Nov 21, 09



Inequality and Societal Problems: a review of the Spirit Level


the-spirit-level.jpg
The Spirit Level: Why More Equal Societies Almost Always Do Better by well known public health researchers Richard Wilkinson and Kate Pickett is reviewed by political scientist David Runciman in the London Review of Books article How messy it all is:

The argument of this fascinating and deeply provoking book is easy to summarise: among rich countries, the more unequal ones do worse according to almost every quality of life indicator you can imagine. They do worse even if they are richer overall, so that per capita GDP turns out to be much less significant for general wellbeing than the size of the gap between the richest and poorest 20 per cent of the population (the basic measure of inequality the authors use). The evidence that Wilkinson and Pickett supply to make their case is overwhelming. Whether the test is life expectancy, infant mortality, obesity levels, crime rates, literacy scores, even the amount of rubbish that gets recycled, the more equal the society the better the performance invariably is. In graph after graph measuring various welfare functions, the authors show that the best predictor of how countries will rank is not the differences in wealth between them (which would result in the US coming top, with the Scandinavian countries and the UK not too far behind, and poorer European nations like Greece and Portugal bringing up the rear) but the differences in wealth within them (so the US, as the most unequal society, comes last on many measures, followed by Portugal and the UK, both places where the gap between rich and poor is relatively large, with Spain and Greece somewhere in the middle, and the Scandinavian countries invariably out in front, along with Japan). Just as significantly, this pattern holds inside the US as well, where states with high levels of income inequality also tend to have the greatest social problems. It is true that some of the most unequal American states are also among the poorest (Mississippi, Louisiana, West Virginia), so you might expect things to go worse there. But some unequal states are also rich (California), whereas some fairly equal ones are also quite poor (Utah). Only a few (New Hampshire, Wyoming) score well on both counts. What the graphs show are the unequal states tending to cluster together regardless of income, so that California usually finds itself alongside Mississippi scoring badly, while New Hampshire and Utah both do consistently well. Income inequality, not income per se, appears to be the key. As a result, the authors are able to draw a clear conclusion: ‘The evidence shows that even small decreases in inequality, already a reality in some rich market democracies, make a very important difference to the quality of life.’ Achieving these decreases should be the central goal of our politics, precisely because we can be confident that it works. This is absolutely not, they insist, a ‘utopian dream’.

Why then, given all this – the concise argument, the weight of the evidence, the unmistakable practical purpose of the authors – does the book still feel oddly utopian? Part of the problem, I think, is that the argument is not as straightforward as its authors would like. Despite their obvious sense of conviction, and maybe even because of it, they fudge the central issue at crucial moments, whereas at others, perhaps in order to compensate, they overstate their case, which only makes things worse. To start with the fudge. Is the basic claim here that in more equal societies almost everyone does better, or is it simply that everyone does better on average? …

Richard Wilkinson and Kate Pickett also have a review article Income Inequality and Social Dysfunction in the Annual Review of Sociology (2009 35:493-511) that examines the support for various hypotheses of the relationship between inequality and social dysfunction.


This post by WorldChanging Canada writer Garry Peterson was originally published on Resilience Science.

Comments

Surely the point of the book is that it shows that people at all other levels of the social hierarchy do better in more equal societies. That is to say, whatever a person’s educational level, social class or income group, they are likely to enjoy better health and suffer fewer social problems than people in the same socioeconomic categories in less equal societies. Is the 'fudge' the fact that the book failed to distinguish between that situation and better average rates of health and social problems, which may simply reflect the damage which inequality does to the poor.
This would be a remarkable elementary mistake for epidemiologists to make after working for many years on health inequalities and social gradients in health. Data is produced in the book from five referenced research papers, all showing that if you compare people in more and less equal countries within each category of education, occupation or income, people in the more equal societies do better in every category. In each comparison the benefits of greater equality are largest in the lowest categories but continue all the way up. A multi-level study from Harvard likened income inequality to a general “social pollutant” because its detrimental effects on health spread across all income groups. The body of research on this issue has now spawned reviews and meta-analyses. The most recent assembles data from different studies covering 60 million people and confirms this picture.
Even without these studies, the benefits of greater equality are clearly much too large to be attributed to the poor alone. The poorest 10 percent in Japan would have to live 45 years longer than their American counterparts to account for the Japanese 4.5 year lead in average life expectancy. Similarly, variations in mental illness among the poor alone cannot account for why countries’ prevalence rates vary between 8 and 25 percent of the population, or why the percent of the population feeling they cannot trust others varies from 15 to 65 percent.
The conclusion is clear that those health and social problems which are related to status within our societies get worse among the vast majority of the population when status differentiation is increased by greater income inequality. If you want to know more then go to: www.equalitytrust.org.uk

Posted by: Terence Bermingham on November 4, 2009 10:41 AM

Isn't the authors name Richard Wilkinson, not Robert. Shows you how much this guy has read this excellent book.

Posted by: Richard Hannay on November 4, 2009 10:43 AM

Richard,

Thanks for the correction! I've made this change above.

Mark

Posted by: Mark Tovey on November 6, 2009 1:35 PM

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