General improvements in health/decline in mortality do not affect all classes equally. As mortality rates fall, social inequalities commonly widen.
Michael MarmotLow income is related to poorer housing, poorer diet, fewer social amenities, worse working conditions. (...) After adjustment for age, sex, race, smoking, alcohol consumption, sleep habits, leisure-time physical activity, chest pain, diabetes, or cancer, there was still an increase risk of 1.6 for those with inadequate incomes.
Michael MarmotEmpowerment 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 Marmot