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But why should the goal be narrowing the gap at all? The goal should be improving the lower strata, period--who cares what level the upper strata is at?
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What do you think I mean when I say 'Narrow the Gap'? It means focusing attention on improving the lower strata, bringing them up nearer to the standards enjoyed by the better off. Narrowing the gap in health terms means improving the health of deprived communities and striving to bring the life expectancy of those communities into parity with the better off communities.