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    It has long been realized that members of the lower socioeconomic classes are at a severe disadvantage on a number of fronts. Their financially destitute status creates a host of additional problems for their families. There is limited funding for proper nourishment and certainly a decrease in access to medical assistance. The health inequalities found in the differing social classes are astronomical. In fact, research reveals that members of lower socioeconomic classes are far more susceptible to a vast array of health maladies. Their life expectancy is significantly decreased. And, the research suggests that there is increased potential for mental […]
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    In 1842, the English social reformer Edwin Chadwick documented a 30-year discrepancy between the life expectancy of men in the poorest social classes and the gentry. He also found a North-South health divide with people from all social classes faring better in the rural South than in the industrial North. Today, these inequalities persist.People in the most affluent areas of the United Kingdom, such as Kensington and Chelsea, can expect to live 14 years longer than that those in the poorest areas, such as Glasgow or Blackpool. Men and women in the North of England will, on average die two […]
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    Doctors are rarely accountable for the average quality of their work in terms of outcome. They have to answer for exceptional events, unexpected disasters lying outside the normal range of experience, but rarely for assessment of average process, and virtually never for average outcome. If disasters don’t occur, or don’t reach the ears of authority, quality of work is assumed to be satisfactory. Even if it is so obviously unsatisfactory as absolutely to demand enquiry, that enquiry will use process rather than outcome measures. For example, the expected mortality of a planned operation for repair of inguinal hernia in a […]
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