Abstract:
:A crucial, but unexamined, assumption motivating research into socio-economic health differentials is that such differentials are unjust. An equal distribution of health, as well as of economic resources, is regarded as the proper goal of policy. I suggest that this assumption of 'the inequity of inequality' has its basis in 'human nature'. Sustained selection pressures operating in immediate-return nomadic hunter-gatherer societies led to the evolution of 'counterdominant' behaviours in order to promote cooperation and social living. Modem humans have therefore inherited 'egalitarian instincts' that are activated when inequalities of resources (and of health) are personally encountered. This activation is qualitative, and amelioration of differentials that fall short of equality would not necessarily diminish perceived injustice. Rather than attempting to adjust the abstract statistical measures of economic and health differentials derived from population data, the goal of policy should be to address the subjective experience of the inequity of inequality at the level of individuals.
journal_name
J Health Psycholjournal_title
Journal of health psychologyauthors
Charlton BGdoi
10.1177/135910539700200309subject
Has Abstractpub_date
1997-07-01 00:00:00pages
413-25issue
3eissn
1359-1053issn
1461-7277pii
2/3/413journal_volume
2pub_type
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