Poverty and harsh social environments make people physically and psychologically sick. Among the many reasons for this is that economic privation directly triggers our stress response system which causes harm to our brains and bodies and leads to maladaptive “solutions” like alcohol and drug addiction, depression and narcissism. Of special importance is the fact that inequality itself causes stress through producing enormous “status anxiety” in everyone but especially in those near the bottom of the hierarchy. Societies like ours that are so unequal produce higher than normal symptoms of social and emotional suffering. Inequality itself is a toxic affront to our bodies and our spirits.