The talk describes recent trends in inequality and health in affluent countries and suggests that the UK and USA have become very unusual compared with global trends - with Scotland suffering as a result. There are signs of hope that people in these two, no longer very united, states are now beginning to realise that the growth of inequalities has caused, and is still causing, widespread harm. Signs of hope from elsewhere in the world where inequalities in many other places are much lower and/or falling are also explored.