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September 1998 (Volume 76)
Quarterly Article
Sarah Marchand
Daniel Wikler
Bruce Landesman
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
Class inequalities in health are intuitively unjust. Although the link between social class and health status has been fully documented, the precise nature of the injustice has not been made clear. Four alternative views are presented, corresponding to four goals: (1) maximizing the sum total of health; (2) equalizing the health status of higher and lower social classes; (3) maximizing the health status of the lowest social class; and (4) maximizing the health status of the sickest individuals in society. The nature of the injustice is further obscured by several theoretical and empirical questions, like the degree and significance of personal responsibility for illness and the relation of the degree of economic inequality to sum total of health.
Author(s): Sarah Marchand; Daniel Wikler; Bruce Landesman
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Volume 76, Issue 3 (pages 449–467) DOI: 10.1111/1468-0009.00098 Published in 1998
