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highest income group and 9.8% and 6.2% among the lowest income group. This is the kind of data underlying the statement by NHS England’s chief executive Simon Stevens that “thnicity and race have been shown systematically to influence our health, independent of factors such as age, sex, and socioeconomic status.” Findings to that effect, however, must be appraised with recognition that efforts to adjust for nonracial characteristics are rarely adequate. For example, US income data make clear that blacks have lower incomes than whites in both the highest and lowest

 

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