But among rich countries, if you go from $10,000 to $20,000, or $20,000 to $46,000 – which is the US's purchasing power parity – there's no correlation with life expectancy. Compared with other Organisation for Economic Co-operation and Development (which is to say, rich) countries, the improvement in life expectancy in the UK from 2010 on was the slowest of all, except for the US and Iceland. More than a decade after I was asked by the then secretary of state for health to chair an independent review of health inequalities, we looked again at the lie of the land. Marmot is a Vice-President of the Academia Europaea, a Foreign Associate Member of the Institute of Medicine (IOM), and the chair of the Commission on Social Determinants of Health set up by the World Health Organization in 2005. The self-effacing former medical doctor from Sydney was knighted in 2000. Marmot is concerned now with finding ways to break the link between social inequality and health outcomes, by looking at early child development. Real cuts to people’s incomes are damaging the nation’s health for the long term; lifespans are stalling,and people are living for more years in poor health. During the 2000s the gap in life expectancy between the poorest 20% of areas and the rest narrowed. NHS spending, supposedly ringfenced in an age of austerity, had not kept up with historic trends: an average 3.8% annual increase since 1978-79 had slowed to about a 1% increase in 2010, at a time when the population was growing, and growing older. The fiscal retrenchment was done in a regressive way. [18], Media related to Michael Marmot at Wikimedia Commons, Learn how and when to remove these template messages, Learn how and when to remove this template message, Bachelor of Medicine, Bachelor of Surgery (MBBS), Royal Commission on Environmental Pollution. "The six policy objectives that I set out in my review were: early child development, education, employment and work conditions, minimum income for healthy living, a sustainable environment, and taking a social determinants approach to prevention," he says. That's a good green policy, but it's regressive – if you need to drive a little van for your business you have to pay the same charge as somebody in his Range Rover. [But] these are distributional issues – people at the middle to upper end of the income scale are clearly much less effected by these issues. This reported in November 1998. His ground-breaking Whitehall Studies in the 1980s found a direct correlation between social status and life expectancy in civil servants. When professor Sir Michael Marmot speaks to me from his office at UCL, he's recently returned to work sporting a walking stick. [7] He has more recently led the Whitehall Studies of British civil servants, again focusing on heart disease and other disease patterns. ", However, Marmot says he has seen scant evidence of policies being aligned in practice – for example when it comes to cutting services. Systematic review of prospective cohort studies", "Independent Inquiry into Inequalities in Health Report", "Austerity blamed for life expectancy stalling for first time in century", Tackling health inequalities: ‘Marmot cities’, https://en.wikipedia.org/w/index.php?title=Michael_Marmot&oldid=987244837, People educated at Sydney Boys High School, University of California, Berkeley School of Public Health alumni, Fellows of the Royal College of Physicians, Fellows of the Academy of Medical Sciences, Pages containing links to subscription-only content, BLP articles lacking sources from February 2016, Wikipedia introduction cleanup from July 2017, Articles covered by WikiProject Wikify from July 2017, All articles covered by WikiProject Wikify, Articles with multiple maintenance issues, Pages using infobox scientist with unknown parameters, Articles with unsourced statements from February 2016, Articles with unsourced statements from July 2014, Articles with unsourced statements from November 2015, Wikipedia articles with BIBSYS identifiers, Wikipedia articles with ORCID identifiers, Wikipedia articles with SNAC-ID identifiers, Wikipedia articles with SUDOC identifiers, Wikipedia articles with WORLDCATID identifiers, Creative Commons Attribution-ShareAlike License, 2016 Awarded an honorary doctorate by the, 2012 Lifetime Award Fellowship Eur Academy of Occupational Health Psychology, 2012 European Academy of Occupational Health Psychology Fellowship, 2011 Ambuj Nath Bose Prize, Royal College of Physicians, 2011 Medal of City of Lima, awarded by Mayor of Lima, 2011 Sir Liam Donaldson Lecture and Medal, Health Protection Agency, 2011 Fellow, Association for Psychological Medicine, 2011 Avedis Donabedian International Foundation Award, 2010 Manchester Doubleday Award, Manchester School of Medicine, 2010 Jenner Medal, Royal Society of Medicine, 2010–11 President, British Medical Association. Labels: graduation, Health Equity, Norway, politics, post-fact, Trondheim, universities. Welcome Message: Michael Marmot . Norwegian University of Science and Technology, About page on the Institute of Health Equity website, Michael Marmot interviewed by Kirsty Young, Rise in life expectancy has stalled since 2010, research shows, "Intersalt: An international study of electrolyte excretion and blood pressure. All rights reserved. "For example, congestion charging. But he also promises more emphasis on sustainable development than previous reports. [citation needed], In 2020 the review was published. He is currently the Director of The UCL Institute of Health Equity. Marmot is now finalising a review for the European Office of the WHO on social determinants of health and the health divide in Europe, commissioned to support the development of Health 2020, the policy framework for Europe. [citation needed], He earned a Master of Public Health in 1972[citation needed] and a PhD in 1975 from the University of California, Berkeley for research into Acculturation and Coronary Heart Disease in Japanese Americans.[7]. When he was a young child, his family moved to Sydney in Australia, where he attended Sydney Boys High School (1957–1961) and graduated with a Bachelor of Medicine, Bachelor of Surgery (MBBS) degree … We are doing badly: dramatic social inequalities in Covid-19 deaths; high rates in black, Asian and minority ethnic groups; and, now, the highest excess mortality in Europe. He adds: "My central argument is that we should have regard for the likely impact on health and health inequalities when formulating policies for other purposes. According to the WHO Europe report summary: "Factors determining health and social justice are interdependent with factors determining environmental and economic sustainability.
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