Episode 1: How Inequality Kills
- carmelshelef
- Nov 25, 2024
- 2 min read
Updated: Jan 5
Talking with Dr. David Ansell, author of the Death Gap: How Inequality Kills.

In an era where politics heavily influences every aspect of our lives, from the economy to healthcare, have you ever considered how your political decisions might also have an impact on your own life expectancy? The Longevity Divide, a podcast dedicated to exploring the complex relationship between political ideologies and health outcomes, seeks to answer this very question.
In the first episode, I had the honor of speaking with Dr. David Ansell, a physician, social epidemiologist, and author of The Death Gap: How Inequality Kills. Dr. Ansell’s work sheds light on how structural violence—policies, practices, and societal norms—creates disparities in health outcomes and shortens lifespans, especially among marginalized communities.
Our discussion highlighted the critical ways public policies influence life expectancy. Dr. Ansell explained how systemic issues such as poverty, neighborhood conditions, and unequal access to healthcare drive health disparities. He stressed that these inequalities are not just driven by biology but are caused by human-made decisions.
Questions asked:
How do you think state-level public health policies may contribute to disparities in life expectancy between states?
What role could political ideology play in shaping health outcomes, particularly when considering red versus blue states’ public health policies?
What lessons can be drawn from Covid-19 mortality differences between states, and how might these lessons inform future public health strategies?
To what extent are differences in life expectancy attributable to cultural versus policy-driven factors, and how might this distinction guide intervention strategies?
How do you view the role of federal versus state governments in addressing the death gap? Should there be more federal oversight in areas like healthcare or gun safety?
What metrics should we prioritize when evaluating the effectiveness of state-level public health policies in reducing life expectancy gaps?
How might the changing political climate in the US affect life expectancy?
Key takeaways:
Socioeconomic Inequality and Health Disparities: Socioeconomic inequality drives health disparities and life expectancy gaps.
Healthcare as a Human Right: The right to healthcare needs to be protected as a basic human right.
Federal vs. State Policies: While federal policies could address human rights issues like healthcare and housing, Dr. Ansell acknowledged the need for state-level action to address local challenges.
Thanks for listening! Stay tuned for more episodes as I explore the intersection between politics and life expectancy.
Comments