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In this election year, politicians must give us hope for a better future, writes Michael Marmot “Hope is an orientation of the spirit … an ability to work for something because it is good…. It is not the same as optimism. It is not the conviction that something will turn out well, but certainty that something makes sense regardless of how it turns out.”1 So said Václav Havel, playwright, dissident, and President of post-communist Czechoslovakia. He had been through it all before he played a key part in his country toppling communism and emerging blinking into the light. The UK in 2024, and at the beginning of an election year, is experiencing dark days of a different sort: population health has stopped improving and health inequalities are increasing. That means that the conditions in which people are born, grow, live, work and age have stopped improving or are deteriorating. Demoralisation and pessimism about prospects for improvement abound, with versions of: the problems

United kingdomGreater manchesterUnited kingdom generalSlovak republicMichael marmotJohn burnRaymond williamsInstitute of health equityFair society healthyEuropean unionHealth equityJohn burn murdochFinancial timesMarmot cityFair society healthy livesEast london