No relationship is more clearly established in population health science than the one between income and health. Those among us who are fortunate enough to have higher income live longer, healthier lives. By way of example, those born in 1960 who are in the lowest income quintile, can expect to live till age 76; those in the highest income quintile can expect to live till age 89. Money buys access to the resources that create a healthier life, from safe neighborhoods to walk in, to clean air to breathe, to time off to care for sick children, to nutritious food to eat. We write about this today, not because it is news, but because, quite simply, the United States is on the brink of creating a class of permanent health have-nots, shaped by entrenched class divides and ever increasing income disparity.