The NHS at 75: income inequality is the main driver of poor health

Dixon and Alderwick’s editorial on the NHS at 75 was full of relevant and pithy comment.1It makes only a passing reference, however, to the kind of fundamental shift that is needed to keep the NHS alive and in rude health in the future.The authors deemed catch-up investment unlikely unless “a bigger political appetite emerges for higher taxes or fiscal debt.”1 Although this is true, it misses the larger point about the consequences of profound and worsening income inequality; it is the main driver of poor health and poor social outcomes and is therefore the prime cause of the morbidity and stress any future workforce will face.The tap of disease and suffering can be turned down—all I seem to read about is how to repair the bath or make it bigger.
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