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At the Intersection of Health, Health Care and Policy Cite this article as: Michael Marmot The Influence Of Income On Health: Views Of An Epidemiologist Health Affairs, 21, no.2 (2002):31-46 doi: 10.1377/hlthaff.21.2.31

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Health Affairs is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814-6133. Copyright © 2002 by Project HOPE - The People-to-People Health Foundation. As provided by United States copyright law (Title 17, U.S. Code), no part of Health Affairs may be reproduced, displayed, or transmitted in any form or by any means, electronic or mechanical, including photocopying or by information storage or retrieval systems, without prior written permission from the Publisher. All rights reserved.

Not for commercial use or unauthorized distribution
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The Influence Of Income On Health: Views Of An Epidemiologist
Does money really matter? Or is it a marker for something else? by Michael Marmot
ABSTRACT: Income is related to health in three ways: through the gross national product of countries, the income of individuals, and the income inequalities among rich nations and among geographic areas. A central question is the degree to which these associations reflect a causal association. If so, redistribution of income would improve health. This paper discusses two ways in which income could be causally related to health: through a direct effect on the material conditions necessary for biological survival, and



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