealth in the United States. Rich in insight and extensive in scope, these incisive essays explain how growing income inequality, high poverty rates, and inadequate coverage combine to create the U.S.'s current healthcare difficulties. Ultimately, Healthy, Wealthy, and Fair not only identifies the problems contributing to America's healthcare woes but also outlines concrete policy proposals for reform, issuing a clarion call to end the stalemate over health reform.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

One of the Best 5 Books of 2014 — Esquire "I’ve been waiting for this book for a long time. Well, not this book, because I never imagined that the book I was waiting for would be so devastatingly smart and funny, so consistently entertaining and unflinchingly on target. In fact, I would like to have written it myself – if, that is, I had lived Linda Tirado’s life and extracted all the hard lessons she has learned. I am the author of Nickel and Dimed, which tells the story of my own brief attempt, as a semi-undercover journalist, to survive on low-wage retail and service jobs. Tirado is the real thing." —from the foreword by Barbara Ehrenreich, New York Times bestselling author of Nickel and Dimed We in America have certain ideas of what it means to be poor. Linda Tirado, in her signature brutally honest yet personable voice, takes all of these preconceived notions and smashes them to bits. She articulates not only what it is to be working poor in America (yes, you can be poor and live in a house and have a job, even two), but what poverty is truly like—on all levels. Frankly and boldly, Tirado discusses openly how she went from lower-middle class, to sometimes middle class, to poor and everything in between, and in doing so reveals why “poor people don’t always behave the way middle-class America thinks they should.”

The quality of life in a society is one of the most powerful determinants of health: poverty and unemployment, poor housing and lack of education, child poverty and problems in early childhood development all take their toll. Researchers are now discovering that it's not the richest countries that have the best health: it's the most egalitarian. Monica Townson warns that failure to address social and economic inequality will have a serious impact on the health of Canadians. Inequalities have been increasing over the past decade as rates of poverty, unemployment and homelessness have risen. The gap between rich and poor in Canada is widening and Townson maintains this has dangerous implications for our health. "Health and Wealth" looks at the effects of inequality in Canada and discusses the kinds of co-ordinated efforts that would be needed at all levels of government to achieve better health for all citizens.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.