The resulting line-of-argument illustrates how such inequalities continue to be problematised in narrow and reductionist ways to ft both with pre-existing conceptions of health, and the institutional practices which shape thinking and action. 

Instances of health system actors adopting a more social view of inequalities, and taking a more active role in infuencing the social and structural determinants of health, were attributed to the beliefs and values of system leaders, and their ability to push-back against dominant discourses and institutional norms.

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