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British Medical Journal , Vol. 312, April 20, 1996, pp. 987-988). So wealth does not determine health. What does is the gap between the rich and the poor. The larger the gap, the sicker the society. Countries with a greater degree of socioeconomic inequality show greater inequality in health status; also, that middle-income groups in relatively unequal societies have worse health than comparable, or even poorer, groups in more equal societies.