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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
A Nobel Prize–winning economist tells the remarkable story of how the world has grown healthier, wealthier, but also more unequal over the past two and half centuries The world is a better place than it used to be. People are healthier, wealthier, and live longer. Yet the escapes from destitution by so many has left gaping inequalities between people and nations. In The Great Escape, Nobel Prize–winning economist Angus Deaton—one of the foremost experts on economic development and on poverty—tells the remarkable story of how, beginning 250 years ago, some parts of the world experienced sustained progress, opening up gaps and setting the stage for today's disproportionately unequal world. Deaton takes an in-depth look at the historical and ongoing patterns behind the health and wealth of nations, and addresses what needs to be done to help those left behind. Deaton describes vast innovations and wrenching setbacks: the successes of antibiotics, pest control, vaccinations, and clean water on the one hand, and disastrous famines and the HIV/AIDS epidemic on the other. He examines the United States, a nation that has prospered but is today experiencing slower growth and increasing inequality. He also considers how economic growth in India and China has improved the lives of more than a billion people. Deaton argues that international aid has been ineffective and even harmful. He suggests alternative efforts—including reforming incentives to drug companies and lifting trade restrictions—that will allow the developing world to bring about its own Great Escape. Demonstrating how changes in health and living standards have transformed our lives, The Great Escape is a powerful guide to addressing the well-being of all nations.
This is a book about social differentiation and distinction in one of the ethnically and politically most complex regions of the world, dealing with crucial issues in currently renewed debates on cultural pluralism, nationalism, irredentism and ethnic dispersal. The themes are given a regional and historical focus by treating peoples within the Tai
Despite the recent economic crisis, mainland Southeast Asia continues to experience increasing economic integration of previously isolated rural hinterlands, especially in the upland areas of Lao PDR, Thailand, Vietnam, Cambodia, and Yunnan in China, where demographic pressures together with the development of infrastructure and increased market-orientation of production combine to bring about significant economic and social change in rural areas. These changes have also led to significant environmental degradation such as deforestation, disturbance of water flows, and depletion of biodiversity resources. These and other related issues are addressed in this volume.
From Here to Diversity: Globalization and Intercultural Dialogues sees interculturalism as movement, transit, travel, and the dynamics between cultures. Contemporary intercultural travel is a global journey, a circumnavigation at the speed of light that underwrites all the comings and goings, the departures and arrivals, the transmissions and receptions that are implicit in this title. Hence, From Here to Diversity examines the motivations, characteristics and implications of cultural interactions in their perpetual movement, devoid of spatial or temporal borders, in a dangerous but stimulating indefinition of limits. In the contemporary intercultural dialogue, new voices are making themselves heard, as valuable sources of study: the voices of women; non-occidentals; the non-powerful; forgotten narratives of a past that was as intercultural as the present (after all, what is colonialism other than a perverse form of interculturality?); global entertainment; tourism; oral literature; diaries; mythical narratives; the cinema; ethnography; and new teachings, among so many others. Because this project is also intercultural at its source and subject, From Here to Diversity: Globalization and Intercultural Dialogues adds to the coherence of the project by including contributions from the most wide-ranging backgrounds and nationalities, without fear of the alterity that, after all, we propose to study.
This study examines the evolution of state institutions since 1945 in Vietnam in order to understand the continuities since the commencement of market-oriented economic reforms as well as the extent to which rapid social change has altered authority relations and decision-making processes. It looks particularly at relations between the Communist Party, government and legislature and at those between central and local authorities. What emerges is a more democratic or pluralist system than is portrayed in the 'totalitarian' and 'bureaucratic authoritarian' models. This helps to explain the apparent flexibility of the Vietnamese political system in the face of rapid economic transition, as well as strengths and weaknesses in the democratization process.
How only violence and catastrophes have consistently reduced inequality throughout world history Are mass violence and catastrophes the only forces that can seriously decrease economic inequality? To judge by thousands of years of history, the answer is yes. Tracing the global history of inequality from the Stone Age to today, Walter Scheidel shows that inequality never dies peacefully. Inequality declines when carnage and disaster strike and increases when peace and stability return. The Great Leveler is the first book to chart the crucial role of violent shocks in reducing inequality over the full sweep of human history around the world. Ever since humans began to farm, herd livestock, and pass on their assets to future generations, economic inequality has been a defining feature of civilization. Over thousands of years, only violent events have significantly lessened inequality. The "Four Horsemen" of leveling—mass-mobilization warfare, transformative revolutions, state collapse, and catastrophic plagues—have repeatedly destroyed the fortunes of the rich. Scheidel identifies and examines these processes, from the crises of the earliest civilizations to the cataclysmic world wars and communist revolutions of the twentieth century. Today, the violence that reduced inequality in the past seems to have diminished, and that is a good thing. But it casts serious doubt on the prospects for a more equal future. An essential contribution to the debate about inequality, The Great Leveler provides important new insights about why inequality is so persistent—and why it is unlikely to decline anytime soon.
“Virtually all human societies are marked by inequality, at a level that surpasses what could be expected from normal differences in individuals’ capabilities alone.” So begins this new approach to the greatest social ill of our time, and nearly every other era. From a country with one of the world’s lowest rates of income and social imbalance, award-winning Swedish analyst Per Molander’s book changes the conversation about the causes and effects of inequality. Molander addresses the obvious questions that other pundits often avoid—including why the wealthiest countries, such as the United States, have the greatest incidences of inequality. Drawing from anthropology, statistics, references to literature, and political science, Molander looks at his subject across various political and ideological systems to examine policies that have created more just societies, and demonstrate how we can enact similar changes in the name of equality. In doing so, he presents a persuasive and moving case that humankind is much greater than the inequalities it has created.