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Social Determinants of Health

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From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 1 Sep 2005 08:52:12 -0400
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http://nytimes.com/2005/09/01/opinion/01thu2.html

September 1, 2005
Life in the Bottom 80 Percent

Economic growth isn't what it used to be. In 2004, the economy grew a solid
3.8 percent. But for the fifth straight year, median household income was
basically flat, at $44,389 in 2004, the Census Bureau said Tuesday. That's
the longest stretch of income stagnation on record.

Economic growth was also no elixir for the 800,000 additional workers who
found themselves without health insurance in 2004. Were it not for
increased coverage by military insurance and Medicaid, the ranks of the
uninsured - now 45.8 million - would be even larger. And 1.1 million more
people fell into poverty in 2004, bringing the ranks of poor Americans to
37 million.

When President Bush talks about the economy, he invariably boasts about
good economic growth. But he doesn't acknowledge what is apparent from the
census figures: as the very rich get even richer, their gains can mask the
stagnation and deterioration at less lofty income levels.

This week's census report showed that income inequality was near all-time
highs in 2004, with 50.1 percent of income going to the top 20 percent of
households. And additional census data obtained by the Economic Policy
Institute show that only the top 5 percent of households experienced real
income gains in 2004. Incomes for the other 95 percent of households were
flat or falling.

Income inequality is an economic and social ill, but the administration and
the Congressional majority don't seem to recognize that. When Congress
returns from its monthlong summer vacation next week, two of the
leadership's top priorities include renewing the push to repeal the estate
tax, which affects only the wealthiest of families, and extending the tax
cuts for investment income, which flow largely to the richest Americans. At
the other end of the spectrum, lawmakers have stubbornly refused to raise
the minimum wage: $5.15 an hour since 1997. They will also be taking up
proposals for deep budget cuts in programs that ameliorate income
inequality, like Medicaid, food stamps and federal student loans.

They should be ashamed of themselves.

Copyright 2005 The New York Times Company Home Privacy Policy Search
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