The article by Michael Marmot, published in the *Institute of Health Equity*, discusses the state of health equity in England ten years after the Marmot Review. It highlights that health improvements, measured by life expectancy, have stagnated and health inequalities have widened, particularly among women in deprived communities and in the North of England. The slowdown in life expectancy improvement began in 2011 and has led to a decline in life expectancy in some areas, with an increase in years spent in poor health. Marmot attributes this to societal stagnation, noting that health is closely linked to social and economic conditions, including power, money, and resources. The Marmot Review, commissioned in 2008, outlined how public expenditure on policies could address these social determinants of health. However, austerity measures under both the Labour and Conservative governments have cut public spending, exacerbating health inequalities. The article details how austerity has affected various areas, including rising child poverty, cuts in education funding, a housing crisis, and increased homelessness. These changes have had adverse effects on health, particularly in deprived regions. Marmot argues that the failure to improve health is a sign of societal decline and that the social determinants of health must be addressed to reduce inequalities. The article concludes by emphasizing the importance of early childhood investment and addressing housing issues to break the link between deprivation and poor health outcomes. It calls for urgent action to implement the recommendations from the Marmot Review to create a just and sustainable society.The article by Michael Marmot, published in the *Institute of Health Equity*, discusses the state of health equity in England ten years after the Marmot Review. It highlights that health improvements, measured by life expectancy, have stagnated and health inequalities have widened, particularly among women in deprived communities and in the North of England. The slowdown in life expectancy improvement began in 2011 and has led to a decline in life expectancy in some areas, with an increase in years spent in poor health. Marmot attributes this to societal stagnation, noting that health is closely linked to social and economic conditions, including power, money, and resources. The Marmot Review, commissioned in 2008, outlined how public expenditure on policies could address these social determinants of health. However, austerity measures under both the Labour and Conservative governments have cut public spending, exacerbating health inequalities. The article details how austerity has affected various areas, including rising child poverty, cuts in education funding, a housing crisis, and increased homelessness. These changes have had adverse effects on health, particularly in deprived regions. Marmot argues that the failure to improve health is a sign of societal decline and that the social determinants of health must be addressed to reduce inequalities. The article concludes by emphasizing the importance of early childhood investment and addressing housing issues to break the link between deprivation and poor health outcomes. It calls for urgent action to implement the recommendations from the Marmot Review to create a just and sustainable society.