Empowerment of individuals and communities is absolutely central. Getting the community involved in organising their own destiny has got to be a key part of it.
Michael MarmotIn Sweden for example people with PhDs have lower mortality than those with a masters degree. And people with a masters degree or a professional degree are not poor.
Michael MarmotI don't blame people for smoking when I see a social gradient in smoking. I say we need to understand why is it the lower you are in the hierarchy the more likely you are to smoke. So we need to address the causes of the causes.
Michael MarmotHealth inequalities and the social determinants of health are not a footnote to the determinants of health. They are the main issue.
Michael MarmotIt's not just that people with no education have worse health. People with a bit of education at somewhat better, with a lot of education it's even better. And with even more education it's better still.
Michael MarmotIf the economists are arguing as to whether we need to cut or stimulate, because they're completely opposite policies, and they can't work it out then I would say let us work it out for you. Let's look at the lives people are able to lead, the effect of policies on the lives people are able to lead, and hence the likely effect on health and health inequalities.
Michael Marmot