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Abstract The relation between society and health is challenging and important for two complementary reasons. For economists and those concerned with social policy, health may be a marker, a way of keeping score of how well the society is doing in delivering well-being. In public health, our concern is not with economic performance, of which mortality may be an indicator, but with health status of which economic and social performance may be determinants. That is to say, I am concerned with how to lower mortality rates and improve health, and am therefore interested in the major influences that shape it. In this con- text, I am concerned with economic performance only as a means to an end.
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