Health is wealth

Much literature shows that ill-health causes a direct impairment of the ability to work and earn, both for the worker and the related family, to act as consumers and participate in leisure activities. Indirect costs are also high, with reduced work productivity ("presenteeism"), absence from work (absenteeism), and early retirement or non-employment due to illness with debilitating conditions.

One dramatic illustration is the 40% cost of sustaining a person with multiple sclerosis that comes simply because of lost productivity because the person can no longer work.

Another huge indirect cost is the need for caregivers for the sick, who may be unable to attend work as a result or may be less productive when at work.

Inequalities Breed Stress

Social inequalities, seen most sharply in the US among all developed countries, appear to be an independent factor that reduces life expectancy, overall health, and well-being, despite a higher income. Studies show that "people in more egalitarian societies live longer, experience less violence, have lower rates of obesity and teen pregnancy, are less likely to use illicit drugs and enjoy better mental health than their counterparts in countries with a wide divide between rich and poor."

Stress is a powerful weapon and is equally experienced by the rich and poor. The effects of social inequality, seen most sharply in the US, are mediated via chronic stress, which exerts a deleterious effect on the heart, blood vessels, immune responses, and brain.

In addition to the physical aspects of poverty, which can be seen, even the rich suffer from chronic performance anxiety, demands to keep up appearances and increase their wealth through fierce and unending competition, and loss of trust. Inevitably, such a society breaks down due to the impassable barriers of suspicion and mistrust between the people who make up the community.

Concerning children's health, less unequal societies are notable for higher rates of childhood immunization, accidental deaths among children, lower rates of addiction to tobacco and alcohol, and higher rates of educational achievement.

According to social scientists, policies to reduce inequality are health- and wealth-producing policies. Entrenched commercial interests that market foods and products that foster ill-health must be fought and removed from decision-making areas at the top. This is unlikely to happen anywhere in the world, however, which means that individuals and communities must take their health and wealth into their own hands.

Thus, multipronged interventions will be necessary. Small Steps to Health and Wealth is one stepped program that provides life coaching for poor and/or sick people to help them change their habits to fit their long-term goals.

People should also take charge of their health as far as possible, with ongoing maintenance, regular scheduled check-ups, and building good habits. The same goes for wealth creation, especially since a longer lifespan implies the need to build enough capital to last one's life.

Public attitudes to health and wealth are underpinned by public knowledge of what drives these entities. In turn, public attitudes drive public behavior. Behavior is one area that psychologists can help change, and their skills should be harnessed to drive healthy and productive behavior.

The situation that favors the creation and perpetuation of economic disparities can be corrected only by advancing wealth to invest among those who have been disadvantaged by all these factors, allowing them to move forward by providing opportunities in education, banking, the police, and justice systems, housing and including their input while framing policies.

Microloans for small businesses, help to rent better houses in better neighborhoods, or to buy their own homes, helping adults gain insight into financial management, coaching to help achieve specific goals and assistance with getting a minimum wage adequate to live a decent lifestyle while simultaneously providing assistance to climb the ladder where appropriate via on-the-job training.

Focusing on children is a highly effective strategy since it ensures a good start for each individual and has the most long-term ramifications of all. This includes universal quality prenatal care, early education with all kids entitled to attend good preschools, and improving the educational system to achieve high academic and learning skills. The classrooms are also the fertile ground where educators can instill healthy attitudes and behaviors that promote diligence and creativity.

Along with equalizing healthcare access, the quality of care given to the poor needs to improve. The most important thing is to target opportunities to promote health since this occurs earlier in the course of events rather than focusing on outcomes alone.

Better treatment for the sick would keep caregivers at work for a longer time, thus increasing overall revenues. Proper distribution of economic growth by investing in public services would benefit the poor and take the strain on safety-net services.