Health Equals Wealth Quotes

It is eminently possible to have a market-based economy that requires no such brutality and demands no such ideological purity. A free market in consumer products can coexist with free public health care, with public schools, with a large segment of the economy -- like a national oil company -- held in state hands. It's equally possible to require corporations to pay decent wages, to respect the right of workers to form unions, and for governments to tax and redistribute wealth so that the sharp inequalities that mark the corporatist state are reduced. Markets need not be fundamentalist.

Some angles of evidence now suggest this is the most wealth-inequal moment in human history, surpassing the feudal era for instance, and the early warrior/priest/peasant states. Also, the two billion poorest people on the planet still lack access to basics like toilets, housing, food, health care, education, and so on. This means that fully one-quarter of humanity, enough to equal the entire human population of the year 1960, is immiserated in ways that the poorest people of the feudal era or the Upper Paleolithic were not.

The big idea is that what matters in determining mortality and health in a society is less the overall wealth of that society and more how evenly wealth is distributed. The more equally wealth is distributed the better the health of that society.

If democracy becomes plutocracy, those who are not rich are effectively disenfranchised. Justice Louis Brandeis famously argued that the United States could have either democracy or wealth concentrated in the hands of a few, but not both. The political equality that is required by democracy is always under threat from economic inequality, and the more extreme the economic inequality, the greater the threat to democracy.

Hey - Duggie! Duggie! Duggie!" He came running up to me, sparkler in hand. I felt like sticking one on him, the cheeky bastard. Nobody called me Duggie. He held the sparkler up in front of my face and said, "Wait. Wait." I was already waiting. What else was there to do? "Here you are," he said. "Look! What's this?" At that precise moment, his sparkler fizzled out. I didn't say anything, so he supplied the answer himself. "The death of the socialist dream," he said. He giggled like a little maniac, and stared at me for a second or two before running off, and in that time I saw exactly the same thing I'd seen in Stubbs's eyes the day before. The same triumphalism, the same excitement, not because something new was being created, but because something was being destroyed. I thought about Phillip and his stupid rock symphony and I swear that my eyes pricked with tears. This ludicrous attempt to squeeze the history of the countless millennia into half an hour's worth of crappy riffs and chord changes suddenly seemed no more Quixotic than all the things my dad and his colleagues had been working towards for so long. A national health service, free to everyone who needed it. Redistribution of wealth through taxation. Equality of opportunity. Beautiful ideas, Dad, noble aspirations, just as there was the kernel of something beautiful in Philip's musical hodge-podge. But it was never going to happen. If there had ever been a time when it might have happened, that time was slipping away. The moment had passed. Goodbye to all that. Easy to be clever with hindsight, I know, but I was right, wasn't I? Look back on that night from the perspective of now, the closing weeks of the closing century of our second millennium - if the calendar of some esoteric and fast-disappearing religious sect counts for anything any more - and you have to admit that I was right. And so was Benjamin's brother, the little bastard, with his sparkler and his horrible grin and that nasty gleam of incipient victory in his twelve-year-old eyes. Goodbye to all that, he was saying. He'd worked it out already. He knew what the future held in store.

For conservatives, the ideal of colorblindness is linked to a commitment to individualism. In their view, society should be concerned with individuals, not groups. Gross racial disparities in health, wealth, education, and opportunity should be of no interest to our government, and racial identity should be a private matter, something best kept to ourselves. For liberals, the ideal of colorblindness is linked to the dream of racial equality. The hope is that one day we will no longer see race because race will lose all of its significance. In this fantasy, eventually race will no longer be a factor in mortality rates, the spread of disease, educational or economic opportunity, or the distribution of wealth. Race will correlate with nothing; it will mean nothing; we won’t even notice it anymore. Those

Could it be that, once a society achieves a certain high level of equality, beyond that point greater equality merely leads to diminishing happiness returns? As has been proved with measures of wealth, once people have enough equality to cover their basic needs, greater equality does not necessarily result in corresponding increases in happiness. Could this explain why the Danes were judged to be the happiest people on earth, even though they were not the most equal? “Colleagues at Harvard think there might be a leveling-off in terms of some health aspects,” said the professor. “But if you look at our graphs, where we put all our sources together in terms of all health and societal problems, there is no sign of it leveling off at the other end. It is a linear relationship. My view is that we don’t know what happens if you get more equal than Sweden.” Ultimately,

There is far more to the Islamic way of life than fasting and segregating women, of course. Praying five times a day, avoiding alcohol, the custom of eating with the right hand, leaving the left for ablutions and many health measures associated with Islam, such as ritual washing. Then there is the Qur’an itself and the sonorous power of the Arabic language, with an attractive system of ethics including a focus on alms-giving and the equality of believers. Putting all this together created a powerful religious technology which made its followers more aggressive, confident, united and with a higher birth rate than any competing civilization. [...] People in the West see the traditional culture of the Muslim Middle East as primitive and “backward,” and there are constant calls for modernization. In fact, as had been seen, Islamic culture is anything but backward. Civilization first arose in Egypt, Mesopotamia and the Indus Valley in what is now Pakistan. It is no coincidence that these lands, with the longest experience of civilization, are now strongly and fervently Muslim. Long experience of civilization has bred a high-S genotype and culture which perfectly adapt people to survive and expand their numbers in dense agricultural and urban populations. Such countries tend to be poor (if we leave out the anomalous effects of oil wealth), since their peoples lack the temperament for industrialization. But wealth at that level is of no benefit in the long-term struggle for survival and success. To paraphrase Christian scripture, what does it benefit a civilization if it gains wealth but loses its strength and vigor? The advantages of Islam can be clearly seen in countries with mixed populations. Lebanon once had a Christian majority but is now 54% Muslim. In Communist Yugoslavia the provinces with Muslim populations grew much faster and received tax revenue from the wealthier Christian states. The population of Kosovo, the spiritual homeland of Christian Serbia, grew from 733,000 in 1948 to over two million in 1994, with the Muslim component surging from 68% to 90%, and lately going even higher. Meanwhile, Muslims are migrating into Europe where Christianity is in decline, the birth rate is far below replacement level, and people no longer have much faith in their own culture. Over the next few decades, as the next chapter will indicate, the native peoples of the West will become feebler and fewer. This means that on current trends Europe will become an Islamic continent in a century or so. The 1,400-year struggle between Islam and the West is coming to end. pp. 227 & 229-230

It is very important to note, however, that the only segment of the population from whom changing our social and economic conditions in the ways that prevent violence would exact a higher cost would be the extremely wealthy upper, or ruling, class — the wealthiest one per cent of the population (which in the United States today controls some 39 per cent of the total wealth of the nation, and 48 per cent of the financial wealth, as shown by Wolff in Top Heavy (1996). The other 99 per cent of the population — namely, the middle class and the lower class — would benefit, not only form decreased rates of violence (which primarily victimize the very poor), but also from a more equitable distribution of the collective wealth and income of our unprecedentedly wealthy societies. Even on a worldwide scale, it would require a remarkably small sacrifice from the wealthiest individuals and nations to raise everyone on earth, including the populations of the poorest nations, above the subsistence level, as the United Nations Human Development Report 1998, has shown. I emphasize the wealthiest individuals as well as nations because, as the U.N. report documents, a tiny number of the wealthiest individuals actually possess wealth on a scale that is larger than the annual income of most of the nations of the earth. For example, the three richest individuals on earth have assets that exceed the combined Gross Domestic Product of the fortyeight poorest countries! The assets of the 84 richest individuals exceed the Gross Domestic Product of the most populous nation on earth, China, with 1.2 billion inhabitants. The 225 richest individuals have a combined wealth of over $1 trillion, which is equal to the annual income of the poorest 47 per cent of the world's population, or 2.5 billion people. By comparison, it is estimated that the additional cost of achieving and maintaining universal access to basic education for all, basic health care for all, reproductive health care for all women, adequate food for all and safe water and sanitation for all is roughly $40 billion a year. This is less than 4 per cent of the combined wealth of the 225 richest people in the world. It has been shown throughout the world, both internationally and intranationally, that reducing economic inequities not only improves physical health and reduces the rate of death from natural causes far more effectively than doctors, medicines, and hospitals; it also decreases the rate of death from both criminal and political violence far more effectively than any system of police forces, prisons, or military interventions ever invented.

The "kindness of giving you a body" means that, at first, our bodies are not fully matured nor are our pleasant complexions. We started in the mother's womb as just an oval spot and oblong lump, and from there we developed through the vital essence of the mother's blood and flesh. We grew through the vital essence of her food while she endured embarrassment, pain, and suffering. After we were born, from a small worm until we were fully grown, she developed our body. The "kindness of undergoing hardships for you" means that, at first, we were not wearing any clothes with all their ornamentation, did not possess any wealth, and did not bring any provisions. We just came with a mouth and stomach-empty-handed, without any material things. When we came to this place where we knew no one, she gave food when we were hungry, she gave drink when we were thirsty, she gave clothes when we were cold, she gave wealth when we had nothing. Also, she did not just give us things she did not need. Rather, she has given us what she did not dare use for herself, things she did not dare eat, drink, or wear for herself, things she did not dare employ for the happiness of this life, things she did not dare use for her next life's wealth. In brief, without looking for happiness in this life or next, she nurtured her child. She did not obtain these things easily or with pleasure. She collected them by creating various negative karmas, by sufferings and hardships, and gave them all to the child. For example, creating negative karma: she fed the child through various nonvirtuous actions like fishing, butchering, and so forth. For example, suffering: to give to the child, she accumulated wealth by working at a business or farm and so forth, wearing frost for shoes, wearing stars as a hat, riding on the horse of her legs, her hem like a whip, giving her legs to the dogs and her face to the people. Furthermore, she loved the unknown one much more than her father, mother, and teachers who were very kind to her. She watched the child with eyes of love, and kept it warm in soft cloth. She dandled the child in her ten fingers, and lifted it up in the sky. She called to it in a loving, pleasant voice, saying, "Joyful one, you who delight Mommy. Lu, lu, you happy one," and so forth. The "kindness of giving you life" means that, at first, we were not capable of eating with our mouth and hands nor were we capable of enduring all the different hardships. We were like feeble insects without strength; we were just silly and could not think anything. Again, without rejection, the mother served us, put us on her lap, protected us from fire and water, held us away from precipices, dispelled all harmful things, and performed rituals. Out of fear for our death or fear for our health, she did divinations and consulted astrologers. Through many ritual ceremonies and many other different things, in inconceivable ways, she protected the life of her child. The "kindness of showing you the world" means that, at first, we did not come here knowing various things, seeing broadly, and being talented. We could only cry and move our legs and hands. Other than that, we knew nothing. The mother taught us how to eat when we did not know how. She taught us how to wear clothes when we did not know how. She taught us how to walk when we did not know how. She taught us how to talk when we did not know how to say "Mama," or "Hi," and so forth. She taught us various skills, creative arts, and so forth. She tried to make us equal when we were unequal, and tried to make the uneven even for us. Not only have we had a mother in this lifetime, but from beginningless samsara she served as a mother countless times.

MARCH 16 IT IS GOOD THAT YOU RECOGNIZE YOUR WEAKNESS. That keeps you looking to Me, your Strength. Abundant life is not necessarily health and wealth; it is living in continual dependence on Me. Instead of trying to fit this day into a preconceived mold, relax and be on the lookout for what I am doing. This mind-set will free you to enjoy Me and to find what I have planned for you to do. This is far better than trying to make things go according to your own plan. Don’t take yourself so seriously. Lighten up and laugh with Me. You have Me on your side, so what are you worried about? I can equip you to do absolutely anything, as long as it is My will. The more difficult your day, the more I yearn to help you. Anxiety wraps you up in yourself, trapping you in your own thoughts. When you look to Me and whisper My Name, you break free and receive My help. Focus on Me, and you will find Peace in My Presence. I have strength for all things in Christ Who empowers me [I am ready for anything and equal to anything through Him Who infuses inner strength into me; I am self-sufficient in Christ’s sufficiency]. —PHILIPPIANS 4:13 AMP A cheerful heart is good medicine, but a crushed spirit dries up the bones. —PROVERBS 17:22

colorblindness is such a bad idea, though, why have people across the political spectrum become so attached to it? For conservatives, the ideal of colorblindness is linked to a commitment to individualism. In their view, society should be concerned with individuals, not groups. Gross racial disparities in health, wealth, education, and opportunity should be of no interest to our government, and racial identity should be a private matter, something best kept to ourselves. For liberals, the ideal of colorblindness is linked to the dream of racial equality. The hope is that one day we will no longer see race because race will lose all of its significance. In this fantasy, eventually race will no longer be a factor in mortality rates, the spread of disease, educational or economic opportunity, or the distribution of wealth. Race will correlate with nothing; it will mean nothing; we won’t even notice it anymore. Those who are less idealistic embrace colorblindness simply because they find it difficult to imagine a society in which we see race and racial differences yet consistently act in a positive, constructive way. It is easier to imagine a world in which we tolerate racial differences by being blind to them. The uncomfortable truth, however, is that racial differences will always exist among us. Even if the legacies of slavery, Jim Crow, and mass incarceration were completely overcome, we would remain a nation of immigrants (and indigenous people) in a larger world divided by race and ethnicity. It is a world in which there is extraordinary racial and ethnic inequality, and our nation has porous boundaries. For the foreseeable future, racial and ethnic inequality will be a feature of American life. This reality is not cause for despair. The idea that we may never reach a state of perfect racial equality—a perfect racial equilibrium—is not cause for alarm. What is concerning is the real possibility that we, as a society, will choose not to care. We will choose to be blind to injustice and the suffering of others. We will look the other way and deny our public agencies the resources, data, and tools they need to solve problems. We will refuse to celebrate what is beautiful about our distinct cultures and histories, even as we blend and evolve. That is cause for despair. Seeing race is not the problem. Refusing to care for the people we see is the problem.

After all, millions of people in India live on less than a dollar a day, converted at the PPP exchange rate of about 22 rupees per dollar, and the whole point of these exchange rates is to equalize purchasing power across countries. So if people can live in India on 22 rupees a day—and be far from the worst off—why can’t people in the United States live on a dollar a day?

One key to African growth is what happens to commodity prices. Many African countries have long been and are still dependent on exports of “primary” commodities, mostly unprocessed minerals or agricultural crops. Botswana exports diamonds; South Africa, gold and diamonds; Nigeria and Angola, oil; Niger, uranium; Kenya, coffee; Côte d’Ivoire and Ghana, cocoa; Senegal, groundnuts; and so on. The world prices of primary commodities are notoriously volatile, with huge price increases in response to crop failures or increases in world demand and equally dramatic price collapses, none of which are easily predictable.

The spread is often measured by the Gini coefficient, named after Corrado Gini, an Italian economist who worked in the first half of the twentieth century. Gini’s coefficient, or simply the Gini, is a number that lies between 0 (perfect equality—everyone has the same) and 1 (perfect inequality, with one person having everything). It measures how far people are apart on average. (If you really want know the details, it is the average difference in income between all pairs of people divided by twice the average income. If there are two of us, and you have everything, the difference between us is twice the mean, and the Gini is 1. If we both have the same, the difference between us is 0, and so is the Gini.)

If everyone were free to migrate from one country to another, wages in rich countries would fall and wages in poor countries would rise, and the world would be a much more equal place. Of course, opposition to lower wages in rich countries is precisely why people are not permitted to migrate at will, and it is why meals and haircuts are so cheap in poor countries. The price of land, like the price of labor, cannot be arbitraged between rich countries and poor countries. Cheap housing in India or Africa cannot be brought up to American prices by simply moving the land across the ocean. The presence of cheap land and cheap labor in poor countries explains why price levels in poor countries are so much lower than in rich countries. The market sets the exchange rate to equalize the prices of steel, gasoline, automobiles, and computers—everything that can be and is part of international trade—but the price level depends on goods and services that cannot be traded. Because those are cheaper in poor places, the poorer the country, the lower are the average prices.

turned the majority of their kingdom — the peasants, workers, and slaves — against the wealthy members of society. They encouraged hatred of the rich for their ostentatious conspicuous consumption —all the rich, that is, except for the royal family, whose wealth was needed to rule beneficently. Then they confiscated most of the wealth of these “greedy” rich through excessive taxation, in the name of spreading the wealth around, so that “all would be equal.” But the rich were ruined and could no longer afford to employ the poor commoners in their fields and storehouses. The government then had to confiscate the means of production and place all citizens in their care as wards of the state. So commoners ended up not much different than slaves. They depended upon the government for their daily bread, their shelter, and even their health. The daily survival of the citizens was completely in the hands of Semiramis and Mardon.

What is a just society? For the purposes of this book, I propose the following imperfect definition. A just society is one that allows all of its members access to the widest possible range of fundamental goods. Fundamental goods include education, health, the right to vote, and more generally to participate as fully as possible in the various forms of social, cultural, economic, civic, and political life. A just society organizes socioeconomic relations, property rights, and the distribution of income and wealth in such a way as to allow its least advantaged members to enjoy the highest possible life conditions. A just society in no way requires absolute uniformity or equality. To the extent that income and wealth inequalities are the result of different aspirations and distinct life choices or permit improvement of the standard of living and expansion of the opportunities available to the disadvantaged, they may be considered just. But this must be demonstrated, not assumed, and this argument cannot be invoked to justify any degree of inequality whatsoever, as it too often is.

The social and economic structure of any given society can be seen as an ocean in which people are like so many fish who have to learn how to survive in that ocean or die. The ocean itself can be health-giving, fostering life for all the fish in it; or it can be a polluted ocean in which only the bigger and more powerful fish thrive, though there is always the risk that if it becomes too polluted even the big fish will perish. All social and economic systems in the world are somewhere on a continuum between those two extremes, though the current U.S. system, and the system in many developing and all undeveloping or regressing nations, approaches the most polluted extreme. In fact, the world system as a whole, with its division into a tiny minority of staggeringly wealthy nations and a great majority of increasingly poverty-stricken ones, can be considered extremely polluted. It is futile to blame individual big fish for surviving, or for wanting to survive. So if we want to prevent violence, we will need to clean up this "ocean." We will need a system that as far as possible provides for an equal sharing of the collective wealth of the world among all individuals and all nations, while providing free education and healthcare for everyone. When the sharing comes close to being absolutely equal, as we have seen from examples at all stages of economic and cultural development, violence almost disappears. Conversely, the more unequal the social and economic environment, the more frequent and severe is the violence. If we are to succeed, the political Orwellian Newspeak that surrounds us will have to be translated into plain English. Violence serves some very powerful interests Those interests will continue to exist, and will continue to stimulate violence, until we eliminate the conflict of interest by eliminating the hierarchies and gender asymmetries.

Inequality and poverty, health and wealth are hand in hand. And if we are all born equal that should be true in all lands. We cannot divide the world between poor and rich countries. It's like saying the ones are good, the others are junkies. That can only increase more prejudice, miseries and sorrow. Turning the wheel today it will lead to a better tomorrow.

The Danes, considered to be among the happiest people in the world, have enjoyed hygge for hundreds of years. Denmark’s high standard of living, decent health care, gender equality, accessible education, and equitable distribution of wealth all contribute to the measurable happiness of the Danish people.

History testifies to the truth that it is misery that teaches men more than happiness, that it is poverty that strengthens them more than wealth, that it is adversity that moulds character more than prosperity, that it is disease and death that call forth the inner life more than health and long life. At least, no one can be blind to the fact that good and evil have an equal share in forming the character and working out the destiny of man.

It’s about protection: The government should make sure we have healthy food. It’s about equality: Good and healthy food should not be a luxury reserved for the rich. It’s about diversity: having a polyculture system and distinctive varieties of food. It’s an expansion of freedom: Everyone should have access to good food. It’s using the common wealth for the common good to promote public health and increase quality of life. The

In the American colonies, the first laborers were European indentured servants. When African laborers were forcibly brought to Virginia beginning in 1619, status was defined by wealth and religion, not by physical characteristics such as skin color. But this would change. Over time, physical difference mattered, and with the development of the transatlantic slave trade, landowners began replacing their temporary European laborers with enslaved Africans who were held in permanent bondage. Soon a new social structure emerged based primarily on skin color, with those of English ancestry at the top and African slaves and American Indians at the bottom. By 1776, when “all men are created equal” was written into the Declaration of Independence by a slaveholder named Thomas Jefferson, a democratic nation was born with a major contradiction about race at its core. As our new nation asserted its independence from European tyranny, blacks and American Indians were viewed as less than human and not deserving of the same liberties as whites. In the 19th and 20th centuries, the notion of race continued to shape life in the United States. The rise of “race science” supported the common belief that people who were not white were biologically inferior. The removal of Native Americans from their lands, legalized segregation, and the internment of Japanese Americans during World War II are legacies of where this thinking led. Today, science tells us that all humans share a common ancestry. And while there are differences among us, we’re also very much alike. Changing demographics in the United States and across the globe are resulting in new patterns of marriage, housing, education, employment, and new thinking about race. Despite these advances, the legacy of race continues to affect us in a variety of ways. Deeply held assumptions about race and enduring stereotypes make us think that gaps in wealth, health, housing, education, employment, or physical ability in sports are natural. And we fail to see the privileges that some have been granted and others denied because of skin color. This creation, called race, has fostered inequality and discrimination for centuries. It has influenced how we relate to each other as human beings. The American Anthropological Association has developed this exhibit to share the complicated story of race, to unravel fiction from fact, and to encourage meaningful discussions about race in schools, in the workplace, within families and communities. Consider how your view of a painting can change as you examine it more closely. We invite you to do the same with race. Examine and re-examine your thoughts and beliefs about race. 1

Men and women may not be equally strong or smart, but that doesn't mean they can't enjoy the same opportunities within society.

Italians are blessed with long healthy lives nonetheless, thanks to the combination of a world-class lifestyle and universal access to health care, however unreliable it may be. They also benefit from a more uniform distribution of income and wealth, which has been shown to improve health outcomes. In the US, the world’s most unequal country, the average income of the top ten percent is nineteen times the average income in the bottom ten percent; in Italy that ratio is only eleven to one. Plus, Italian labor laws ensure that parents can take time off to bond with their children without losing their job, sick people don’t have to drag themselves back to work prematurely, and retirement doesn’t equal poverty.

When in the natural course of human affairs, the leaders of the nations of the earth fail in their duty to; Protect the dignity of its inhabitants, Preserve the health of the environment, Prevent the over accumulation of wealth to the elite and, Provide the necessary means to settle disputes among nations. Then it becomes incumbent upon the peoples of the earth to take as their right, a greater part in the governing of their respective jurisdictions. The main purpose of government is to ensure the natural rights of all people in this generation and the generations that follow, in order to provide, but not limited to, an equal opportunity for life, liberty, and the pursuit of happiness. These are not the sole rights of any country, group, or person, and when a leader, body, or committee takes for themselves a greater share in order to deprive another group, person, or generation, then by necessity the people shall assemble and overturn any decision or policy that is proven to be inequitable. Our Creator has provided a guideline for the laws governing the affairs of men. The summary of which would be the outward expression of earnest affection for your Creator and your neighbor. Bearing one another's burden as a reasonable service. These leading to a lasting peace between all men. Natural law has provided a clear example of fair and balanced systems in the natural world. Any system of government should be modeled around the premise that the fitness of the system requires balance at every level of the hierarchy. With no concentration of power above that which is necessary to provide reasonable service to the community, and no allocation of resources beyond that which is necessary to the sustainable balance of any particular part of the system. With great care and attention given to preserving an efficient and effective bureaucracy that is never allowed to grow without meaningful oversight, designed to prevent the corruption and waste that plagues most forms of government.

turned the majority of their kingdom — the peasants, workers, and slaves — against the wealthy members of society. They encouraged hatred of the rich for their indulgent consumption —all the rich, that is, except for the royal family, whose wealth was needed to rule beneficently. Then they confiscated most of the wealth of these “greedy” rich through excessive taxation, in the name of spreading the wealth around, so that “all would be equal.” But the rich were ruined and could no longer afford to employ the poor commoners in their fields and storehouses. The government then had to confiscate the means of production and place all citizens in their care as wards of the state. So commoners ended up not much different than slaves. They depended upon the government for their daily bread, their shelter, and even their health. The daily survival of the citizens was completely in the hands of Semiramis and Mardon.

Also, note that these disparities in wealth have been increasing since 1980 to the present, and are one of the defining characteristics of neoliberalism. Inequality has now reached levels not seen since the so-called Gilded Age of the 1890s. Some angles of evidence now suggest this is the most wealth-inequal moment in human history, surpassing the feudal era for instance, and the early warrior/priest/peasant states. Also, the two billion poorest people on the planet still lack access to basics like toilets, housing, food, health care, education, and so on. This means that fully one-quarter of humanity, enough to equal the entire human population of the year 1960, is immiserated in ways that the poorest people of the feudal era or the Upper Paleolithic were not.

Although wealth, physical health and social equality may all make their contributions to human happiness, they can all do little and cannot themselves be secured, without health in the individual mind. We are our own kingdoms and make for ourselves, in large measure, the world in which we live. We may be rich, and healthy, and liberal; but unless we are free from secret guilt, the agonies of inferiority and frustration, and the fire of unexpressed aggression, all other things are added to our lives in vain. The cruelty and irrationality of human society spring from these secret sources. The savagery of a Hitler, the brutality of a Stalin, the ruthlessness and refined bestiality that is rampant in the world today – persecution, cruelty and war – are nothing but the external expression, the institutional and rationalized form, of these dark forces in the human heart.

The separation of mind and body that informs medical practice is also the dominant ideology in our culture. We do not often think of socio-economic structures and practices as determinants of illness or well-being. They are not usually “part of the equation.” Yet the scientific data is beyond dispute: socio-economic relationships have a profound influence on health. For example, although the media and the medical profession — inspired by pharmaceutical research — tirelessly promote the idea that next to hypertension and smoking, high cholesterol poses the greatest risk for heart disease, the evidence is that job strain is more important than all the other risk factors combined. Further, stress in general and job strain in particular are significant contributors both to high blood pressure and to elevated cholesterol levels. Economic relationships influence health because, most obviously, people with higher incomes are better able to afford healthier diets, living and working conditions and stress-reducing pursuits. Dennis Raphael, associate professor at the School of Health Policy and Management at York University in Toronto has recently published a study of the societal influences on heart disease in Canada and elsewhere. His conclusion: “One of the most important life conditions that determine whether individuals stay healthy or become ill is their income. In addition, the overall health of North American society may be more determined by the distribution of income among its members rather than the overall wealth of the society…. Many studies find that socioeconomic circumstances, rather than medical and lifestyle risk factors, are the main causes of cardiovascular disease, and that conditions during early life are especially important.” The element of control is the less obvious but equally important aspect of social and job status as a health factor. Since stress escalates as the sense of control diminishes, people who exercise greater control over their work and lives enjoy better health. This principle was demonstrated in the British Whitehall study showing that second-tier civil servants were at greater risk for heart disease than their superiors, despite nearly comparable incomes. Recognizing the multigenerational template for behaviour and for illness, and recognizing, too, the social influences that shape families and human lives, we dispense with the unhelpful and unscientific attitude of blame. Discarding blame leaves us free to move toward the necessary adoption of responsibility, a matter to be taken up when we come in the final chapters to consider healing.

The person who accomplishes his creative goals and excels as an artist is distinguished from equally or more creative peers by the primary attribute drive. It is the inner force of this psychological compulsion not to fame, nor to wealth, but to the compelling images of one’s own mind which sets a person apart as an artist. To succeed where so many try and fail, the creative person must have not only sensitivity, talent, and all the thousand other things we more or less think contribute to artistic accomplishment, but in addition he must deal with the demands of an internal pressure which constantly drives him toward acts of creation.

A just society is one that allows all of its members access to the widest possible range of fundamental goods. Fundamental goods include education, health, the right to vote, and more generally to participate as fully as possible in the various forms of social, cultural, economic, civic, and political life. A just society organizes socioeconomic relations, property rights, and the distribution of income and wealth in such a way as to allow its least advantaged members to enjoy the highest possible life conditions. A just society in no way requires absolute uniformity or equality. To the extent that income and wealth inequalities are the result of different aspirations and distinct life choices or permit improvement of the standard of living and expansion of the opportunities available to the disadvantaged, they may be considered just. But this must be demonstrated, not assumed, and this argument cannot be invoked to justify any degree of inequality whatsoever, as it too often is.