It is no secret that big, global cities like London and New York are highly unequal and display harsh extremes of wealth and poverty. This is increasingly true of Canada's largest cities, as shown by recently released Statistics Canada data on the geographical distribution of high income earners.
If you woke up this morning and put your feet on the floor in Moosenee, Iona, Bella Coola or Longlac, then the chances are that your health is poorer than if you were greeting the day in any major Canadian city. Overall, rural folk have lower life expectancy, more injury, chronic disease and mental health concerns, higher rates of smoking, alcoholism and drug misuse and poorer perceptions of their own mental and physical health than Canadian urban dwellers. There are inequalities in health outcomes between rural and urban residents, as well as among other subpopulation groups in Canada. I argue for a more nuanced look at the unfairness of inequalities and what we can do collectively to find ways to address them.