1990The LancetOpen access

Race or class versus race and class: mortality differentials in the United States

Vicente Navarro

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Abstract

The growing class differential in mortality rates is not unique to the US. Other countries have noticed that these differentials are not only persistent but growing, and a large national and international debate about the reasons for these class differentials has been initiated. However, in the US there is a deafening silence on this topic. If a prerequisite for finding the right answer is to ask the right question, then it is unlikely that by concentrating solely on race differentials we will ever be able to understand why the health indicators of our minorities are getting worse.

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What this paper is about

The growing class differential in mortality rates is not unique to the US. Other countries have noticed that these differentials are not only persistent but growing, and a large national and international debate about the reasons for these class differentials has been initiated. However, in the US there is a deafening silence on this topic. If a prerequisite for finding the right answer is to ask the right question, then it is unlikely that by concentrating solely on race differentials we will ever be able to understand why the health indicators of our minorities are getting worse.

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Available abstract

The growing class differential in mortality rates is not unique to the US. Other countries have noticed that these differentials are not only persistent but growing, and a large national and international debate about the reasons for these class differentials has been initiated. However, in the US there is a deafening silence on this topic. If a prerequisite for finding the right answer is to ask the right question, then it is unlikely that by concentrating solely on race differentials we will ever be able to understand why the health indicators of our minorities are getting worse.

Key concepts: Race (biology), Social class, Demography, Class (philosophy), Medicine, Demographic economics, Gerontology, Political science

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