The gap between rich and poor in Canada is growing. What is indisputable to those of us working in the health care sector is its effect on health of Canadians. Health is a concern common to all, regardless of political affiliation, and does not exist in isolation from this growing problem. Evidence continues to mount that rising income inequality is contributing to the deterioration of the health of all people in Canada, regardless of their income level. As a family doctor who sees the impacts of public policies on the front lines, I find myself nodding in agreement to calls to action. The time for leadership on this issue has come.

The Canadian Medical Association's 145th annual meeting is taking place this week. The mantra of the meeting is health equity, and Sir Michael Marmot, the white knight of social determinants, undoubtedly provides the human and scholarly element the issue of inequality deserves. There may be no better person to articulate Canada's barriers to better health outcomes.