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Although the 20th century witnessed significant improvements in health in most countries including people living longer, older people in developed countries still account for the large majority of people in poor health. There are also clear inequalities in health and a growing body of research has demonstrated the persistence of health inequalities at older ages. It's a subject that the team at the NCRM-funded node Pathways have been looking at in recent months and in this podcast, Dr George Ploubidis explains more about the research and findings, the implications for policy makers and the importance of further robust evidence in this area to ensure effective policy interventions.