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When Poverty is the Diagnosis: The Health Effects of Living Without on the Individual

INTRODUCTION Poverty is the most serious and ignored public health crisis of the twenty-first century. The health of approximately 46.7 million individuals, who are predominantly low income and minorities, is threatened by the social determinants of health. 1 For people experiencing poverty, the social determinants of health—the social, economic, cultural, and environmental conditions that influence individual and group health status—largely dictate overall health outcomes. In turn, individual and community health affects everyone, regardless of income level or minority status. For example, it dictates crime levels, quality of education, real estate markets, and healthcare costs, and is relevant in nearly every law and courtroom. 2 Yet the