, 198 tweets, 197 min read Read on Twitter
“Job growth is not sufficient by itself to create upward mobility... It’s almost as though racial disparities have been amplified by job growth.”

#SDoH #HiAP #Interdependence apnews.com/20c455e8126b41…
“...while nonparticipation of prime-age males has risen in every education group, the biggest rise is not in the lowest-skill or highest-skill groups, but rather in the middle.”

#SDoH #HiAP #Interdependence conversableeconomist.blogspot.com/2018/10/why-is…
“Well-being metrics can serve as warning lights; they point to vulnerabilities in particular places or groups of people and to positive trends that could provide broader lessons.” #SDoH #HiAP #IRoS science.sciencemag.org/content/362/64…
“If high inequality is detrimental to the well-being of a large majority of the populace and if democracy is about realizing ‘the will of the people’, why has inequality been allowed to increase in most democracies?”

#SDoH #HiAP #Interdependence scientificamerican.com/article/how-th…
"It is a dollar-for-dollar transfer of benefits to those who need help the least paid for by those who need help the most...”

Political influences can operate at a variety of levels, such as national governments, devolved governments, and local authorities, which have taken a greater role in public health in recent years
“This type of project is urgently needed now, partly because we have cut back on social supports for workers, families and individuals, and also because we’re just not keeping up with other countries around the world.”

#SDoH #HiAP #Interdependence policiesforaction.org/blog/critical-…
When adjusted for inflation, many segments of the workforce -- including black men and people with bachelor's degrees -- are actually seeing their wages decline.

#SDoH #HiAP #Interdependence governing.com/topics/mgmt/go…
“The benefits of tax cuts and rising sales are going primarily to shareholders in the form of profits. As a result, the share of national income accruing to labor is hovering around record lows.”

#SDoH #HiAP #PEoH bloomberg.com/view/articles/… @mrkwhths
“Housing projects, and the design processes behind them, can be interventions towards greater social equity, defined here broadly as fair access to opportunities and resources for an economically stable, healthy life.” #SDoH #HiAP #IRoS

“...given why it was white households that were able to end up with so much wealth through publicly created, privately realized land appreciation, we shouldn’t expect that part of the experience to be exactly replicable.” #SDoH #HiAP shelterforce.org/2018/10/29/is-…
“What kinds of fractures has this extreme concentration of wealth wrought, be they economic, political, cultural, social, spatial, or environmental? What space is there for change when those in power act to preserve the systems from which they benefit?”

“The US, Papua New Guinea, and Lesotho are the only countries in the world that don’t guarantee all workers paid time off to care for a new child — here, parental leave is a luxury reserved for the rich.”

#SDoH #HiAP #Interdependence jacobinmag.com/2018/08/a-blue… @meganerickson
“Much of the action needed to improve life expectancy for people with disabilities is likely to reduce health inequalities for everyone. Action should focus on the #SDoH particularly addressing poverty, poor housing, discrimination and bullying.”

#HiAP instituteofhealthequity.org/resources-repo…
“The research teams advocate for implementing policies to increase wages, along with ensuring access to programs that support low-income families being able to meet basic needs, such as food and housing security and medical care.” #SDoH eurekalert.org/pub_releases/2…
The Evidence Pours In: Poverty Getting Much Worse in America

And it goes beyond dollars to the "deaths of despair" caused by the stresses of inferior health care coverage, stagnating incomes, and out-of-control inequality.

#SDoH #HiAP #Interdependence
“It is time to get beyond the false narrative that attributes inequalities to individual personal deficits while largely ignoring the advantages of wealth."

#SDoH #HiAP #Interdependence businessinsider.com/richest-countr…
“Services are only one part of the complex story of why populations get healthier. Often it is the invisible social and economic factors which drive health.”

#SDoH #HiAP #Interdependence blogs.bmj.com/bmj/2018/11/13… @baumfran @PHMglobal
“But this wealth is largely an abstraction, a trick of the broad and largely meaningless aggregations of numbers that makes up most of what the business pages call ‘economics’. The American commonwealth is shockingly impoverished.” #SDoH truthdig.com/articles/the-e… @jakebackpack
State and local fiscal policies too often have not been part of this progress and instead have extended or cemented racial disparities in power and wealth.

#SDoH #HiAP #Interdependence
“For the bottom half of the population, income has scarcely budged since the 1970s, while expenses for necessities like housing, health care, education, and child care have skyrocketed.”

#SDoH #HiAP #Interdependence
“Inaction, after all, is no longer an option: the costs of spatial divergence to American economic and political life are now too great to ignore.”

#SDoH #HiAP #Interdependence brookings.edu/research/count… @clarajanehen
”The country's failing health is a product of American history and character...”

A radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America.

#SDoH #HiAP #Interdependence amazon.com/Well-What-Need…
Lack Of Parental Leave, Affordable Childcare Leaves Gaping Hole In The U.S. Economy

#SDoH #HiAP #Interdependence forbes.com/sites/pedrodac… @pdacosta
We can hope that the evidence of a health disadvantage is now so compelling that the terms of the conversation & even the political calculus will begin to change. Then, perhaps, we can start addressing that disadvantage & stop paying for it with our lives.
In most developed nations, life expectancy has marched steadily upward for decades. It shouldn’t be declining in the US.

“After three years of stagnation & decline...Do we say this is the new normal? Or can we say this is a tractable problem?” #SDoH #HiAP washingtonpost.com/national/healt…
“Life expectancy gives us a snapshot of the nation’s overall health and these sobering statistics are a wakeup call that we are losing too many Americans, too early and too often, to conditions that are preventable.”

#SDoH #HiAP #Interdependence huffingtonpost.com/entry/overdose…
“Health inequalities within the US have not been improving over time either. Life-expectancy distributions for the US appear more skewed than in other nations, with a long tail of poorer health reflecting continued health inequities.”

S. Bezruchka, 2012 annualreviews.org/doi/full/10.11…
“None of these determinants matter more, perhaps, than the level of a society’s economic inequality, the divide between the affluent and everyone else.”

#SDoH #HiAP #Interdependence equalitytrust.org.uk/physical-health
Economic justice goes a long way toward improving health up & down the socioeconomic ladder.

“Our economic system is a fundamental aspect of our social environment & the side effects of neoliberal capitalism are contributing to mass malaise.”

#SDoH #HiAP yesmagazine.org/issues/mental-…
“For a policy that always claims to be about economics, welfare policy has always been about much more. Recognizing and understanding that can be part of a necessary reboot.”

#SDoH #HiAP #Interdependence fair.org/home/this-is-a…
“A world in which equality, dignity, freedom, peace, justice, and ecological sustainability are actualized in ways of living together and treating each other that enable the flourishing of a collective humanity...”

#SDoH #HiAP #Interdependence
“The 10 most affected states could hire more than 28,000 new teachers if they were able to use the lost revenues.”

#SDoH #HiAP #Interdependence reuters.com/article/us-usa…
“What is especially striking about this table is the sharp increase in death rates among 25-44 year olds over the last five years.”

#SDoH #HiAP #Interdependence calculatedriskblog.com/2018/12/lawler…
Children in the poorest families have suffered the most, as benefits going to those families have been cut by more than 20 percent.

“This is a mistake. We have evidence that the social safety net is an investment.”

#SDoH #HiAP #Interdependence
“In terms of an equitable deployment of a nation’s resources among other social services, education, and infrastructure investment – all of which affect health outcomes — healthcare takes a disproportionate share. This is the dilemma...”

“That our life expectancy now lags behind reflects the dead end our path has led us to. If we do not start investing in health, and the conditions that allow it to flourish, we will not be able to stop current epidemics, or prevent the rise of new ones.”
Health protection should not depend on local decisions or stop abruptly at political borders.

#SDoH #HiAP #Interdependence rollcall.com/news/opinion/p…
The U.S. economy has deep structural problems that are far from being cured.

#SDoH #HiAP #Interdependence
“We must challenge those autopsies that return ‘natural’ causes of deaths. Social murder hangs across theses truncated lives. And we are complicit. Willingly or unwillingly.”

#SDoH #HiAP #Interdependence
“...with few exceptions, population health management is silent about the upstream institutional, systemic, and public policy drivers of population health problems and distributional disparities.”

#SDoH #HiAP #Interdependence
Case Study of 1.

“I’m just mad, and the stakes are so high. US life expectancy has dropped for the third straight year, in part because more people are killing themselves.”

#SDoH #HiAP #Interdependence alexnpress.com/2018/12/07/wai… @alexnpress
“A more progressive system of healthcare financing can, over time, reduce inequalities not only in health, but in wealth, helping to close our nation’s disastrous economic divide.”

#SDoH #HiAP #Interdependence theguardian.com/commentisfree/… @awgaffney
“Wherever we see rising tides of authoritarianism, we can link it to the systematic destruction of the welfare state.”

#SDoH #HiAP #Interdependence jacobinmag.com/2018/12/offe-w…
“There is an explicit assumption that governing authorities in developed nations are legitimate and competent such that their citizens are not systematically subjected to inequality, exploitation, exclusion, and domination by elites.” #SDoH #HiAP #PDoH journals.sagepub.com/doi/abs/10.117…
“Experiences exploring & pursuing intersectoral action on health inequities should similarly inform the ways in which we theorize the proper balancing of equity in health with the equitable distribution of other social goods.”

#SDoH #HiAP #Interdependence
“We need the same today — a movement that would entrench solidarity over oligarchy.”

#SDoH #HiAP #Interdependence jacobinmag.com/2018/12/afford…
“None of these causes have anything to do with personal choice. They are all macro-level forces, shaped by political incentives, industrial practices, and even... international trade policy.”

#SDoH #HiAP #Interdependence
“Systemic issues are also to blame... Middle-class life is now 30 percent more expensive than it was 20 years ago.”

#SDoH #HiAP #Interdependence cnbc.com/2018/12/19/60-… @econhardship @lisquart @B_Ehrenreich
“Think about that for a moment. Lives which are growing and lives which are shrinking feel very different, don’t they?”

#SDoH #HiAP #Interdependence eand.co/another-year-o…
The Causes of the Causes: A Systematic Review of Reviews of the Impact of Political Economy on Population Health

“Political economy and public policy are important influences on population health.”

#Interdependence #SDoH #HiAP papers.ssrn.com/sol3/papers.cf…
Bring out your dead!: A study of income inequality and life expectancy in the US, 2000–2010

State-level income inequality undermines female and male life expectancy.

Redistribution policies may actually improve the health of states.

#SDoH #HiAP sciencedirect.com/science/articl…
The upward march of inequality is firmly reestablishing itself...

#SDoH #HiAP #Interdependence epi.org/publication/to…
“An increase in life expectancy & decrease in inequality in life expectancy are important goals of health policy. Preventing a death at age 25 or 35 will have more effect on life expectancy & inequality than preventing a death at 65 or 75.” #SDoH #HiAP siepr.stanford.edu/research/publi…
“Efforts to reverse the deceleration of adult survival gains and to continue reductions in infant & child mortality will require enhanced political will and a strong national public & private commitment to equity improvement in the coming decades.”

#SDoH ncbi.nlm.nih.gov/pmc/articles/P…
“Inequality in length of life is the most fundamental of all inequalities; every other type of inequality is conditional upon being alive.”

#SDoH #HiAP #Interdependence science.sciencemag.org/content/362/64…
“Federal funding for programs that benefit children is declining... by 2028 the percent of the federal budget spent on children will drop from 9.4 percent to 6.9 percent.”

#SDoH #HiAP #Interdependence
“The American Dream is grounded in the US being the land of opportunities, but real opportunity requires mobility across generations.”

#SDoH #HiAP #Interdependence
“...many still struggle to make their mortgage & rent payments. This will become more difficult as mortgage rates rise & the shortage of affordable houses becomes more acute. Policymakers must engage to address this mounting housing crisis.”

“Three of four households that quality for federal rental assistance do not receive any aid because there is not enough money to meet everyone’s needs.”

What has economics got to do with it? The impact of socioeconomic factors on mental health and the case for collective action.

#SDoH #HiAP #Interdependence
“Too many Americans experience different health outcomes depending on race, ethnicity, education, income level & other factors – these disparities are tied to unequal access to healthcare & education, discrimination, and stigma.”

#SDoH #HiAP blogs.cdc.gov/healthequity/2… @CDCDirector
Since 1980 the US economy has transferred eight points of national income from the bottom 50% to the top 1%.

Today, the bottom 50% take in only 13% of the income pie, while the top 1% grab over 20% of the country's income.

#SDoH #HiAP #Interdependence
“...this growth pattern is neither accidental nor unavoidable. It is largely a bi-product of policy design, specifically the shift in macroeconomic methods used to stabilize an unstable economy and stimulate economic growth.”

#SDoH #HiAP #Interdependence
“What we see is that America used to have very high tax rates on the rich — higher even than those @AOC is proposing — and did just fine. Since then tax rates have come way down, & if anything the economy has done less well.”

#SDoH #HiAP #Interdependence nytimes.com/2019/01/05/opi…
“If the broad left takes power again, enough with too-clever-by-half social engineering. Help people and take credit.”

#SDoH #HiAP #Interdependence

“It's a constant stressor.”

“I see no way out.”

#SDoH #HiAP #Interdependence washingtonpost.com/business/2018/…
“I call this the highly toxic gas of inequality. It’s odorless, colorless, invisible. It kills us from the usual conditions we die of, and we’re totally unaware of it.”

#SDoH #HiAP #Interdependence iaphs.org/steven-bezruch…
“The pain is coming a lot earlier than we thought.”

#PDoH #SDoH #Interdependence nbcnews.com/politics/white…
"What or who is directing the assault on people & neighborhoods?" On the Politics of Health Inequities: Getting to the Roots. (R. Hofrichter) nationalacademies.org/hmd/Activities…

#SDoH #HiAP #Interdependence
This Is How Racial Health Inequities Undermine Democracy

“For two extremely successful government programs that help lift people out of poverty and address basic needs, this reckoning may be especially soon.”

#SDoH #HiAP #Interdependence truthout.org/articles/gover…
“...the gap in the predictability of life expectancy has also grown. The advantaged have become better able to project—and thus to plan for—their deaths, while among the worst off lifespans have become more variable.”

#SDoH #HiAP #Interdependence
“These public places also offer the most cost-effective forms of exercise, and they’re available to everybody, regardless of income.”

#SDoH #HiAP #Interdependence
“Educational disparities in adult mortality at the national level obscure large and important differences in the disparities across U.S. states.“

From @jennkarasmontez @mdhayward @AnnaZajacova @shwoolf @JasonBeckfield Derek Chapman, 2019 | link.springer.com/article/10.100…

“Let’s be honest: this is a vision of insecurity, projected across a working life. It is a clear principle of economic and political history—one we’re relearning today—that humans hate insecurity.”

“As political configurations move away from the mainstream politics of the 20th century... these ‘Winds of Change’ inevitably require us to reconsider our approach to public health politics.”

#SDoH #HiAP #Interdependence academic.oup.com/eurpub/article…
“Unfortunately, workers have been living paycheck-to-paycheck for years. This reality is rooted in the fact that workers in the economy have seen their bargaining power fall precipitously in the last four decades.”

#SDoH #HiAP #Interdependence thehill.com/opinion/financ…
“It doesn’t have to be this way – there is enough wealth in the world to provide everyone with a fair chance in life.”

“Many governments are making inequality worse by failing to invest enough in public services.”

#SDoH #HiAP #Interdependence
“People across the globe are angry & frustrated. Governments must now deliver real change by ensuring corporations and wealthy individuals pay their fair share of tax and investing this money in free healthcare & education.”

#SDoH #HiAP #Interdependence time.com/5508393/global…
“The data illustrate the ever-widening gap between the true haves—those in the 0.1%—and the have-nots of a global economy.”

“It means the attendees—overwhelmingly male—exert more authority & visibility than ever.”

#SDoH #HiAP #Interdependence bloombergquint.com/davos-world-ec…
“For those who rely on federal aid programs, the social safety net no longer feels so safe.”

#SDoH #HiAP #Interdependence apnews.com/1b8d3f5fde2341…
“Although income may not be the only factor that determines a child’s developmental trajectory, it may be the easiest one to alter from the standpoint of implementing policy—a down payment of sorts to promote the health of a growing child’s brain.”

“Tolerating extreme inequality means accepting that it’s not a gross policy failure, not a serious danger to our democratic & meritocratic ideals — but that it’s fair & just & natural. It produces its own self-justifying ideology.”

#SDoH nytimes.com/2019/01/22/opi… @gabriel_zucman
“We’ve worked all our lives. We’re all low-income. We have no place else to go. We are literally out on the streets if these places shut down.”

#SDoH #HiAP #Interdependence washingtonpost.com/business/econo… @TracyJan
High-quality Pre-K provides benefits that go beyond the early years and lays a stronger foundation for later social and economic success and even improved physical health.

#SDoH #HiAP #Interdependence cityhealth.org/prek-in-americ… @city_health @deBeaumontFndtn @KPCommHealth
“...another conclusion is inescapable: We can no longer assume that children will lead better lives than their parents, and black residents are particularly at risk for moving down the income ladder.”

#SDoH #HiAP #Interdependence rwjf.org/en/blog/2019/0… @mcg_ka
“Helping people flourish in the 21st century may require a reintegration of labor. Indeed, one of the most promising frameworks emerging is the concept of well-being.”

#SDoH #HiAP #Interdependence
“The combined fortunes of the world's 26 richest individuals reached $1.4 trillion last year — the same amount as the total wealth of the 3.8 billion poorest people.... Most of these mega-wealthy are American.”

“...and the amount of wealth stored in offshore tax havens was estimated at $7.6 trillion in 2015.”

#Interdependence #HiAP #PDoH axios.com/billionaires-w…
You don’t say...🤔

Addressing such social and public health issues should be an urgent priority to halt and perhaps reverse the disturbing trend of shorter life spans in the United States.

#SDoH #HiAP #Interdependence
“The individual stresses—both financial and emotional—may have eased, but they persist even as people return to their working rhythms.”

#SDoH #HiAP #Interdependence theatlantic.com/family/archive…
The approach ultimately comes down to values.

“...we have to help people who are in the most difficult position, whatever the reason... We understand very well that the main reasons behind homelessness are structural reasons.”

A manifesto for Universal Basic Assets

“If we were to declare the human right to Universal Basic Assets, we could start with eight categories of assets that could create a more equitable world...”

#SDoH #HiAP #Interdependence
Histories of Violence: The Expulsion of Humanity...

“Rather than seeing marginalization as merely arbitrary, this concept links it directly to human decisions and the operations of power.”

#SDoH #HiAP #Interdependence lareviewofbooks.org/article/histor…
“At the heart of absolutely everything is an anxiety about losing what has been gained.”

#SDoH #HiAP #Interdependence
“Inequality affects our physical and mental health, our ability to get along with one another and to make our voices heard and our political system accountable, and, of course, the futures that we can offer our children.”

#SDoH #HiAP #Interdependence newyorker.com/news/news-desk…
Stripping Social Programs Leads to Lower Life Expectancy

#SDoH #HiAP #Interdependence
“There are many communities in America where it is hard to find the road to economic opportunity, we have observed escalating rates of economic inequality in our country that drive fundamental barriers to individual well-being that affect health.”

“As a result, politicians have become accustomed to playing close attention to the interests of the wealthy & passing policies that reflect them, even in cases where public opinion is strongly trending in opposite directions.”

#SDoH #HiAP #Interdependence washingtonpost.com/us-policy/2019…
“Given that health policies and programs emanate from legal & political environments, interventions should target the structural conditions that expose different subgroups to different stress risks in the first place.”

#SDoH #HiAP #Interdependence
“She knew that underserved communities needed a seat at the table to build political power and raise awareness about issues related to poverty across the country.”

#SDoH #HiAP #Interdependence thenation.com/article/democr… @pdamerica
“Not surprisingly, deep inequalities in education, healthcare and housing persist to this day: the logic of a human rights movement born and nurtured under the American imperium.”

#SDoH #HiAP #Interdependence
“Pro-worker policies, investments in public services like health & education, fairer tax systems, and re-establishing sensible rules for how companies do business are all part of a much-needed prescription for a healthier society.”

“The process of our nation’s economic gains accruing most to the rich has been going on since Reagan... We are very rich, but those riches are not spread around. We all got more productive, but we didn’t all get paid for it.”

#SDoH #HiAP #Interdependence splinternews.com/rich-people-ha…
“Once the fiction no longer reaps the desired reward, the wealthy will erase it.”

#SDoH #HiAP #Interdependence thebaffler.com/salvos/known-a…
U.S. Is a Rich Country With Symptoms of a Developing Nation...

The country is backsliding based on a host of troubling metrics.

#SDoH #HiAP #Interdependence bloomberg.com/opinion/articl… @Noahpinion
“From this perspective, there is little difference between low wages and workers’ being exposed to asbestos, harmful chemicals or cruel labor conditions. These toxins compromise the well-being of workers & their children. The reverse is also true.”

To dramatically improve health and eliminate health inequities, states and localities must also consider how the policies they implement come together to enable, or hinder, health.

#SDoH #HiAP cbpp.org/research/state… @JLSullivan
“We should instead address the causes: We ought to create policies and institutions that push back against rising inequality by offering children paths to success that aren’t overly shaped by grades and class rank.”

#SDoH #HiAP #Interdependence washingtonpost.com/news/postevery…
“By ensuring children’s environmental health services are available to all, we are collectively creating an equitable system for our children and for generations to come. We have a long way to go.”

#SDoH #HiAP #Interdependence publichealthnewswire.org/?p=21951
A Roadmap to Reducing Child Poverty

@theNASEM (2019)

#SDoH #HiAP #Interdependence nap.edu/download/25246
“We’ve never seen this level of income inequality outside of the Gilded Age.”

"The process of this kind of segregating life opportunities pretty much starts there.”

#SDoH #HiAP #Interdependence necn.com/news/new-engla…
Those who have power in society benefit from the status quo and often use that power to perpetuate social & health inequities (sometimes without explicitly understanding we’re perpetuating these imbalances).

#SDoH #HiAP #Interdependence medium.com/@HumanImpact_H… @HumanImpact_HIP
“Diseased and impoverished economic infrastructures [help] lead to diseased or impoverished or unbalanced bodies or minds.”

#SDoH #HiAP #Interdependence
How economic inequality shapes mobility expectations and behavior in disadvantaged youth.

Browman et al, 2019

#SDoH #HiAP #Interdependence nature.com/articles/s4156…
Health impact of the evolution of the social classes and the political determinants that have changed not only the character & composition of that class, but also the power differentials between this class & other classes in the US.

@VicencNavarro 2019 journals.sagepub.com/doi/full/10.11…
“Even as America is experiencing surging rates of drug misuse, the nation is also witnessing an unprecedented rate of suicide deaths, which rose 6 percent between 2016 and 2017, and with alarming increases among children & adolescents.”

“These are not problems we can afford to nibble around the edges of.”

1. Plan all public policies with health in mind.

2. Incentivize health promotion in all sectors.

3. Change the national health conversation.

“An economic dignity goal makes central policies’ impacts on well-being as opposed to ideological debates over market versus government.”

"2017 marked the first time no state reported an improvement in wellbeing from the year before. 21 states experienced a decline in wellbeing while scores for the remaining 29 states remained unchanged."

#SDoH #HiAP #Interdependence publichealthpost.org/databyte/un-we… @PubHealthPost
When asked what the federal government should do to improve the quality of life for future generations, increased government spending on health care and education for all Americans are the most popular popular policy prescriptions.

“In the end, poor health for some will affect the health of many of us.”

“Shouldn’t we then start paying attention to the worst American health deterioration in a 100 years?”

#SDoH #HiAP #Interdependence publichealthpost.org/newsletter/the… from @mdsteinmd & @sandrogalea
“We set out to discover if we've actually recovered from the Great Recession. This is what we found.”

“Over the last four decades, economic disparities in the U.S. increased substantially... The political consequence has been that a tiny minority of extremely wealthy Americans wields disproportionate influence, leaving so many others feeling disempowered.” thenation.com/article/rajan-…
“From the economy to education to the environment to public safety and all topics in between, all policy roads lead to health.”

In a comparison with nineteen other OECD countries, thought to be our peers, recent studies indicate that the United States now has:

thenextsystem.org/learn/stories/… #SDoH #HiAP #Interdependence
“So when the most primary thing in human life itself — the most fundamental social bonds that people hope for — have become unaffordable, then how can a society endure?”

#SDoH #PEoH #Interdependence eand.co/how-americas-q…
“Inattention to this divide, and not any shortfall in medical innovation, is leaving our doors wide open for infectious catastrophe.”

Chronic underfunding for the people’s health has presented a consistent obstacle. In 2017, public health represented just 2.5 percent — $274 per person — of all health spending in the country.

#SDoH #HiAP #Interdependence
The US now provides the lowest level of welfare generosity and the lowest level of health care access of high income democracies. This underperformance been associated with up to 4 years in reduced life expectancy at the population level. #SDoH #HiAP #PEoH
Life Expectancies: Mortality, Exhaustion, and Economic Stagnation

Annie McClanahan, 2019

#SDoH #HiAP #Interdependence muse.jhu.edu/article/722829
“It’s less a vision for the wholesale migration of humanity to a new a state of being than a quest to transcend all that is human: the body, interdependence, compassion, vulnerability, and complexity.”

“...in most advanced countries, the market economy has been failing large swaths of society.”

#PEoH #SDoH #HiAP #IRoS project-syndicate.org/onpoint/the-ec…
“For many Americans, incomes haven't kept up with the rising cost of necessities such as housing and health care, resulting in financial anxiety.”

Framing the Long Crisis: “...as this index attempts to demonstrate, on many very important indicators of economic, social, and democratic health there has been little improvement and, in many cases, substantial deterioration over this period.” #SDoH #HiAP thenextsystem.org/learn/stories/…
The Social Determinants of Health? Time to Focus on the Political Determinants of Health

“Policymakers must prioritize addressing these issues through resources, legislation and regulatory action.”

Understanding social reasons for poor health helps to fix inequality

#SDoH #HiAP #Interdependence thehill.com/opinion/health… @DrBevMalone
Implement “evidence-based policy presented in the spirit of social justice”... this can include living wages, and social spending in areas such as housing and early childhood development.

#SDoH #HiAP #Interdependence hsph.harvard.edu/news/features/…
Report on the Economic Well-Being of U.S. Households in 2018

“...another year of economic expan- sion and the low national unemployment rates did little to narrow the persistent economic disparities by race, education, and geography.”

#SDoH #PEoH #HiAP federalreserve.gov/consumerscommu…
“Although health policy can be complex & obscure, people have an intuitive understanding of human needs that can be leveraged when asking them for support.”

Political Power as a Tool to Improve the Health of All Americans

#PDoH #SDoH #HealthyPublicPolicy
A Secret to Better Health Care

“It seems obvious: better social services. So why are things like food stamps and housing not part of the conversation?”

The distribution of household wealth has become more uneven...

The bottom half of U.S. households now control 1.3% of the country's wealth. From 2010–2012 their net ownership was 0.0% and only rose above 1% in 2018. #SDoH #HiAP

Let us be clear: Our economic reality is not mere circumstance; these are the result of policy choices.

“We envision moving far beyond marginal or incremental steps. We envision reforms aimed at building an inclusive economy that works for all...” prospect.org/article/econom… #SDoH
A national budget whose spending is dictated by what best encourages the “well-being” of citizens.

#SDoH #HiAP #Interdependence nytimes.com/2019/05/22/wor…
The health of Americans is in decline, a crisis that has been building for some years. Policy choices shape social divides; they either correct or perpetuate inequities among marginalized people & neglected neighborhoods.

#SDoH #HiAP #Interdependence

“This global-local connection has long been missing from our attempts to shape a global order that works for more of the world’s people.”

“Causes identified for the widening gap in the U.S. are a host of policy changes that started in the 1980s: lower taxes on the wealthy, weaker labor protections, lax antitrust enforcement, runaway education & healthcare costs, and a stagnant minimum wage.” bloomberg.com/news/features/…
“The struggles of working Americans are not natural or unavoidable effects of an American economy in a globalized world—nor the price we pay for the sustained growth of the past few years—but rather the result of deliberate policy choices.”

tcf.org/content/report… @SamAdlerBell
“America’s invisible depression is everywhere around us. It’s in every weary heart, every lined face, every medical bankruptcy, every struggling family, each and every parent sleepless at night over their kids’ futures. So why can’t we see it?”

While the federal minimum wage has remained stuck at $7.25 since the aftermath of the financial crisis, rents have risen steadily between 2.5 & 4% since 2012.

In 99% of US counties, minimum wage can’t get you an affordable one-bedroom rental. #SDoH #HiAP curbed.com/2019/6/18/1868…
Progress against heart disease has stalled, driving down life expectancy in the U.S. after decades in which each generation lived longer than the one that came before. The death rate is rising for middle-aged Americans. #SDoH #HiAP #Interdependence wsj.com/articles/after…
Cardiovascular disease, non-lung cancers, and other causes are contributing to growing life expectancy inequities. Highlighting the tenacious weathering effects of high-effort coping with chronic stressors on the health of marginalized populations. #SDoH journals.sagepub.com/doi/10.1177/00…
“The Raise the Wage Act of 2019 would raise the federal minimum wage to $15 by 2024—boosting wages for nearly 40 million U.S. workers—and establish automatic annual adjustment of the federal minimum wage.” #SDoH
“Life expectancy, perhaps the broadest measure of a nation’s health, has fallen for three straight years, in part because of the rise in drug overdoses and suicides. That’s the first three-year drop since 1915 to 1918.” #SDoH #HiAP
“...increasing income disparities may be associated with stagnant health equity. If this is in fact the case, policies that reduce the prevalence and penalties associated with poverty would be a clear starting point to improving health equity.” #SDoH #HiAP
“...the study's findings indicate a need for two broad policy recommendations: a revision of the minimum wage & a rethinking of our current taxation system.”

"Inequality is at the bottom of this. We need to target & attack it aggressively." @susieneilson
“...the findings should be a call to action on addressing broader societal inequality.”

#SDoH #HiAP #Interdependence
“Links between race, poverty and health have been reinforced by years of inequality, and disentangling them won’t be easy.”

#SDoH #HiAP #Interdependence time.com/5608268/zip-co… @Jamie_Ducharme
”We respond to this drastic situation by giving up our lives. Life expectancy is declining in America. On a dying planet we are dying sooner. It’s like being in an otherwise quiet room with the loud ticking of a nearby clock. Can’t you hear it?”

“It has been more than 10 years since congress raised the minimum wage—the longest stretch in history. This is a shameful benchmark, reducing the living standards of working families in this country and exacerbating poverty and inequality.” #SDoH #HiAP epi.org/press/cbo-repo…
“It's also an argument for providing things like child care and student debt relief and education as universal public goods for everyone, without any income cutoffs.” #SDoH #HiAP
“That represented an estimated $1.4 billion less in investment in affordable housing in the state between 2016 and 2017, and $400 million less in 2018 compared to 2016.“

#HiAP #PEoH #SDoH #HBWH sacbee.com/news/politics-…
“If policymakers fail to mount a response that is proportionate to the problem, the rich will continue to get richer, and the poor to get poorer, faster than ever. Who will address the problem then?”

#PEoH #SDoH #Interdependence
“...one of the greatest miracles of the 20th century, the miracle of falling mortality and rising lifespans, is no longer delivering for everyone, and is now faltering and reversing.”

#SDoH #HiAP #Interdependence evonomics.com/nobel-economis…
“By imposing a larger burden on high-income households, states can significantly improve material circumstances of lower-income households & slow the troubling expansion of economic inequality. At the very least, states ought to stop making things worse.”

“More Americans are dying by their own hands, from suicide, from alcoholic liver disease, and from overdoses of drugs. Morbidity is rising too, and they are also suffering from an epidemic of chronic pain that, for many, makes a misery of daily life.”

It does not have to be this way.

“...a shift toward a fairer economy—and how communities can work together to implement them more widely.”

#SDoH #HiAP #Interdependence
How Politics and Institutions Shape Poverty and Inequality.

Six generic mechanisms linking state policies and poverty with typology of mechanisms...

#SDoH #HiAP #Interdependence
Nonopioid Overdose Death Rates Rose Almost As Fast As Those Involving Opioids, 1999–2016

#SDoH #HiAP #Interdependence
“There is a reason why drugs fall into fault zones in American society.”

“Disenfranchisement, loneliness, lack of purpose, multigenerational job loss, lack of hope, and the lack of future,” he said, listing off the #SDoH...”

“The nation is battling the deadliest drug overdose epidemic in U.S. history. About 68,000 Americans died of overdoses last year...”

“The income, wages, and wealth generated over the last four decades have failed to “trickle down” to the vast majority largely because policy choices made on behalf of those with the most income, wealth, and power have exacerbated inequality.” #SDoH #HiAP
“We have growing homeless and drug-using populations. We have a decreasing investment in public health. It doesn’t make me optimistic looking into the future. Once you reach a critical mass, eventually everyone is fair game.”

“The average lifespan of Americans will probably continue to shorten unless society quickly shifts its focus from health care to root causes.”

#SDoH #HiAP #Interdependence
“The antidote to neoliberalism on this scale is not technocracy with a human face, but, as a first step, what it has always feared most: state power, in the hands of ordinary people.”

#SDoH #HiAP #Interdependence lrb.co.uk/v41/n16/alexan…
“...the benefits that economic democracy brings—to everyone—justify the effort. And the violent collapse that will likely follow from doing nothing leaves us with no good alternative but to try.”

#SDoH #HiAP #Interdependence theatlantic.com/magazine/archi…
“The newly revised figures indicate the economy didn’t get a huge boost last year from tax cuts and higher federal spending. They also signal the economy is a bit weaker than previously believed.” marketwatch.com/story/us-creat…
Predatory Precarity:

“But what it means to live in a stratified society, precisely what it means to live in a stratified society, is that there are objective correlates to position along dimensions that individuals & communities cannot themselves choose.” interfluidity.com/v2/7263.html
“...emblematic of the type of job expected to grow most in the American economy in the next ­decade — low-wage service work with no guaranteed hours or income."

“...fully two-thirds of them women.”

time.com/5658442/tipped… #SDoH #HiAP
“Rising inequality also is straining the health of liberal democracy. The idea of ‘we the people’ is fading because, in this era of yawning inequality, there is less we share in common.”

#PEoH #SDoH #HiAP #IRoS nytimes.com/2019/08/24/opi…
What are the most surprising aspects of the US system through the lenses of 10 observers from Australia, France, Germany, the Netherlands, New Zealand, Norway, and England?...

“No Such Thing As The US Health Care System”

#HiAP #Interdependence #SDoH
“The economic apartheid created by worsening wealth and opportunity gaps is leading to a country so riven with dissent, poverty, and intractable social ills that soon no one will want to live in it.”

#SDoH #HiAP #Interdependence gen.medium.com/the-rich-are-r…
“...far from sufficient to undo the damage done by a decades-long policy assault on the economic leverage that workers can exert.”

#SDoH #HiAP #Interdependence epi.org/publication/la…
“If we were to tilt toward a recession sooner, that would be more problematic for people at the bottom end of the income distribution.”

#SDoH #HiAP #Interdependence gen.medium.com/even-a-brief-r… @DwyerGunn
“When you trace back to the causes of the causes of illness, in so many cases you see how our social fabric itself is in need of mending.”

#SDoH #HiAP #Interdependence knowledge.wharton.upenn.edu/article/social… @davechokshi
“We are in a crisis never before seen in a rich, industrialized democracy. … For three straight years, overall life expectancy in the wealthiest nation in the history of the world has been in decline.”

#SDoH #HiAP #Interdependence
“The expanding gap between rich and poor is not only widening the gulf in incomes and wealth in America. It is helping the rich lead longer lives, while cutting short the lives of those who are struggling.” #SDoH #HiAP nytimes.com/2019/09/10/us/…
“...most analyses demonstrate more upstream factors such as political context and governance as well as socioeconomic conditions as most important.”

“Economic inequality has emerged as a major determinant of the health of populations.” #SDoH #HiAP
“In the U.S., health insurers can require patients in an individual plan to pay up to $7,900 out of their own pockets before care is covered in full. One in four workers has a deductible of $2,000 or more.”

#SDoH #HiAP #Interdependence
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