40 The geography of social inequality and health
-
Daniel Dorling
Abstract
This chapter documents a lecture that presented some 30 pictures: maps, graphs and ‘map-graphs’ that were intended to show a group of public health physicians what a geographical perspective can bring to the understanding of social inequality and inequalities in health. Here those images have been grouped into eight figures to provide some food for thought. The mapping of disease is rumoured to have been initiated by a medical doctor in charge of a lunatic asylum who gave his patients crayons to colour in maps by disease rate. Maps and map-like graphs can have a wide appeal and can draw people into issues that might otherwise not interest them. I begin with changing gender inequalities in the rich countries of the world, move on to local health inequalities in one country (the UK) and then to new emerging global patterns in social inequality and health inequalities as depicted geographically and graphically. The images were originally drawn in colour but have to be reproduced in black, white and grey here. However, the original versions of most can be found in the plate section of this book.
This first image is a graph which looks like a contour map. Along the bottom axis are marked 150 years in time and along the side axis 100 years of age. The colours of the cells in the graph depict 15,000 mortality rates. The bottom left-hand corner of the graph is the mortality rate of infant girls who were born in 1850 into what are now the rich countries of the world.
Abstract
This chapter documents a lecture that presented some 30 pictures: maps, graphs and ‘map-graphs’ that were intended to show a group of public health physicians what a geographical perspective can bring to the understanding of social inequality and inequalities in health. Here those images have been grouped into eight figures to provide some food for thought. The mapping of disease is rumoured to have been initiated by a medical doctor in charge of a lunatic asylum who gave his patients crayons to colour in maps by disease rate. Maps and map-like graphs can have a wide appeal and can draw people into issues that might otherwise not interest them. I begin with changing gender inequalities in the rich countries of the world, move on to local health inequalities in one country (the UK) and then to new emerging global patterns in social inequality and health inequalities as depicted geographically and graphically. The images were originally drawn in colour but have to be reproduced in black, white and grey here. However, the original versions of most can be found in the plate section of this book.
This first image is a graph which looks like a contour map. Along the bottom axis are marked 150 years in time and along the side axis 100 years of age. The colours of the cells in the graph depict 15,000 mortality rates. The bottom left-hand corner of the graph is the mortality rate of infant girls who were born in 1850 into what are now the rich countries of the world.
Kapitel in diesem Buch
- Front Matter i
- Contents v
- Sources of extracts vii
- Foreword xi
- Acknowledgements xiv
- Introduction 1
-
Inequality and poverty
- Prime suspect: murder in Britain 13
- The dream that turned pear-shaped 31
- The soul searching within New Labour 41
- Unequal Britain 49
- Axing the child poverty measure is wrong 57
-
Injustice and ideology
- Brutal budget to entrench inequality 63
- New Labour and inequality: Thatcherism continued? 65
- All in the mind? Why social inequalities persist 83
- Glass conflict: David Cameron’s claim to understand poverty 93
- Clearing the poor away 97
-
Race and identity
- Ghettos in the sky 103
- Worlds apart: how inequality breeds fear and prejudice in Britain 111
- How much evidence do you need? Ethnicity, harm and crime 115
- UK medical school admissions by ethnicity, socioeconomic status, and sex 121
- Race and the repercussions of recession 125
-
Education and hierarchy
- What’s it to do with the price of fish? 133
- Little progress towards a fairer education system 139
- One of Labour’s great successes 147
- Do three points make a trend? 149
- Educational mobility, England and Germany 155
- Cash and the not so classless society 159
- Britain must close the great pay divide 165
- Raising equality in access to higher education 170
-
Elitism and geneticism
- The Darwins and the Cecils are only empty vessels 189
- The Fabian essay: the myth of inherited inequality 193
- The return to elitism in education 199
- The super-rich are still soaring away 209
-
Mobility and employment
- The trouble with moving upmarket 217
- Britain – split and divided by inequality 221
- London and the English desert: the grain of truth in a stereotype 225
- Are the times changing back? 237
- Unemployment and health 243
-
Bricks and mortar
- Mortality amongst street sleeping youth in the UK 249
- Daylight robbery: there’s no shortage of housing 251
- The influence of selective migration patterns 255
- The geography of poverty, inequality and wealth in the UK and abroad 263
- All connected? Geographies of race, death, wealth, votes and births 291
-
Well-being and misery
- Against the organization of misery? The Marmot Review of Health Inequalities 299
- Inequality kills 307
- The geography of social inequality and health 311
- The cartographer’s mad project 327
- The fading of the dream: widening inequalities in life expectancy in America 333
- The importance of circumstance 339
-
Advocacy and action
- Mean machine: how structural inequality makes social inequality seem natural 347
- Policing the borders of crime: who decides research? 351
- Learning the hard way 357
- When the social divide deepens 363
- Ending the scandal of complacency 365
- Our grandchildren will wonder why we were addicted to social inequality 369
- Mind the gap: New Labour’s legacy on child poverty 373
- Remapping the world’s population: visualizing data using cartograms 379
- If I were king 385
- Bibliography 387
- Index 389
Kapitel in diesem Buch
- Front Matter i
- Contents v
- Sources of extracts vii
- Foreword xi
- Acknowledgements xiv
- Introduction 1
-
Inequality and poverty
- Prime suspect: murder in Britain 13
- The dream that turned pear-shaped 31
- The soul searching within New Labour 41
- Unequal Britain 49
- Axing the child poverty measure is wrong 57
-
Injustice and ideology
- Brutal budget to entrench inequality 63
- New Labour and inequality: Thatcherism continued? 65
- All in the mind? Why social inequalities persist 83
- Glass conflict: David Cameron’s claim to understand poverty 93
- Clearing the poor away 97
-
Race and identity
- Ghettos in the sky 103
- Worlds apart: how inequality breeds fear and prejudice in Britain 111
- How much evidence do you need? Ethnicity, harm and crime 115
- UK medical school admissions by ethnicity, socioeconomic status, and sex 121
- Race and the repercussions of recession 125
-
Education and hierarchy
- What’s it to do with the price of fish? 133
- Little progress towards a fairer education system 139
- One of Labour’s great successes 147
- Do three points make a trend? 149
- Educational mobility, England and Germany 155
- Cash and the not so classless society 159
- Britain must close the great pay divide 165
- Raising equality in access to higher education 170
-
Elitism and geneticism
- The Darwins and the Cecils are only empty vessels 189
- The Fabian essay: the myth of inherited inequality 193
- The return to elitism in education 199
- The super-rich are still soaring away 209
-
Mobility and employment
- The trouble with moving upmarket 217
- Britain – split and divided by inequality 221
- London and the English desert: the grain of truth in a stereotype 225
- Are the times changing back? 237
- Unemployment and health 243
-
Bricks and mortar
- Mortality amongst street sleeping youth in the UK 249
- Daylight robbery: there’s no shortage of housing 251
- The influence of selective migration patterns 255
- The geography of poverty, inequality and wealth in the UK and abroad 263
- All connected? Geographies of race, death, wealth, votes and births 291
-
Well-being and misery
- Against the organization of misery? The Marmot Review of Health Inequalities 299
- Inequality kills 307
- The geography of social inequality and health 311
- The cartographer’s mad project 327
- The fading of the dream: widening inequalities in life expectancy in America 333
- The importance of circumstance 339
-
Advocacy and action
- Mean machine: how structural inequality makes social inequality seem natural 347
- Policing the borders of crime: who decides research? 351
- Learning the hard way 357
- When the social divide deepens 363
- Ending the scandal of complacency 365
- Our grandchildren will wonder why we were addicted to social inequality 369
- Mind the gap: New Labour’s legacy on child poverty 373
- Remapping the world’s population: visualizing data using cartograms 379
- If I were king 385
- Bibliography 387
- Index 389
