Tony Blair was famously 'not bothered' about the super rich. However, more recently, the Labour Party has found its passion for a more equal income structure. There have also been some academics who argued for a while that there is a link between income inequality and health
(The Spirit Level: why equality is better for everyone by Richard Wilkinso, Kate Pickett). In other words, they claim that there is evidence that the bigger the gap between top and bottom earners in terms of take home pay, the less healthy a society is. Health is often measured by morbidity, i.e. incidences of ill-health.
While for the Labour Party this new agenda may be prompted by its desperate search for its left-leaning voters, the case of academics is more puzzling. I believe there are some problems with their argument and here is why.
First, the evidence available is not in their favour. The Agency for Statistics in Germany has just released the figures of morbidity for the German states. The stats make interesting reading. Hamburg, Bremen and Bavaria, all states with the highest income gap, have the best population health. Thuringia and Saxony, states with the smallest income gap (half that of Bavaria), have the worst health outcomes for their populations.
So the evidence is at least contradictory. More importantly, however, there is, second, another problem with the supposed link between income inequality and health.
There has always been clear evidence that health is influenced by factors (amongst others) such as poverty and deprivation, access to prevention programmes, and health care quality. Now, the income gap says little about poverty. In fact, states with a large income gap between top and bottom earners might still have earners at the bottom of the scale that earn far more than those at the top of the scale in other states that have a small income gap.
In other words, income gap does not mean poverty. It's a relative measure of how far top and bottom are apart, which leaves the possibility (for example Hamburg), that the bottom earners are still better off than those in other areas.
Also, much has been made of the bad health outcomes figures of the US. However the figures there are skewed. Until recently, a small but sizeable minority of people had not access to health care at all, except for emergency care. It is difficult to see how this could NOT influence health outcomes. Early detection and treatment are a central pillar of good health care.
So, the argument will continue, but so far I am unconvinced that we have incontrovertible evidence that the income gap itself makes people sick.