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if you have a substantial number of people whose lives are curtailed below the national average lifespan due to causes associated with deprivation -- malnutrition, exposure, life in insecure "war zones" rife with violence and virtually unpoliced, arbitrary violence from whatever police presence there is -- then I think it is safe to say that you have substantial poverty.
it is possible to be "wealthier" in terms of good diet, personal security, health and longevity as a cash-poor peasant in a supportive cultural matrix than as a working-poor American through whose hands more dollars flow each year. so I would stick to actuarial stats if I were trying to figure this out.
The difference between theory and practise in practise ...
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