Dear colleagues,
A deeply submerged dichotomy, which I believe it is
crucial to make explicit in our discussions, concerns
whether we view equity and equality as fundamental
values or as determinants of the quality of life (and
therefore of health) - or both. This unvoiced dichotomy
underlies the total discourse on inequality - and also more
superficial disagreements like those which surfaced at our
inaugural meeting.
Many religions, ideologies and value systems are in
some sense based on equity. Many people attempt to be
equitable in their everyday lives. Some of these people -
and in addition, many others who do not subscribe to these
values - acknowledge the importance of inequality as a
determinant of health and of other aspects of the quality
of life.
Many researchers, if pressed on the question, would
sincerely state their belief that for the general benefit
of humankind it is important to undertake research on
inequality. This group includes many who do not themselves
personally see any need to live equitable lives. Such
people may be confused and even alienated by the values,
ideologies and emotions which motivate the other groups I
have described.
People coming from each of these positions may see
people who only hold the other type of position as confused
and even as hypocritical ('Why does Group A constantly
politicise inequality?' 'What makes Group B think it's
appropriate to study inequality if they clearly don't
believe in equality themselves?'). What are your views on
these issues?
Best wishes
Alex
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Alex Scott-Samuel
EQUAL (Equity in Health Research and Development Unit)
Department of Public Health
University of Liverpool
Whelan Building
Quadrangle
Liverpool
L69 3GB
Tel (+44)151-794-5569
Fax (+44)151-794-5588
e-mail [log in to unmask]
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